Introduction in recent years, Guangxi Wuming District Government attaches great importance to the people's health project construction, urban financial investment to support the standardization of the village health room construction and grassroots health personnel team building, grassroots health service capacity has been greatly enhanced, the masses to see a doctor to get medical treatment is more convenient and affordable, especially in remote areas, poverty-stricken areas of the masses at home to enjoy quality health care services, enhanced sense of obtainability and a sense of well-being, so what are the specific primary care policies in Guangxi?
1, strengthen the standardization of village health room construction, enhance the capacity of grassroots health services
In 2018, Wuming District Government will be the standardization of the construction of the village health room into the Wuming District for the people to do practical things project. 2018 to 2020, Wuming District Finance invested 5,466,000 yuan, Nanning Municipal Government allocates funds of 210,000 yuan, new construction 14, repair 95, expand 2, and renew 2 health rooms. Each village health room is equipped with more than one rural doctor, all village health rooms are equipped with diagnostic and treatment rooms, pharmacy, public health room, etc., equipped with basic diagnostic and treatment equipment and basic medicines, unified update equipped with computers and printers and handwritten boards, can carry out the basic public **** health and basic diagnostic and treatment services can be carried out normally business, and to achieve the village-level health insurance reimbursement.
2, strengthen the family doctor signing follow-up work, to provide quality basic public health services
Wuming District **** set up 226 family doctor signing service team, involved in carrying out the work of the signing service of the doctor has 791 people, of which the village doctor 306 people. So far, the coverage of family doctor contracting service in urban areas has reached 100%. The number of permanent residents contracted is 169,353, the contracting rate is 31.21%, the number of key population groups contracted is 128,008, the contracting rate is 60%, of which the number of permanent residents of the poor population with documented cards contracted is 25,104, the contracting rate reaches 100%, and the realization of the should be signed as much as possible.
The family doctor contract has changed from focusing on "quantity" to improving "quality", and has endeavored to enrich the content of contracted services. The family doctor team regularly visits elderly people with limited mobility and key management patients to provide follow-up services, dynamically monitor their health status, and advise them to take medical checkups, medications and treatments on time. Rural doctors, in conjunction with the work of health poverty alleviation, go into Tuen Mun to carry out family doctor contracted follow-up, basic public **** health services, and do a good job of follow-up and health management services for the key groups of the documented poor population suffering from hypertension, type 2 diabetes mellitus, tuberculosis, severe mental disorders, the elderly aged 65 and above, children aged 0-6, maternity, and six types of chronic diseases.
3, strengthen the training of rural doctors and improve the level of treatment, enrich the grass-roots health talent
(1) urban areas will be organized annually to hold a rural doctor's business training courses, the towns of health hospitals are also the use of the village doctor regular meeting system, take the meeting instead of the training way to actively organize the rural doctors for training. At the same time, according to the autonomous regions and municipal requirements, the annual selection of rural doctors to participate in a three-month business training. Through intensive training, constantly learning new medical knowledge, improve the rural doctors' business level and practical ability.
(2) Organize and implement the work of order-directed training of rural doctors. 34 and 44 rural doctors were recruited in the whole urban area in 2018 and 2019, respectively, and the rural order-directed enrollment in 2020 is being publicized and mobilized, so as to gradually realize the rejuvenation and specialization of the rural doctor team.
4, rural doctor subsidy program
The low treatment of rural doctors, the team is unstable is a long-standing problem. In order to change the status quo, the government introduced the development of various rural doctor subsidy program, rural doctor's income unified implementation of the basic salary plus performance pay system, according to the local village (neighborhood) People's Committee deputy director of the subsidy standard allocation of basic salary subsidy funds, will be the basic drug system subsidies, the basic public **** health services subsidies, other public **** health services subsidies, the general diagnostic and treatment fees, and the development of Chinese medicine The income from the treatment of appropriate technology as rural doctors as performance pay, and for rural doctors to pay the "five insurance", to further improve the level of treatment of rural doctors.
Enhancing the capacity building of primary health services, so that the masses to see the doctor more convenient, this is the national scope, primary health care institutions **** the same responsibility, so in the future, the development of primary health care is imminent!