Basic public health services mainly provide 14 services for three groups of people.
1. Establish health records for urban and rural residents.
2. Health education
3. Reporting and handling of infectious diseases and public health emergencies
4, health and family planning supervision and co-management
5, 0 ~ 6 years old children's health management
6, maternal health management
7. Health management of the elderly
8, Chinese medicine health management
9. Vaccinate
10, chronic disease management (hypertension and type 2 diabetes)
1 1, Management of patients with severe mental disorders
Health management of pulmonary tuberculosis patients.
13, free contraceptives.
14, health literacy promotion
Among them, 1-4 serves the whole people; Items 5-9 serve special people; Project 10- 12 is a service for sick people. Project 13- 14 serves the owners of this institution; Some conditional places are implementing:
1, management of patients with severe mental illness; (In many places, it is limited to establishing files, keeping records, following up after finding mental illness, and transferring others to units with prescribed conditions);
2, maternal health management (except postpartum visit).
Extended data
The seriousness of the problem of "emphasizing treatment over prevention" has increased the burden on individuals, families and society, and it is also contrary to the medical and health work policy of "focusing on prevention". It was suggested that:
1. Increase financial input and adjust input structure. Macroscopically, it is necessary to clarify the proportion of expenditure of the state, society and individuals, and effectively play the macro-control role of basic public health services. From 20 10 to the end of the next five-year plan, the government can make health expenditure account for 3-4% of fiscal expenditure for a long time, and increase it to 7-8% year by year, and the proportion of basic public health such as public health and rural health should be increased to 55%, so as to ensure the operating funds of various basic public health services and promote the development of public health.
2. Reform the public health service guarantee system and further improve the quality of the team. Under the coordination of the editorial office and the health administrative department, revise the staffing and structural standards of public health service institutions and establish an adjustment mechanism to adapt to development; Formulate preferential policies, allocate special funds, and vigorously introduce urgently needed academic leaders and technical backbones of public health, including rural public health practical talents.
Improve the effectiveness and pertinence of public health personnel training; Reform the salary system of public health service team, and establish effective incentive and restraint mechanisms such as the salary growth mechanism of public health service and the post allowance system.
3, establish and improve the basic public health service network in urban and rural communities, popularize basic public health services, and expand the scope of services in a timely manner. Establish an effective doctor recruitment mechanism and human resource training mechanism for village clinics and community health stations, accelerate the construction process of "township regional medical centers", and ensure that everyone enjoys the basic level of basic public health services.
On this basis, we will implement projects such as comprehensive management of non-communicable chronic diseases, health management of farmers, management of mental patients, free rehabilitation projects for rural cataract patients, and reducing the missed detection rate of vaccines for floating children, so as to effectively improve the basic public health services enjoyed by urban and rural residents.
4, improve the ability of public health intervention, and further coordinate the development of medical and health undertakings. Establish effective public health intervention measures and practical technology research and incentive, evaluation and promotion mechanisms, accelerate the development of related industries, gradually and rapidly increase the contribution rate of intervention measures and life science achievements in China's GDP, and ensure the sustainable development of basic public health services.
Establish a mechanism for the organic combination and coordinated development of clinical medicine and public health to improve the overall level of medical and health care in China. We will further improve the systems and mechanisms for medical education, vocational training for medical and health personnel, qualification evaluation and promotion of professional titles. Make clinical medical staff pay attention to public health and preventive medicine, make public health doctors master certain clinical medical knowledge, and realize the organic combination of disease prevention and diagnosis and treatment.