Medical and health institutions have achieved full coverage of counties, towns and villages! How is it achieved specifically? Details attached!

On May 24, 2022, the National Health Commission held a press conference to introduce the achievements of health poverty alleviation work since the 18th National Congress of the Communist Party of China and the progress of effective connection with rural revitalization. It stated that medical and health institutions have achieved full coverage of counties, towns and villages. So how exactly is full coverage of counties, towns and villages achieved by medical and health institutions? How to prevent falling back into poverty due to illness?

1. How is full coverage of counties, towns and villages achieved through medical and health institutions?

1. Improve the service network and make it more convenient for people to see doctors nearby

Taking the county as the unit, medical and health institutions will be rationally arranged according to the service population and radius to create a 15-minute medical and health service circle. By the end of 2021, there will be 23,000 county-level medical and health institutions, 35,000 township health centers, and 599,000 village clinics across the country, achieving full coverage of counties, towns and villages. The appearance of many grassroots medical and health institutions has been improved. I just showed you the changes in the Sandai Village Clinic in Letang Village, Daning County, Shanxi Province.

2. Strengthen capacity building and further improve the medical environment for the masses

We have successively carried out activities such as building township health centers that satisfy the people and providing high-quality services at the grassroots level, and guided rural medical and health institutions to improve their service capabilities. Currently, the rate of residents seeking medical treatment within the county exceeds 90%, and the proportion of medical treatment at the two rural levels within the county has long remained above 2/3.

3. Innovate service methods, expand service content, and strive to maintain the health of the people

We provide proactive services through family doctor contracts and continue to carry out national basic public health equalization services. By 2022, the per capita subsidy standard for basic public health service funds has been raised to 84 yuan. Rural residents will be able to obtain 12 types of basic public health services, such as vaccinations, hypertension and diabetes health management, at primary medical and health institutions in their place of residence. The service content is becoming increasingly rich and the coverage is becoming wider.

4. Promote the construction of close-knit county-level medical communities and promote the homogenization of service quality

Pilot projects have been carried out in more than 800 counties, cities and districts across the country to guide medical communities to improve their medical capabilities and at the same time shift more work to health management. More than 90% of the pilot areas have achieved mutual recognition of inspection and test results within medical communities. Through the implementation of telemedicine to realize grassroots examination and higher-level diagnosis, rural residents can now obtain high-level services from county-level and even provincial and municipal-level experts at the grassroots level. In addition, we actively promote the construction of public health committees in village committees to strengthen the comprehensive management and organizational mobilization capabilities of grassroots health. In the next step, we will continue to do a good job in rural health work in accordance with the decisions and arrangements of the CPC Central Committee and the State Council, and consolidate and expand the existing achievements. First, we will work with relevant departments to further improve policies and measures to promote the healthy development of the rural medical and health system, and coordinate the promotion of rural revitalization and the construction of a healthy China. The second is to promote the Sanming medical reform experience, accelerate the construction of close-knit county-level medical communities, carry out the construction of comprehensive pilot zones for primary health care, promote the development of rural doctors into practicing physicians, and accelerate the application of information technology and telemedicine in rural areas. The third is to guide localities to improve family doctor contract services and basic public health services, and encourage higher-level hospitals and doctors to go down to the grassroots to carry out services such as rounds and dispatches. We hope that through everyone's joint efforts, we can continuously improve the sense of gain and health level of rural residents and lay a solid health foundation for rural revitalization.

2. How to prevent falling back into poverty due to illness?

Preventing large-scale relapse into poverty is the bottom-line task for consolidating the results of poverty alleviation. Based on the original national health poverty alleviation dynamic management information system, our commission has connected it with the national dynamic monitoring network for preventing poverty relapse due to illness, compared data with relevant departments, and established a national dynamic monitoring system for preventing poverty relapse due to illness. It carries out dynamic monitoring of people who are prone to falling back into poverty, such as those who are unstable in poverty alleviation, those who are at risk of poverty, and those who have suffered sudden serious difficulties. We have worked with the National Healthcare Security Administration and the National Rural Revitalization Bureau to guide localities in completing a survey on the health and security conditions of people who are prone to falling back into poverty. A work log has been established to accurately implement specific assistance measures such as special treatment for serious diseases and contracted services for chronic diseases, strive to achieve early detection, early warning, and early assistance, and effectively prevent large-scale poverty due to illness. At present, the monitoring and assistance mechanism is working.