Article 2 These Measures shall apply to clinics (institutes and stations) set up in administrative villages that have been approved and registered by county-level health and family planning administrative departments and obtained the Practice License of Medical Institutions according to law.
Article 3 The term "village clinic staff" as mentioned in these Measures includes practicing doctors, practicing assistant doctors (including township practicing assistant doctors), rural doctors and nurses who practice in village clinics.
Article 4 Village clinics are an important part of the rural public service system and the foundation of the rural medical and health service system. All localities should support the construction of village clinics, equipment purchase and normal operation by means of public construction and private operation and government subsidies.
Article 5 The National Health and Family Planning Commission, together with the National Development and Reform Commission and the Ministry of Finance, shall guide all localities to formulate plans for setting up village clinics and be responsible for the supervision and management of village clinics throughout the country.
Provincial and municipal health and family planning administrative departments shall, jointly with the development and reform, finance and other departments at the same level, formulate the planning for the establishment of village clinics within their respective administrative areas, and be responsible for the supervision and management of village clinics within their respective administrative areas.
County-level health and family planning administrative departments shall reasonably plan the setting of village clinics, and be responsible for the examination and approval, practice registration, supervision and management of the setting of village clinics within their respective administrative areas.
Sixth steadily promote the integrated management of rural health services, and the local health and family planning administrative departments at or above the county level shall strengthen the standardized management of village clinics from the aspects of institutional planning and construction, personnel access and practice management, business, medical equipment and performance evaluation. Seventh village clinics undertake public health services, basic medical services and other tasks assigned by the superior health and family planning administrative departments.
Eighth village clinics undertake public health services such as health education and preventive health care in administrative villages, mainly including:
(a) to undertake, participate in or assist in the development of basic public health services;
(two) to participate in or assist professional public health institutions to implement major public health services;
(three) other public health tasks assigned by the health and family planning administrative departments at or above the county level.
Article 9 The basic medical services provided by village clinics mainly include:
(a) the initial diagnosis and treatment of diseases and the basic diagnosis and treatment of common and frequently-occurring diseases, as well as rehabilitation guidance and nursing services;
(2) Initial on-site first aid and referral service for critically ill patients;
(3) Referral of patients with infectious diseases and suspected infectious diseases;
(four) other basic medical services prescribed by the administrative department of health and family planning at or above the county level.
In addition to emergency surgery to save patients' lives and treatment of minor wounds, village clinics shall not provide the following services in principle:
Surgery, hospitalization and delivery services;
(two) medical services that are not commensurate with their functions;
(three) other medical services that the local health and family planning administrative departments at or above the county level clearly stipulate are not allowed to engage in.
Tenth village clinics undertake the publicity of health and family planning policies and knowledge assigned by the administrative department of health and family planning, collect and report information, and assist in the publicity and financing of the new rural cooperative medical care policy.
Eleventh village clinics should provide traditional Chinese medicine (ethnic medicine) services and family planning contraceptives and drug services that are compatible with their functions. Twelfth village clinics should follow the following basic principles:
(a) in line with the local regional health planning, medical institutions planning and new rural construction planning;
(two) overall consideration of local economic and social development level, rural residents' health service demand, service population, geographical traffic conditions and other factors, to facilitate the masses to seek medical treatment;
(three) comprehensive utilization of rural health resources, optimize the allocation of health resources;
(four) in accordance with the relevant provisions of the Regulations on the Administration of Medical Institutions and its detailed rules for implementation, and in line with the requirements of the Basic Standards for Medical Institutions.
Thirteenth in principle, an administrative village has a village clinic, and administrative villages with large population or scattered residence can be added as appropriate; An administrative village with a small population or area may jointly set up a village clinic with an adjacent administrative village. In principle, there is no village clinic in the administrative village where the township health center is located.
Fourteenth county-level health and family planning administrative departments shall handle the establishment, approval and practice registration of village clinics in accordance with relevant state laws and regulations.
Fifteenth village clinics registered diagnosis and treatment subjects for preventive health care, general medicine and traditional Chinese medicine (ethnic medicine). Village clinics shall not register other medical subjects in principle.
Article 16 The naming principle of village clinics is: township name+administrative village name+clinic (station). If more than one village clinic is set up in an administrative village, the name of the village clinic can be added in front of it. Village clinics may not use or add the names of other types of medical institutions.
Seventeenth village clinics housing construction scale of not less than 60 square meters, serving a large population should be appropriately increased construction area. Village clinics have at least consulting rooms, treatment rooms, public clinics and pharmacies. With the approval of the county-level health and family planning administrative department, an observation room will be set up to carry out intravenous drug delivery services, and a duty room will be set up as needed to encourage the conditional establishment of a rehabilitation room.
Village clinics shall not set up operating rooms, preparation rooms, delivery rooms and hospital beds.
Eighteenth village clinics should be equipped according to the principle of meeting the basic medical and health service needs of rural residents and the relevant provisions of the health and family planning administrative departments at or above the provincial level.
Nineteenth village clinics shall, in accordance with the relevant provisions of the verification management of medical institutions, regularly apply to the registration authority for verification. Twentieth according to the service population, rural residents' medical and health service status and expected demand and geographical conditions and other factors, in principle, according to the proportion of not less than 1‰ service population allocation. The specific standards shall be formulated by the provincial health and family planning administrative department.
Twenty-first personnel engaged in prevention, health care and medical services in village clinics shall obtain corresponding professional qualifications according to law.
Twenty-second village clinics run by the government shall, in accordance with the principles of openness, fairness and merit-based, employ personnel with good professional ethics and strong professional ability to practice in village clinics. Encourage qualified places to send doctors from township hospitals to practice in village clinics.
Twenty-third the establishment of village clinic personnel training system. Provincial health and family planning administrative departments organize the formulation of village clinic personnel training plan. County-level health and family planning administrative departments take clinical training, centralized training, distance education, counterpart assistance and other ways to ensure that village clinic staff receive free job skills training at least twice a year, and the cumulative training time is not less than two weeks. The training content should be adapted to the daily work of village clinics.
Twenty-fourth encourage in-service village clinic staff to receive continuing education with the qualification of doctors, and promote the transformation of rural doctors into practicing (assistant) doctors. Where conditions permit, preferential policies should be formulated to attract qualified practicing (assistant) doctors and medical graduates to work in village clinics and provide them with professional training.
Twenty-fifth explore the training mode of rural doctors' reserve talents. Local health and family planning and education administrative departments should select young reserve talents with good comprehensive quality and potential for training from local areas to medical colleges and universities for directional training. They can also select and recruit qualified medical graduates to receive post-graduation training directly and practice in village clinics after obtaining corresponding qualifications.
Twenty-sixth village clinic staff should strengthen the construction of medical ethics, strictly abide by the medical ethics of medical personnel and the code of conduct for employees in medical institutions.
Twenty-seventh village clinics should have obvious signs of no smoking, and smoking is prohibited indoors. The service logo is eye-catching, and the medical environment is beautified, green, clean and warm. Village clinic staff dress code, initiative, enthusiasm, thoughtful and civilized service.
Twenty-eighth county-level health and family planning administrative departments organize or entrust township hospitals to conduct performance appraisal on village clinics regularly. The assessment results serve as the basis for the corresponding financial subsidy funds, personnel rewards and punishments, and re-registration of village clinic personnel.
Twenty-ninth combined with the establishment and improvement of the old-age insurance system and the assessment of village clinic personnel, the local health and family planning administrative departments gradually established the exit mechanism when the village clinic personnel reached the age and failed the assessment. Thirtieth village clinics and their medical staff shall strictly abide by the relevant laws, regulations and rules of the state, strictly implement technical specifications such as diagnosis and treatment norms and operating procedures, and strengthen medical quality and safety management.
Article 31 The county-level health and family planning administrative department shall establish and improve the systems of medical quality management, medical safety, post responsibility of personnel, regular post training, outpatient registration, epidemic situation report of legal infectious diseases, information report of food-borne diseases or suspected cases, medical waste management, iatrogenic infection management, immunization planning management, service management for patients with severe mental disorders, maternal and child health care management, and financial, pharmaceutical, file and information management.
Thirty-second village clinics provide basic medical and health services for rural residents with appropriate technology, appropriate equipment and basic drugs according to regulations within the permitted scope of practice, and may not practice beyond the scope. Encourage village clinic staff to learn Chinese medicine knowledge and use Chinese medicine techniques and methods to prevent and treat diseases.
Thirty-third village clinics included in the implementation scope of the basic drug system are equipped and used with basic drugs in accordance with the regulations, and centralized procurement and zero-difference sales of basic drugs are implemented. The village clinic shall establish a true and complete record of drug purchase and sale and acceptance.
Thirty-fourth village clinics must meet the following conditions at the same time, and can provide intravenous drug delivery services only after being approved by the county-level health and family planning administrative department:
(1) Having an independent observation room and an observation bed for intravenous administration;
(two) equipped with commonly used rescue drugs, equipment and oxygen supply facilities;
(3) Having the configuration conditions for intravenous drug use;
(4) Village clinics providing intravenous drug administration services shall have rescue measures and first aid capabilities to prevent and handle infusion reactions;
(five) to carry out the intravenous administration of antibacterial drugs, it shall comply with the relevant provisions of the clinical application of antibacterial drugs.
Thirty-fifth in accordance with the norms of vaccination work and the relevant provisions of the state, the village clinics designated as vaccination units by the county-level health and family planning administrative departments must meet the following conditions:
(a) the village clinic staff have passed the vaccination professional training organized by the county-level health and family planning administrative department and passed the examination;
(2) Having cold storage facilities, equipment and cold storage systems that meet the management standards for vaccine storage and transportation;
(three) consciously accept the technical guidance of local county-level disease prevention and control institutions, the supervision and personnel training of local township hospitals, and the use and management guidance of cold chain equipment.
Thirty-sixth establish and improve the regular meeting system, township hospitals organize village clinic staff to hold regular meetings at least once a month, including the following contents:
(a) the village clinic staff reported the basic medical and public health work in the village clinic last month, submitted relevant information statements, and put forward the problems encountered in the work and reasonable suggestions;
(2) Township health centers summarize the work of village clinics, coordinate and solve the problems reflected by village clinic staff, and report to county-level health and family planning administrative departments when necessary;
(3) Township health centers provide business and health policy training to village clinic staff;
(four) to convey the relevant health policies to the township hospitals, and deploy the work of the month.
Thirty-seventh village clinics medical waste, sewage treatment facilities shall comply with the "Regulations" and other relevant provisions of medical waste management.
Article 38 Strengthen the informatization construction of village clinics, support village clinics to manage rural residents' health records by using information technology, accept telemedicine education, carry out telemedicine consultation, report hospital infection outbreak information, carry out instant reporting of medical expenses of new rural cooperative medical care, and implement unified electronic bills and prescriptions for township hospitals and village clinics.
Thirty-ninth village clinics, village family planning experts, township hospitals and township family planning offices shall timely report information on fertility, pregnancy and contraception. Fortieth under the guidance of township hospitals, village clinics should make records of medical business income and expenditure and register assets.
Article 41 On the basis of not increasing the personal burden of rural residents, the provincial administrative department of health and family planning shall, jointly with the departments of finance and price, reasonably formulate the standard of general medical fees for village clinics and the payment standard and management measures for new rural cooperative medical care.
Article 42 Village clinics shall voluntarily disclose medical service items and drug prices, and publicize drug varieties and purchase and sale prices in a prominent position in the village clinics, so as to ensure well-documented charges, well-documented accounts and well-documented expenditures. Forty-third shall not occupy, intercept or misappropriate the village clinic compensation funds and construction funds, to ensure earmarking. It is strictly forbidden for any department to charge or apportion fees beyond the provisions of the state to the village clinic in any name.
Forty-fourth establish and improve the village clinic compensation mechanism and performance appraisal system to ensure the reasonable treatment of village clinic staff:
(1) The county-level health and family planning administrative department shall specify the specific contents of the basic public health services that should be provided by the village clinics, and reasonably check the amount of their tasks. After evaluation, according to its actual workload, the corresponding basic public health service funds will be allocated to village clinics through the way of government purchasing services;
(two) the qualified village clinics will be included in the management of the designated medical institutions of the new rural cooperative medical system, and the general medical expenses collected by the village clinics and the basic drugs used will be included in the payment scope of the new rural cooperative medical system;
(three) after the implementation of the basic drug system in the village clinic, all localities should give fixed compensation to the village clinic staff in the form of special subsidies, and the subsidy level should be linked to the local village cadres. Specific compensation policies should be formulated by the provinces (autonomous regions and municipalities) in combination with the actual situation;
(four) to encourage all localities to improve the level of subsidies for village clinic staff who have long service life and practice in remote and difficult areas.
The above funds are pre-allocated at the beginning of each year according to a certain proportion, and settled after passing the performance appraisal.
Forty-fifth localities should support the construction of village clinics in housing construction, equipment purchase and supporting facilities. Village clinics built by the government or collectives are allocated by the local government free of charge, and are managed by village committees or township hospitals organized by the government after completion.
Forty-sixth support village clinic staff to participate in the social endowment insurance for urban and rural residents in accordance with the regulations, and receive pensions in accordance with the regulations. Encourage qualified places to adopt various ways to appropriately improve the pension benefits of village clinic staff.
Forty-seventh all localities should improve the village clinic infrastructure construction, public health service funds and village clinic staff subsidies and other funds needed to implement the national basic drug system into the fiscal year budget, and ensure timely and full disbursement. Forty-eighth village clinics and their medical staff have made outstanding contributions in their practice activities, and the health and family planning administrative departments at or above the county level shall reward them.
Forty-ninth village clinics and their medical staff in violation of national laws and regulations and these measures shall be dealt with by the administrative department of health and family planning in accordance with relevant laws and regulations.
Article 50 The administrative departments of health and family planning of all provinces, autonomous regions and municipalities directly under the Central Government shall, in accordance with these Measures, formulate detailed rules for implementation.
Article 51 These Measures shall be interpreted by the National Health and Family Planning Commission in conjunction with the National Development and Reform Commission, the Ministry of Education, the Ministry of Finance and state administration of traditional chinese medicine.
Article 52 These Measures shall come into force as of the date of promulgation.