1. What is service equalization? Is it average?
The equalization of national basic public health services means that every China citizen can get basic public health services equally, regardless of gender, age, race, place of residence, occupation and income. It can be understood that everyone has equal service rights, and residents have equal opportunities when they need to obtain relevant basic public health services. But this does not mean that everyone must get the same basic public health services without distinction. At present, many basic public health services provided by the state are aimed at key groups, such as the elderly, pregnant women, children aged 0-6, patients with chronic diseases such as hypertension. So, equilibrium is not equilibrium.
Second, who will enjoy basic public health services?
All citizens in People's Republic of China (PRC), whether urban or rural, registered residents or non-registered residents, can enjoy the basic public health services of the country.
Different service items have different service objects, which can be divided into:
(1) Public health services for the whole people, such as unified establishment of residents' health records, health education services, reporting and handling services for infectious diseases and public health emergencies, and health supervision and co-management services.
② Public health services for specific age, gender and population, such as vaccination, maternal and child health management, elderly management, etc.
(3) Public health services for patients with diseases, and health management for patients with hypertension, type 2 diabetes and severe mental illness.
Three. Who can provide basic national public health services?
Basic public health services are mainly implemented by township hospitals, village clinics and community health service centers (stations).
4. Do residents need to pay for the national basic public health services?
The contents of basic public health services are provided by the state for urban and rural residents free of charge, and the required funds are borne by the government. Residents don't have to pay any fees to accept the services in the service project.
What are the benefits of implementing basic public health services for residents?
Basic public health services cover 654.38+0.4 billion people in China, which is closely related to people's lives and health. The implementation of the project can promote the improvement of residents' health awareness and the change of unhealthy lifestyle, and gradually establish the concept of self-health management; Can reduce the main health risk factors, prevent and control the occurrence and prevalence of infectious diseases and chronic diseases; It can improve the emergency handling ability of public health services and public health emergencies, and establish the first barrier to maintain residents' health, which plays an important role in improving residents' health quality.
legal ground
Article 2 of the Notice of the Ministry of Health on Printing and Distributing National Basic Public Health Service Standards (20 1 1 Edition)
(a) the contents of the residents' health records
Residents' health records include personal basic information, health examination, health management records of key populations and other medical and health service records.
1. Personal basic information includes basic information such as name and gender, as well as basic health information such as past medical history and family history.
2. Physical examination includes general health examination, lifestyle, health status, medication for diseases and health evaluation.
3. The health management files of key populations include the health management files of children aged 0-6, pregnant women, the elderly, patients with chronic diseases and severe mental illness required by the national basic public health service project.
4. Other medical and health service records include other admission, referral and consultation records except the above records.
(B) the establishment of residents' health records
1. When residents in the jurisdiction receive services in township hospitals, village clinics and community health service centers (stations), medical personnel are responsible for establishing residents' health records for them, and filling in corresponding records according to their main health problems and service provision. At the same time, fill in and issue resident health record information cards for the clients.
2. Township hospitals, village clinics and community health service centers (stations) organize medical personnel to establish health records for residents through on-site service (investigation), disease screening and health examination, and fill in corresponding records according to their main health problems and service provision.
3. In areas where residents' electronic health record information system has been established, township hospitals, village clinics and community health service centers (stations) shall establish residents' electronic health records for individuals through the above-mentioned methods, and issue national unified standard medical care cards.
4. Fill in the relevant record forms of health files in the process of medical and health services, and put them into the residents' health archives for unified custody. In rural areas, it can be stored centrally in families. The data of residents' electronic health records are stored in the electronic health records data center.
(C) the use of residents' health records
1. Residents who have filed files should hold the residents' health record information card (or medical care card) when going to township hospitals, village clinics and community health service stations (stations) for follow-up. After obtaining their health records, the attending doctor will update and supplement the corresponding records in time according to the follow-up situation.
2. When carrying out home medical and health services, you should consult the health records of the clients in advance and carry the corresponding forms, and record and supplement the corresponding contents in the service process. The institution that has established the electronic health record information system shall update the electronic health record at the same time.
3. For clients who need referral and consultation, the attending doctor should fill in the referral and consultation records.
4. All service records should be collected and filed in time by the responsible medical personnel or file management personnel.