Implementation Plan of the Municipal Poverty Alleviation Office of the Municipal Health and Family Planning Commission on the Health Poverty Alleviation Support Plan for Precision Poverty Alleviation

In order to thoroughly implement the Implementation Opinions of the Municipal Party Committee and the Municipal Government on Deepening the Work of Precision Poverty Alleviation, this plan is specially formulated according to the requirements of the provincial plan and the actual situation of our city.

1. Objectives and tasks

By completing the construction of 155 poverty-stricken village clinics, the central and provincial governments will subsidize 1, yuan for each newly-built village clinic to achieve full coverage of standardized village clinics in poverty-stricken villages. Improve the treatment of rural doctors. From now on, the fixed subsidy will be increased from 2 yuan to 4 yuan every month for rural doctors who practice in clinics in poor villages with a service population of less than 1,. Strengthen the training of rural doctors, and by 217, all poor village doctors will have the professional qualifications of rural doctors. Enrich the medical staff of township health centers. By 217, each township health center will be equipped with more than 3 general practitioners, and by 22, it will reach 5. By 217, the construction of key specialties in county-level hospitals in nine counties will be completed. Establish a policy mechanism to guide medical and health personnel to work in primary medical and health institutions, and send doctors at or above the deputy director of municipal medical institutions, residents at or above the intermediate level of county-level medical institutions and residents with more than five years to primary medical institutions to carry out multi-point practice every year. Since then, the participation rate of the new rural cooperative medical system has been stable at over 98%, and the reimbursement rate of hospitalization expenses of the poor people in the new rural cooperative medical system has increased by 5 percentage points. Since then, the deductible line of serious illness insurance for poor people has been reduced from 5, yuan to 3, yuan, which has increased the reimbursement ratio of poor people by more than 3 percentage points.

II. Main measures

1. Standardized village clinics in poverty-stricken areas

Intensify the construction of clinics in poverty-stricken villages, complete the task of building clinics in 155 poor villages that are not up to standard, and achieve full coverage of clinics in poverty-stricken villages. The central and provincial governments invested 1, yuan to build 75 and 35 new village clinics. At the same time, the special funds of the central government were used to give priority to equipping each poor village clinic with a health integrated machine.

2. Improve the treatment of rural doctors in poor villages

For the basic medical services provided by rural doctors in poor villages, general medical fees are charged according to relevant policies and regulations. From now on, the fixed subsidy will be increased from 2 yuan/month to 4 yuan/month for rural doctors practicing in clinics in poor villages with a service population of less than 1,.

3. Strengthen the training of rural doctors

Strengthen the training of reserve talents, and strive for the free training plan of three-year specialized medical students in poor villages, and arrange medical students to work in clinics in poor villages after graduation.

Strengthen the training of on-the-job village doctors, and arrange for rural doctors in poor villages to study in batches for 6 months. After completing the study and passing the examination, they will be given tuition and miscellaneous fees and living allowance according to the standard of 1 yuan per person per month.

implement the system that rural doctors go to township health centers for one day a week or one week a month, and constantly improve the service ability and level of rural doctors.

4. Enrich health technicians in township hospitals

By 22, we will actively strive to equip township hospitals with professional health technicians and township hospitals and community health service centers with general practitioners every year, and by 217, each township hospital and community health service center (station) will be equipped with more than 3 general practitioners on average; From 218 to 22, we will achieve the goal of providing an average of 5 general practitioners in each township health center and community health service center (station).

5. Strengthen the construction of key specialties in county-level hospitals

From now on, we will organize and implement the construction of key specialties in county-level hospitals in the whole city, complete two key specialty construction projects in Dangchang County and Lixian County this year, and complete the construction of key specialties in nine counties and districts by the end of 217, with an investment of 2.5 million yuan for each specialty, focusing on the construction of county-level intensive medicine departments, neonatal intensive care units and other short-term specialties.

6. Establish a policy mechanism to guide medical and health personnel to work in primary health institutions

From now on, every year, qualified outstanding cadres from the city's health and family planning system will be appointed as vice presidents of township hospitals for one year to improve the service capacity and level of township hospitals and village clinics.

From now on, every year, residents above the deputy chief physician of municipal medical institutions and above the intermediate level and above five years in county medical institutions will be sent to primary medical institutions to carry out multi-point practice, and each person will go to primary medical institutions to carry out multi-point practice service for no less than six days every quarter, so as to complete tasks such as outpatient service, surgery, consultation, teaching guidance and health education, and help and guide the grassroots to carry out specialty construction, personnel training and discipline management ability improvement.

From now on, key doctors will be selected to help in township hospitals every year, with emphasis on medical and health services and technical training. The help time is half a year and one year respectively.

7. Increase the reimbursement rate of hospitalization expenses of the poor people in the new rural cooperative medical system

From now on, the reimbursement rate of hospitalization expenses in the poverty-stricken population policy of the whole city will be increased by 5 percentage points, and the required funds will be paid from the new rural cooperative medical system fund in that year.

8. Increase the reimbursement rate of serious illness insurance for poor people

From now on, the deductible line of serious illness insurance reimbursement for poor people will be reduced from 5, yuan to 3, yuan, which will increase the actual reimbursement rate of serious illness insurance for rural poor people by more than 3 percentage points.

9. Strengthen hospital management, reduce patients' burden

Standardize the charges and medical behaviors of medical institutions in counties and districts, establish a system to deduct the funds of the illegal new rural cooperative medical system, focus on solving the problems of unreasonable charges, repeated charges, inflated drug prices and excessive medical care in county and district medical institutions, resolutely curb the excessive growth of medical expenses, and improve the sense of benefit of rural residents' rural cooperative medical policy.

III. Division of responsibilities

1. The Municipal Health and Family Planning Commission is responsible for supervising the implementation of various objectives and tasks, such as the construction of village clinics, improving the treatment of village doctors, strengthening the training of village doctors, enriching the technical personnel of township hospitals, building key specialties in county hospitals, increasing the hospitalization expenses of the new rural cooperative medical system and the reimbursement ratio of serious illness insurance, guiding medical personnel to provide services in poor areas, and supervising the progress of tasks and checking whether the projects are strictly implemented as required.

2. The Municipal Development and Reform Commission is responsible for striving for the village clinic construction project, issuing the village clinic project plan and checking the implementation of the project plan.

3. The Municipal Finance Bureau is responsible for the implementation, disbursement, supervision and management of funds.

4. The Municipal Medical Reform Office organizes and coordinates the work of serious illness insurance for urban and rural residents in a unified way, and strengthens supervision and management.

5. The Municipal Bureau of Human Resources and Social Security is responsible for coordinating the recruitment of rural medical graduates with the implementation of orders by the municipal, county and district departments.

6. The Civil Affairs Bureau is responsible for medical assistance for serious illness.

7. The county governments are responsible for the implementation of specific projects in counties. Relevant departments in counties and districts should find out the weak links in health work, establish work accounts, formulate detailed implementation plans, refine their work responsibilities, and effectively solve the difficulties and problems that restrict the development of poverty-stricken areas.

IV. Time limit for completion

1. To complete the construction of standardized village clinics in poor villages.

2. From now on, the fixed subsidy will be increased from 2 yuan/month to 4 yuan/month for rural doctors who practice in clinics in poor villages with a service population of less than 1,.

3. from now on, for 1 years in a row, we will recruit free medical students every year relying on the rural order-oriented medical student project.

4. By 22, township hospitals will be equipped with health professionals every year; By 217, the average number of general practitioners in each township health center will reach 3; By 22, the average number of township hospitals will reach 5.

5. by 218, complete the construction of key specialties in each county-level hospital.

6. From now on, cadres on attachment, multi-point practicing doctors and doctors supporting agriculture will be sent to primary medical and health institutions to help each year.

7. From now on, the reimbursement rate of hospitalization expenses in the poverty-stricken population policy will be increased by 5 percentage points; From now on, the reimbursement rate of serious illness insurance for poor people will increase by more than 3 percentage points. ;