Integrated rural management refers to a management system that regulates the administrative, operational, pharmaceutical, financial, and performance evaluation aspects of township health centers and village health offices under the unified planning and organization of county-level health administrative departments and within the scope of townships. In the integrated management of villages, township health centers are entrusted by the county-level health administration department to perform the duties of health management within the jurisdiction, and to provide comprehensive services such as public **** health services and diagnosis and treatment of common and common diseases to the farmers, and at the same time, to undertake the management of the village health office and guide the function of the village health office; the village health office is responsible for the village's public **** health services and the primary diagnosis and treatment of general diseases, and other work.
The main elements of integrated rural management include:
(a) Strengthening the planning and construction of institutional settings. In accordance with regional health planning and medical institution setup planning, and taking into account the population served by the jurisdiction, the needs of farmers, and geographic conditions, and based on the principles of convenience to the public and optimization of the allocation of health resources, township health centers and village health clinics are set up in a reasonable manner. Each township must have at least one government-organized health center. Where it is inconvenient for local residents to seek medical care due to the withdrawal of townships, a branch health center may be set up. The ratio of central health centers to general health centers should be controlled at 1:3-4, and county seats generally do not have central health centers. The state takes various forms to support the construction of village health center, in principle, each administrative village should have a village health center. For administrative villages with larger villages, larger populations and more dispersed natural villages, additional village health rooms may be set up as appropriate; administrative villages with smaller populations may be merged to set up village health rooms; and administrative villages where township health centers are located may, in principle, no longer set up village health rooms. The houses and basic equipment of township health centers and village health rooms should be rationally planned and equipped in accordance with the standards set by the state, so as to improve the service capacity of township health centers and village health rooms and ensure that township health centers and village health rooms perform their proper functions.
Village health centers shall be set up by units or individuals capable of independently assuming civil responsibility, applying in accordance with the relevant provisions of the Regulations on the Administration of Medical Institutions and the Implementing Rules for the Regulations on the Administration of Medical Institutions, with their legal representatives assuming the corresponding legal responsibility in accordance with the relevant national laws and regulations.
(2) Strengthening of personnel access and practice management. Township health centers and village health center health technicians practice should meet the "Practicing Physicians Law" and "Regulations on the Administration of Rural Doctors Practice" (hereinafter referred to as the "Regulations") the conditions stipulated. New entrants to village health offices shall have the qualifications of practicing assistant physicians and above; for village health office personnel who temporarily cannot meet this requirement, specific measures shall be formulated by the people's governments of the provinces (autonomous regions and municipalities directly under the central government) in accordance with actual needs, in accordance with the relevant requirements of the Regulations. In accordance with the Law on Practicing Physicians and the Regulations and other relevant laws and regulations, the management of access to practice for health personnel in township health centers and village health offices has been strengthened. Health professionals and technicians engaged in medical care, nursing, public **** health must be registered by the health administrative department and practiced within the prescribed scope.
Township health centers and village health room personnel to implement the employment system, the establishment of the human resources management system can be in and out. Personnel with a certain level of management and professional quality are chosen to serve as heads of township health centers and village health offices.
(3) Strengthening operational management. Establish and improve the rules and regulations and business and technical processes of township health centers and village health offices, and strictly regulate diagnostic and treatment behaviors to achieve standardized services and complete records. Strengthen service quality management, take active measures to prevent medical errors and accidents, and ensure medical safety. Actively promote the use of appropriate technology, appropriate equipment and basic medicines in township health centers and village health offices. Township health centers and village health offices are required to provide rural residents with standardized national basic public **** health services, and to assist professional organizations in implementing major public **** health projects.
Establishing and improving a system of continuing education and training for health technicians in township health centers and village health offices. Support rural doctors to participate in medical academic education, and encourage qualified rural doctors to participate in the licensing (assistant) physician qualification examination. Health technicians of township health centers and village health offices should regularly go to higher-level medical and health institutions for further study, actively participate in job training, constantly update their knowledge, and improve their professional and technical level. Township health centers should formulate village health room practitioners training program, through business lectures, clinical teaching and regular meetings and other ways to strengthen the village health room business guidance, and effectively improve the business and technical level of village health room practitioners.
Township health centers and village health offices should change their service mode, focus on public **** health services, implement the health work policy of prevention, organize medical personnel to implement door-to-door service, active service, and strengthen the health management of rural residents.
(d) Strengthening the management of medicines and equipment. In accordance with the unified deployment, the gradual implementation of the national basic drug system. Township health centers and village health centers use equipped with the national basic drugs and provincial additions to the non-directory drugs by the provincial people's government designated institutions open bidding procurement, and by the winning enterprise unified distribution. Township health centers and village health offices are prohibited from purchasing drugs from illegal channels. County-level health administrative departments should strengthen education, training and daily supervision and management of the rational use of medicines by personnel of township health centers and village health offices, so as to effectively safeguard the safety of the public's use of medicines.
In accordance with the relevant provisions of the state, to strengthen the township health centers and village health offices medical equipment acquisition, use and management.
(E) strengthen financial management. Township health centers and village health centers should strictly implement the state financial accounting system, standardize accounting and financial management, strengthen the control and supervision of economic activities, and improve the financial management system. Do charges have documents, accounts have records, expenditures have vouchers, to publicize medical services and drug charges and prices. County-level health administrative departments should regularly carry out education and training on the relevant provisions of financial management for township and village medical and health personnel, to establish correct financial concepts and improve the level of financial management.
(F) strengthen performance appraisal. To develop township health centers and village health offices performance assessment methods, the establishment of the quality and quantity of services as the core, based on job responsibility and performance-based assessment and incentive mechanism, mobilize personnel motivation, and promote the transformation of township and village health institutions operating mechanism. The county-level health administrative department regularly organizes assessments of the business skills and medical ethics of township health centers, and the results are recorded in individual business records. Township health centers, under the unified organization of the county-level health administrative departments, do a good job of assessing village health offices. The results of the assessment of township health centers and village health centers as the basis for the issuance of subsidies.
Encourage places with conditions to gradually implement the village health office organized by the government or collective, rural doctors in the temporary not to change the status of farmers under the premise of the employment system, and practice in the village health office, rural doctors' business income, social security and village health office assets into the unified management of the township health center.