Policy Interpretation of the Guiding Opinions on Doing a Good Job of Medical Touring and Stationing Services in Counties
In order to implement the spirit of the 20th CPC National Congress and the Opinions on Further Deepening Reforms to Promote the Healthy Development of Rural Healthcare System issued by the General Office of the Central Committee and the General Office of the State Council, the NCHPC and the NCDC recently jointly issued the Guiding Opinions on Doing a Good Job of Medical Touring and Stationing Services in Counties. Healthcare service level, promote the healthy development of rural healthcare system, the National Health Commission, the State Administration of Traditional Chinese Medicine, the National Bureau of Disease Control and Prevention has recently jointly issued the "Guidance on doing a good job in the county traveling medical and stationing services" (National Health grass-roots hair [2023] No. 5, hereinafter referred to as the "Guiding Opinions"), which is now interpreted as follows.
I, the introduction of the background and process
Since the 18th CPC National Congress, through the urban hospitals touring medical counterparts, county and township stationed services, mobile rounds, neighboring villages to extend the service, etc., to promote high-quality medical and health care resources sinking level by level to improve the overall level of medical and health care services in counties.2021, in order to guide the local standardization of the regulation of the village health care rounds, stationing and neighboring (joint) village health room extension service work, the State Health Primary Development [2023] No. 5, hereinafter referred to as the "guiding opinions". ) village health office extension service work, consolidate the achievement of basic medical care with guarantees, and promote rural residents to enjoy convenient and accessible, high-quality and efficient basic medical and health services, the National Health and Health Commission formulated and issued the Notice on Doing a Good Job in Village Medical and Health Care Rounds and Stationing Services, which, since its implementation, has effectively enhanced the capacity of rural medical and health care services, and pushed forward the equalization of public ****services in rural areas. Historically eliminated the village medical and health institutions and personnel "blank spot", for comprehensively winning the battle against poverty has played an important role.
Currently, the trend of population flow in the county and the shape of the countryside is facing profound changes, and the level of medical and health services in many areas is still insufficient compared to the needs of the population, and the attractiveness of rural medical and health positions is still on the low side, and there is a rebound pressure on the "blank spots" of personnel. In order to further establish a system for urban medical and healthcare talents to regularly serve the countryside, effectively enhance the medical and healthcare service capacity of counties, especially the countryside, and promote the healthy development of the rural medical and healthcare system, according to the "Opinions on Further Deepening the Reform and Promoting the Healthy Development of Rural Medical and Healthcare System", which proposes to "coordinate medical and healthcare resources within the counties, and establish a sound mechanism for regularly sending medical personnel to the countryside". In accordance with the requirements of the Opinions on Further Deepening the Reform and Promoting the Health Development of the Rural Medical and Health System, the NHRC drafted the Guiding Opinions on the basis of the original policy to promote the downward shift of the center of gravity of services and the sinking of high-quality medical resources by adopting the approach of "fixed facilities and mobile services," so as to improve the accessibility and convenience of medical and health services for rural residents. Accessibility and convenience of healthcare services for rural residents. The document widely consulted the local health administrative departments, relevant units and other relevant parties, by the National Health Commission, the State Administration of Traditional Chinese Medicine, the National Bureau of Disease Control and Prevention recently jointly issued and implemented.
Second, the main content
To 2025, the basic establishment of a stable county medical tour and stationed service mechanism, the township-level medical and health personnel to further grow, and continue to maintain full coverage of village-level medical and health services, the accessibility of medical and health services for rural residents significantly improved, the realization of "general illnesses in the city and county to solve the problem, headache in the townships and villages to solve the problem", the State Health Commission, the State Administration of Traditional Chinese Medicine, the State CDC recently issued and implemented. townships and villages".
(1) Regulate village-level visiting medical services (itinerant medicine) according to local conditions. For administrative villages where it is not appropriate to have a fixed village doctor and migrant relocation settlements where primary health care institutions have not yet been set up, the township health centers will organize personnel to carry out visiting medical services.
(2) For the village level to do a good job of posting services. For the county service population, service demand, short-term recruitment of qualified village doctors and neighboring (joint) village service is difficult to cover the area (administrative village), township health centers to select qualified medical personnel to carry out village-level stationing.
(C) work requirements. Clearly defined health administrative departments, Chinese medicine departments and CDC departments in charge of the responsibilities, requirements for the medical and health institutions to carry out medical tour, rounds and stationing services to configure the necessary medicines and equipment, to ensure that the subsidies and treatment of personnel involved in the service, rounds and stationing services as a practicing physician promoted to associate senior technical title of grass-roots work experience, and actively seek medical insurance policy support, and strengthen publicity and guidance.