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Recently, Shandong Provincial Health and Health Commission issued a "letter on the issuance of the "Three-Year Plan for the Promotion of Primary Health Care Service Capability in Shandong Province" and the relevant medical and health institutions' service capacity standards" and published the Provincial Model Standards for Rural Health Rooms in Shandong Province (hereinafter referred to as "Standards").
not long ago, Shandong Province issued the "Shandong Province primary health care service capacity enhancement action three-year plan", decided to use three years to promote the upgrading of the primary health care service system, to achieve a county public health and medical service capacity to improve.
in order to cooperate with the implementation of the plan, Shandong Province issued a series of relevant medical and health institutions service capacity standards.
in the village health room, some requirements have been clearly raised.
the minimum qualification of village doctors for the rural general practice "standards" provides that according to the service population 1.2-1.5 per thousand ratio staff, with at least 2 practice scope for general medicine professional clinical category, Chinese medicine category practice (assistant) physician or rural general assistant physician, at least 1 can provide Chinese medicine services practitioners (assistant) physicians, with at least 1 nurse.
staff at least one woman.
in accordance with this provision and the village health room employment ratio, rural doctors should at least meet the standards of rural general practitioners, in order to meet the standards of qualification requirements.
recently released in Shandong Province three-year plan, the three-year requirements, within three years with a professional and above degree or professional assistant physician seligible rural doctors to reach more than 50%.
, within three years, more than half of rural doctors need to meet either of the two conditions: a professional degree or above;
infusion rate of 25%, antibacterial drug prescription ratio of 20% "Standard" on the village health room business indicators put forward strict requirements.
, the number of patients / the residents of the jurisdiction , the infusion rate of 25%, the proportion of antimicrobial drugs prescriptions , the prescription pass rate of 98% , the proportion of Chinese medicine prescriptions .
can be seen that the Standard has strengthened the requirements for rational drug use in village health rooms.
village health room infusion rate is clearly limited to 25%, can take medicine without injection, can be shot not infusion principle is further implemented.
according to the "Village Health Room Management Measures (Trial) issued by the former National Health And Planning Commission in 2014", the village health room must have the following conditions, and with the approval of the county health planning administrative department to provide intravenous drug delivery services: (1) with an independent intravenous drug observation room and observation bed; Commonly used rescue drugs, equipment and oxygen supply facilities; (3) have the conditions for the configuration of intravenous drugs; (4) the village health room personnel who carry out intravenous drug delivery services shall have the rescue measures and first aid capabilities to prevent and deal with infusion reactions; and (5) those who carry out the business of intravenous administration of antimicrobial drugs shall comply with the relevant provisions for the clinical application of antimicrobial drugs.
now on the basis of this requirement, the infusion rate is not higher than 25%, and the proportion of Chinese medicine prescriptions must reach more than 25%.
the average salary of the staff of the village health room is not lower than the average of the same conditions in the assessment of the appointment of officers, the Standard requires the implementation of rural integration management, integration with township hospitals, the same legal person, to achieve administrative, business, personnel, medicine, finance, performance appraisal "six unified" as the main content of the rural integration management model.
village health room personnel are employed by township health hospitals, the salary is not lower than the average of the same conditions of personnel, and in the village health room to work in the practice (assistant) physician skewed.
With the development of rural integration construction, the same standard of village health room has been upgraded, and the transformation of village doctors to practicing (assistant) physicians is also accelerating.
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