Medical network - on March 2, the state council recently issued by the "much starker choices-and graver consequences-in promote equal basic public services" planning "(hereinafter referred to as the" planning "), in the basic public health services, medical and health services, women's and children's health and food and drug safety requirements are put forward.
Basic public health services --
Residents of electronic health records by inputting rate will reach 90%
Basic public health services is mainly composed of the urban and rural grassroots health institutions provide residents with free of charge, and there are 12 class service content.
"Planning" is put forward, and urban and rural residents for the service object, for the residents of the permanent population to establish a unified, standardized electronic health records, inputting rate will reach 90%; School-age children gradually the immune planning vaccination rates above 90%; 0 to 6 years old children health GuanLiLv gradually achieve 90%; Maternal system GuanLiLv gradually achieve 90% above; More than 65 years old and the elderly health GuanLiLv gradually reached 70%.
The national plan, about 100 million people in the management of hypertension patients diabetes around 35 million people; Registered GuanLiLv severe mental disorder and schizophrenia treatment gradually reached more than 80%; TB patients health management service rate will reach 90%; Rate of infectious disease report, and report timely rate of 95%, a public health emergency information report rate of 100%.
Countries who the relevant person in charge of development planning commission of grassroots health division, said during the period of "much starker choices-and graver consequences-in", improve the basic public health services have six specific measures, including improved steadily funds standard, perfect the mechanism construction, strengthen the capital management, optimizing the service mode, continue to strengthen project evaluation and project evaluation.
Medical and health services --
Form a hierarchical diagnosis model To build 30 minutes circle of grassroots medical services
In terms of medical and health services, the planning requirements, the implementation of regional health planning and the planning of the establishment of medical institutions, on the basis of permanent population size and the service radius of the rational allocation of health resources, etc. Deepen the basic health care, consolidate improve the basic drug system, promoting public hospital reform, promote grass-roots first option, two-way referral, acute slow partition, the upper and lower linkage of hierarchical diagnosis model.
For improving the capacity of grassroots medical and health services, "the plan" put forward, in the county area resident population of the basis, in principle, do a good job in a county general hospital and 1 county run class hospital of traditional Chinese medicine (including traditional Chinese medicine, combined Chinese and western medicine and national medicine, etc.), each of the villages and towns (street) for 1 standardization construction of towns and townships (community health service centers), every good administrative village village clinics.
Priority support 832 national key county of poverty alleviation and development work and concentrated destitute areas county county hospitals and the construction of medical institutions, to build 30 minutes grassroots medical services, standardization of grassroots health institutions success rate of 95% or more.
Women's and children's health and family planning service management --
Reasonable increase rural middle part of the reward and assistance the family planning
Maternal and child health service level will continue to ascend. According to the plan, compared with 2015, by 2020, the maternal mortality rate plan from of 20.1/10 to 18/10, infant mortality rate plan from 8.1 ‰ to 7.5 ‰, under-five mortality from 10.7 ‰ to 9.5 ‰.
"The plan" proposed that strengthen children's hospital and general hospital of pediatrics and maternal and child health service institution building, reasonable increase obstetric table. To speed up the obstetric and pediatric doctors, midwives and nurses training, strive to increase 140000 obstetricians and midwives.
Rural part of the reward and assistance system will further improve the family planning. According to the plan, aimed at reaching the age of 60, bears a children only, or two girls of the rural family planning couple, issued a certain amount of reward for the gold, and according to the level of economic and social development on reward for the standard dynamic adjustment.
Food and drug safety --
Expand coverage for sampling monitoring shall be subject to the whole industry chain traceability system
The food and drug problems related to public health and life safety. "Planning", implement the strategy of food safety and improve the system of laws and regulations, improve safety standards, the full implementation of enterprise's main body responsibility, improve the supervision and inspection frequency, expand coverage for sampling monitoring, shall be subject to the whole industry chain traceability system.
"Planning", stressed that to deepen drug review of medical equipment examination and approval system reform, explore the review mechanism according to the independent legal person governance mode reform, pharmaceutical trading enterprises classified management. Intensify the rural food and drug safety management, perfect for online sales of food and drug supervision.
In February 2017, the state council issued the "much starker choices-and graver consequences-in" national food safety planning "and" "much starker choices-and graver consequences-in" national drug safety planning ". "" much starker choices-and graver consequences-in" national drug safety planning special production of vaccines and blood products regulatory requirements are put forward.
"" much starker choices-and graver consequences-in" national drug safety planning "requirement, for vaccines, blood products and other biological products and blood screening diagnosis reagent therelease of full implementation of the management. Strengthen the supervision of sterile and implantable medical devices production. National annual check pharmaceutical production enterprise in 300-400, a year full coverage checking blood products and vaccine production enterprises.
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