Sichuan Province 2011 Urban and Rural Hospital Counterpart Support Work Plan_Sichuan Counterpart Support

Sichuan Province’s 2011 urban and rural hospital counterpart support work plan

In accordance with the "Implementation Opinions on Deepening the Reform of the Medical and Health System" of the Provincial Party Committee and the Provincial Government and the Ministry of Health, the Ministry of Finance and the National Central Committee The overall requirements of the "Notice on Issuance" of the Medical Administration are based on the spirit of the "Notice of the Sichuan Provincial Department of Health on the Issuance and Distribution of Three Plans" (Sichuan Health Banfa [2010] No. 64), in order to further promote, standardize and implement the The counterpart support work of urban and rural hospitals has gradually formed a clear-level, targeted full coverage framework system for counterpart support, and has implemented various assistance work and achieved results. The "Sichuan Province 2011 Urban and Rural Hospital Counterpart Support Work Plan" has been specially formulated. .

1. Purpose of work

Promote the counterpart support of urban and rural hospitals, give full play to the radiating effect of urban high-quality medical resources, coordinate the coordinated development of urban and rural health services, and continuously improve the capabilities and capabilities of grassroots medical and health services. level, and actively provide safe, effective, convenient and affordable basic medical services to the general public in urban and rural areas.

2. Working Principles

(1) Overall planning.

Counterpart support work is organically integrated with the work of tens of thousands of doctors supporting rural health projects, urban tertiary hospitals supporting county-level hospitals, county-level hospitals supporting township health centers, and urban hospitals supporting community health service institutions, with overall planning. Highlight key points and advance comprehensively. (2) Graded implementation. The Provincial Department of Health formulates and organizes the implementation of plans for tertiary hospitals to provide counterpart support to some city, state and county (city, district) hospitals, and inland second-class general hospitals to support central health centers in ethnic minority areas; city (state) and county (city, district) health bureaus Formulate and establish a plan for county-level medical institutions to provide counterpart support to township health centers and organize its implementation; provincial, municipal (prefecture), district (city, county) health administrative departments formulate and organize the implementation of a plan for the counterpart support of community health service institutions by medical institutions in the city.

(3) Pay attention to practical results.

The fundamental purpose of counterpart support work in urban and rural hospitals is to achieve practical results and to eliminate formalism. The counterpart support work lasts for three years, and the supported hospitals must make significant improvements in diagnosis and treatment technology, medical services, management, etc. and be assessed as qualified.

(4) Mutual connection.

The counterpart support work for urban and rural hospitals should be organically connected with the promotion of public hospital reform, hospital annual target assessment, hospital evaluation and excellence, hospital grade review and review, and medical staff professional title promotion, etc., and work together to gradually Form a long-term mechanism for counterpart support work.

3. Work tasks

(1) Tertiary hospitals provide counterpart support to city (state) and county (district) hospitals.

1. The principle of counterpart relationship between tertiary hospitals in key counties and ethnic autonomous counties (thousands of doctors supporting rural health projects) in the national poverty alleviation and development work remains unchanged and a certain degree of stability is maintained. In accordance with the document requirements of the Ministry of Health, the total number of project counties was changed to 37.

2. County-level district and city hospitals (excluding key counties for national poverty alleviation and development) and county hospitals in Chengdu that have relatively good regional economic conditions and already have certain service levels and capabilities are not included in the list of recipients for the time being. scope.

3. Hospitals that were originally aid recipients but have recently passed the third-level hospital accreditation will no longer be recipients of aid. Exceptions are the hospitals in Ganzi, Aba and Liangshan prefectures.

4. Among the 18 earthquake-stricken counties, Dujiangyan People's Hospital and Jiangyou People's Hospital are hospitals in the earthquake-stricken counties. However, they have passed the third-level B hospital review in 2010, so they are not included in the counterpart list for the time being. Support system. The remaining 16 county and city hospitals have been included in the aid-receiving system because the counterpart support work from other provinces has ended.

5. Please see the attachment for the specific counterpart support relationship between tertiary hospitals and county hospitals.

(2) Class A hospitals provide counterpart support to central health centers in ethnic minority areas. The province's 94 second-class general hospitals provide counterpart support to 291 central health centers in 59 counties in the province's ethnic areas (***60 counties in ethnic minority areas, among which there is no central health center in Jinkouhe District). Each second-class hospital Each year, at least one medical staff member with an intermediate professional title or above will be dispatched to each central health center for counterpart support.

Second-class hospitals determined to have support tasks should proactively contact the health bureaus of the counties of the recipient ethnic groups, and jointly determine the central health centers for support. On this basis, they will formulate a work plan and submit it to the municipal and state health bureaus of the recipient areas for review. In 2011 Report to the Provincial Department of Health for filing before April 10, 2020.

(3) County-level hospitals provide counterpart support to township health centers. It is formulated by the health bureau of each county (city, district), reviewed and summarized by the relevant city (state) health bureau, and reported to the provincial health department for record before April 10, 2011.

(4) Plan for urban hospitals to provide counterpart support to community health service institutions. It is formulated and organized and implemented by the provincial, municipal (state), county (city, district) health administrative departments. The relevant city (state) health bureau will review and summarize the plan for the area under its jurisdiction and report it to the provincial health department for filing before April 10, 2010.

4. Work content and methods

(1) Personnel dispatch. Support hospitals should select experienced medical staff, mainly senior attending physicians (nurses, technicians) and deputy chief physicians (nurses, technicians), to participate in counterpart support work. The personnel assigned to the posts must have strong professional abilities, high quality, and good moral character. Both parties in counterpart support should negotiate to determine the profession, quantity and time of dispatched medical personnel, and make overall arrangements for the work of medical personnel. On the premise of ensuring the continuity and stability of the support work, the dispatch time of the attending physician is generally 6 months, and the dispatch time of the deputy chief physician and personnel from central units in Sichuan is generally 3 months.

(2) Clinical diagnosis and treatment. The dispatched medical personnel should participate in the clinical diagnosis and treatment work of the assisted hospitals, and undertake the diagnosis and treatment services of common diseases, frequently-occurring diseases, and difficult diseases at the grassroots level; they should carry out clinical teaching and technical training to improve the technical level of the grassroots hospitals.

(3) Technical support. Supporting units and aided units must determine specific technical collaboration projects, with the focus being to help aided hospitals independently develop appropriate new technologies and new businesses, build a number of characteristic specialties and key specialties, and cultivate a number of key talents and department leaders.

(4) Continuing training. Based on the actual needs of the recipient units and the promotion of appropriate technologies, the supporting units should help the supported hospitals select medical staff to receive training in their own hospitals or other institutions every year to strengthen their theoretical foundation, master appropriate technologies, and improve their management level. The number of training personnel received each year should be no less than 1/2 of the number of personnel dispatched by the supporting unit. In principle, the duration of further training shall not be less than 6 months. Among them, among the tertiary hospitals that provide counterpart support to county-level hospitals, the work requirements of the Ministry of Health’s county-level hospital backbone physician training project are implemented, and 430 key county-level hospital doctors are trained throughout the year. The personnel training plan will be issued separately by our department.

(5) Medical tour. Recipient hospitals and their local health administrative departments should regularly organize and support medical staff and local medical staff to actively carry out itinerant medical and mobile medical work, actively participate in counterpart support for township health centers, and expand the scope of benefits from counterpart support work.

(6) Remote consultation. Supporting hospitals and supported hospitals should actively create conditions to carry out remote consultations and training through the Internet, video and other forms, enrich the forms of counterpart support work, and improve work efficiency.

(7) Management output. Supporting hospitals and assisted hospitals can send managers to each other's hospitals to work in management positions in the other hospital, and those with conditions can take up positions. This will export the mature management experience of the supporting hospitals to the assisted hospitals, and at the same time strengthen communication and coordination between the supporting hospitals. The core work is to scientifically formulate and improve hospital development plans, establish and improve various hospital management systems, and promote the implementation of various systems.

(8) In-kind donations. Based on their own actual conditions, the supporting hospitals will provide in-kind or financial support during the support period to help the supported hospitals improve their hardware facilities and equipment configurations to improve the medical service conditions and diagnosis and treatment capabilities of the supported hospitals and facilitate local people's medical treatment.

(9) Promote medical reform. Supporting hospitals should help recipient units conscientiously understand relevant national and provincial health reform policies, and promote assisted hospitals to complete various hospital reform tasks.

In accordance with the spirit of national medical reform documents, counties with a population of more than 300,000 but without

second-class or above public hospitals (Qianwei County, Huaying City, Kaijiang County, Pengxi County, Hanyuan County, Yanyuan County , Huidong County, Yuexi County, Pingshan County), the tertiary hospitals with counterpart support must fully provide assistance in terms of software and hardware to ensure that they are qualified for the establishment of Grade II hospitals this year.

(10) Maternal and child health care. Maternal and child health care institutions organize obstetrics, pediatrics, nursing and other technical backbones to provide technical assistance to maternal and child health care institutions in the recipient counties, promote the training of grassroots maternal and child health technical personnel and the construction of institutional service capabilities, and comprehensively improve the professional comprehensive treatment level of maternal and child health care in the recipient counties.

(11) Traditional Chinese Medicine. Give full play to the advantageous role of traditional Chinese medicine in our province, strengthen assistance to areas with weak grass-roots traditional Chinese medicine service systems in our province, and vigorously promote the promotion and application of appropriate traditional Chinese medicine technologies for common diseases and frequently-occurring diseases at the grass-roots level.

(Twelve ) key subjects. Through counterpart support work, we will provide focused support to relevant specialized hospitals, focus on building relevant key disciplines such as psychiatry, oncology, dentistry and occupational disease prevention and treatment, and actively build relevant regional professional medical centers. Among them, the construction of key psychiatric disciplines is mainly focused on psychiatric departments in county hospitals in earthquake-stricken areas.

(13) Other forms. In addition to the above forms, supporting and assisted hospitals can also actively explore other forms of counterpart support from aspects such as hospital management, technological progress, scientific research and education, and continue to innovate and advance work.

5. Work Management

Counterpart support management work is carried out in accordance with the "Measures for the Management of Counterpart Support Work in Urban and Rural Hospitals (Trial)" and this document formulated by the Ministry of Health, the Ministry of Finance and the State Administration of Traditional Chinese Medicine. The requirements of the plan are strictly managed and included in the hospital grade review and review work.

(1) Strengthen organizational leadership.

Health administrative departments at all levels and relevant hospitals should strengthen the supervision and management of counterpart support work for urban and rural hospitals, regard the counterpart support work for urban and rural hospitals as an important work measure for medical reform, and include it in the annual target assessment. The health administrative departments in charge of each supporting and aided hospital are responsible for the management of this work. Each unit must establish relevant organizational leadership agencies to strengthen organizational leadership.

(2) Sign a work agreement.

Both parties for counterpart support must sign a counterpart support work agreement (see Appendix 2 for the reference text of the agreement), determine the annual implementation plan, formulate specific work implementation plans, and clarify the responsibilities and obligations of both parties. The counterpart support tasks for medical institutions arranged by the Provincial Department of Health shall be reported to the Provincial Department of Health for filing after the supporting and receiving parties sign an agreement; the counterpart support tasks arranged by the municipal (state) and county health bureaus shall be submitted to the supporting and assisted parties after signing an agreement. Report to the corresponding higher-level health administrative department for record; urban medical institutions support community health service institutions, and after the supporting and aided parties sign an agreement, report to the corresponding higher-level health administrative department and the provincial health department for record.

(3) Strengthen daily supervision.

The health administrative department of the city (state) where the supporting hospital is located must strengthen the management of the supporting hospital, organize an annual inspection and assessment of the implementation of the agreement, and supervise the supporting hospital's implementation of the counterpart support agreement. The city (state) and county (city, district) health administrative departments where the supported hospitals are located must organize daily supervision, organize annual assessments and final assessments of supported hospitals and supporting hospitals, and the assessment results must be promptly reported to the city (city, district) where the supporting hospitals are located. State) health administration department. Recipient hospitals are obliged to cooperate with counterpart support work. First, it is necessary to provide safe and convenient basic living and working conditions for the medical personnel sent to assist, and to care and take care of the dispatched personnel as much as possible in their daily lives. The second is to strengthen the management of stationed personnel and assess their work performance. The assessment content includes the completion of work goals, annual workload, medical ethics and style, continuous working hours (based on medical records and documents), patient feedback, and department responsibility. opinions, opinions of unit leaders, etc., and provide feedback to support units. The Provincial Department of Health is responsible for the supervision and management of counterpart support for urban and rural hospitals in the province. Our department will understand the implementation of counterpart support work in various parts of the province through random inspections, unannounced visits, telephone surveys, etc.

If the aid work becomes a mere formality due to the reasons of the aided hospital, the competent authorities must hold the main person in charge of the aided hospital accountable, and at the same time cancel all aid, national and provincial funding support, and project and hospital grade review for the aided hospital within 5 years. Qualifications etc. If, due to a tacit understanding between the supporting and receiving parties, medical personnel sent to the lower level leave their posts without authorization and conceal or lie about the situation to the superior health administrative department, upon verification, the classification of both hospitals will be revoked and the province will be notified and criticized.

(4) Target assessment.

At the end of the annual counterpart support work, the hospitals in the recipient cities (prefectures) and counties (districts) can meet the following basic requirements:

1. Various goals determined in the counterpart support work agreement All done.

2. The number of new suitable new technologies to be developed shall not be less than 10.

3. The satisfaction of inpatients and medical staff with counterpart support work reaches above 90% every year.

4. From June to July 2011, the health administrative departments at the city (prefecture) and county (district) levels organized annual evaluations of the recipient hospitals under their jurisdiction based on the "Sichuan Provincial Hospital Evaluation Standards". The score of the assisted hospital increases by more than 50 points every year.

The first half of the year is from early March to late September of the same year; the second half of the year is from late September to mid-March of the following year.

Supporting hospitals must, together with supported hospitals, submit half-year and full-year summaries, assessment results and work information tables to the health administration departments of their respective cities (states) (see Appendix 3).

Before October 10 this year and April 10 next year, the health administrative department of the city (state) where the supporting hospital is located must summarize and report the inspection and assessment results to the provincial health department.

The counterpart support work of ministerial and provincial medical institutions shall be reported to the provincial health department and the municipal (state) health administrative department where the assisted hospital is located in accordance with the above requirements.

Attached table: 1. Sichuan Provincial Urban and Rural Hospital Counterpart Support Work Arrangement and Deployment Table

2. Sichuan Province Counterpart Support Agreement (Reference Text)

3. Sichuan Province Counterpart Support Work Information Report