I. To vigorously promote the construction of urban communities, to improve the health conditions of community residents, to improve people's living standards and quality of life, to promote the coordinated development of the urban economy and society, and to construct a new pattern of urban health service system based on community health services, it is necessary to put the focus of the work of urban health in the community, and to actively develop community health The city must focus its health work on the community, actively develop community health services, and continuously enrich the connotation of urban community building.
Second, community health services are an important part of community building. The construction of community health services must be integrated into community development planning and regional health planning, and should 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 medicine health resources.
Third, the community health service institutions are non-profit medical institutions, community residents to provide prevention, health care, health education, family planning and medical care, rehabilitation and other services for the comprehensive primary health services.
Fourth, the establishment of community health service organizations by the municipal government health administrative department for approval.
V. Community health service organizations 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 to 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, merit-based encouragement of 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 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 should introduce a competitive mechanism.
IX. The naming principle of community health service centers is: the name of the district + the name of the street where it is located + identification name (optional) + community health service centers; the naming principle of community health service stations is: the name of the street where it is located + the name of the residential district where it is located + community health service stations.
Urban community health service centers set up guidance standards
I. Basic functions
(a) to carry out surveys of the community health situation, community diagnosis, to the community management department to improve the community public **** health recommendations and planning, community patriotic hygiene work to be technically guided.
(b) Targeted development of chronic non-communicable diseases, endemic and parasitic diseases, health guidance, behavioral intervention and screening, as well as high-risk group monitoring and standardized management.
(C) is responsible for the jurisdiction of immunization and infectious disease prevention and control.
(D) the use of appropriate Chinese and Western medicine and technology, to carry out general diagnosis and treatment of common diseases and diseases.
(v) Provide first aid services.
(6) Provide family outpatient, family nursing, family hospital beds and other family health care services.
(7) 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) Health education and health promotion.
(xiii) To carry out family planning counseling, publicity and provide 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, to assist the community management department to continue to expand community services, prosperous community culture, beautify the community environment, *** with the creation of a healthy, civilized and harmonious community atmosphere.
(xvii) According to the function of community health services and the needs of community residents, to provide other appropriate primary health services.
Second, the basic facilities
(a) the use of business rooms should not be less than 400 square meters, reasonable layout, in line with national standards of hygiene and reflect the barrier-free design requirements.
(b) According to the function of community health services, residents' needs, community resources and other appropriate types and number of beds can be set up.
(C) have to carry out community prevention, health care, health education, family planning and medical care, rehabilitation and other basic equipment, as well as the necessary communication, information, transportation equipment, the specific content of the provincial health administrative departments.
(d) Common medicines and emergency medicines are provided in accordance with the relevant provisions of the provincial health administrative departments and drug supervision and management departments.
Third, the department set up
A special place to carry out general diagnosis and treatment, nursing, rehabilitation, health education, immunization, maternal and child health care and information management.
Fourth, staffing
(a) professional and technical personnel engaged in community health services must have the legal qualifications.
(2) According to the function, task and service population needs, with appropriate categories, levels and number of health professionals. Jurisdiction of the population per 10,000 people with at least two general practitioners. 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.
(c) To be promulgated by the relevant state departments of community health service organizations staffing standards, in accordance with the relevant provisions of the implementation.
V. Management system
Establishment of sound rules and regulations, including:
(a) Code of professional ethics and code of conduct for all types of personnel.
(b) The post responsibility system for all types of personnel.
(C) the various types of personnel training, management, assessment, rewards and punishment system.
(d) Community prevention, health care, health education, family planning and medical care, rehabilitation and other technical services.
(E) family health care services, technical operation routines.
(vi) Service error and accident prevention system.
(7) Consultation and two-way referral system.
(H) medical waste management system.
(IX) financial, drug, equipment management system.
(J) archives, information management system.
(k) community health service quality management and assessment evaluation system.
(xii) social democratic supervision system.
(xiii) other relevant systems.
Urban community health service stations set the guiding standards
I. Basic functions
(a) community health survey, to assist the community management department to implement health promotion.
(b) To carry out immunization, prevention and control of infectious diseases.
(C) to carry out general diagnosis and treatment of common diseases and diseases and diagnosis of chronic diseases standardized management.
(d) Provide out-of-hospital emergency services.
(e) Provide home visits, home care, home hospital beds and other family health care services.
(6) 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 carry out health education and mental health counseling.
(j) Provide family planning counseling and publicity services.
(xi) Provide continuous health management services for individuals and families.
(xii) In community building, assist the community management department to continuously expand community services, prosperity of community culture, beautification of the community environment, **** with the creation of a healthy, civilized and harmonious community atmosphere.
(xiii) According to the function of community health services and the needs of community residents, to provide other appropriate primary health services.
Second, the basic facilities
The operational area should not be less than 60 square meters, at least a diagnostic room, treatment room and preventive health care room, health education bulletin boards and other facilities, in line with national standards of hygiene and embodies the barrier-free design requirements.
Third, 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 service population needs, the appropriate type, level and number of health professionals. Jurisdiction of the population per 10,000 people with at least two general practitioners. In the case of general practitioner qualification recognition system has not been generally implemented, temporarily by general medicine training, with intermediate professional and technical titles of clinical practitioners. Medical and nursing staff must receive training in general medicine and community nursing before taking up their duties.
(c) To be promulgated by the relevant state departments of community health service organizations staffing standards, in accordance with the relevant provisions of the implementation.
Fourth, the management system
Refer to the "Urban Community Health Service Center Setting Guidance Standards".