The general requirements of 20 10 health work are: conscientiously implement the spirit of the Fourth Plenary Session of the Seventeenth Central Committee of the Communist Party of China, the Sixth Plenary Session of the Twelfth Provincial Party Committee and the National Health Work Conference, thoroughly study and practice Scientific Outlook on Development, closely focus on the overall strategy of "starting a business to enrich the people, innovating to strengthen the province", adhere to the development concept of "people-oriented, harmonious and healthy", and strive to further promote the reform of the medical and health system and serve the economy and society.
First, solidly promote and deepen the reform of the medical and health system.
Focusing on "Implementation Opinions of Zhejiang Provincial Party Committee and Zhejiang Provincial People's Government on Deepening the Reform of Medical and Health System" and "Implementation Plan for Deepening the Reform of Medical and Health System in Zhejiang Province in 2009-201/KLOC-0", we will improve the supporting policy system of medical reform and formulate specific tasks and measures to overcome difficulties. Strengthen investigation and study, follow up and guide 24 rural health reform pilot counties (cities, districts) and public hospital reform pilot cities, timely study and solve new situations and problems encountered in medical reform, and summarize and popularize good experiences and practices created by various places. Make full use of the effective carrier of strengthening health city and county, and further improve the evaluation index system in combination with the requirements of deepening medical reform, and gradually form a construction pattern in the province with the construction of a strong health province as the leader, the construction of a strong health city and a strong county (city, district) as the support, and the construction of a strong health town (street) as the support.
Two, the scientific preparation of our province's "Twelfth Five-Year" health development plan.
Realistically analyze the achievements and existing problems of health reform and development during the Eleventh Five-Year Plan period, formulate and implement corresponding measures for unfinished tasks, and ensure the realization of the scheduled goals. Strengthen the research on the development strategy and overall thinking of medical and health undertakings, focus on building people-oriented health, harmony and health, start with improving health level and promoting health equity, and scientifically compile the "Twelfth Five-Year" health development plan of our province. At the same time, study and formulate relevant plans such as medical resource allocation, health science and technology and talent development, public health service system, primary health service system, and health information construction.
Three, consolidate and improve the new rural cooperative medical system
The participation rate of the new rural cooperative medical system in the province remains above 90%, and the per capita financing standard of counties (cities, districts) reaches above 185 yuan, among which the financial subsidies at all levels reach above 129 yuan; All counties (cities, districts) capped the hospitalization compensation line (maximum payment limit) according to more than 6 times the per capita net income of local farmers, and the hospitalization compensation rate increased by 5% over the previous year. The annual fund balance rate shall be controlled within 15%, and the accumulated balance shall not exceed 25% of the overall fund of that year. All drugs in the national essential drugs list have entered the reimbursement scope of the new rural cooperative medical system, and the compensation ratio is at least 5 percentage points higher than that of non-essential drugs. Maintain a stable management system and encourage intermediaries to use their own resources and management and technical advantages to provide security services for others. Efforts should be made to implement the staffing of the organs and improve the management and handling capabilities. Upgrade and standardize the information management system of the new rural cooperative medical system, and gradually promote cross-regional real-time reporting of the new rural cooperative medical system. Try out the reform of payment methods such as "total prepayment", "per head payment" and "payment by disease type" to control the unreasonable increase of medical expenses.
Fourth, improve the primary health care service system.
Improve the planning of primary health care service system and strengthen the protection and implementation of the planning. Promote the construction process of 30 county-level hospitals under construction, and strive to build (including reconstruction and expansion) 10 or more; It is planned to build (including renovation and expansion) more than 65,438 community health service centers (township hospitals) and 4,000 new (renovation and expansion) community health service stations (village clinics), and continue to establish standardized community health service institutions. In-depth implementation of the "ten thousand doctors supporting rural health project", extending the support relationship to township hospitals, and establishing long-term counterpart cooperation relations with three county-level hospitals in each city. Actively guide urban and rural residents to "enter the community with minor illnesses", and the proportion of outpatient and emergency services in community health service institutions exceeds 45%.
Continue to implement the "order-based training for rural community doctors" project, and train 800 community doctors at junior college level for rural areas. Promote the pilot of "recruiting medical practitioners" in township hospitals, strive for township hospitals (community health service institutions) in 34 underdeveloped counties (cities, districts) in the province, and recruit medical college graduates 1 10,000 people. We will start the pilot reform of integrated management of health talents in counties and townships, explore the system of special posts for general practitioners, and establish and improve various counterpart support systems. Establish a standardized training system and on-the-job training system for general practitioners, carry out general practitioner knowledge training 1 10,000 person-times, train general practitioners 1 10,000 people and train community nurses 1 10,000 people throughout the year; Training 400 directors of rural community health service centers (township health directors). Implement the qualitative quota reform of rural community health service centers (township hospitals), and actively promote the performance pay system of public health and primary medical and health institutions. Under the guidance of the Ministry of Health, we will carry out the pilot examination for the qualification of rural practicing assistant doctors, and strive to solve the qualification problem of rural doctors in 3-5 years.
We will comprehensively launch the pilot reform of the overall allocation of medical and health resources in counties and villages. Based on the principle of voluntary declaration by counties and cities, a pilot reform of overall allocation of medical and health resources in counties and villages with "2+X" as the main content was carried out. Among them, "2" is a mandatory reform project, including the reform of integrated health management in townships (towns) and villages and the reform of qualitative staffing in township hospitals (community health service centers); "X" is a self-selected reform project, including county and township health integration reform, county hospital trusteeship reform, "one hospital with multiple stations" reform, county and township health talent integration reform, medical resources function integration reform, and management-management separation reform. Counties and cities included in the first batch of pilot projects should choose 1-2 breakthrough in the initial stage, highlight key points, try first, and play a demonstration and driving role in the whole province.
V. Promoting the equalization of basic public health services
Continue to do a good job in the implementation of Class III 12 basic public health service projects, adjust the project funds to 20 yuan per capita, highlight key populations and diseases, and establish a performance evaluation system oriented to the objectives and effects of basic public health services. Encourage areas with economic strength and service potential to increase service items and contents. In the third round, the health examination rate of participating farmers reached more than 30%, and the filing rate of standardized electronic health records of rural residents reached more than 20%. Extend basic public health services to the floating population, so that the floating population can get basic public health services such as maternal and child health care and disease prevention like the registered population.
Do a good job in the prevention and treatment of major diseases such as AIDS, tuberculosis and schistosomiasis, and major public health projects such as national immunization programs, blood safety, management and treatment of severe mental illness, and improvement of water and toilets in rural areas. Newly established 12 methadone maintenance treatment clinic and medication point, the placement rate of AIDS prevention tools in high-risk places reached 90%. Fully promote the "Measles Elimination Action Plan" and implement the malaria elimination action. Complete1.200,000 people under 5 years old to check for missing hepatitis B vaccine and replant it. 654.38+ 10,000 rural women were screened for cervical cancer and 50,000 rural women were screened for breast cancer, and folic acid was supplemented for rural women who were preparing for pregnancy in the province. The awareness rate of folic acid supplementation and folic acid taking rate of the target population reached 60%. The pre-marital medical examination rate reached 40%. Full implementation of rural pregnant women's hospital delivery subsidy project, to achieve the province's hospital delivery rate of 99%. Free surgery for 2000 poor cataract patients. Carry out more than 3,000 rural toilet renovation projects in remediation villages, and complete the construction tasks of more than 400,000 household toilets and more than 3,000 public toilets.
Actively promote the adjustment of the functions of food safety supervision institutions at the city and county levels, rationalize the food supervision system at the prefecture and city levels, further promote the reform of the food supervision system at the county (city, district) level, and earnestly do a good job in the hygiene supervision of catering services during the transfer of functions. Organize the formulation of local food safety standards, and do a good job in the filing of food enterprise standards. Intensify efforts to rectify food safety. Do a good job in organization and coordination, investigate and deal with major accidents, and carry out in-depth special actions to crack down on illegal addition of non-edible substances and abuse of food additives. Strengthen emergency preparedness and drills to effectively prevent, actively respond to and timely control major food safety accidents. Establish and improve food safety monitoring and early warning mechanisms such as provincial food safety and hygiene monitoring and evaluation institutions, food-borne disease reporting and monitoring networks, and food pollutant monitoring networks. Continue to consolidate and strengthen the construction of "rural modern circulation network, supervision responsibility network and mass supervision network". We will improve the responsibility system in which local governments take overall responsibility for food safety, regulatory authorities take their own responsibilities and enterprises are the first responsible persons, and strengthen food safety supervision.
Do a good job in the prevention, control and medical treatment of key infectious diseases such as influenza A (H 1N 1) and human infection with highly pathogenic avian influenza, hand, foot and mouth disease and cholera. Actively promote the construction of city and county health emergency command and decision system, further promote the construction of provincial health emergency demonstration counties, and carry out the pilot work of national health emergency comprehensive demonstration zone. Establish and improve the guarantee mechanism of public health funds to ensure the public welfare of professional public health institutions. According to the characteristics and functions of different types of professional public health institutions, study and formulate performance appraisal opinions and implement performance appraisal methods. Implement the national performance pay policy. Select 1-2 city to carry out pilot work and cultivate compound talents who know both medical care and public health.
We will carry out maternal and child health projects and women's health projects in depth, innovate the comprehensive prevention and control model of birth defects, and improve the quality of the birth population. The maternal mortality rate and infant mortality rate in the province are controlled below 12/ 10000 and 10‰ respectively. Organize the national health cities (counties and towns) in our province to carry out the activities of creating national health cities (counties, towns and villages) and promote the pilot work of building health cities (counties, districts and towns) in Zhejiang Province. In-depth development of national health cities (counties, districts), health towns (townships, streets), health villages and advanced health units selection activities.
Six, the implementation of centralized online drug procurement in the province, the implementation of the national basic drug system.
The implementation of government-led, province-based online drug centralized procurement, unified distribution and use. Municipalities, counties (cities, districts) should set up supervision institutions, designate special persons to be responsible, strengthen the management of drug procurement, distribution and use, and strictly prohibit offline procurement, secondary research, asking for kickbacks and other issues to ensure the smooth development of centralized drug procurement. Consolidate and expand the scope of the implementation of the basic drug system. No less than 60% of the primary medical and health institutions organized by the county (city, district) government implement the basic drug system, and the basic drugs are sold at zero rate. Guide grass-roots units to standardize and rationally use essential drugs in accordance with the National Guidelines for Clinical Application of Essential Drugs and the National Formulary of Essential Drugs, and strengthen the management of the use of essential drugs. Formulate the monitoring and evaluation index system for the implementation of the basic drug system, establish monitoring points for basic drugs, and do a good job in monitoring and evaluation. Carry out policy research on the essential drug system, strengthen the training, publicity and interpretation of the relevant policies of the national essential drug system, and guide the masses to use essential drugs. All localities should implement the compensation policy and actively encourage the exploration of village clinics equipped with basic drugs.
Seven, actively explore the reform of public hospitals.
Revise and improve the planning of medical institutions, scientifically and rationally adjust the planning and layout of public hospitals, and improve the comprehensive utilization efficiency of medical resources. Study and introduce the reform plan of public hospitals in Zhejiang Province, and improve the operating mechanism, compensation mechanism, management system and other related policies of public hospitals. Encourage all localities to carry out various forms of independent pilot projects. Actively promote the development of non-public medical and health institutions, and form a diversified pattern of investment subjects and investment methods. Encourage private capital to establish non-profit hospitals. Private hospitals enjoy the same treatment as public hospitals in medical insurance, scientific research, professional and technical qualification evaluation and continuing education; Equal treatment in terms of service access, supervision and management.
Complete the evaluation of tertiary general hospitals and start the evaluation of secondary hospitals. Taking the pilot of clinical pathway management as an opportunity, focusing on hospital infection control, emergency management and intensive care, we will solidly promote the continuous improvement plan of medical quality in Zhejiang Province. Strengthen the management of medical institutions, standardize the practice of medical institutions, and continue to supervise medical advertisements. Strict clinical diagnosis and treatment guidelines and technical operation norms, strengthen medical technology access, clinical application and drug management. Advance the appointment service, further open the weekend clinic, extend the registration time of the clinic, take various measures to facilitate the people and optimize the process to facilitate patients to seek medical treatment. Explore the ways and forms of establishing registered doctors to practice more, and encourage senior doctors to serve at the grassroots level. Implement the "Regulations on Nurses", strengthen the construction of nurses, deepen the quality management of clinical basic nursing and improve the level of nursing work. Explore the establishment of electronic medical records, realize information sharing with residents' health records, and promote the informatization construction of public hospitals. Implement the Measures for the Prevention and Handling of Medical Disputes in Zhejiang Province, establish a new mechanism for the prevention and handling of medical disputes, safeguard the legitimate rights and interests of both doctors and patients, and create a healthy and harmonious doctor-patient relationship.
Eight, promote the development of Chinese medicine.
Further improve the development policy of traditional Chinese medicine, comprehensively strengthen the construction of traditional Chinese medicine service system, carry out the "three in three" project in depth, and continuously improve the characteristics and advantages of traditional Chinese medicine in our province. Strengthen the standardization construction of Chinese medicine hospitals, and plan to rebuild and expand 5-8 county-level Chinese medicine hospitals. Strive for 3-4 state-level demonstration Chinese medicine hospitals, 2 state-level community health service demonstration areas with Chinese medicine characteristics 1-2, 4 demonstration units of Chinese medicine work in state-level general hospitals, 1 national key research laboratory of Chinese medicine 1, more than 0 provincial and ministerial major scientific and technological projects of Chinese medicine 10, and more than 5 appropriate technologies of Chinese medicine1. Do a good job in the academic inheritance of the fourth batch of old Chinese medicine experts, the training of the second batch of outstanding Chinese medicine clinical training talents, the assessment of Chinese medicine teachers and experts, start a new round of training for young and middle-aged clinical doctors at the provincial level and famous doctors at the grassroots level, and comprehensively strengthen the construction of Chinese medicine talents.
Nine, the establishment of sustainable development of medical and health science and technology innovation mechanism and talent guarantee mechanism.
Solidly promote the research and application of major scientific research projects and demonstration application topics such as "Research on National Demonstration Zone for Comprehensive Prevention and Control of Major Infectious Diseases" and "Research on Key Technologies of National Digital Health and Regional Demonstration Application". Accelerate the pace of health information construction in our province. Strengthen the construction of key medical disciplines, key disciplines and discipline groups, strive to undertake more than 30 national and provincial scientific research projects, build 65,438 key medical discipline groups +0-2, and build 50 county-level key medical disciplines. Strengthen the research and promotion of appropriate health technology, so that the province's appropriate health technology promotion demonstration bases will reach 60, and strive to improve the popularization rate of appropriate technology and the satisfaction rate of the masses.
We will strengthen the selection and training of high-level health talents by relying on national and provincial talent training and selection projects such as the National Million Talents Project, young and middle-aged experts with outstanding contributions from the Ministry of Health, specially invited experts from Zhejiang Province, Zhejiang 15 1 talent project and young and middle-aged experts with outstanding contributions from Zhejiang Province. In-depth implementation of the "Zhejiang Province Health High-level Innovative Talents Training Project", through targeted support and training, so that the training target can become innovative health talents with the ability to promote the development of medical disciplines, and enjoy a high reputation in the treatment of complex and difficult diseases and the prevention and treatment of major diseases. Further deepen the reform of professional title system, establish and improve the evaluation system of health professional technical qualifications, and innovate the evaluation mechanism that is conducive to the emergence of health talents. Continue to carry out health management personnel training.
Ten, to further strengthen the health legislation and health law enforcement capacity building.
Conscientiously do a good job in the legislative work of local laws and regulations such as the Patriotic Health Regulations of Zhejiang Province and the Measures for Implementing the Food Safety Law of People's Republic of China (PRC) in Zhejiang Province, and start the legislative investigation of the Public Health Regulations of Zhejiang Province. Formulate the Occupational Disease Prevention and Control Plan of Zhejiang Province (2009-20 15), and establish and improve the occupational disease prevention and control mechanism. Strengthen public health supervision responsibilities focusing on occupational health, radiation health, public places and schools, and prevention and control of infectious diseases, and further strengthen law enforcement. Strengthen the supervision of the medical service market, and the coverage rate of supervision and law enforcement of medical and health institutions will reach 100%. We will promote actions to crack down on illegal medical practice, improve the long-term supervision mechanism to crack down on illegal medical practice, and safeguard people's health rights and interests. We will earnestly carry out special actions to control the hazards of dust and highly toxic substances, establish and improve the database of enterprises with occupational hazards, and promote the occupational health ledger of toxic and harmful enterprises, with the filing rate reaching 100%. Strengthening rural health supervision and law enforcement, 100% of county-level health supervision institutions have achieved standardized operation.
Eleven, comprehensively strengthen the construction of health culture.
Implement the Central Committee of the Communist Party of China's Decision on Strengthening and Improving Party Building under the New Situation, and strive to improve the scientific level of Party building in the health system. The activity of studying and practicing Scientific Outlook on Development in primary medical and health units was successfully completed. We will improve the system for leading cadres in party member to report personal matters, and strictly implement the responsibility system for building a clean and honest government. Strengthen the supervision and inspection of the implementation of health policies and major capital projects, and increase the investigation and punishment of violations of discipline and law. Promote the innovation of anti-corruption system and thoroughly control commercial bribery in the field of pharmaceutical purchase and sale. Continue to carry out in-depth activities to create "six-type organs (units)", strengthen the construction of a clean government culture, promote the openness of government affairs (hospitals), strictly implement the medical ethics evaluation system, and improve the long-term mechanism for the construction of medical ethics.
Twelve, co-ordinate other health work.
With the requirements of high standards and high quality, the counterpart support for post-disaster reconstruction in Qingchuan was successfully completed. Do a good job in supporting 465,438+0 county-level hospitals in Guizhou Province by tertiary general hospitals in Zhejiang Province, and help recipient hospitals improve and strengthen their management and improve their service capacity and level. Do a solid job in the "moat around Shanghai" and do our best for the success of the World Expo. Further strengthen the work of voluntary blood donation, continue to maintain that all clinical blood in the province comes from voluntary blood donation, and ensure the quality and safety of blood. Do a good job in foreign aid medical services, strengthen the intensity, breadth and depth of international cooperation and exchanges, actively introduce international advanced management, technology, funds and talents, and promote the development of health in our province. Focusing on the main tasks, with the goal of comprehensively improving the health quality of medical care objects, we will strive to improve the level of medical care services. Further strengthen the work of health information and news reporting, and create a good external environment for health reform and development. Establish and improve the health system security, anti-terrorism, letters and visits and other organizations and working mechanisms, and earnestly do a good job in maintaining social stability. (office)