Strengthen the training of medical staff on National Basic Public Health Service Standard (Third Edition), National Basic Hypertension Prevention and Management Guide and National Basic Diabetes Prevention and Management Guide, and effectively improve the quality of standardized management of chronic diseases.
Promote the establishment of two-way cooperation and referral mechanism between primary medical and health institutions and higher medical institutions, and actively play the technical guidance role of disease control institutions.
Encourage specialists and public health doctors to participate in the construction of higher medical and health institutions, strengthen technical guidance, skills training and service provision, and explore the establishment of a quality control system for medical and health services for chronic diseases at the grassroots level.
Optimize the service process, effectively use the time before, during and after diagnosis, and provide services such as appointment, screening, filing, follow-up and health education for patients with chronic diseases.
Encourage the exploration of improving service level through medical artificial intelligence auxiliary technology, carry out follow-up and health education for key populations, and use big data to carry out regional health status analysis.
(2) Strengthen the health management of children aged 0-6. Strengthen the guidance and training of superior medical institutions and maternal and child health care institutions to primary medical and health institutions, and do a good job in children's health management according to the "Standard for Health Management Services for Children Aged 0 ~ 6".
Highlight the key points, do a good job in eye and vision examination when carrying out children's health examination, improve the electronic file of vision health of children aged 0-6 based on electronic health records, and transmit it in real time with children entering school.
Strengthen classified management, combine the contracted service of family doctors, and extensively carry out health education on children's eye care and vision protection in various forms, and encourage primary medical and health institutions to give full play to the advantages of Chinese medicine to provide eye care and vision health services for children. Strengthen cooperation between higher and lower levels, refer abnormal children to higher-level medical institutions or maternal and child health care institutions for treatment in a timely manner, and higher-level institutions should promptly feed back the treatment information to grassroots medical and health institutions and do a good job in follow-up work.
(three) standardize the health management of the elderly aged 65 and over. All localities should take the physical examination of the elderly aged 65 and over as the starting point to standardize the health management of the elderly.
It is necessary to guide grassroots medical and health institutions to do a good job in propaganda and mobilization according to the actual situation, coordinate the daily diagnosis and health examination of the elderly, and facilitate the elderly to receive health examination services by moving medical examination vehicles, organizing the elderly to concentrate in grassroots medical and health institutions, and regularly setting up physical examination days for the elderly.
The physical examination results should be entered into the residents' electronic health records in time, and the physical examination results should be informed to the elderly through information tips, electronic health records inquiries, paper physical examination reports and other forms, and personalized health education and guidance should be provided according to the physical examination results.
For those who find abnormal results in physical examination, we should guide them to refer them in time and do a good job of follow-up. Encourage qualified grass-roots medical and health institutions to compare and analyze the physical examination results of the elderly over the years.
All localities should guide grassroots medical and health institutions to actively participate in the Healthy China Action, actively participate in the Healthy China Action around key grassroots medical and health institutions such as women and children, the elderly and patients with chronic diseases, strengthen health education and nutrition and health science popularization in combination with basic public health services, and play its due role in the construction of healthy China.
Six, highlight the needs of the masses, improve the project content and play the role of performance evaluation and incentive guidance.
Combining the needs of the masses and local conditions, we will improve public health service projects in a timely manner, build a national basic public health service project repository, and promote project optimization and dynamic adjustment.
Innovate project performance evaluation methods, improve evaluation methods, make full use of information technology to promote the transformation from process evaluation to health outcome evaluation, from phased evaluation to the combination of daily evaluation and phased evaluation, and take mass satisfaction as an important reference index for performance evaluation.
All localities should scientifically and rationally allocate the tasks of basic public health services at two levels in rural areas and implement the subsidy funds for basic public health services for rural doctors. In principle, township hospitals should allocate corresponding funds according to the proportion of 70% of the tasks undertaken by village clinics within one month after receiving the basic public health service subsidy funds, and conduct monthly or quarterly performance evaluation according to the task completion.
In 20021year, the distribution and use of funds and the service of residents relying on electronic health records will be included in the annual performance appraisal.