The general office of the state council on

further strengthening the construction

of the contingent of rural doctors guidance

Health ministry of China

Countries do hair [2011] no. 31

The provinces, autonomous regions and municipalities directly under the central government, the state council ministries, all directly under the body:

Rural doctors with Chinese characteristics, is rooted in rural health care workers, for a long time in the maintenance of the vast rural residents health play an irreplaceable role. With the rural economic system reform and the medical work further, village doctor team development met the new situation and problems. To ensure that the rural health service "WangDe" don't break, ensure the rural residents in the basic medical and public health service is fair, accessibility, according to deepen the reform of medical care system concerned spirit, the consent of the state council on further strengthening, now rural doctors team construction put forward the following instruction opinion:

A, general requirements

According to the basic, strong grassroots, built the requirements of the mechanism, from set out actually, clear responsibilities and improving rural doctors practicing place, realize village clinic and rural doctors all cover; Will village clinic into the system for basic drugs and new rural cooperative medical (hereinafter referred to as "new farming $) plan as a whole scope of implementation, perfect outpatient rural doctors compensation, endowment policy, improve the training system, regulating the training practice behavior, strengthening the management guidance, improve the service level, rural doctors for rural residents to provide safe and effective, convenient and cheap basic medical and health services.

Second, clear village doctor duties

Rural doctors (including in the country to the practice of practicing doctors, assistant practicing doctors, similarly hereinafter) mainly for rural residents providing public health and basic medical care, including in the professional public health institutions and rural hospitals, under the guidance of service standards and specifications according to develop basic public health service; Assist professional public health institutions carry out major public health services, according to the rules, timely report epidemic and poisoning, disposal of emergent public health events, etc.; Use appropriate drugs, appropriate technology and traditional Chinese medicine method for the rural residents common disease, frequently-occurring disease diagnosis and treatment of general, diagnosis and treatment of patients than ability in time to the new at the county level and referral medical institutions; Entrusted by the administrative department of health statistics, keeping the fill in for education and publicity, material to assist new farming and financing, etc.

Three, realize village clinic and rural doctors all covered

(a) clear village clinic planning Settings and construction standards. The health administrative departments at the county level according to the regional health planning and program of the establishment of medical institutions, comprehensive consideration of the service population, residents demand and geographical conditions, factors such as reasonable planning village clinic Settings. In principle each administrative villages set 1 village clinic, or live scattered population is more appropriate, add the administrative villages; The new location of the administrative villages in principle does not establish village clinic.

Village clinic by village doctor joint, can be held by the government, or individual, collective or unit, the county level for approval by the health administrative department set up. Village of housing and basic equipment clinic in accordance with the regulations of the state standard. To take public private, all government subsidies, etc DuoZhong way, support the village clinic housing construction and equipment purchase.

(2) the reasonable configuration village doctor. Rural doctors can in the village of medical and health institutions (including village clinic practice and in accordance with the relevant provisions of the state of the clinic and other offered medical and health institutions). In the village clinic practice doctor in the countryside at the county level by the administrative department of health assessment determined jointly with relevant departments, in principle, should have one for every one thousand people village doctor, living dispersed administrative villages can be appropriately increased; Every village clinic at least one village doctor practice.

All of the village to clinic and rural doctors on the overall situation of the baseline, no village clinic and rural doctors administrative villages, the government should actively encourage qualified personnel held by the government, or village clinic construction village clinic; Take positive directional training, entrust training, rural hospitals sent DuoZhong way such as stationary point lead village doctor to village clinic practice by the end of 2011, to ensure that each should establish village clinic administrative villages have 1 village clinic, every village clinic has village doctor.

Four, strengthen rural doctors and village clinic management

(a) the strict village doctor qualification. Rural doctors must have village doctor practice certificate or professional engineer (assistant) physicians certificate, and in the public health administrative department for registration and obtain relevant practice license. In the village clinic in nursing, and other service workers also should have corresponding legal qualification. The health administrative departments at the county level should strictly according to the practice YiShiFa and the village doctor from management regulations and other relevant laws and regulations, strengthen the access management. New into the village clinic in prevention, health care and medical service personnel shall have in principle of assistant practicing doctors' qualifications and above. It is strictly prohibited to and resolutely combat illegal medical practice not qualified personnel.

(2) strengthening health departments at the county level of management responsibilities. The health administrative departments at the county level to rural doctors and village clinic into the scope of its service, management behavior and drug devices such as use supervision. To set up and perfect the accord with village clinic function orientation of the rules and regulations and business process, the organization village doctor training. To scientifically differentiate rural hospitals and village clinic, rational distribution of the division of functions of basic public health service quantity, strengthen the task performance evaluation. The evaluation result in public administrative villages in, and as a financial subsidies to village clinic in accounting and the practice of rural doctors on the basis of dynamic adjustment. County health, finance, price departments should strengthen rural doctors and village clinic in grants the supervision of the use and urge them standard accounting and financial management, public health service and drug charging projects and price, do charge have documents, accounts have records, spending are vouchers.

(3) strengthen rural hospitals to village clinic business guidance and management. Encourage everywhere in don't change village doctor personnel identity and village clinic legal person, property relationship premise, actively promote rural hospitals and village clinic integration management by the health administrative departments at the county level, entrusted to the new rural doctors and village clinic for technical guidance, business and drug equipment supply management and performance evaluation. Rural hospitals to through the business meeting, lecture, DuoZhong way to strengthen the professional guidance, rural doctors to rural doctors and village clinic medicine equipment supply of financial management and use daily supervision in the county, the administrative department of health under the unified organization of rural doctors and village clinic service quality and quantity evaluation.

(4) improve the village clinic informatization level. Will village clinic into basic medical and health institutions information construction and management scope, make full use of the information technology to the service behavior, drug devices used to strengthen management and supply performance assessment, improve the rural doctors and village clinic service ability and the management level. According to the village clinic function design relevant software, establish a unified, standardized electronic health records, the inhabitants of the rural hospitals and village clinic unified electronic notes and the prescription.

Five, will village clinic into the relevant system scope of implementation

(a) in the village clinic implement basic drugs system. Will village clinic into the system for basic drugs scope of implementation and execution system for basic drugs policies, implement basic drug centralized purchasing, equipped with use and zero rate differential marketing. In the village clinic practice doctor in the countryside to all of the use of basic drugs, basic drugs by rural hospitals responsible for supplies.

(2) will be active village clinic into new farming and outpatient service as a whole scope of implementation. Will meet the conditions of the village clinic into new farming and the medical establishment, management and the general fee village clinic collection and use of basic drugs into the new farming pay limits, pay scale and not less than in the new pay medical treatment of proportion. To give full play to the new farming on rural doctors, village and medical expenses and the service behavior clinic regulatory role. Encourage local combined with promoting a new farming and outpatient service as a whole, the synchronous in developing new farming and payment reform, explore on a per head pay in advance, amount of payment, etc DuoZhong using pay policy guiding rural doctors and village clinic to change the service behavior, improve the service quality. To strengthen the new farming village clinic diagnosis and treatment and pay close supervision, prevent the drug expenses, or XuKai documents show the new farming and funds.

Six, perfecting rural doctors compensation and endowment policy

(a) improving the compensation policy through multiple channels. According to the village doctor provide service quality and quantity of the multi-channel gives compensation.

To provide basic rural doctors of the public health service, mainly through the government buying services the way of reasonable allowance. The health administrative departments at the county level according to the responsibilities of the rural doctors, service ability and service the population, clear by the rural doctors shall provide basic public health service, and reasonable specific content for the task, to ensure that its function of location and the service ability to adapt. According to the actual workload, will the corresponding percentage of national basic public health service funds allocated to the village doctor, not be squeezed occupy, embezzle or divert.

To provide basic medical treatment of rural doctors services, mainly by individual and new farming and funds to pay. Should be in the light of the general office of the state council around about to establish and perfect the basic medical and health institutions of the compensation mechanism opinions of the kingdom does hair [2010] no. 62) requirements, establishing reasonable general fee standards and village clinic with new farming pay standards and methods. In the comprehensive consideration of the new farming and fund bearing capacity and not increasing the mass under the premise of individual responsibility, give full play to the new farming to rural doctors and the compensation for the role.

Village clinic implement basic drugs, to ensure that the system in the village to the practice of clinic rural doctors reasonable income, governments can't reduce the comprehensive consideration of the basic medical and public health service compensation case, take special government the way for the village to the practice of clinic in rural doctors give quota compensation. Can be in accordance with the population or service after the approval of the number of rural doctors make allowances for subsidies to the local level, with the aid of village cadres connected level. Specific compensation policy by each province (area, city) with the government actually formulated.

Encourage conditional place to further improve the service life of long and hard conditions in remote, rural doctors in the practice of the subsidies level.

(2) to solve the rural doctors endowment problem. Want to combine all over a new type of rural social endowment insurance system (hereinafter referred to as the new farming keeps) forward, actively guide meet the conditions of the rural doctors to new farming keeps, to according with new farming the treatment of the conditions of the rural doctors receive pension issue. Governments around the world can take allowance, etc DuoZhong form, properly solve the old village doctor guarantee and life difficult problem, and the specific measures shall be formulated by the local government based on the actual.

Seven, and improve the training of rural doctors training system

(a) to strengthen the training of rural doctors. The provinces (autonomous regions and municipalities) public health administrative department to reasonable establishing rural doctors in training plans and take clinical training education, training, with focus on urban and rural support DuoZhong way, rural doctors to select the medical institutions or medical colleges accept training. The administrative departments for public health at the county level in the village clinic practice doctor in the countryside free training each year not less than two times, total training time not less than two weeks.

(2) strengthening the construction of rural doctors reserve force. The health administrative departments at the county level to understand and master the dynamic in the administrative areas of rural doctors professional, focus on the future and prepare village doctor team construction planning, establish village doctor backup talent pool, from local chosen personnel training, timely added directional village clinic. Conditional place to formulate preferential policy, attract city, practising retired doctor (assistant) doctors and medical school graduates to the village clinic work. According to explore all over a team and promote the general practitioner service mode, actively doing contract rural doctors team construction and the general practitioner of team building of cohesion.

Eight, earnestly implement the work

(a) to strengthen the organization and leadership. Local people's governments at all levels should attach great importance to the rural doctors in basic medical and health service system, will be the important role rural doctors team construction as the cure of important work, on the agenda, perfect the relevant policy, ensure the smooth implementation. All departments concerned should earnestly perform their duties, strengthen the cooperation with the increasing efforts to ensure that all urged guidance, working in a down-to-earth manner.

(2) make implementation plan. The provinces (autonomous regions and municipalities) to combine the local actual, further refine and visualize related policies and measures in this opinion on 30 working days, formulate concrete implementation plan, and report to the cure of the state council, the ministry of finance, ministry of public health office, human resources social security for the record.

(3) carry out capital invested. The governments of all regions shall urge guide people's governments at the county level actively adjust the structure of fiscal expenditure, will improve rural doctors compensation and endowment policy and village clinic construction into the funds required for the fiscal year, and timely appropriated in place to ensure that funds, special fund is special, not be squeezed occupy and divert. People's governments at the provincial level shall bear the overall responsibility, further increase transfer payments to difficult areas of strength. The central government will increase transfer payments to through difficult areas of support, and also in the village clinic practice doctor in the countryside implement basic drugs provide necessary assistance. The system It is strictly prohibited to rural doctors in any name to collect, apportion state regulations for the cost of the outside, rural doctors to create the good practice environment.

The general office of the state council

Two ○ 2 July in one