Public health service project is an important method and policy to effectively improve the health level of urban and rural residents. Through the implementation of basic public health service projects and major public health service projects, we will intervene in residents' health problems, reduce major health risk factors, effectively prevent and control major infectious diseases and chronic diseases, and improve public health services and emergency response capabilities for public health emergencies, so that all residents can gradually enjoy equal basic public health.
Second, the main problems of last year:
1, the establishment of health records, there is a phenomenon that electronic files and paper files are not synchronized, some electronic files are not completely consistent with paper files, and the screening rate of key populations is far below the theoretical figure.
2. The number of health education and health consultation activities did not meet the requirements of the project.
3, chronic disease management frequency and management rate is not up to standard.
4. Follow-up of chronic diseases and its electronic entry were not completed in time, and individual follow-up was meaningless or even untrue.
5. Files are not well used, and most of them become "dead files" and lose the meaning of filing.
Three. Long-term work arrangement:
1, health file. Continue to establish and improve information files, update files in time, and do a good job of confidentiality.
2. Chronic disease management. Conduct at least 4 face-to-face follow-up visits to high-risk groups of chronic diseases such as hypertension and diabetes, provide regular consultation services and medication guidance, and input them electronically in time. Make use of follow-up to publicize the knowledge of disease prevention and do a good job in data collection and information reporting. People over 35 have their blood pressure measured in the first clinic. At the same time, strengthen the screening of key populations and register and manage patients with hypertension and diabetes.
3. Health education. Real and meaningful. On the original basis, combined with the focus of seasonal disease prevention, the contents of outdoor and indoor health education publicity columns will be changed every two months, and health education materials will be printed and distributed; Promote relevant health knowledge during home visits; (4) Health care for the elderly. Provide health guidance such as disease prevention, self-protection, injury prevention and self-help. In particular, the management of auxiliary examination for the elderly. Ensure the physical examination of the elderly over 65 years old, the extremely poor disabled, the low-income households, the five-guarantee households and other difficult groups. Four face-to-face follow-up visits and 1 health management services were conducted for the above population throughout the year. At the same time, carry out publicity and mobilization, actively participate in strengthening immunization, and carry out targeted health interventions focusing on health education.
5. The use of archives (paper and electronic) is both important and difficult. Filing is not filed; Make full use of archives, such as information change, content filling and follow-up.
6. Vaccinate. Establish a standardized immunization clinic, establish and improve the immune counting system, standardize the immune counting operation, and vaccinate for no less than 8 days every month. At the same time, in accordance with the requirements of the Code for Vaccination Work, ensure safe injection, provide safe, effective, free and equal vaccination services for children in hometown, grasp the overall situation before and after vaccination, do a good job in handling and registering vaccination reaction accidents, strengthen cold chain management, and do a good job in vaccine management and cold chain work. In accordance with the requirements of the higher CDC, strengthen relevant vaccines, provide vaccination services for the main population in key areas, and effectively prevent and control vaccine-targeted infectious diseases. Newborns establish cards, establish certificates and verify enrollment.
7. Prevention and treatment of infectious diseases.
(1) Establish and improve infectious disease prevention organizations and infectious disease management systems, comprehensively standardize the use of outpatient logs, establish and improve outpatient registration of fever and diarrhea, and conscientiously do a good job in epidemic reporting, epidemic area management and epidemic registration. Take various forms to publicize the Law on the Prevention and Control of Infectious Diseases, so that medical personnel can fully understand the professional knowledge such as the classification of legal infectious diseases, legal reporters, reporting time limit, methods and procedures. At the same time, let more people know the importance of disease prevention. It is necessary to timely and accurately report the epidemic situation and complete the epidemic registration in time.
(2) Actively carry out tuberculosis prevention and treatment, with a referral rate of 1.000%. At the same time, carry out follow-up treatment and follow-up management for patients, urge them to review regularly, and report the information to Hezhou CDC in time. Actively carry out AIDS prevention and control work, strengthen publicity and education on AIDS knowledge popularization, and extensively carry out various forms of publicity and education activities on AIDS prevention and control. Establish standardized outpatient service for rabies prevention and treatment.
8. Child health care. Strengthen the inspection of children, and the systematic management rate of children aged four to six years old will reach over 80%, the systematic management rate of children under three years old will reach over 80%, and the neonatal visit rate will reach over 90%. Do a good job in establishing children's health care books and strengthen the health care management of scattered children. Timely discover and treat diseases that affect children's health and improve children's health.
Strengthen the management of kindergarten health care qualification according to law. All new children in kindergartens should have a physical examination, and only those who pass the physical examination can enter kindergartens.
Provide free basic health care services for children aged 0-6 years old in their hometown, and at the same time provide nutrition nursing consultation and guidance for children's growth and development, supplementary food addition, common disease prevention, psychological development, accidental injury and other guidance. Prevent anemia, rickets, pneumonia, diarrhea and other diseases, standardize children's health care services, gradually improve children's health and reduce child mortality.
9. Maternal health care. Provide basic health care services for pregnant women within their jurisdiction free of charge, standardize maternal health care, and do a good job in early pregnancy.
Registration, prenatal examination and postpartum visit, do a good job in screening, tracking, follow-up and referral of high-risk pregnant women. Continue to increase the publicity of the implementation of the maternity and child safety project, with the goal of improving the hospital delivery rate and reducing the maternal and infant mortality rates, carry out extensive and in-depth health education, grasp the situation of women of childbearing age and pregnant women, and mobilize and inform pregnant women to carry out maternal health care management. Carry out at least 5 pregnancy care services and 2 postpartum visits. Improve the health level of women and children and reduce maternal mortality. Folic acid and maternity allowance were paid in time.
10, management of severe mental patients. Complete four follow-up visits and other work, and carry out health examination when the patient and other circumstances permit, and gradually establish an effective mechanism for comprehensive prevention and control of dangerous behaviors of patients with severe mental illness. Through the implementation of the project, the prevention and treatment ability and management level of patients with severe mental illness will be improved.
1 1, Chinese medicine service. Provide traditional Chinese medicine services for the elderly over 65 years old and children under 3 years old in the jurisdiction, strengthen the service level of traditional Chinese medicine in relevant units, actively carry out physical appraisal and intervene residents' lives with traditional Chinese medicine methods, and promote the use of traditional Chinese medicine methods for daily diagnosis and treatment.
12, free physical examination (auxiliary examination: blood routine, urine routine, blood lipid, blood sugar, blood type, liver function, renal function, hepatitis B, electrocardiogram, chest X-ray, etc. ) Suitable for the elderly over 65 years old, patients with chronic diseases, patients with severe mental illness, pregnant women and children.