90%of the family can reach the recent medical point in 15 minutes!Grassroots medical and health services in my country have achieved positive results

90%of the families can reach the nearest medical site within 15 minutes, and basically realize all local cities and counties (cities, districts) to carry out family doctors' signing services ... On July 14, the National Health Commission held a press conference to introduce the party Since the 18th National Congress of the Communist Party of China, the progress of primary medical and health services has made progress. Let's take a look with Guangdong Health Online.

my country's grass -roots level prevention and treatment and health management capabilities have continued to improve

"Since the 18th National Congress of the Communist Party of China, my country's grass -roots levels of disease prevention and treatment and health management have continued to improve." Nie Chunlei, the director of the grassroots director of the National Health Commission, introduced it from six aspects and multiple sets of data.

First, the network of grass -roots medical and health institutions is continuously improved. As of the end of 2021, there were nearly 980,000 primary medical and health institutions in the country, and more than 4.4 million health personnel were built. The streets, communities, towns, and villages were fully covered. The sixth health service statistics survey shows that 90%of families can reach the nearest medical site within 15 minutes.

Second, the ability of grassroots medical and health services has continued to increase. The conditions of grass -roots infrastructure have been continuously improved, and the proportion of grass -roots diagnosis and treatment has remained above 50%.

Third, the new mechanism of grass -roots operations is more complete. All the qualified grass -roots institutions are included in the previous new rural cooperative medical care and the current scope of designated scope of urban and rural residents' medical insurance and urban employee medical insurance.

Fourth, public health services are further consolidated. Projects carried out by grass -roots institutions have expanded from 10 categories to 12 categories, providing more than 1 billion health management services for patients with key diseases and key groups each year. In addition, the establishment of 320,000 village residence public health committees was promoted to consolidate the foundation of the new crown pneumonia's epidemic community.

Fifth, family doctors signed contract services for innovation and development. As of the end of 2021, all local cities, cities, and counties (cities, districts) have carried out family doctors' signing services and set up a team of more than 420,000 family doctors.

Sixth, the construction of close medical communities in tight counties has been fully launched, and pilots are carried out in more than 800 counties (cities, districts) across the country.

In the past ten years, my country's promotion of basic public health services has also achieved positive results. Establish a basic public health service system that conforms to the national conditions. The basic public health service projects are provided by the country for free to residents to ensure the gradually improvement of the system, management system, operation and supervision and evaluation mechanism. The level of equalization of basic public health services has gradually increased, and the three editions of the "National Basic Public Health Services Specifications" have been formulated. Basic public health service projects effectively promote the improvement of urban and rural residents' health levels. For example, more than 200 million stitches of immunization planning vaccination services are provided to urban and rural children each year, and firewalls are built for 12 infectious diseases such as ash, measles, and hepatitis B.

"In the next step, we will work hard around improving the sense of gain and feelings of the masses, especially to strengthen services and quality, and further improve the level of basic public health services." Nie Chunlei said.

Multi -measures work together to leave the patient at the grassroots level

Nie Chunlei pointed out that in recent years, the National Health and Health Commission will improve the ability of grassroots medical services as the most basic and fundamental important task.

The first is to introduce service capacity standards for township health centers and community health service centers, and guide localized self -assessment and rectification of local control standards. By the end of 2021, a total of 23,000 grass -roots institutions have reached the basic standards and recommendation standards for service capabilities.

The second is to use the community health service center and township health centers as an infrastructure community hospital, and introduce the main points of the basic standards and medical quality and safety core system of community hospitals. By the end of 2021, there were more than 2,600 community hospitals.

Third, a variety of methods have expanded the team of grass -roots health personnel, recruiting more than 70,000 medical students in rural orders, of which 35,000 have arrived at the grassroots level. Completed more than 23 thousand people who have completed the transfer of general doctors. The qualification examination for rural general practice assistant physicians will be added, and 154,000 people will obtain the corresponding qualifications. Implement the capacity improvement project of grass -roots health personnel and train 590,000 grass -roots health personnel. In the past two years, the medical college students have been implemented to register a rural doctor for exemption, and more than 4,300 college students have entered the team of rural doctors.

The fourth is to promote the construction of the district medical community, highlight the "strong county, strong grassroots" orientation, and determine 551 pilot counties in three pilot provinces and other provinces in Shanxi, Zhejiang, and Xinjiang. Monitoring data shows that the effect of sinking in medical services in the county has continued to appear.

The fifth is to accelerate the construction of informatization and initially establish a comprehensive national medical and health management platform, and has achieved network Unicom and data transmission with 23 provinces. By the end of 2021, remote medical care has covered all poor counties and extended towards the countryside.

Detailed explanation of rural doctors and family doctors

In recent years, the proportion of outpatients of grass -roots medical and health institutions has declined. Does this mean that grassroots medical and health services are not as good as before? Facing the questions of reporters, Nie Chunlei gave a detailed answer.

In the past ten years, the number of grass -roots institutions has increased from 913,000 to 978,000; the number of beds in grassroots institutions increased from 1.324 million in 2012 to 1.712 million in 2021; the health staff of grass -roots institutions increased from 3.437 million in 2012 to 2021 in 2021 44.32 million people. Among the health staff, the number of practitioners and assistant practitioners has also increased, from 109,000 to 1.615 million. "This shows that grass -roots institutions and personnel teams are developing, and their service capabilities have not declined."

Nie Chunlei said that despite the impact of the epidemic, the outpatient volume of medical institutions and grassroots medical institutions in the country has generally declined in the past two years, but from the perspective of service volume, the number of outpatient services in grassroots medical institutions from 2012-2021 increased from 4.11 billion to 4.25 billion people. The overall is still steady. Nie Chunlei pointed out that grass -roots medical and health institutions are different from hospitals and are also different from disease prevention and control institutions. They both bear basic medical services and a large number of public health services. Therefore, the measurement of primary medical and health institutions should not only look at the proportion of outpatients, but also depends on the comprehensive service capabilities.

Regarding the aging structure of rural doctors and the reduction of the number of people, Nie Chunlei said that improving the quality of village doctors is a very important task. The National Health and Health Commission will actively create a good policy environment for the development of the village medical team with relevant departments, classify and solve the problem of village medical treatment and pension guarantee; further guide localities to transform rural doctors to practicing physicians and practicing assistants to enhance rural medical services The overall service capacity level of the system.

The signing of a family doctor is also the focus of the reporter's attention. Zhang Yalan, director of the Nanfang Community Health Service Center of Chaoyang District, Beijing, said that by carrying out the signing of family doctors, grass -roots medical and health institutions provide residents with a number of services such as basic medical care, prevention of health care and health guidance. She takes the "1 ﹢ 6 ﹢ N" characteristic family medical signing service model of "1 ﹢ 6 ﹢ N", which she is located as an example to explain the content of the family doctor:

"1" refers to the basic service package suitable for ordinary people. The content of the service includes basic medical care, public health and general health management.

"6" is a personalized service package. It provides different service content for the elderly, children aged 0 to 6 years old, maternal, disabled, and severe mental disorders, hypertension, and chronic diseases of diabetes.

"N" is a customized service package. The content is relatively flexible, such as providing on -site services for special groups identified by the civil affairs, disabled federations and other departments, and formulating a "health butler service package" for office workers.

Zhang Yalan also mentioned that some residents still have biased their connotation of family doctors. She said that family doctors are not coming doctors, and the family doctor signing services more refers to the long -term stable contractual service relationship between doctors and patients.

>> Click to view the full text of the conference (https://mp.weixin.qq.com/s/bapqa3raixnr60jieytzg)

Edit | Editor of Yin Yan | Zhang Xiuli

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Produced by Guangdong Health Online All -Media Team

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