to deepen the health system reform of the medical and health system and the happiness of thousands of families. On the 10 day, the reporter learned that the Ji'nan Municipal Health Bureau, in accordance with the principle of "ensuring basic, strong grass-roots and building mechanisms", launched the division of the major work and task objectives of the five key reforms of the medical and health system in 2011. Through the "seven major projects", the construction of medical reform has become a popular project for the people and people to be benefited from the masses. Enjoy more secure, effective, convenient and inexpensive medical and health services.
medical and health system reform will bring many benefits to the people. (Photo by Chen Changli)
[b] farmer medical security project [/b]
[b] farmers' participation rate reached 100%[/b]
2011. In 2011, the city will further consolidate and improve the coverage of the new rural cooperation. The rate of farmers' participation reaches 100% and the per capita funding reaches 250 yuan, of which the government has raised the new rural cooperative subsidy standard to Each person is 200 yuan per year. We will continue to improve the overall work of the outpatient service, and incorporate the general diagnosis and treatment fees within the policy range of the designated grass-roots medical and health institutions into the scope of payment. The proportion of the hospitalization expenses in the area of the regional new rural cooperative policy is raised to 70%, and the maximum payment limit of the fund is raised to 100 thousand yuan to reach the annual per capita net income of the local farmers. More than 10 times. At the same time, the proportion of inpatient reimbursement for congenital heart, leukemia and simple cleft lip in children was increased to 70%, which included severe psychosis, breast cancer, cervical cancer, end-stage kidney disease and hemophilia, and the proportion of hospitalization reimbursement was 70%.
[b] basic drug system engineering [/b]
[b] public medical institutions covered [/b]
[/b]
before the end of June 2011, all government township hospitals and community health service institutions in the city will carry out the basic drug system, and study and formulate the village health room with the two level of city and County Finance. The basic drug system compensation method, as well as the link of the national basic drug catalogue (the basic use part) and the provincial drug supplement directory, better adapt to basic basic drug demand. At the same time, the plan of township health centers and community health service institutions should be completed in an all-round way, and a new mechanism for setting up post, bidding for post, employing and contract management according to demand is carried out. The comprehensive quantitative performance assessment system and assessment scheme, focusing on the number of work, quality, satisfaction of the service object and the improvement of the health status of the residents, are formulated and improved. The results are directly linked to the subsidy of medical and health institutions at the grass-roots level and the income level of medical staff.
[b] public health service engineering [/b]
[b] new 10 remote regional emergency stations [/b]
2011, complete complete completion of the population under 15 years of age to complement the hepatitis B vaccine task, replanting 75278 people throughout the year. To fully understand the incidence of cervical cancer and breast cancer in the city, 77276 rural women of appropriate age for cervical cancer were examined, 60876 women were examined for breast cancer, and all the electronic files were established. The rate of hospitalization and childbirth of rural pregnant and parturition reached 100%, and 36 thousand women before and in the early pregnancy were free of folic acid. Implementation of Huaiyin District, Zhangqiu City mother to child transmission of AIDS blocking project, and comprehensively promote the prevention of mother to child transmission of AIDS. We should strengthen the construction of health supervision system, incorporate the implementation of public health service projects into the contents of supervision, and intensify supervision and inspection. We should strengthen the rational allocation and integration of mental health resources in the city, and support the construction of mental health centers at county level. We should increase financial support, add 10 emergency sites in remote areas, and achieve the full coverage of pre hospital emergency network in cities and towns. We should speed up the relocation of infectious diseases hospitals and strengthen the construction of skin prevention, precision prevention and knot prevention agencies.
[b] grass-roots medical service system construction project [/b]
[b] Service Capacity Upgrading 100% standards [/b]
this year, our city will complete the overall completion of the city's 252 community health service institutions standardized construction, 75 township hospitals reform construction and 2366 village health room standard construction tasks based on the basis of the task To support the construction of county hospitals in Zhangqiu, Changqing, Shanghe, Pingyin and Jiyang counties, and strive to gradually achieve the level of three hospitals. In accordance with the major and small comprehensive ideas, the county (city) district should be advocated to support and strengthen the construction of the Central Health Hospital, and the county mobile medical service team is set up to take charge of basic medical services, public health services and two-way referral in remote areas. At the same time, standardized training for general practitioners is carried out, and 1-2 general practitioners are provided for each primary health care institution. We should transform the service mode of primary medical and health institutions, and promote the experience of active service, door-to-door service and mobile medical care.
[b] basic public health service equalization project [/b]
[b] specified task index 100% to complete [/b]
2011, our city per capita basic public health service funds standard increased to 25 yuan, 100% over completion of the 9 basic public health service projects issued in the province. At the same time, the overall implementation of the national expanded immunization program, the vaccination rate reached more than 98%, the prevention and control of avian influenza, hand foot and mouth disease, H1N1 influenza A, and the consolidation of AIDS, tuberculosis and endemic disease prevention and control results, no major epidemic outbreak in the city; the rate of 0-3 year old children's system management reached 90%, and the management rate of maternal health care system reached 9. 0%, to find out the health status of the 65 year old and older people in the city. In the year, a health risk factor investigation and physical examination were carried out, the management rate was 95%, and the management rate of hypertension and diabetes in urban and rural residents reached 95%, and the prevalence of heavy mental illness in the city was found, and the management rate of severe psychosis was 100%.
[b] talent team construction project [/b]
[b] grass-roots general practitioner will turn over [/b]
deepen the "health strong foundation project" to improve the basic level of health service. At the grass-roots level, the staff of the grass-roots medical and health institutions were trained for the transfer of the general practitioner, and 100 trainees were trained in 2015, and all of them reached the level of the basic level general practitioner. To increase the recruitment of medical practitioners in township hospitals. 750 medical and health personnel were trained for township hospitals. We completed the annual task of rural doctors on-the-job training, and completed the training task of 120 hours throughout the year. Improve the resident standardized training system and training mode. Policies have been put in place to support the implementation of key clinical specialties, key laboratory construction, key personnel training and leader training. In accordance with the policy requirements of the Ministry of health and the Department of health of the province, the policy of implementing multiple practice doctors for practicing physicians is formulated to strengthen the dynamic management of health professionals.
[b] public hospital reform project [/b]
[/b]
[b] key county hospitals are three level level [/b]
this year, establish and perfect the regional medical center, regional medical center, county medical emergency center resource allocation plan plan, comprehensively strengthen the comprehensive strength construction of county hospitals. In accordance with the management of the three level general hospital, the people's Hospital of Zhangqiu City People's Hospital (city six hospital) and the people's Hospital of Jiyang county (city seven hospital) should gradually reach the level of grade a comprehensive hospital of grade two in other County District People's hospitals, and continue to adhere to the long-term cooperation and assistance mechanism such as counterpart support and "undertaking", and deepen the long-term help of level three hospitals in support of county-level hospitals. The implementation plan should strengthen the construction of key specialties and training and training of key talents in county hospitals.
in the process of promoting the reform of public hospitals, our city will adhere to the medical tenet of Huimin. All public medical institutions must implement an appointment service system, combine registration, charge, medicine and other service windows, optimize the diagnosis and treatment process, simplify the medical procedures, and shorten the time of the public consultation. We will comprehensively promote the call service, implement the 24 hour waiting schedule system on weekends and holidays, and carry out the demonstration project of high quality nursing service in depth. Public hospitals should be encouraged to give priority to the use of basic drugs and appropriate technologies, to standardize the conduct of clinical inspection, diagnosis, treatment, use of drugs and plant medical instruments in public hospitals, and to track and supervise the whole process of medical and drug use. At the same time, the prescription standard and the supervision clause for the investigation of the "big prescription" behavior, the charge price of medical service, the implementation plan according to the disease type charge, and the implementation plan to complete the comprehensive implementation of the clinical path management are formulated. The disease of the two and above hospitals in the city has reached more than 100 kinds of diseases as soon as possible. It covers common diseases and many diseases.