Epidemiology: it is necessary to investigate the distribution characteristics of health, sub-health and various diseases in time, region and population, and find out the public health problems and the needs and requirements of the health service market.
3. Health management: it is necessary to investigate policies, health planning, health service framework, rules and regulations, whole-course service, safety, business connection with employee medical insurance, and the establishment and management of business files.
4. Health service market: it is necessary to investigate the price of health services and the quantity and structure of health resource allocation.
5. Health economy: It is necessary to examine the utilization efficiency of health services, economic burden of diseases, cost-effectiveness and cost-effectiveness.
In terms of social value orientation, it is necessary to investigate the qualitative situation of residents' health needs, the effectiveness of health services and the satisfaction of health services. 1 natural, physical and chemical, ecological environment: investigate the relevant natural, physical and chemical, ecological environment and hydrological indicators in the community. Such as: geographical latitude and longitude, altitude; Meteorological annual precipitation, annual monsoon direction, wind level, temperature, humidity, fog and dust days; Physical and chemical aspects of air quality, drinking water quality and noise level; The proportion of green area, population density, rat density and dog density in the jurisdiction; Groundwater level change data.
2 Sociology
(1) Human environment: including policies, regulations, systems, rules, disciplines, literature, art, customs, service facilities, tools and daily necessities. Such as: regional health planning, community health service coverage, population covered by medical security system, per capita living area, types of stoves, types of toilets, home telephone coverage, home TV coverage, safe drinking water coverage, etc.
(2) Population data, such as static population, sex ratio, age, nationality, occupation, marital status, family population, birth rate, crude death rate, natural population growth rate, total dependency ratio, dependency ratio of people aged 65 and above, dependency ratio of people aged 65 and above to total population, and dependency ratio of people aged 14 and below; Floating population is not allowed, but reflects the changing trend.
(3) General health level, such as neonatal mortality rate, infant mortality rate, infant mortality rate of 0-4 years old, maternal mortality rate, sleep time of all ages, life expectancy, birth rate, crude mortality rate and natural population growth rate. Note that the life expectancy is higher than the actual life expectancy because newborn deaths are not reported to the household registration, some ethnic burials are not reported to the police station to issue cremation certificates, and the number of deaths is not reported every year.
(4) Survey population: general population and special population (children, women, the elderly, the disabled, people exposed to high-risk occupational diseases).
(5) Residents' income, expenditure, demand and satisfaction: per capita annual income, per capita annual expenditure, per capita annual food expenses, per capita annual self-funded medical expenses, residents' demand for health services, and satisfaction with community health service prices, medical level, service attitude, safety and convenience.
Human biology: blood pressure, weight, head circumference, waist circumference, hip circumference, body temperature, pulse, respiratory rate, vital capacity, hearing, vision, color vision, taste, smell, muscle tension, basal metabolic rate, physiological reflex, bone density, bone age, etc.
4. Healthy market
(1) Health needs (epidemiology): disease incidence, prevalence rate, two-week prevalence rate, disability rate, injury incidence rate, injury type, injury severity, death rate from different causes, cause of death composition, medical treatment rate, hospitalization rate, and unqualified health knowledge.
(2) Health demand (reflecting the utilization of health services from the demand side of the health service market): actual medical treatment rate, non-medical treatment rate due to illness, proportion of reasons for non-medical treatment, actual hospitalization rate, non-hospitalization rate, proportion of reasons for non-hospitalization, proportion of residents going to different medical institutions, reasons for going to various medical institutions, and participation rate of health activities.
(3) Health supply (availability): Also known as community health supply, it represents the type, quantity and distribution of health resources provided by the government and associations for community residents, and reflects the availability of community health resources. Health supply indicators include: the proportion of total health expenditure to GDP, the proportion of total financial and health expenditure to total financial expenditure, the proportion of total financial and health expenditure to total health expenditure, the proportion of total social medical insurance expenditure to total health expenditure, the proportion of total personal medical expenditure to total health expenditure, the number of regional medical institutions, the number of ambulances per/kloc-0.0 million people, the number of large-scale diagnosis and treatment equipment per/kloc-0.0 million people, Number of beds per thousand people, number of health technicians per thousand people, number of doctors per thousand people, number of nurses per thousand people, ratio of doctors to nurses, composition of professional titles, population covered by community health service centers, number of nurses per thousand people, and ratio of doctors to nurses per thousand people.
(4) Convenience (accessibility) of health services: the average time for residents to walk to the community health service center, the average distance from residents to the community health service center, full-time health services, service types and medical insurance payment services.
5 healthy economy
(1) The efficiency of community health services (reflecting the utilization of health services by suppliers in the health service market): the number of outpatients in service centers, the number of intravenous treatment observers, the number of home visits, the utilization rate of observation beds, and the average turnover times of observation beds in a working day.
(2) Expenses for diseases and health services borne by individuals in society: due to illness, injury, days of suspension from school due to illness and injury, average amount of prescriptions, medical expenses for single diseases, total expenses for treating diseases, medical expenses borne by individuals, total hospitalization expenses, hospitalization expenses borne by individuals, car rental and accommodation for medical treatment due to illness and injury, extra nutrition expenses, accompanying expenses and expenses for various health services.
(3) the social benefits of health service output and the benefits of the service unit itself, such as reducing the incidence, diseases and injuries, saving direct and indirect medical expenses and social disease burden.
Health service management: including administrative management and business project management. On the basis of establishing two sets of file systems of health administration and business management, it is necessary to examine the work content and professional work of managers, as well as the medical insurance reimbursement. Business files should include residents' health records, residents' filing rate, disease management rate, disease control rate and disease composition.
Residents' behavior: investigate the holding rate of behaviors that endanger the safety and health of community residents and the holding rate of behavioral risk factors, and also investigate the coverage rate of health education and the awareness rate of behavior-related health knowledge.
8 residents' value intention: the demands and satisfaction of all walks of life in the community. Through interviews with people from all walks of life on the topic of health service and non-random residents' satisfaction survey, relevant openness and qualitative indicators are obtained.