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Public health service project responsibility book


In order to further strengthen the management of rural doctors, improve the quality and efficiency of rural doctors' public health services, and better serve rural residents. According to the "Provincial Health Department, the Department of Finance on the implementation plan of the basic public health service project in 2019" and the "Regulations on the implementation of the assessment method for rural doctors in the province", the responsibility for the national basic public health service project from 2019 to 2019 is issued.

First, the assessment object and assessment content

Appraisal target: A rural doctor who has been confirmed by the district-level health administrative department to undertake the public health service tasks of residents in a certain area.

The content of the assessment: the completion of the public health service tasks of rural doctors, participation in public health management and public satisfaction as the main assessment content.

details as follows:

Establish a resident health record. Focusing on women, children, the elderly, the disabled, and chronic patients, we will establish a unified and standardized basic health record for residents in the area, and improve it year by year.

health education. Provide health education publicity and consultation services to residents, set up health education bulletin boards and update content regularly, and carry out health education activities such as health knowledge lectures for residents in the jurisdiction.

Vaccination. Assist in organizing school-age children to vaccinate in township hospitals and cooperate with registration work.

Report on infectious disease prevention and public health emergencies. Preventive control work. Investigate, register and report infectious disease cases and suspected cases found in the jurisdiction in time, and participate in on-site epidemic treatment.

Prevention and control of chronic non-communicable diseases. Gradually complete the registration management of patients with hypertension and diabetes diagnosed in the jurisdiction, follow up regularly, and carry out necessary health guidance.

Maternal health care. Assist in the establishment of health care manuals for pregnant women in the area, and conduct general physical examinations and nutrition, psychological and other health guidance during pregnancy, understand postpartum recovery and provide guidance on common postpartum problems.

Child care. Assist in the establishment of child care manuals for infants and young children in their jurisdictions, and conduct new life visits and child care system management and necessary health guidance.

Elderly health care. Assist in the registration and management of senior citizens aged 65 and over in the jurisdiction, conduct health risk factor investigations and general physical examinations, and provide necessary health guidance

Severe mental illness management. To assist in the registration and management of patients with severe mental illness in the jurisdiction; under the guidance of higher-level professionals, follow-up and rehabilitation guidance for patients with severe mental illness living at home.

Public health policy promotion.

Various types of health information registration, statistics, and reports.

Resident satisfaction evaluation.

Second, the assessment methods and procedures

The district-level health administrative department shall formulate an assessment work plan and establish a performance appraisal group for the rural doctors' public health service, which is responsible for the specific organization and implementation of the assessment.

Township hospitals and community health service centers are responsible for assessing rural doctors who undertake public health service tasks in village health clinics within their jurisdiction. Take inspection, on-site inspection, spot check and verification, household survey, etc.

On the basis of the assessment of township hospitals and community health service centers, district-level health administrative departments organize assessment teams to conduct spot checks and reviews. It is required to fully listen to the opinions of rural doctors, village committees and villagers, and objectively and accurately evaluate the public health work undertaken by rural doctors. The results of the assessment serve as the basis for granting rural doctors a public health service subsidy.

Third, the assessment time

The assessment of rural doctors in the township health centers and community health service centers shall be conducted once a quarter, and the results of the assessment shall be publicized in the jurisdiction.

The district-level health administrative department reviews the assessment of rural doctors every six months. The assessment in the first half of the year is completed before July 5, and the assessment in the second half is completed before the end of January of the following year. And within 5 working days after the end of the assessment, the assessment results will be reported to the Municipal Health Bureau.

Fourth, the assessment results and funding subsidies

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The assessment is based on the “Performance Assessment Standards for Basic Public Health Services of Rural Doctors”, with a total score of 100 points. The assessment results are divided into four equal times: scores of 85 or more are excellent, 70-84 are good, 60-69 is qualified, and 60 or less is unqualified. The proportion of excellent examinations does not exceed 20%.

The results of the assessment shall be linked to the subsidies for public health services provided by the rural doctors. The assessment scores of 60 points or more shall be paid in full for performance appraisal; if they are basically qualified, they shall be subsidized by 70%; if they are unqualified, all performance appraisal subsidies shall be reduced.
This letter of responsibility is in duplicate, and each hospital and village doctor holds one copy.

Health day

Village Health Clinic Country Doctor:

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