According to the Quanzhou Evening News, the municipal government office recently issued the special action plan for Quanzhou health and benefiting the people (2022-2025) (hereinafter referred to as the “plan”).
According to the plan, by 2025, the construction of 11 county-level medical communities in the city will be 100% up to the national evaluation standard based on the county, the diagnosis and treatment volume of grass-roots medical and health institutions will account for 65%, the county-level medical treatment rate will reach 90%, and the medication guarantee rate for people under standardized management of hypertension and diabetes will reach 60%; Build 1-2 national regional medical centers and 1-2 provincial regional medical centers, add 2-3 national and 15 provincial key specialties, add 3 class III class A hospitals, and build a county (city) Hospital Center for “clinical service, emergency first aid, county medical resource sharing and high-quality management of medical community”; The proportion of medical treatment outside the city has decreased year by year, and the city’s ability to prevent and control diseases and deal with public health events has been significantly improved.
Build 10 county medical sub centers and 10 community hospitals
The plan proposes to promote the cooperation and joint construction between public hospitals above level II and community health service centers in central urban areas. Strive to reach the service capacity of 19 community health service centers in the central urban area by 2025, build more than 100 township health centers with “three standards” of infrastructure, basic equipment and service capacity, and build more than 1500 village health centers with “double standards” of infrastructure and basic equipment and village doctors and services; The 11 County medical communities in the city have realized the “six integration” of internal administration, human resources, finance, medical quality, drug and equipment management and information system construction and operation, and highly integrated and shared County medical and health resources, and built 10 county medical sub centers and 10 community hospitals.
In terms of specific measures, we will promote the “double sinking” of medical resources and medical personnel in public hospitals at or above the second level, and introduce support policies such as visit subsidies and professional title evaluation and employment of superior experts at the grass-roots level. Promote the integrated management of internal administration, human resources, finance, medical quality, medical equipment management and information system construction and operation of the county medical community, establish a “big team” for medical prevention integration, promote the resource sharing of “five centers” such as medical imaging, build “five centers” for emergency first aid such as chest pain, stroke and trauma, strengthen the application of performance appraisal, and improve the contract signing service system of “three divisions and two members” family doctors. Carry out the activity of “serving the grass-roots level with high quality”, promote the standardized construction of township health centers, implement the allocation of ambulances in township health centers, and run standardized village health centers. Promote the “group” counterpart assistance of tertiary hospitals, and build county medical and health sub centers and community hospitals.
Build a number of national and provincial regional medical centers
The plan proposes to coordinate resource elements, strengthen and refine specialized diseases, and focus on improving the diagnosis and treatment ability of malignant tumors, cardiovascular and cerebrovascular diseases. By 2025, introduce 10 technical cooperation centers of “national team” high-quality medical resources, build 2-3 national key specialties and 15 provincial key specialties, and build 2-4 national and provincial regional medical centers.
In terms of specific measures, consolidate and upgrade the existing 12 “double high” projects, cultivate national key specialties, build a group of clinical specialties related to major diseases such as malignant tumors, and promote the establishment of a new round of grade hospitals; Implement the “five batches” plan to improve the diagnosis and treatment ability, build a number of provincial and municipal key specialties, develop a number of clinical science sub specialties, build a number of municipal specialized disease diagnosis and treatment centers, cultivate a number of municipal specialized diagnosis and treatment teams, and master a number of core and key clinical diagnosis and treatment technologies; Give full play to the role of Quanzhou’s foreign chambers of Commerce and famous Quanzhou doctors, graft high-quality medical resources of the “national team”, set up “expert operation week” and create “one hospital and one brand”; Give priority to the integration of existing resources, accelerate the reform of management system, personnel salary system, compensation mechanism and the improvement of sustainable development ability, and implement the financial investment of national and provincial regional medical centers; Connect the “thousand county project” with the comprehensive capacity improvement of county hospitals and the standard raising and capacity expansion project of county hospitals, supplement the shortcomings of medical services and management capacity of county hospitals, and effectively implement the leading role of county hospitals in the county medical service system and the bridge role in the urban and rural medical service system.
Basically form a three-level public health system
According to the plan, accelerate the construction of public health short board projects, improve the normalized epidemic prevention and control mechanism, promote the comprehensive reform of disease control institutions, and improve the public health emergency response capacity. By the end of 2025, a three-level public health system of city, county and township (town) will be basically formed.
According to the proportion of 1.5 per 10000 permanent residents in the city, the establishment of disease control institutions at the hierarchical level shall be verified, the construction of four new buildings of county-level CDC and the reconstruction and expansion of one building of county-level CDC shall be accelerated, and the upgrading of laboratory equipment and the construction of biosafety protection capacity shall be strengthened.
Build the municipal public health emergency response operation center, promote the intelligent construction of infectious disease epidemic monitoring and early warning, auxiliary decision-making and regional linkage, and establish the working mechanism of “three public (work) and one big” rapid flow regulation and traceability of public security, public health, industry and information technology and big data.
The renovation system establishes a municipal medical treatment team, builds a municipal public health clinical treatment center and a county-level clinical public health center, builds a rehabilitation hospital for discharged patients of infectious diseases, and implements the allocation of negative pressure ambulances and the construction of ambulance decontamination shelter. We will promote the transformation and upgrading of fever clinics in general hospitals and children’s specialized hospitals at or above the secondary level, and strengthen the construction of fever clinics in grass-roots medical and health institutions.