Part I
In order to further strengthen the management of community public **** health service projects, solidly promote community public **** health services, and effectively safeguard the level of farmers' health, we hereby formulate the public **** health work plan for the year of xx:
I. Guiding ideology and target requirements
Comprehensively implement the Party's xx big, x x plenary spirit, hold high the great banner of socialism with Chinese characteristics, with the construction of a new socialist countryside requirements, to strengthen the public **** health services directly to farmers, enrich the content of the service, improve the quality of service, reduce the burden on farmers, the full implementation of the rural public **** health responsibility, to ensure that the farmers enjoy the basic health services, to ensure that the key populations of the rural areas to enjoy the focus of the service to ensure that the farmers enjoy the basic Health safety and security.
Second, the establishment of a sound village-level public **** health work leadership group and service management organizations
1, the community put public **** health work on the agenda, community public **** health work leadership group in the town of the current year after the town's public **** health work is clear, according to the actual needs of the adjustments and enrichment of personnel, set up an office, responsible for the implementation of the objectives and tasks issued by the higher level of government. Develop specific work programs and organize the implementation.
2, community public **** health work leading group and health center staff to ensure that my community **** health work smoothly.
3, the implementation of community public **** health work goals and tasks, to ensure that farmers enjoy basic health services: including health education, health management, basic medical services for the benefit of the people, cooperative medical services for the convenience of the people, epidemic prevention, health care and so on.
(a), health education
Health education classes are held once a quarter, the content should be seasonal, targeted, each time the participants must reach 50 or more people, the content of the bulletin board should be practical, and there should be a photo archive every quarter.
(2), health management
1. Family health records filing rate required 90%, the content of the health file book must be complete and accurate, no missing items.
2. On time to do a good job of health checkups, children's vaccination, children's physical examination, maternal system management, common women's disease checkups, key management of chronic diseases, door-to-door visits, as well as hospitalization due to illnesses, outpatient emergency and other diagnostic and treatment information into the health file, complete and accurate, the establishment of a dynamic, continuous family health file.
3. Quarterly free door-to-door visiting services, the rate of visits must reach 95% or more, follow-up and intervention in a timely manner into the health file, the key diseases of the visit content requirements in detail, complete and clear, truthful and credible, and timely summary of accurate reporting.
(C), basic medical services
Establishment of sound rules and regulations, in strict accordance with the norms of operation of medical technology, reasonable fees, and the implementation of medical preferential policies in accordance with the provisions.
(D), cooperative medical services for the convenience of the people
1. Health clinic doctors must be familiar with the cooperative medical policy, and vigorously publicize it, so that various groups of people on the cooperative medical policy of knowledge rate of 85%.
2. Quarterly public announcement of the village participants reimbursement, responsible for and keep the village participants roster, registration items should be complete and accurate.
(V), maternal and child health
1, seriously do a good job of maternal and child health. In particular, maternal system management and systematic management of children under 6 years old.
2, monthly management on time to report maternal and birth of children, and timely integration into the system management.
3, 4 times a month to the countryside to the household work, according to the situation on time maternal and child visits.
4, do a good job of maternal and child health care publicity, every two months a period, 6 periods of the year.
(F), epidemic prevention
1, do a good job of learning and publicizing the health laws and regulations, and do a good job of disease prevention and control and prevention of emergencies, to raise the awareness of the whole population.
2, dutifully carry out the work, on time to complete the children's vaccination, tuberculosis screening, outbreak investigation and reporting, vaccine cold chain management, health clinic disinfection management, safe injection work. The 29th of each month to do a good job of preventive vaccination, usually according to the actual situation on time vaccination.
3, to carry out appropriate disease prevention and control publicity, especially AIDS prevention and control of knowledge publicity. Epidemic prevention publicity every two months a period, the year **** 6 period.
(VII), chronic disease management
1, do a good job of hypertension, diabetes, tumors, cardiovascular and cerebrovascular disease, mental illness and other chronic disease patients archiving and management. Do a good job of physical examination registration of the elderly.
2, do a good job of quarterly chronic disease follow-up, do a good job of chronic disease prevention and treatment knowledge propaganda. One issue per month, the whole year **** 12 issues.
(H), food safety work
Strengthen the supervision and guidance and management of rural food and drinking water hygiene. Improve the timely reporting of rural public **** health information to reduce losses.
(ix) Timely reporting of various reports and data.
(x) Completing temporary work arranged by superiors on time.
Part II
I. Objectives and tasks
1, consolidate the results of the creation of the national health county, and further improve the long-term management mechanism of environmental health, improve the assessment system. Improve the environmental outlook of urban and rural residents. Vigorously carry out mass patriotic health campaigns, deepen the creation of health villages, health advanced units, the creation of a municipal health villages, health advanced units at all levels 3.
2, to deepen the reform of the pharmaceutical system as an opportunity to implement the basic drug system, the effective implementation of public **** health equalization services, and further standardize the community health services, to ensure that health care, public **** health safety.
3, consolidate the municipal food safety street results, and further strengthen food safety management. Promote food safety "three network" construction, deepen the quantitative grading management system of food hygiene supervision, strengthen drug safety supervision, and solidly promote the creation of drug safety demonstration work. Ensure that no food and drug safety accidents throughout the year.
4, improve the cooperative medical care, health checkups. Urban and rural residents in the cooperative medical insurance rate stabilized at more than 98%, to further strengthen the use and management of the cooperative medical fund, to strengthen the community health service station real-time reimbursement management, to enhance the cooperative medical agent for the people on behalf of the reimbursement of the quality of service. Organize and implement the third round of health checkups for residents in an orderly manner, with the health checkup rate reaching more than 70% and the rate of women's common disease screening reaching more than 85%, as well as the establishment and improvement of health records for residents undergoing medical checkups.
5, strengthen disease prevention and control. Increase the publicity of knowledge about the prevention of infectious diseases, and further strengthen the monitoring, prevention and control of diseases and endemic diseases. Strengthen the prevention of occupational hazards and supervision and management, comprehensive management of occupational hazards prevention and control of weak links, the establishment of a long-term mechanism to ensure that the situation of occupational hazards prevention and control throughout the year and no outbreaks of infectious diseases and endemic diseases.
6, deepen the community responsible doctor system. Further clarify the work of the community responsible doctor's tasks and assessment mechanism, improve the system, to deepen the community responsible doctor system as a hand, improve the level of service.
7, strengthen urban and rural health education. To effectively change the health behavior habits of urban and rural residents, health education classes into the community activities as a carrier, to carry out a variety of forms of health education, and further enhance the public's health awareness. Create a health demonstration community, actively advocate a healthy lifestyle, and effectively improve the health behavior habits of the masses. Ensure that every farming household in the street to get at least 1 health education publicity materials, residents of the basic health knowledge rate of 85% or more.
8, vigorously carry out rural toilet. Combined with the village improvement work, do a good job of rural sanitary toilet survey, mapping, and further increase the publicity, and actively guide and encourage farmers to build harmless toilets, new farmers sanitary toilets more than 60 households throughout the year.
9, carry out regular work in addition to the four pests. Spring and fall as the main season, combined with environmental improvement, targeted vector biological control, do a good job of monitoring the density of four pests, to meet the "advanced urban anti-rodent" review.
Second, the work measures
1, to the national health county review as an opportunity to optimize the appearance of environmental health.
Public **** health management services is a practical project of the government, is the integration of urban and rural development, improve the appearance of urban and rural inevitable requirement, is the party committee, the government is ruling for the people, build a harmonious society embodiment, so the units should be put on the public **** health work on the important agenda, strengthen the organization and leadership, improve the working mechanism, improve the organization of the network, and increase the financial investment, and further improve the public **** health management services capacity, comprehensively improve the health of the public **** health management services capacity, comprehensively improve the health of the public **** health management services. ** health management service capacity, comprehensively enhance the comprehensive level of health.
First, we must improve the long-term environmental health management mechanism and assessment mechanism, strengthen the dynamic management of environmental health, further increase the investment in health facilities, stabilize the rural cleaning team, and effectively improve the urban and rural environmental appearance. Actively carry out urban and rural residents of civilized health household assessment activities, improve and perfect the assessment mechanism of the work of rural cleaners to do the up and down linkage, mass participation, to ensure that the long-term management of environmental health work in practice.
The second is to further increase the patriotic health campaign. In the long term cleaning at the same time, increase the centralized rectification efforts, seize the patriotic health month activities and May Day, National Day, Spring Festival and other holidays, extensive mass patriotic health campaign.
Third, further increase the rural toilet and vector biological control work. Actively publicize the significance of building harmless sanitary toilets, guide and encourage farmers to build harmless toilets. The village should be combined with the village rectification, further increase the intensity of rural toilets, the toilet work on the agenda, do a good job of investigation and mapping, publicity and mobilization, the toilet task to ensure that the annual new household toilets more than 60 households. At the same time to carry out regular work in addition to the four pests, the development of the four pests in addition to the plan and density monitoring program, according to the seasonal characteristics and the characteristics of the vector organisms, combined with environmental remediation, targeted vector organisms to carry out the control, the complete elimination of vector organisms breeding grounds, and effectively improve the production of rural areas, the living environment, to create a good sanitation environment, to meet the good "advanced urban areas to eliminate rodents "Review work.
2, to advocate a healthy lifestyle as a carrier, widely publicized to create an atmosphere.
First, the establishment of a sound health education positions, and actively do a good job in all types of public **** health publicity and mobilization work, continue to carry out a good hundred health education into the community activities, we must use all kinds of windows, blackboards, permanent slogans to carry out health education and publicity. Make full use of the village newsletter, opened a "health and health" knowledge column, so that the general public can absorb health knowledge from a variety of channels.
The second is to advocate a healthy lifestyle as a carrier, and actively carry out the creation of demonstration communities, strengthen the cooperation of planning, culture and health, and actively carry out the activities of the youth's health and hygiene behaviors, and guide the masses to start from their own, to abandon the bad lifestyle health education and behavioral interventions, in order to improve the masses of self-protection awareness, and strive to create a good atmosphere for the participation of the entire population, so that all the streets of the masses of hygiene knowledge and health behavior formation. Knowledge knowledge and health behavior formation rate of 85% or more.
3, to improve the public **** health work mechanism as the basis to enhance the management service capacity.
Further explore the public **** health management service mechanism, the full implementation of urban and rural public **** health three major categories of 12 integrated service work. Realize public **** health equalization services.
First, strengthen disease prevention and control. Focusing on influenza A (H1N1), AIDS, endemic diseases and other infectious diseases, increase publicity, prevention and control efforts to implement preventive and control measures in villages, communities, as well as primary and secondary schools, child care institutions. Carry out the 0-7 years old children's immunization project, focusing on new residents to do a good job of children's vaccination, to ensure that new residents of children's vaccination rate of 90% or more.
The second is to strengthen the integrated management of community health care. Improve the liaison officer system, regular meeting system, monthly report system and information notification system and other four systems, clarify the work of the community responsible for the doctor's tasks and responsibilities, strengthen the village (community) community health service station management and community responsible for the doctor's education and training, and further improve the capacity and level of community health services.
Third, strengthen the construction of the three networks. In-depth study and implementation of the Food Safety Law, the implementation of food and drug accountability system, signed the food and drug safety target responsibility. Cooperate with the higher functional departments to do a good job of food safety supervision, strengthen the chain of up market, assured that the expansion of the store, improve the quality of work, and actively promote the chain of supermarkets, assured that the extension of the store to the rural areas, communities, schools. Strengthen the mass supervision efforts, give full play to the role of the mass supervision team, grasp the dynamics, regular inspection and supervision, integration of team resources, the formation of synergies, improve efficiency, in order to improve the overall level of public **** health.
Fourth, increase food safety special rectification and supervision. With industry and commerce, agriculture and economics, quality inspection, health and other functional departments to carry out food safety special rectification activities, and actively carry out the certification of pollution-free, green agricultural products, the implementation of food market access system. Strict production and processing sub-enterprise behavioral norms, the implementation of food and beverage units to request certificates and invoices system. Comprehensively implement the quantitative grading management system for food hygiene supervision, realize the implementation of quantitative grading management for food hygiene in 100% of school canteens, and implement the "five-permanent method" management in more than 30% of large and medium-sized catering establishments and newly assessed A-level establishments. Strengthening the supervision and declaration of family meals for the record. Further increase the inspection of various food links, improve the long-term food and drug regulatory mechanism, and effectively prevent the occurrence of food and drug safety accidents.
4, to strengthen the management of cooperative medical funds as the focus, improve the level of management services.
First, to further strengthen the real-time reimbursement management of health care institutions, to strengthen the management of funds for cooperative medical care, to strengthen the village agent for the masses agent of the medical fee reimbursement compensation procedures for the settlement of services, to ensure that the compensation of the correctness of the funds and the timeliness of the compensation of the funds.
The second is to strengthen the planning and health cooperation efforts, increase publicity, strengthen the organization and implementation of medical examination, and actively explore ways and means of health examination, improve the quality of medical examination, and conscientiously implement the third round of urban and rural residents health examination. The company's main goal is to provide the best possible service to its customers.
Part III
First, efforts to do a good job of public **** health services
In accordance with the general objectives of the construction of the public **** health system requirements, the full completion of the construction of disease prevention, control and medical care system tasks. CDC is under construction must be completed before the end of June construction and equipment tasks; has completed the infrastructure task of the county (district) focus on strengthening laboratory construction. In accordance with the principle of combining peace and war, focusing on capacity building, the city's infectious disease hospitals, emergency centers and 10 counties infectious disease area construction must be completed and put into use by the end of October, and gradually established with the city's level of economic and social development in line with the disease control system and medical treatment system, improve the emergency response mechanism for emergencies of public **** health incidents.
Effectively do a good job in the prevention and treatment of SARS, human avian influenza, AIDS, tuberculosis, hepatitis and other major infectious diseases. Establish and improve the long-term mechanism of prevention and control work, the implementation of prevention and control measures to prevent the epidemic and spread of major infectious diseases. Focusing on iodine deficiency disease and soot-type fluoride and arsenic poisoning, the government has fully completed the "Tenth Five-Year Plan" of endemic disease prevention and treatment and 95,000 households have been tasked to prevent fluoride and change their cooking stoves, and has organized assessments and acceptance tests. The implementation of the immunization system of responsibility, regular inspection and commendation and accountability system, the development of target responsibility assessment methods, accountability methods and mobile population immunization management methods. Organize and carry out plan immunization standardized townships and "up to standard" counties and districts to create activities, the first Langao, Xunyang and Pingli three counties to meet the construction standards. Further standardize the technical services of immunization, the city, county CDC and more than 80% of the township health centers to complete the construction of standardized vaccination clinics, improve the quality of vaccination, "seven vaccine" effective vaccination rate remained at more than 90%. Strengthen the key disease prediction, early warning and forecasting, the establishment and improvement of infectious disease network direct reporting system, improve the quality of network direct reporting, to eliminate false reporting, late reporting, omission, misreporting phenomenon.
In accordance with the "reform and development, legal supervision, network standardization, hospital delivery," the work of the idea of organizing and carrying out maternal and child health "grass-roots work year" activities. Further standardize the construction of grass-roots networks, regulate the market for maternal and child health care services in accordance with the law, improve the systematic management of maternal and child health care, and achieve a management rate of more than 85% respectively. The role of obstetrics and gynaecology and paediatrics departments in maternal and child health care at all levels of hospitals is being brought into full play; obstetrics departments in general hospitals and maternal and child health-care institutions are being strengthened; the rate of hospitalized deliveries is being increased; and effective measures are being taken to reduce the mortality rates of pregnant women and infants. Do a good job of implementing the "Reduce and Eliminate" program.
Widely carry out patriotic health campaigns. Take active measures to increase the work of Ankang City to create a provincial health city and work progress. Continue to create a health county, health towns, health demonstration villages, do a good job has been created to maintain the honor of the health county. Organize the implementation of rural toilets and water, and continuously improve the living environment and sanitary conditions of urban and rural residents. Improve the Red Cross organization at the municipal level and in ten counties and districts, and give full play to the role of the Red Cross in disaster relief and disaster prevention work.
Second, effectively strengthen the rural health work
earnestly implement the implementation of the Chinese, provincial and municipal "decision on strengthening rural health work" spirit, adhere to the focus of health work in rural areas, from the policy, funding, projects, etc. continue to tilt the rural areas, and continue to improve the situation of rural health is relatively weak. Effective implementation of rural health economic policy, the CDC, maternal and child health, health law enforcement agencies and government-run township health centers, "a long two dry",
Retirees' salaries to implement the full financial budget management; the rest of the personnel of the township health centers head of the funds temporarily less than 80% of the subsidy standard can be gradually reached in annual; the village "two" compensation in accordance with the monthly standard of not less than 600 yuan to be guaranteed. The compensation of village-level "two members" will be guaranteed according to the standard of not less than 600 yuan per month. City CDC and Baihe, Hanin, Langao, Ningxia County CDC to achieve the full management of the budget.
Deepening rural health reform. Continue to improve the township health center people, money and materials on the county and district health bureau management, the development of management measures and methods to increase management efforts to improve the two benefits. The non-establishment of the township health center (Institute) to implement the abolition of reorganization, to take the lease, contracting, shareholding or joint-stock cooperative system, state-owned private, trusteeship, auction and other forms of restructuring and operation, and enhance the development of vitality. Vigorously implement the president of the public election system and epidemic prevention women and children specialists public examination system, to ensure the quality of personnel, improve service capacity. Increase the construction of rural health infrastructure, enhance the project construction to drive the city's rapid development of rural health awareness. Organize and implement the construction of township health centers, hospitals in poor counties, hospitals, hospitals, health special construction, AIDS demonstration counties and other key projects, the implementation of the project matching funds, on schedule to complete the construction tasks. Do a good job of health loan project reporting, return of funds, personnel training and equipment management, and actively seek to improve the national capacity of rural health services in central and western construction projects.
Do a good job in Xunyang County new rural cooperative medical care pilot. In accordance with the "government-led, voluntary participation of farmers" principle, and effectively do a good job of publicity and mobilization, program development and implementation of the work, and strive to improve the participation rate of farmers. To summarize the experience in a timely manner, improve the management approach to ensure the smooth operation of the pilot work.
Third, vigorously promote the reform of urban health care system
In accordance with the integration of resources, the principle of complementary advantages, the existing health resources for rational planning, highlighting their respective characteristics, to strengthen the advantages, strong specialties, to maximize the effectiveness of health resources. Do a good job of the city's infectious disease hospitals, children's hospitals, maternity hospitals, as well as first aid, leprosy prevention and treatment, prevention and treatment of occupational diseases and combined traditional Chinese and Western medicine and other centers of the formation of the work. Do a good job of railroad hospitals, health centers transferred to local management.
In accordance with the idea of separation of ownership and operation, to further deepen the reform of the operating mechanism of public hospitals, the establishment of public hospitals and corporate governance structure of the system of contributors, clear government, asset management organizations, hospitals, the relationship of responsibility and rights, so as to achieve both the expansion of hospitals and operational autonomy, and to ensure that the government to provide the realization of the goal of the basic health care services.
To vigorously develop non-public medical institutions, support social forces to run medical and health care, break the monopoly of public hospitals, and promote the orderly competition of medical institutions of various ownership. The poorly run state-owned hospitals to implement the shareholding system, state-owned private property rights, business rights reform.
The government-sponsored public hospitals to further deepen and improve the personnel distribution system reform, and actively implement the financial compensation policy, and conscientiously implement the price of medical services, separate accounting for the cost of medicines, respectively, the management of centralized bidding and purchasing of medicines, the patient's choice of doctors, hospitalization cost list query and medical fee disclosure system. A seminar on the reform of the hospital management and operation system was held.
Greatly develop community health services. In accordance with the idea of diversification of investment, standardization of work and diversification of services, the development of community health services. Gradually guide part of the second-level hospital extension to run community health services. Health administrative departments to strengthen access, supervision and guidance in accordance with the law.
Organize and implement a new round of hospitals to create a grade, complete the grade review task. Further establish and improve the hospital clinical quality control system, reduce medical disputes and accidents, carry out medical quality inspection. Grasp the demonstration of Chinese medicine hospitals and key Chinese medicine hospitals Chinese medicine advantage and specialty construction, the city Chinese medicine hospital Chinese medicine science and technology building is completed and put into use. Do a good job in the management of cross-infection in hospitals. Continue to carry out the work of creating a model center health center.
Fourth, do a good job of public **** health emergency response work
Seriously implement the "public **** health emergency response regulations", to establish and improve the response to infectious disease outbreaks epidemic, food poisoning, disaster relief and prevention of disease, safety production and other major public **** health emergency work mechanism, work plan, do a good job of material reserves and personnel training, the establishment of a rapid response Medical and health emergency response team, organize and carry out regular simulation exercises to ensure the successful completion of all emergency tasks.
Strictly implement the management of information reporting on public **** health emergencies, to ensure unimpeded, timely and accurate information. To attach great importance to the work of production safety, improve the mechanism, the implementation of responsibility, carry out regular warning education, and resolutely put an end to the occurrence of serious production safety accidents.
V. Strengthen health law enforcement supervision
Further strengthen the comprehensive supervision of health law enforcement, effectively do a good job in the prevention and control of infectious diseases, food hygiene, health care and occupational health and other key areas of supervision, strengthen the legal education and training, supervision and inspection, monitoring and sampling, case investigation and handling and other measures to improve the ability to administer according to law. Comprehensively implement quantitative grading management of food supervision. In accordance with the principles of territorial management and consistency of responsibilities and powers, municipal guidance, training and supervision functions have been strengthened. Strengthening the construction of health supervision organizations and teams, and completing the construction project of the health supervision and law enforcement system. Explore the regulatory model of setting up health supervision dispatching organizations in townships, and enrich and strengthen the health supervision and law enforcement forces at the grassroots and in rural areas. It has widely carried out publicity on blood donation, strengthened the supervision of clinical blood use and blood collection and supply, and put an end to the occurrence of blood-borne diseases. Organization and implementation of infectious disease prevention and control, medical market and food hygiene and other special rectification activities to ensure that the masses of public **** health, food hygiene, medical hygiene and occupational health and safety. Sixth, increase the cultivation of health personnel
Firmly establish the concept of human resources is the first resource and science and education of medical concepts, and effectively grasp the three links of training, attraction and use of talent. Organization and implementation of the "235" talent development strategy. Strengthen the construction of key disciplines and advantageous specialties, and establish a reasonably structured talent ladder team. Strengthen continuing medical education and improve the management of continuing medical education credit system. Focusing on the construction of high-level health talents, the construction of rural and public **** health talents has been strengthened. Continue to organize urban medical institutions, from equipment, technology, personnel, management, etc., to take "one-to-one" counterpart support to help the development of rural health institutions. Do a good job in the province, Xi'an City and municipal hospitals to help each other. Actively carry out scientific research in health care, promote new technologies and expand new business.
VII, change functions, and fully promote the construction of spiritual civilization in the health sector
Continue to correct the purchase and sale of drugs and medical services in the unhealthy as the focus of the work, the establishment and refinement of education, system, supervision and focus on both the symptoms and root causes, comprehensive treatment of the long-term mechanism of correcting the work of the wind. For places and medical institutions with strong public reaction, the health administrative departments and hospitals in charge should be held accountable. Organizations carry out centralized bidding and purchasing of medicines and pilot projects for single-patient charging, increase the investigation and handling of unreasonable use of medicines, and effectively reduce the burden of costs on patients. It has carried out activities to create good and bad hospitals, and to create civilized model units and "people's hospitals with peace of mind". Strengthen the medical ethics education, strengthen the people-oriented and "all patient-centered" service concept, to create a clean practice, honest service ethics, and strive to shape a new image of the health industry.
All levels of health administration to study, emancipate the mind, change functions, and work on innovative ideas, working methods and working mechanisms. To dare to break through the planned economy on the institutional constraints on the development of health, in accordance with the laws of the market economy to think and promote health reform; to effectively change the style of work, often in-depth, research, grasp and find the work of the difficulties and problems that exist in the government to do a good job of reporting to the government to solve in a timely manner; to be good at discovering and summarizing the good experience, to take effective measures to be promoted; to draw extensively and absorb the good practices of the field of health reform, combined with local health Good practices in health reform, combined with local realities, to identify breakthroughs in problem solving, active exploration, bold practice, and promote the deepening development of health reform; to carry out in-depth to create a "learning, service-oriented and able to do things," the activities of the authorities, and constantly improve the administration of the law, scientific governance and the ability to manage the overall situation of the work of the full enthusiasm, good working conditions, solid work style, the organization led the The majority of cadres and workers concentrate on construction, single-mindedly seeking development, to accelerate the development of the city's health to make new contributions.