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Prioritize the allocation of hospital accounts to grassroots health institutions. The National Health Commission has released measures for grassroots health and convenience services for the people

2023-08-11   

Beijing, August 8th (Reporter Yang Yanfan) Recently, the General Office of the National Health Commission issued the "Grassroots Health and Convenience Service Measures for the People", which requires further convenience for urban and rural community residents to access basic medical and health services nearby and conveniently, and to enhance their sense of gain. The measures focus on six aspects: facilitating residents' medical treatment, optimizing service provision, simplifying medical treatment processes, improving service experience, doing a good job in chronic disease management, and enhancing contract signing experience. Ten specific measures are proposed. It mainly includes the sinking of appointment number source to the grass-roots level, promoting the outpatient service of doctors with middle and senior professional titles, facilitating residents to dispense drugs, strengthening the contact with contracted residents, deepening the "one old and one young" health management service, extending the urban community outpatient service time, promoting "diagnosis and treatment before settlement", providing weekend vaccination, and providing exercise, diet prescriptions or suggestions for patients with chronic diseases such as diabetes, hyperlipidemia, hypertension, etc, Improve the medical service environment, etc. In terms of facilitating residents' medical treatment, measures have been proposed to fully leverage the role of family doctors in appointment and referral. Superior hospitals reserve outpatient number sources and prioritize opening them to grassroots medical and health institutions in the jurisdiction. Grassroots medical and health institutions provide specialized outpatient appointment services to resident residents in the jurisdiction, promote graded diagnosis and treatment, and meet the needs of the public to seek medical treatment in large hospitals in a timely manner. Promote community health service centers and township health centers to have at least one clinical professional and technical personnel with a middle or senior professional title or above on duty for outpatient services at the institution for at least 3 working days per week, promote first diagnosis at the grassroots level, improve diagnosis and treatment capabilities at the grassroots level, guide residents to seek medical treatment at the grassroots level, and enjoy high-quality and efficient medical and health services near their doorstep. In terms of optimizing service provision, optimize outpatient service hours in urban community health service centers without emergency services and with a large amount of diagnosis and treatment, to facilitate community residents, especially those who work, go to school, and other groups, to access basic medical care, chronic disease medication, home doctor signing, health consultation and other services at their doorstep. Grassroots vaccination clinics combine service capabilities, service needs of residents in their jurisdiction, and daily work and rest schedules to promote scheduled weekend vaccination services. In terms of simplifying the medical treatment process, it is explicitly supported that village clinics should be included in local medical insurance designated management through various methods such as implementing integrated rural management, to facilitate the public's access to nearby medical treatment and medication. Implement a one-stop service of "diagnosis and treatment first, settlement later" for residents who reside or participate in basic medical insurance in community health service centers and township health centers. The relevant person in charge of the National Health Commission stated that health administrative departments at all levels and grassroots medical and health institutions should further strengthen their responsibilities, refine or enrich various measures based on local conditions, and effectively improve the convenience and quality of basic medical and health services for the public in grassroots medical and health institutions.

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