Article 1 In order to further strengthen the management of community public health services, solidly promote community public health services, an
Article 1 In order to further strengthen the management of community public health services, solidly promote community public health services, and effectively protect the health level of farmers, the * * * public health work plan is specially formulated:
I. Guiding ideology and objective requirements
Fully implement the spirit of the xx Congress and the XX Plenary Session of the Party, hold high the great banner of Socialism with Chinese characteristics, strengthen the public health service directly facing farmers, enrich the service connotation, improve the service quality, reduce the burden on farmers, fully implement the rural public health responsibility, and ensure that farmers enjoy basic health services, key groups in rural areas enjoy key services, and ensure that farmers enjoy basic health protection.
Two, establish and improve the village public health work leading group and service management organization.
1, the community has put public health work on the agenda. After the public health work of the community has been clarified this year, the leading group for community public health work will adjust and enrich its personnel according to the actual needs, set up an office, be responsible for implementing the objectives and tasks assigned by the higher government, formulate specific work plans and organize their implementation.
2, community public health work leading group and health personnel to ensure the smooth progress of our community health work.
Third, implement the objectives and tasks of community public health work, and ensure that farmers enjoy basic health services, including health education, health management, basic medical services for the benefit of the people, cooperative medical services for the convenience of the people, and epidemic prevention and health care.
(A), health education
Health education classes should be held once every quarter, and the content should be seasonal and targeted. The number of participants must reach more than 50 at a time, the content of the publicity column should be practical, and the photos should be archived every quarter.
(2), health management
1. The filing rate of family health records should reach 90%, and the contents in the health record book must be complete, accurate and complete.
2. Do a good job in health examination, children's vaccination, children's physical examination, maternal system management, and common gynecological diseases, focusing on chronic disease management, home visits, hospitalization due to illness, outpatient and emergency services, etc. , and recorded in the health records, complete and accurate requirements, the establishment of dynamic and continuous family health records.
3 to carry out a free home visit service every quarter, the rate of home visits must reach more than 95%, and the follow-up and intervention should be recorded in the health file in time. The contents of visits to key diseases should be detailed, complete, clear, true and reliable, and timely summarized and accurately reported.
(3) Basic medical services benefit the people
Establish and improve various rules and regulations, strictly follow the operating norms of medical technology, charge fees reasonably, and implement preferential medical policies according to regulations.
(D) Cooperative medical care for the convenience of the people
1. Doctors in health centers must be familiar with the cooperative medical policy and publicize it vigorously, so that the awareness rate of all kinds of people on the cooperative medical policy can reach 85%.
2. Publicize the reimbursement of villagers' participation every quarter, be responsible for keeping the roster of villagers' participation personnel, and make the registration items complete and accurate.
(5) Maternal and child health care
1, do a good job in maternal and child health care. Especially for pregnant women and children under 6 years old.
2. Manage and report pregnant women and born children on time every month, and bring them into the system management in time.
3. Go to work in the countryside four times a month, and visit pregnant women and children on time according to the situation.
4, do a good job in maternal and child health propaganda, once every two months, six times a year.
(6), epidemic prevention work
1, do a good job in studying and publicizing various health laws and regulations, do a good job in disease prevention and emergency prevention, and raise the awareness of the whole people.
2, due diligence to carry out the work, timely completion of children's vaccination, tuberculosis screening, epidemic investigation and reporting, vaccine cold chain management, sanitation and disinfection management, safe injection and other work. Do a good job of vaccination on the 29th of each month, and usually vaccinate on time according to the actual situation.
3, to carry out appropriate disease prevention and control propaganda, especially AIDS prevention and control knowledge propaganda. Epidemic prevention propaganda is published every two months and six times a year.
(vii) Management of chronic diseases
1, do a good job in filing management of patients with chronic diseases such as hypertension, diabetes, tumor, cardiovascular and cerebrovascular diseases and mental diseases. Do a good job in the physical examination registration of the elderly.
2, do a good job of chronic disease follow-up, once a quarter, do a good job of chronic disease prevention and control knowledge propaganda. Once a month, every year *** 12.
(8), food safety work
Strengthen the supervision, guidance and management of rural food and drinking water hygiene. Improve the timely reporting rate of rural public health information and reduce losses.
(nine) timely report all kinds of statements and data.
(10) Finish the temporary work arranged by the superior on time.
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I. Objectives and tasks
1. Consolidate the achievements of national health counties, further improve the long-term management mechanism of environmental sanitation and improve the assessment system. Improve the environmental outlook of urban and rural residents. Vigorously carry out mass patriotic health campaigns, deepen the creation of health villages and health advanced units, and create municipal health villages 1 unit and 3 health advanced units at all levels.
2. Take the opportunity of deepening the reform of the medical system, implement the basic drug system, effectively implement the public health equalization service, further standardize the community health service, and ensure the medical and public health safety.
3. Consolidate the achievements of municipal food safety streets and further strengthen food safety management. Promote the construction of "three nets" of food safety, deepen the quantitative and hierarchical management system of food hygiene supervision, strengthen drug safety supervision, and solidly promote the establishment of drug safety demonstration. Ensure that no food and drug safety accidents occur throughout the year.
4. Improve cooperative medical care and physical examination. The participation rate of urban and rural cooperative medical care is stable at over 98%. Further strengthen the use and management of cooperative medical funds, strengthen the real-time reimbursement management of community health service stations, and improve the service quality of cooperative medical agents for reimbursement for the masses. Organize and implement the third round of health check-ups of participating residents in an orderly manner, with the health check-up rate reaching over 70% and the general survey rate of common diseases among women reaching over 85%, and establish and improve the health records of residents with health check-ups.
5. Strengthen disease prevention and control. Strengthen the propaganda of infectious disease prevention and control knowledge, and further strengthen the monitoring, prevention and control of diseases and endemic diseases. Strengthen the prevention, supervision and management of occupational hazards, comprehensively control the weak links in the prevention and control of occupational hazards, and establish a long-term mechanism to ensure the stability of the prevention and control of occupational hazards throughout the year without the occurrence of infectious diseases and endemic diseases.
6. Deepen the community responsibility doctor system. Further clarify the work tasks and assessment mechanism of community doctors, improve various systems, and deepen the community doctor system as a starting point to improve the service level.
7. Strengthen health education in urban and rural areas. In order to effectively change the healthy behavior habits of urban and rural residents, various forms of health education are carried out by taking health education classes into community activities as the carrier to further improve people's health awareness. Establish a 1 health demonstration community, actively advocate a healthy lifestyle, and effectively improve people's healthy behavior habits. Ensure that every household in the whole street has at least 1 health education publicity materials, and the awareness rate of residents' basic health knowledge is over 85%.
8, vigorously carry out rural toilet. Combined with the village renovation work, do a good job in the investigation and diagnosis of rural sanitary toilets, further increase publicity, actively guide and encourage farmers to build harmless toilets, and add more than 60 sanitary toilets for farmers throughout the year.
9, carry out regular work in addition to the four pests. In spring and autumn, combined with environmental improvement, vector control should be carried out in a targeted manner, and the density of four pests should be monitored to meet the evaluation of "advanced urban area for rodent control".
Second, the work measures
1, take the national health county evaluation as an opportunity to optimize environmental sanitation.
Public health management and service is the practical project of the government, the inevitable requirement of coordinating urban and rural development and improving urban and rural appearance, and the embodiment of the party Committee and government governing for the people and building a harmonious society. Therefore, all units should put public health work on the important agenda, strengthen organizational leadership, improve the working mechanism, improve the organizational network, increase funding, further improve public health management and service capabilities, and comprehensively improve the comprehensive level of health.
First, it is necessary to improve the long-term management mechanism and assessment mechanism of environmental sanitation, strengthen the dynamic management of environmental sanitation, further increase the investment in health facilities, stabilize the rural cleaning team, and effectively improve the urban and rural environment. Actively carry out innovative activities in the selection of civilized sanitation households for urban and rural residents, improve and perfect the assessment mechanism for rural cleaning staff, and ensure the long-term management of environmental sanitation to be implemented.
The second is to further intensify the patriotic health campaign. While carrying out long-term clean-up, we will intensify centralized rectification, seize patriotic health month activities and holidays such as May Day, National Day and Spring Festival, and extensively carry out mass patriotic health campaigns.
The third is to further strengthen rural toilet improvement and vector control. Actively publicize the significance of building harmless sanitary toilets, and guide and encourage farmers to build harmless toilets. Villages should combine village renovation, further increase the intensity of rural toilet improvement, put the toilet improvement work on the agenda, do a good job in investigation, publicity and mobilization, implement the task of toilet improvement, and ensure that more than 60 new toilets are improved throughout the year. At the same time, carry out regular vector control work, formulate vector control plan and density monitoring plan, carry out targeted vector control according to seasonal characteristics and vector growth and decline characteristics, and combine environmental remediation to completely eliminate vector breeding sites, effectively improve rural production and living environment, create a good sanitary environment, and meet the evaluation of "advanced urban area for rodent control".
2, to advocate a healthy lifestyle as a carrier, widely publicized to create an atmosphere.
First, establish and improve the position of health education, actively carry out various public health propaganda, continue to carry out 100 health education activities in the community, and carry out health education propaganda by using various windows, blackboard newspapers and permanent slogans. Make full use of village-level briefings and set up a column on "Hygiene and Health" so that the masses can learn health knowledge from various channels.
Second, take advocating healthy lifestyle as the carrier, actively carry out the activities of establishing demonstration communities, strengthen the cooperation between discipline and teenagers, actively carry out healthy behavior activities, guide the masses to start from themselves, abandon the health education and behavior intervention of unhealthy lifestyles, and strive to create a good atmosphere for the participation of the whole people, so that the awareness rate of health knowledge and the formation rate of healthy behavior of the whole street people can reach over 85%.
3. On the basis of improving the working mechanism of public health, improve the management service ability.
Further explore the public health management service mechanism, and fully implement the urban and rural public health 12 comprehensive service. Realize the equalization of public health services.
The first is to strengthen disease prevention and control. Focus on influenza A (H 1N 1), AIDS, endemic diseases and other infectious diseases, strengthen publicity and prevention and control, and implement prevention and control measures in villages, communities, primary and secondary schools and kindergartens. Carry out the planned immunization program for children aged 0-7, and focus on the vaccination of new residents' children to ensure that the vaccination rate of new residents' children reaches over 90%.
The second is to strengthen the integrated management of community health services. Improve the liaison system, regular meeting system, monthly report system and information notification system, clarify the tasks and responsibilities of community-responsible doctors, strengthen the management of village (community) community health service stations and the education and training of community-responsible doctors, and further improve the ability and level of community health services.
The third is to strengthen the construction of the three networks. In-depth study and implementation of the Food Safety Law, the implementation of the food and drug accountability system, the signing of food and drug safety objectives and responsibilities. Cooperate with superior functional departments to do a good job in food safety supervision, strengthen the expansion, quality improvement and efficiency improvement of chain supermarkets and assured stores, and actively promote the extension of chain supermarkets and assured stores to rural areas, communities and schools. Strengthen mass supervision, give full play to the role of the mass supervision team, grasp the dynamics, check and supervise regularly, integrate team resources, form joint efforts, improve work efficiency and improve the overall level of public health.
The fourth is to strengthen the special rectification and supervision of food safety. Cooperate with industry and commerce, agricultural economics, quality inspection, health and other functional departments to carry out special food safety rectification activities, actively carry out pollution-free and green agricultural products certification, and implement the food market access system. Strictly regulate the behavior of production and processing enterprises, and implement the system of requesting certificates and tickets for catering units. Full implementation of the quantitative classification management system of food hygiene supervision, 100% of school canteens to achieve quantitative classification management of food hygiene, more than 30% of large and medium-sized catering units and newly rated A-level units to implement the "five permanent regulations" management. Strengthen the supervision and filing of family dinners. Further strengthen the inspection of all aspects of food, improve the long-term supervision mechanism of food and drug, and effectively prevent food and drug safety accidents.
4. Focus on strengthening the management of cooperative medical fund and improve the management service level.
First, further strengthen the real-time reimbursement management of medical institutions, strengthen the management of cooperative medical funds, strengthen the service of village-level agents to reimburse medical expenses on behalf of the masses, and ensure the correctness and timeliness of compensation funds.
Second, strengthen the coordination between planning and medical and health care, increase publicity, strengthen the organization and implementation of physical examination, actively explore ways and means of physical examination, improve the quality of physical examination, and conscientiously implement the third round of physical examination for urban and rural residents. At the same time, strengthen the follow-up service of physical examination and establish and improve the health records of residents.
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The first is to do a good job in public health services.
In accordance with the overall goal of public health system construction, we will comprehensively complete the tasks of disease prevention and control and medical rescue system construction. The CDC under construction must complete all construction and equipment tasks before the end of June; Counties (districts) that have completed capital construction tasks will focus on strengthening laboratory construction. According to the principle of combining peacetime with wartime and focusing on capacity-building, the infectious disease hospitals, emergency centers and infectious disease areas in 10 county must be built and put into use before the end of 10, and the disease control system and medical treatment system suitable for the economic and social development level of our city should be gradually established, and the emergency mechanism for public health emergencies should be improved.
Do a good job in the prevention and treatment of SARS, human avian influenza, AIDS, tuberculosis, hepatitis and other major infectious diseases. Establish and improve a long-term mechanism for prevention and control, and implement prevention and control measures to prevent the prevalence and spread of major infectious diseases. Focusing on iodine deficiency disorders and soot-type fluoride and arsenic poisoning, we will comprehensively complete the prevention and control of endemic diseases in the Tenth Five-Year Plan and the task of preventing fluoride and improving stoves for 95,000 residents, and organize assessment and acceptance. Implement the system of planned immunization responsibility system, regular inspection, commendation and accountability, and formulate measures for the responsibility assessment, accountability and management of the floating population's planned immunization targets. Organize and carry out activities to create towns and towns that avoid planning standards and counties that meet standards, and build the first batch of standards in Gao Lan, Xunyang and Pingli counties. In order to further standardize the technical service of planned immunization, the municipal and county centers for disease control and prevention and more than 80% township hospitals have completed the task of building standardized vaccination clinics, which has improved the quality of vaccination and kept the effective vaccination rate of the "Seven Vaccines" above 90%. Strengthen the prediction and early warning of key diseases, establish and improve the network direct reporting system of infectious diseases, improve the quality of network direct reporting, and put an end to missing, late reporting, missing and wrong reporting.
According to the working idea of "reform and development, supervision according to law, network standardization and hospital delivery", the "grass-roots work year" of maternal and child health was organized. We will further standardize the construction of grass-roots networks, standardize the technical service market for maternal and child health care according to law, and improve the systematic management of pregnant women and children, with the management rates reaching over 85% respectively. Give full play to the role of obstetrics and gynecology and pediatrics in maternal and child health care in hospitals at all levels, strengthen the construction of obstetrics in general hospitals and maternal and child health care institutions, improve the delivery rate in hospitals, and take effective measures to reduce maternal and infant mortality. Do a good job in implementing the "reduction" project.
Carry out a patriotic health campaign extensively. Take active measures to increase the strength and progress of Ankang in establishing a provincial health city. Continue to create health county towns, health market towns and health demonstration villages, and do a good job in the honorary maintenance of health county towns. Organize the implementation of rural toilets and water supply, and constantly improve the living environment and sanitary conditions of urban and rural residents. Improve the Red Cross organizations at the municipal level and in ten counties and districts, and give full play to the role of the Red Cross in disaster relief and disease prevention.
Second, strengthen rural health work.
Conscientiously implement the spirit of the national, provincial and municipal "Decision on Strengthening Rural Health Work", persist in focusing health work on rural areas, continue to tilt towards rural areas in terms of policies, funds and projects, and constantly improve the relatively weak situation of rural health. Effectively implement the rural health economic policy, CDC, maternal and child health care, health law enforcement agencies and government-run township hospitals "one long and two dry",
Retirees' salaries are subject to full financial budget management; For the rest of the township hospitals, the headcount fee shall not exceed 80% of the subsidy standard for the time being, which can be gradually reached by years; The remuneration of village-level "two committees" shall be guaranteed according to the monthly standard of not less than that of 600 yuan. City CDC and Baihe, Hanyin, Gao Lan and ningshan county CDC should realize full budget management.
Deepen rural health reform. We should constantly improve the management of township hospitals from the aspects of human, financial and material resources, formulate management measures and methods, strengthen management and improve two benefits. Non-established township hospitals (institutes) will be merged and reorganized, and various forms such as leasing, contracting, joint-stock system or joint-stock cooperative system, state-owned private, trusteeship and auction will be adopted for restructuring and operation to enhance the vitality of development. Vigorously promote the public election system for the president and the public examination system for women and children specializing in epidemic prevention to ensure the quality of personnel and improve service capabilities. Strengthen the construction of rural health infrastructure and enhance the awareness of promoting the rapid development of rural health in our city with project construction. Organize the implementation of key projects such as township hospitals, hospitals in poverty-stricken counties, traditional Chinese medicine hospitals, health projects, and AIDS demonstration counties, implement project matching funds, and complete the construction tasks on schedule. Do a good job in reimbursement, capital return, personnel training and equipment management of health loan projects, and actively strive for the country to improve rural health service capacity building projects in the central and western regions.
Do a good job in the pilot project of new rural cooperative medical care in Xunyang County. In accordance with the principle of "government-led, farmers' voluntary", we will earnestly do a good job in propaganda and mobilization, plan formulation and organization and implementation, and strive to improve the participation rate of farmers. It is necessary to sum up experience in time and improve management measures to ensure the smooth progress of the pilot work.
Three, vigorously promote the reform of urban medical and health system
According to the principle of integrating resources and complementing each other's advantages, we should rationally plan the existing health resources, highlight their respective characteristics, strengthen the construction of superior and strong specialties, and maximize the efficiency of health resources. Do a good job in the construction of integrated traditional Chinese and western medicine in infectious disease hospitals, children's hospitals, maternity hospitals and emergency centers, leprosy prevention and treatment, and occupational disease prevention. Do a good job in transferring railway hospitals and health centers to local management.
According to the idea of separation of ownership and management rights, we should further deepen the reform of the operating mechanism of public hospitals, establish the investor system and corporate governance structure of public hospitals, clarify the relationship between the government, asset management institutions and hospitals, expand the autonomy of hospital management, and ensure the realization of the government's goal of providing basic medical services.
It is necessary to vigorously develop non-public medical institutions, support social forces to set up medical and health undertakings, break the monopoly of public hospitals, and promote orderly competition among medical institutions of various ownership. Reform the property rights and management rights of state-owned hospitals with poor management such as joint-stock system and state-owned private enterprises.
Public welfare hospitals organized by the government should further deepen and improve the reform of personnel distribution system, actively implement the financial compensation policy, and conscientiously implement the systems of separate accounting management of medical service prices and drug expenses, centralized bidding and procurement of drugs, selection of doctors for patients, inquiry of hospitalization expenses list and publicity of medical charges. Hold a seminar on hospital management and management system reform.
Vigorously develop community health services. Develop community health service according to the ideas of diversification of investment, standardization of work and diversification of services. Gradually guide some secondary hospitals to extend community health services. The administrative department of health shall strengthen access, supervision and guidance according to law.
Organize and implement a new round of hospital grade creation and complete the grade evaluation task. Further establish and improve the hospital clinical quality control system, reduce medical disputes and accidents, and carry out medical quality inspection. We will do a good job in the construction of superior specialties of traditional Chinese medicine in demonstration Chinese medicine hospitals and key Chinese medicine hospitals, and the Chinese medicine science and technology building of the municipal Chinese medicine hospital will be completed and put into use. Do a good job in the management of cross-infection in hospitals. Continue to carry out the work of establishing a demonstration center hospital.
Fourth, do a good job in emergency response to public health emergencies.
Conscientiously implement the Regulations on Emergency Treatment of Public Health Emergencies, establish and improve the working mechanism and work plan for dealing with major public health emergencies such as infectious disease outbreaks, food poisoning, disaster relief and disease prevention, and safe production, do a good job in material reserves and personnel training, establish a rapid medical and health emergency team, and organize regular simulation drills to ensure the smooth completion of various emergency tasks.
Strict implementation of public health emergency information reporting management measures to ensure smooth, timely and accurate information. We should attach great importance to work safety, improve the mechanism, implement responsibilities, carry out regular warning education, and resolutely put an end to serious production safety accidents.
Five, strengthen the supervision of health law enforcement
Further strengthen the comprehensive supervision of health law enforcement, earnestly do a good job in the prevention and control of infectious diseases, food hygiene, medical hygiene and occupational hygiene supervision, strengthen legal education and training, supervision and inspection, monitoring and sampling, case investigation and other measures, and improve the ability of administration according to law. Fully implement quantitative and hierarchical management of food supervision. In accordance with the principle of territorial management and consistency of responsibilities and rights, strengthen the municipal guidance, training and supervision functions. Strengthen the construction of health supervision institutions and teams, and complete the construction of health supervision and law enforcement system. Explore the supervision mode of setting up health supervision institutions in towns and villages, and enrich and strengthen the grassroots and rural health supervision and law enforcement forces. Extensively carry out the publicity of blood donation without compensation, strengthen the supervision of clinical blood use and blood collection and supply, and prevent the occurrence of blood-borne diseases. Organize and implement special rectification activities such as prevention and control of infectious diseases, medical market and food hygiene to ensure public health, food hygiene, medical hygiene and occupational health and safety. Six, strengthen the training of health personnel.
Firmly establish the concept that human resources are the first resource and promote medicine through science and education, and do a good job in training, attracting and using talents. Organize and implement the "235" talent development strategy. Strengthen the construction of key disciplines and superior colleges, and establish a well-structured talent echelon. Strengthen continuing medical education and improve the management measures of credit system for continuing medical education. Focus on the construction of high-level health talents, and strengthen the construction of rural and public health talents. Continue to organize urban medical institutions to provide "one-on-one" counterpart support in equipment, technology, personnel and management to help rural health institutions develop. Do a good job of counterpart assistance in provincial, Xi and municipal hospitals. Actively carry out medical and health research, popularize new technologies and expand new business.
Seven, change the function, and fully promote the construction of spiritual civilization in the health industry.
We will continue to focus on correcting unhealthy practices in the purchase and sale of drugs and medical services, and establish and improve a long-term mechanism for correcting unhealthy practices that pays equal attention to education, system and supervision, treats both the symptoms and root causes, and comprehensively manages them. Local and medical institutions that strongly reflect the masses should be held accountable by the health administrative departments and hospital leaders. Organize centralized bidding and purchasing of drugs and pilot charging for single diseases, increase the investigation and punishment of irrational drug use, and effectively reduce the burden of patients' expenses. To carry out the activities of creating excellence, evaluating differences, establishing civilized demonstration units and "People's Trust Hospital". Strengthen the education of medical ethics, strengthen the service concept of "people-oriented" and "all patient-centered", create a professional ethics of honest medical practice and honest service, and strive to shape a new image of the health industry.
Health administrative departments at all levels should study hard, emancipate their minds, change their functions, and work hard to innovate working ideas, working methods and working mechanisms. We should dare to break through the institutional constraints of planned economy on the development of health undertakings, and think about and promote health reform in accordance with the laws of market economy; It is necessary to effectively change the work style, often go deep into the grassroots, investigate and study, master and find the difficulties and problems existing in the work, and report and solve them to the government in time; We should be good at discovering and summarizing good experiences and take effective measures to promote them; It is necessary to learn from and absorb the good practices of foreign health reform extensively, find a breakthrough to solve the problem in combination with local reality, actively explore and boldly practice, and promote the sustained and in-depth development of health reform; It is necessary to carry out in-depth activities to establish "learning-oriented, service-oriented and ability-oriented" organs, continuously improve the ability of administration according to law, scientific governance and overall work, organize and lead the broad masses of cadres and workers to concentrate on construction and development with full enthusiasm, good working conditions and solid work style, and make new contributions to accelerating the development of health undertakings in our city.