1. 2022 Community Health Service Station Work Plan
1. Continue to improve the collection and organization of community and personal health information. The establishment of a perfect health record system, the classification and management of various types of patients, the establishment of patient information tracking card in the region, to grasp the changes in the health of the residents of the region, and make timely health guidance to the types of patients.
2, my station will do a good job of health care for community residents. Preventive work, to do residents to go to a large hospital to see a doctor difficult to link with large hospitals, with. According to the characteristics of more women of childbearing age in my district, my station will focus on reproductive health. Family planning guidance, contraceptive knowledge of guidance and counseling work, in a big effort to publicize our family planning laws and regulations in our region, to strengthen the supervision of family planning work.
3, I district factories, mobile population, in order to protect the health of these foreign populations, I station will set up a foreign population health information tracking card, free of charge for the request for a health checkup provided by the examination.
4, I will increase the station investment, improve the station conditions. The introduction of specialized technical personnel to improve the quality of medical care in this station, so that the quality of medical care and nursing on a new level.
5, in the higher care and support, my station in accordance with the requirements of the higher health administrative departments instructed to expand the scale of services, improve the quality of services, expand the service area, increase medical equipment, increase laboratory testing and laboratory equipment, and strive to better improve the work of the community service, the work to the real.
6, continue to carry out free clinic activities to help disadvantaged residents, free delivery of medicine, door-to-door service, and effectively implement the work of the higher leadership of the community health services requirements.
2.2022 community health service station work plan
a. Continue to pay close attention to the quality of medical care, the implementation of incentives and penalties, to eliminate medical accidents and medical disputes. Further improve the quality of service, the "one-stop" service in place, continue to implement the "five one" service model in the hospitalization department, each medical staff should be placed in the patient's point of view, from the patient's thinking, and find ways to provide patients with the most cozy The first is the "five one" service model.
Second, seize the opportunity to implement the provisions of public medical care, urban residents' medical insurance, the new rural cooperative medical care, to provide the masses with high-quality medical services, widely publicized the advantages of low threshold fee, high reimbursement ratio, to improve the hospital's visibility and influence.
Third, actively declare the establishment of a second-class oncology hospital, highlighting the characteristics of the hospital.
Fourth, maternal and child health, disease prevention and control
Continue to do a good job of maternal and child card work, do a good job of tracking and management of the resident population, the floating population and high-risk pregnancy and childbirth, we must continue to do a good job of maternal and child information collection, reporting, and strengthen the maternal and child information leakage survey and baseline information survey. Continue to work closely with the relevant departments, regularly down to the community to carry out active search for migrant children and mapping work, timely detection of school-age children, improve the rate of migrant children's health care system management rate and vaccination rate, and strengthen the work of disease prevention and control within the jurisdiction.
V. Strengthen the standardization of residents' health records archiving work
I center in 20xx residents archiving work on the basis of further promoting this work.
20xx year will reach the jurisdiction of the residents file rate of 80%, to ensure the authenticity of health records. Standardized management of health records, and timely completion of health records entry.
Sixth, to strengthen the performance appraisal of our center and public **** health service funding management, and improve a variety of systems.
VII. 20xx year for the residents to provide free services include:
(1) according to the characteristics of the residents of the district to provide targeted health education guidance.
(2) Establishment of the Maternal and Child Health Handbook for pregnant women and newborns, providing pregnancy checkups, postpartum visits, and newborn visits; and establishment of health records for children under the age of 3.
(3) Provide basic medical checkups, at least four follow-up visits per year, and an assessment of lifestyle and health status for people over 65 years old.
(4) Provide patients with hypertension and type 2 diabetes with appropriate medical checkups according to their specific conditions, and follow up with them four times a year.
(5) For homebound patients with severe mental illness, a comprehensive assessment is conducted 1-2 times a year, with at least 4 follow-up visits, and rehabilitation guidance is provided.
VIII. Continuously improve the ability to deal with unexpected public **** health incidents.
(1) seriously study the "Chinese People's **** and State Infectious Disease Prevention and Control Law" and "Emergency Regulations for Public **** health emergencies", and timely development of emergency plans for public **** health emergencies.
(2) seriously cooperate with the relevant departments at higher levels to carry out the prevention and treatment of AIDS and tuberculosis. Further strengthen the hand-foot-mouth disease, influenza A and other infectious diseases prevention and control of publicity.
(3) improve the hospital sensory management system, strengthen the disinfection treatment and quality control and other work to strictly implement the "Medical Waste Disposal Measures", medical waste disposal rate of 100%.
3.2022 community health service station work plan
First, implement the community health service guidelines and policies
Implement the guidelines and policies of the higher health authorities on community health services, eat through the spirit of each document issued by the higher level, and carefully plan the implementation. Continue to strengthen the public **** health and health education work, the implementation of the national basic directory of zero-differential rate sales system of medicines, and promote the implementation of basic public **** health services to gradually equalize the measures.
Second, to further enhance the capacity of public **** health services
This year, on the basis of updating the jurisdiction of the residents' health records, to further synchronize the improvement of electronic records. Focus on the elderly over 65 years old, women, children, chronic patients, people with disabilities, mentally ill and other key groups of people in the archives, and strengthen the dynamic health management of the elderly with chronic diseases. Actively explore the implementation of the "first treatment in the center, the hospital, two-way referral, hierarchical responsibility" management model.
Third, efforts to improve the level of community health services team
Focus on strengthening the construction of disciplines, and gradually rationalize the structure of talent. Grasp the discipline construction is to improve the foundation of medical quality, is an important guarantee of the development of the center.
For my center is not quite standardized construction of disciplines, specialty advantages and features are not yet obvious, the seriousness of the phenomenon of talent gap, the planned development of disciplines according to the need to send doctors out to participate in training, advanced training, relying on the teaching advantages of well-known hospitals to improve the professional and technical level of medical personnel, so that as soon as possible to become the center of the business of the force, to enhance the comprehensive strength of the center
Fourth, to further improve the community health center, to improve the quality of medical care, to improve the quality of medical care, to improve the quality of medical care, to improve the quality of medical care. p> Fourth, to further improve the main functions of community health services
(a) health education. Requirements must have a work plan and summary, detailed content, health education classes held once a quarter, the content should be seasonal, targeted, each time the participants must reach 30 or more people, the bulletin board to have a photo archive. There should be a record of the distribution of health information to ensure that the residents of the basic health knowledge rate of 90% or more.
(ii) Health file management. The health file construction rate is required to reach 95%, the content of the health file book must be complete and accurate, no missing items, and at the same time to establish electronic files. When building the file, the responsible doctor should timely obtain the health examination, children's physical examination, maternal system management, common women's disease examination, key management of chronic diseases, the content of door-to-door visits, as well as hospitalization due to illness and other diagnostic and treatment information into the health file, complete and accurate, the establishment of a dynamic, continuous family health file. Regular telephone or door-to-door visits, the visit rate must reach 95% or more, follow-up visits and interventions in a timely manner into the health file, the key diseases of the visit content requirements in detail, complete and clear, true and credible, and timely summary of accurate reporting.
(C) basic medical services for the people. Establish and improve the rules and regulations, in strict accordance with the norms of medical technology operation, reasonable fees, and the implementation of medical preferential policies in accordance with the provisions. The responsible doctor must be qualified by a licensed physician assistant or licensed physician as a
The jurisdiction of the key disease diagnosis and treatment records are required to be complete, the residents of the diagnosis and treatment rate must be up to 90%. The satisfaction rate survey of the responsible physician is required to be 90% or more.
(D) cooperative medical convenience services. The co-managers must be familiar with the cooperative medical policy and vigorously publicize it so that the knowledge rate of various groups of people on the cooperative medical policy reaches 90%. Monthly public announcement of the reimbursement of participants in the jurisdiction, a person is responsible for and keep a good roster of participants in the jurisdiction, the registration program should be complete and accurate.
(E) child health care. My center requires the newborn card rate of 100%, five vaccination rate of more than 95% of the whole vaccination, hepatitis B first shot timely rate of more than 90%, and grasp the situation of mobile children under the jurisdiction, timely vaccination by arrangement. Each responsible doctor should do a good job of vaccination publicity and actively participate in the work of strengthening immunization, emergency vaccination and other temporary arrangements. By the pediatrician responsible for children's system management rate required to reach more than 90%.
(F) Women's health. Requirements to grasp the jurisdiction of women of childbearing age and pregnant women's health status, mobilization and notification of pregnant women for maternal health care management, maternal hospital delivery rate must reach 99%, maternal system management rate of 95% or more, high-risk pregnant women hospital delivery rate must reach 100%. Systematic management of maternity, early pregnancy registration, prenatal checkups and postnatal visits, and screening, tracking, follow-up and referral of high-risk pregnant women. Participate in higher level training and guidance, convene and participate in regular meetings, summarize and plan, and archive information.
(VII) Health care for the elderly over 65 years old and chronic patients. Strengthen the elderly over 65 years of age, people with disabilities, hypertension, diabetes, severe mental illness, such as family health records, the filing rate required 90%, the health examination rate of 90% or more. Free annual medical check-ups are conducted for persons over 65 years of age, and regular follow-up visits are carried out, with targeted health interventions focusing on health education carried out for health problems identified during medical check-ups and follow-up visits. Dynamic management of health records, the discovery of the situation at any time to record, and timely summary of accurate reporting.
(viii) Strengthen the construction of Chinese medicine program. My center has completed the renovation of the Chinese medicine museum, is currently equipped with Chinese medicine diagnostic and treatment facilities are being improved, at the same time will focus on the construction of Chinese medicine personnel, improve the community Chinese medicine diagnostic and treatment capacity, and more in-depth Chinese medicine health education and publicity.
(IX) improve the ability to deal with public **** health emergencies
1, seriously study the "Chinese People's **** and State Infectious Disease Prevention and Control Act" and "emergency regulations for public **** health emergencies," the timely development of public **** health emergencies emergency plan.
2, seriously cooperate with the relevant departments at higher levels to carry out the prevention and treatment of AIDS and tuberculosis. Further strengthen the hand-foot-mouth disease, chicken pox, avian influenza, Ebola and other infectious diseases prevention and control of publicity.
Fifth, increase the spiritual civilization and ethical construction efforts to strengthen spiritual civilization and ethical construction is a long-term project, but also a specific connotation of the image of the project, we must fully understand the importance of corrective work, long-term, and urgency. We must unify our thoughts and fully understand the importance and urgency of strengthening the spiritual civilization and the construction of political style. Continuously improve the level of ideological education of the staff.
4.2022 community health service station work plan
First, to provide psychological counseling for the general population of the community, popularization of mental health knowledge
To provide psychological counseling for the general population of the community, popularization of mental health knowledge through two ways. The first is to assess the mental activities of community residents during routine health checkups, especially for key populations, such as the emotional state of women during pregnancy and childbirth, and the memory and intellectual activities of the elderly, in order to detect depression and dementia at an early stage. Second, through the organization of popular science lectures, consulting activities, the distribution of popular science reading materials, the production of publicity panels and other forms of publicity, to popularize mental health knowledge to community residents, to promote their mental health level.
Second, to carry out mental illness leads investigation, the establishment of disease files
Community mental illness patients leads investigation, is to carry out the first task of the community mental health services, but also dynamic grasp of the community mental illness changes in the first-hand information. The rate of community mental illness establishment should be no less than 0.6% of the population covered by the community. Psychiatrists will also be organized to conduct annual free check-ups for people with mental illness in the community. If a person with mental illness in the community is urgently hospitalized due to a relapse and aggravation of his condition, the information relating to his hospitalization will be promptly transferred to the community after discharge so that the community health service center can continue to provide community rehabilitation treatment. What has been established is a complete set of continuous disease profile information. Disease information of community mental illness patients will be properly maintained and the privacy of patients will be firmly upheld. Community mental illness patients and their families can make full use of these disease information.
Third, regular follow-up, management and treatment of severe mental illness
Mental illness, especially schizophrenia-based severe mental illness, due to the characteristics of the disease itself, more do not recognize that there is a disease, do not take the initiative to treat, especially in the serious stage of the disease, so the need to care for the community's patients with mental illness and care. Case managers, at least once a month, take the initiative to make home follow-up visits to patients with mental illnesses in the community who have been filed, maintain close contact with the patients and their families through follow-up visits, and gain the trust and cooperation of the patients. The follow-up visits include: the patient's medication intake, stabilization of the patient's condition, etc., and guidance to family members on home care for mental illness in the family. In order to improve the rate of community mental illness patients taking medication, dynamic grasp of the patient's condition change community mental illness patients can be close to the community health service center for medication during the necessary laboratory tests and laboratory tests to ensure the safety of medication.
Fourth, to carry out community rehabilitation treatment, prompting an early return to society
Case managers in the community mental illness patients in the follow-up at the same time, the patients will be community rehabilitation treatment. The content of community rehabilitation treatment includes: psychological rehabilitation guidance, home care guidance, labor skills training, recreational therapy and vocational rehabilitation. The purpose of community rehabilitation treatment is to reduce the degree of mental disability and encourage patients to return to society as soon as possible. The "xx" development norms formulated by the China Disabled Persons' Federation require that the construction of psychiatric rehabilitation institutions be strengthened, that planning be coordinated, and that each county (city or district) support the establishment of a model psychiatric rehabilitation institution. Rehabilitation institutions will take the form of industrial treatment stations, agricultural treatment bases, activity centers, day-care centers, halfway camps, vocational skills training centers, and so on. Community health service institutions in cooperation with the Disabled Persons' Federation to carry out "socialized, comprehensive, open" mental illness rehabilitation work.
V. Establishment of an emergency response mechanism to avoid adverse events
For severe mental illnesses, mainly schizophrenia, the primary purpose of management and treatment is to avoid the occurrence of adverse events. Adverse events include: acute adverse drug reactions, self-injurious behavior, and accidents. Community health service organizations and mental health medical institutions have established an emergency response mechanism and an emergency response plan, which will make emergency response in the shortest possible time, through the most direct channel and in the most appropriate way to avoid the occurrence of adverse events. Community health service organizations will provide professional guidance to family members of people with mental illness in the community and people around them to cope with mental illness emergencies.
Sixth, the establishment of a two-way referral system to provide seamless services
Responsible for the determination of the diagnosis of patients with mental illness in the community and the development of treatment programs, responsible for the mental illness patients' community management treatment and rehabilitation guidance, *** with the community mental illness patients with seamless services. There is a two-way referral system between community health service organizations and mental health medical institutions. Patients with mental illness in the community need to be referred to mental health medical institutions for consultation due to recurrent or aggravated conditions and will be referred to mental health medical institutions for emergency inpatient treatment if they are not suitable for community management and treatment. Patients with mental illness who are hospitalized in mental health care institutions on an emergency basis should be transferred back to the community for management and treatment in a timely manner after their conditions have been brought under control. The principle advocated is that emergency hospitalization should be decisive and timely, and community rehabilitation treatment should be persistent, patient and meticulous.
VII, safeguard the legitimate rights and interests of patients, and strive for social support
Schizophrenia-based serious mental illnesses are mostly in the onset of the young and middle-aged, the course of the disease is prolonged, mostly chronic, high disability rate, mainly harming the workforce, and is very likely to cause family poverty. The Party and the government have always attached great importance to the relief work for people with mental illnesses, but due to the characteristics of mental illnesses themselves, most people do not recognize that they are sick and refuse treatment, which makes the relief work difficult. Carry out community mental health services, can use community health service organizations to grasp the situation, with civil affairs, disability, labor and other departments to actively community mental illness patients' legitimate rights and interests, for appropriate social support and government assistance.
VIII, widely carry out health promotion activities, popularize the knowledge of mental illness prevention and treatment
Due to the impact of social prejudice, there is still discrimination against mental illness; a considerable portion of patients with mental illness and their families there is a sense of social shame, do not want others to know that they are worried about being discriminated against by society. People with mental illnesses, like people with physical illnesses, are also victims of illnesses and deserve people's understanding and help. Community health service organizations will carry out extensive health promotion activities, popularize the knowledge of mental illness prevention and treatment, create a good social culture in the community, care for and do not discriminate against people with mental illness, and help them to return to the society, community and family.
5.2022 community health service station work plan
First, prevention-oriented, comprehensive services, and constantly improve the function of community health services
1, health education
Carry out a variety of forms of health education and health promotion activities, popularize health knowledge, and enhance community Residents of health awareness and self-care ability to promote the improvement of the quality of health of all people, in particular, to strengthen the community residents of health literacy health education, community residents of health knowledge and health-related behaviors to achieve a rate of 85%, primary and secondary school students health knowledge and health-related behaviors to achieve a rate of 90% and more than 85%.
In the current year, the main health promotion days throughout the year should be utilized to carry out clinics, consultations, lectures and other forms of publicity and education activities. To address the characteristics of the community's more elderly, less educated, so that the content is colorful, easy to understand, easy to be accepted by the masses, welcomed by the masses. At least 12 times a year to carry out large-scale lectures, clinic consultation and other promotional activities and monthly publication of a health column, on time to report health education monthly statements.
2, strengthen the management of key populations
20xx community health centers focus on maternal, child, severe mental illness, hypertension, diabetes and other chronic non-communicable diseases and the management of the elderly over 60 years of age, specific to: a comprehensive grasp of the community under the jurisdiction of the maternal, child, elderly, chronic diseases and other key populations of the bottom and standardized archives. Provide them with continuous, comprehensive and appropriate services. In the course of daily work, key populations are screened in a timely manner, and specialized files are set up for them and managed in a focused manner. Free health records and medical check-ups continue to be set up for older persons over 60 years of age, and targeted management of hypertension, diabetes and mental health patients is being carried out. Scientific, rational and detailed interventions are proposed for them, and the three-level preventive measures for chronic diseases are put into practice, so that the elderly and the chronically ill can really feel the benefits of community health work.
3, planned immunization
To further strengthen the jurisdiction of the children and mobile children's vaccination and management, regularly organizing personnel to carry out active search in the community, timely and accurate grasp of the jurisdiction of the children and mobile children's information, and found that children who did not complete the immunization program in accordance with the requirements of the timely notification of replacement of the certificate, make-up vaccine; strictly in accordance with the National Immunization Program program for the work of preventive inoculation. Establish and improve the cold chain equipment files, do a good job of registering vaccines in and out, strengthen the management of biological products, and upload information on children's vaccination as required.
4, maternal and child health care, disease prevention and control
Continue to do a good job of maternal and child card work, and do a good job of tracking and management of the resident population, the floating population and high-risk pregnancy and childbirth, we must continue to do a good job of maternal and child information collection and reporting, and strengthen the investigation of the omission of information about mothers and children and the survey of the baseline data. Continue to work closely with the relevant departments, regularly down to the community to carry out active search for migrant children and mapping work, timely detection of school-age children, improve the rate of migrant children's health care system management rate and vaccination rate, and strengthen the work of disease prevention and control within the jurisdiction.
5, strengthen the standardization of residents' health records archiving work
I center in 20xx residents archiving work on the basis of further promoting this work.
20xx year will reach the jurisdiction of the residents file rate of 80%, to ensure the authenticity of health records. Standardized management of health records, and timely completion of health records entry.
6, to strengthen the performance appraisal of our center and public **** health service funding management, and improve various systems.
7, 20xx year for the residents to provide free services include:
(1) according to the characteristics of the residents of the district to provide targeted health education guidance.
(2) Establishment of Maternal and Child Health Handbook for pregnant women and newborns, providing pregnancy checkups, postpartum visits, and newborn visits; establishment of health records for children under 3 years old.
(3) Provide basic medical checkups, at least four follow-up visits per year, and an assessment of lifestyle and health status for people over 65 years old.
(4) Provide patients with hypertension and type 2 diabetes with appropriate medical checkups according to their specific conditions, and follow up with them four times a year.
(5) For homebound patients with severe mental illness, a comprehensive assessment is conducted 1-2 times a year, with at least 4 follow-up visits for rehabilitation guidance.
8. Continuously improve the ability to deal with unexpected public **** health incidents.
(1) seriously study the "Chinese People's **** and State Infectious Disease Prevention and Control Law" and "Emergency Regulations for Public **** health emergencies", and timely development of emergency plans for public **** health emergencies.
(2) seriously cooperate with the relevant departments at higher levels to carry out the prevention and treatment of AIDS and tuberculosis. Further strengthen the hand-foot-mouth disease, influenza A and other infectious diseases prevention and control of publicity.
(3) improve the hospital sensory management system, strengthen the disinfection treatment and quality control and other work to strictly implement the "Medical Waste Disposal Methods", medical waste disposal rate of 100%.
9, strengthen the health supervision and law enforcement capacity building, to ensure that the town health safety.
First, to strengthen the quality of health supervision personnel construction, strengthen legal knowledge, business knowledge training, improve the overall quality of health supervision staff.
The second is to continue to do a good job of school food safety and food poisoning incidents. Conscientiously implement the "student collective dining health supervision methods", "school canteens and student collective dining health management regulations", increase efforts to continue to pay close attention to the school collective canteen health management rectification, seriously organize and carry out a good spring and autumn two seasons of student collective dining special inspection. The prevention of food poisoning and improve the ability to deal with public **** health emergencies as the focus of work to prevent the occurrence of food poisoning in the collective dining of students. Supervise schools to organize student health checks and establish a sound student health records.
Third, to increase the medical market rectification efforts, crack down on illegal practice of medicine, the establishment of long-term regulatory mechanism, standardize the practice of medical institutions.
Fourth, to strengthen the health protection of major events. Seriously do a good job of large-scale activities and important reception of health protection work, do a good job on New Year's Day, Spring Festival, May Day, 11 holiday tourism golden week of health protection, to prevent or eliminate the occurrence of major emergencies of public **** health incidents.
10, continue to fully implement the town's disease prevention and control of strong foundation project. Establish and improve the town and village health care network layout is reasonable, the service function is sound, the personnel quality is high, the operation mechanism is scientific, the management standardized and orderly, the work performance is obvious, the residents are more satisfied with the disease prevention and control system. Further improve the construction of public **** health section hardware facilities and training of personnel.
Second, go hand in hand, grasp the basic medical
1, strive to business income in the previous year on the basis of 10% growth.
2, continue to do a good job in the community, common diseases, multiple diseases diagnosis and treatment, to grasp the outpatient cases, prescriptions, emergency attendance records and other medical documents written quality, and strive to improve the level of medical services, and strive to have a new breakthrough in the total number of outpatient; to further reduce the ratio of medical composition, reduce the average medical costs per outpatient visit, control the growth of medical costs, reduce the burden of medical care on the masses; to further strengthen the hospital management, to ensure medical safety; to further strengthen the hospital management, to ensure medical safety; to further strengthen the quality of medical services, to ensure the quality of medical services. To further strengthen the hospital management, to ensure medical safety; to regularly carry out the "three basic" knowledge training, assessment, improve the level of medical technology; to conscientiously implement the code of professional ethics and code of conduct for health professionals, standardize the behavior of health services.
3, to strengthen the construction of specialty departments, 20xx focus on the construction of rehabilitation and physical therapy, the extensive use of Chinese medicine, acupuncture, massage, hot pots, compresses, hot compresses and other appropriate Chinese medicine technology.
4, to further promote the implementation of the national basic drug system, the implementation of zero-differential rate sales of drugs.
5, and actively purchase additional equipment, the purchase of community health needs in line with the automatic biochemical analyzer, DR and other equipment.
3, strengthen personnel training, improve medical quality.
1, strengthen the training of general practitioners, general nurse team.
2, strengthen the business training, organize medical staff on health education, prevention and treatment of infectious diseases, hospital care, medical quality, pre-hospital emergency and other aspects of business training, improve business level.
Fourth, continue to complete the standardization of community health service institutions
I will be strictly in accordance with the provincial Department of Health, "on the urban community health service centers basic construction standard requirements", and strive to complete the Xiyangpo Community Health Complex in 20xx years, the project internal decorative decorative construction and formally put into use in the year. Further standardize the management of community health service institutions, so that the staff, section configuration is reasonable, perfect service function, the internal setup is unified.
Continuously explore new work ideas and management methods, my center will give full play to the characteristics and advantages of community health services itself, demand-oriented, and actively develop services welcomed by the masses, improve service measures. At the same time, we will continue to explore new management modes, establish an effective management system, guide and promote the reform of the personnel distribution system, improve the enthusiasm of community health service personnel, and ensure the quality and quantity of all public **** health work while doing a good job of medical business. Through efforts to gradually explore new work ideas and management methods suitable for the development of my community health service center to ensure that my center's community health services work effectively, economically, conveniently, comprehensively and continuously.
V. Maintain stability and promote development
1, continue to pay attention to the comprehensive management of social security, family planning, honest and clean party building, spiritual civilization, and actively resolve the debt, do a good job of letter and visit stability and control of the work, and conscientiously perform their duties.
2, strengthen the safety work, and further implement the production safety responsibility system, strict various operating procedures, pay close attention to the implementation of measures. Eliminate all kinds of security risks.
3, continue to create a smoke-free hospital, in the wards, corridors, and offices, the implementation of a comprehensive ban on smoking.