In recent years, with the development of rural economy and the in-depth promotion of rural revitalization strategy, the responsibility of rural medical and health care has become heavier and heavier, and its role has become more and more prominent. It not only covers many fields such as society, economy, and culture, but also involves the comprehensive improvement of medical and health care, public services, and ecological environment. However, in practice, rural medical and health care still faces many challenges, and how to achieve its sustainable development in the new era is an important topic in front of us.
Recently, the first document of 2024 "Opinions of the Communist Party of China on Learning and Using the Experience of the "Demonstration of Thousand Villages and Renovation of Ten Thousand Villages" Project to Effectively and Effectively Promote the Comprehensive Revitalization of Villages" was released. It is reported that this is also the 12th document to guide the work of "three rural" since the 18th National Congress of the Communist Party of China.
Establish a monitoring and early warning mechanism for the burden of medical expenses
It is mentioned in the document that it is necessary to strengthen the monitoring and early warning of patients with high medical expenses in rural areas, and implement medical security and assistance policies in a timely manner according to regulations. Preventing patients from falling back into poverty due to high medical costs has always been the focus of rural medical attention, and monitoring and early warning is one of the mechanisms established for this purpose. In the same period last year, the General Office of the Communist Party of China and the General Office of the Communist Party of China issued the "Opinions on Further Deepening Reform and Promoting the Healthy Development of the Rural Medical and Health System", which proposed to "strengthen the early warning and monitoring of high medical expenses, and establish and improve a long-term mechanism to prevent and resolve the risk of returning to poverty due to illness".
What kind of monitoring indicators will enter the early warning range? Each province and city has different quantitative indicators. For example, after being reimbursed by basic medical insurance and serious illness insurance, the family members on the margins of the subsistence allowance who have accumulated more than 50% of the per capita disposable income of the province's residents in the previous year within the scope of the policy, the targets of monitoring and assistance to prevent the return to poverty, and the ordinary insured persons whose personal expenses within the policy scope exceed 150% of the per capita disposable income of the province's residents in the previous year are all included in the scope of early warning and monitoring.
**Document No. 1 promotes the overall progress of rural medical care
This year's No. 1 document emphasizes the importance of improving the rural public service system, and proposes specific measures to strengthen the service capacity building of township health centers and village clinics. By steadily increasing the proportion of rural doctors with practicing (assistant) physician qualifications, the service level and medical quality of township health centers and village clinics can be further improved, and the basic medical needs of rural residents can be better met.
This initiative will not only improve the health and quality of life of farmers, but also promote economic and social development in rural areas. Therefore, we should work together with all sectors of society to strengthen the construction of township health centers and village clinics, improve the medical level of rural doctors, and provide better medical services for rural residents.
Promote rural medical insurance and improve the efficiency of medical services at the county level
In addition, the document pointed out that it is necessary to gradually increase the proportion of medical insurance in rural medical and health institutions in the county, and accelerate the inclusion of village clinics in the designated management of medical insurance. This initiative will further reduce the medical burden of rural residents and enable them to enjoy more convenient and affordable medical services. At the same time, it will also promote the standardized development of rural medical and health institutions and improve their service quality and efficiency.
Not only that, the document also clearly put forward the measures to promote medical and health personnel "county management and township use, township employment and village use". This initiative aims to strengthen the construction of rural medical and health personnel and improve the capacity of rural medical and health services. Through the management and deployment of medical and health personnel in the county, medical and health resources can be used more efficiently, the structure of rural medical and health personnel can be optimized, and the medical level and professional quality of rural doctors can be improved, so as to better meet the basic medical needs of rural residents.
The first document put forward a "road map" to promote the comprehensive revitalization of the countryside, and the rural two-level medical care will play an increasingly important role. At the same time, we should also recognize the long-term and arduous nature of the development of rural medical and health undertakings, and only by persistently promoting various tasks can we ensure the continuous development of rural medical and health undertakings.