In order to implement the "8888 medical and health system reform recent key implementation program" and "8888 promote the basic public **** health service equalization implementation program" and other documents, promote the basic public **** health equalization, combined with the actuality of the county, specially formulated "8888 basic public ** **health service project implementation program".
One, the guiding ideology
Deng Xiaoping Theory and the "Three Represents" as the important idea of guidance, the full implementation of the scientific concept of development, adhere to the nature of the public welfare of the basic public **** health services, in accordance with the scientific norms, according to the ability to do so, steadily advancing, focusing on the idea of effectiveness, take the government to buy the way to provide free access to fair, effective, safe, and effective health services, and to provide free health services for the masses, and to promote the implementation of the basic health services program. Provide fair, effective, safe and convenient nine basic public **** health services free of charge, to maximize the urban and rural residents do not get sick, less sick, improve the people's health, and constantly promote the equalization of basic public **** health services for urban and rural residents.
Two, the basic principles
(a) open and transparent, fair and just. The government openly purchases basic public **** health service projects from the community, establishes project standards, implements evaluation of service effectiveness, and accepts social supervision; adheres to the principle of fairness and impartiality, and the approval of the establishment of grassroots health institutions can participate in the provision of services on an equal footing, and urban and rural residents can enjoy the basic public **** health services on an equal footing.
(2) clear rights and responsibilities, rights and responsibilities are consistent. The responsibilities and rights of the government, service organizations and residents in the process of purchasing, providing and enjoying basic public **** health services are clearly defined, so as to ensure the effective implementation of basic public **** health services.
(3) standardized and orderly, incentives to promote. The use of performance appraisal, resident participation in the evaluation and other incentives to purchase the most effective services at the lowest cost, to ensure that the social benefits are maximized.
(4) People-oriented, focusing on effectiveness. Fully embodies the convenience of the masses, service to the masses of the people-oriented concept, in order to residents to enjoy good basic public **** health services as a fundamental, maximize the quality and effectiveness of services.
Three, the main content and milestones
Basic public **** health services include the following nine items: the establishment of residents' health records, health education, vaccination, prevention and treatment of infectious diseases (AIDS control, tuberculosis prevention and treatment), children's health care, maternal health care, health care for the elderly, prevention and treatment of chronic diseases (hypertension, diabetes mellitus) and the management of severe mental illness.
Basic public **** health service projects are divided into two categories according to the unit undertaking the project: one is the project that can be undertaken directly by the grassroots health institutions (hereinafter referred to as grassroots projects), including the establishment of the residents' health records, health education, prevention and treatment of infectious diseases, health care for the elderly, the prevention and treatment of chronic diseases, and the management of serious mental illnesses; and the other is the project that needs to be undertaken by professional public **** health institutions (hereinafter referred to as professional projects). Hereinafter referred to as specialized programs, mainly including vaccination, women's health care, and children's health care, which are partially undertaken by specialized public **** health institutions.
Disease prevention and control organizations and maternal and child health care institutions mainly provide technical support for primary health service institutions to carry out basic public **** health work, and strengthen counterpart business guidance, personnel training, quality control, assessment and evaluation.
(a) Establishment of residents' health records
With a focus on women, children, the elderly, the disabled, the chronically ill and other groups of people, for the jurisdiction of the resident population to establish a unified, standardized residents' health records, health records of the main information, including the residents' basic information, the main health problems, and health service records. The health records should be updated in a timely manner, and the rate of residents' health records reached more than 20% in 2010 and more than 30% in 2011; the rate of residents' health records of key populations reached more than 30%.
(2) Health Education
1. Regular health education activities. (1) primary health care service institutions to provide residents under their jurisdiction with health prescriptions, health guidance manuals, folders, etc., each institution to provide no less than 12 kinds of printed materials per year; (2) township health centers set up no less than two health education bulletin boards; village health clinics set up no less than one health education bulletin boards, at least once a quarter to update; (3) cycle of no less than six kinds of health education video materials ; (4) each institution to take advantage of the theme of publicity days or holidays, to carry out no less than six public health consultation activities and distribution of publicity materials; (5) township health centers to hold at least one health knowledge lectures per month; village health clinics to hold at least one health knowledge lectures every two months.
2. Targeted health education on key chronic and infectious diseases. Carry out including hypertension, diabetes, coronary heart disease, asthma, breast cancer and cervical cancer and other chronic diseases, as well as AIDS, tuberculosis, hepatitis, influenza, cholera, hand, foot and mouth disease, chicken pox, mumps, epidemic hemorrhagic fever and other infectious diseases, health education and disease prevention and knowledge guidance and publicity work.
3, targeted health education for key populations. According to the jurisdiction of different key populations (adolescents, women, the elderly, parents of children 0-36 months) to carry out targeted health guidance and health education, including women's health care knowledge, children's health care knowledge, oral health care knowledge, smoking is harmful to health, immunization and so on.
4. In 2010, the knowledge rate of residents about basic health care reached more than 60%, and in 2011 it reached more than 70%.
(C) Preventive Vaccination
1, free of charge to 0-6 year-old children of the age of 12 types of vaccination services to prevent 12 types of infectious diseases. Including: hepatitis B vaccine, BCG vaccine, polio vaccine, DPT vaccine, DPT vaccine, measles vaccine, hepatitis A vaccine, meningitis vaccine, meningitis B vaccine, leprosy, mumps vaccine, and other national immunization program vaccines.
2, the organization of immunization management. Establishment of children of school age vaccination card, certificate, book, to ensure safe injection and immunization information management system, the vaccine cold chain facilities operate normally; with disease prevention and control agencies to carry out crowd immunization level monitoring and immunization effect monitoring.
3. In 2010, the routine immunization rate of children aged 0-6 years reached over 95%.
(D) prevention and control of infectious diseases
1, to carry out monitoring of infectious diseases under the jurisdiction of the timely report of the statutory report of infectious disease outbreaks found in the jurisdiction.
2, do a good job of case referral, disinfection within the unit, to assist professional public **** health institutions to do a good job of focusing on the management of infectious diseases home cases of follow-up work and close contact management.
3, with the key infectious disease prevention and management. Cooperate with the higher professional prevention and treatment institutions to do a good job in the standardized management of tuberculosis cases; with the higher professional prevention and treatment institutions to carry out investigations and follow-up of AIDS patients, virus infected persons, and provide advice.
4, 2010 epidemic reporting rate of 100%, the timely rate of 100%, the outbreak of key infectious diseases outbreak outbreak timely disposal rate of 100%.
(E) hypertension, diabetes and other chronic disease intervention
1, to carry out hypertension, diabetes and other key chronic disease patient registration and health guidance. People over 35 years of age to implement the first outpatient blood pressure measurement; diagnosed hypertension and diabetes mellitus patients registered management, regular follow-up, each follow-up visit to ask about their condition, physical examination and medication, diet, exercise, psychological and other health guidance; to carry out prevention of chronic diseases and behavioral risk factor education and intervention.
2. The registration and management rate of chronic non-communicable diseases such as hypertension and diabetes reached 20% in 2010; and 30% in 2011.
(F) Management of Serious Mental Diseases
1, the jurisdiction has been diagnosed with serious mental illness patients registered, archived, under the guidance of professional organizations living at home in the treatment of patients with serious mental illness follow-up, provide counseling services, rehabilitation and treatment guidance.
2. The rate of registration and management of patients with serious mental illness reached more than 20% in 2010; and more than 30% in 2011.
(VII) Children's Health Care
1. A children's health care handbook has been established for infants and young children aged 0-36 months, and newborn visits and children's health care system management have been carried out. Newborns are visited twice, and child health care is provided four times up to the age of one, and twice a year in the second and third years. They conduct physical examination, growth and development monitoring and evaluation, and provide health guidance on mental and behavioral development, breastfeeding, supplemental food, accidental injury prevention, and common diseases.
2. The rate of management of children's health care system has been significantly improved, with the rate of children's health handbook and health care management coverage reaching more than 60% in 2010 and more than 85% in 2011.
(VIII) Maternal Health Care
1. A health care handbook has been established for pregnant women and mothers, and five pregnancy health care services and two postnatal visits have been carried out. They conduct general physical examinations and provide guidance on nutritional and psychological health during pregnancy, as well as on postpartum recovery and common postpartum problems.
2. In 2010, the registration rate of maternal health handbook reached more than 60%, the coverage rate of maternal health management reached more than 50%, and the coverage rate of high-risk maternal health management reached more than 95%; in 2011, the coverage rate of maternal health management reached more than 85%.
(IX) Health Care for the Elderly
1. Through the implementation of the Health Management Service Program for the Elderly, urban and rural elders are given surveys on health risk factors and general physical examinations, and health guidance is given on risk factors such as chronic diseases, osteoporosis, and unintentional injuries among the elderly. The program provides health guidance on disease prevention, self-care, injury prevention and self-help, reduces major health risk factors, and effectively prevents and controls chronic diseases and injuries.
2. Health care for the elderly is carried out, regular health checkups are conducted for the elderly over 65 years of age, and the rate of health management for the elderly reached more than 30% in 2010 and 2011.
Four, organization and implementation
(a) Health administrative departments. Organization, guidance, supervision and support of professional public **** health institutions and primary health care institutions under the jurisdiction of the effective implementation of basic public **** health services, and gradually improve the performance evaluation system of basic public **** health services, strengthen the supervision and management of basic public **** health services and performance evaluation.
(ii) financial sector. Develop special fund management methods, strengthen the management of special funds, in conjunction with the health administrative departments to carry out basic public **** health services performance evaluation, maximize the effectiveness of the use of special funds.
(C) professional public **** health institutions. Undertake basic public **** health services project assessment, personnel training, performance assessment, quality monitoring and appropriate technology promotion and other business guidance and technical support functions. Through the adjustment of institutional public **** health functions, improve the service network and strict service quality management, accelerate the establishment of professional public **** health institutions and primary medical and health care institutions division of labor and collaboration.
(4) Township (township) health centers, village health offices and other grass-roots health institutions. As the main implementation of basic public **** health services, free of charge for all residents to provide basic public **** health services. They adhere to the service concept of health management and the service model of active service, door-to-door service and the combination of medical service and preventive health care, further adjust and improve the flow of basic public **** health services, equip them with facilities and equipment, service teams and full-time staff, improve their internal performance evaluation systems, and conscientiously implement the various requirements to ensure the full coverage and public welfare nature of the basic public **** health services as well as equalization of the services, and actively play a role in the implementation of basic public **** health services. The role of the basic public **** health service network is being actively utilized.
V. Financial security
(1) Funding. The financial sector to establish basic public **** health services special funds, basic public **** health special funds in 2009 to mobilize the standard of 15 yuan per capita, in 2010 to 18 yuan per capita, in 2011 to 20 yuan per capita. The sources of funding are the subsidies issued by the central government and the funds arranged by the municipal and county budgets.
(2) the distribution of funds.
1, grass-roots project funds. Grass-roots project funds are all used to provide public **** health services in township (town) health centers and village health offices.
2. Professional project funds. The total annual budget of professional project funds is determined in accordance with the basic public **** health service projects and average service cost measurements undertaken by professional public **** health institutions. Professional program funds are used exclusively for professional public **** health institutions that provide basic public **** health services.
3. Award funds. Part of the funds in the basic public **** health special funds are arranged for incentives and subsidies for grass-roots health organizations that undertake basic public **** health services as well as for financial expenditures to carry out performance assessment work.
(3) Funds allocation. In accordance with the principle of incentives and constraints, the special funds to implement the beginning of the year in advance, the end of the year according to the results of the performance evaluation of the liquidation of the disbursement method. Grass-roots project funds, professional project funds and subsidies for the subsidy method, by the county health administrative departments and the financial sector according to the operation of the project and changes in funding standards adjusted on an annual basis.
Six, work requirements
(a) strengthen organizational leadership, and seriously promote the implementation. Health administrative departments to effectively strengthen the unified management of basic public **** health services, the project work requirements are fully integrated into the work of the annual overall plan, carefully organized, properly arranged, fully organized and implemented. County disease prevention and control agencies, maternal and child health institutions to firmly establish guidance for the implementation of the basic public **** health services project awareness of responsibility, set up project technical steering group and offices at all levels, give full play to the role of technical support, and seriously do a good job on the project's business and technical guidance. Township (township) health centers, village health offices should be carefully compared with the specific content and requirements of the basic public **** health service projects, to develop a detailed implementation program, one by one to implement.
(2) strict fund management, strengthen performance evaluation. County financial departments and health administrative departments are responsible for the development of the county's unified basic public **** health special funds performance appraisal methods. County health administrative departments and the financial sector is the basic public **** health special funds performance assessment of the implementation of the main body of the performance assessment results of random checks. County health administrative departments and financial departments in November 15 each year, complete the township (township) health centers and professional public **** health institutions to provide basic public **** health services performance assessment, and reported to the municipal health administrative departments and municipal financial departments.
(3) improve the service specification, ensure service quality. By the county health administrative department in accordance with the service capacity and conditions of primary health care institutions, research and development and promotion of health education, vaccination, child health care, maternal health care, geriatric health care and prevention and treatment of infectious diseases, chronic disease management, and other basic public **** health service project work program, improve the management system and workflow, improve the quality of service and management level. Taking the key population groups and service recipients of primary medical and health-care institutions as an entry point, they are gradually establishing standardized and unified health records for residents, actively promoting the electronic management of health records, and strengthening the management of public **** health information. Professional public **** health institutions and primary health care institutions to change the way of service, door-to-door service, active service and continuous service, and constantly improve the quality of basic public **** health services.