The latest clarification from the National Health Commission! Related to "One Elderly and One Small" Services | Public Health | National Health Commission
The National Health Commission recently issued a notice on doing a good job in basic public health services in 2023, raising the per capita financial subsidy standard for basic public health services in 2023 to 89 yuan, and clarifying the annual key work tasks. The details are summarized as follows ↓
Increase funding subsidy standards
The per capita financial subsidy standard for basic public health services in 2023 is 89 yuan. This year's newly added per capita funding of 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 related work, focusing on supporting the implementation of detailed health management services for key populations in COVID-19, strengthening the reporting and handling of infectious diseases and public health emergencies, improving quality and coverage in accordance with service specifications, optimizing service content and other work.
Strengthen health management services for key populations such as the elderly and children
In carrying out health management for the elderly:
Further investigate the population of elderly residents aged 65 and above in the jurisdiction, establish and dynamically update a ledger, and widely promote health management services for the elderly.
Conduct physical examinations for the elderly, conduct health assessments and classification guidance based on the examination results, and strengthen targeted health guidance, consultation, and management services in the future.
In terms of child health management:
Strengthen health management services for children aged 0-6 and traditional Chinese medicine for children aged 0-3, strengthen health care and counseling guidance for infants and young children under 3 years old, evaluate children's growth and psychological development, prevent overweight and obesity in children, provide eye and myopia prevention and control, and provide oral health guidance and intervention.
Improve the quality of health management service for patients with chronic diseases such as hypertension and type 2 diabetes
Promote the establishment of a hierarchical and hierarchical management mechanism between urban medical group led hospitals, secondary hospitals, or county-level medical community led hospitals, and grassroots medical and health institutions.
For those with stable blood pressure and blood sugar control, health management services shall be provided by grass-roots medical and health institutions in accordance with the National Basic Public Health Service Standards, the National Guidelines for the Prevention and Management of Hypertension at the Grassroots Level and the National Guidelines for the Prevention and Management of diabetes at the Grassroots Level.
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.
Improve the efficiency and quality of electronic health record utilization
Strengthen the quality control of electronic health records, improve the timeliness, completeness, and accuracy of information entry.
By combining practical measures such as "sharing my health account" and "health records in my pocket", we aim to mobilize residents' enthusiasm for recording, updating, and using electronic health records.
Make full use of family doctor signing services
Specify the basic public health service content and corresponding amount of funds included in the service package signed by family doctors. Family doctors should provide corresponding health management services for key groups and patients with chronic diseases such as hypertension and type 2 diabetes according to the basic public health service specifications.
Promote the integration of electronic health records and family doctor signing service management information systems, strengthen real-time updates and sharing of basic public health services and family doctor signing service data.
Standardize the management of basic public health services
Give full play to the role of professional institutions such as disease prevention and control, maternal and child health care, strengthen personnel training, and supervise and guide medical and health institutions that undertake tasks.
Improve the coverage and screening quality of cervical cancer and breast cancer screening target population.
Strengthen the collaboration between basic public health services, family doctor signing services, and county-level information construction.