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County community health service implementation opinions


In order to implement xx "Guiding Opinions on Urban Medicine and Health System Reform" and the Ministry of Health and other 10 ministries and commissions "Several Opinions on the Development of Urban Community Health Services" and "Opinions on the Development of Urban and Rural Community Health Services in xx Provinces". Further strengthen the prevention work, improve and improve the social security system, and now put forward the following opinions on the community health service work in our county:
I. Organization and leadership of community health services Governments at all levels should strengthen leadership over community health services and include community health services as an important part of community services, incorporating social development plans and spiritual civilization construction plans, and organizing and coordinating .
The health administrative department is the competent department of community health service work, responsible for the planning of community health services, the organization of the team and the business supervision and management.
Community health services are organized and implemented in counties and townships. According to the requirements of the county community health service network planning and the formation of two-way referral pattern, the county health administrative department organizes relevant hospitals and township health centers to select medical staff, and establish health service outlets in residential areas to form a primary health service network. To give play to the functions of medical institutions at different levels, and to pay attention to the characteristics and advantages of high quality and low price of traditional Chinese medicine resources.
All township governments and residents' committees should actively mobilize people to participate in community health service activities.
Medical and health institutions that have entered the community should provide comprehensive, full-service services such as prevention, ship-care, rehabilitation and health education to the residents in the area, and guarantee the quality of service. The health institutions of enterprises and institutions that serve internal employees shall undertake the community health service work of the employees' settlements under the unified planning of the county health administrative department.
Relevant departments such as finance, civil affairs, planning, and price should actively support and promote the development of community health services.
2. The funds for community health services and the funds required for housing community health services shall be raised in the following aspects based on the principle of combining national, collective and individual:
- Governments at all levels invest the necessary start-up and maintenance funds;
- hosting the input of medical and health institutions;
- Donations from enterprises and institutions.
Community health service institutions are non-profit public welfare institutions that enjoy preferential tax and fee policies at the national and local levels.
The construction of community health service facilities, as an important component of community service facilities construction, should be included in urban construction planning.
The construction funds required for community health service houses are included in the cost of commercial housing. The property rights belong to the real estate investment unit. The tenant and the property rights unit build the lease relationship and pay the rent according to the standard.
The township government, the street and residents committees shall provide the necessary service facilities for the community health service institutions, and encourage the community health services within the community organizations, enterprises and institutions to provide the necessary facilities.
The water, electricity, gas, heat and communication facilities required by the community health service agencies shall be handled in accordance with the regulations.
The assets of community health service institutions are state assets and are managed in accordance with the state-owned assets management approach.
Third, the source of community health service technicians and technical personnel training community health services, mainly selected from the existing staff of the existing health institutions.
Medical institutions must select medical staff with good thinking style and strong technical ability to work in community health service agencies. The person in charge of the community health service organization shall have a technical title above the intermediate level.
The training of community health service technicians is mainly on-the-job training, and the county health administrative department is responsible for organizing. It is necessary to gradually develop community health service personnel into general practitioners through various forms such as holding ~. In the future, community health service personnel should be supplemented from systematically trained graduates of general medical schools.
4. Charges and Standards for Community Health Services Community health services should adhere to the principle of focusing on social benefits and implement a combination of paid services and unpaid services.
For the elderly, the disabled, the special care recipients and the socially disadvantaged households, compulsory services or preferential services are implemented, and the convenience and benefit service projects are implemented.
The charging items and charging standards for community health services shall be approved by the health and price departments in accordance with the approval authority.
V. Reimbursement of medical expenses in community health services The medical expenses of public medical and labor insurance medical staff who receive community health services at their place of residence shall be reimbursed.
Employees of cadres and laborers who are treated in community health service institutions and who enjoy public medical care are required to be approved by community health service agencies when referring to higher-level hospitals.
The scope and methods of public medical reimbursement for cadres and workers in community health services shall be implemented in accordance with the relevant provisions of the county health and finance departments.
6. Relevant treatment of community health service technicians The wages of community health service technicians shall be fully subsidized according to the plan, and the various subsidies shall not be lower than the treatment of their original units and departments.
Technicians engaged in community health services, who work for more than one year, can no longer undertake the tasks of working in rural health institutions.
Before the state promulgated the general practitioner title standard, technical personnel who have been engaged in community health services for more than one year are promoted to the following titles of deputy chief physicians. When assessing titles, they are implemented with reference to the standards of preventive health practitioners of the corresponding level.
VII. Supervision and evaluation of community health services The work standards of the county health administrative departments related to community health services, various rules and regulations and evaluation criteria.
For the community health service institutions, the county health administrative department will pass the inspection and acceptance, and after issuing the health service license, the civil affairs department will handle the relevant procedures of the community service.
For community health service institutions that change the nature without authorization, the health administrative department shall withdraw the community health service certificate; for those who have violated the law, they shall be punished according to the Regulations on the Administration of Medical Institutions.
The county health, finance, auditing and other departments determine the financial management system of community health service institutions.
Xxx County Health Bureau

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