Shanxi Province to protect and promote the integration of county medical and health care measures

Chapter I General Provisions Article 1 In order to safeguard and promote the reform of county medical and health care integration, enhance the capacity of county medical and public **** health services, promote the center of gravity of medical and health care work downward, medical and health care resources downward, to solve the grass-roots people's difficulties in accessing medical care and expensive problems, according to the relevant laws and administrative regulations, in conjunction with the actual situation of this province, the formulation of these measures. Article 2 These Measures shall apply to the integration and optimization, service improvement, support and guarantee, supervision and management and other activities in the process of county medical and health care integration in this province. Article 3 The integration of county medical and health care should adhere to the people-centered, adhere to the new era of health and health work policy, follow the government-led, sectoral coordination, three medical linkage, local conditions and public welfare principles. Article 4 The people's governments at or above the county level are responsible for safeguarding and promoting the integration of county medical care and health care, establishing and improving the mechanism of deliberation and coordination, studying and solving major problems in the integration of county medical care and health care, and establishing the guidance, supervision and assessment mechanism for the integration of county medical care and health care.

The competent health authorities of the people's governments at or above the county level are responsible for guiding, coordinating, and promoting the work of county medical and health care integration.

Related departments of the people's governments at or above the county level, in accordance with their respective responsibilities, do a good job in safeguarding and promoting the integration of medical care and health care at the county level. Chapter II Integration and Optimization Article 5 The people's governments of counties (cities and districts) shall integrate government-organized county hospitals, township health centers (including relevant primary health care institutions retained after the abolition of townships) and community health service centers within their jurisdictions to form county-level medical groups.

The people's governments of counties (cities and districts) shall steadily push forward the integration of rural healthcare, and gradually incorporate village health offices into the management of county-level medical groups.

Encourage social forces to organize health care institutions to participate in the county-level medical group medical service cooperation. Article VI of the provincial and municipal people's governments can organize urban tertiary hospitals, the weak medical service capacity of the county-level medical group for hosting, stationing management team and expert team, to enhance the management of the county-level medical group and medical service capacity. Article 7 The county-level medical group shall register as a legal entity in accordance with the law. The medical and health institutions managed by the county-level medical groups shall retain their legal personality and original names. Article 8 The county-level medical group and its affiliated medical and health institutions shall implement unified management of administration, personnel, funding, performance, business, medicine and equipment, and exercise management autonomy in accordance with the regulations. Chapter III Service Enhancement Article IX city three hospitals should take the formation of medical consortiums, talent **** enjoy, technical support, specialty alliances, telemedicine, organizational training, etc., to help county-level medical groups to enhance the ability to provide medical services.

Provincial specialty alliances should focus on hierarchical diagnosis and treatment of diseases and county medical centers, medical treatment centers, etc., and take measures such as specialty **** construction, surgical demonstration, business training, and other measures to drive the county-level medical groups to improve their service capacity. Article 10 The county-level medical group should develop the county-level medical group within the county, township-level disease diagnosis and treatment directory, improve the county-level medical group within the county and outward referral norms, the establishment of a two-way referral platform, the opening of a two-way referral green channel, optimize the referral service process. Article 11 The county-level medical group shall enhance the medical services, public **** health services and other comprehensive service capacity, and strengthen the public **** health emergency response capacity building.

County-level medical groups shall, according to the urban and rural disease spectrum of the county, strengthen health education and early intervention of chronic diseases for the grassroots, carry out patriotic health campaigns, and guide the public to adopt a healthy and civilized lifestyle; formulate guidelines for the prevention and treatment of common diseases and frequent diseases, establish a three-tiered management system of the county and countryside for chronic diseases, and provide a continuum of services of screening, diagnosis, referral, and follow-up visits.

County medical groups shall provide premarital health care, maternal health care and other services for the grassroots, promote reproductive health and prevent birth defects. Article 12 The township health centers, community health centers and other primary health care institutions under the county-level medical groups shall set up family doctor contracting service teams, expand the coverage of contracted services, refine the content of contracted services, and implement classified management and precise services for different groups of people.

Encouraging the family doctor contracted service team to carry out home visits, set up family beds and other home health care services. Article 13 County-level medical groups shall organize county-level hospital specialists to join the family doctor contracting service teams, enhance the capacity of family doctor contracting services, and provide comprehensive, continuous and coordinated basic medical and health services and health management services for the grass-roots people.

County-level medical groups are encouraged to set up specialist outpatient clinics and inpatient wards in their township health centers, community health centers and other primary health care institutions.

Encourage the county-level medical group of county hospitals will be part of the specialist outpatient, inpatient beds, test and examination number of sources down to the primary health care institutions. Article XIV county-level medical groups should strengthen the remote township health centers emergency service system construction, equipped with the necessary emergency facilities, to improve emergency services in remote areas. Article XV county-level medical groups should rely on county hospitals or townships with conditions of central health centers, rural doctors to carry out job training.

Rural doctors receive free training no less than twice a year, the cumulative training time of no less than two weeks. Article XVI of the county medical group of county hospitals above the title of intermediate medical and health personnel, should be monthly to the township health centers, community health service centers or village health centers to carry out at least one business guidance or technical training.

The health care personnel of county-level hospitals belonging to county-level medical groups should serve in primary health care institutions, participate in clinic rounds and guidance and training should be used as an important basis for appraisal of excellence and promotion of titles.

Medical and health personnel working at the grassroots level and in arduous and remote areas shall enjoy preferential treatment in terms of remuneration and allowances, title evaluation, career development, education and training, and recognition and rewards.