(I) Rational allocation of medical resources. For the main health problems of the people in the county, according to the number and distribution of population, geography and transportation and other factors, the formulation of county health planning and medical institutions setup planning, and reasonably determine the number, layout, function, scale and standard of hospitals in the county. The government focuses on running 1-2 county-level hospitals (including Chinese medicine hospitals) in each county (city). In accordance with the principle of "filling in the gaps", county hospitals have completed standardized construction, and at least one hospital in counties (cities) with a population of more than 300,000 has reached the level of Grade 2A. County hospitals as the center to improve the county emergency service system, the establishment of county pre-hospital emergency system. Strictly control the construction scale of county-level hospitals and the allocation of large equipment. Encourage resource intensification, explore the establishment of examination and testing centers, and implement mutual recognition of medical institutions for examination and testing results, as well as outsourcing of logistical services. Encourage areas with the conditions to explore the integration, reorganization and restructuring of medical resources to optimize the allocation of resources. Implementing policies to support and guide social capital to run medical institutions.
(2) Improving the level of technical services. Preparation of key specialty development planning for county hospitals, and support the construction of specialties in county hospitals according to planning. The recent focus on strengthening intensive care, hemodialysis, neonatal, pathology, infectious, emergency, occupational disease control and mental health, as well as the last three years outside the county referral rate ranked in the top 4 of the disease where the construction of clinical specialty departments. Carrying out good treatment for major diseases such as cervical cancer, breast cancer, end-stage renal disease hemodialysis, and screening and referral for complex and difficult diseases such as childhood leukemia and congenital heart disease. Promoting the application of appropriate medical technologies, and appropriately relaxing the conditions of access for organizations with relatively mature technologies in categories II and III. Local health and medical insurance management departments should organize county hospitals to develop and implement clinical pathways adapted to basic medical needs, in line with the reality of county hospitals, using appropriate technology, with the number of diseases not less than 50, in accordance with the actual situation in the local area and the requirements of payment by type of disease, and to standardize medical behavior.
(3) Strengthen the construction of information technology. In accordance with the unified standards, the construction of electronic medical records and hospital management focusing on county hospital information systems, covering electronic medical records, clinical paths, diagnostic and treatment specifications, performance evaluation and comprehensive business management, and medical insurance, primary health care institutions information systems, and gradually realize interoperability. Developing remote diagnosis and treatment systems for rural grassroots and remote areas, gradually realizing remote consultation, remote diagnosis (pathology) and remote education. Construction of a medical and health information network.
(4) Improving the capacity of traditional Chinese medicine services in counties. In response to major local diseases, local Chinese medicine resources are actively utilized, giving full play to the characteristics and advantages of Chinese medicine in terms of simplicity, testing and inexpensiveness, improving the level of diagnosis and treatment, as well as strengthening the support and guidance for grassroots medical and healthcare institutions, and promoting the entry of Chinese medicine into the grassroots and rural areas for the purpose of preventing and treating diseases for the masses. Strengthening the capacity of county-level hospitals to provide Chinese medicine services, and implementing a policy of tilting investment in Chinese medicine hospitals.
(5) Strengthening the construction of talent. Guiding doctors who have undergone standardized residency training to be employed in county-level hospitals, and creating conditions for their long-term work in county-level hospitals. Gradually realize that new medical personnel entering county hospitals must have the appropriate licensing qualifications. Clinical physicians should undergo standardized residency training. A sound system of continuing education shall be established. Actively cultivate or introduce county discipline leaders. Enhance the strength of nursing personnel, with the ratio of doctors to nurses being no less than 1:2. establish a system for urban tertiary hospitals to rotate physicians and management personnel to county hospitals, and strengthen the assessment of the situation of tertiary hospitals' assignment. A number of business leaders with management experience can be selected and recruited from urban tertiary hospitals to serve as deans, deputy deans or department heads in counterpart county hospitals. Encouragement and guidance of urban large hospitals in-service or retired backbone physicians to practice in county-level hospitals. Through the government's policy support, title promotion, honor conferment and other measures, excellent talents are attracted and encouraged to practice in county-level hospitals on a long-term basis. With the approval of the county hospitals can set up ad hoc positions to introduce urgently needed high-level talents, rationalize the financial subsidy standards, supported by the central and provincial financial support, recruitment of outstanding health and technical personnel to work in county hospitals.
(F) to carry out convenient and favorable services. The establishment of a patient-centered service model, the implementation of appointment booking, optimize the service process, improve the attitude and quality of service, the promotion of high-quality care services, the implementation of the basic medical insurance fees instant settlement. Improve the patient complaint mechanism and strengthen doctor-patient communication.