Basic medical protection to do three one what refers to

In order to implement the CPC Central Committee, the State Council and the provincial party committee, the provincial government on solving the "two do not worry about three guarantees" outstanding issues of decision-making deployment, in-depth implementation of the health of poverty alleviation project, comprehensively solve the basic medical care of the poor population have to protect the outstanding issues to ensure that by 2020 to comprehensively complete the task of poverty alleviation, according to the Anhui Provincial Health Commission, Development and Reform Commission, Department of Finance, Medical Insurance Bureau, Poverty Alleviation Office "on the issuance of Anhui Province to solve the outstanding problems of basic medical care for the poor population with the implementation of the program" (Anhui Health and Finance [2019] No. 143) and the provincial poverty alleviation and development leading group "on the solution of the "two do not worry, three guarantees," the implementation of the outstanding problems of the opinions" (Anhui Fu group [ 2019] No. 17) requirements. 2019] No. 17) requirements, the development of this implementation program.

First, accurately grasp the standards and requirements of the health system to ensure basic medical care

The basic medical care of the poor population is guaranteed, mainly refers to the poor population's common diseases, chronic diseases can be timely diagnosis and treatment in the province in the county, township, village three-level medical institutions, strengthen the construction of the county, township, village three-level medical institutions and rural doctors in poverty-stricken areas, equipped with qualified medical personnel, eliminating the rural institutions at the two levels. The construction of medical and health institutions at the county, township and village levels in impoverished areas and the construction of village doctors have been strengthened, qualified medical personnel have been provided, and institutions at the village and township levels have been eliminated.

The standards of basic medical care in the health system include: "three ones" for medical and health institutions, "three qualifications" for medical and health personnel, and "three lines" for medical service capacity. " (see annex). The city is based on the national working standards, neither higher nor lower. Localities no longer formulate separate work standards.

Second, strengthen the county hospital capacity building

(a) increase project funding support. Actively strive for investment in the central budget, the Dingyuan County General Hospital for inclusion in the national health protection project support scope. Implement the city and county input responsibility, as soon as possible to resolve the long-term debt of Dingyuan County General Hospital. (Finance)

(ii) Strengthening the tertiary hospitals to help each other. Do a good job of provincial tertiary hospitals to help Dingyuan County General Hospital, the implementation of the logistics of medical personnel stationed, with the hospital to do a good job with the management of stationed personnel. The president or vice president of the hospital will be stationed there for a period of not less than one year, and other personnel will be stationed there for a period of not less than six months. Dingyuan County General Hospital shall make full use of the technical advantages of the personnel stationed at the higher level, actively carry out the construction of clinical specialties, and improve the diagnosis and treatment capacity of common diseases, common diseases and part of the acute and critical diseases in internal medicine, surgery, obstetrics and gynecology, pediatrics, and emergency medicine. (Medical Administration)

(C) accelerate the promotion of telemedicine. Actively promote the imaging cloud, remote electrocardiography, remote consultation system construction, to achieve full coverage of telemedicine services in county hospitals, and gradually extended to township health centers. Expanding the connotation of telemedicine services, enriching the service content, and effectively promoting the sinking of high-quality medical resources through remote consultation, room visits, demonstration teaching, training and other forms. Further standardize telemedicine services, improve telemedicine fees and medical insurance payment policies. (Regulation and Information Section)

(3) Strengthening the mechanism of "county and township as one, village as one"

(4) Strengthening the cultivation and training of county and village personnel. Continuing to carry out standardized training of general practitioners, assistant general practitioner training, transfer training, etc., and increase the training of free medical students in rural areas. According to the provincial allocation plan, special-post general practitioners will be recruited for impoverished areas to solve the problem of insufficient personnel in township health centers. Continuously carry out practical skills and appropriate technology training for rural doctors, and improve the ability of rural doctors to diagnose and treat common and frequent diseases and to provide traditional Chinese medicine services. (Science and Education Section, Personnel Section, Primary Section)

(E) integrated use of human resources in health care. Counties (cities) to further implement the primary health care institutions talent "county control township with" "township hired village with" system, for township health centers and village health departments to employ qualified medical personnel. The implementation of the "one million" project for building the capacity of rural medical and health care, such as the "one hundred doctors in villages" project, the "one thousand doctors in rural areas" project, and the "one million" project for implementing the "one million" project for building the capacity of rural medical and health care. The project of "100 doctors stationed in villages," "1,000 doctors going to villages," "10,000 doctors receiving training," and other rural medical and health care capacity building projects, as well as the implementation of the three-year action of building a team of rural doctors, expanding the sources of village doctors, upgrading their service capacity, and eliminating the "blank spots" in the personnel of village institutions. (Personnel, grassroots)

(F) comprehensively promote the construction of close-knit county medical **** body. 2019 in the city's six counties (cities) to carry out the construction of close-knit county medical **** body. Deep integration of county medical service resources, effective integration of public **** health resources, to promote the integration of county and township, rural one management, and further close medical **** body benefits *** enjoy responsibility **** bear mechanism, efficient operation and management mechanism, reconstruction and upgrading of the county health care service system, to realize the health care services up and down through, medical and preventive effective integration, to treat the sick to the health of the center of the transformation. (Reform Section)

Fourth, strengthen the standardization of rural medical and health institutions

(7) to eliminate institutional "blank spots". Promote the implementation of the main responsibility of the municipal and county governments, increase investment, in accordance with the principle of "fill in the blanks", to strengthen the standardization of rural medical and health institutions, the elimination of administrative village village health room "blanks" by the end of 2019, the poverty eradication period fully completed! Infrastructure construction of township health centers and village health rooms, and rational allocation of medical equipment in township health centers and village health rooms. Strengthening the construction of traditional Chinese medicine departments in township health centers and the configuration of traditional Chinese medicine equipment in village health rooms. For the administrative village village health room "blank" problem, each place should be in accordance with the requirements of the national and provincial unified deployment, combined with the characteristics of the distribution of different geographic areas and population coverage, in line with the principle of facilitating access to health care for the poor population, the establishment of accounts, analyze and study one by one, to solve the problem of classification, and the "blank spot" elimination of the situation reported to the municipal health department. "The first time I saw this, I was in the middle of it.

For the poverty alleviation relocation of the newly formed administrative villages in the water, electricity, network and other infrastructure construction in place before, as well as not completely relocated or will soon be demolished as a whole of the administrative villages, can be set up through the temporary health care point, to provide services for the masses. Eliminate duplication of construction and idleness. Administrative villages with unused village health centers should be activated in a timely manner. Township health center resident administrative village without health room, set up by the township health center separate room, and determine not less than one qualified doctor to perform the functions of village doctor, to undertake the resident administrative village basic medical and basic public **** health services. (grass-roots section, regulation letter section, financial section)

V. Strengthening the comprehensive prevention and control of diseases in poverty-stricken areas

(H) the full implementation of key infectious diseases, endemic diseases comprehensive prevention and control of the three-year campaign. In accordance with the "Anhui Province Healthy Poverty Alleviation Three-Year Action Implementation Plan" (Anhui Health Office [2018] No. 3) requirements, do a good job in the comprehensive prevention and control of key infectious diseases such as AIDS, tuberculosis and endemic diseases such as schistosomiasis, and carry out the classification of patients with existing symptoms treatment. (CDC)

Sixth, safeguard measures

(ix) Strengthen the responsibility of the attack. Municipal Health Commission Finance Section is responsible for leading the implementation of the health project, strengthen the cooperation of business departments to form a joint attack. Combined with the functional requirements of each business section, improve and refine the initiative to promote the implementation of various tasks. Effectively strengthen the county and rural medical and health service capacity building, to carry out the classification and treatment work.

(J) Strengthen the supervision and assessment. To solve the outstanding problem of basic medical care for the poor population into the health of poverty alleviation unannounced visits to supervise the important content, the municipal health commission to carry out "four not two straight" way unannounced visits to supervise, regular scheduling. Each place should be strictly against the standard table, neither high nor low, village by village, household by household, people to get a clear picture of the bottom, in-depth investigation of the existence of outstanding problems, the establishment of a list of problems, task list, list of responsibilities, the implementation of the backward schedule, the battle map, according to the requirements of each account, to ensure that the completion of the health of poverty alleviation of the various objectives and tasks on schedule.