Methods for the Management of Village Health Rooms (for Trial Implementation) Article 1 In order to strengthen the management of village health rooms, clarify the functional positioning and scope of services of village health rooms, and ensure that rural residents have access to public **** health and basic medical services, these measures are formulated in accordance with the Practicing Physicians Law, Regulations on the Administration of Healthcare Institutions, Regulations on the Administration of Rural Physicians' Practices, Regulations on Traditional Chinese Medicine and other relevant laws and regulations.
Second Article This approach applies to the county-level health planning administrative department set up by the approval and registration of practice, according to law to obtain a "medical institution practice license", and set up in the administrative village health room (office, station).
Article 3 The personnel of the village health office referred to in these measures, including practicing physicians, practicing assistant physicians (including township practicing assistant physicians), rural doctors and nurses and other personnel practicing in the village health office.
Fourth, the village health room is an important part of the rural public **** service system, is the basis of rural health care service system. All localities shall take the public and private construction, government subsidies and other ways to support the village health room housing construction, equipment purchase and normal operation.
Article 5 The National Health and Family Planning Commission, in conjunction with the National Development and Reform Commission and the Ministry of Finance, shall guide localities in formulating plans for the setting up of village health offices, and shall be responsible for the supervision and management of village health offices throughout the country, among other things.
Provincial and municipal health planning administrative departments, in conjunction with the development and reform, finance and other departments at the same level, shall formulate plans for the establishment of village health centers within their administrative areas, and shall be responsible for the supervision and management of village health centers within their administrative areas.
County-level health planning administrative departments to rationalize the planning of village health office setup, is responsible for the administrative area of the village health office setup approval, practice registration, supervision and management work.
Article 6 Steady promotion of integrated management of rural health services, the local health and family planning administrative departments at the county level and above to strengthen the standardized management of village health offices in the planning and construction of institutional setups, personnel access and practice management, business, medicine and equipment, and performance appraisal. Article 7 The village health office to undertake its function appropriate public **** health services, basic medical services and other work assigned by the higher-level administrative departments of health and family planning.
Article 8 The village health office undertakes health education, preventive health care and other public **** health services in the administrative village, including:
(1) Undertaking, participating in, or assisting in the development of basic public **** health services;
(2) Participating in, or assisting in the implementation of, major public **** health services by specialized public **** health institutions;
(3) Other public **** services assigned by the administrative departments of health and family planning at or above the county level. Other public **** health tasks assigned by the administrative department of health planning.
Article 9: The basic medical services provided by village health centers include:
(1) preliminary diagnosis and examination of diseases and basic treatment of common and frequent diseases, as well as rehabilitation guidance and nursing care;
(2) preliminary on-site first aid and referral services for patients with critical illnesses;
(3) referral of infectious and suspected infectious diseases;
(4) referral of health planners above the county level for the implementation of major public**** health services. (D) other basic medical services prescribed by the administrative departments of health and family planning at or above the county level.
Except for emergency surgical hemostasis and small wound disposal carried out to save the patient's life, the village health office shall not, in principle, provide the following services:
(i) surgical, hospitalization, and delivery services;
(ii) medical services that are not compatible with its functions;
(iii) other medical services.
Article 10 The village health office shall be responsible for the publicity of health and family planning policies and knowledge assigned by the administrative department of health and family planning, the collection and reporting of information, and assisting in the publicity of the new rural cooperative medical policy and financing and other work.
Article XI of the village health office shall provide Chinese medicine (ethnomedicine) services and birth control medicines and pharmaceutical services appropriate to its function. Article XII of the village health office shall be set up in accordance with the following basic principles:
(1) in line with the local regional health planning, medical institutions set up planning and new rural construction planning;
(2) take into account the level of local economic and social development, rural residents' health service needs, service population, geographic and transportation conditions and other factors, and to facilitate access to health care;
(3) Comprehensive use of rural health resources, optimize the allocation of health resources;
(d) in line with the "Regulations on the Administration of Medical Institutions" and the implementation of the relevant provisions of the rules, to meet the "basic standards for medical institutions" requirements.
Article 13 In principle, an administrative village to set up a village health office, more populated or living in scattered administrative villages may be appropriate to set up additional; less populated or smaller administrative villages, may be set up jointly with neighboring administrative villages village health office. In principle, administrative villages where township health centers are located may not have a village health office.
Article XIV of the county-level health and family planning administrative departments in accordance with relevant state laws and regulations for the establishment of the village health department for approval and practice registration and other related matters.
Article 15 The registered medical subjects of village health centers are preventive health care, general medicine and traditional Chinese medicine (ethnomedicine). In principle, the village health center shall not be registered for other diagnostic and therapeutic subjects.
Article 16 The naming principle of village health center is: township name + administrative village name + health center (office, station). If an administrative village establishes more than one village health room, the identifying name may be added in front of the village health room. Village health rooms shall not use or add the names of other types of medical institutions.
Article XVII of the village health room housing construction scale of not less than 60 square meters, the service population should be appropriate to increase the floor area. Village health room at least have clinic, treatment room, public **** health room and pharmacy. Approved by the county-level health planning and administrative departments, to carry out intravenous drug delivery service program to set up additional observation rooms, according to the need to set up a duty room, to encourage the establishment of conditional rehabilitation room.
Village health centers shall not set up operating rooms, preparation rooms, maternity wards and hospital beds.
Article 18 of the village health room equipment should be configured in accordance with the principle of meeting the basic medical and health service needs of rural residents, in accordance with the relevant provisions of the provincial and higher health planning administrative departments to be equipped.
Article 19 of the village health center should be in accordance with the relevant provisions of the management of medical institutions regularly apply to the registration authority for calibration. Article 20 According to the jurisdiction of the service population, rural residents of the current situation and expected demand for medical and health services, as well as geographical conditions and other factors, in principle, in accordance with the ratio of not less than one per thousand service population with village health office personnel. Specific standards are formulated by the provincial health planning administrative departments.
Article 21 The personnel engaged in prevention, health care and medical services in the village health office shall obtain the appropriate licensing qualifications in accordance with law.
Article 22 The government-organized village health office shall, in accordance with the principles of openness, fairness and meritocracy, employ personnel with good professional ethics and strong business ability to practice in the village health office. Encourage the conditions of the place by the township health center to send physicians to the village health room practice.
Article 23 of the establishment of village health office personnel training system. Provincial health planning and administrative departments to organize the development of village health office personnel training plan. County-level health administrative departments to take clinical training, centralized training, distance learning, peer-to-peer assistance and other ways to ensure that the village health office personnel at least twice a year to receive free job skills training, the cumulative training time of not less than two weeks, the training content should be compatible with the daily work of the village health office.
Article 24 encourages the village health office personnel on duty to receive continuing medical education, and promote the transformation of rural doctors to licensed (assistant) physicians. Conditional places should formulate preferential policies to attract practicing (assistant) physicians and medical graduates who have obtained the appropriate licensing qualifications to work in village health offices, and to provide them with business training.
Article 25: Explore the training mode of reserve talents for village doctors. Local health planning, education and administrative departments shall, in conjunction with the actual situation, select from the local comprehensive quality, with the potential to cultivate the young reserve personnel to the medical school directed training, but also select and recruit qualified medical graduates to receive direct post-graduation training, and obtain the appropriate practicing qualifications to practice in the village health office.
Article 26 of the village health office personnel to strengthen medical ethics and medical style construction, strict compliance with the code of medical ethics of medical personnel and medical institutions practitioners code of conduct.
Article 27 The village health center should have obvious no-smoking signs, indoor smoking is prohibited. Service marking standardized, eye-catching, medical environment beautification, green, clean and warm. Village health office staff dress code, active, warm, thoughtful, civilized service.
Article 28 The county-level health planning administrative departments organize or entrust township health centers to implement regular performance appraisal of village health offices. The results of the assessment as the corresponding financial subsidies issued, personnel rewards and punishments and village health office personnel practice re-registration basis.
Article 29 Combined with the establishment and improvement of the pension insurance system and the village health office personnel assessment work, the local health and family planning administrative departments to gradually establish the village health office personnel to the age of the exit and assessment of unqualified exit mechanism. Article 30 The village health office and its medical personnel shall strictly abide by the relevant state laws, rules and regulations, strict implementation of diagnostic and treatment norms, operating procedures and other technical specifications, to strengthen the quality of medical care and safety management.
Article 31 The county-level health and family planning administrative departments to establish and improve the village health office of medical quality management, medical safety, personnel responsibilities, regular on-the-job training, outpatient registration, reporting of statutory infectious diseases, food-borne diseases or suspected cases of information reporting, medical waste management, management of medical infections, management of immunization planning, management of services for patients with severe mental disorders, maternal and child health care work, management and financial, pharmaceutical, archives and other information. Management, as well as financial, pharmaceutical, archives, information management and other relevant rules and regulations.
Article 32 The village health office shall, within the licensed scope of practice, provide basic medical and health services for rural residents using appropriate technology, appropriate equipment and basic medicines in accordance with the regulations, and shall not exceed the scope of practice. Encourage village health office personnel to learn knowledge of traditional Chinese medicine, the use of traditional Chinese medicine techniques and methods of disease prevention and treatment.
Article 33 is included in the implementation of the basic drug system within the scope of the village health office in accordance with the provisions of the provision of basic drugs and the use of basic drugs, the implementation of basic drugs centralized purchasing and zero-differential rate sales. Village health center to establish a true and complete drug purchase and sale, acceptance records.
Article 34 The village health center must have the following conditions at the same time, and approved by the county-level administrative department of health and family planning before providing intravenous drug delivery services:
(1) with independent intravenous drug observation room and observation beds;
(2) equipped with commonly used resuscitation medicines, equipment, and oxygen facilities;
(3) with the conditions of the intravenous drug configuration;
(4) The personnel of the village health office carrying out intravenous drug delivery service shall have rescue measures and first aid ability to prevent and deal with infusion reactions;
(5) The business of carrying out intravenous administration of antimicrobial drugs shall be in line with the relevant provisions on the clinical application of antimicrobial drugs.
Article 35 In accordance with the norms for preventive vaccination and relevant state regulations, the village health office designated as a preventive vaccination unit by the county-level administrative department of health planning must have the following conditions:
(1) the village health office personnel have passed the professional training for preventive vaccination organized by the county-level administrative department of health planning and passed the examination;
(2) it has refrigerating facilities, equipment, and equipment in accordance with the norms for the storage, transportation, and management of vaccines;
(4) it has the capability to provide vaccines in accordance with the relevant regulations for the clinical application of antibacterial drugs. Management of cold storage facilities, equipment and cold storage storage system;
(3) consciously accept the county-level disease prevention and control agencies in the technical guidance, the local township health centers supervision, personnel training and guidance on the use and management of cold chain equipment.
Article 36 To establish and improve the regular meeting system, the township health center at least once a month to organize the jurisdiction of the village health room personnel to convene a regular meeting, including the following:
(a) the village health room personnel to report on the village health room in the last month of the work of the basic medical care and public **** hygiene, to report the relevant information statements, put forward the work of the problems encountered in the work and the rationalization of the proposal;
( (B) the township health center summarizes the work of each village health room, coordinates and solves the problems reflected by the personnel of the village health room, and reports to the county-level health and family planning administrative department when necessary;
(C) the township health center carries out training for the personnel of the village health room in the areas of business and health policies;
(D) the township health center conveys the relevant health policies and deploys the work of the current month.
Article 37 The medical waste and sewage treatment facilities of village health offices shall comply with the Regulations on the Management of Medical Waste and other relevant provisions.
Article 38 Strengthening the village health office information construction, support village health offices to information technology management of rural residents' health records, receive telemedicine education, remote medical consultation, hospital infection outbreak information report, carry out the new type of rural cooperative medical care medicine expenses instant settlement, the implementation of township health centers and village health offices unified electronic bills and prescription pads and other work.
Article 39: Information on births, pregnancies, contraceptives and other cases shall be communicated in a timely manner between village health offices and village family planning specialists, township health centers and township family planning offices. Article 40 Under the guidance of township health centers, village health offices shall keep records of income and expenditure for medical services as well as asset registration.
Article 41 On the basis of not increasing the personal burden of rural residents, the provincial health and family planning administrative departments, in conjunction with the financial and pricing departments, shall reasonably formulate the standards of general consultation and treatment fees for village health offices, as well as the standards of payment for the new type of rural cooperative medical care and its management.
Article 42 The village health office shall take the initiative to disclose the medical services and drug charges and prices, and drug varieties and purchase and sale prices in the village health office in a conspicuous position for publicity, so that the charges are documented, recorded in the accounts, and vouchers for expenditures. Article 43 shall not be squeezed, retained or misappropriated village health room compensation funds and construction funds, to ensure that the funds are earmarked for specific purposes. Strictly prohibit any department in any name to the village health room charges, amortization of fees other than those stipulated by the state.
Article 44 To establish and improve the compensation mechanism and performance appraisal system for village health offices, and to ensure the reasonable treatment of the personnel of village health offices:
(1) The county-level health and family planning administrative departments shall specify the specific contents of the basic public ****health services that should be provided by the village health offices and reasonably authorize the amount of their tasks, and after the assessment and in accordance with the actual amount of work they have done, and by way of the government's purchasing of services will be the corresponding Basic public **** health service funds allocated to the village health room;
(2) will be eligible for the village health room into the new rural cooperative medical care designated medical institutions management, and the village health room charged general diagnosis and treatment fees and the use of basic drugs into the new rural cooperative medical care payment scope;
(3) village health room implementation of the basic drug system, each place to take a special subsidies After the implementation of the basic drug system in village health rooms, localities should adopt the special subsidy method to give fixed compensation to the personnel of village health rooms, and the level of subsidy should be connected with the level of subsidy to the local village cadres, and the specific compensation policy should be formulated by the provinces (autonomous regions and municipalities) in the light of the actual situation;
(4) Encourage localities to increase the level of subsidy to the personnel of the village health rooms who have a long years of service and who are practicing in the remote and difficult areas.
The above funds should be allocated a certain percentage in advance at the beginning of each year, and settled after passing the performance evaluation.
Article 45 Each region shall support the construction of village health rooms in terms of housing construction, equipment purchase and supporting facilities. By the government or collective construction of the village health room, the construction of land shall be allocated by the local government free of charge, the village health room is completed by the village committee or government-organized township health center management.
Article 46 supports the village health office personnel in accordance with the provisions of the urban and rural residents to participate in social pension insurance, according to the provisions of the pension. Encourage places with the conditions to adopt various ways to appropriately improve the pension benefits of village health office personnel.
Article 47 Each locality shall incorporate into the annual financial budget the funds required for the improvement of the infrastructure construction of village health offices, the funding of public **** health services and the subsidies for the implementation of the national basic drug system for village health office personnel, and ensure that the funds are allocated in full and in a timely manner. Article 48 The village health office and its medical personnel in the practice of outstanding contributions, the county level and above the health planning administrative department shall give incentives.
Article 49 The village health center and its medical personnel in violation of national laws and regulations and these Measures, the administrative department of health and family planning shall deal with in accordance with relevant laws and regulations.
Article 50 Provinces, autonomous regions and municipalities directly under the Central Health and Family Planning administrative departments shall formulate implementation rules in accordance with these Measures.
Article 51 These Measures shall be interpreted by the National Health and Family Planning Commission in conjunction with the National Development and Reform Commission, the Ministry of Education, the Ministry of Finance, and the State Administration of Traditional Chinese Medicine.
Article 52 These Measures shall come into force on the date of issuance.