Strengthen the work plan for the prevention and control of the new crown pneumonia epidemic and health services in rural areas

Joint Prevention and Control Mechanism Comprehensive Fa [2022] No.
131

 

All provinces, autonomous regions, municipalities directly under the Central Government and the Xinjiang Production and Construction Corps Joint Prevention and Control Mechanism (Leading Group and Headquarters) for Responding to the Novel Coronavirus Pneumonia Epidemic, and members of the State Council's Joint Prevention and Control Mechanism for Responding to the Novel Coronavirus Pneumonia Epidemic:

 

In order to implement the relevant requirements for further optimizing the prevention and control measures of the new coronavirus pneumonia epidemic, guide rural areas to do a good job in the prevention and control of the new crown pneumonia epidemic and health services during the New Year's Day and Spring Festival in 2023, and ensure the health and life safety of rural residents, the Comprehensive Group of the Joint Prevention and Control Mechanism of the State Council to Respond to the Novel Coronavirus Pneumonia Epidemic has studied and formulated the Work Plan for Strengthening the Prevention and Control of the New Coronavirus Pneumonia Epidemic and Health Services in Rural Areas
.
It is now issued to you, please carefully implement
it in light of actual conditions.

 

The State Council responds to novel coronavirus pneumonia

 

Comprehensive Group of Joint Prevention and Control Mechanism for Epidemics

 

December 15, 2022

 

(Information disclosure form: active disclosure)

 

Strengthen the work plan for the prevention and control of the new crown pneumonia epidemic and health services in rural areas

 

In order to implement the relevant requirements of the Notice on Further Optimizing the Implementation of the Prevention and Control Measures for the New Coronary Pneumonia Epidemic (Joint Prevention and Control Mechanism Comprehensive Fa [2022] No.
113), guide rural areas to do a good job in the prevention and control of the new crown pneumonia epidemic and health services under the current situation, ensure that returnees and rural permanent residents during the New Year's Day and Spring Festival in 2023 receive basic medical and health services in a timely manner, and protect the health and life safety of the people, this plan
is formulated.

 

1.
General requirements

 

All localities should attach great importance to epidemic prevention and control and health service work in rural areas, according to the mutation of the new crown virus epidemic strain and the current situation of the new crown pneumonia epidemic, in view of the relatively insufficient health service resources in rural areas, the increase in population flow during New Year's Day and Spring Festival, and the increase in the number of people returning to their hometowns from urban workers, etc.
, effectively implement the main responsibility of the territory, coordinate and integrate resources and forces in all aspects, and form a strong joint force
in rural areas to respond to the epidemic scientifically and effectively and do a good job in health services in an all-round and full-chain.
It is necessary to match appropriate medical security and health service resources according to the epidemic situation, severity of illness, degree of urgency, etc.
, highlight the management of key groups, orderly channel the needs of diagnosis and treatment, carry out categorical and hierarchical medical and health services, and protect the health and life safety
of rural residents to the greatest extent.

 

2.
Highlight key efforts to do a good job in epidemic prevention and control and health services in rural areas

 

(1) Strengthen health reminders and medical security services
for those returning home during the "two festivals".
Local epidemic prevention and control mechanisms at all levels should strengthen overall planning and coordination, guide county-level prevention and control mechanisms to effectively implement responsibilities, and strengthen epidemic prevention and control publicity and guidance
for those returning home during the "two festivals".
Township governments and villagers' committees pay attention to and grasp the information of returnees in a timely manner, prompt them to do a good job in health monitoring, standardize the wearing of masks in the early stage of return, reduce contact with the elderly at home, especially those with underlying diseases, and inform the rural medical and health institutions in their place of residence of contact information
.
When returnees have symptoms related to the new coronavirus infection, such as fever, dry cough, fatigue, sore throat, etc.
, they can contact the township health center or village clinic, and the rural medical staff will provide them with necessary health consultation, health monitoring, antigen testing, medication guidance and other services
.
For asymptomatic infected people and mild cases, home treatment is adopted, prompting them not to go out, and reduce contact
with family members as much as possible during the stay at home.
Villagers' committees and village clinics should facilitate
the timely access of symptomatic treatment drugs and antigen test kits to returnees.
For obvious symptoms, they can be instructed to go to the fever clinic, and for those who have persistent high fever for many days, dyspnea, etc.
, timely guide and assist in referral to higher hospitals
.

 

(2) Strengthen services
for key populations in rural areas.
Give full play to the role of county and township governments, villagers' committees and their public health committees, township health centers and village clinics, and find out the health status of
the elderly, pregnant women, lonely elderly and left-behind children with underlying diseases in village groups.
Relying on the basic public health service health management project for the elderly, improve residents' electronic health records, establish a health status information database for key rural populations, implement the "New Crown Key Population Health Service Work Plan", and strengthen categorical and hierarchical health services
.
Rural medical personnel combined with actual conditions through telephone, video, WeChat or offline follow-up to strengthen health guidance, monitoring and guidance on medication, antigen testing and other services
for home treatment observers.
Implement the service responsibilities of villagers' committees for home treatment and observation personnel, especially for the elderly living alone and the disabled who lack self-health management ability, and assist them in health monitoring and timely feedback
to rural medical institutions.

 

(3) Accelerate the promotion of new coronavirus vaccination
for rural populations, especially the elderly.
Implement the "Work Plan for Strengthening the Vaccination of the Elderly", adhere to the principle of "should be followed up", adhere to the government's leadership, departmental linkage, and village group mobilization, implement territorial management responsibilities, accelerate the vaccination rate of people aged 80 and above in rural areas, and continue to increase the vaccination rate
of people aged 60-79 and other age groups.
Rural medical and health institutions undertaking vaccination tasks should provide maximum convenience
for rural residents, especially the elderly, by setting up green channels for the elderly or arranging mobile vaccination vehicles to go to rural villages.

 

(4) Strengthen publicity and education
.
All localities should deeply promote patriotic health campaigns in rural areas, and carry out various forms of popular science publicity activities
that rural residents like to see in conjunction with the construction of healthy villages.
Through village radio, small speakers, and other local languages and methods that villagers can understand and understand, as well as through extensive publicity through new media, we can deeply publicize the concept that everyone is the first responsible person for their own health, promote scientific and rational understanding of the new crown virus and vaccination, and mobilize health personnel returning to their hometowns to participate in village group volunteer services
.
Guide when visiting relatives and friends, standardize the wearing of masks, wash hands frequently, gather as little as possible, eat together, and pay attention to cough etiquette
.
Advocate a healthy lifestyle, regular work and rest, healthy diet, drink plenty of water, and maintain a good attitude
.
According to the regional epidemic situation and residents' wishes, appropriately control the scale and frequency
of gathering activities such as rural fairs, temple fairs, and theatrical performances.

 

3.
Give full play to the role of coordinated and hierarchical services for medical and prevention in rural three-level medical and health institutions

 

(1) Coordinated linkage of medical and health institutions at all levels
.
All localities should follow the requirements of the "Work Plan for Relying on County Medical Communities to Improve the Medical Security Capacity of New Coronary Pneumonia in Rural Areas" to promote the implementation of hierarchical and categorical treatment and health management services
for rural new coronavirus infected persons.
Based on the counterpart assistance relationship between urban and rural hospitals in the province, select secondary and above general hospitals with strong comprehensive strength in cities in the province, establish a counterpart assistance mechanism with each county (city) in accordance with the principle of zoning wrapping, rely on the medical community to do a good job in the connection of graded diagnosis and treatment, and improve the process
of primary diagnosis, reception and referral at the grassroots level.
For high-risk groups with symptoms related to new coronavirus infection, rural medical and health institutions timely guide antigen testing and home treatment observation, closely monitor health status, and guide and assist referral
when necessary.
Strengthen health monitoring of key groups such as the elderly, ensure that those infected with a high risk of severe disease such as the elderly and underlying diseases are promptly detected and treated, clarify and smooth the "green channel" for referral, and improve the efficiency
of referral.
Implement a transportation guarantee mechanism for villagers with referral needs, in principle, conduct point-to-point transfers through self-driving cars or 120 ambulances, etc.
, and townships and villages should make overall arrangements and mobilize social organizations, social workers, volunteers, social charity resources, etc.
to assist in medical referrals
.

 

(2) Township health centers accelerate the improvement of the capacity of
new coronary pneumonia patients.
In principle, the setting of fever consultation rooms in township hospitals should achieve full coverage, and should be "set up as much as possible" and "should be opened as much as possible", and those that have not yet been set up can provide fever patients with reception and prescription services in the form of configuring fever sentinel points and designated fever consultation areas, and the fever consultation area should clearly delineate the treatment process, try to avoid cross-cutting with normal patients, and medical staff should achieve standardized protection
.
Strengthen the training of medical staff in township health centers, and improve the ability
to identify, handle, and categorize and grade health services for high-risk key groups.
Strengthen the reserve of fever, cough and painkiller drugs to meet the drug needs
of rural residents.
Township hospitals should set up and publish reception telephones, inform villagers in their jurisdictions through villagers' committees or village clinics, and implement a 24-hour duty system, with special personnel or shifts answering consultation calls, and clear answers to common problems related to new coronary pneumonia should be clear
, unified and clear.

 

(3) Village clinics do a good job of providing health services
to rural residents nearby.
Through the coordinated support of higher-level medical and health institutions, rural doctors provide health education, health monitoring, TCM dialectics, guidance on antigen testing, and symptomatic medication treatment for key groups of people under home observation and treatment
.
Village doctors should inform the village group of the people by phone to facilitate timely contact, and can learn about the health status of people with symptoms related to the new coronavirus infection through non-contact methods such as video and telephone, and provide prescription and follow-up services
for villagers in need according to antigen testing and health monitoring.

 

(4) Improve family doctor contracting services
.
Give play to the role of family doctors in rural areas in being close to villagers, strengthen health publicity and education for contracted villagers through family doctor contracting services, and respond to health consultations and questions
from contracted villagers in a timely manner through WeChat, text messages, telephone and other forms.
Accelerate the improvement of the coverage of contracted services for the elderly over 65 years old in rural areas, and achieve full coverage
of contracted services for key groups.

 

4.
Strengthen job security

 

(1) Continue to give full play to the role of
joint prevention and control mechanisms.
The prevention and control mechanisms for responding to the new crown pneumonia epidemic at all levels should effectively play the roles of overall coordination, organization and scheduling, publicity and guidance, implement government responsibilities, improve working mechanisms, strengthen departmental coordination and cooperation, highlight the focus of work in the new situation and new stage, and increase the support and guarantee of medical and health services for rural areas to respond to the new crown pneumonia epidemic in terms of funds, manpower, resources, technology, facilities and equipment, unblock bottlenecks, break down obstacles and solve problems
.

 

(2) Actively give play to the role of
township governments and villagers' committees.
Under the unified leadership and guidance of local prevention and control mechanisms, township governments, villagers' committees and their public health committees should implement responsibilities such as organization, mobilization, coordination, publicity, and guidance in epidemic prevention and control, and coordinate efforts such as policy publicity, health education, vaccination, health surveys of key populations, home treatment management of infected persons, drug purchase and delivery, and service
guarantees.
It is necessary to establish and improve coordination and linkage mechanisms between the public health committees of villagers' committees and township hospitals and village clinics, and strengthen coordination and information sharing
.

 

(3) Ensure the staffing
of rural medical and health institutions.
Coordinate the allocation of medical personnel in the county, combine the population and service volume served by township health centers, increase the allocation of medical personnel in township health centers, and rapidly expand the medical staff team
of township hospitals by sending doctors to higher-level hospitals, recruiting medical personnel retired in the past five years, and increasing temporary personnel.
When there is a shortage of medical personnel in township hospitals and village clinics, the echelon personnel immediately fill the vacancy by stationing at the site and itinerant medical treatment to ensure that the township health center and village clinic open normally and the health service is continuously filed
.
In principle, medical staff of rural medical and health institutions do not participate in social nucleic acid sampling services, and the local government coordinates and organizes third-party institutions or volunteer services
.

 

(4) Strengthen the reserve of essential drugs and antigen testing kits within the
county.
All localities should increase the supply of new crown pneumonia treatment drugs and antigen test kits in rural areas, rural medical and health institutions and pharmacies should strengthen the reserve of symptomatic treatment drugs and antigen test kits such as traditional Chinese medicine, antipyretic and cough, and township health centers and village clinics should dynamically reserve 15-20% of the population served, and increase in densely populated areas as appropriate
.
All provinces (autonomous regions and municipalities) should combine regional realities to formulate and publish a list of new crown symptomatic treatment drugs in township hospitals and village clinics, strengthen overall planning at the municipal level, timely dispatch at the county level, ensure logistics and distribution by drug supply enterprises, and ensure the continuous supply
of drugs on the list of rural medical and health institutions.
Increase the application of traditional Chinese medicine, and areas with the capacity may allocate corresponding drugs and antigen kits as treatment and rehabilitation health package packages, and distribute
them to people at high risk of severe disease in rural areas and key groups.

 

(5) Strengthen equipment allocation and the application of
medical and health information technology.
All localities should strengthen the configuration of
oxygen therapy equipment in township health centers, portable pulmonary function meters, finger-clipped pulse oximeters, infrared thermometers or forehead temperature guns in village clinics.
It is necessary to establish and improve the rural telemedicine service network, and accelerate the improvement of the diagnosis and treatment capacity
of rural medical and health institutions for new crown pneumonia.
Promote the application of medical artificial intelligence-assisted diagnosis technology in rural areas, especially remote areas, improve early detection and rapid disposal capabilities, and ensure that rural people at high risk of severe disease receive timely and effective treatment
.
Encourage areas with the capacity to use smart family doctor contracting service platforms or establish smart health stations in rural areas to improve service efficiency
.

 

(6) Caring for front-line rural workers and medical personnel
.
Strengthen the guarantee supply of protective supplies and sanitize materials for rural front-line institutions and medical and health institutions, and ensure that staff protection is in place
.
Pay attention to the physical and mental health of front-line prevention and control personnel and medical personnel in rural areas, scientifically schedule shifts and compensatory leave, and minimize or avoid continuous long-term work
.
It is necessary to do a good job in logistical support and actively improve the working environment and living conditions
.
It is necessary to improve the incentive and reward mechanism, encourage and support in the evaluation of excellence, implement the policy of performance pay or temporary subsidies, and mobilize the enthusiasm and enthusiasm
of rural medical personnel.