All of these details ↓↓↓↓, the country's care and construction for people's health | people | country

Release time:Apr 14, 2024 04:59 AM

CCTV News: In order to promote the construction of a healthy China, improve people's health promotion policies, and continuously improve the level of basic public services, the National Health Commission recently issued a notice on doing a good job in basic public health services in 2023. The notice clearly states that we will increase the financial subsidy standards for basic public health services, implement basic public health subsidies for grassroots medical institutions, and do a good job in various key tasks of basic public health in 2023.

According to the Notice, the per capita financial subsidy standard for basic public health services in 2023 is 89 yuan. This year, the newly added per capita 5 yuan will focus on supporting local governments to strengthen basic public health services for the elderly and children. From 2020 to 2022, a cumulative increase of 15 yuan per capita in financial subsidies for basic public health services will continue to be used as a whole for basic public health services and grass-roots medical and health institutions to carry out epidemic prevention and control work, focusing on supporting local governments to do a solid and detailed health management service for COVID-19 priority groups such as the elderly over 65 years old, strengthen the reporting and handling of infectious diseases and public health emergencies, improve quality and expand coverage in accordance with service specifications, and optimize service content.

The Notice requires that all regions must strictly implement financial powers and expenditure responsibilities, fully implement financial subsidies, and reasonably clarify the division of labor between rural and village levels for basic public health service funds allocated to them. A "pre allocation and post settlement" approach should be adopted to effectively implement subsidies for basic public health services provided by village clinics.

Strengthen health management services for key populations such as the elderly and children

The notice emphasizes the need to strengthen health management services for key populations such as the elderly and children, and continue to use elderly health examinations as a starting point to provide solid elderly health management services. In addition, do a good job in analyzing the health examination reports and providing feedback on the results for the elderly, and strengthen targeted health guidance, consultation, and management services in the future.

In terms of carrying out health management for the elderly, the Notice requires all regions to understand the basic number of elderly residents aged 65 and above in their jurisdiction, and establish and dynamically update a ledger. Fully mobilize the enthusiasm of communities, families, and resident units in the jurisdiction, mobilize eligible elderly people to actively utilize basic public health services, and actively accept elderly health management services and traditional Chinese medicine health services. For elderly people who have not utilized basic public health services for health examinations, it is necessary to guide grassroots medical and health institutions in their jurisdiction to undertake basic public health service tasks, actively understand the health status of the elderly, combine the results of health examinations conducted through other channels, and provide corresponding health management services. Encourage areas with conditions to continue providing cognitive function screening services for the elderly, and guide elderly individuals with abnormal screening results to go to higher-level medical and health institutions for re examination.

In terms of child health management, the "Notice" requires the implementation of health management services for children aged 0-6 and traditional Chinese medicine for children aged 0-3, strengthening health care and counseling guidance for infants and young children under 3 years old, assessment of child growth and psychological behavior development, prevention of overweight and obesity in children, eye and myopia prevention and control, oral health and other health guidance and intervention.

Improving the Quality of Health Management Services for Chronic Disease Patients

The Notice also emphasized the need to improve the quality of health management services for patients with chronic diseases such as hypertension and type 2 diabetes, and made it clear that family doctors should be supported to provide contracted services for key groups and patients with chronic diseases.

For the health management of patients with hypertension and type 2 diabetes, the Notice clearly stated that it is necessary to promote the leading hospitals of urban medical groups and secondary hospitals or the leading hospitals of county medical communities, and establish a hierarchical management mechanism with grass-roots medical and health institutions.

All of these details ↓↓↓↓, the country's care and construction for people's health | people | country

For those whose blood pressure and blood sugar are controlled stably, the primary medical and health institutions shall provide health management services in accordance with the national basic public health service specifications, hypertension, diabetes prevention and management guidelines, etc; For patients with unstable control or unsuitable for grassroots diagnosis and treatment, after being referred to a higher-level medical institution for clear diagnosis and stable treatment through the system, the higher-level medical institution should promptly refer the patient to a grassroots medical and health institution in the jurisdiction of their permanent residence for follow-up management services. Doctors in the team who carry out health management for patients with hypertension and type 2 diabetes are supported to participate in the allocation of funds for basic public health services according to the quantity and quality of services.

The Notice proposed that supporting family doctors or teams should provide corresponding health management services for key groups and patients with chronic diseases such as hypertension and type 2 diabetes in accordance with basic public health service specifications, implement comprehensive services integrating medical treatment and prevention, and allocate corresponding funds in a timely manner after performance evaluation according to the number and quality of services.

Coordinate the implementation of grassroots epidemic prevention and control work

In addition, the Notice requires all regions to strengthen daily management services and health monitoring, standardize the reporting and handling of infectious diseases and sudden public health incidents, and coordinate grassroots epidemic prevention and control work while providing basic public health services.

The Notice clearly stated that all localities should strengthen the deployment, give full play to the role of "sentinel" of grass-roots medical and health institutions, and guide them to standardize the reporting and handling of infectious diseases and public health emergencies in combination with the COVID-19 epidemic and the epidemic characteristics of infectious diseases. We need to implement the national immunization plan well, strengthen the training of vaccination personnel, improve the quality of grassroots vaccination services, and ensure timely and full vaccination of eligible children. Continue to follow the COVID-19 Guidelines for Management, Service and Health Monitoring of Key Populations, make the protection work of key populations more practical and detailed, strengthen daily management services and health monitoring, ensure early detection, early identification and early intervention of high-risk groups with severe diseases, and play a fundamental role in preventing severe diseases.

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