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Interpretation of the Notice on Doing a Good Job in Basic Public Health Services in 2023
Release-Zeit:2023-12-16
1. What is the per capita subsidy standard for basic public health services in 2023? How will the new funds be used?
In 2023, the per capita financial subsidy standard for basic public health services will be 89 yuan, and this year's new per capita funding of 5 yuan will focus on supporting local governments to strengthen basic public health services for the elderly and children. From 2020 to 2022, the cumulative increase of 15 yuan per capita financial subsidy for basic public health services will continue to be used for basic public health services and the work related to epidemic prevention and control by primary medical and health institutions, focusing on supporting local governments to do a solid and detailed job of health management services for key groups such as the elderly over 65 years old, strengthening the reporting and handling of infectious diseases and public health emergencies, improving quality and expanding coverage in accordance with service specifications, and optimizing service content.
2. What are the key priorities of the basic public health service project in 2023?
In 2023, the types and quantities of basic public health service projects will remain unchanged overall, and all localities should focus on consolidating and implementing existing projects and improving the public's sense of gain and feelings. The first is to clarify annual performance targets, strengthen project performance management, and standardize the management of basic public health services. The second is to strengthen health management services for key populations such as "one old and one young". The third is to improve the quality of health management services for patients with chronic diseases such as hypertension and type 2 diabetes. Fourth, improve the efficiency and quality of the use of electronic health records for urban and rural residents. Fifth, make overall plans for epidemic prevention and control at the grassroots level. Sixth, make full use of the contracted services of family doctors, and do a solid and detailed job of basic public health services.
3. What are the main contents and requirements of "one old and one young" health management service?
In terms of carrying out health management for the elderly, all localities should further find out the base number of permanent residents aged 65 and above in their jurisdictions, establish and dynamically update the ledger, and widely carry out publicity on health management services for the elderly. It is necessary to do a solid health examination for the elderly, do a good job of health assessment and classification guidance based on the results of the physical examination, and strengthen follow-up targeted health guidance, health consultation, health management and other services.
In terms of children's health management, we have implemented health management services for children aged 0~6 and traditional Chinese medicine health management services for children aged 0~3, and strengthened health guidance and intervention for infants and young children under the age of 3, such as health care and counseling guidance, assessment of children's growth and development and psychological and behavioral development, prevention of overweight and obesity in children, eye care and myopia prevention and control, and oral health care.
4. How to provide services to contracted residents through family doctors (teams)?
The first is to clarify the content of basic public health services and the corresponding funding amount included in the contracted service package of family doctors, and family doctors (teams) should provide corresponding health management services for the contracted key populations and patients with chronic diseases such as hypertension and type 2 diabetes in accordance with the basic public health service specifications. The second is to promote the opening up of electronic health records and the management information system of family doctor contracted services, and strengthen the real-time update and sharing of data on basic public health services and family doctor contracted services.
V. While doing a good job in basic public health services, how to coordinate the prevention and control of the epidemic at the grassroots level?
The first is to continue to implement the "six in place" for key population services by classification and grading in accordance with the "Guidelines for the Management of Key Population Management Services and Health Monitoring for the New Crown", and strengthen daily management services and health monitoring. The second is to standardize the reporting and handling of infectious diseases and public health emergencies. The third is to implement the national immunization plan, strengthen the training of vaccinators, improve the quality of vaccination services at the grassroots level, and ensure that school-age children are vaccinated in a timely and full manner. Fourth, continue to do a good job in the vaccination of the target population against the new coronavirus in accordance with the unified deployment.
6. What are the main contents of this year's performance evaluation?
All localities should strictly implement the "Measures for the Management of Subsidy Funds for Basic Public Health Services" jointly issued by the Ministry of Finance and other five departments in 2022, explore and improve service result-oriented evaluation and fund allocation methods, and strengthen the management and use of funds. Explore the establishment of a normalized mechanism for performance evaluation, and make the implementation of basic public health service funds, the implementation of subsidies for rural doctors, the implementation of performance targets, the quality and effectiveness of health management services for key populations, the efficiency and quality of the use of electronic health records, and the satisfaction of the masses as important contents of performance evaluation.
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