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中国将逐步把村卫生室纳入基本药物制度实施范围--亲稳舆论引导监测室
2012-07-21

  中新网7月20日电 据中国政府网消息,日前,国务院印发《国家基本公共服务体系“十二五”规划》通知,《规划》提出,将建立和完善以国家基本药物制度为基础的药品供应保障体系。政府办基层医疗卫生机构集中采购、统一配送、全部配备使用和零差率销售基本药物,逐步将村卫生室纳入基本药物制度实施范围,鼓励在非政府办基层医疗卫生机构实施基本药物制度,推动其他医疗机构优先使用基本药物。

Beijing, July 20 (Reuters) according to the Chinese government nets news,a,The state council issued the《The state's basic public service system“1025”planning》notice,《planning》Put forward,To establish and perfect the system of basic drugs in countries on the basis of the drug supply security system。Basic medical and health institutions government centralized purchasing、Unified distribution、All equipped with use and zero rate differential marketing basic drugs,Gradually will village clinic into the system for basic drugs scope of implementation,To encourage the non-government basic-level medical health agencies implement basic drugs system,Promote other medical institutions prefer using basic drugs。

  《规划》指出,在基本医疗卫生方面,国家建立基本医疗卫生制度,为城乡居民提供安全、有效、方便、价廉的基本医疗卫生服务,切实保障人民群众身体健康。

《planning》Points out that,In the basic health care,The country builds basic medical health system,Provide security for urban and rural residents、effective、convenient、Low price of basic medical and health services,To protect people's health。

中国将逐步把村卫生室纳入基本药物制度实施范围

  按照人人享有基本医疗卫生服务的目标要求,加快建立健全公共卫生服务体系、城乡医疗服务体系、药品供应和安全保障体系,提高基本医疗卫生服务的公平性、可及性和质量水平。

According to everyone will have access to basic medical and health service objectives,To speed up the establishment of a sound public health service system、Urban and rural medical service system、Drug supply and security system,Improve the fairness of the basic medical and health services、Accessibility and quality level。

  ——公共卫生服务。全面实施国家基本公共卫生服务项目,逐步提高人均基本公共卫生服务经费标准。实施国民健康行动计划,根据经济社会发展水平和疾病防治工作需要,逐步增加重大公共卫生服务项目。完善重大疾病防控、计划生育、妇幼保健等专业公共卫生服务网络,提高对严重威胁人民健康的传染病、慢性病、地方病、职业病和出生缺陷等疾病的监测、预防和控制能力。完善卫生监督体系,建立食品安全标准及风险评估、监测预警、应急处置体系和饮用水卫生监督监测体系。依托县级医院实施农村院前急救网络建设。加强突发公共事件紧急医学救援能力和突发公共卫生事件监测预警、应急处理能力建设。积极发展中医预防保健服务。

-the public health service。The full implementation of the national basic public health service project,Gradually increase the per capita basic public health service funds standard。Implementation of the national health plan of action,According to the development level of economy and society and disease prevention and control work needs,Gradually to increase of major public health service project。Perfect major disease prevention and control、Family planning、Maternity and child care and other professional public health service network,To improve a serious threat to people's health infectious disease、Chronic diseases、endemic、The occupational diseases and birth defects of diseases such as monitoring、Prevention and control ability。Perfect health supervision system,The establishment of a food safety standards and risk assessment、Monitoring and warning、The emergency response system and drinking water health supervision and monitoring system。Relying on implementation of rural county hospital first-aid network construction。Strengthening public emergencies emergency medical aid ability and emergent public health event monitoring and warning、The emergency treatment ability construction。Actively developing TCM prevention and health care services。

  ——医疗服务。完善区域卫生规划。按照“大病不出县”、“小病不出社区”的要求,加强以县级医院为龙头、乡镇卫生院和村卫生室为基础的农村三级医疗卫生服务网络建设,健全以社区卫生服务为基础,社区卫生服务机构、医院和预防保健机构分工协作的城市医疗卫生服务体系。扩大城乡医院对口支援力度,推行乡村卫生服务一体化管理。加快建立分级诊疗、双向转诊和全科医生首诊制度。巩固和完善国家基本药物制度,推进基层医疗卫生机构综合改革,建立多渠道补偿机制,完善人事分配制度、考核和激励机制。积极推动公立医院改革,完善医院管理体制、法人治理机制、补偿机制和医疗机构分类管理制度。加强医疗服务监管,制定实施鼓励医疗卫生人才到基层服务的政策措施。推动形成多元化办医格局。统筹利用中西医卫生资源,加强中医(民族医)医疗服务机构能力建设,提高综合医院和专科医院中西医结合的服务能力。

-medical service。Perfect regional health planning。According to“Serious illness a county”、“Ailment a community”requirements,Strengthen at the county level as the leading to hospital、Rural hospitals and village clinic for basic rural level 3 medical health service network construction,Sound to community health services for the foundation,Community health service agencies、Hospitals and prevention health care division of labor cooperation city medical and health service system。Expanding urban and rural hospital corresponding support efforts,Implementation of integrated management of rural health service。To speed up the establishment of a classification of treatment、Two-way referral and all-around doctor first diagnosis system。Consolidate and perfect the system of basic drugs,Promote the comprehensive reform of medical and health institutions,To set up multi-channel compensation mechanism,Perfect personnel distribution system、Evaluation and incentive mechanism。Actively promote the reform of public hospitals,Perfect hospital management system、Corporate governance mechanism、Compensation mechanism and system of classified management of medical institutions。To strengthen the supervision of medical service,Implementation of the medical and public health experts to encourage the primary service policy measures。Promote formation diversified do medical pattern。As a whole of health resources of Chinese and western medicine,Strengthen the traditional Chinese medicine(National medical)The health service ability construction,Improve the comprehensive hospitals and specialized subject hospital service ability of combination of Chinese and western medicine。

  ——药品供应和安全保障。建立和完善以国家基本药物制度为基础的药品供应保障体系。政府办基层医疗卫生机构集中采购、统一配送、全部配备使用和零差率销售基本药物,逐步将村卫生室纳入基本药物制度实施范围,鼓励在非政府办基层医疗卫生机构实施基本药物制度,推动其他医疗机构优先使用基本药物。完善基本药物价格形成机制和调整机制,动态调整基本药物目录。鼓励提供与使用中医药。完善基本药物报销办法,逐步提高实际报销水平。全面提高国家药品标准,建立健全基本药物质量评价标准。完善药品检验检测体系,实行国家基本药物全品种覆盖抽验和全品种电子监管,提升对基本药物从生产到流通全过程追溯的能力。健全药品安全应急体系,强化快速通报和快速反应机制,完善药品不良反应监测和发布制度。

-drug supply and security guarantees。To establish and perfect the system of basic drugs in countries on the basis of the drug supply security system。Basic medical and health institutions government centralized purchasing、Unified distribution、All equipped with use and zero rate differential marketing basic drugs,Gradually will village clinic into the system for basic drugs scope of implementation,To encourage the non-government basic-level medical health agencies implement basic drugs system,Promote other medical institutions prefer using basic drugs。Improve the basic drug price forming mechanism and the adjustment mechanism,Dynamic adjustment basic drugs directory。Provide and the use of Chinese medicine encouraged。Improve the basic drugs to submit an expense account,Gradually improve the actual submit an expense account level。Improve the national drug standards,To establish and perfect the quality evaluation criteria of basic drugs。Perfect the pharmaceutical inspection testing system,The national basic drugs from supermarkets and covered all the varieties of electronic supervision all varieties,Ascension to the basic drugs from manufacturing to distribution process back ability。Sound drug safety emergency system,Strengthen the rapid report and the rapid reaction mechanism,Perfect adverse drug reaction monitoring and release system。

  《规划》要求,加快建立健全基本医疗卫生服务国家标准体系。依据国家医疗卫生领域相关法律法规,为保障基本医疗卫生服务的规模和质量,明确工作任务的事权与支出责任,促进城乡区域基本医疗卫生服务均衡发展,制定“十二五”时期基本医疗卫生服务国家基本标准。

《planning》requirements,To speed up the establishment of a sound national standard basic medical and health service system。On the basis of the national health fields related laws and regulations,Basic medical and health services for the protection of the scale and quality,The task of clear conform with spending responsibility,Urban and rural areas to promote the balanced development of basic medical and health services,make“1025”Period to basic medical and health services national basic standard。

“十二五”时期基本医疗卫生服务国家基本标准 “1025”Period to basic medical and health services national basic standard

服务项目 Service project

服务对象 Service object

保障标准 Security standards

支出责任 Spending responsibility

覆盖水平 Coverage rates

基本公共卫生服务 Basic public health service 居民健康档案 Residents health records 城乡居民 Urban and rural residents 为辖区常住人口免费建立统一、规范的居民电子健康档案 For a permanent population free jurisdiction of a unified、Residents of the regulation of the electronic health records 地方政府负责,中央财政适当补助 Local government is responsible for,The central finance appropriate allowance 规范化电子建档率达到75%以上 Standardized electronic file rate above 75% 健康教育 Health education 城乡居民 Urban and rural residents 免费享有健康教育宣传信息和健康教育咨询服务等 Free health education propaganda information and enjoy health education advisory services, etc 地方政府负责,中央财政适当补助 Local government is responsible for,The central finance appropriate allowance 城乡居民具备健康素养的人数达到总人数10% Urban and rural residents have the number of health literacy to 10% of the total number 预防接种 vaccination 0—6岁儿童和其他重点人群 0-6 years old children and other key crowd 免费接种国家免疫规划疫苗,在重点地区,对重点人群进行针对性接种 Free national immunization planning vaccine inoculation,In key areas,To the key people targeted vaccination 地方政府负责,中央财政适当补助 Local government is responsible for,The central finance appropriate allowance 以街道(乡镇)为单位适龄儿童免疫规划疫苗接种率达到90%以上 Taking the(township)As the unit that school-age children immune programming rate of vaccine to up to 90% 传染病防治 Infectious disease control 法定传染病病人、疑似病人、密切接触者及相关人群 Statutory infectious disease patients、Suspected patients、The close contact and related people 就诊的传染病病例和疑似病例及时得到发现登记、报告、处理,免费享有传染病防治知识宣传和咨询服务 Clinic of infectious disease cases and suspected cases to be found to register、report、processing,Free enjoy infectious disease control knowledge publicity and consultation services 地方政府负责,中央财政适当补助 Local government is responsible for,The central finance appropriate allowance 传染病报告率和报告及时率达到100%;突发公共卫生事件相关信息报告率达到100% Infectious disease report rate and report timely rate reached 100%;Emergent public health event related information reports rate reached 100% 儿童保健 Child health care 0—6岁儿童 0-6 years old children 免费建立保健手册,享有新生儿访视、儿童保健系统管理、体格检查、生长发育监测及评价和健康指导 Establish free health care manual,Enjoy neonatal supervision、Children's health care system management、Physical examination、Growth monitoring and evaluation and health guidance 地方政府负责,中央财政适当补助 Local government is responsible for,The central finance appropriate allowance 儿童系统管理率达85%以上 Children GuanLiLv system of more than 85% 孕产妇保健 Maternal health care 孕产妇 maternal 免费建立保健手册,享有孕期保健、产后访视及健康指导 Establish free health care manual,Enjoy prenatal care、Postpartum visit and health guidance 地方政府负责,中央财政适当补助 Local government is responsible for,The central finance appropriate allowance 孕产妇系统管理率达到85%以上 GuanLiLv maternal system is up to 85% 老年人保健 Old people health care 65岁及以上老年人 65 years old and above the old 免费享有登记管理,健康危险因素调查、一般体格检查、中医体质辨识,疾病预防、自我保健及伤害预防、自救等健康指导 Enjoy free registration management,Health risk factors survey、General physical examination、Identification of constitution in Chinese medicine,Disease prevention、Self care and injury prevention、Save health guide etc 地方政府负责,中央财政适当补助 Local government is responsible for,The central finance appropriate allowance 老年居民健康管理率达到60% Older residents health GuanLiLv reached 60% 慢性病管理 Chronic disease management 高血压、糖尿病等慢性病高危人群 High blood pressure、Chronic diseases, such as diabetes high-risk groups 免费享有登记管理、健康指导、定期随访和体格检查 Enjoy free registration management、Health guide、Regularly and physical examination 地方政府负责,中央财政适当补助 Local government is responsible for,The central finance appropriate allowance 高血压和糖尿病患者规范化管理率达到40%以上 High blood pressure and diabetes patients GuanLiLv standardization to up to 40% 重性精神疾病管理 Heavy nature mental disease management 重性精神疾病患者 Heavy nature of mental health patients 免费享有登记管理、随访和康复指导 Enjoy free registration management、Follow-up and rehabilitation guidance 地方政府负责,中央财政适当补助 Local government is responsible for,The central finance appropriate allowance 重性精神疾病患者管理率达到70% Heavy nature of mental health patients GuanLiLv reached 70% 卫生监督协管 Health supervision and assisting 城乡居民 Urban and rural residents 免费享有食品安全信息、学校卫生、职业卫生咨询、饮用水卫生安全巡查等服务与指导 Free enjoy food safety information、The school health、Occupational health consultation、Drinking water health security search service and guidance, etc 地方政府负责,中央财政适当补助 Local government is responsible for,The central finance appropriate allowance 目标人群覆盖率达到70%以上 Target population rate is above 70% 药品供应和安全保障 Drug supply and security 基本药物制度 System for basic drugs 城乡居民 Urban and rural residents 享有零差率销售的基本药物,并全部纳入基本医疗保障药物报销目录,逐步提高实际报销水平 Enjoy zero rate differential sales of basic drugs,And all included in the basic medical insurance drugs to submit an expense account directory,Gradually improve the actual submit an expense account level 地方政府负责,中央财政适当补助 Local government is responsible for,The central finance appropriate allowance 覆盖所有政府办基层医疗卫生机构和村卫生室 Cover all the government medical institutions and village clinic 药品安全保障 Drug safety guarantee 城乡居民 Urban and rural residents 享有符合国家药品标准的药物 Enjoy comply with the national drug standard drugs 中央和地方政府共同负责 The central and local governments are responsible for 药品出厂检验合格率达到100% Pharmaceutical factory inspection qualified rate 100%

  《规划》还要求,实施一批基本医疗卫生服务保障工程,改善基础设施条件,健全服务网络,同步完善医疗卫生机构管理运行机制,为基本医疗卫生服务供给提供有力支撑。

《planning》Also requires,Implement a group of basic medical and health service security project,To improve infrastructure conditions,Perfect service network,Synchronous perfect medical and health institutions management mechanism,As the basic medical and health services supply to provide strong support。

  ——公共卫生服务体系建设工程。重点改善卫生监督、精神卫生、农村应急救治、食品安全等专业卫生服务机构基础设施条件,提高公共卫生服务和应急救治处置能力。

-the public health service system construction project。Focus on improving health supervision、Mental health、Rural emergency、Food safety and other professional health services infrastructure conditions,Improve the public health service and emergency disposal ability。

  ——医疗服务体系建设工程。推进基层医疗卫生机构标准化建设,提高县级医院(含中医医院)服务能力,加强省级妇儿专科医院、边远地区市(地)级综合医院、县级中医医院建设,使每个地级市都至少有一所综合医院达到三级医院水平,每个县(市、区)都至少有一所医院达到二级甲等医院水平。

-medical service system construction project。Promote the standardization of medical and health institutions,Improve county hospital(Including traditional Chinese medicine hospital)Service ability,Strengthen provincial women specialized subject hospital、Remote districts(to)Level comprehensive hospital、Traditional Chinese medicine hospital construction at the county level,Each level has at least a comprehensive hospital to level 3 hospital level,Each county(city、area)Has at least a hospital to achieve the secondary first-class hospital level。

  ——全科医生培养计划。加强以全科医生为重点的基层医疗卫生队伍建设,以三级综合医院和有条件的二级医院为临床培养基地,以社区卫生服务中心和专业公共卫生服务机构为实践基地,建设全科医生培养实训网络,通过转岗培训和规范化培训等多种途径培养15万名全科医生。

-the general practitioner training plan。To strengthen the general practitioner of the base is to focus on the medical team construction,To level 3 general hospital and the conditions of the second class hospitals for clinical training base,Community health service center with professional and public health service, for practice base,Construction all-around doctor training practice network,Through the job-transfer training and standardization training and so on the many kinds of ways to train 150000 gp。

  ——医药卫生信息化建设工程。推进基层医疗卫生信息化建设。建设三级医院与县级医院远程医疗系统,加强公立医院信息化建设。

-medical and health information construction engineering。Promote the medical and health information construction。Construction of the third class hospitals and county hospital remote medical treatment system,Strengthening public hospital information construction。

  ——药品安全保障基础设施建设工程。改善省、市(地)两级药品检验机构实验室条件,重点提升检验检测、认证检查和不良反应监测等药品安全技术支撑能力。

-drug security infrastructure construction project。Improve province、city(to)Two levels of drug inspection agency laboratory conditions,Key ascend the examination、The authentication check and adverse reaction monitoring and other drug safety technical support ability。



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