China News Service, July 13 (Xinhua) According to the National Health and Welfare Commission website, the National Health and Welfare Commission recently issued a "Notice on Comprehensively Promoting the Construction of Community Hospitals" (hereinafter referred to as "Notice"). The "Notice" mentions that the National Health and Health Commission has decided to fully develop community hospitals. Combined with the normalization of epidemic prevention and control, we encourage conditional community hospitals to standardize the establishment of fever clinics.
The "Notice" proposes that the construction of community hospitals should adhere to people's health as the center and continue to meet the needs of the people's basic medical and health services; adhere to the dual guidance of problems and goals, focus on making up for shortcomings, strengths and weaknesses, and plugging loopholes, and do a good job in epidemic prevention and control Work with basic medical and health services; adhere to the functional positioning and the nature of public welfare of the combination of prevention and control in community hospitals unchanged, and the existing financial compensation level and preferential policies are not reduced.
The "Notice" clarifies the main contents of community hospital construction:
Compare the standards and strengthen resource allocation and information construction. Strictly follow the "Community Hospital Basic Standards (Trial)" (Guowei Office Medical Letter [2019] No. 518) and the "National Standardization and Standardization of Informatization Construction of Primary Medical and Health Institutions (Trial)" (Guowei Planning Letter (2019) No. 87 ) Requirements, further improve the resource allocation of houses, equipment, beds, personnel, etc., strengthen the construction of information and other infrastructure and upgrade equipment, focus on improving the setting of clinical, public health, medical technology and other departments, and pay attention to data sharing, business collaboration and Comprehensive management. Combined with the normalization of epidemic prevention and control, we encourage conditional community hospitals to standardize the establishment of fever clinics.
Focus on key points and pay close attention to improving medical service capabilities. The first is to improve the diagnosis, treatment, nursing, rehabilitation and other services of common and frequently-occurring outpatients, encourage the construction of special departments in accordance with the needs of the masses, and establish psychological consultation outpatients if possible. The second is to strengthen the construction of inpatient wards and rationally set up beds, mainly for the elderly, rehabilitation, nursing, and tranquil treatment beds, and encourage the conditional setting of internal medicine, surgery, gynecology, pediatrics and other beds, and combine the actual establishment of family beds. The third is to improve the ability of Chinese medicine services and medical rehabilitation, promote the comprehensive service model of Chinese medicine, widely promote and use suitable technologies of Chinese medicine, and provide Chinese people with distinctive Chinese medicine services. The fourth is to strengthen the construction of medical quality, strictly implement the "core system of community hospital medical quality and safety" (Guowei Office Medical Letter [2019] No. 518), further improve and improve the rules and regulations, strict internal management of the organization, and effectively guarantee medical quality and patient safety .
Combining prevention with prevention and strengthening the prevention and control of infectious diseases One is to strengthen the ability to detect and report infectious diseases early. Combined with the epidemic characteristics of infectious diseases, normalization of infectious disease knowledge training for medical staff will be carried out to further improve the ability of community hospitals to detect infectious diseases early in the process of health examination and daily diagnosis and treatment. Standardize the pre-examination and triage process in community hospitals, improve the reporting system of infectious diseases, and improve the early reporting capacity of legal infectious diseases The second is to strengthen the health management of key personnel. According to the unified arrangement of the local party committee and government, the family doctor contract service will be carried out, and the daily health management, health monitoring, psychological support and other services of key populations such as the new coronary pneumonia rehabilitation discharge personnel will be coordinated. At the same time, further improve the protection facilities and strengthen the self-protection ability of community hospitals. The third is to provide basic public health services. Under the guidance of professional public health institutions, we will implement basic public health service items in accordance with the basic public health service standards, strengthen the health management of patients with chronic diseases, do a good job of health education for residents, and effectively improve the health management level of residents in their jurisdictions.
The "Notice" requires that provincial health administrative departments should reasonably plan the number and mission goals of community hospital construction, and strictly organize evaluation of community hospitals. A community health service center or township health center that has completed construction tasks and has passed the assessment may mark the community hospital as the second name according to the prescribed procedures. At the same time, all localities are required to improve the guarantee measures for the construction of community hospitals, strengthen the process management of community hospital construction, and pay attention to the coordination and cooperation of community hospital construction with the "quality service grassroots" and the work of the urban medical consortium and county medical community to form an improvement. The joint force of grassroots medical and health services.