The health and family planning commission and the TCM administration: the whole nation's basic medical facilities are equipped w

　　In 2017, the State Health Commission and the Chinese Medicine Bureau to jointly carry out primary health care service capacity to enhance the activities of the relevant "implementation program" has also been issued recently issued.

　　According to the "implementation plan", community health service centers (stations), township hospitals and village health clinics throughout the country need to focus on 10 tasks. Many of which are related to the configuration of medical devices.

　　For example, the primary health care institutions to set up emergency room, a reasonable allocation of oxygen facilities, attractors, gastric lavage, ECG, simple ventilator (breathing bag), defibrillator, laryngoscopy and other first aid equipment;

　　To strengthen the grassroots medical and health institutions inspection and inspection capacity building, rational allocation and update the necessary facilities and equipment, to carry out routine testing, ECG, ultrasound, X-ray examination services;

　　To strengthen the grassroots medical and health institutions in the construction of Chinese medicine and pharmacy, to encourage the independent establishment of the Chinese medicine Museum, the National Medical Church and other forms of integrated service area of traditional Chinese medicine, vigorously promote acupuncture, moxibustion, scraping class, cupping, Chinese medicine minimally invasive, Class, deposited iron smoked bath, bone injury, anorectal and other Chinese medicine technical methods;

　　To explore the application of artificial intelligence, mobile health monitoring, health care and other large information technology at the grassroots level.

　　The implementation plan requires that all localities reasonably allocate and update medical and informatized devices in accordance with the principles of appropriate scale, functional applicability and appropriate equipment, and improve the diagnosis and treatment conditions of primary medical and health institutions.

　　The implementation plan is also clear that the promotion year activity is the main task to promote primary health work in 2017, and implementation will be included in the performance appraisal content of primary medical and health institutions. The national Commission will also select a number of excellent medical institutions, and mine good practices from all over the country to promote.

　　Annex: implementation plan for activities of primary medical and health services for promotion year

　　In order to implement the new era health and health policy based on the basic level, promote the construction of classified diagnosis and treatment system and contract service of family doctors, and initiate the implementation of grass-roots medical and health service capacity promotion activities ( hereinafter referred to as " promotion activities" ) jointly by the national health and family planning Commission in 2017 and the national Chinese medicine Council in 2017. The implementation programme is now under way.

　　First, the work objectives

　　To promote the grassroots medical and health institutions to improve the service function, improve the service ability, highlight the service characteristics, improve the quality of service, improve the quality of service, improve the quality of service, improve the quality of service, To protect the medical security, to enhance the masses of grassroots health care institutions and access to the sense of building a hierarchical treatment system to lay a better foundation. In 2017, the province (district, city) as a unit, primary health care services, emergency department and emergency services than the previous year has greatly improved, family doctors contracted service coverage rate of more than 30%, key population contracted service coverage rate of 60 %the above.

　　Second, the implementation of the main body

　　In the local government, health care, Chinese medicine administrative departments under the leadership of the community health service centers and township hospitals organized and implemented, community health service stations and village clinics with reference to the relevant requirements.

　　Third, the important work content

　　(1) Push forward the family doctor's contract service.Will contract services to the main responsibility of the individual doctors, strengthen the team building on the basis of the combination of medical, perfect the work mechanism of signing team incentive mechanism and performance evaluation.Signed according to the service capacity and demand, and constantly improve the service content, service content based on the basic contract is sign encourages the development of different types of personalized service content, including health assessment, rehabilitation guidance, family sickbed, home care, Chinese medicine "cure not ill", remote health monitoring, etc., through personalized health management, improve the residents feel about contract signing.In children, maternal, the elderly, patients with chronic diseases, such as the disabled people as the key point, to disease management and prevention health care service as the breakthrough point, improve the utilization rate of signing service gradually expanding the scope of the contract signing.To sign the contract service according to the classification of chronic diseases.To promote the appointment and treatment of the contracted persons, implement the appointment priority system and improve the efficiency of the treatment.Set up joint working mechanism with higher medical institutions at the grassroots level to build gp contact public hospital of specialized subject doctor communication platform, collaborative hospital visit priority open source for basic medical and health institutions, open referral to the green channel, expedite referral service path, prioritize referral clinic and hospital patients.We will improve the information exchange mechanism for discharge patients and provide continuous service for patients who are transferred.

　　(2)Improve the ability of out-patient medical services.It is clear that the main diseases of common diseases and diseases in the region are mainly diseases, and the ability to improve the consultation, diagnosis and treatment of outpatient diseases is targeted.With high blood pressure, diabetes, chronic obstructive pulmonary disease (copd), coronary heart disease, stroke recovery period, advanced cancer, definite diagnosis of chronic renal failure and other chronic diseases patients as the key point, improve the comprehensive management service ability.The focus will be on strengthening the medical establishment of the whole area, and the community health service center in the clinic will be dominated by the whole medical discipline, and the township and township health clinics should set up the whole medical discipline.Combining service demand in our region, can develop rehabilitation, oral cavity, women (care) of department of gynaecology, paediatrics, child care, mental (mental health) and other professional departments, encourage open joint chronic diseases outpatient service, improve the ability of grass-roots slow disease diagnosis and treatment.To strengthen the ability of the outpatient service medical service of surgical common disease, can be proficient in the treatment of hemostasis, suture, bandage and fracture fixation.Conditional grassroots health institutions, encourages characteristic section office construction, promote the formation and the development of the superior hospital function complementary, differential pattern, reasonable divergence hospital patients.

　　(3)Improve emergency resuscitation capability.We will strengthen emergency medical care, pre-hospital emergency care, and community-level health emergency capacity building.Independent setting, intensive care facilities, reasonable configuration to oxygen attractor, gastric lavage machine, ecg monitoring instrument, simple breathing machine (bag), defibrillation apparatus, laryngoscope, such as first aid equipment and medicine, improve the basic first aid hardware conditions.Perfect basic first aid skills training system, grassroots health workers in areas, strengthen the level 2 above hospitals to with the guidance of grassroots health institutions first aid skills training, carry out personnel training in rotation as planned.Enhance the cardiopulmonary resuscitation (CPR), endotracheal intubation, defibrillation, gastric lavage, hemostatic bandage, fracture fixed basic first aid skills such as standardized training, enhance the level of first aid skills grassroots health workers and increase the circulation, respiration, renal failure, patients with acute intoxication, shock, such as the critical initial diagnosis and emergency handling ability.

　　(4)Strengthen the construction of hospitalization capacity.In combination with regional institutions for medical treatment health needs and basic conditions, setting up reasonable beds grassroots medical and health institutions, strengthening the construction of hospital service ability, carry out and agency personnel qualifications, access to technology and facilities that meet the needs of the hospital, surgery, delivery and other services.Encourage grassroots medical and health institutions and the higher the opening of a joint collaboration hospital ward, improving the capacity of basic-level hospital medical services, increasing the service efficiency of beds, residents convenient masses go to a doctor.According to the needs of hierarchical diagnosis and treatment, the basic-level hospital service focus to develop in the direction of community nursing, rehabilitation, conditional can set up the hospice care, elderly care beds, turn to the second class above hospital patients to provide necessary medical conditions.

　　(5) Improve inspection and drug service.To strengthen the construction of grassroots medical institutions, inspection inspection ability, reasonable configuration and update the necessary facilities, to carry out the routine inspection, ecg, ultrasonic and X-ray radiography inspection service.Make full use of existing health resources, give play to the role of third party, set up image, ecg, inspection, such as disinfection supply center, carry out an effective mode of "at the grass-roots level, the superior diagnosis", improve the high quality medical resources accessibility and medical service efficiency as a whole.We will promote mutual recognition among medical institutions in the medical community, reduce waste of resources and reduce the burden of patients.According to the requirement of the classification and treatment, the requirement of the drug should be provided according to the relevant regulations and requirements.We will encourage the development of medical services and provide reasonable guidance for patients.

　　(6)Improve the capacity of TCM services.To strengthen the construction of grassroots medical institutions regions and TCM pharmacy, encourage independent setting hall, national physician hall and other forms of traditional Chinese medicine of traditional Chinese medicine comprehensive service area, highlight the cultural characteristics of traditional Chinese medicine.Strengthen personnel of Chinese and western medicine of traditional Chinese medicine knowledge and skills training, promoting acupuncture, moxibustion, gua sha, cupping, minimally invasive, massage of TCM, apply the ironing aromatherapy bath, fractures, anorectal technology and methods of traditional Chinese medicine, such as, improve the common disease, frequently-occurring disease and chronic standardized diagnosis and treatment of traditional Chinese medicine service ability.In the elderly, children, maternal, in patients with hypertension and diabetes, such as health management, play the advantages of traditional Chinese medicine and role, and increase the content of health management of traditional Chinese medicine, improving the capacity of public health services of traditional Chinese medicine.Actively carry out the traditional Chinese medicine "cure not ill" service, for the community residents to provide consulting, constitution identification of traditional Chinese medicine and health intervention services, promoting universal health concept and knowledge of traditional Chinese medicine.

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