About print and distribute to strengthen the suit of the third class hospitals helping poverty-stricken county hospitals work plan

The 2016-03-01

 national health and population and family planning commission of the People's Republic of China

The medical hair [2016] no. 7

Provinces, autonomous regions and municipalities directly under the central government health and family planning commission, the administration of traditional Chinese medicine, poverty relief office of the xinjiang production and construction corps health bureau, all the services and arms and political work (political), logistics department, training department general office of the central military commission, the political bureau, administration organs of the central military commission affairs ZongGeJu armed police force political department, logistics department, the aftermath office ZhengGongZu, directs and commands all the military security groups:

For the implementation of the "the central committee of the communist party of China, the state council about fight poverty tough decision", poverty alleviation and development work according to the central related conference spirit and health poverty alleviation, 2016-2020, the national health and family planning commission, poverty relief office of the state council, the state administration of traditional Chinese medicine and political work of the central military commission and the central military commission logistics security in the national coalition for tertiary hospitals (including the army and armed police hospital, similarly hereinafter) counterpart support poverty-stricken counties (county concentrated special difficult area and the national key poverty alleviation and development work, similarly hereinafter) at the county level hospital, further enhance poverty-stricken county hospital service ability, boost rural poverty population out of poverty.

Will now "about strengthening the counterpart of tertiary hospital support poverty-stricken county hospitals work plan" printed and distributed to you (available from the national health and family planning commission download site medical administration medical tube section), please earnestly implement. The related problems in the process of implementing, advice, and work in a timely manner, please contact the relevant departments.

The national health and family planning commission contacts: medical hospital authority Wang Fei

Telephone: 010-68791889

Fax: 010-68792963

Poverty relief office of the state council contacts: policies and regulations Chen Hongbo, jiang as expensive

Telephone: 010-84419687, 010-84419707

Fax: 010-84419694

The state administration of traditional Chinese medicine contacts: the department qing-bin meng

Telephone: 010-59957680

Fax: 010-59957684

Political work department of the central military commission contacts: QunGong innings Liu Bin

Telephone: 010-66736642

Fax: 010-66736355

The central military commission logistics security contacts: health authority to pay yet

Telephone: 010-66886582

Fax: 010-66886546

The national health and family planning commission Poverty relief office of the state council

The state administration of traditional Chinese medicine political work department of the central military commission

Logistics security ministry of the central military commission

On February 17, 2016

On strengthening the suit of the third class hospitals support

Poverty-stricken county hospitals work plan

In accordance with the party central committee and the state council to promote poverty alleviation works in the new period of important strategic deployment and health related requirements for poverty alleviation, on the base of urban and rural hospitals counterpart support work experience, combined with the county hospitals county health care function orientation and development practice, making this plan.

First, general requirements

(a) the guiding ideology. Thoroughly implement the party's eighteen big eighteen class 3, 4, and fifth plenary session of the spirit, according to the layout of the CPC central committee "four comprehensive" strategy, implement the party central committee and state council on full implementation of accurate, precise anti-poverty strategy and health requirements for poverty alleviation, organize the suit of the third class hospitals helping poverty-stricken county hospitals, further enhance poverty-stricken county hospital medical service ability, in order to reduce poverty due to illness, Chinese create medical treatment due to illness.

(2) the basic principles.

- to coordinate and strengthen cohesion. To coordinate, medical resources, with "a program under which officials", poverty alleviation and development, urban and rural hospital counterpart support, west of counterpart support military hospital, county hospital, policy, funding, cohesion, in particular areas of the country play a role of the purpose and advantages. Across provinces or by the military hospitals in support of oral confession, recipient province family planning administrative department of public health and management department of traditional Chinese medicine to actively and to support the province family planning administrative department of public health, management of traditional Chinese medicine, large army unit health department communication and coordination.

Based on the reality, universal coverage. Helping poverty-stricken countries concentrated seconded the national high quality medical resources at the county level hospital. Recipient province family planning administrative department of public health, management of traditional Chinese medicine to on the basis of the existing urban and rural hospitals counterpart support work, flexibly integrate the strength of the third class hospitals, the establishment and poverty-stricken county hospital of counterpart support relations. Counterpart support Tibet autonomous region, xinjiang uygur autonomous region, qinghai province poverty-stricken county hospital work, combined with the central organization department Tibet by xinjiang signing green job requirement to carry out.

- focused, precise support. With an emphasis on strengthening the construction of ability of county-level hospitals, counterpart aid agreement, clear operational and quantitative indicators to assess. Hold within the county medical service ability construction of the weak links, in view of the local disease, by the hospital to hospital and department to department, team to team, sent down, please come up to promote county-level hospitals outside the patient more clinical specialty ability.

- adjust measures to local conditions, classification guidance. Provincial family planning administrative department of public health, management of traditional Chinese medicine, large army unit health departments should strengthen the communication with poverty county people's government, common hospital guidance support, aid, to determine the accurate support content. Level 3 general hospital support county hospital in principle, level 3 support county hospital of traditional Chinese medicine of traditional Chinese medicine hospital.

(3) the support time. During the time of 2016-2020, no special reason shall not change counterpart support relations. During the support, such as the army hospital has involved in the transfer of transference system, and local hospital counterpart support relationship remains the same.

(4). By 2020, through the one-to-one counterpart support, a year for recipient hospital "to solve a medical need, breakthrough a weak link, out of a technical team, a new service project". Common disease, frequently-occurring disease, diagnosis and treatment for emergency and severe cases in part increased significantly. Cultivate a group of professional and technical personnel with high level of clinical and hospital management personnel. Poverty-stricken county hospital medical service ability and accessibility significantly increased, the counties in at least one hospital reach standard secondary hospital, more than 300000 people at least one of the counties in hospital level 2 grade a level; Give full play to the role of county medical center for county residents to provide effective basic medical and health services.

Second, the work task

(a) signed counterpart support responsibility. Provincial family planning administrative department of public health, health sector management of traditional Chinese medicine, large army units should be determined in accordance with the scheme of counterpart support relationship (see appendix 1), coordinate and guide relevant tertiary hospitals with poverty county government and county hospitals one-to-one counterpart support responsibility, clear counterpart support the overall goals, annual task and quantitative assessment index, fully ready to support the hospital at live, work and security personnel.

(2) promote clinical specialist service ability. Support hospital according to recipient hospital function orientation and the actual construction and development, combined with the local health development level and medical service demand, adopt the mode of "author" support, to county hospital in 1 the dean or associate dean, at least five medical staff team of (traditional Chinese medicine hospital in 3) stagnation point support, help recipient hospitals in routine diagnostic services, set up in view of the local disease clinical diagnosis and treatment course, strengthen the outer rate nearly three years in the top 5-10 clinical specialty ability construction, improve recipient hospital internal medicine, surgery, obstetrics and gynecology, paediatrics, emergency department common disease, frequently-occurring disease, diagnosis and treatment for emergency and severe cases in some capacity. Assisted the doctor of traditional Chinese medicine hospital should also improve acupuncture, massage and other characteristics of department of traditional Chinese medicine diagnosis and treatment. At the same time, the conditional poverty-stricken counties can rely on the county level public hospitals, establish medical imaging, clinical inspection and disinfection supply center, promote the medical resources sharing in the county.

(3) training qualified professionals. Support hospital is base of resident standardization training, to recruit qualified recipient hospital staff to attend training. Combining county-level hospitals backbone physician training program, through the "sent down" and "please", take teaching ward-round, a variety of forms such as surgery teaching, academic lectures, each year for training at least three key recipient hospital physician or other medical professional and technical personnel, county-level hospitals for counties in a planned way to cultivate a group of business with higher levels of technical backbone, make its personnel more hasten is reasonable. Through the counterpart support, significantly increased at the county level hospital health professional and technical personnel ability to use appropriate technologies.

(4) improve hospital management level. Support hospital to help improve the recipient hospital management rules and regulations, strengthen the hospital and department internal management, improve the level of recipient hospital management legal system, scientific and standardized. Support for local tertiary hospital, hospital can take entrusted management, medical association, as a poverty-stricken county hospital by accredited personnel director or deputy director, director of the department, to establish close linkage mechanism.

(5) convenient to people's hospital. Combination "physician support rural health project", "east and west area hospital provincial counterpart support", "national medical medical tour", "serve the people health action", etc, to promote high-quality medical resources to sink at the grass-roots level, focusing on inputting tent card poor medical support. One is the actual medical demand, combined with counties in support of the hospital regularly sent medical teams, focus on solving poverty-stricken difficult disease and complex procedures; Secondly, regularly carry out medical treatment to the countryside to support the hospital regularly tour yizhen, a "home" for poverty-stricken citizens daily medical services.

(6) actively carry out remote medical service. Give full play to the remote medical services in the field of the optimize allocation of medical resources, support and recipient hospital remote medical service relationship, through the remote medical service to improve the poverty-stricken medical service level and accessibility. Support hospitals should actively carry out remote consultation, remote operation, remote pathology and medical imaging diagnosis, remote continue education activities, improve recipient hospital medical technology level. Support hospital and recipient hospital should make full use of social networking platform for poverty alleviation, promoting effective link information.

Three, working steps

(a) 2-3, 2016. Provincial family planning administrative department of public health, health sector management of traditional Chinese medicine, large army units and tertiary hospitals at the county level people's government and county hospitals signed counterpart support duty agreement (see attachment 2). Counterpart support relations have been established, can supplement agreement health poverty alleviation work requirements. Hospital signed between counterpart support responsibility, on the basis of this scheme provides templates, further refine support target, task, content, time node, support tasks to specific department, project, technology, etc.

(2) in April, 2016-2020. Support hospital and recipient hospital support agreement, signed by earnestly implement various support task. Provincial family planning administrative department of public health, management of traditional Chinese medicine, large army unit health department to supervise and guide counterpart hospital to carry out the work task, according to the health and poverty alleviation, "urban tertiary hospital counterpart support evaluation indicator system of county hospital, city level 3 counterpart support county hospital of traditional Chinese medicine of traditional Chinese medicine hospital evaluation index system of counterpart support and the military hospital in the western region county hospital related requirements, each year to carry out the work progress and effectiveness evaluation, the formation of annual reports are submitted to the state health and family planning commission medical hospital authority, the state administration of traditional Chinese medicine department, logistics security bureau of the central military commission.

National health and family planning commission will jointly relevant department for annual health counterpart aid for poverty alleviation work around the spot check and 5 years working summary evaluation.

Fourth, work demands

(a) to strengthen organization and leadership. Provincial family planning administrative department of public health, management of traditional Chinese medicine, large army unit QunGong and health departments should fully recognize the importance of health poverty alleviation work, further enhance their ability to promote poverty-stricken county hospital service sense of responsibility and sense of urgency. To the suit of the third class hospitals helping poverty-stricken county hospital as the key work, strengthen organizational leadership, establishing and perfecting the system, increase financial input, accomplish tasks to people, responsibility to the people, carrying out responsibility system of charge. Tertiary hospitals will responsible for counterpart to assist health poverty alleviation work as to fulfill the social responsibility and the important content of nonprofit, earnestly implement the various tasks, ensure counterpart support.

(2) to establish collaboration and guarantee mechanism. National health and family planning commission, the state administration of traditional Chinese medicine, to be responsible for guiding local tertiary hospitals counterpart support work. Poverty relief office of the state council shall be responsible for providing poverty county, township and village, because of sickness poor families by inputting tent card related data, promote counterpart support work benefit more poor people, and coordinating sign corresponding support responsibility of the people's government at the county level. Political work department of the central military commission QunGong bureau to be responsible for guiding the army QunGong departments at all levels play a role of bridge link, do a good job, publishes the connection between coordination and jointly with the logistics security bureau of the central military commission is responsible for guiding the army tertiary hospitals counterpart support work, strengthen the coordination communication with the relevant department of the armed forces.

Local family planning administrative department of public health, poverty relief office, administrative departments and the army of Chinese medicine QunGong, health departments at all levels should take the initiative to report to the local people's governments, actively coordinate the local related department, establish and improve the coordination safeguard mechanism, to provide the necessary counterpart aid policy and funding support.

(3) improve the incentive constraints mechanism. Counterpart support poverty-stricken county hospitals to implement target management. Local family planning administrative department of public health, poverty relief office, administrative departments and the army of traditional Chinese medicine health departments at all levels should establish and improve the support and the recipient of the appraisal system, in accordance with the counterpart support responsibility, strengthen the supervision and inspection and examination evaluation. Support hospitals to ensure the personnel sent the material benefits is changeless, and offer certain subsidy; Counterpart support work, outstanding employees in title promotion, job employment, promote employment and the recommendation PingXian is preferred. Recipient unit personnel dispatched to help to provide the necessary work, life and safety.

(4) strengthen the propaganda guidance. Must complete the policy interpretation, and experience to promote publicity guide, typical mining, give full play to the news propaganda and public opinion guiding, using a variety of media forms, intensify publicity, improve the poverty-stricken masses awareness, to ensure timely access to basic medical and health services effectively.

Attachment 1: the suit of the third class hospitals helping poverty-stricken county hospital relational tables. Doc

Attachment 2: the suit of the third class hospitals helping poverty-stricken county hospitals responsibility. Doc

　　附件1：三级医院对口帮扶贫困县县级医院关系表.doc　　

　　附件2：三级医院对口帮扶贫困县县级医院责任书.doc