In order to implement the "Opinions on Further Deepening the Counterpart Support Work of Urban and Rural Hospitals" (Guowei Yifa [2014] No. 7), the National Health and Family Planning Commission on Issuing the Work Plan for Deepening the Counterpart Support Work of Urban and Rural Hospitals (2013 -2015)" (Guowei Yifa [2013] No. 21) and the Shandong Provincial Health and Family Planning Commission forwarded the "Notice of the General Office of the National Health and Family Planning Commission on Issuing the Assessment Indicator System for Counterpart Support County Hospitals in Urban Tertiary Hospitals" (Lu Wei Medical Zi [2014] No. 74) requires strengthening the assessment of counterpart support work in urban and rural hospitals, effectively improving the medical service capabilities and levels of primary medical institutions, making it easier for the masses to see a doctor, and reducing the medical burden of the masses. This plan is specially formulated.
1. Mission Objectives
By carrying out counterpart support for urban and rural hospitals, promote urban high-quality medical and health resources to sink to the grassroots, improve the capacity and level of grassroots medical services, so that the general public does not need to leave the county or town. (Street) can enjoy safe, convenient, effective and cheap medical and health services. Give full play to the link and leading role of county-level medical and health institutions, and promote the establishment of a medical service model of primary diagnosis, hierarchical diagnosis and treatment, and two-way referral. . Vigorously promote the construction of long-term mechanisms to make counterpart support work more vital and practical.
2. Scope of implementation
All types of medical and health institutions at all levels in the county.
3. Work content
Each medical and health unit shall determine the form of assistance in accordance with the principles of being conducive to promoting the development of health services, conducive to meeting the needs of the masses, and conducive to achieving a win-win situation for all parties. Mainly Take the following forms of assistance:
(1) Establish a close-knit medical alliance. Encourage medical institutions to follow the principles of government guidance, voluntary equality, complementary advantages, mutual benefit and win-win, and cooperate with county-level hospitals and Establish a close medical alliance between town hospitals (community health service centers in subdistrict offices), and promote the sinking of high-quality resources through the organic combination of technology, management and other elements between county hospitals and grassroots medical institutions, and reshape medical services The process guides medical institutions to function according to their functions, and builds a medical service pattern of primary diagnosis, hierarchical medical treatment, two-way referral, acute and chronic treatment, and linkage between up and down, to provide patients with continuous diagnosis, treatment, rehabilitation, nursing and other services.
(2) Implement team assistance. Advocate a “team-to-team” tutoring system to cultivate disciplinary backbones and leading talents, highlight the construction of distinctive departments, and effectively improve the medical level of assisted hospitals.
(3) Dispatch outstanding doctors. County-level medical and health units will select doctors with corresponding specialties based on the characteristics of common and frequently-occurring diseases at the grassroots level (physicians from county-level medical and health units must apply in person) to town health centers (subdistrict offices and communities). (Health Service Center) to carry out assistance work.
(4) Stationed management personnel. Personnel stationed by support units can serve as vice presidents, department directors, etc. of the assisted hospitals, and help the assisted hospitals formulate development plans and promote Hospital standardization construction, strengthening talent training and key specialty construction, etc., to comprehensively improve the technical capabilities and management level of aided hospitals.
IV. Relevant Requirements
(1) Fully understand the assistance The importance of the work. Organizing and carrying out counterpart assistance to urban and rural hospitals is a concrete manifestation of the public welfare nature of public hospitals and public health institutions. It is also an important measure to narrow the urban-rural health gap and improve the level of grassroots health services. Medical and health institutions at all levels It is necessary to strengthen organizational leadership, strictly implement responsibilities, conscientiously do a good job in organization and implementation, and ensure that all tasks are implemented. The support unit must effectively guarantee the salary and benefits of the posted personnel and ensure that their bonus and welfare levels are not lower than the average for the same year's personnel of the unit. level, their positions and positions will remain unchanged, and those with outstanding work performance will be given priority in terms of job recruitment, professional title promotion, further study, promotion and appointment.
(2) Sign an assistance agreement. Each will receive The aid unit should make overall plans for development priorities based on local economic conditions, regional health development plans, combined with the regional medical security capabilities and the actual situation of clinical professional departments, and sign a 2015-2 agreement with the support unit ***
2017 counterpart support agreement. The content includes medium and long-term overall goals and annual breakdown tasks, the number of specialties or key specialties and key departments to be built, which should be specific to disciplines, majors, diseases or technologies, and the number, majors, professional titles, and continuous number of stationed personnel. Working hours, the number of business backbones or department leaders to be trained. The content of the agreement is used as the basis for assessing the implementation of support. The agreement signed by each unit must be reported to the County Health and Family Planning Bureau for filing before August 31.
（ 3) Effectively strengthen personnel management. The county health and family planning bureau is responsible for the arrangement, supervision and assessment of counterpart support for the medical and health units under its jurisdiction. The support unit completes the task of dispatching personnel before the end of March every year, and the personnel dispatched to assist are required to fill in approval opinions (See Attachment 4), and submit the dispatch plan (See Attachment 3). Supporting and assisted units at all levels must strictly implement the relevant regulations on the standardized management of medical and health counterpart support physicians, and effectively strengthen the management of dispatched physicians. The supporting units must No less than 2 personnel will be dispatched to each assisted hospital. The dispatched personnel must work continuously for at least 6 months (200 days) before they can be rotated. The supporting units are not allowed to transfer back at will. If they are away from the dispatched post for more than 2 days, the dispatching unit must be responsible. A leave request form signed by the authorized person; if the dispatched personnel are away from their assigned posts for more than 5 days or need to be transferred back due to health emergencies or other circumstances, they must report to the County Health and Family Planning Bureau for record; they have not completed the counterpart support tasks or refused to participate in counterpart assistance without justifiable reasons. work, the assessment result is determined to be unqualified. Physicians who meet the dispatch conditions and fail to complete the support tasks as required shall not apply for higher-level professional and technical qualifications.
(4) Strengthen supervision and assessment. According to the "Dongying City Health Notice of the National Health and Family Planning Commission on forwarding a notice from the Shandong Provincial Health and Family Planning Commission on the issuance of a notice from the General Office of the National Health and Family Planning Commission on the issuance of the assessment indicator system for counterpart support to county hospitals in urban tertiary hospitals (Dongwei Yizi [2015] No. 7 ) document requirements, the County Health and Family Planning Bureau has formulated the "Assessment Standards for Supporting Medical and Health Institutions", "Assessment Standards for Recipient Medical and Health Institutions" and "Assessment Standards for the Work of Dispatched Personnel" (see attachments 6, 7 and 8). Assisted hospitals will conduct an assessment and evaluation of the effectiveness of counterpart support every quarter, and the supporting units will conduct an assessment and evaluation of counterpart support work every six months. The County Health and Family Planning Bureau will conduct regular or irregular unannounced visits and supervision of the work, and will supervise the work. Check the situation and report it to ensure that the assistance work is effective. Before the end of December every year, organize a centralized assessment, and report the work situation and assessment results to the county government and superior authorities.
(5) Strengthen the application of assessment results .Strictly implement the relevant regulations for medical and health professional and technical personnel to serve at the grassroots level before being promoted to intermediate and senior professional titles. If the assessment score of the support unit is less than 80 points, the annual counterpart support work of the unit will be vetoed with one vote, and the relevant personnel will be held accountable; If the assessment score of the aid unit is less than 80 points, the qualification for receiving assistance will be cancelled, and the relevant personnel will be held accountable. If the assessment score of the dispatched personnel is less than 80 points, the assessment result is unqualified. After the assessment and explanation by the unit, they will re-apply for assistance arrangements.
(6) Seriously do a good job in publicity and mobilization. Medical and health institutions at all levels should conduct extensive publicity, fully mobilize the enthusiasm of medical staff to participate, and encourage qualified personnel to participate in counterpart assistance work. Multiple effective forms should be adopted to widely Promote the importance, goals and tasks, effectiveness and experience of assistance work, and create a good social atmosphere for the smooth development of the work.