Priority should be given to primary healthcare institutions for large hospital account sources, including residents and account sources
Beijing, August 8th (Xinhua) - Recently, the General Office of the National Health Commission issued the "Measures for Grassroots Health and Convenience Services 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 the sense of gain for the public.
The measures focus on six aspects: facilitating residents to seek medical treatment, optimizing service provision, simplifying the medical process, improving service experience, doing a good job in chronic disease management, and enhancing the sense of contract signing. Ten specific measures are proposed. It mainly includes the sinking of appointment number source to the grass-roots level, promoting the attendance of doctors with middle and senior professional titles, facilitating residents to dispense and prescribe 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, providing exercise, diet prescriptions or suggestions for patients with chronic diseases such as diabetes, hyperlipidemia and hypertension, and improving the medical service environment.
In terms of facilitating medical treatment for residents, measures have been proposed to fully leverage the role of family doctors in appointment and referral. Superior hospitals should prioritize opening up their reserved outpatient number sources to grassroots medical and health institutions in the jurisdiction. Primary medical and health institutions should provide specialized outpatient appointment services from superior hospitals to permanent 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 intermediate or senior professional titles on duty for outpatient services at least three working days per week, promote initial diagnosis at the grassroots level, enhance 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 at their doorstep.
In terms of optimizing service provision, optimize outpatient service time in urban community health service centers without emergency services and with a large volume of diagnosis and treatment, making it convenient for community residents, especially those who work or go to school, to access basic medical care, chronic disease medication, home doctor contract signing, health consultation and other services at their doorstep. Grassroots vaccination clinics combine service capabilities, service needs of residents in the jurisdiction, daily work and rest times, and promote phased appointment for preventive vaccination, providing weekend vaccination appointment 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, making it convenient for the public to seek medical treatment and prescribe medication nearby. Implement a one-stop service of "diagnosis and treatment first, settlement later" for residents who are permanent residents 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.
