In order to further standardize the service and management of rural health institutions and improve the rural health service system, Jiangsu Province vigorously promotes the integrated management of rural health institutions. It is understood that the standardized implementation ratio of integrated management of rural health institutions in Jiangsu will reach 70% this year and will increase to 90% next year. Conditional areas will gradually merge the assets and personnel of village clinics into township hospitals to realize the integration of rural health institutions.
Unified institutional management. In principle, village clinics should be set up according to the planning of administrative villages or service population of 3000-5000 people, and should be included in the planning of local rural medical and health institutions. Village clinics are mainly organized by collective economic organizations or governments, and their housing facilities and equipment conditions should meet the provincial construction standards.
Unified personnel management. Strict personnel access, on-the-job rural doctors must obtain the practicing certificate of rural doctors, and the new supplementary personnel in village clinics should have the qualification of practicing assistant doctors or other practicing certificates that meet the statutory qualifications. Each village clinic is equipped with at least one female village doctor or practicing (assistant) doctor. Upon the application of rural doctors themselves, township hospitals are uniformly employed in accordance with the principle of open competition and merit-based employment, and are rationally deployed within their respective jurisdictions.
Unified business management. Establish a graded diagnosis and treatment system, further clarify the basic medical service functions of rural health institutions, strengthen the public health service functions, strictly implement the medical service norms, and strengthen the ledger registration management.
Unified management of medical equipment. Integrated management of village clinics and government-run township health centers simultaneously implement the basic drug system. Village clinics are equipped with drugs listed in the national list of essential drugs, and unified bidding, unified distribution and zero-difference sales of essential drugs are implemented. It is forbidden for village clinics to purchase drugs and medical devices from illegal channels.
Unified financial management. Formulate a unified service charge standard for village clinics and standardize the service charge for village clinics. The business income of village clinics is all turned over to township hospitals for centralized management and separate accounting. Actively explore the establishment of a performance-based salary system for rural doctors and implement reasonable treatment for rural doctors.
Unified performance appraisal. According to the detailed rules for the implementation of performance appraisal of village clinics, the performance appraisal of village clinics is conducted at least once every quarter. The performance evaluation results of village clinics are closely linked with financial subsidies and staff income and treatment. Accelerate the informatization construction of village clinics, fully implement the broadband networking of county and township health institutions, establish the management information system of rural health institutions, and improve the integrated management level of rural health institutions by means of informatization.