(a) to further clarify the service target of the permanent population.
(two) the original "assessment indicators" to "work indicators".
(3) Residents' health records. 1. Add the contents of residents' health cards and delete the contents of medical care cards in the section "Establishing residents' health records". 2. Increase the termination and preservation of residents' health records in the service content. In the service demand part, the retention method of inspection report documents of electronic laboratory is added, and the information integration and interconnection of electronic health records are emphasized. 3. Incorporate the TCM health management service specification into the third edition specification, and delete the related contents of TCM constitution identification in the health physical examination form. 4. Add the notes of the index of "health record filing rate". Filing refers to the completion of the health file cover and personal basic information form, in which the basic information of children aged 0-6 is filled in the neonatal home visit record form, and the personal basic information form is not needed. 5. Delete the index of "qualified rate of health records" and modify the index of "utilization rate of health records", emphasizing the interconnection between medical records and health records. 6. According to the relevant standards, modify the coding order of nationality, education level, occupation and blood type in the personal basic information table, which is consistent with the information standards.
(4) Health education. According to the current key contents of health education, key groups of health education and new media, relevant contents are modified and adjusted, such as deleting video tapes from audio materials.
(5) vaccination. 1. Ensure vaccination safety and add "three checks and seven pairs" to the service content. 2. Delete the vaccination card to avoid duplication of work and inconsistent form requirements. 3. Change the original "Vaccine Immunization Program Table" into "National Immunization Plan Child Vaccine Immunization Program Table".
(6) Health management of children aged 0-6. 1. Revise and improve the content of children's large-scale sports development assessment into the content of early symptom screening of children's psychological and behavioral development problems, add questions related to development assessment in the inspection records, and carry out early screening of children's psychological and behavioral development problems. 2. Increase the monitoring chart of children's growth and development, which is convenient for primary medical and health institutions to judge children's sports development. 3. Delete the "children's system management rate" indicator.
(seven) maternal health management. 1. The first trimester was changed from 12 weeks ago to 13 weeks ago. 2. Carry out health management in the second trimester in combination with the actual situation of primary medical and health institutions. The compulsory content is changed to primary medical and health institutions with midwifery technical service qualifications, and pregnant women with infertility technical service qualifications are urged to go to qualified institutions for relevant follow-up. 3. The postpartum visit time was changed from 3-7 days postpartum to postpartum 1 week. 4. Delete the indicator of "pregnant women's health management rate".
(8) Health management of the elderly. 1. Add abdominal B-ultrasound (liver, gallbladder, pancreas and spleen) to the auxiliary examination part of the service content. 2. Delete the indicator of "completeness rate of health checklist", which is no longer set separately, and integrate the original indicator content into the indicator of "health management rate of the elderly". 3. Determine the health management rate index of the elderly. Molecules (accepting health management) refer to establishing health files, accepting health examination, health guidance and filling out health examination forms.
(9) Health management of patients with hypertension. 1. In the "screening" part of the service content, the definition index of high-risk group of hypertension patients was added. 2. Refine the satisfaction standard of blood pressure control. 3. Improve the definition of "managing the blood pressure control rate of the population". Added the description of blood pressure reaching the standard in the latest follow-up. 4. Delete the indicator of "health management rate of hypertension patients".
(10) Health management of diabetic patients. 1. Improve the index definition of "blood sugar control rate of management population". In the latest follow-up 2, the description of fasting blood glucose reaching the standard was added. Delete the index of "health management rate of diabetic patients".
(eleven) the management of patients with severe mental disorders. 1. Replace "patients with severe mental illness" with "patients with severe mental disorders". 2 delete the "management rate of patients with severe mental illness" index. 3 delete the "stability rate of patients with severe mental illness" index.
(12) Health management of traditional Chinese medicine. 1. Add the explanation of "standard form of physical fitness judgment", emphasizing that the accuracy of physical fitness appraisal results depends on the accuracy of the answers of the clients. 2. Delete the index of "the completeness rate of the health management record form of traditional Chinese medicine for the elderly", which is no longer set separately, and integrate the contents of the original index into the index of "the health management rate of traditional Chinese medicine for the elderly".
(thirteen) the reporting and handling of infectious diseases and public health emergencies. 1. Add work records and reports related to the automatic generation of electronic medical records and electronic health records in the section of "Discovery and registration of infectious diseases and public health emergencies". 2. Modify the definition of "infectious disease reporting rate". Change "number of reporting cards" to "number of infectious disease cases reported by the network".
(fourteen) health and family planning supervision and management. 1. Replace "health supervision and co-management" with "health and family planning supervision and co-management". 2. Change the "food safety information report" in the service content to "food-borne diseases and related information report", and delete the relevant contents of occupational health consultation and guidance. 3. Increase the relevant contents of the family planning information report.
At the same time, the National Health and Family Planning Commission requires all localities to carry out standardized training in a timely manner, set up training teachers, strengthen training management, improve training methods, pay attention to training effect evaluation, ensure that grass-roots personnel are fully trained and the service content is implemented, and provide safe, effective and qualified basic public health services for urban and rural residents.