In accordance with the provincial party committee, the provincial government "on deepening the reform of the medical and health system of the implementation of the views" and the Ministry of Health, the Ministry of Finance and the State Administration of Traditional Chinese Medicine "on the issuance of the notice, according to the" Sichuan Provincial Department of Health on the issuance of the other three programs of the notice "(Sichuan Health Office of the issuance of the [2010] No. 64) spirit, in order to Further promote, standardize and implement the province's urban and rural hospitals to support the work of counterparts, and gradually form a hierarchical, targeted counterparts to support the full coverage of the framework system, and to make the work of the various help in practice and achieve results, especially the development of "Sichuan Province in 2011 urban and rural hospitals to support the work of the program.
First, the purpose of the work
Promote the work of urban and rural hospitals to support each other, give full play to the city's high-quality medical resources of the role of radiation, coordinated development of urban and rural health undertakings, and constantly improve the capacity and level of primary health care services, and actively provide the majority of the people in urban and rural areas with safe, effective, convenient and affordable basic medical services.
Second, the working principle
(a) integrated planning.
Counterpart support work with 10,000 physicians to support rural health projects, urban tertiary hospitals to support county hospitals, county hospitals to support township health centers, urban hospitals to support community health service organizations work organically integrated, integrated planning, focusing on the comprehensive promotion. (B) graded implementation. Provincial Department of Health to develop three hospitals to support some of the cities and counties (cities, districts) hospitals, the mainland's second-class general hospitals to support the nationalities of the central health centers program and organization and implementation; cities (states) and counties (cities, districts) Health Bureau to develop the establishment of the county medical institutions to support the township health center program and organization and implementation; provinces, cities (states), districts (cities, counties) health administration to develop the city's health care institutions to support Community health service institutions and organize the implementation of the program.
(C) focus on practical results.
Urban and rural hospitals to achieve effective counterpart support work for the fundamental purpose, to eliminate formalism. Counterpart support work for a cycle of three years, the recipient hospitals in the diagnosis and treatment of technical level, medical services, management and other aspects of significant improvement and was assessed as qualified.
(D) Mutual convergence.
Rural and urban hospitals to support the work of the public hospital reform, the annual target assessment of hospitals, hospitals, hospitals, hospitals, hospitals, hospitals, hospitals, hospitals, hospitals, hospitals, hospitals, hospitals, hospitals, hospitals, hospitals, hospitals, hospitals, hospitals, hospitals, hospitals, hospitals, hospitals, hospitals, hospitals and hospitals.
Third, the task
(a) three hospitals to support the city (state), county (district) hospital.
1. Three hospitals to support the national poverty alleviation and development work focus on counties, national autonomous counties (10,000 physicians to support rural health projects) the principle of the counterpart relationship remains unchanged, to maintain a certain degree of stability. In accordance with the requirements of the Ministry of Health documents, the total number of project counties changed to 37.
2. Regional economic conditions are better, has a certain level of service and capacity of the county district, municipal hospitals (except for the national poverty alleviation and development work of the key counties) and the county hospitals in Chengdu City are not included in the scope of the assistance for the time being.
3. Hospitals that were originally recipients but have newly passed the tertiary hospital accreditation are no longer recipients. Except for the hospitals in Ganzi, Aba, and Liangshan Prefectures.
4. Among the 18 earthquake-hit counties, Dujiangyan People's Hospital and Jiangyou People's Hospital belong to the earthquake-hit county hospitals, but they have passed the Level 3B hospital accreditation in 2010, so they are not included in the counterpart support system for the time being. The remaining 16 counties and cities hospitals due to foreign counterpart support work has been completed, so included in the recipient system.
5. Tertiary hospitals to support county hospitals specific counterpart support relationship see annex.
(B) the second hospital counterparts to support the ethnic areas of the central health center. By the province's 94 second-class general hospitals to support the province's ethnic areas in 59 counties of 291 central health centers (*** 60 ethnic areas of the county, of which there is no central health centers in the Jinkouhe District), each second-class hospitals to support each central health centers each year, at least one medical personnel above the title of intermediate. Determined to support the task of the second hospital to take the initiative to contact the recipient ethnic county health bureau, *** with the determination of the support of the central health center, on this basis to develop a work program, reported to the recipient area city and state health bureau review, April 10, 2011 before the provincial health department for the record.
(C) county hospitals to support the township health center program. By the counties (cities, districts) Health Bureau to develop, the relevant city (state) Health Bureau audit summary, in April 10, 2011 before the provincial health department for the record.
(D) city hospitals to support community health service organizations program. By the province, city (state), county (city, district) health administrative departments to develop and organize the implementation. The relevant city (state) Health Bureau review and summary of the program under the jurisdiction of the region, in April 10, 2010 before the provincial health department for the record.
Fourth, the content and mode of work
(a) personnel assigned. Support hospitals should be selected to senior attending physician (nurse, technician) and deputy chief physician (nurse, technician) mainly experienced medical personnel to participate in the work of counterpart support. The assigned personnel should have strong business ability, high quality and good moral character. The two sides of the counterpart support should negotiate to determine the specialty, number and time of the medical personnel to be sent, and coordinate the work of the medical personnel. Under the premise of ensuring the continuity and stability of the support work, the attending physician assigned time is generally 6 months, deputy director of the physician and the central unit in Sichuan assigned personnel assigned time is generally 3 months.
(ii) Clinical diagnosis and treatment. The medical personnel stationed in the recipient hospital to participate in the clinical diagnosis and treatment work, undertake the grass-roots common diseases, common diseases, difficult diseases diagnosis and treatment services; to carry out clinical teaching and technical training to improve the technical level of grass-roots hospitals.
(C) technical support. Support units and recipient units to determine the specific technical cooperation projects, focusing on the need to help recipient hospitals to independently carry out appropriate new technologies, new businesses, the construction of a number of specialties, key specialties, and to train a number of backbone talents and departmental leaders.
(D) further training. Support units should be based on the actual needs of the recipient unit and the promotion of appropriate technology, each year to help the recipient hospital to select medical personnel to the hospital or other organizations to receive training, strengthen the theoretical foundation, master appropriate technology, improve management level. The number of trainees received each year should not be less than 1/2 of the number of personnel sent by the support unit; in principle, the training time should not be less than 6 months. Among them, the three hospitals to support county hospitals, the implementation of the Ministry of Health, county hospitals backbone physician training program requirements, the annual training of county hospitals backbone physician 430 people, personnel training program I Office issued separately.
(E) medical tour. Recipient hospitals and their local health administrative departments to regularly organize support for medical personnel and local medical personnel to actively carry out medical tours and mobile medical work, and actively participate in the work of counterparts to support the township health centers, to expand the beneficiary side of the work of counterparts to support.
(F) remote consultation. Supporting hospitals and recipient hospitals should actively create conditions to take the network, video and other forms of remote consultation, training, enriching the form of counterpart support work, improve efficiency.
(7) management output. Supporting hospitals and recipient hospitals can send each other management personnel to work in the other hospital management positions, the conditions can be served to support the hospital's mature management experience exported to the recipient hospitals, but also to strengthen the two sides of the communication and coordination of the counterpart support. The core work is to scientifically formulate and improve the hospital development plan, establish and improve the hospital management system and promote the implementation of the system.
(H) Donations in kind. Supporting hospitals according to their own reality, support in kind or financial support during the support period, to help the recipient hospitals to improve hardware facilities, equipment configuration, in order to improve the conditions of medical services and diagnostic and treatment capacity of the recipient hospitals, to facilitate the local people to see a doctor.
(ix) Promote medical reform. Support hospitals to help recipient units to seriously understand the national and provincial policies on health care reform, and promote the recipient hospitals to complete various hospital reform tasks. In accordance with the spirit of the national health care reform documents, more than 300,000 people, but
No two A and above public hospitals in the county (Gandhara County, Huaying City, Kaijiang County, Pengxi County, Hanyuan County, Yanyuan County, Huidong County, Yuexi County, Pingxian County), counterparts to support the tertiary care hospitals should make every effort to help in the software and hardware to ensure that this year's creation of the second A qualified.
(J) maternal and child health. Maternal and child health institutions to organize obstetrics, pediatrics, nursing and other technical backbone of the recipient county maternal and child health institutions to carry out technical assistance to promote grass-roots training of maternal and child health professionals and institutional capacity building, comprehensively improve the level of maternal and child health care professionals in the recipient county comprehensive treatment.
(xi) Chinese medicine. Give full play to the advantageous role of Chinese medicine in our province, strengthen the grass-roots Chinese medicine service system in our province is weak in the region to help, vigorously promote the grass-roots level of common diseases and frequent occurrence of Chinese medicine appropriate technology to promote the application of
(xii) key disciplines. Through the work of counterpart support, the relevant specialist hospitals to focus on tilt support, focus on building the relevant key disciplines such as psychiatry, oncology, oral and occupational disease prevention and treatment, and actively build the relevant regional specialized medical center. Among them, the psychiatric key disciplines construction mainly to the earthquake-stricken county hospital psychiatric specialties tilt.
(xiii) Other forms. In addition to the above forms, support and recipient hospitals can also be held from the hospital management, technological progress, research and education to actively explore other forms of counterpart support, continuous innovation, to promote the work.
V. Work management
Counterpart support management in accordance with the Ministry of Health, Ministry of Finance and the State Administration of Traditional Chinese Medicine to develop the "urban and rural hospitals to support the work of the management of counterpart (for trial implementation)" and the requirements of the program strict management, and into the hospital level assessment and review work.
(a) Strengthen the organization and leadership.
Health administrative departments at all levels and all relevant hospitals to strengthen the supervision and management of urban and rural hospitals to support the work of counterparts, urban and rural hospitals to support the work of counterparts as an important measure of health care reform, into the annual target assessment. The support
support and recipient hospitals in charge of the health administrative department for the management of the work of the responsible department, each unit to set up the relevant organizational leadership institutions to strengthen organizational leadership.
(ii) Signing of the work agreement.
Counterpart support for the two sides to sign a counterpart support work agreement (see Schedule 2 for the reference text of the agreement), to determine the annual implementation plan, to develop a specific work implementation program, clear responsibilities and obligations of both sides. Provincial Department of Health arrangements for medical institutions to support the task of counterpart support, support and recipient of both sides signed an agreement reported to the Provincial Department of Health for the record; city (state) and county health bureau arrangements for the task of counterpart support, support and recipient of both sides signed an agreement to report the corresponding higher-level administrative departments of health for the record; the city medical institutions to support the community health services, support and recipient of both sides signed an agreement to report to the corresponding higher-level administrative departments of health and the provincial Department of Health for the record. The competent department and the provincial health department for the record.
(C) Strengthen the daily supervision.
Support hospitals where the city (state) health administrative departments to strengthen the management of support hospitals, once a year to organize the implementation of the agreement to supervise and assess the implementation of support hospitals to monitor the implementation of the agreement to support the counterparts. The city (state) and county (city, district) health administrative departments of the recipient hospitals should be organized to carry out daily supervision, the organization of the recipient hospitals and support hospitals to carry out the annual assessment and final assessment, the assessment results should be timely notification of the support of the hospitals in the city (state) health administrative departments. Recipient hospitals have the obligation to cooperate with the counterpart support work. First, the medical personnel sent down to assist should provide safe and convenient basic living and working conditions, and care for and look after the sent personnel as much as possible in their lives. Secondly, it is necessary to strengthen the management of the dispatched personnel and assess their work situation, which includes the fulfillment of work objectives, annual workload, medical ethics, continuous work time (based on the record of medical records and documents), the public reaction of the patients, the opinions of the head of the department, the opinion of the head of the unit, etc., and feed back to the support unit. The Provincial Department of Health is responsible for the supervision and management of urban and rural hospitals in the province. The Department will understand the implementation of counterpart support work across the province through random checks, unannounced visits, telephone surveys and other forms. If the assistance work becomes a mere formality due to the reason of the recipient hospital, the competent department must pursue the responsibility of the main person in charge of the recipient hospital, and at the same time, cancel all the assistance to the recipient hospital for five years and the national and provincial financial support and projects, and the qualification of the hospital level assessment. If the two sides reached a tacit agreement due to support, assistance, resulting in the dispatch of medical personnel without authorization off duty and higher health administrative departments, concealment, misreporting, once verified, the direct cancellation of the two sides of the hospital level and the province's notification of criticism.
(D) target assessment.
At the end of the annual counterpart support work, the recipient city (state), county (district) hospitals can meet the following basic requirements:
1. Counterpart support work agreement determined by the completion of all the objectives.
2. The new appropriate new technology shall not be less than 10.
3. The satisfaction of hospitalized patients and medical staff with the work of counterpart support reaches more than 90% every year.
4. 2011 June-July, city (state), county (district) levels of health administration based on the "Sichuan Provincial Hospital Accreditation Standards", the organization of the jurisdiction of the recipient hospitals for the annual evaluation. Recipient hospital points increased by more than 50 points each year.
Personnel sent time, the first half of the early March - late September of the same year; the second half of the late September - mid-March of the following year.
The supporting hospitals should work together with the recipient hospitals to report to their respective municipal (state) health administrative departments to submit half-year and annual summaries, assessment results and work information form (see Table 3).
October 10 this year and April 10 the following year, support hospitals where the municipal (state) health administrative departments to supervise and assess the summary reported to the provincial health department.
Department of provincial medical institutions in accordance with the above requirements to support the work of the provincial health department and the recipient hospital city (state) health administrative departments.
Attachment: 1. Sichuan urban and rural hospitals to support the work of the arrangements for the deployment of table
2. Sichuan Province, the agreement on counterpart support (reference text)
3. Sichuan Province, the work of the counterpart support information statement