Proposals for the reform of township health centers during the National Two Sessions in 2019, and policies related to the reform of township health centers during the two sessions

In recent years, the state has continued to increase investment and construction in township health centers, but most grassroots people are still willing to go to urban hospitals for medical treatment at the cost of more manpower, material and financial resources. The reason is that everyone believes that high-level doctors will not stay in township health centers, and people are uneasy and distrustful of the treatment provided by township health centers.

At last year's Two Sessions, Qian Xueming, a member of the National Committee of the Chinese People's Political Consultative Conference and chairman of the Guangxi District Committee of the Democratic National Construction Association, expressed concern about this issue and hoped that reporters could personally understand the actual situation of the current township health centers. Since last year, reporters have investigated the situation of township health centers in Hebei Province, Shandong Province and other places, and found that many so-called "doctors" in township health centers have not received formal medical education, and many "deans" of township health centers have not received formal medical education. Even without even studying medicine for a day, township health centers have many difficulties in retaining talents, which leads to a vicious circle, causing patients to have to travel far away to seek medical treatment.

Summary of proposals for the National Two Sessions in 2018

2018 Government Work Report of the Two Sessions (Full Text) 2018 Two Sessions Education Reform 2018 Two Sessions Real Estate Tax Two Sessions 2018 Medical Reform and Medical Treatment 2018 Two Sessions China Must Do These 60 Major Things 2018 Two Sessions House Price Trends Two Sessions 2018 Reform of public institutions 2018 during the two sessions Pension increases and salary increases Personal tax reform 2018 during the two sessions Teachers’ salaries

"If township health centers in developed areas lack qualified doctors, this is a common problem, and the reason should be found in the management system." Qian Xueming, who has been paying attention to this issue for some time, told China Economic Times reporter said that township health centers not only provide medical treatment and injections for the masses, but are also responsible for public health, epidemic prevention and health care in their respective jurisdictions, and are responsible for training village doctors, management and guidance of village clinics. That’s why it’s called a township health center, not a township hospital.

Qian Xueming said that most medical graduates have entered township health centers, and it is difficult to see bright prospects for their personal career development. In addition, the living conditions and working environment in villages and towns are obviously not as good as those in counties and cities. As a result, most medical graduates are unwilling to enter township health centers and will leave even if they go. According to Qian Xueming's understanding, from 2009 to 2011 years, Guangxi's township health centers lost 7,433 health technicians, including 5514 people with professional qualifications, and Shanglin County's township health centers lost 2012- The rate is nearly 50%.

How to help township health centers retain and cultivate talents to better serve rural people? Commissioner Qian Xueming proposed that the integrated reform of county and township medical and health care should be carried out from three aspects: health center management system, training and use of doctors, and transformation of management department functions. The specific approach is to bring township health centers under the unified management of county hospitals, and the medical staff of township health centers should be staffed by county hospitals. Medical graduates first undergo clinical rotation internships in county hospitals. After obtaining physician qualifications, they rotate to township health centers. After a certain number of years, they will be rotated back to the county hospital to further improve their skills and professional titles, and then rotated to the township health center. Doctors of different levels will be maintained to provide medical services to farmers in the townships all year round.

, Qian Xueming came to Shanglin County, Guangxi Province with his suggestions for pilot testing. With the support of the Guangxi Health and Family Planning Commission, Shanglin County, Guangxi Province introduced a reform plan for the integration of county and township medical services, and achieved significant results: First, the township health centers have good doctors, which not only makes it easier for farmers to see doctors, but also reduces medical costs; second, it realizes the two-way flow of doctors and the two-way referral of patients, which not only enables the development of township health centers, but also through resources The integration of county hospitals has also been fully developed; third, the health authorities have changed from operating health centers to supervising health centers and county hospitals, which not only straightened out the relationship between the two parties, but also strengthened the supervision function.

The National Health and Family Planning Commission made a special trip to Shanglin County, Guangxi Province for investigation on 11 month, affirmed Shanglin County’s reform plan, and put forward matters that should be paid attention to. Just before the two sessions, the reporter learned from Wei Zhipeng, secretary of the Shanglin County Party Committee, that in the three months since Shanglin’s reform was implemented, the number of patients and medical treatment volume at most township health centers in the county has doubled compared with the same period last year. . Moreover, this reform has been welcomed by local people, and farmers can get the same treatment level as county-level hospitals in township health centers.

Qian Xueming summarized the pilot project in Shanglin, Guangxi into this year's proposal and brought it to the two sessions. He hopes that this result can be promoted in township health centers across the country to solve the problem of difficulty in medical treatment for farmers.

In order to build township health centers and better solve the medical problems of rural people, Qian Xueming suggested:

The first is to reform the existing management system of township health centers. Through the integrated reform of county hospitals and township health centers, the number of doctors is placed in county hospitals. Through a similar chain operation method, county hospitals will improve the standardized and standardized management level of township health centers and enhance the capabilities of medical services and public health management.

The second is to clarify the public welfare positioning of county hospitals and meet the basic medical service needs of the people. After the integration of counties and townships, it is necessary to further strengthen the public welfare functions of township hospitals by clarifying the public welfare positioning of county hospitals to meet the needs of local people for basic medical and health services.

The third is to encourage social capital to enter the medical field, accelerate the development of private hospitals, and meet diversified needs. Through financial support, preferential policies and other measures, encourage the establishment of high-level, large-scale large-scale medical institutions or the development of hospital groups, and encourage them to open branches in various counties to form large-scale chain operations.

Fourth, government management departments must change their functions and strengthen supervision. With the integrated reform of counties and townships, relevant management departments have transformed from "running health centers" to "managing medical services" and have become the standard setters, operation supervisors and behavioral regulators of medical and health services in their respective jurisdictions, which is more conducive to the public good. ***Health and medical services;