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《關于做好2017年國家基本公共衛生服務項目工作的通知》政策解讀
發布時間:2017-09-05      瀏覽次數:6043

2017年8月,國家衛生計生委、財政部、國家中醫藥局聯合印發《關于做好2017年國家基本公共衛生服務項目工作的通知》(國衛基層發〔2017〕46號),現將有關政策解讀如下。 
  1.2017年人均基本公共衛生服務補助標準。 
  2017年人均基本公共衛生服務經費補助標準從45元提高至50元。 
  2.中央對地方基本公共衛生服務資金補助情況。 
  2017年,中央將繼續對各地給予補助,補助比例不變。省級要統籌使用中央補助資金,加大對困難地區的支持力度。 
  3.2017年國家基本公共衛生服務項目內容。 
  2017年,將免費提供避孕藥具和健康素養促進兩個項目納入國家基本公共衛生服務項目,服務內容達到14類。分別是:建立居民健康檔案、健康教育、預防接種、兒童健康管理、孕產婦健康管理、老年人健康管理、慢性病(高血壓、糖尿病)患者健康管理、嚴重精神障礙患者管理、肺結核患者健康管理、傳染病和突發公共衛生事件報告和處理、衛生計生監督協管、免費提供避孕藥具、健康素養促進。 
  4.新增人均5元基本公共衛生服務經費的使用。 
  主要是鞏固現有項目,擴大服務覆蓋面,適當提高服務補助水平,細化和完善服務內容,提高服務質量;其次是統籌安排免費提供避孕藥具和健康素養促進兩個項目經費。 
  5.對免費提供避孕藥具和健康素養促進兩個項目納入基本公共衛生服務項目后的管理。 
  2017年,由基本公共衛生服務經費安排免費提供避孕藥具項目和健康素養促進項目經費后,兩個項目原有管理責任主體、項目內容、實施主體、服務模式保持不變,各省(區、市)可參照2015年兩個項目工作任務開展有關工作,項目資金用途、撥付對象和渠道不變。 
  6.免費提供避孕藥具和健康素養促進兩個項目的主要內容。 
  免費提供避孕藥具項目經費用于藥具的采購、存儲和調撥等,省級衛生計生部門是本地區避孕藥具采購主體,省、市、縣級計劃生育藥具管理機構負責藥具的存儲、調撥及相關工作。健康素養促進項目經費用于提高居民健康素養水平,降低15歲及以上人群煙草使用流行率,建設健康促進縣(區)、醫院和戒煙門診,開展健康科普尤其是針對重點疾病、領域和人群的健康教育,監測健康素養和煙草流行水平,提供12320熱線咨詢服務等。 
  7.農村地區鄉村兩級任務分工。 
  2017年,原則上將40%左右的工作任務(不含免費提供避孕藥具項目和健康素養促進項目)交由村衛生室承擔。 
  8.關于國家基本公共衛生服務規范。 
  2017年,執行今年2月印發的《國家基本公共衛生服務規范(第三版)》。 
  9.基本公共衛生服務補助資金撥付方式。 
  基本公共衛生服務補助資金依據常住人口從中央撥付至省級后,省級參照免費提供避孕藥具和健康素養促進兩個項目2015年工作任務,安排并按照原渠道撥付資金。剩余資金全部用于開展原有基本公共衛生服務項目,資金依據常住人口逐級從省級撥付至縣區級后,縣區級衛生計生和財政部門要根據本地項目內容和任務以及工作重點,確定各項服務補助或購買服務支付標準,按照服務數量和質量撥付資金,不得簡單按照人口數撥付基本公共衛生服務經費。 
  10.基本公共衛生服務補助資金的使用支出。 
  原有基本公共衛生服務項目的實施主體和資金使用主體主要為基層醫療衛生機構。在核定服務任務和補助標準、績效評價補助的基礎上,基層醫療衛生機構獲得的基本公共衛生服務補助資金,可統籌用于經常性支出。經常性支出范圍具體見《基層醫療衛生機構財務制度》(財社〔2010〕307號),主要為醫療衛生支出,包括人員經費、耗用的藥品及材料成本、維修費、其他公用經費等。其中,人員經費包括基本工資、績效工資、社會保障繳費、離退休費、住房公積金等。其他公用經費包括辦公費、印刷費、水費、電費、郵電費、取暖費、物業管理費、差旅費、會議費、培訓費等。 
  11.落實村醫開展基本公共衛生服務補助。 
  縣級衛生計生和財政部門要加強基本公共衛生服務補助資金管理,鼓勵對鄉村兩級實行分別核算,保障村衛生室補助資金。 
  12.關于考核。 
  進一步突出縣區考核主體作用,縣區每年至少要對轄區所有承擔任務的醫療衛生機構開展一次綜合考核。2017年度項目考核工作務必于2018年4月底前完成。免費提供避孕藥具項目和健康素養促進項目將一并納入中央對省級考核內容。

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