Time flies, never waiting for anyone, waiting for us ahead is a new opportunity and challenge, it is time to write a detailed plan. Then you really know how to write a good plan? Here is my carefully organized community health services work plan, welcome to read, I hope you can enjoy.
First, standardize the community health service institutions set up and management
1, a sound network of community health service institutions
Comprehensive consideration of the region's health and family planning resources, the radius of service, the service population, as well as urbanization, aging, population mobility and migration and other factors. Develop a scientific and reasonable community health service organization setup plan, according to the plan to gradually improve the community health service network. In the process of building new residential areas or renovating old cities, community health service institutions should be planned and constructed simultaneously in accordance with the relevant requirements, and joint construction with pension institutions in the region is encouraged. In areas with dense mobile populations, additional community health service organizations should be set up as appropriate in accordance with the size of the population served and the service radius. For counties with large populations and county-level city government seats, community health service organizations should be set up as needed or existing health resources should be structurally and functionally modified to develop community health services. In the process of promoting the construction of rural communities, rural community health service institutions should be improved simultaneously in accordance with local conditions. In the process of urbanization, after the village committee changed to the neighborhood committee, localities can, according to the actual situation, according to the relevant standards of the original village health office into a community health service station or the abolition of the village health office.
2, give full play to the positive role of social forces to run the medical
The main body of the urban community health service network is the community health service center and community health service stations, clinics, clinics, infirmaries, and other primary diagnostic and treatment of other primary health care institutions is an important part of the community health service network. All localities should actively create conditions to encourage social forces to organize primary medical and health-care institutions, so as to meet the diversified health-service needs of residents. Encourage localities to actively explore through the government to purchase services 'way, social forces organized primary health care institutions to provide basic health care services to be subsidized.
3, standardize the registration of general practitioner practice
In the community health service institutions engaged in general medical (including traditional Chinese medicine) work of the clinician, through the standardized training of general practitioners or to obtain the qualification of senior technical positions in general medicine, registered as a specialty of general medicine; through the provincial administrative departments of health planning and Chinese medicine The transfer training and post training of general practitioners recognized by the provincial health and family planning administrative departments and Chinese medicine administration departments shall be registered as general medicine in their scope of practice, and other specialties of the corresponding categories may be added at the same time. Various regions should complete the registration change work of the existing eligible personnel before the end of June 20××, the specific registration methods developed by the provincial health planning administrative departments and Chinese medicine management departments.
4, improve the community health service environment
Community health service institutions should create a good environment for service users, standardize the layout of departments, clear functional zoning, to ensure that the service environment and facilities are clean, neat, comfortable, warm, reflecting the humanistic care. Preventive vaccination, children's health care, health education and traditional Chinese medicine service area should highlight the characteristics, to create an appropriate service atmosphere; registration, triage, pharmacy and other services to encourage the implementation of open window service area. Encourage the use of self-help registration, electronic calling, self-service printing of laboratory results, health self-testing and other facilities and equipment to improve the experience of residents in the clinic. Standardize the use of community health service agency logos, unify the visual identification system of community health service agencies, unify working clothes, nameplates, clinic kits, etc., and all kinds of logos within the agency must be clear and easy to recognize. Protecting the privacy of patients, where possible, one doctor, one clinic should be realized. Improve the organization's barrier-free facilities, create a smoke-free institutional environment, so that the community health service institutions within the total ban on smoking.
Second, to strengthen the community's basic medical and public **** health service capacity building
1, to enhance the community medical service capacity
Community health service organizations should focus on strengthening general medicine and Chinese medicine department construction, improve the common, frequent and chronic diseases. Diagnosis and treatment capacity. According to the needs of the public, the development of rehabilitation, stomatology, gynecology (women's health), pediatrics (children's health), psychiatry (psychology) and other specialized departments. Taking into account factors such as service demand, the aging process, the need for two-way referrals, and the basic conditions of the institutions, the size of the beds in community health service institutions is planned in an integrated manner on a municipal-area basis, and the number of beds in each community health service institution is set reasonably, so as to improve the efficiency of bed utilization. The beds of community health service organizations are mainly for nursing care and rehabilitation, and hospice care and elderly care beds can be set up if there are conditions. If a township health center is transformed into a community health service center, its inpatient beds and internal departments can be retained or adjusted according to actual needs. According to the graded diagnosis and treatment work needs, in accordance with the relevant provisions and requirements of the required varieties of drugs, to meet the needs of patients with medication.
2. Strengthen the up and down linkage with public hospitals
Support the establishment of a fixed collaborative relationship between community health service organizations and public hospitals, and explore the promotion of the construction of medical consortia. The collaboration hospitals should reserve a certain percentage of outpatient numbers for community health service organizations, open up green channels for referrals, and prioritize the referral of patients for treatment. Encourage doctors from public hospitals to engage in multi-practice in community health service organizations, and enhance the capacity of community health services by sitting in on clinics, teaching, and conducting room visits. Taking hypertension, diabetes, tuberculosis and other diseases as an entry point, a platform has been set up for general practitioners to contact and communicate with specialists in public hospitals, to strengthen the division of labor and coordination, and to link up the upper and lower levels, and to explore the system of community-based first-aid and two-way referral. A tracking service system for patients discharged from public hospitals is gradually being established to provide continuity of service for downwardly transferred patients. Promoting the construction of telemedicine systems, and carrying out telemedicine services such as remote consultation, medical imaging and electrocardiographic diagnosis. Making full use of public hospitals and other resources, the development of centralized testing, promote mutual recognition of inspection and testing, and reduce duplication of medical treatment.
3, the implementation of community public **** health services
Make full use of the residents' health records, health statistics, special surveys and other information, and regularly carry out community health diagnostics, clarify the basic health problems of residents under the jurisdiction, and develop population health intervention programs. The implementation of the national basic public **** health service program, and constantly expand the coverage of the beneficiary population. Strictly enforcing the norms and technical specifications for all public **** health services, providing relevant basic public **** health services to specific groups of people in accordance with the service process, and improving the sense of access for residents. The division of labor between community health service organizations and professional public **** health organizations has been strengthened, public **** health service positions have been set up in a rational manner, and basic medical and public **** health services have been further integrated to promote the combination of prevention and treatment. While steadily increasing the number of public ****health services, it focuses on strengthening the monitoring and management of the quality of public ****health services, and paying attention to the effects of health management.
4. Vigorously develop Chinese medicine services
In basic medical and public **** health services as well as in the rehabilitation of chronic diseases, make full use of the resources of traditional Chinese medicine, and give full play to the advantages and role of traditional Chinese medicine. Conditional community health service centers centralized set up Chinese medicine integrated service area. Publicity and training in the rational application of proprietary Chinese medicines are being strengthened, and appropriate techniques such as acupuncture, tuina, cupping and fumigation are being promoted. Actively carry out Chinese medicine "treatment" services for community residents to provide Chinese medicine health consultation, health status identification assessment and intervention services, vigorously promote the popularization of Chinese medicine health concepts and knowledge.
5, strengthen the community health talent team construction
Reasonable allocation of community health service organizations, the structure of the post, to strengthen the general practitioner, community nurses as the focus of the community health personnel team construction. Continue to increase support for the standardized training of general practitioners, and actively take measures to encourage medical graduates to participate in the standardized training of general practitioners. Vigorously promoting the transfer training of general practitioners and enriching the general practitioner workforce. Focusing on improving practical skills, community health in-service personnel training and continuing medical education should be strengthened, with community health technicians participating in technical training for a cumulative period of no less than three months every five years. Each region should carry out regular training for managers of community health service organizations, and cultivate a group of managers who understand the business, can manage, and are satisfied with the public.
Three, change the service mode, vigorously promote the grass-roots contracting service
1, strengthen the construction of contracted doctor team
The contracted doctor team consists of physicians of hospitals of the second level or above and the medical personnel of primary health care institutions. According to the jurisdiction of the service radius and service population, reasonable division of the team responsibility area, the implementation of grid management. The contracted physician team should grasp the main health problems of the residents under their jurisdiction, carry out health education and health promotion, risk factor intervention and disease prevention and treatment, and realize comprehensive, continuous and effective health management services. By 20xx, strive to achieve so that each family has a qualified contract doctor, each resident has an electronic health records.
2. Vigorously implement grassroots contracted services
Promote the signing of service agreements between contracted physician teams and residents or families to establish contractual service relationships. In the initial stage of contracted services, the focus should be on the elderly, patients with chronic diseases and severe mental disorders, pregnant women, children, people with disabilities and other long-term use of community health services, and gradually expand to the general population. In the process of promoting contracted services, it is important to focus on the effects of contracted services, clarify the content of contracted services and the conditions of contracting, and determine the responsibilities, rights, obligations and other matters that both parties should undertake, in an effort to enable residents to obtain more convenient medical and health services through contracted services, and to guide residents to take the initiative in signing up for such services. Exploring the provision of differentiated services, categorized contracting, paid contracting and other forms of contracted services to meet residents' multi-level service needs. Improve the incentive and constraint mechanism of contracted services, the contracted service costs are mainly solved by the medical insurance fund, contracted residents' payment and basic public **** health service funds and other channels.
3, to carry out convenient services
Community health service organizations should rationally arrange the consultation time, the conditions of the community health service organizations should be appropriate to extend the consultation time and the opening of weekends and holidays, the implementation of staggered service, to meet the needs of the working population to visit the clinic. Localities are encouraged to focus on the management of patients with chronic diseases, preventive vaccination, child health care, maternal health care and other relevant service recipients, and to gradually carry out time-slotted appointment-based consultation services. Regular follow-up visits are being conducted for key populations, and home visits are being conducted for patients in need. Vigorously develop community care and encourage the development of home care services.
4, do a good job of community health services for the mobile population
All localities should include migrant workers and their accompanying family members into the scope of services of the community health service organizations, according to the actual service population rational allocation of health professionals, to facilitate the mobility of the population to obtain medical and health services nearby. The mobile population in accordance with the relevant provisions and the residence of the household population to enjoy the same free basic public **** health services. It is necessary to penetrate into areas where the mobile population is concentrated, and to take various forms of publicity, such as lectures, wall posters, the distribution of materials, and new media, so as to enable them to understand the service recipients, contents, and processes of the national basic public **** health service program. For the characteristics of the mobile population, should focus on strengthening health education, prevention and control of infectious diseases, vaccination, maternal health and other public **** health services.
5, extend the function of community health services
According to the basic medical and health needs of the community population, and constantly improve the content of community health services, enrich the form of services, and expand the service program. Encourage community health service organizations to carry out various forms of cooperation with elderly service organizations, strengthen cooperation with relevant departments, and collaborate to promote the combination of medical and nursing service mode. Encourage community health service organizations to carry out targeted basic medical and health services for functional community populations such as institutions, schools and office buildings in their service areas. Guiding community residents to participate in community health services, through the development of chronic disease patients clubs or mutual aid groups, training family health care workers, and other forms, and constantly improve the residents' self-health management awareness.
Four, strengthen the community health service guarantee and supervision and management
1, strengthen the medical quality and safety guarantee
Strictly implement the relevant laws and regulations of medical quality management, rules and regulations and diagnostic and treatment norms, and strengthen the quality control of medical care. The company's products and services have been widely used in the medical industry, and have been widely recognized as the best in the world for their quality and reliability. Strict implementation of cleaning, disinfection and sterilization of medical devices and environment in key departments such as stomatology, disinfection and supply room, treatment room, dressing room and debridement room. Strengthen the control of nosocomial infection, strictly implement the operation standard of disinfection and sterilization, dispose of medical wastes according to the requirements, and implement the registration and management system to ensure medical safety. Strictly abide by the principles of using antibacterial drugs and hormones and the indications for joint application of antibacterial drugs. We rationally select the route of drug administration, strictly control the use ratio of antibacterial drugs, hormones and intravenous drugs, and ensure that the use of drugs is consistent with the diagnosis. The company's mission is to improve the medical risk-sharing mechanism and to encourage community health service organizations to participate in medical liability insurance.
2. Strengthening information technology support
Promote the use of "one card" for residents to get medical treatment, and make good use of electronic health records. The company's business is based on the concept of "one-stop-shopping", which is a way to avoid duplication of data entry by integrating the construction of information management systems for community health service organizations, and further integrating the business systems for maternal and child health care, family planning, vaccination, reporting of infectious diseases, and severe mental disorders. Promote the effective docking of the community health information platform with the comprehensive information platform for community public **** services, and promote the organic integration and system integration of community health services with other community public **** services, citizen-friendly services, and voluntary mutual aid services. Continuously improving the functions of the community health service information management system, gradually realizing the application functions of reservation, registration, diagnosis and treatment, referral, public **** health services, as well as fee charging, medical insurance settlement, testing and drug management, strengthening the integration of information ****sharing within the organization, and gradually realizing the dynamic supervision of the quantity and quality of services through the information system. The construction of regional health information platforms has been strengthened, and information interconnection and resource ****sharing between community health service organizations and other medical and health institutions in the region has been promoted. Make full use of the mobile Internet, smart clients, instant messaging and other modern information technology to strengthen the interaction between doctors and patients, improve the residents' feelings, and improve the effectiveness of services.
3, strengthen policy support and performance evaluation
Health planning administrative departments at all levels, Chinese medicine management departments to promote the implementation of community health service institutions, financial subsidies, personnel allocation and other related security policies, fully mobilize the enthusiasm of community medical personnel. Further strengthen the supervision and management of community health service organizations, establish and improve the management system, strengthen the community health service organization culture and medical ethics construction. Localities should continue to improve the performance appraisal system, to improve the quality of service related content into the community health service organizations assessment of the key content, to promote the community health service organizations to continue to improve services, improve the residents' trust and utilization.