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Administrative Measures For The Guangxi Zhuang Autonomous Region, Urban Community Health Service 

Original Language Title: 广西壮族自治区城市社区卫生服务管理办法 

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Urban community-based health services management approach in the SAutonomous Region

(The 69th ordinary meeting of the Government of the Eleventh People's Government of the Great Britain and Northern Ireland, 12 October 2010, considered the adoption of Decree No. 61 of 20 November 2010 by the Government of the People's Government of the Wider Self-Government Zone, which came into force on 1 January 2011)

Chapter I General

In order to establish and improve the urban health services system, to enhance the availability of urban community health services, to raise the level of health of urban residents and to promote harmonious economic and social development, and to develop this approach in line with the laws, regulations and national provisions.

Article 2

Community health services include community health centres and community health services stations.

Article 3. Governments of self-governing areas, municipalities, district and urban areas should incorporate the construction and development of urban community health services into national economic and social development planning, integrate resources such as urban health, medical assistance, rehabilitation of persons with disabilities, family planning technology services, rationalize the placement of urban community health services in line with the planning, configuration criteria, and establish networks of urban community health services that are the subject of community health services centres.

Article IV provides for urban community health services in the self-governing area, municipalities in the districts, district and urban government.

The relevant Government departments are working on urban community health services in accordance with their respective responsibilities.

Article 5 Street offices and community dwellers' committees should support and cooperate with community health services in urban community health services.

Article 6 encourages institutions, social groups, entrepreneurship units, other organizations and individuals to contribute community health services in the form of funds, materials, technology.

High-level, middle-level health professionals are encouraged to participate in urban community health services.

Chapter II

Article 7. The establishment of community health services institutions should be harmonized, and in principle, the establishment of a community health service centre in accordance with the scope of the 3-10 million inhabitants or the planning of a community-based health service centre in accordance with the needs. Integrated management of community health services centres and community health services stations.

Community health services are organized by the Government.

Article 8 Planning of the Community Health Services Agency, developed by the Municipal Health Administration in the Zone with the municipal planning administration, is included in the planning and planning of the medical institutions in the city, implemented after the approval of the Government of the current people, and is presented to the Health Administration in the autonomous district.

Community health services should be organized in accordance with planning and with the basic conditions laid down by the State, and with the approval of the Government's Health Administration at the district level, the authorization is governed by the medical institutions.

Article 9. Community health services are named in accordance with the provisions of national and autonomous areas. Health institutions other than community health services may not be named “communication centres” or “community health services stations”.

Article 10

The medical treatment subject registered at the Community Health Service is the Prevention of Health Section, the All-Charge Medical Section, which is conditionally registered (including national health), and other medical subjects are not registered in principle.

The Community Health Services Centre can set up a beds for observation of beds and for the rehabilitation of care, and community health services can be equipped with a watchdog.

Article 11. Community health services should operate in accordance with approved medical treatment subjects, without undue medical treatment, the scope of the operation, and the introduction of comprehensive quality management, prevention of medical error and medical accidents and ensuring medical safety.

Article 12 Community health services institutions should be equipped with the corresponding practitioners, nurses and other health technicians according to the subject.

The Government has been staffed by the Community Health Services Centre, which is approved by the Government of the current people in accordance with the provisions of the self-government area. The Community Health Services Centre has proposed the appointment of a candidate within the approved preparation of the post, which is reviewed by the Government's Health Administration and is processed in accordance with established procedures.

Article 13 provides a core performance appraisal of the number, quality, effectiveness and the satisfaction of urban residents. The results of the study are linked to the funding grant.

The community-based health services institutions organized by the Government should establish and refine the internal appraisal system, which is based on the different characteristics of professional technical, managerial, etc., to carry out classification inspections in the development of control numbers and to implement performance wages in accordance with the results of the study.

Chapter III Functions and responsibilities of services

Article 14. The Community Health Services Agency assumes the public health services functions in the area of this service and provides free services for basic public health services projects under national and autonomous areas, with the following responsibilities:

(i) Health education and the establishment of a health file for urban residents;

(ii) Prevention of vaccinations and prevention of infectious diseases;

(iii) Child health, maternal health and the health of the elderly;

(iv) chronic disease management and the management of mental diseases;

(v) Family planning technical services and counselling;

(vi) Other public health services provided by the health administration.

Article 15. Community health services institutions should be able to collect, register, report and take timely measures to assist in the prevention and control of sudden public health incidents, such as epidemics in the region of this service, poisoning in food, poor drug response.

Article 16 provides the following services:

(i) Generally common illnesses, diarrhoeal treatment, care and treatment for acute chronic diseases;

(ii) Community scenes should be given first aid;

(iii) Family medical services such as diagnosis, family care and family beds;

(iv) referral services;

(v) Rehabilitation services (including rehabilitation of persons with disabilities);

(vi) Other basic medical services provided by the State and the autonomous areas.

Article 17 Community health services should provide medical services related to basic medical, public health and sudden public health incidents, in accordance with the characteristics and strengths of medicines.

Article 18

Article 19 Community health services should transfer patients in line with referrals to the level of hospital treatment; hospitals should transfer patients who need to be treated with chronic diseases and rehabilitated to community health services institutions.

Community health services institutions and hospitals should implement the two-way referral guidelines developed by the Health Administration, designate specialized sections or personnel responsible for the management of two referrals, establish a sound two-way referral process and address norms.

Article 20 Community health services should be offered to provide family health services to urban residents, to establish responsibilities for doctors and nurses, and to establish relatively fixed service relationships between medical personnel and urban residents, in accordance with the regional classification of responsibilities for urban residents.

Article 21 Community health services institutions implement national basic drug systems and should be equipped with and used to supplement basic medicines from national basic drug inventories and self-government zones.

Article 2: Community health services institutions should implement medical and pharmaceutical prices established by national and self-government zones, public service content and services projects, and impose minimum tenders.

Article 23. Community health services institutions should establish regulatory pharmacies, improve the quality management of medicines, prohibit the use of obsolete, invalid and prohibited medicines.

The acquisition, use and management of community health services medical equipment should be consistent with the relevant provisions of the national and autonomous areas.

Article 24 should establish a health information statistical reporting system that ensures timely, accurate and safe information, in accordance with the provisions of statistics, reporting health information.

Community health services should be properly kept in the health files of urban residents and must not disclose the privacy of urban residents.

Chapter IV Safeguards and oversight management

Article 25 Governments of the self-governing region, the city, the city of the district and the urban areas should ensure financial inputs for urban community health services in accordance with the provisions.

The municipalities, district-level municipalities and municipalities should ensure that the government-organized community-based health-care institutions are funded in accordance with the State's approved basic construction requirements, the acquisition of equipment, the provision for the development of control-based personnel and operational requirements for public health services. The financial support of the self-government area is necessary for the difficult areas.

Article 26 Governments of the urban, district and urban areas in the districts should guarantee the operation of community health services institutions organized by the Government. The construction of new urban areas should establish community-based health services in line with the design of plans, and the development of construction units should presume the operation of community health services institutions in construction projects and be made available by the Government to community health services institutions; the establishment of urban areas does not have the operation of community health services institutions or meet the standards, and the Government should procure operational buildings for community health services institutions or renovate, expand on the basis of existing public housing.

Article 27 should establish a system of medical education, health-care institutions, scientific institutions to support community health services, organize high-, medium- and medium-term health professionals to work in community health services institutions and conduct technical guidance and operational services.

Health institutions organized by the Government should support the development of community health services institutions and assume the tasks of training, technical support, talent development.

Article 28 Human resources and social security sectors, the health administration should include eligible community health services in basic health insurance for urban workers, basic health insurance for urban residents and new rural cooperative medical establishments, and enhance management through agreements with targeted community health services institutions.

The establishment of an integrated payment and pre-payment system for health insurance personnel to increase the efficiency of the use of health insurance funds.

Article 29 should strengthen the supervision and management of community health services institutions, establish a sound performance appraisal system and evaluation system, and promote the health development of community health services institutions.

Sectors such as finance, audit, inspection should perform statutory responsibilities to enhance oversight of community health services institutions.

Article 33 Community health services institutions should establish a sound financial management system and be subject to oversight in the relevant sectors.

Any unit or individual shall not be seized, misappropriated, interceptive or privately divided into the assets of the community-based health services institution.

Chapter V Legal responsibility

Article 31, in violation of article 9 of this approach, provides for the unauthorized use of the name of the community health service agency, to be corrected by the time limit of the administrative responsibility of the health administration; to reject the correctness of the fine of €50 million.

Article 32, in violation of article 21 of this approach, does not provide for the availability and use of essential medicines for the national primary drug catalogue and the addition of the self-government area, which is subject to the deadline for the issuance of orders by the health administration; rejects the correctness of fines of up to 5,000 dollars.

In violation of article 24, paragraph 2, of this scheme, the disclosure of the privacy of the urban population is subject to a fine of more than 1000 dollars for the responsibility of the health administration for the disclosure of privacy and to the rehabilitation of its community health services institutions.

Article 34, in violation of other acts under this approach, provides that the law, legislation and regulations provide for the relevant legal responsibility, from its provisions.

Annex VI

Article 55 of this approach is implemented effective 1 January 2011. The approach to community health services management in the Autonomous Region was also repealed on 20 December 2002.