On December 30, according to the news of the National Health Commission on the 30th, 10 departments including the National Health Commission and the National Health Commission jointly issued the "Guiding Opinions on Comprehensively Promoting the Construction of a Close-knit County Medical and Health Community" (hereinafter referred to as the "Guiding Opinions"). It is proposed that by the end of 2027, the close-knit county-level medical community will basically achieve full coverage, the operation mechanism of the management system will be further consolidated, and the county's disease prevention and treatment and health management capabilities will be significantly improved.
The Guiding Opinions put forward the overall requirements for the construction of a close-knit county-level medical and health community, and by the end of June 2024, the construction of a close-knit county-level medical community will be comprehensively promoted at the provincial level. By the end of 2025, significant progress will be made in the construction of a close-knit county-level medical community, and policies to support the construction of county-level medical communities will be further improved, such as organization and management, investment guarantee, personnel establishment, remuneration and medical insurance paymentStrive to build more than 90% of the counties in the country (county-level cities, municipal districts with conditions can be referred to, the same below) to basically build a county-level medical community with reasonable layout, unified management of people, property and property, clear rights and responsibilities, efficient operation, division of labor and cooperation, continuous services, and information sharing. By the end of 2027, the close-knit county-level medical community will basically achieve full coverage, the operation mechanism of the management system will be further consolidated, the county-level disease prevention and treatment and health management capabilities will be significantly improved, the county-level collaborative support relationship will be further consolidated, the two-level service level in rural areas will be significantly strengthened, the efficiency of medical insurance at the county level will be continuously improved, and the people's sense of gain will be further enhanced.
The "Guiding Opinions" emphasize that it is necessary to adhere to the leading role and scientifically build a county-level medical community. Among them, it is necessary to strengthen the linkage between urban and rural areas and the integration of rural areas. To strengthen the cooperation between the county-level medical community and urban hospitals, and deepen the city's support for rural work, the second-class hospital should improve the service capacity and management level of the county-level medical community through expert dispatch, specialist co-construction, clinical teaching, remote collaboration, scientific research and project collaboration. The urban public ** hospital that carries out assistance shall send at least 3 or more experts to the county-level medical community to provide perennial guidance in medical treatment, pharmacy, nursing, management, etc. Establish and improve the assistance mechanism for counties and townships and townships to promote the sinking of high-quality medical resources. Qualified public village clinics will be gradually converted into village-level medical service points extended by township health centers, and unified management of administration, personnel, business, drugs, finance, and performance will be implemented. For other types of village clinics, we will continue to deepen the integrated management of rural health. The leading hospital dispatches clinical and management personnel to towns (streets) all year round to help solve grassroots problems and carry out roving medical treatment for rural areas.
The Guiding Opinions mention that it is necessary to improve the ability to respond to major epidemics and medical emergencies. Improve the monitoring and early warning mechanism for infectious diseases in the county-level medical community, strictly implement the reporting of information on the epidemic situation of infectious diseases and the monitoring tasks of fever clinics and sentinel hospitals, and cooperate with disease prevention and control institutions to do a good job in epidemic verification. Improve the mechanism for the treatment of major epidemics at different levels and levels, strengthen the construction of the county-level medical emergency system, strengthen the guidance of leading hospitals to the grassroots level, improve the ability of the grassroots to identify and first aid severe and critical cases, and smooth green referral channels. Strengthen the reserve of medical resources and materials for major epidemics, strengthen the construction of primary medical emergency response teams, improve medical emergency response plans for infectious diseases and emergencies, and improve the county's ability to respond to major epidemics and public emergencies.
The "Guiding Opinions" pointed out that it is necessary to deepen the reform of the system and mechanism, improve the county-level medical community, and support policies to strengthen the coordination of medical security policies. When implementing dynamic adjustment of medical services, it is necessary to coordinate and support the development of rural medical and health institutions and promote hierarchical diagnosis and treatment. Implement the general diagnosis and treatment fee policy, and where conditions permit, adjust the general diagnosis and treatment fees of primary medical and health institutions such as township health centers and village clinics, and connect them with the overall planning capacity of medical insurance and the patient's affordability. Appropriate health services in rural areas have been added to the medical insurance reimbursement catalogue, and the proportion of service income of rural medical and health institutions has been gradually increased. For medical service projects with a high degree of homogeneity, such as dressing change, injection, infusion, and blood collection, the specific scope can be clarified, and the same price in the same city at the county level can be gradually implemented. Implement the "Internet +" medical service policy, and promote the extension of medical services such as Internet diagnosis and treatment and remote consultation to the grassroots level.
*: China News Network).