Strengthen the training of medical staff on the "National Basic Public Health Service Standards (Third Edition)", "National Guidelines for the Prevention and Management of Hypertension at the Primary Level" and "National Guidelines for the Prevention and Management of Diabetes at the Primary Level" to effectively improve the standards for chronic diseases Manage quality.
Promote the establishment of two-way collaboration and referral mechanisms between primary medical and health institutions and higher-level medical institutions, and actively play the technical guidance role of disease control institutions.
Encourage specialists and public health physicians from higher-level medical and health institutions to participate, strengthen technical guidance, skills training and service provision, and explore the establishment of a quality control system for grassroots chronic disease medical and health services.
Optimize the service process and effectively use the time before, during and after diagnosis to provide patients with chronic diseases with services such as appointment, screening, filing, follow-up, and health education.
Encourage exploration to improve service levels through medical artificial intelligence-assisted technology, carry out follow-up and health education for key groups, and use big data to analyze regional health conditions.
(2) Strengthen the health management of children aged 0 to 6 years old. Strengthen the guidance and training of higher-level medical institutions and maternal and child health institutions for grassroots medical and health institutions, and effectively manage children's health based on the "Health Management Service Standards for Children Aged 0-6".
Highlight the key points, carry out eye and vision examinations during children's health examinations, rely on electronic health records to improve the electronic vision health records of children aged 0 to 6 years old, and transfer them in real time as children enter school.
Strengthen classified management, combine family doctor contract services, adopt various forms to carry out extensive health education on children's eye care and vision protection, and encourage grassroots medical and health institutions to give full play to the unique advantages of traditional Chinese medicine to provide eye care and vision health services for children. Strengthen coordination between the upper and lower levels. Children with abnormalities discovered must be promptly referred to higher-level medical institutions or maternal and child health care institutions for treatment. Higher-level institutions must promptly feed back treatment information to grassroots medical and health institutions for follow-up follow-up.
(3) Standardize the health management of elderly people aged 65 and above. All localities should take the health examination of the elderly aged 65 and above as the starting point to standardize the health management of the elderly.
It is necessary to guide grassroots medical and health institutions to conduct publicity and mobilization based on actual conditions, coordinate daily diagnosis and treatment and health examinations for the elderly, and facilitate the elderly through mobile physical examination vehicles, organizing elderly people to gather in grassroots medical and health institutions, and regularly setting up physical examination days for the elderly. People receive health check-up services.
Physical examination results should be entered into residents' electronic health records in a timely manner, and the elderly should be notified of the physical examination results through information prompts, electronic health file inquiries, and paper physical examination reports. Personalized health education and guidance should be provided based on the physical examination results.
For those with abnormal results during physical examination, they should be guided to timely referral and follow-up should be done. Encourage qualified primary medical and health institutions to conduct comparative analysis of the results of physical examinations for the elderly over the years.
All localities should guide grassroots medical and health institutions to actively participate in the Healthy China Action, focus on key groups such as women and children, the elderly, and patients with chronic diseases, and combine basic public services with other key groups such as women and children, the elderly, and patients with chronic diseases. ***Health services, strengthen health education and nutrition and health science popularization, and play a due role in building a healthy China.
6. Highlight the needs of the masses, improve project content and give play to the incentive and guidance role of performance evaluation
Combining the needs of the masses and local practices, we will promptly improve public health service projects, build a national reserve of basic public health service projects, and promote project optimization and dynamic adjustment.
Innovate project performance evaluation methods, improve evaluation methods, make full use of information technology, promote the transformation from process evaluation to health outcome evaluation, and from phased evaluation to a combination of daily evaluation and phased evaluation, and use mass satisfaction as an important reference for performance evaluation index.
All localities should scientifically and rationally allocate basic public health service tasks at the rural two levels, and implement basic public health service subsidy funds for rural doctors. The method of "pre-allocation first, settlement later" can be adopted. In principle, the township health center shall Within one month of receiving basic public health service subsidy funds, corresponding funds shall be allocated in advance according to the proportion of 70% of the tasks undertaken by the village clinic. According to the completion of the tasks, corresponding funds shall be allocated in a timely manner after monthly or quarterly performance evaluation. It is strictly prohibited Withhold and misappropriate.
The allocation and use of funds in various regions in 2021 and the use of electronic health records to serve residents will be included in the annual performance evaluation