1, strengthen the standardization of village clinics and improve the capacity of primary health services.
On 20 18, wuming district government incorporated the standardization construction of village clinics into the practical project for the people in wuming district. From 20 18 to 2020, Wuming District will invest 5.466 million yuan, and Nanning Municipal Government will allocate 2 10 million yuan to build 14 clinics, repair 95 clinics, expand 2 clinics and continue to build 2 clinics. Each village clinic is equipped with 1 more village doctors, and all village clinics are equipped with consulting rooms, pharmacies, public health rooms, etc. , equipped with basic diagnosis and treatment equipment and basic drugs, unified update computers, printers and handwriting boards, so that basic public health and basic diagnosis and treatment services can be carried out normally, and village-level medical insurance reimbursement can be realized.
2. Strengthen the follow-up work of family doctor contract and provide high-quality basic public health services.
Wuming District * * * has set up 226 family doctor contract service teams, and 79 1 doctor participated in the contract service, including 306 rural doctors. Up to now, the coverage rate of contracted services for urban family doctors has reached 100%. The number of permanent residents signing contracts is 169353, and the signing rate is 3 1.2 1%. Number of key people signing contracts 128008, with a signing rate of 60%. Among them, 25 104 poor people signed contracts for permanent establishment of the card, and the signing rate was 100.
Family doctors have changed from focusing on "quantity" to improving "quality" and strive to enrich the content of contract services. The family doctor team regularly visits the home to provide follow-up services for the elderly and key management patients with mobility difficulties, dynamically monitor their health status, and urge them to have physical examination, medication and treatment on time. Rural doctors, in combination with health poverty alleviation work, enter villages to carry out family doctors' contracted follow-up and basic public health services, and do a good job in follow-up and health management services for key groups such as hypertension, type 2 diabetes, tuberculosis, severe mental disorders, elderly people over 65 years old, children aged 0-6 years old, pregnant women and six types of chronic diseases.
3, strengthen the training of rural doctors and improve the level of treatment, enrich the grassroots health talent team.
(1) The urban area organizes a business training course for rural doctors every year, and township hospitals also actively organize rural doctors to conduct training by using the regular meeting system of rural doctors. At the same time, according to the requirements of the autonomous region and the municipal level, rural doctors are selected to participate in a three-month business training every year. Through intensive training, we will continue to learn new medical knowledge and improve the professional level and practical operation ability of rural doctors.
(2) Organize and implement the work of training rural doctors by order orientation. In 20 18 and 20 19, the city recruited 34 people and 44 people respectively. In 2020, rural order-oriented enrollment is being promoted and mobilized, and rural doctors are gradually becoming younger and more professional.
4. Subsidy Scheme for Rural Doctors
Poor treatment of rural doctors and unstable team are long-standing problems. In order to change the present situation, the government has formulated various subsidy schemes for rural doctors. The income of rural doctors is unified into basic salary plus performance salary system. The basic wage subsidy funds shall be allocated according to the subsidy standard of the deputy director of the local village (neighborhood) committee, and the basic drug system subsidy, basic public health service project subsidy, other public health service project subsidy, general medical expenses and treatment income from developing appropriate technology of traditional Chinese medicine shall be used as the performance salary of rural doctors for the "five-year plan" payment of rural doctors.
It is the common responsibility of primary medical institutions in China to improve the capacity building of primary health services and make it more convenient for the masses to see a doctor. Therefore, in the future, the development of primary health care is imminent!