The Implementation Plan of the Municipal Health and Family Planning Commission and the Municipal Poverty Alleviation Office on the Targeted Poverty Alleviation and Health Poverty Alleviation Support Plan
In order to thoroughly implement the "Implementation Opinions of the Municipal Party Committee and the Municipal Government on Further Promoting Targeted Poverty Alleviation Work" , this plan is specially formulated according to the requirements of the provincial plan and combined with the actual situation of our city.
1. Objectives and tasks
To complete the construction of 1,055 poor village clinics, the central and provincial governments will provide a subsidy of 100,000 yuan for each new village clinic to achieve standardization in poor villages. Village clinics provide full coverage. Improve the treatment of rural doctors. From now on, for rural doctors practicing in clinics in poor villages with a service population of less than 1,000 people that implement the essential medicine system, the fixed subsidy will be increased from 200 yuan per month to 400 yuan per month. Strengthen the training of rural doctors, and by 2017 all village doctors in poor villages will have professional qualifications or above for rural doctors. Enrich the medical staff in township health centers. By 2017, each township health center will be equipped with more than three general practitioners, and by 2020, it will reach five. By 2017, the construction of key specialties in nine county-level hospitals will be completed. Since then, a policy mechanism has been established to guide medical and health personnel to work in primary medical and health institutions. Physicians at or above the deputy director level of municipal medical institutions, intermediate-level or above and resident doctors of five years or above from county-level medical institutions will be selected to carry out multi-site practice in primary medical institutions every year. Since then, the participation rate of the new rural cooperative medical care has stabilized at above 98%, and the reimbursement rate of hospitalization expenses under the new rural cooperative medical care for the poor has increased by 5 percentage points. Starting from 2018, the minimum payment line for serious illness insurance for the poor has been reduced from 5,000 yuan to 3,000 yuan, increasing the reimbursement rate for the poor by more than 3 percentage points.
II. Main measures
1. Construction of standardized village clinics in poor areas
Increase the construction of clinics in poor villages and complete 1,055 poor villages that do not meet the standards. The village clinic construction task is to achieve full coverage of the construction of clinics in poor villages. The central and provincial governments will invest 100,000 yuan in each new village clinic to construct 750 and 305 new village clinics. At the same time, special funds from the central government will be used to prioritize equipping each village clinic in poor villages with an all-in-one health machine.
2. Improve the treatment of rural doctors in poor villages
For the basic medical services provided by rural doctors in poor villages, general diagnosis and treatment fees will be charged in accordance with relevant policies and regulations. From now on, for rural doctors practicing in clinics in poor villages with a service population of less than 1,000 people under the essential medicine system, the fixed subsidy will be increased from 200 yuan/month to 400 yuan/month.
3. Strengthen the training of rural doctors
Strengthen the training of reserve talents, focusing on obtaining orders from poor villages to provide free training programs for 3-year junior college medical students. After graduation, medical students will be assigned to Work in health clinics in poor villages.
Strengthen the training of on-the-job village doctors, and arrange for rural doctors in poor villages to undergo further training in batches. The training time is 6 months. After completing the training and passing the examination, they will be given tuition and fees and living expenses at the standard of 1,000 yuan per person per month. subsidy.
Implement the system of rural doctors working one day a week or one week a month in township health centers to continuously improve the service capabilities and levels of rural doctors.
4. Enrich the health technical staff of township health centers
By 2020, actively strive to equip township health centers with health professional technicians every year, and equip township health centers and community health service centers with health professionals. General practitioners, including an average of more than 3 general practitioners per township health center and community health service center (station) by 2017; from 2018 to 2020, an average of more than 3 general practitioners per township health center and community health service center (station) will be achieved Station) with the goal of having 5 general practitioners.
5. Strengthen the construction of key specialties in county-level hospitals
From now on, we have organized and implemented the construction of key specialties in county-level hospitals across the city. This year, we completed two key specialty construction projects in Dangchang County and Li County. , to complete the construction of key specialties in 9 counties and districts by the end of 2017, investing 2.5 million yuan in each specialty, focusing on the construction of county-level critical care medicine departments, neonatal intensive care units and other urgently needed specialties.
6. Establish a policy mechanism to guide medical and health personnel to work in grassroots health institutions
From now on, qualified outstanding cadres will be selected from the city’s health and family planning system to work as deputy assistants in township health centers every year. The director serves for one year to improve the service capabilities and level of township health centers and village clinics.
From now on, every year, municipal-level medical institutions will select deputy chief physicians or above, county-level medical institutions above intermediate level and residents with five years or above to carry out multi-site practice in primary medical institutions, and each person will go to primary medical institutions every quarter. Carry out multi-point practice services for no less than 6 days, complete tasks such as outpatient services, surgeries, consultations, guidance and health education, and assist and guide the grassroots in specialty construction, talent training and subject management capacity improvement.
Since then, key doctors have been selected to provide assistance to township health centers every year, with a focus on medical and health services and technical training. The assistance periods are six months and one year respectively.
7. Increase the proportion of hospitalization expenses reimbursed by the New Rural Cooperative Medical System for the poor population
From now on, the proportion of hospitalization expenses reimbursed within the policy for the city's poor participating population will be increased by 5 percentage points, and the required funds will be increased from that year Payment will be made from the New Rural Medical Care Fund.
8. Increase the reimbursement ratio of serious illness insurance for the poor
From now on, the minimum reimbursement line for serious illness insurance for the poor will be reduced from 5,000 yuan to 3,000 yuan, making the serious illness insurance for the rural poor practical. The reimbursement ratio increased by more than 3 percentage points.
9. Strengthen hospital management and reduce patient burden
Standardize the fees and medical practices of medical institutions in counties and districts, establish a system for deducting New Rural Cooperative Medical Care Funds for non-compliant units, and focus on solving problems in counties and districts Problems such as arbitrary charges and double billing by medical institutions, inflated drug prices, and excessive medical treatment must be resolutely curbed to curb the rapid growth of medical expenses and improve rural residents' sense of benefit from the rural cooperative medical care policy.
3. Division of responsibilities
1. The Municipal Health and Family Planning Commission is responsible for supervising the implementation of the construction of village clinics, improving the treatment of village doctors, strengthening the training of village doctors, enriching the technical staff of township health centers, We will supervise the implementation of various goals and tasks, such as the construction of key specialties in county-level hospitals, increasing the proportion of hospitalization expenses and critical illness insurance reimbursement under the New Rural Cooperative Medical System, and guiding medical personnel to provide services in poor areas. We will supervise the progress of the tasks and check whether the projects are strictly implemented as required.
2. The Municipal Development and Reform Commission is responsible for obtaining village clinic construction projects, issuing village clinic project plans and inspecting and assessing the completion of the project plan.
3. The Municipal Finance Bureau is responsible for fund implementation, fund allocation, and fund supervision and management.
4. The Municipal Medical Reform Office shall organize and coordinate all work on critical illness insurance for urban and rural residents, and strengthen supervision and management.
5. The Municipal Human Resources and Social Security Bureau is responsible for coordinating the municipal, county and district human resources and social security departments to implement the recruitment of rural order-oriented medical graduates.
6. The Civil Affairs Bureau is responsible for medical assistance for serious illnesses.
7. Each county and district government is the responsible body and is responsible for the implementation of specific projects in the county. Relevant departments in counties and districts must identify the weak links in health work, establish work ledgers, formulate detailed implementation plans, refine work responsibilities, and effectively solve the difficulties and problems that restrict the development of poor areas.
IV. Time limit for completion
1. By the end of the year, the construction of standardized village clinics in poor villages will be completed.
2. From now on, for rural doctors practicing in clinics in poor villages with a service population of less than 1,000 people under the essential medicine system, the fixed subsidy will be increased from 200 yuan/month to 400 yuan/month.
3. From now on, for 10 consecutive years, free medical students will be recruited every year based on the rural order-oriented medical student project.
4. By 2020, equip township health centers with health professionals every year; by 2017, there will be an average of 3 general practitioners in each township health center; by 2020, there will be an average of 3 general practitioners in each township health center. The hospital reached 5 people.
5. By 2018, complete the construction of key specialties in each county-level hospital.
6. From now on, temporary cadres, multi-site practicing doctors, and agricultural doctors will be selected to provide support to grassroots medical and health institutions every year.
7. From now on, the reimbursement rate for hospitalization expenses within the policy for the poor participating population will be increased by 5 percentage points; from now on, the reimbursement rate for serious illness insurance for the poor population will be increased by more than 3 percentage points. ;