Vaccination of target population shall be well done. The National Health Commission: The epidemic risk of COVID-19 still exists. Family doctors | services | population
The National Health Commission and four other departments recently jointly issued a notice on doing a good job in basic public health services in 2023, clarifying that the per capita financial subsidy standard for basic public health services in 2023 is 89 yuan, an increase of 5 yuan from 2022. The new funding will focus on supporting local governments to strengthen basic public health services for the elderly and children. Provinces with conditions should establish a unified electronic health record management platform within their respective regions. The committee supports family doctors to provide contracted services for patients with chronic diseases such as hypertension and type 2 diabetes.
In 2023, the types and quantities of basic public health service projects will remain unchanged overall. Each region should focus on consolidating and implementing existing projects, and strengthening health management services for key populations such as the elderly and the young. Each region should determine the base number of elderly residents aged 65 and above in its jurisdiction, and establish and dynamically update a ledger. 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. Strengthen health management services for children aged 0 to 6 and traditional Chinese medicine for children aged 0 to 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.
The notice proposed that all regions should strengthen the health management of patients with hypertension and type 2 diabetes, and promote the leading hospitals of urban medical groups and secondary hospitals, or the leading hospitals of county medical communities to establish a top-down linkage and hierarchical management mechanism with grass-roots medical and health institutions. In addition, various regions should further promote the integration and information sharing of electronic health record management platforms with electronic medical record systems of medical and health institutions within the region, as well as key public health business systems such as maternal and child health, immunization planning, chronic disease management, endemic disease prevention and control, and elderly health information. Gradually improve the level of electronic health record management platforms, and provinces with conditions should build a unified electronic health record management platform within the province.
At present, the epidemic risk of the COVID-19 still exists, and seasonal infectious diseases occur frequently. All regions should pay high attention to it. In combination with the characteristics of the COVID-19 epidemic and the epidemic of infectious diseases, we should strengthen the deployment, give full play to the role of the "sentinel" of the primary medical and health institutions, guide the primary medical and health institutions to standardize the reporting and handling of infectious diseases and public health emergencies, and continue to do a good job in the vaccination of the target population of COVID-19 vaccine according to the unified deployment.
All localities should comprehensively consider the local basic level health human resources, economic development level, service population, geographical conditions, etc., scientifically calculate the cost of basic public health services, clearly define the basic public health services and the corresponding amount of funds included in the family doctor's contracted service package, and support family doctors to provide contracted services for key groups and patients with chronic diseases such as hypertension and type 2 diabetes. 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.