The State issued the 2020 Public Health Notice Subsidy Standard To Improve Performance Rewards.

Source / National Health and Health Commission
finishing / grassroots physician commune Zhongying
2020 public health project notice finally came, the standard of subsidies increased, paper files cancelled, rural doctors public health subsidy methods have changed ...
. The Three Departments of the State Health and Health Commission, the Ministry of Finance and the State Administration of Traditional Chinese Medicine jointly issued the Notice on Doing a Good Job in Basic Public Health Services In 2020 (hereinafter referred to as the "Notice"), which defines the specific priorities of the basic public health service project in 2020 and the standard of subsidy for the funding of basic public health services per capita this year.

notice clearly stated that in 2020 the per capita subsidy for basic public health services is 74 yuan.
the new 5 yuan funds are fully implemented to rural and urban communities, and the basic medical and health institutions such as community health service centers (stations), township hospitals and village health rooms (hereinafter referred to as primary health care institutions) carry out the personnel funds and public funds for the prevention and control of the new coronary pneumonia epidemic, strengthen the funding guarantee for grass-roots epidemic prevention and control and improve the capacity of epidemic prevention and control, and strengthen the primary health and epidemic prevention.
, compared with 69 yuan in 2019, the per capita public health fund ingress in 2020 was raised by 5 yuan to 74 yuan. Moreover, for the 2020 epidemic prevention and control of the general environment, the new 5 yuan is mainly used to enhance the grass-roots epidemic prevention and control capacity, strengthen the grass-roots prevention and control funding guarantee, to a large extent for the grass-roots prevention and control to provide financial support.
evaluation focus from the heavy process to the heavy results, heavy residents feel the transformation, highlighting the application and guidance of information technology in performance evaluation, improve efficiency and quality, so that data more running, so that grass-roots staff run less legs, on-site evaluation to random spot checks, verification-oriented, to be in accordance with the law to increase the intensity of punishment for fraud.
strengthen the application of performance evaluation results and link evaluation results with the allocation of funds.
all localities should guide primary health care institutions to improve the internal performance evaluation mechanism, and fully reflect the allocation and distribution of funds for basic public health services.
on the provision of subsidies for village medical and public health care, the Notice highlights the mode of allocation.
the Notice requires that rural doctors undertake basic public health services tasks, may take a prorated advance, according to the results of performance evaluation timely allocation of the corresponding subsidy funds, it is strictly prohibited without reason.
According to a health hospital director to the primary physician commune revealed that the rural doctors public health grant funds allocated in different ways, some places are allocated once a year, village doctors to wait until the second year to get the previous year's public health subsidies;
according to the contents of the new "Notice", the State proposed that village doctors can be pre-allocated on a prorated basis, according to the specific evaluation results of advance funds, this practice can promote the timely distribution of public health subsidies, improve the enthusiasm of village medical services, but also help to do a good job of public health control work, according to the results of performance evaluation of advance funds, to ensure that the quality of service is not reduced.. The basic public health service projects, which are mainly provided by primary health care institutions, are promoted by local authorities in accordance with the National Basic Public Health Service Code (Third Edition).
in the implementation of the project to do a good job in the implementation of the relevant work, guide the primary health care institutions to standardize the implementation of eye health care and vision examination of children aged 0-6 years, strengthen the management of vaccination, in contrast to the "People's Republic of China Vaccine Management Law" requirements, strict lying in the management and use of vaccines.
other basic public health service projects shall be implemented in combination with reference to the New Classified Basic Public Health Services Related Work Code (2019 edition) by reference to local authorities, and shall do a good job in local disease prevention and control, occupational disease prevention and control, monitoring of major diseases and hazards, disease prevention and control, maternal and child health services, integrated services for the elderly health and health care, food safety guarantee, health supervision and management, health emergency team construction, population monitoring and family planning services, and health literacy promotion.. With regard to paper files, the 2019 public health notice mentions that where electronic health files are perfect and open to individuals, the corresponding paper files may be cancelled after evaluation by the provincial health and health administrative departments. The 2020 Notice has more specific requirements.
by the provincial health administrative departments assessment, the qualified areas can mainly rely on standardized electronic health files to carry out services and gradually eliminate the corresponding paper files.
, in accordance with the principles of norms, security, convenience and practicality, and under the premise of protecting personal privacy in accordance with the law, further optimize the residents' electronic health files are accessed online by the residents themselves and open to residents themselves for online access and interactive forms.
in the focus on the health management services of the elderly over 65 years of age, to timely import health check-up and health assessment and other information, convenient for residents to inquire.
actively encourage the integration of basic public health, appointment registration, outpatient and in-patient information inquiry, examination and test results inquiry, health assessment, drug information query and guidance services through the application of the regional national health information platform residents, family doctor contract service APP, etc., to improve the collection and sharing of information, and effectively improve the utilization rate of electronic health files.
encourage the rational quantification of the workload of primary health care institutions and medical personnel to provide online services by relying on electronic health files, give full play to the role of performance evaluation incentive, and effectively guide and promote the application of electronic health files.
, the popularity of electronic health files will be greatly increased in 2020, and paper files will be phased out.. Under the guidance of disease control and other professional public health institutions, local primary health care institutions should actively work with township (street) and village (residential) committees to do a good job in the risk management of the new crown pneumonia outbreak in the district, screening of fever patients and the registration, reporting and disposal of relevant information.
to grass-roots institutions to epidemic prevention and control knowledge training, to adhere to the combination of Chinese and Western medicine, co-ordinate the resources of Chinese and Western medicine, establish and improve the mechanism of cooperation between Chinese and Western medicine, guide the grass-roots to develop and improve the new crown pneumonia epidemic prevention and control emergency plan and regular emergency drills, effectively enhance the grass-roots new crown pneumonia and other major outbreaks of prevention and control response capacity.
should, in view of the characteristics and situation of the new crown pneumonia epidemic, coordinate the prevention and control of the epidemic and basic public health services, improve the health file information of patients recovering from the new crown pneumonia in a timely manner, do a good job in the health management of pregnant women, children, the elderly, chronically ill patients and other key groups of people, to ensure that the elderly such as home incapacity, staying in old-age institutions and other elderly access to the corresponding services in a timely manner.
strengthen health education for epidemic prevention and control among people in the jurisdiction, and mobilize the initiative and enthusiasm of all participants in epidemic prevention and control.
focus on the management of chronic diseases such as hypertension and type 2 diabetes, promote basic medical care and basic public health integration services in grass-roots institutions, and optimize the process of primary care and health management of common and frequent chronic diseases.
relying on the family doctor team, the formation of grass-roots hypertension, including doctors, nurses, public health personnel, including the basic unit of medical and preventive management of diabetes, with the family doctor in the team as the lead to clarify the members in the pre-diagnosis, clinic, post-diagnosis work responsibilities.
give full play to the role of higher-level medical institutions and professional public health institutions, establish up-down linkage, two-way referral and consultation channels, and link the use of primary chronic drugs.
2020, the National Health and Health Commission will start the grass-roots hypertension, diabetes and other chronic diseases of medical and preventive integration management key contact point work.
deepen the development of grass-roots burden reduction work, clarify the different levels, departments, positions between the boundaries of responsibilities, in accordance with the consistent requirements of rights and responsibilities, establish and improve the responsibility, service list, to prevent layers of responsibility transfer to the grass-roots level.
fully consider the affordability of the grass-roots level, do not mention unrealistic high indicators, reasonably determine the time frame for completion of the work, optimize the deployment of work.
encourages the promotion of data connectivity and sharing between regional line systems in the light of performance evaluation, and provides conditions for the objective and comprehensive data grabbing from the information system.
the above eight aspects, will be the focus of this year's public health work. In the normal epidemic prevention and control environment, the public health work in 2020 is very special and challenging, new proliferation risks still exist, the vast number of grass-roots medical personnel in the public health work at the same time, but also strictly do their own protection, protect themselves, protect their families.
notice on doing a good job in the basic public health service projects in 2020
the National Health Grassroots Development (2020) No. 9
the provinces, autonomous regions, municipalities directly under the Central Government and the Xinjiang Production and Construction Corps Health And Health Committee, the Finance Department (Bureau), the Administration of Chinese Medicine:
in order to further implement the Party's 19th National Congress and the 19th Second, Third and Fourth Plenary Session, adhere to the grass-roots focus, prevention-oriented, Chinese and Western medicine, and promote the development of high-quality work. We will continue to coordinate the implementation of basic public health service projects after the reform of fiscal authority and expenditure responsibility reform, strengthen the prevention and control of normal outbreaks at the grass-roots level, continuously expand the coverage of basic public health services, optimize the content of services, improve service quality, effectively improve the level of equalization of basic public health services, and help implement the healthy China action and promote the construction of the basic medical and health system with Chinese characteristic
s
. In 2020, the per capita subsidy standard for basic public health services will be 74 yuan, all new 5 yuan will be allocated to rural and urban communities, and the personnel funds and public funds for the prevention and control of the new coronary pneumonia epidemic shall be carried out by primary health care institutions such as community health service centers (stations), township hospitals and village health rooms (hereinafter referred to as primary health care institutions), so as to strengthen the funding for prevention and control of the epidemic at the grass-roots level and improve the capacity for epidemic prevention and control.
basic public health service projects provided mainly by primary health care institutions shall be promoted by local authorities in accordance with the National Basic Public Health Service Code (third edition), and shall do a good job in establishing residents' health records, health education, vaccination, health management of children aged 0-6 years, maternal health management, health management of the elderly, health management of chronically ill patients with severe mental disorders, health management of tuberculosis patients, health management of patients with tuberculosis, health management of infectious diseases and public health emergencies. In the implementation of the project, we should coordinate and do a good job, guide primary health care institutions to standardize the implementation of eye health care and vision examination for children aged 0-6 years, strengthen vaccination management, and strictly control the management and use of vaccines in the context of the requirements of the Vaccine Management Law of the People's Republic of China. All localities should continue to pay attention to the implementation of basic public health service projects in poor areas, improve the level of equalization of basic public health services for the poor, and make due contributions to helping win the fight against poverty.
other basic public health service projects shall be implemented in combination with reference to the New Classified Basic Public Health Services Related Work Code (2019 edition) by reference to local authorities, and shall do a good job in local disease prevention and control, occupational disease prevention and control, monitoring of major diseases and hazards, disease prevention and control, maternal and child health services, integrated services for the elderly health and health care, food safety guarantee, health supervision and management, health emergency team construction, population monitoring and family planning services, and health literacy promotion.
shall, in accordance with the requirements of the Opinions of the State Council of the CPC Central Committee on the Comprehensive Implementation of Budget Performance Management, improve and implement the corresponding performance targets for various service projects. The basic public health service items of the administrative region supplemented by the provinces (districts and municipalities) shall be promptly reported to the National Health and Health Commission for the record.
. To do a good job in the prevention and control of normal izedepidemic outbreaks
and under the guidance of disease control and other professional public health institutions, primary health care institutions in various places should actively work with townships (streets) and village (residential) committees to do a good job in the risk management of the new coronary pneumonia outbreak, screening of fever patients and related information registration, reporting and disposal. We should make full use of the basic health personnel capacity to enhance training projects, etc. , through online and offline a variety of ways to strengthen the grass-roots institutions epidemic prevention and control knowledge training. We should adhere to the combination of Chinese and Western medicine, co-ordinate the resources of Chinese and Western medicine, establish and improve the mechanism of cooperation between Chinese and Western medicine, guide the grass-roots to formulate and improve the emergency plan for the prevention and control of the new coronary pneumonia epidemic and carry out regular emergency drills, effectively enhance the grass-roots prevention and control of major outbreaks such as new crown pneumonia. In view of the characteristics and situation of the new crown pneumonia epidemic, we should coordinate the prevention and control of the epidemic and basic public health services, improve the health file information of patients recovering from xinguan pneumonia in a timely manner, do a good job in the health management of key groups such as maternal, child, elderly and chronically ill patients, and ensure that the elderly, such as home-based incapacity and staying in old-age institutions, receive timely and appropriate services. Strengthen the health education of the population in the jurisdiction to prevent and control the epidemic, and mobilize the initiative and enthusiasm of the whole staff to participate in the prevention and control of the epidemic.
, promote the practical application of residents' electronic health files
to residents' electronic health files popularization and practical application-oriented, give full play to the basic information support of electronic health files and the role of civilian services. After the provincial health and health administrative departments assessment, the qualified areas can mainly rely on standardized electronic health files to carry out services and gradually eliminate the corresponding paper files. In accordance with the principles of norms, security, convenience and practicality, under the premise of protecting personal privacy in accordance with the law, further optimize the online access of residents' electronic health files and open to residents themselves for online access and interactive forms. In order to improve the sense of the goal, through a variety of channels to improve and enrich the contents of electronic health files, will be targeted at residents of health services information timely guidance (recorded) into the electronic health file. In the focus of the health management services for the elderly over 65 years of age, it is necessary to timely import health check-ups and health assessment information, so that residents can query. We will actively encourage the integration of basic public health, appointment registration, outpatient and in-patient information inquiry, examination and inspection results inquiry, health assessment, drug information query and guidance through the application of the regional national health information platform residents, family doctor contract service APP, etc., and improve the collection and sharing of information, so as to effectively improve the utilization rate of electronic health files. We encourage rational quantification of the workload of primary health care institutions and medical personnel to provide online services by relying on electronic health files, give full play to the role of performance evaluation incentive, and effectively guide and promote the application of electronic health files.
. To deepen the integration of primary-level chronic disease management medical prevention
focusing on the management of chronic diseases such as hypertension and type 2 diabetes, promote basic medical care and basic public health integration services in grass-roots institutions, and optimize the process of primary diagnosis and treatment and health management of common and frequent chronic diseases. Relying on the family doctor team, the formation of grass-roots hypertension, including doctors, nurses, public health personnel, including the basic unit of medical and preventive management of diabetes, with the family doctor as the leading group to clarify the work responsibilities of members before, during and after the consultation. Specialists in higher-level medical institutions are encouraged to strengthen close collaboration with the grass-roots level and effectively provide technical support. Actively play the role of disease control and other professional public health institutions.