Concerning the implementation of grassroots services to enhance the ability of Chinese medicine engineering opinion

Source: YiZhengSi

Traditional Chinese medicine kingdom medical ZhengFa [2012] no. 31

All provinces, autonomous regions, municipalities directly under the central government health TingJu, administration of traditional Chinese medicine, human resources social security TingJu, food and drug supervision and administration, xinjiang production and construction corps health bureau, human resources social security bureau, the food and drug administration, army units concerned:

        To further implement the "" 1025" during deepening medical health system reform planning and implementation plan (guo fa [2012] 11), "the state council about support and promote the development of Chinese medicine cause several opinions (guo fa [2009] no. 22) and the office of the state council on printing and distributing the public hospital at or above the county level comprehensive reform pilot opinion notice" (countries do hair [2012] no. 33) on traditional Chinese medicine (national medicine) work deployment and requirements, and improve the service ability of traditional Chinese medicine, and to better meet the urban and rural residents and the officers and soldiers of the traditional Chinese medicine service demand, the state administration of traditional Chinese medicine, the ministry of health, human resources social security, the state food and drug administration, the general logistics department in the ministry of health decided to "1025" during implement basic services to enhance the ability of Chinese medicine project (hereinafter referred to as the ascending engineering). To make promotion project implementation work, we put forward the following suggestion.

        One, fully understand the importance of engineering implementation of ascension and urgency

        Traditional Chinese medicine is the unique health resources, China's medical and health cause important characteristics and significant advantages, the clinical curative effect definite, prevention health care function, unique treatment flexible, cost is relatively low, with a broad mass base, favored by the vast number of urban and rural residents and the officers and soldiers of the welcome. Strengthening primary Chinese medicine service ability construction, give full play to the traditional Chinese medicine in the grassroots health work the advantages and the function, to deepen the reform of the medical and health system (hereinafter referred to as the deepening reform), explore to establish the masses afford, the government bear, financial sustainable mutual supplement of traditional Chinese and western medicine of Chinese characteristic medicine health system, improve the people's health level and promote Chinese culture and promote economic development and social harmony, has the extremely vital significance.

        Deepening reform, start since the implementation of the central committee, under the leadership of the state council, in the party committees at all levels government attach great importance and under the support of relevant departments, each region according to "the basic, strong base, build mechanism" the basic principle, strengthen the basic traditional Chinese medicine work dynamics, have made remarkable progress and preliminary achievements. At present, 75.6% of the community health service center, 66.5% of township health center, 51.6% of the community health service station, 57.5% of the village clinic can provide Chinese medicine service, people see the doctor of traditional Chinese medicine is fair, accessibility and convenience to get preliminary improvement. Traditional Chinese medicine in order to alleviate the problem hospital play an important role for establishing Chinese characteristics to basic medical and health system role appeared more and more. But also want to see clearly, as the people's living standards improve, health consciousness and idea unceasingly strengthens, medical treatment to ensure a system to constantly improve, urban and rural residents in Chinese medicine service puts forward the new higher requirement; Meanwhile, basic traditional Chinese medicine service network is not sound, infrastructure condition is poor, serious shortage of talent, quality is not high, service ability is not strong and so on problems still outstanding, restricts the development of traditional Chinese medicine system mechanism continuity and structural problem has not been fundamentally solved, basic traditional Chinese medicine service capacity and the requirement of urban and rural residents also has the very big disparity. To this, the people and the social from all walks of life to reflect intensely.

        Implement promotion project is based on the existing work, further strengthen the implementation of policies and measures, and increase investment, enhance grass-roots TCM service capacity. Implement promotion project is the important embodiment of traditional Chinese and western medicine to pay equal attention to, is the implementation of the "1025" during deepening medical health system reform planning and implementation plan "is the key step and guarantee the health of the people's livelihood of the people project, which is a complex difficult system engineering. The governments of all regions and all relevant departments should fully realize the importance of the project implementation of ascension and urgency, and take effective measures to strengthen the basic traditional Chinese medicine service ability construction, and strive to create a basic work of Chinese medicine scientific development new situation.

        Second, the specific implementation of the overall requirements of ascension engineering

        (a) the guiding ideology and principle.

        The guiding ideology, guided by the scientific development concept, insist on both traditional Chinese and western medicine, according to "the basic, strong base, build mechanism" the basic principle, closely focusing on "services more accessible, ability improving, mass (officers and soldiers may have benefits" job objective, implementation of the basic work of Chinese medicine the deployment and requirements, give full play to the local governments at various levels and the traditional Chinese medicine, health and human resources social security, food and drug supervision departments at all levels, military health department and hospital of traditional Chinese medicine (national medical hospital, combined Chinese and western medicine hospital of traditional Chinese medicine, the army for relevant departments and institutions), basic medical and health institutions (community health service center, the township health center, community health service station, village clinic; the army for military medical institutions, including the army troops allocation of out-patient department, hospitals, clinics, medical unit, health center, clinic, etc.) of the enthusiasm, into the construction and supervision and implementation, to carry out the policy and reform pay equal attention to, through the basic traditional Chinese medicine service network construction and perfect, accessibility and availability unceasing enhancement, give full play to the traditional Chinese medicine "Jane, then, test and cheap" characteristics and advantages, construction of traditional Chinese and western medicine have complementary advantages, widely application, learn from each other, improve together of the sustainable development of Chinese characteristic basic medical and health system, and better meet the growing urban and rural residents of the medical and health services demand.

        Principle: the government leading, industrial implement; Departments, and the upper and lower linkage, Adjust measures to local conditions, classified guidance.

        (2) the main goal.

        With basic medical and health institutions as the main body, hospital of traditional Chinese medicine for leading and support, social capital held by the medical institutions of traditional Chinese medicine for supplementary basic traditional Chinese medicine service network and the army basic system of traditional Chinese medicine service network basic establishment, the traditional Chinese medicine service facilities equipment basic is complete, the personnel allocation more reasonable, quality further improved, and to further enhance TCM service ability, basically meet the urban and rural residents and the officers and soldiers of the traditional Chinese medicine for medical and health service demand, make urban and rural residents and army officers and soldiers to see the doctor of traditional Chinese medicine is more convenient, more effective and more cheap, through the TCM prevention health care not sick, sick, sick less delay.

        - by the end of 2015, more than 95% of the community health service center, more than 90% of the township health center, more than 70% of the community health service station, more than 65% of the village clinic to provide services of traditional Chinese medicine (TCM service provided in community health service center and township health center, it is to point to equipped with traditional Chinese medicine doctors category, configuration of TCM equipment, use of Chinese medicine yinpian, etc more than 6 kinds of traditional Chinese medicine technology and methods, and carry out common disease frequently occurring disease basic medical and preventive health services; in the community health service station, village clinic, it is to point to equipped with traditional Chinese medicine doctor or category can provide services in accordance with the relevant provisions of Chinese medicine clinical category physicians, village doctor, configuration of TCM equipment, use of Chinese medicine yinpian or doctor of traditional Chinese medicine non-drug therapy, developing common disease frequently occurring disease basic medical and preventive health services);

        - each county (city, area) the basic medical and health institutions of traditional Chinese medicine services in total services in certain proportion, and in the 1025 "period have increased dramatically.

        Third, focus on the completion of the basic work of Chinese medicine all tasks

        (a) to promote Chinese medicine basic policies implementation.

        In a healthy national medical insurance system of traditional Chinese medicine play advantage and function. Improve the new agriculture combined traditional Chinese medicine expense ratio; The acupuncture and therapeutic massage and TCM non-drug treatment technology into the new agriculture close to submit an expense account range, guide the application Chinese medicine medicine appropriate technology; In making the provincial new farming close to submit an expense account directory, will meet the conditions of the medical institutions of traditional Chinese medicine preparation into the directory. Will meet the conditions of the Chinese traditional medicine (including Chinese medicine yinpian, proprietary Chinese medicine, Chinese medicine preparation) and TCM diagnosis and treatment by the regulation project into fund of insurance of primary medical treatment to pay limits. In the medical insurance payment system reform, perfect the difference payment policy, will pay scale further to grassroots tilt, encouraged the use of the traditional Chinese medicine service, and guide the masses ailment to see a doctor at the grass-roots level.

        In consolidating perfect essential drugs system in Chinese medicine characteristics reflected. According to the essential drugs system requirements, in the basic medical and health institutions equipped with Chinese medicine yinpian and traditional Chinese medicine. Chinese medicine yinpian basic drug management temporary according to the relevant departments of the state council about Chinese medicine yinpian pricing, purchasing, distribution, use and the basic medical insurance payment policy and regulations.

        In the community health service organization performance assessment, township health center performance appraisal and evaluation of traditional Chinese medicine and traditional Chinese medicine department construction will provide service as an important index of content of Chinese medicine should score with a certain percentage. In the secondary hospital of traditional Chinese medicine evaluation standard, the hospital of traditional Chinese medicine at or above the county level with supporting grassroots medical and health institutions of traditional Chinese medicine business as one of the key indicators.

        (2) strengthening the basic traditional Chinese medicine service network construction.

        According to "community health service center basic standards", "the new traditional Chinese medicine department basic standards set up community health service center and township health center traditional Chinese medicine department, TCM pharmacy, equipped with TCM diagnosis and treatment equipment. For community health service station and village clinic equipped with appropriate doctor of traditional Chinese medicine diagnosis and treatment equipment.

        At or above the county level in hospital of traditional Chinese medicine basic conditions for construction, the doctor of traditional Chinese medicine key (features) the subject construction and information construction, by 2015, 70% of the hospital of traditional Chinese medicine at or above the county level to level of second class hospital of traditional Chinese medicine. To strengthen hospital of traditional Chinese medicine has not been set up the county (city, area) integrated hospital construction of traditional Chinese medicine department TCM pharmacy.

        (3) strengthening the basic traditional Chinese medicine personnel training and team construction.

        According to "community health service center basic standards", "the new traditional Chinese medicine department basic standard", "community health service station basic standard" equipped with traditional Chinese medicine personnel. According to "rural doctors from management regulations, the provinces (autonomous regions and municipalities) according to the actual needs, can allow with traditional Chinese medicine speciality personnel after clinical assessment, farmers' comments and provincial health, traditional Chinese medicine administration department organization of secondary Chinese medicine professional level exam and qualified, apply for rural doctors practice registration, enter the village medical and health institutions practice. Rural doctors (Chinese medicine speciality personnel) medium Chinese medicine professional level exam basic requirements shall be separately formulated by the state administration of traditional Chinese medicine. By 2015, can provide Chinese medicine service of community health service center and township health center category of traditional Chinese medicine doctors accounted for of the total number of doctors above 20%; Community health service station equipped with at least one category of traditional Chinese medicine doctor or to provide services of traditional Chinese medicine clinical category physicians; Village clinic with at least one in traditional Chinese medicine mainly services of rural doctors or in the west rural doctors.

        To carry out the doctor of traditional Chinese medicine category general practitioners standardization training and job-transfer training and economic underdeveloped rural areas the doctor of traditional Chinese medicine category assistant general practitioners training. Carry out multi-level educational education, encourage the old traditional Chinese physician DaiTu. In traditional Chinese medicine of traditional Chinese medicine basic on-the-job on-the-job personnel professional degree education and continuing education, developing clinical physicians and category with western medicine primarily village doctor of traditional Chinese medicine knowledge and skills training. Encourage higher TCM colleges graduates to grass-roots work.

        (4) strengthen the basic medical and health institutions of traditional Chinese medicine special advantage construction.

        The community health service center and township health center and forces of health institutions all the doctor of traditional Chinese medicine clinical departments focus Settings, the construction of traditional Chinese medicine culture atmosphere rich and relatively independent Chinese medicine integrated service area, forming a variety of traditional Chinese medicine method and means of the comprehensive use of traditional Chinese medicine and herbal drugs synthesis service mode.

        At or above the county level shall establish hospital of traditional Chinese medicine and large and medium-sized cities to basic level hospital of traditional Chinese medicine, medical and health institutions guidance supporting mechanism. At or above the county level in the hospital of traditional Chinese medicine and large and medium-sized city hospital of traditional Chinese medicine at the grass-roots level set ZhiDaoKe, adopt to accept education, medical tour, take turns XiaPa, technical training, and other forms of basic medical and health institutions and business guidance of traditional Chinese medicine. Explore the doctor of traditional Chinese medicine category physician county, township and village longitudinal flow mechanism, and gradually establish a hospital of traditional Chinese medicine at or above the county level from talents, technology and so on various supporting the construction of township health center the mechanism of traditional Chinese medicine department.

        (5) promote grass-roots common disease frequently encountered disease appropriate technology of Chinese medicine.

        According to different level medical institutions and hierarchical classification of traditional Chinese and western medicine personnel promotion to the state administration of traditional Chinese medicine for the traditional Chinese medicine at the grass-roots level appropriate technology handbook and notice the suitable technology directory as the focal point of appropriate technology of Chinese medicine. Allow grassroots western medicine personnel trained after examination by using appropriate technology of Chinese medicine.

        In traditional Chinese medicine at the grass-roots level appropriate technology promotion ability construction, by 2015, each county (city, area) were built with traditional Chinese medicine at the grass-roots level appropriate technology promotion base. Based on traditional Chinese medicine at the grass-roots level suitable for popularization of technology base, the construction of traditional Chinese medicine at the grass-roots level appropriate technology promotion video network platform. Carry out folk medicine mining, sorting, popularization and application work.

        (6) promote basic medical and health institutions and prevention of traditional Chinese medicine health care service.

        Strengthen basic medical and health institutions of traditional Chinese medicine physique identification theory and application methods of training, and gradually raise residents health file the doctor of traditional Chinese medicine physique proportion of identification. Promote basic medical and health institutions in dietary daily life, cultivate characteristic, dietotherapy medicinal food and exercise of urban and rural residents to carry out knowledge education of traditional Chinese medicine health care and health education, in health education printing material, audio and video data type, quantity, mission field update frequency and lectures, consulting activities of etc., should have a certain proportion of traditional Chinese medicine content; In children, the maternal, old key crowd and hypertension, type 2 diabetes slow patients health management actively apply medicine methods, improve key crowd and slow patients health GuanLiLv traditional Chinese medicine.

        Basic public health services in Chinese medicine service project pilot work, exploration in the basic public health services give full play to the role of traditional Chinese medicine effective ways and model, in the basic public health services per capita funds standard gradually improve process, design of traditional Chinese medicine prevention health care services and content and listed in the national basic public health services.

        (7) encourage social forces at the basic level medical institutions held the doctor of traditional Chinese medicine.

        Further improve the practice environment, carries out the price, tax, health care point, land, focus on specialized subject and key subject construction, professional title evaluation, famous old traditional Chinese physician DaiTu etc policy, for all kinds of social capital held non-profit medical institutions of traditional Chinese medicine to give preferential support. Encourage qualified doctor of traditional Chinese medicine specialized technical personnel especially old doctor of traditional Chinese medicine in the basic unit to open the doctor of traditional Chinese medicine clinic or individual practice medicine. Encourage retail pharmacy of traditional Chinese medicine to provide medical services sitting on the judgment seat, and encourage conditional drug retail enterprises in the grassroots open chain operation of the traditional Chinese medicine medical clinic gabbatha.

        (8), according to law, strengthen the supervision and administration of traditional Chinese medicine at the grass-roots level.

        Strengthen the supervision and administration of traditional Chinese medicine. Strengthening primary Chinese medicine service quality supervision, and promote the basic medical and health institutions implementing Chinese medicine industry standards and technical specifications. Put an end to do not have qualification personnel to open individual business, under the flag of doctor of traditional Chinese medicine to crack down on all kinds of illegal medical activities and false medical advertisement.

        Strengthen the use and management of traditional Chinese medicine. Extensive publicity and training to promote the traditional Chinese medicine clinical application guiding principle ", "the basic drugs (traditional Chinese medicine) clinical application guide", "Chinese medicine injection clinical application guide", guide basic-level medical staff rational use of traditional Chinese medicine. Allow rural traditional Chinese medicine technical personnel in standardized management, on the basis of self, from mining, private folk conventional of Chinese herbal medicine. Collect and evaluation basic medical and health institutions commonly used Chinese traditional medicine prescription, suitable for screening of traditional Chinese medicine prescription and explore popularization and application.

        To strengthen the quality control of traditional Chinese medicine (TCM). Development of genuine medicinal materials, regulating the Chinese herbal medicine planting and breeding. In traditional Chinese medicine basic drugs for clinical use of comprehensive study, regulating the essential drugs list of proprietary Chinese medicine dosage form, strength or size, packaging, promote proprietary Chinese medicine kinds of basic drugs for clinical use of comprehensive research base construction. To strictly regulate Chinese medicine yinpian purchasing procedure, Chinese medicine yinpian must from legal Chinese medicine yinpian production and business enterprise purchase, it is strictly prohibited to JiaLie Chinese medicine into the basic medical and health institutions and individual clinics.

        (9) to promote the "traditional Chinese medicine Chinese line - into the country into the community into the family into camp" activities carried out in-depth.

        Promote the culture of TCM science knowledge into the country. Make full use of at all levels of radio network, all kinds of media and fair, etc., to rural residents popularity the knowledge of TCM and issuing of Chinese medicine scientific propaganda material. The organization carries out the "traditional Chinese medicine caravan" into the old revolutionary base areas, such as state-level counties in undeveloped district activities.

        Promote the culture of TCM science knowledge into the community. In the community health service centers and community health service station set up the culture of TCM science knowledge publicity column, the organization carries out the culture of TCM science knowledge lecture and other activities. Conditional area can be in urban community establishment of traditional Chinese medicine culture theme park, to carry out mass TCM fitness activities, etc.

        Promote the culture of TCM science knowledge into the family. Through various channels, and adopt a variety of ways, such as Chinese medicine scientific books sent to the family. Conditional area, can be associated with local media, organize production, broadcast and open for traditional Chinese medicine of the family health care and knowledge popularization programs and columns; Traditional Chinese medicine health care equipment households distribution; Facing a nursing home, orphanages and other special family groups, to carry out various forms of scientific propaganda activities.

        Promote the culture of TCM science knowledge into the barracks. Traditional Chinese medicine flexibly play resources advantage, goes down to the basic unit army extensively "traditional Chinese medicine barracks line" activities and to establish long-term mechanism.

        The army system implementation, improve project of the related tasks and the general logistics department of the ministry of health to determine and implement.

        Four, establish and perfect engineering guarantee mechanism of ascension

        (a) strengthen organization and leadership.

        At all levels of health, the Chinese medicine administrative management department, human resources department of social security, food and drug supervision departments at various levels and the armed forces department of health promotion to the implementation of the project as an important task, and earnestly strengthen leadership and organization, careful arrangement, and realize practical results. The state administration of traditional Chinese medicine, the ministry of health, human resources social security, the state food and drug administration and the general logistics department established the ministry of health promotion project leading group. The provinces (autonomous regions and municipalities) should actively strive for the support of the government, set up by Chinese medicine, health and human resources social security, food and drug supervision, military health and other departments to ascension engineering leadership mechanism. The provincial administrative department of traditional Chinese medicines to improve engineering as a project to pay special attention to emphasizing. Other departments according to the functions and duties to ascend the project objectives and tasks for refining decomposition, is clear about the various tasks in particular, in charge of the department and the responsible persons.

        (2) strengthening management by objectives.

        Establish target responsibility system. The state administration of traditional Chinese medicine in conjunction with the ministry of health, human resources social security, the state food and drug administration and the provinces (autonomous regions and municipalities) people's government signed the target responsibility ". The provinces (autonomous regions and municipalities) in the layers of sign "target responsibility", layer upon layer decomposition task, layer upon layer carries out the responsibility. To strengthen classified guidance, according to the actual situation in reasonably determine the overall targets and annual target. To establish the mechanism of rewards and punishments, the target responsibility "as the basic unit annual target completion of TCM service capacity is an important basis of project arrangement; To the target responsibility "implementation of the poor areas, supervision, questioning and criticized.

        (3) increasing investment.

        The state administration of traditional Chinese medicine in conjunction with the ministry of health and other departments actively carry out the central financial support ascension engineering related project, strengthening basic medical and health institutions of traditional Chinese medicine section office construction, equipment configuration of traditional Chinese medicine, Chinese medicine personnel and training, traditional Chinese medicine and the expansion of fit technique at or above the county level hospital of traditional Chinese medicine basic conditions for construction, the doctor of traditional Chinese medicine key (features) the subject construction and information construction, etc. In the national and local common implementation of the village clinic, township health center, community health service organization standardization construction, strengthen the construction of TCM function, make the basic medical and health institutions have to carry out the basic condition of traditional Chinese medicine service. The provinces (autonomous regions and municipalities) around ascension engineering clear work task and the national implementation of the construction projects, and actively strive for local financial support, forming fluctuation linkage, mutual investment, place is given priority to, and cooperate with each other input mechanism, to ensure that each work mission successfully completed.

        (4) carrying out monitoring and evaluation.

        For carrying out the information monitoring. Relying on the ministry of health statistics information center and the doctor of traditional Chinese medicine hospital medical quality monitoring center to carry out basic traditional Chinese medicine service information statistical work and dynamic monitoring work publicize, in a timely manner, basic Chinese medicine information service. The provinces (autonomous regions and municipalities) to strengthen the region improve project implementation work of the dynamic monitoring.

        To carry out supervision inspection. The state administration of traditional Chinese medicine in conjunction with the ministry of health, human resources social security, the state food and drug administration of the provinces (autonomous regions and municipalities) the target responsibility "annual all regular inspection evaluation and not periodically monitor. The provincial administrative department of traditional Chinese medicines in conjunction with the provincial health administrative departments at least annually to organize a provincial examination evaluation work. Regular inspection evaluation methods and rules by the state administration of traditional Chinese medicine in conjunction with the ministry of health, human resources social security, the state food and drug administration shall be separately formulated. The army system supervision inspection by the general logistics department health organization to implement.

        (5) the construction of the good environment.

        The provinces (autonomous regions and municipalities) to deploy and strengthen propaganda work to all levels of health, the Chinese medicine administrative management department, human resources department of social security, food and drug supervision departments and basic medical and health institutions in ascension fully recognize the significance of engineering, strengthen the implementation of ascension engineering's enthusiasm and the initiative. City (prefecture) and county (city, district) within the jurisdiction of the grassroots medical and health institutions carrying out mobilization deployment activity. To carry out the national basic traditional Chinese medicine work advanced unit to create activities, in accordance with the relevant regulations of the state to improve engineering to carry out strength, and the effect is obvious units for recognition. Strengthen the implementation of the project promotion propaganda, to create a joint efforts of the whole society to support ascension engineering good atmosphere.

The state administration of traditional Chinese medicine health human resources social security

State food and drug administration, the ministry of health bureau

August 27, 2012