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    Home > Medical News > Medical World News > Village medical public health expenditure accounted for less than 40%? The director of the Health and Wellness Commission made a statement.

    Village medical public health expenditure accounted for less than 40%? The director of the Health and Wellness Commission made a statement.

    • Last Update: 2020-07-24
    • Source: Internet
    • Author: User
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    Source / Pingliang City Health Committeefinishing / grass-roots physician commune Liu Xiaolinfor some village doctors pay accounted for less than 40% of the basic public health funds phenomenon, a health and sanitation committee director's words are very powerful: this is a serious violation!recently, the official website of the Health and Health Commission of Pingliang City, Gansu Province, published an article about the city's health and sanitation committee party secretary, director Xin Zhikuixin in the 2020 city's health poverty alleviation and basic public health service project work promotion meetingmeeting, Xin Zhikui mentioned some shortcomings and problems in the development of public health services at the grass-roots level, and proposed the next stepsQuestion 1: The proportion of rural medical public health funds is only 20%, serious violations of thethe meeting pointed out that the current local attention to basic public health work is still insufficient, urban community basic public health service network construction, staffing, service level gap is largethis will cause service work no one to engage in, service funds a large amount of precipitation into the service center, such as some hospitals and service centers reported earlier in the village doctor remuneration accounted for less than 40% of basic public health funds, individual only more than 20%, which is a serious violationproblem two: by the place, personnel restrictions, can not carry out public health services
    individual community service centers due to the restrictions of places, personnel, did not carry out basic medical services, can not meet the needs of the masses for disease prevention and treatmentquestion three: the director of the primary medical institutions when the palm cabinetsome of the director of the primary medical institutions in public health work when the palm cabinet, little study and research basic public health work, do not understand the work of the jurisdiction, resulting in the situation of the backward for a long time can not be improvedquestion four: false service, random fabrication of data
    such as the existence of medical examination data, biochemical indicators data, such as the same situation, village doctors arbitrarily fabricated follow-up data or do not make original records, files are entirely by village doctors to fill in or artificially modify the file data and other forms of fraudproblem five: frequent leadership movements, business often brokensome grass-roots medical institutions public health unit chief and disease control, maternal and child specialized adjustment frequently, many personnel lack of training, the key population management norms are not familiar with, resulting in business often broken; problem six: the health hospital in the form, did not really correct the problem
    some of the health hospital quality control flow in the form, quality control records copy health files, did not achieve the purpose of finding problems to correct the problem some medical institutions financial management is not standardized, the proportion of compensation paid to village doctors is not up to standard some medical institutions slow disease management is not standardized, hypertension, diabetes standard management rate, tuberculosis patients standardized drug use rate, serious mental illness medical examination rate is lower than the assessment index requirements there are some public health personnel on the new version of the basic public health norms are relatively unfamiliar, file blank items, wrong items, missing items are relatively large, some paper files and electronic files are inconsistent, these will affect the effectiveness of the service and assessment score problem 7: the combination of medical care and public health is not close
    the prevalence of clinicians do not participate in basic public health services, medical data and public health services data are not interchangeable, medical prevention is not integrated phenomenon to not forget the first heart to find problems, in order to continue to innovate work ideas, improve the level of primary health services Pingliang City Health and Health Commission can be soberly aware of the current grass-roots health problems, and from the embodiment and service two aspects of the solution 1 Solve the problems of staffing and infrastructure construction of community service centers at the county and municipal levels
    , improve service conditions, enhance service capacity and make rational planning Make full use of social forces to set up service stations, improve the community health service system, improve the quality of service 2 The of more work and merit the basic medical institutions shall, in accordance with the principles of reasonable approval of the total amount of performance pay, reasonable setting of performance distribution projects and pay-for-work, performance-related, more work and better pay, and excellent pay, open the income gap and stimulate the vitality of medical personnel 3 To ensure that village medical income, old-age care, public health funds accounted for more than 50% of the in strict implementation of village medical income, old-age treatment policies, do a good job in the basic wages of village doctors in the village, performance assessment to increase benefits, pension policy policy to take care of the policy the proportion of basic public health funds in 2019 village medical remuneration does not meet the provincial requirements, according to the assessment of the secondary distribution, to ensure that the township health hospital as a unit of the total compensation of village doctors to the total amount of basic public health funds to reach more than 50% 4 Focus on the recruitment of village doctors with these "certificates" focus on the recruitment of medical practitioners, practicing assistant physicians and rural general practitioners qualified physicianqualification, and further optimize the structure of the village medical team at the same time, strictly implement the village doctors go to the township health hospital every week to study 1 day or monthly follow-up training 1 week system 5 Public health service indicators and funds the basic public health services task completion indicators and quality indicators and service funding linked to the establishment of dry and dry is not the same, good and bad is not the same work-oriented, and further mobilize the enthusiasm and initiative of village doctors 6 Do a real fine family doctor contract service
    the family doctor contract service as an important link to improve the comprehensive reform at the grass-roots level, highlighting the elderly, chronic four diseases, the establishment of file card poor people and other key groups, adhere to the service in truth-seeking, in management, in the assessment of strict To ensure that the indicators of the 12 projects of public health are completed on schedule
    to strictly implement the basic public health objectives management responsibility system, the tasks and responsibilities to the basic medical institutions and professional institutions, village stations, according to the time node to grasp the progress of work, to ensure that the 12 projectindicators completed on schedule
    , 8 In addition, data quality assessments will be conducted on a regular basis to identify problems in the data and improve the effectiveness of work guidance 9 Heavy penalties for fraud, repeated teaching sedation sedation to cancel the qualification of village doctors
    continue to increase efforts to deal with false problems, take the form of data analysis, telephone verification, household surveys and other forms to understand the authenticity of various types of services, intentionally false, fabricate follow-up data, to be severely punished, repeatedly teach not to change, to cancel the village medical qualifications 10 Training and education work is included in the performance appraisal the training and education work into the performance appraisal of various professional institutions and primary health institutions, and further strengthen the skills training and business appraisal of primary health care personnel speech content sentence stamp in the key point, the author believes that the meeting pointed out these problems are not only the situation in a cool city, most of the region more or less also face the above-mentioned shortcomings only soberly aware of these shortcomings and solve the problem, in order to complement the grass-roots public health of the short board, so that the grass-roots public health towards authenticity, standardization, effective development, so that the residents of the bailiwick really enjoy the basic public health services brought about by the sense of gain.
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