The National Health Commission issued the Notice on Doing a Good Job in Basic Public Health Services in 2023

Notice on doing a good job in basic public health services in 2023

National Health Grassroots Fa [2023] No. 20

All provinces, autonomous regions, municipalities directly under the Central Government, and the Xinjiang Production and Construction Corps Health Commission, Department of Finance (Bureau), Bureau of Traditional Chinese Medicine, and Disease Control Bureau:

In order to fully and deeply implement the spirit of the 20th National Congress of the Communist Party of China, promote the construction of a healthy China, improve people's health promotion policies, and continuously improve the level of basic public services, the following notice is hereby issued on the work of basic public health services in 2023:

1. Raise the standard of financial subsidies

(1) Clarify the ways to increase the use of funds. In 2023, the per capita financial subsidy standard for basic public health services will be 89 yuan, and the new funds will focus on supporting local governments to strengthen basic public health services for the elderly and children. From 2020 to 2022, the cumulative increase in financial subsidies for basic public health services will continue to be used in coordination for basic public health services and grassroots medical and health institutions to carry out epidemic prevention and control related work, focusing on supporting the implementation and detailed health management services of key new crown populations, strengthening the reporting and handling of infectious diseases and public health emergencies, improving quality and expanding coverage in accordance with service specifications, and optimizing service content.

(2) Strengthen the management and use of funds. All localities should strictly implement fiscal authority and expenditure responsibilities, fully implement financial subsidy funds, reasonably clarify the division of labor between the two levels in villages for basic public health service funds allocated to the village level, adopt the method of "first pre-allocating and then settling", and truly implement the subsidies for village clinics to undertake basic public health services. All localities should strictly implement the Measures for the Management of Subsidy Funds for Basic Public Health Services (Caisha [2022] No. 31) issued by the Ministry of Finance and other five departments, strengthen fund management, accelerate the progress of fund allocation, explore and improve service result-oriented fund payment methods, standardize the use of funds, effectively improve the efficiency of fund use, and protect the health rights and interests of the people.

2. Clarify the key tasks of the year

In 2023, the types and number of basic public health service projects will remain unchanged overall, and all localities should focus on consolidating and realizing projects, strengthening health management services for key groups such as "one old and one small", and improving the people's sense of gain and perception.

(1) Clarify annual performance targets. The performance targets for basic public health services in 2023 have been issued with the Notice of the Ministry of Finance and the National Health Commission on Issuing the Budget for Subsidy Funds for Basic Public Health Services in 2023 (Cai She [2023] No. 36), and all localities should clarify the annual regional performance targets, coordinate the actual situation of each city (prefecture, prefecture), determine tasks step by level and issue them in a timely manner. All localities should make overall plans for the implementation of basic public health service tasks and funds, regularly report on the progress of basic public health services, strengthen data quality control, and ensure that semi-annual and annual tasks are successfully completed as scheduled.

(2) Strengthen health management services for key groups such as "one old and one small". Continue to take the health examination of the elderly as the starting point to provide health management services for the elderly, strengthen the technical guidance and quality control of primary medical and health institutions by higher-level hospitals or hospitals led by medical communities, do a good job in analyzing and feedback the results of the health examination report of the elderly, and strengthen follow-up targeted health guidance, health consultation, health management and other services. All localities should find out the base number of permanent residents aged 65 and above in their jurisdictions, and establish and dynamically update accounts. Widely carry out publicity on health management services for the elderly, fully mobilize the enthusiasm of communities, families, and resident units in jurisdictions, mobilize qualified elderly people to actively use basic public health services, and actively accept health management services for the elderly and traditional Chinese medicine health services. For the elderly who do not use basic public health services to carry out health examinations, it is necessary to guide the primary medical and health institutions undertaking basic public health service tasks in their jurisdictions to take the initiative to understand the health status of the elderly, and combine the results of health examinations carried out through other channels to do a good job of corresponding health management services. Encourage localities with the capacity to continue to carry out initial screening services for the elderly's cognitive function, and guide the elderly with abnormal screening results to go to higher-level medical and health institutions for re-examination. Implement health management services for children aged 0~6 and traditional Chinese medicine health management services for children aged 0~3, strengthen health care and counseling guidance for infants under 3 years old, assessment of children's growth and development and psychobehavioral development, prevention of overweight and obesity in children, eye care and myopia prevention and control, oral health care and other health guidance and intervention.

(3) Improve the quality of health management services for patients with chronic diseases such as hypertension and type 2 diabetes. Strengthen the health management of patients with hypertension and type 2 diabetes, and promote the establishment of linkage, hierarchical and hierarchical management mechanisms between the leading hospitals of urban medical groups and secondary hospitals or the leading hospitals of county medical communities and primary medical and health institutions. For stable blood pressure and blood sugar control, primary medical and health institutions shall provide health management services in accordance with the National Basic Public Health Service Standards (Third Edition), the National Guidelines for the Prevention and Management of Hypertension at the Grassroots Level and the Guidelines for the Prevention and Management of Diabetes at the Grassroots Level. For those whose control is unstable or unsuitable for diagnosis and treatment at the primary level, after being referred to a higher-level medical institution for a clear diagnosis and stable through systematic treatment, the higher-level medical institution shall promptly refer the patient to the primary medical and health institution in the jurisdiction of the permanent residence to receive follow-up management services. Support the allocation of funds for basic public health services according to the quantity and quality of services for doctors in the team carrying out health management of patients with hypertension and type 2 diabetes. For patients with multiple chronic diseases such as hypertension and type 2 diabetes, innovative means should be used to actively promote the development of multi-disease co-management services, and improve the quality and efficiency of health management collaborative services and integrated services.

(4) Improve the efficiency and quality of the use of electronic health records. All localities should further promote the integration and information sharing of the electronic health record management platform with the electronic medical record system of medical and health institutions within the region and key public health business systems such as maternal and child health care, immunization programs, chronic disease management, endemic disease prevention and control, and elderly health information, and gradually improve the level of the electronic health record management platform, and provinces with the conditions should build a unified electronic health record management platform within the province. All localities should strengthen the quality control of electronic health records, and improve the timeliness, completeness and accuracy of information entry. It is necessary to widely publicize the concept of "recording a lifetime and serving a lifetime" of electronic health records through various channels, and mobilize residents' enthusiasm for participating in recording, updating and using electronic health records by carrying out forms such as "drying my health account" and "health records in my pocket" in combination with actual conditions.

(5) Make overall plans for grassroots epidemic prevention and control. At present, the epidemic risk of the new crown epidemic still exists, the incidence of seasonal infectious diseases is high, all localities should attach great importance to it, combine the characteristics of the new crown epidemic and infectious diseases, strengthen deployment, give full play to the role of grassroots medical and health institutions as "sentinel points", and guide grassroots medical and health institutions to standardize the reporting and handling of infectious diseases and public health emergencies. It is necessary to implement the national immunization program, strengthen the training of vaccination personnel, improve the quality of grassroots vaccination services, and ensure that school-age children are vaccinated in a timely and full manner. Continue to do a good job in vaccinating the target population of the new coronavirus vaccine in accordance with the unified deployment. Continue to implement "six in place" for key population services in accordance with the "Guidelines for Management Services and Health Monitoring of Key Populations of the New Crown", implement "six in place" for services for key populations by classification and grading, make the protection of key groups practical and meticulous, strengthen daily management services and health monitoring, ensure early detection, early identification and early intervention of people at high risk of severe disease, and play a basic role in preventing severe disease.

3. Make full use of family doctor contracting services

All localities should comprehensively consider the local basic health human resources situation, economic development level, service population, geographical conditions, etc., scientifically estimate the cost of basic public health services, clearly include the basic public health service content and corresponding funding amounts in the family doctor's contracted service package, support family doctors (teams) to provide contracted services for the contracted key groups and patients with chronic diseases such as hypertension and type 2 diabetes, implement comprehensive services for the integration of medical and prevention, and according to the quantity and quality of services, Timely disbursement of funds after performance evaluation. Promote the opening up of electronic health records and family doctor contracting service management information systems, and strengthen the real-time update and sharing of basic public health services and family doctor contracting service data.

4. Strengthen project performance management

All localities should further give play to the guiding role of performance evaluation, and take the implementation of basic public health service funds, the implementation of rural doctors' subsidies, the implementation of performance targets, the quality and effect of health management services for key populations, the efficiency and quality of the use of electronic health records, and the satisfaction of the masses as important contents of performance evaluation. Strengthen the combination of daily evaluation and year-end evaluation, explore the establishment of a normalized mechanism for daily performance evaluation, and fully implement the consistency of national reassessment and local preliminary evaluation results into performance evaluation. Consolidate the methods and methods of combining offline and online performance evaluation, and effectively improve the quality and efficiency of performance evaluation.

5. Standardize the management of basic public health services

All localities should strengthen the daily management of basic public health services, give full play to the role of professional institutions such as disease prevention and control, maternal and child health care, strengthen personnel training and supervision and guidance of medical and health institutions that undertake tasks, and continue to do a good job in health education and health literacy promotion. Improve the coverage and quality of cervical cancer and breast cancer screening. Guide medical and healthcare institutions to provide project services such as health management for key populations and the use of electronic health records, to improve the systematization and continuity of services. Strengthen coordination between basic public health services and family doctor contracting services, county informatization construction, and other such efforts, to provide a basis for improving the efficiency of basic public health services and the quality of performance evaluation. Improve the level of refined management of basic public health services, improve the performance distribution incentive mechanism, and mobilize the enthusiasm of medical and health institutions and medical personnel who undertake services. All localities should make extensive use of traditional and new media, continue to strengthen publicity on basic public health services through a variety of channels and methods that are popular with the masses, and expand the influence and implementation effect of basic public health services.

Source: National Health Commission official website