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Distribution of funds to public hospitals
A few days ago, the Ministry of Finance, the National Health Commission, and the State Administration of Traditional Chinese Medicine issued a notice on the "2021 Medical Service and Guarantee Capacity Improvement (Comprehensive Reform of Public Hospitals) Subsidy Fund Budget".
The Department of Finance of all provinces, autonomous regions, municipalities directly under the Central Government, and cities under separate state planning (Bureau), the Health Commission, and the Bureau of Traditional Chinese Medicine need to be implemented
It is understood that the label of this direct fund is "01 Central Direct Fund", which runs through the entire link of fund distribution, appropriation, and use, and remains unchanged; the city and county grassroots plan is reported to the central government for review and approval before issuing
.
When the provincial level issues the transfer payment to the lower level, it shall issue the budget indicator document separately and keep the central direct fund label unchanged
.
At the same time, timely log relevant indicators and direct fund logos in the indicator management system, and introduce a direct fund monitoring system to ensure that the data is true, the accounts are clear, and the flow is clear
For projects that include direct funds from the central government and corresponding local funds, the budget indicator file and indicator management system can be listed in the budget indicator document and indicator management system according to the detailed source of funds, and they can be logged in the indicator system; or the direct fund monitoring system can follow the central The proportions of direct funds and local correspondingly arranged funds are automatically split
.
Local finance, health, and traditional Chinese medicine departments, in accordance with local conditions, make overall arrangements and make good use of central fiscal subsidy funds, local fiscal subsidy funds and funds supported by other departments and other channels to effectively accelerate the progress of budget implementation and complete various tasks with quality and quantity.
During the "Thirteenth Five-Year Plan" period, the state continued to increase investment in the construction of the medical and health service system, with a total of over 140 billion yuan invested in the central budget, and more than 7,000 medical and health projects were supported
.
During the "14th Five-Year Plan" period, we will give full play to the support and leading role of investment in the central budget, and focus on the implementation of major medical projects
Primary county hospitals open and expand
It can be seen from the documents of the Ministry of Finance that it is mainly used for the comprehensive reform of public hospitals to support public hospitals
.
On June 7th, a regular policy briefing of the State Council was held in Beijing, and Li Bin, deputy director of the National Health Commission, and relevant persons in charge of the National Development and Reform Commission and the National Medical Security Administration were invited to introduce their opinions on promoting the high-quality development of public hospitals
The meeting pointed out that the "Opinions on Promoting the High-quality Development of Public Hospitals" clarified the goals, directions, and measures for the high-quality development of public hospitals.
The "Opinions" were clear, insisting on focusing on people's health, strengthening the dominant position of public hospitals, and insisting on government leadership and Public welfare dominated and public hospitals dominated
For the next 5 years, the development mode of public hospitals will shift from scale expansion to improvement of quality and efficiency, the operation mode will shift from extensive management to refined management, and resource allocation will shift from focusing on material elements to focusing more on talents and technologies.
Where will public hospitals develop? Five directions are worth noting:
(1) Build a compact urban medical group;
(2) Give full play to the leading role of county-level hospitals;
(3) Strengthen the construction of clinical specialties for major diseases;
(4) Promote the innovation of medical service models, such as the construction of multidisciplinary diagnosis and treatment models and pre-hospital medical emergency network;
(5) Promote the construction of smart hospitals and vigorously develop telemedicine and Internet diagnosis and treatment
.
The “Announcement of the General Office of the National Health Commission on the National Monitoring and Analysis of the Performance Appraisal of the National Tertiary Public Hospitals in 2019” pointed out: The overall indicators of the third-tier public hospitals in North China, East China, Central and South China, and Sichuan and Chongqing in the southwest are relatively good.
The northwest and southwest regions (except Sichuan and Chongqing) are generally weak; the top 20 tertiary public general hospitals with CMI values are concentrated in Beijing, Shanghai, Jiangsu, Zhejiang and other places; the provinces with the largest number of outflow patients are still Anhui, Hebei, Jiangsu, Zhejiang and Henan.
.
.
For this reason, the "Opinions" clarified the requirements for the establishment of a "peak" in the medical service system, a "highland" in a region, and a "highland" in the province, to complement the shortcomings of the major epidemic treatment system
.
At the implementation level, Long Kaichao, executive deputy director of the Hunan Provincial Medical Reform Office and deputy director of the Provincial Health Commission, said that building a new system for high-quality development of public hospitals is mainly to solve the problem of uneven distribution of resources through expansion and sinking.
To solve the problem of uneven service guarantee, “One is to control the scale expansion of public hospitals, the other is to continue to implement county-level hospitals to expand capacity and improve quality, the third is to accelerate the inheritance and innovation of traditional Chinese medicine, and the fourth is to promote the development of primary-level hospitals.
Anti-integration development"
.
With the strong support of the central government, the construction of the public health system of primary medical institutions will usher in a large-scale upgrade
.
How to configure primary medical institutions? What equipment is needed
.
The National Health Commission has issued the "Guidelines for the Evaluation of the Service Capability of Township Health Centers (2019 Edition)" and the "Guidelines for the Evaluation of the Service Capability of Community Health Service Centers (2019 Edition)", which published 36,000 township health centers nationwide and 35,000 community health services.
The latest version of the center's medical equipment configuration standards
.
Community area health service centers and township hospitals should configure backup DR, color Doppler ultrasound, automatic biochemical analyzer, coagulation analyzer, twelve-lead ECG machines, ECG monitor, remote ECG monitoring equipment, air disinfecting machines, ventilators , Holter monitor, ambulatory blood pressure monitor and other equipment
.
( Cyber Blue Equipment )
Note: The original text has been deleted