In order to summarize the successful experience of the construction of rural health stations in our city, the Party School of the Huizhou Municipal Committee of the Chinese **** in January 2007 to form a group of subjects, the city village village to establish a health station, and efforts to solve the farmers "difficult to see a doctor" work in-depth research. The group believes that the "village to establish a health station" not only solves the city for many years plagued by farmers "difficult to see a doctor" practical problems, improve the quality of life of the majority of farmers, but also the city's new socialist countryside construction to a new stage, to build a harmonious society has a lot of profound insights. Building a harmonious society has many profound enlightenment. This newspaper is published in two issues of the research report of the subject group for the relevant departments and units for further study and reference. Since the reform and opening up, with the deepening of the market economy, the complex changes in social relations, the city's original few rural health stations continue to shrink, some of the only remaining health stations are also virtually non-existent. According to survey statistics, by the end of 2005, the city's 1,052 administrative villages in the absence of health stations amounted to 284, business premises do not meet the standards of 519, only 90 health stations meet the standards. The city needs to build 703 new health stations and remodel 259 health stations. Most of the original village health stations have poor facilities, incomplete functions and single services. Village medicine is generally low, the city was identified as the object of subsidies for the 1,052 health stations, with a bachelor's degree of 19 people, 157 people in junior colleges, 516 people in secondary schools, village doctors 360 people, most of the village doctors did not go through formal training. "Difficulty in seeing a doctor" has become one of the main factors affecting the quality of life of the peasant masses, and has also become a basic problem to be solved in the process of building a new socialist countryside in our city.
At the end of 2005, the municipal government in the province took the lead in proposing: all administrative villages in the city to establish health stations, to achieve the goal of "village village to establish health stations. 2006, the project was officially launched in February, the municipal government jointly issued the "Huizhou City, to solve the problem of rural". A security five difficult" problem implementation program ", put forward to solve the farmers" difficult "target task: by 2008, the city's farmers to do the basic minor illnesses out of the village, general diseases out of the town, the center of the town health center to reach the second level of hospital standards, and can deal with public **** health emergencies.
In August 2006, drawing on the city's experience of "establishing health stations in villages", the provincial government issued the "Opinions on Further Strengthening the Service Capacity Building of Rural Health Stations" and "Guangdong Province, the rural health station doctor subsidies," and decided that since July 2006, the provincial financial assistance to the province's 14 economically The 16,000 administrative village health stations in the less developed prefecture-level cities (including Huizhou City) are subsidized with 10,000 yuan per station per year to better encourage medical technicians to work in rural areas and to comprehensively enhance the service capacity of village health stations.
At the end of November 2006, Huizhou City completed the construction of village health stations in all administrative villages ahead of schedule in the city's rural areas, reaching the goal of "establishing health stations in every village".
The rapid and comprehensive establishment of rural health centers is an exemplary significance throughout the country. So why was this project accomplished first in our city? The research group believes that this is the municipal party committee, the municipal government y understand the theoretical significance of the construction of a harmonious society, the inevitable results of the change of governing philosophy. The main point:
In the process of the establishment of rural health stations, the city strengthened leadership, increased investment, selected village doctors, strengthened management, to ensure that the village health station of the public welfare nature, so that the majority of farmers to enjoy the basic medical and health care.
The comprehensive establishment of the rural health station for the province to strengthen the service capacity of the rural health station to provide a useful reference, in the national scope of the significance of the first model.
Raising awareness, strengthening leadership, and providing organizational support for "village health stations"
Among the 21 prefecture-level cities in Guangdong Province, Huizhou City's economic output is only at a medium level, and its financial revenue is also very limited. To address this situation, the municipal party committee and the municipal government first from the correct government leaders at all levels of concepts to start, so that they realize that: to strengthen and improve the construction of rural health care stations, the government is responsible for. 2006, February, the municipal party committee and the municipal government made it clear that: all levels of government must clearly understand that the establishment of rural health care stations is the practice of the "three representatives" important ideas and build a harmonious relationship between the government and the public. The important thought of "Three Represents" and the need to build a harmonious Huizhou, is an important element of building a new socialist countryside, is an important initiative to solve the "three rural" problem. At the same time, also further rural health station construction as the basic functions of the government at all levels, clear construction goals, tasks and policies, and requires the government at all levels must give full play to the leading role of the establishment of rural health stations at all levels of party committees and governments on the agenda. The city soon formed a good political atmosphere to speed up the construction of rural health centers, thus laying a solid ideological foundation for the smooth development of the work of "village health centers".
In April 2006, the city's rural health station construction site will be held in the town of Botang, Boro County, the meeting called for the city's party and government departments at all levels to speed up the pace of construction of rural health stations. This meeting officially sounded the "village to establish health stations" horn. In order to realize the responsibility of work, the municipal government and the counties (districts) government signed the village health station construction target responsibility, and will be included in the village health station construction of the county, the town of building a new socialist countryside performance appraisal content. Since then, party committees and government functionaries at all levels have acted swiftly to clarify the work responsibility system in which the party and government chiefs take overall responsibility, the leaders in charge take specific charge, and the work responsibility system is carried out on a one-level-at-a-time basis. Relevant functional departments such as construction, land resources, development and reform, planning, environmental protection, auditing, and supervision have also worked closely together to simplify procedures, reduce or waive fees, and open up special green channels for the construction of rural health stations. The village committees carefully choose the address of the station, design architectural drawings, and recruit construction teams.
Increase investment, choose a good village doctor, for the construction of the health station to provide financial support and talent guarantee
The construction of the rural health station is a social welfare cause for the benefit of the masses of peasants, the need for government investment. In the case of more tight financial resources, the city and the counties (districts) to ensure the completion of the village health station construction goals, the introduction of financial support policies to increase financial investment. For example, the Huiyang District Government allocated 50,000 yuan for each newly constructed station and 30,000 yuan for each remodeled station; the Huicheng District Government subsidized each newly constructed station with 10,000 yuan in start-up funds; the Huidong County Government gave each newly constructed station a construction subsidy of 50,000 yuan, and each remodeled station in difficult villages a subsidy of 10,000 yuan; the Dayawan District Administrative Committee gave each newly constructed station 50,000 yuan in construction funds, and each remodeled station 10,000 yuan in subsidy; and the Boro County Government and the Longmen County Government gave each newly constructed and reconstructed health stations with subsidies ranging from 10,000 yuan to 30,000 yuan. ...... For these construction funds, governments at all levels have strictly earmarked them for specific purposes and have conducted strict supervision and inspection. By the end of November 2006, the city and the counties (districts), towns and villages invested in the construction of funds up to more than 40 million yuan, thus providing the necessary financial support for the "village to establish health stations", a strong guarantee of the smooth development of the village health station construction.
In the construction of rural health stations, the village doctor is the core of the health station, how to select a good village doctor, retain a good village doctor, become "village village to establish a health station" facing another important work. To this end, the Municipal Health Bureau has taken up the important task of selecting village doctors, they and the counties (districts) Health Bureau together with the joint town health center, in-depth research in rural areas, to develop a complete set of village doctor selection criteria and procedures to determine the village doctor candidates. For the selected village doctors, the implementation of the social publicity system, accept the supervision of the masses of farmers, to prevent the level of quackery mixed into the village doctor team, so as to ensure the high quality of the village doctor team.
In order to make the village doctor feel at ease and attract more doctors to work in the village health station, the county (district) government introduced the economic subsidy program for the village doctor. 2006 October, according to the provincial government on the construction of the latest implementation of rural health station, the municipal party committee and the municipal government adjusted the construction of the village health station subsidy program in a timely manner, and decided to the city's administrative village health station in addition to the village doctor equipped with 1, and then equipped with a nurse, the municipal financial support for each of the village doctor, and the municipal government to provide the village health station with a nurse. 1 nurse, the municipal finance for each nurse monthly subsidy of 600 yuan (of which the nursing division and the nursing division in charge of the monthly subsidy of 700 yuan, 800 yuan, respectively), at the same time, the municipal finance to work in the health station for the education of secondary school, college and undergraduate degree of village doctors were subsidized another 100 yuan, 200 yuan, and 300 yuan, for the difficulties of the village health station doctors and nurses in the provincial and municipal subsidies, based on the subsidies of another 200 yuan.
Strengthening of the village health center's subsidy system
Strengthen the management, "village health station" to create a good environment
To ensure that the village health station standardized operation, consistent adherence to its public **** medical social service function, is the fundamental work of the rural health station. To this end, the municipal government from the system of innovation to start, the development of a complete set of rural health station management methods, issued the "Huizhou City, rural health station construction implementation program" and "Huizhou City, rural health station interim management approach", standardized the management mode of the health station, but also decided to the health station personnel, fees, drugs, the implementation of town and village health services integrated management. At the same time, the municipal government has also set up health supervision sub-offices in Xiao Jingkou, Shuikou, Chenjiang, Daya Bay, Shiwan and other places, and gradually extended to other townships, and then in the city to form a more complete health law enforcement and supervision system.
After the new health station was built, in order to adhere to its public welfare nature, to ensure that farmers enjoy the basic medical and health care, the city government rationalized the management system, the health station to accept the dual leadership of the town health center and the village committee, the business of the town health center management is the main in the organizational system to ensure that the government of the village health station unified management; control of medical costs, the health station of the implementation of the supervision of the sale price of medicines, the establishment of a basic medication directory, the health center, the health center, and the village health center. The establishment of the village doctor basic medication catalog, efforts to reduce the cost of farmers to see a doctor, and the implementation of medical openness, accept the villagers to monitor; require the village health station to take up the village's public **** medical and health care tasks, is responsible for the monitoring of infectious disease outbreaks in their villages and reported in a timely manner, is responsible for a variety of preventive inoculation of the work of the villagers, the health care knowledge and knowledge of infectious diseases propaganda, and so on.