Optimize the allocation of health resources, improve the level of rural medical services countermeasures of the proposal

1. Increase investment to improve the conditions of rural medical facilities. The lack of basic facilities has seriously reduced the service capacity of rural medical institutions. It is therefore necessary to complete the standardized construction of rural three-tier medical service institutions as soon as possible. Each region should strive for central support at the same time, efforts to increase financial investment at all levels, integrated arrangements, step-by-step implementation, and strive for 3-5 years to basically complete the county, township level medical and health institutions renovation and construction tasks. The construction of village health rooms should take the combination of government investment and the introduction of market mechanisms, multi-form, multi-channel financing, and strive to achieve the basic facilities of the standard. In this way, the service capacity and sustainable development ability of the rural public **** service system will be enhanced. 2. Establish a clear division of labor and coordination mechanism. Rural medical services are characterized by hierarchy and territoriality. From the principles of categorized supply and fairness and efficiency, a unilateral over-arching by the central or local governments is inefficient and will ultimately affect fairness due to financial constraints. Therefore, the construction of a rural medical service system must be based on the characteristics of the rural public ****service product itself, to establish a reasonable mechanism for the division of labor. On the one hand, the powers and responsibilities between the central and local levels of government should be divided according to the size of the scope of benefits. 3. Establish and improve the financial guarantee mechanism. One is to speed up the upward transfer of salaries for personnel in township health centers, and to unify personnel and operating expenses into budgetary arrangements. The second is to raise the standard of subsidies so that rural medical service institutions can operate normally and mobilize the enthusiasm of practitioners. In the medium and long term, the first step is to rationalize the relationship between the authority and financial authority of rural public **** medical services, and to clarify the scope of authority and responsibilities that should be borne by governments at all levels. Secondly, the transfer payment system should be standardized and improved. For projects entrusted to grass-roots governments by their superiors, the full amount of funds must be transferred; and the proportion of general transfers should be increased to enable grass-roots governments to transfer funds according to local conditions and to ensure that key expenditures are met. Once again, it is necessary to improve the tax system. Rationalize the division of taxes and financial resources. Empower grassroots governments to develop and regulate themselves. Promote the formation of a virtuous cycle. 4. Strengthen the construction of rural medical service teams. First, strictly control the "entry gate", in the future, new personnel should be hired by the county government (or a higher level of government) for the whole society unified recruitment examination. Preferential policies should also be formulated to encourage graduates of former universities and colleges to work at the grass-roots level. Secondly, a qualification system for practitioners should be implemented. For those who do not have the appropriate technical qualifications, a reasonable period of time is set aside for them to take remedial courses and exams in order to obtain the appropriate qualifications; if they still fail to meet the requirements within the specified time, they will be transferred out of their technical posts or dismissed from the labor relationship within a limited period of time. Third, increase education and training efforts, training fees included in the budget, in the financial resources to ensure that the normal conduct of training, technical staff should be regular or irregular professional training, selection of outstanding talent to provincial hospitals for further training, to carry out exchanges between urban and rural hospitals, such as posting, and so on, and constantly improve the quality of business. Fourth, in the title, salary and other personal treatment of rural medical and health personnel to develop preferential policies to retain outstanding talent. 5. Reform and innovation of the rural health care management system. First, to establish a clear powers and responsibilities, standardized and orderly operation mechanism. County-level health institutions are mainly responsible for rural preventive health care, basic medical care, grass-roots referrals, first aid, and the training and business guidance of grass-roots health personnel; township health centers are mainly responsible for the function of public **** health services. They provide comprehensive preventive, health care and basic medical services; village health centers are mainly responsible for preventive health care and provide primary diagnosis and treatment of common diseases. Second, change the employment mechanism of rural medical institutions. In accordance with the requirements of deepening the reform of public institutions, we should break the boundaries of the status of the existing personnel of township health centers, implement full employment and contractual management, and carry out open selection and management of the tenure target responsibility system for the dean. Township health center professionals, management personnel, logistics personnel to have a strict ratio limit, control non-professional personnel surge. Third, improve the income distribution mechanism. Medical personnel's income cannot be linked to medical service income. To implement a combination of post salary and performance system, superior work, more work, more pay, fundamentally reversing the situation of excessive income generation of medical institutions. Fourth, improve the regulatory mechanism. Further strengthen the construction of rural health law enforcement and supervision system, according to the law to combat and outlaw the illegal practice of medicine, unlicensed production and operation of drugs and equipment and other illegal activities, so that farmers get safe and effective medical services.