Principles of setting up urban community health service organizations
I. Vigorously promote the construction of urban communities, improve the health conditions of the community residents, improve the people's standard of living and quality of life, promote the coordinated development of the urban economy and society, and construct a new pattern of urban health service system based on community health services, we must put the focus of the work of the city's health to the community, actively develop the Community health services, and constantly enrich the connotation of urban community building.
II. Community health services are an important part of community building. The construction of community health services shall be incorporated into community development planning and regional health planning, and shall be closely integrated with the reform of the urban medical and health system, the reform of the basic medical insurance system for urban workers, and make full use of traditional Chinese medicine and western health resources.
Third, community health service institutions are non-profit medical institutions, is to provide community residents with prevention, health care, health education, family planning and medical care, rehabilitation, and other services for the integrated grass-roots health service institutions.
Four, the establishment of community health service organizations by the municipal government health administrative department for approval.
V. Community health service institutions to community health service centers as the main body. Community health service centers are generally set up under the jurisdiction of the street office, serving a population of about 3-5 million people. Community health service centers are difficult to facilitate the coverage of the region, the community health service stations as a supplement. Community health service institutions should be set up to make full use of community resources, to avoid duplication of construction, and to encourage the existing primary health care institutions through the structure and function of the dual transformation into community health service institutions.
Sixth, community health service organizations operating rooms, beds, basic equipment, commonly used drugs and emergency drugs should be configured according to the function of community health services, the needs of the residents; health manpower should be configured according to the appropriate ratio.
VII. The construction of community health service organizations should adhere to the principle of community participation.
VIII. The establishment and operation of community health service organizations shall introduce a competitive mechanism.
Nine, the naming principle of community health service centers is: the name of the district + the name of the street in which it is located + identify the name (optional) + community health service center; community health service stations are named according to the principle of: the name of the street in which it is located + the name of the residential district in which it is located + community health service station.
Urban Community Health Service Center Setting Guidance Standards
I. Basic Functions
(1) To carry out surveys on community health conditions, to conduct community diagnosis, to put forward to the community management department proposals and planning for improving community public **** hygiene, and to give technical guidance to community patriotic health work.
(2) To carry out targeted health guidance, behavioral intervention and screening for chronic non-communicable diseases, endemic and parasitic diseases, as well as monitoring and standardized management of high-risk groups.
(3) Responsible for immunization and the prevention and control of infectious diseases within the jurisdiction.
(4) Utilizing appropriate Chinese and Western medicines and technologies to carry out diagnosis and treatment of common and frequent diseases in general.
(v) Provide first aid services.
(6) Provide family health care services such as home visits, home nursing, and home hospital beds.
(vii) Provide consultation and referral services.
(viii) Provide hospice care services.
(ix) Provide mental health services and mental health counseling services.
(j) Provide health care services for key populations such as women, children, the elderly, the chronically ill, and the disabled.
(xi) Provide rehabilitation services.
(xii) To carry out health education and health promotion.
(xiii) Carrying out family planning counseling, publicity and providing appropriate technology services.
(xiv) Provide continuous health management services for individuals and families.
(xv) Responsible for the collection, organization, statistics, analysis and reporting of information on community health services within the jurisdiction.
(xvi) In community building, assist community management departments to continuously expand community services, prosperous community culture, beautify the community environment, **** with the creation of a healthy, civilized and harmonious community atmosphere.
(xvii) Provide other appropriate primary health services according to the function of community health services and the needs of community residents.
Two, the basic facilities
(a) the use of operational rooms should not be less than 400 square meters, the layout is reasonable, in line with national standards of hygiene and reflect the barrier-free design requirements.
(2) According to the function of community health services, residents' needs, community resources and other appropriate types and numbers of beds can be set up.
(3) have to carry out community prevention, health care, health education, family planning and medical treatment, rehabilitation and other basic equipment and the necessary communication, information and transportation equipment, the specific content of the provincial health administrative departments.
(d) The provision of common medicines and first-aid medicines shall be carried out in accordance with the relevant regulations of the provincial health administrative departments and drug supervision and management departments.
Three, departmental settings
With a special place to carry out general practice, nursing, rehabilitation, health education, immunization, maternal and child health care and information and data management.
Fourth, staffing
(a) professional and technical personnel engaged in community health services must have the legal qualifications to practice.
(2) According to the functions, tasks and needs of the service population, the appropriate type, level and number of health technicians. The population of the jurisdiction shall be equipped with at least two general practitioners per 10,000 people. In the case of general practitioner qualification recognition system has not been generally implemented, temporarily by the general practitioner post training qualified, with intermediate or above professional and technical titles of clinical practitioners. Medical and nursing staff are required to receive training in general medicine and community nursing before taking up their duties.
(3) When the relevant state departments promulgate the staffing standards for community health service organizations, they will be implemented in accordance with the relevant provisions.
V. Management System
Establishment and improvement of rules and regulations, which include:
(1) Code of professional ethics and code of conduct for all types of personnel.
(2) The job responsibility system for all types of personnel.
(3) Training, management, assessment, rewards and punishment system for all categories of personnel.
(4) Community prevention, health care, health education, family planning and medical treatment, rehabilitation and other technical services norms.
(v) Family health care service technical operation routine.
(vi) Service error and accident prevention system.
(7) Consultation and two-way referral system.
(viii) Medical waste management system.
(ix) Financial, drug and equipment management system.
(J) archives, information material management system.
(k) community health service quality management and assessment and evaluation system.
(xii) Social democratic supervision system.
(xiii) other relevant systems.
Urban community health service stations set the guiding standards
I. Basic Functions
(I) to carry out community health surveys, to assist the community management department to implement health promotion.
(ii) To carry out immunization, prevention and control of infectious diseases.
(3) Carrying out diagnosis and treatment of common and frequent diseases in general and standardized management of chronic diseases with clear diagnosis.
(4) Provide out-of-hospital emergency services.
(v) Provide family health care services such as home visits, home nursing and home hospital beds.
(vi) Provide two-way referral services.
(vii) Provide health care services for key populations such as women, children, the elderly, the chronically ill and the disabled.
(viii) Provide rehabilitation services.
(ix) To provide health education and mental health counseling.
(j) Providing family planning counseling and publicity services.
(xi) Provide continuous health management services for individuals and families.
(xii) In community building, assisting the community management department to continuously expand community services, flourish community culture, beautify the community environment, and ****together create a healthy, civilized and harmonious community atmosphere.
(xiii) Provide other appropriate primary health services according to the function of community health services and the needs of community residents.
Two, basic facilities
Operational rooms should not be less than 60 square meters, at least diagnostic rooms, treatment rooms and preventive care rooms, health education bulletin boards and other facilities, in line with national standards of hygiene and reflect the barrier-free design requirements.
Three, staffing
(a) professional and technical personnel engaged in community health services must have the legal qualifications to practice.
(2) According to the functions, tasks and needs of the population to be served, the appropriate category, level and number of health technicians. The population of the jurisdiction shall be equipped with at least two general practitioners per 10,000 people. In the case of general practitioner qualification recognition system has not yet been generally implemented, temporarily by general medicine training, with intermediate professional and technical titles of clinical practitioners. Medical and nursing staff are required to receive training in general medicine and community nursing before taking up their duties.
(3) When the relevant state departments promulgate the staffing standards for community health service organizations, they will be implemented in accordance with the relevant provisions.
Four, management system
Refer to the "Guiding Standards for the Establishment of Urban Community Health Service Centers".