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Basic services to enhance the ability of Chinese medicine project implementation plan

 

 

 

 

        About print and distribute basic services to enhance the ability of Chinese medicine project implementation scheme of the notice

 

        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:

 

        For carefully organize the implementation of grassroots services to enhance the ability of Chinese medicine engineering, according to the state administration of traditional Chinese medicine and other five departments on implementing the basic services to enhance the ability of Chinese medicine engineering opinion "(of the traditional Chinese medicine medical ZhengFa [2012] 31), the state administration of traditional Chinese medicine, the ministry of health, human resources social security, the state food and drug administration to establish the basic services to enhance the ability of Chinese medicine project implementation plan", hereby printed and distributed to you, please comply with them.

 

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

 

        On 28 September 2012

 

        For carefully organize the implementation of grassroots services to enhance the ability of Chinese medicine project (hereinafter referred to as the ascending engineering), according to 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 of the ministry of health on implementing the basic services to enhance the ability of Chinese medicine engineering opinion "(of the traditional Chinese medicine medical ZhengFa [2012] 31) (hereinafter referred to as" opinion "), formulate the implementation plan.

 

        A, work target

 

        (a) overall goal

 

        By 2015, to community health service center, the township health center, community health service station, village clinic as the main body, hospital of traditional Chinese medicine (national medical hospital, combined Chinese and western medicine hospital, similarly hereinafter) for leading and support, social capital held by the medical institutions of traditional Chinese medicine for supplementary basic traditional Chinese medicine (national medicine, similarly hereinafter) service network basic establishment, the traditional Chinese medicine service facilities equipment basic is complete, the personnel allocation more reasonable, quality further improved, and further enhance ability, basically meeting between urban and rural residents to traditional Chinese medicine medical and health services demand, make urban and rural residents 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.

 

        (2) the annual target

 

        1. By the end of 2013, more than 85% of the community health service center, more than 70% of the township health center, more than 60% of the community health service station, more than 60% of the village clinic can provide Chinese medicine service.

 

        2. By the end of 2014, more than 90% of the community health service center, more than 80% of the township health center, more than 65% of the community health service station, more than 62.5% of the village clinic can provide Chinese medicine service.

 

        3. 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 can provide Chinese medicine service.

 

        4. Various counties (city, area) the basic medical and health institutions of traditional Chinese medicine services has increased each year, and in the "1025" period have increased dramatically.

 

        (3) local target

 

        1. The provinces (autonomous regions and municipalities) around the overall goals and points the annual aim further refinement and visualize the local work target, draws up the implementation of the program, and the state administration of traditional Chinese medicine, the ministry of health, human resources social security, the state food and drug administration jointly agreed after implementation.

 

        2. Various cities (ground) points annual target by the provinces (autonomous regions and municipalities) and various cities (ground) common agreed.

 

        3. Various counties (city, area) points annual target by various cities (ground) and various counties (city, area) common agreed.

 

        Second, the main task

 

        (a) to promote Chinese medicine basic policies implementation

 

        1. The health-care system in perfect play advantage and function of traditional Chinese medicine.

 

        (1) all ginseng adds up to the county to improve new farming combined traditional Chinese medicine expense ratio;

 

        (2) all ginseng adds up to county will 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;

 

        (3) the provinces (autonomous regions and municipalities) in making provincial new farming close to submit an expense account directory, all will meet the conditions of the medical institutions of traditional Chinese medicine preparation into the directory;

 

        (4) the provinces (autonomous regions and municipalities) are will meet the conditions of the medical institutions of traditional Chinese medicine preparation, acupuncture and therapeutic massage and TCM non-drug treatment technology into the basic medical insurance reimbursement range;

 

        (5) the provinces (autonomous regions and municipalities) and as a whole the area to carry out comprehensive pay amount control, adapt to the hierarchical medical system, perfect the difference payment policy, will pay scale further to grassroots tilt, encourage both urban and rural residents in the basic unit to use traditional Chinese medicine service.

 

        2. In consolidating perfect essential drugs system in Chinese medicine characteristics reflected.

 

        (1) all of the county (city, area) according to essential drugs system requirements, for all the basic medical and health institutions equipped with necessary Chinese medicine yinpian and proprietary Chinese medicine varieties,

 

        (2) all of the county (city, area) Chinese medicine yinpian basic drug management 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;

 

        (3) encourage the province as a unit to carry out proprietary Chinese medicine, Chinese medicine yinpian clinical use comprehensive evaluation work, and encouraged the use of the promotion with regional characteristics of "Jane, then, test and cheap" characteristics of traditional Chinese medicine prescription.

 

        (3) in the basic medical and health institutions performance appraisal and evaluation of traditional Chinese medicine as an important content in the content.

 

        (1) all of the county (city, area) in the community health service organization performance evaluation, traditional Chinese medicine service single row for one class index, the proportion of traditional Chinese medicine content score should be not less than 10%;

 

        (2) all of the county (city, area) in the township health center performance evaluation, the "traditional Chinese medicine clinic to total outpatient service people scale" as an important assessment indicator; In the township health center review, traditional Chinese medicine and traditional Chinese medicine services department construction as an important index of content of Chinese medicine should score with a certain percentage.

 

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

 

        More than 1.95% of the community health service center according to the ministry of health, the state administration of traditional Chinese medicine jointly issued by the community health service organization management method "and" community health service center basic standards set traditional Chinese medicine department, TCM pharmacy, equipped with TCM diagnosis and treatment equipment.

 

        More than 2.90% of the township health center according to the ministry of health, and five departments jointly issued by the township health center management method ", the ministry of health, the state administration of traditional Chinese medicine jointly issued by the township health center traditional Chinese medicine department basic standards set traditional Chinese medicine department, TCM pharmacy, equipped with TCM diagnosis and treatment equipment.

 

        More than 3.70% of the community health service station and more than 65% of the village clinic equipped with appropriate doctor of traditional Chinese medicine diagnosis and treatment equipment.

 

        (4) strengthen hospital of traditional Chinese medicine at or above the county level leading construction.

 

        (1) the provinces (autonomous regions and municipalities) at or above the county level are in hospital of traditional Chinese medicine basic conditions for construction, the doctor of traditional Chinese medicine key (features) the subject construction and information construction, 70% of hospital of traditional Chinese medicine at or above the county level to achieve the secondary grade a doctor of traditional Chinese medicine hospital level, each hospital of traditional Chinese medicine at or above the county level shall at least four provincial (including provincial) of traditional Chinese medicine specialized subject above characteristics;

 

        (2) the provinces (autonomous regions and municipalities) are not set to strengthen hospital of traditional Chinese medicine of the county (city, area) integrated hospital traditional Chinese medicine department TCM pharmacy construction, and meet all the general hospital of traditional Chinese medicine clinical basic standard "and" hospital TCM pharmacy basic standards.

 

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

 

        More than 1.95% of the community health service centers and more than 90% of the township health center category of traditional Chinese medicine doctors accounted for of the total number of physician organization this more than 20%.

 

        More than 2.70% of the 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 physician.

 

        More than 3.65% of the village clinic with at least one in traditional Chinese medicine mainly services of rural doctors or in the west rural doctors.

 

        4. The provinces (autonomous regions and municipalities) at least one takes listed (ground) in accordance with the provisions of the rural doctors from management regulation and the opinions of the requirements to carry out with traditional Chinese medicine speciality personnel into the rural doctors management work.

 

        5. The provinces (autonomous regions and municipalities) are in general practitioners of traditional Chinese medicine category standardization training and job-transfer training and economic underdeveloped rural areas the doctor of traditional Chinese medicine category assistant general practitioners training, the doctor of traditional Chinese medicine category general practitioners accounted for the proportion of basic general practitioners achieve 20% above, the doctor of traditional Chinese medicine category general practitioners of traditional Chinese medicine doctors basic category more than 50%.

 

        6. The provinces (autonomous regions and municipalities) were to carry out basic old traditional Chinese medicine experts DaiTu division of work, through the educational mode for the train practical talents of Chinese medicine.

 

        7. The provinces (autonomous regions and municipalities) were carried out in traditional Chinese medicine of traditional Chinese medicine at the grass-roots level on-the-job personnel professional degree education and continuing education, developing clinical category physicians and rural doctors of traditional Chinese medicine knowledge and skills training.

 

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

 

        More than 1.95% of the community health service center and all the center township health center built the doctor of traditional Chinese medicine clinical departments focus setting, a variety of traditional Chinese medicine method and means comprehensive use, traditional Chinese medicine culture atmosphere rich and relatively independent Chinese medicine integrated service area.

 

        2. All large and medium-sized cities at the county level hospital of traditional Chinese medicine and traditional Chinese medicine hospital Settings ZhiDaoKe at the grass-roots level, take 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.

 

        3. The provinces (autonomous regions and municipalities) are in Chinese medicine personnel county country integration management pilot work, explore the category of traditional Chinese medicine doctors 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

 

        1. All the county (city, area) built a base of traditional Chinese medicine is a common frequently encountered disease is suitable for popularization of technology base.

 

        2. All the county (city, area) of traditional Chinese and western medicine in grass-roots staff promotion to the traditional Chinese medicine at the grass-roots level suitable technical manual "and the state administration of traditional Chinese medicine notice the suitable technology directory as the focal point of appropriate technology of Chinese medicine. Traditional Chinese medicine can provide service of medical and health institutions at the grass-roots level, each community health service center, the township health center at least be able to develop traditional Chinese medicine on 10 counts of appropriate technology, every community health service station, village clinic at least be able to develop four appropriate technology of Chinese medicine.

 

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

 

        1. The provinces (autonomous regions and municipalities) are strengthening basic medical and health institutions of traditional Chinese medicine physique identification theory and application methods of training, year after year to improve residents health file the doctor of traditional Chinese medicine physique proportion of identification.

 

        2. The provinces (autonomous regions and municipalities) are promote basic medical and health institutions according to the Chinese medicine health education basic contents of health education in traditional Chinese medicine, in health education printing material, audio and video data type, quantity, mission field update frequency and lectures, consulting activities of etc., should be more than 40% of the content of traditional Chinese medicine.

 

        3. The provinces (autonomous regions and municipalities) are promote basic medical and health institutions according to the traditional Chinese medicine health management technology specification, the children, the maternal, the elderly and hypertension, type 2 diabetes mellitus patients using traditional Chinese medicine technology and methods for health management, focus on the major populations who raised year by year and slow patients health GuanLiLv traditional Chinese medicine.

 

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

 

        1. The provinces (autonomous regions and municipalities) are formulated and implement 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 medical policies and measures.

 

        2. The provinces (autonomous regions and municipalities) are formulated and implement encourage conditional grassroots drug chain enterprises set up the doctor of traditional Chinese medicine medical clinic gabbatha policies and measures.

 

        3. The provinces (autonomous regions and municipalities) were further implement price, tax, health care point, land, key discipline construction, professional title evaluation policy, for all kinds of social capital held non-profit medical institutions of traditional Chinese medicine to give preferential support.

 

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

 

        1. Strengthen the supervision and administration of traditional Chinese medicine, all basic medical and health institutions implementing Chinese medicine industry standards and technical specifications.

 

        2. Strengthen the use and management of traditional Chinese medicine, the provinces (autonomous regions and municipalities) are all basic medical and health institutions 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. On the basis of standard management, the provinces (autonomous regions and municipalities) are formulated and implement allow rural traditional Chinese medicine technical personnel from mining, self, folk conventional Chinese herbal medicine for policies and measures.

 

        (3) strengthen the quality control of traditional Chinese medicine (TCM), the provinces (autonomous regions and municipalities) strictly regulate basic medical and health institutions and Chinese medicine yinpian purchasing procedure, basic medical and health institutions shall require strict in the Chinese medicine yinpian production, business enterprise qualification, forbidden 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 family" activities carried out in-depth

 

        The provinces (autonomous regions and municipalities) are comprehensively carry out the "traditional Chinese medicine Chinese line - into the country into the community into family" activities, carry out popular forms, rich contents, various forms of the culture of TCM scientific propaganda activities, the culture of TCM knowledge popularization national 80% administrative villages, 85% above community and family more than 80%.

 

        Three, key projects

 

        (a) the basic traditional Chinese medicine appropriate technical service ability construction project

 

        1. In community health service center and township health center construction of standardized comprehensive service of traditional Chinese medicine and traditional Chinese medicine department standardization of TCM pharmacy.

 

        2. For community health service station and village clinic equipped with appropriate doctor of traditional Chinese medicine diagnosis and treatment equipment.

 

        3. Depending on the current Chinese medicine resources, the provinces (autonomous regions and municipalities) build at least one provincial TCM promote appropriate technology base, various counties (city, area) build a basic common diseases at or above the county level TCM frequently encountered disease extending appropriate technology base.

 

        4. Make the doctor of traditional Chinese medicine general medical and preventive care appropriate technology catalogue, grassroots appropriate equipped with the Chinese medicine yinpian directory and after clinical verification, curative effect is reliable Chinese medicine unilateralism, prescription for promotion choose all over.

 

        (2) the basic medical and health institutions standardization construction project

 

        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. In the project performance evaluation, will reach the department of traditional Chinese medicine as a basic medical and health institutions is one of the key indicators.

 

        (3) the basic traditional Chinese medicine personnel training project

 

        Medical institutions at or above the county level for training 15000 TCM clinical technology backbone (including 500 national medical personnel), to 50000 meet the conditions of the rural doctors and township health center of Chinese medicine of traditional Chinese medicine personnel (including national medicine) professional college degree education of rural doctors in traditional Chinese medicine (including national medicine) basic knowledge and skills training (including basic national medical personnel), for urban and rural culture 30000 TCM category general practitioners, to select 8000 grassroots old traditional Chinese medicine experts for the county, township and village and community health service organizations at the grass-roots level the training of a group of Chinese medicine talents, training a group of Chinese medicine prevention health care personnel.

 

        (4) hospital of traditional Chinese medicine at or above the county level standardization construction project

 

        On the basis of traditional Chinese medicine hospital construction standard ", to the national bolo government held at or above the county level of the traditional Chinese medicine hospital for business expansion and configuration for the basic medical equipment, improve service conditions and improving the service abilities, and strive in the "1025" final at or above the county level most hospital of traditional Chinese medicine basic infrastructure conditions meet the national standards.

 

        (5) the rural medical institutions of traditional Chinese medicine (features) key subject construction project

 

        For each hospital of traditional Chinese medicine at or above the county level shall strive to cultivate and construction more than one key (features) of traditional Chinese medicine specialized subject.

 

        (6) of traditional Chinese medicine hospital information construction projects at or above the county level

 

        Strengthening primary hospital of traditional Chinese medicine application and service information system construction, improve the quality and efficiency of traditional Chinese medical treatment; To establish and perfect the Chinese medicine electronic medical records is the core of the hospital information system, promote the information exchange and business synergy; Hospital of traditional Chinese medicine, the construction of comprehensive statistical management information system, improve the hospital of traditional Chinese medicine at or above the county level information data analysis and application level; Carry out remote medical treatment information system construction, to realize the remote consultation, remote consultation, remote education functions.

 

        (7) integrated traditional Chinese medicine hospital service ability demonstration construction project

 

        Has not yet set in hospital of traditional Chinese medicine at or above the county level of the county (city, area) general hospital is given priority to, screening a batch of general hospital of traditional Chinese medicine service ability to carry out the construction of demonstration.

 

        (8) traditional Chinese medicine culture dissemination fine project and popular science tour speaking activities

 

        To create a batch of scientific and accurate, easy to understand, various forms, rich, close to the life styles of traditional Chinese medicine culture series of popular science books, movie and TV, av, network, cartoon and so on many kinds of forms of the culture of TCM products; Build a including national and provincial Chinese medicine scientific expert team, in the whole nation to carry out the knowledge of TCM science lectures, let the people accept the culture of TCM knowledge science education, so that the masses can the science accurately understand and master culture and traditional Chinese medicine health care methods.

 

        The provinces (autonomous regions and municipalities) around ascension engineering clear work task and the national implementation of the construction project, according to the local finance arrangement and deployment, start implementing basic traditional Chinese medicine service ability construction related projects.

 

        Four, the organization implementation

 

        (a) mobilization deployment

 

        In September 2012, the state administration of traditional Chinese medicine, the ministry of health, human resources social security, the state food and drug administration, the ministry of health, the general logistics department held a joint basic services to enhance the ability of Chinese medicine engineering start working conference, carries on the mobilization deployment. The provinces (autonomous regions and municipalities) according to the "opinion" and "scheme" requirement, combined with the local reality, mobilize the deployment of the areas under their respective jurisdiction promotion project implementation work.

 

        (2) management by objectives

 

        September 2012 to December, the provinces (autonomous regions and municipalities) according to the "opinion" and "the plan" clear work tasks, this area grass-roots work of Chinese medicine basic investigation of the baseline, and put forward the work task points annual target.

 

        Before the end of March 2013, 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 a 2013 to 2015 target responsibility.

 

        Before the end of June 2013, the provinces (autonomous regions and municipalities) complete people's government at the provincial level and city (prefecture) people's government, city (prefecture) people's government and the county (city, district) people's government signed the target responsibility work.

 

        (3) monitoring and evaluation

 

        Relying on the ministry of health statistics information center and the doctor of traditional Chinese medicine hospital medical quality monitoring center of the provinces (districts, cities), the annual target responsibility main task index for dynamic monitoring, analysis and result evaluation report. The provinces (autonomous regions and municipalities) to strengthen the region improve project implementation progress and implementation effect of monitoring and evaluation, timely find implementation difficulties and problems, carried on the earnest analysis, take effective measures to solve them.

 

        (4) 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, the general logistics department of the ministry of health organizations provinces (autonomous regions and municipalities) target responsibility annual target completion status and key project executive circumstance timely carry out supervise and check, timely grasp the provinces (districts, cities), the promotion project implementation progress, supervise and urge all of the target responsibility seriously finish tasks and key project construction tasks.

 

        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, supervise and urge various cities (ground), county (city, area) to finish the task.

 

        (5) propaganda guidance

 

        The provinces (autonomous regions and municipalities) must adhere to the correct orientation of public opinion, strengthen the active guidance, extensive propaganda promotion project relevant policies and measures, the publicity of typical experience and progress results. To mobilize all parties involved in advance engineering the enthusiasm, initiative and creativity, and give full play to the role of the main Chinese medicine personnel at the grass-roots level, build the whole society concern and support ascension engineering good atmosphere.