In 2025, grass-roots traditional Chinese medicine will achieve five "full coverage"!

A few days ago, ten departments including the State Administration of Traditional Chinese Medicine and the National Health and Health Commission jointly issued the "14th Five-Year Action Plan for the Improvement of Grass-roots Traditional Chinese Medicine Service Capability", proposing 7 key tasks, setting 18 assessment indicators and 6 According to this work column, by 2025, grass-roots traditional Chinese medicine will achieve five "full coverage":

——The county-run TCM medical institutions (hospitals, outpatient departments, clinics) have basically achieved full coverage, and more than 80% of the county-level TCM hospitals have reached the level of "second-class first-class TCM hospitals";

——To achieve full coverage of community health service centers and TCM clinics in township health centers, and encourage places where conditions permit to complete service connotation construction for 15% of community health service centers and TCM clinics in township health centers;

——Basically achieve full coverage of grassroots TCM services, 100% community health service centers and township health centers can standardize more than 10 TCM appropriate technologies, 100% community health service stations, and more than 80% village clinics can standardize development6 Appropriate technology of traditional Chinese medicine above item;

——Basically achieve full coverage of grassroots TCM talents, community health service centers and township health centers account for more than 25% of the total number of doctors in similar institutions, and 100% of community health service stations and more than 80% of village clinics are equipped with at least 1 medical personnel capable of providing traditional Chinese medicine services;

——To achieve full coverage of grassroots TCM health education, all county-level regions rely on county-level hospitals to set up TCM health education bases to promote the popularization of TCM health knowledge.

Previously, the "14th Five-Year" Traditional Chinese Medicine Development Plan proposed to strengthen the grass-roots Chinese medicine service network, implement the "14th Five-Year" action plan of the grass-roots Chinese medicine service capacity improvement project, and comprehensively improve the grass-roots Chinese medicine in the treatment of pre-disease and disease. Service capabilities in the fields of treatment, rehabilitation, public health, and health education.

To this end, the action plan proposes seven key tasks, including improving the grass-roots TCM service network and promoting the construction of grass-roots TCM talents, including the construction of a "Traditional Chinese Medicine Pavilion", the recruitment of 7,500 rural TCM students for free order-oriented medical students, and each Measures such as building a suitable technology promotion center for traditional Chinese medicine in every county.

According to the action plan, by 2025, the grass-roots traditional Chinese medicine service network that integrates preventive health care, disease treatment and rehabilitation will be more complete, service facilities and equipment will be more complete, staffing will be more reasonable, management will be more standardized, and provide coverage for the whole population and the whole life cycle. Traditional Chinese medicine services, the ability of traditional Chinese medicine services has been greatly improved, which can better meet the needs of urban and rural residents for traditional Chinese medicine services, and provide traditional Chinese medicine guarantees for the realization of "common diseases are solved in cities and counties, and daily diseases are solved at the grassroots level".

Do a good job in the construction of a county-level close medical community led by traditional Chinese medicine hospitals

The action plan proposes to implement the requirements of the national medical reform policy. In the demonstration cities (counties) of the national grass-roots Chinese medicine work, all county-level Chinese medicine hospitals run by the government will take the lead to form a close medical community. The county-level traditional Chinese medicine hospitals run by the government are encouraged to take the lead to form a close medical community, and the medical community led by the traditional Chinese medicine hospital covers no less than 30% of the county population in principle.

Establish traditional Chinese medicine service standards, service quality evaluation and supervision standards within the medical community, and promote the continuous improvement of the quality and proportion of traditional Chinese medicine services provided by different medical communities. Explore the total payment and compensation mechanism that conforms to the characteristics of the county and is conducive to the play of the advantages of traditional Chinese medicine, and guides the medical community to transform to a health-centered service mode.

Increase the policy support of medical insurance for grass-roots Chinese medicine services

Establish and improve the evaluation system of traditional Chinese medicine quality and treatment advantages, publish authoritative evaluation results, and provide technical basis for the implementation of relevant support policies. Establish a medical insurance payment model that conforms to the characteristics of TCM diagnosis and treatment at the grassroots level. All provinces (autonomous regions and municipalities) have selected and released the dominant diseases of traditional Chinese medicine, and carried out the reform of payment methods.

Encourage the implementation of Chinese and Western medicine for the same disease with the same effect and the same price. Encourage and guide grass-roots medical and health institutions to provide appropriate traditional Chinese medicine services by implementing per-capita payment for some chronic diseases and other methods and improving relevant technical specifications. Actively include appropriate TCM medical service items and traditional Chinese medicines into the scope of medical insurance according to regulations.

Carry out the construction of demonstration cities (counties) for national grassroots Chinese medicine work

Formulate management measures and construction standards for national demonstration cities (counties) for grass-roots Chinese medicine work, improve the creation procedures, and create a group of national grass-roots Chinese medicine demonstration cities (counties) on the basis of orderly linking up with the review work of advanced units of national grass-roots Chinese medicine work. ). Give full play to the typical demonstration and leading role, and promote the new development of grass-roots traditional Chinese medicine work.

Strengthen the capacity building of TCM medical services in county-level medical institutions

Carry out the construction of "two specialties and one center" in county-level traditional Chinese medicine hospitals, that is, each county-level traditional Chinese medicine hospital will build 2 traditional Chinese medicine specialty specialties and 1 county-level traditional Chinese medicine technology promotion center. Strengthen the construction of weak clinical specialties and medical technology departments in county-level traditional Chinese medicine hospitals, and improve the hospital's comprehensive service capabilities.

Strengthen the construction of inheritance studios for famous and old Chinese medicine experts at the grass-roots level, and cultivate high-level Chinese medicine talents. Improve the ability of primary-level TCM medical institutions to prevent and treat infectious diseases. County-level TCM hospitals have set up fever clinics that meet standards, and have standardized pre-examination and triage capabilities.

Strengthen the construction of grass-roots guidance departments in county-level traditional Chinese medicine hospitals, and be responsible for technical guidance and business training of traditional Chinese medicine throughout the county. Promote the collaborative diagnosis and treatment services of traditional Chinese and western medicine, and improve the comprehensive service capabilities of traditional Chinese medicine and specialized diagnosis and treatment capabilities of general hospitals and maternal and child health care institutions. By 2025, all county-level traditional Chinese medicine hospitals will reach the "Basic Standard of Medical Service Capability of County-level Traditional Chinese Medicine Hospitals".

Improve the capacity of traditional Chinese medicine diagnosis and treatment in primary medical and health institutions

Improve the diagnosis and treatment capabilities of TCM decoction pieces and TCM non-drug therapy in township health centers and community health service centers, and expand the scale of TCM services. Encourage community health service stations and village clinics to use appropriate techniques of traditional Chinese medicine to provide medical services. During the "14th Five-Year Plan" period, the volume of TCM diagnosis and treatment in primary medical and health institutions increased steadily.

Develop grassroots TCM treatment services and TCM rehabilitation services

Strengthen the standardized construction and scientific management of the medical treatment department in county-level TCM hospitals, improve the service level and capability of TCM treatment for pre-treatment, and strengthen the TCM treatment and treatment services in TCM centers in grass-roots medical and health institutions. Strengthen the construction of geriatrics and rehabilitation departments in TCM hospitals above the second level, and improve TCM rehabilitation and geriatric health service capabilities.

By 2025, 60% of county-level TCM hospitals above the second level will set up geriatrics departments, and 70% of county-level TCM hospitals above level two will set up rehabilitation departments, and encourage the establishment of TCM rehabilitation clinics and rehabilitation treatment in community health service centers and township health centers Area.

Improve the public health service capacity of traditional Chinese medicine

The action plan also proposes to optimize TCM health management services, strengthen training and guidance on TCM health management service specifications and technical specifications, improve TCM health management service capabilities around children, the elderly, and chronic disease management, and increase TCM health management rates. , to expand the coverage of the target population.

Strengthen the TCM staffing and TCM service capacity building of the contracting team, formulate and promote appropriate TCM contracting service packages, improve the quantity and quality of TCM contracting services, and provide TCM contracting services throughout the life cycle.

In the national basic public health service project, the integration of medical treatment and prevention will be strengthened for chronic diseases such as hypertension and diabetes, and the content of traditional Chinese medicine health management services will be optimized. By 2025, the TCM health management rates for the elderly and children will reach 75% and 85%, respectively.

Jimin Traditional Chinese Medicine Service Capability Assessment Indicators Released

The action plan requires that all localities incorporate the improvement project action plan into the region's "14th Five-Year Plan" development plan and annual medical reform key tasks, and key indicators are included in the annual responsibility target assessment of local health administrative departments at all levels.

The "Assessment and Evaluation Indicators of the Action Plan for the Improvement of Grass-roots Traditional Chinese Medicine Service Capability" was released simultaneously, and it is clear that by 2025, 100% of community health service centers and township health centers will be able to carry out more than 10 suitable Chinese medicine technologies in 6 categories in accordance with the technical operation standards of traditional Chinese medicine. The county-level traditional Chinese medicine hospitals run by the government are encouraged to take the lead to form a close medical community, and the medical community led by the traditional Chinese medicine hospital covers no less than 30% of the county population in principle.