On December 26, the reporter learned from the press conference on the innovative mechanism of Qiannan Prefecture to promote the integration of primary medical and prevention reform that for a long time, the primary health center has set up a prevention and protection group and a medical group to provide public health services and diagnosis and treatment services for the masses respectively, resulting in the masses not being able to enjoy public health and medical services at the same time, and also causing unnecessary waste of medical resources. To this end, in order to solve the problem of "two skins" in medical and prevention services, Qiannan Prefecture has adopted the following aspects to better provide services for the masses.
Optimize the layout of township medical and health institutions. Township health centers with a large number of service populations, far away from county seats, wide service radius, and strong service capacity are selected to build county-level medical sub-centers, and strengthen the capacity building of medical treatment services in accordance with the standards for the construction of secondary hospitals.
In accordance with the requirements of the "30-minute rural health service circle", a number of standard township health centers with strong capacity and a certain radiation and driving role will be built, and efforts will be made to improve the five capabilities of township health centers: outpatient services, inpatient treatment, medical technology support, traditional Chinese medicine services, and public health services.
Optimize and adjust the layout of ordinary health centers with a small service population, and on the premise of retaining the current infrastructure and equipment, adjust some medical personnel to merge into standard township health centers and set up as branches of standard township health centers, focusing on strengthening outpatient services and traditional Chinese medicine service capabilities.
Establish a synchronous service system for medical prevention. For key populations in public health services, public health services are carried out simultaneously at the time of medical treatment, and health monitoring and diagnosis and treatment services are carried out simultaneously during public health services.
Establish a three-level linkage prevention and control mechanism in counties and villages for important diseases. With the village (residence) as the unit, establish a management ledger for people with diseases such as cancer and other major diseases, chronic diseases, infectious diseases, mental illnesses and other important diseases, consolidate the front-line health "gatekeeper" responsibilities of specific contracted family doctors, implement the whole chain of medical prevention management of normal follow-up, health monitoring, effective intervention, and timely treatment, form a three-level linkage prevention and control mechanism in counties and villages with clear responsibilities and a combination of emergency and emergency treatment, and effectively implement hierarchical and categorical follow-up and diagnosis and treatment services.
Promote the "three co-construction" of front-line services of traditional Chinese and Western medicine. Give full play to the brand resource empowerment advantages of hospitals at the state and county levels, extend high-quality medical resources to township health centers, and jointly build geriatric and chronic disease expert outpatient clinics, elderly health management stations, and high-quality traditional Chinese medicine halls, so as to form a specialized medical alliance with shared responsibilities and benefits. Township health centers are allowed to use the chronic disease drug catalogue of the leading hospital of the medical community under the guidance of county-level doctors, and the outpatient prescription for chronic diseases can be issued by doctors with prescribing authority in secondary and above medical institutions in the family contracted service team, and the prescribed drugs are uniformly distributed to the township health centers by the leading hospital of the county-level medical community in the form of pharmacy extension.
At present, through the optimization and adjustment of the layout, there are 109 central township health centers in the state, 12 county-level medical sub-centers, 23 rural community health service stations, and 1,505 village (residential) clinics, and the health examination rate for the elderly aged 65 and above in the whole state and the health management rate of traditional Chinese medicine for the elderly increased by 12.41 and 4.72 percentage points respectively over the same period of the previous year, and the public health service capacity has been improved.
Guizhou Daily Tianyan News reporter Wang Weiwei
Edited by Bi Wenjun
Second instance Lu Taiming
The third trial was carried forward by Zhang Fayang