First, strengthen the brand awareness of community health services.
1, actively declare the community health service personnel training demonstration base, and continue to do a good job in general practice and community health service training and teaching. Strive to become a research base for general practice.
2. After the relocation of the center, we will gather the strengths of many companies, take everything into consideration, do a good job in the creation of the demonstration center, and respond to the call of the Hefei municipal government, so that the next level can be established on the basis of reunification in August.
3. According to the National Basic Public Health Service Standard (20xx Edition), the 10 category in the standard is managed in strict accordance with the requirements.
4. Actively carry out academic exchange activities at home and abroad. Taking advantage of the unique advantages of the center and relying on the Provincial Friendship Hospital, we have hired well-known experts to guide the work of the center for many years.
Two, the implementation of community health service policy.
Carry out the principles and policies of the superior health authorities on community health services, thoroughly understand the spirit of every document issued by the superior, and carefully plan and implement it. Continue to strengthen maternal and child health care and health education, promote the implementation of various measures, and gradually realize the equalization of basic public health services.
Third, improve organization and management, and improve service capacity.
Further improve the organization, management and system construction of community health service centers and enhance their service capabilities. This year, we will continue to establish a unified and standardized resident health record for the permanent population in the jurisdiction, focusing on the filing of key groups such as the elderly over 60, women and children, patients with chronic diseases and the disabled. The established health records have played a substantial role through standardized management. On the basis of updating the health records of residents in the jurisdiction, it is planned to make the coverage rate of filing reach 80%. At the same time, strengthen the health management of elderly patients with chronic diseases. Actively explore the implementation of the management mode of "first diagnosis in the center, serious illness to the hospital, two-way referral and graded responsibility".
Four, efforts to improve the level of community health service team.
1, strengthen the training of community health service personnel, and the untrained personnel will continue to participate in the post training of general practitioners and community nurses recognized by the provincial health administrative department and various community health service skills training.
2, continue to carry out general practice team training, insist on organizing center staff to learn new ideas and skills about general practice and community health services every Wednesday afternoon.
3. It is required that middle-aged and young professional and technical personnel at or above the intermediate level in the center must reach the required credits for continuing medical education. Encourage active writing of scientific research papers on general practice and community health services, and strive to participate in high-quality academic exchanges or backbone training courses.
Five, improve the main functions of community health services.
(a), earnestly implement the preventive health care system.
1. Understand the general health status of residents in the jurisdiction and the main risk factors affecting residents' health, carefully formulate community health promotion plans and implementation plans, hold health education lectures at least once a month with the active cooperation of sub-district offices, determine the publicity theme according to "Health Publicity Day" and public health emergencies, and provide targeted scientific health information.
2. The main indicators of preventive health care for the resident population in the community are at a good level.
(1), and the legal reporting rate of infectious diseases is100%;
(2) the planned immunization coverage rate is not less than 95%;
(3) The management rate of health care for children under 7 years old is increasing year by year;
(4) The management rate of maternal health care is increasing year by year;
(5) The proportion of blood pressure measured at the first diagnosis for patients over 35 years old is not less than 90%;
(6) The proportion of standardized management of hypertension in the elderly over 60 years old is not less than 85%, and a special health management file is established.
(2) To provide residents with convenient, fast and high-quality medical services.
1. General practitioners are familiar with relevant basic theories and skills, and correctly handle common health problems in the community.
2, timely provide home visits, home visits and other family health services. Implement dynamic services for special people.
3. Continue to provide Chinese medicine services such as Chinese patent medicine, acupuncture, massage, cupping, sticking, scraping, fumigation and acupoint injection.
(3) Improve technical services for rehabilitation and family planning.
1, continue to carry out family planning technical guidance, contraceptive distribution and consultation point services. Help key objects to implement contraceptive measures, carry out contraceptive knowledge education, and improve the awareness rate of contraceptive measures.
2, make full use of the resources of the rehabilitation station, by professional and technical personnel to guide rehabilitation patients to do rehabilitation exercises.
(four), improve the ability to respond to public health emergencies.
1. Seriously study the Law of People's Republic of China (PRC) on the Prevention and Control of Infectious Diseases and the Emergency Regulations for Public Health Emergencies, and make emergency plans for public health emergencies in time.
2, seriously cooperate with the higher authorities to carry out the prevention and treatment of AIDS and tuberculosis. Further strengthen the prevention and control propaganda of hand, foot and mouth disease, swine flu and other infectious diseases.
3. Improve the hospital infection management system, strengthen disinfection and quality control, strictly implement medical waste disposal measures, and the medical waste disposal rate is 100%.
(v) Providing services for vulnerable groups.
According to the relevant provisions of the state, we should conscientiously do a good job in community medical care and rehabilitation for the disabled and mentally ill. Establish rehabilitation patient files, organize rehabilitation objects and their families to participate, and carry out rehabilitation treatment and consultation combining groups and individuals. The focus is on the rehabilitation treatment and nursing of limb dysfunction caused by vascular diseases or fractures; Rehabilitation treatment of mental patients and some disabled people (hearing and language disorders) is carried out under the guidance of professional and technical personnel. There must be services, guidance and records. Master the dynamics of mental illness in the community, register new cases, move in and out, die and disappear cases, fill in relevant reports, and carry out mental health propaganda work. Continue to implement the preferential policy of "three exemptions and three reductions" for low-income personnel.
Six, strict supervision and management of community health services
1, regularly meet the supervision and inspection of the center by the health administrative department, and seriously rectify the problems existing in the inspection.
2, seriously accept the health administrative department of community health service personnel's medical and health management laws, administrative regulations, departmental rules and regulations, diagnosis and treatment nursing norms, routine training and medical ethics education.
3, seriously study the plan to prevent and deal with medical accidents, strengthen medical quality management and medical accident prevention.
Seven, carry out health management.
With the rising diseases caused by unhealthy lifestyles, medical expenses are unbearable, which brings a heavy burden to families and society. It is one of the important tasks of our community health service workers to realize strategic advancement, mobilize patients treated in hospitals to return to the community after rehabilitation, and effectively manage their overall health and diseases. In the new year, we will try to start with health management, emancipate our minds, boldly innovate, plan and operate pilot projects of health education and chronic disease management, set up health care associations and rehabilitation associations for chronic diseases, organize famous experts in our hospital to hold lectures on prevention and treatment, and at the same time carry out health education extensively in the form of exhibition boards and ppt deduction, focusing on high-risk groups such as children, teenagers, the elderly, chronic diseases and intellectuals. It aims to improve the overall health level of the people in the jurisdiction.
extreme
20xx years have passed. Over the past year, with the care of hospital leaders and the help and supervision of colleagues, all the work has been basically completed. Although the work performance is not much, it has been affirmed by hospital leaders and colleagues. I feel ashamed and feel the weight on my shoulders. The Spring Festival of 20xx is coming. Come to the year-end summary meeting today. I want to make the following plans for our work in 20xx:
I. Work objectives
Further improve the community public health service, conscientiously implement the national basic medical reform, give play to our advantages, and use our knowledge and technical advantages to solve the diagnosis and treatment of common and frequently-occurring diseases in the community. So that the diseases of the broad masses of the people can be diagnosed and treated in the first time, and truly "the serious illness is in the hospital and the minor illness is in the community."
Second, improve the function of community health service.
1. Health education
Carry out various forms of health education and health promotion activities, popularize health knowledge, enhance the health awareness and self-care ability of community residents, promote the improvement of the health quality of the whole people, especially strengthen the health education of community residents' health literacy, and further improve the awareness rate of health knowledge and the formation rate of health-related behaviors of community residents. Use the Health Publicity Day to cooperate with the hospital to carry out various forms of publicity and education activities such as free clinic, consultation and lecture. Make the content colorful, easy to understand, easily accepted by the masses and welcomed by the masses. Carry out at least six health talks, free consultation and other publicity activities throughout the year, and publish a health wall newspaper and blackboard newspaper once a month.
2. Strengthen the management of key groups.
In 20xx, our work focuses on the management of pregnant women, children, severe mental patients, patients with chronic non-communicable diseases such as hypertension and diabetes, and the elderly over 60 years old, and helps hospitals to improve the specific work of "3+X": comprehensively grasp the base number of key groups such as pregnant women, children, the elderly and chronic diseases in the communities under their jurisdiction, standardize the filing, and provide them with sustained, comprehensive and appropriate services; Timely screen out key personnel in daily work, establish special files for them, and focus on management; Carry out follow-up work for key groups that have been recorded; According to the specific health status of key populations, scientific, reasonable and detailed intervention measures are put forward, and tertiary prevention measures for chronic diseases are implemented, so that the elderly and patients with chronic diseases can truly feel the benefits brought by community health work.
3. Planned immunization
Further strengthen the management of children and floating children within the jurisdiction, actively cooperate with the community under the hospital to carry out active search, timely and accurately grasp the information of children and floating children within the jurisdiction, and timely notify the children who have not completed the immunization program as required to replenish their seeds and certificates; And upload children's vaccination information as required.
4. Medical services
Do a good job in the diagnosis and treatment of common and frequently-occurring diseases in the community, do a good job in the writing quality of medical documents such as outpatient cases, prescriptions and medical records, strive to improve the level of medical services, strive for a new breakthrough in the total number of outpatients, conscientiously implement the professional ethics and code of conduct of health technicians, and standardize the behavior of health services.
5. Further promote the filing of residents' health records.
In 20xx, we will continue to establish health records for residents in the jurisdiction, ensure the authenticity of health records, uniformly code and standardize the management of health records, and do a good job in entering health records.
Third, study hard to improve the quality of medical care.
In 20xx, we will continue to study professional knowledge assiduously, continue to take the national examination for practicing doctors, enrich our abilities and better serve the broad masses of the people.
Tisso
First of all, understand the characteristics of community diseases and determine the characteristics of health education.
Dingxi South Road No.2 Community is located in Chengguan District, with an area of 1 km2, a total of 1.726 households and a permanent population of 7,000. Residents are mainly retired and working workers, with a large elderly population, heavy industrial pollution and poor air quality. The incidence of senile diseases, chronic diseases and respiratory diseases is relatively high. Taking into account the characteristics of this community, this year, we will focus on senile diseases, chronic diseases and respiratory diseases, actively visit and understand the health problems concerned by community residents, and take the health problems concerned by residents as the first choice of health education activities. Give priority to the use of easy-to-understand forms of health education to ensure that community residents can understand the medical and health knowledge closely related to themselves, and improve the overall health level and disease prevention ability of residents.
Second, popularize health knowledge and create a healthy atmosphere.
1. Carry out various health education activities. Use the blackboard newspaper to publish all kinds of health knowledge regularly. It is required to carry out window publicity every three months, with no less than four issues throughout the year, and blackboard newspaper once a month, with no less than 12 issues throughout the year. Make use of the "health education class" of the service station to hold regular health talks to popularize health knowledge to community residents, raise awareness of disease prevention and answer health puzzles. It is required to hold health talks every three months, not less than four times a year. Health education activities such as audio-visual education, street publicity and distribution of health prescriptions are held from time to time to improve residents' enthusiasm for participation and create a harmonious and happy healthy atmosphere.
2. Health education of key diseases. Carry out health education in the form of publicity and education on basic knowledge of STD and AIDS prevention and health consultation for the general population.
3. Health education for key populations. Carry out health education for key groups such as women, children, teenagers, the elderly, the disabled and the floating population.
4. The community should carry out various forms of health education and health promotion activities. During major commemorative activities such as World No Tobacco Day, Hypertension Prevention Day and World AIDS Day, street consultation activities were actively organized to promote health education activities in depth. And actively carry out tobacco control, blood donation, drug control, health laws and regulations, and publicity and education to deal with public health emergencies, not less than four times a year.
Three, in-depth institutions to carry out health education.
1. Popularize knowledge of prevention and treatment of common infectious diseases such as sexually transmitted diseases, AIDS, tuberculosis and other key infectious diseases among community residents, popularize knowledge of prevention and treatment of chronic non-communicable diseases such as hypertension and diabetes, and educate residents to change bad health behaviors and lifestyles. The awareness rate of residents' health knowledge is required to reach 85%, and the formation rate of health-related behaviors in the population is required to reach 80%.
2. Strengthen health knowledge training for primary and secondary school students, toxic and harmful workers and other specific groups, and regularly go deep into relevant units to publicize relevant health knowledge and health behaviors. At least twice a year is required, and the personal awareness rate is over 85%.
3, in the community roads, residential activity centers, residential buildings and other places to have a fixed health education publicity matrix to promote health and create a healthy atmosphere.
Article 4
Clear this year's work responsibilities, our work tasks and plans this year will be appropriately adjusted, further strengthen leadership, implement people, appropriately adjust Baocun personnel, further improve the assessment and reward system according to the population ratio and village scope, and strengthen contact with public health service personnel. Specific job requirements are as follows:
(1) 12 public health service project
1) Health education must be planned, summarized and detailed.
2) Health education should distribute 12 kinds of materials, and change the bulletin board of 1 m2 every two months, with a total of six issues.
3) Hold 6 knowledge lectures every year.
4) Health management: The filing rate of family health records requires that 90% of the files must be complete, accurate but complete, and input into the computer. Missing items are not required.
(2) Mental illness management, chronic disease management (once a quarter) time we arrange together, maternal management, folic acid distribution, completed in time.
(3) Physical examination, with the preparation of paper materials, notify residents, covering 95% of the villages. Feedback within one week after physical examination, and feedback within one month. Requirements: 100%. Complete all the paper materials and computer input work within 2 months.
(4) Health care for 0/3-year-old children was carried out in the outpatient department, 3.6.8.12.18.24.30.36 * * eight times, all of which were completed as required, and contraindications were checked at the same time. Wu Wenhua was responsible for the implementation and completion of Zhong Huilan's assistance. I am responsible for the physical examination of 3/6-year-old children in kindergarten in March.
(5) Prenatal nutrition, psychology, rehabilitation and health care guidance for pregnant women for five times. Yang Wenji is responsible for 75% of the management rate of pregnant women, and Zhang Jianguo is responsible for supervision and assistance.
(six) timely collect public health information such as food safety, occupational health, drinking water hygiene, prevention and treatment of infectious diseases, illegal medical practice, illegal blood collection and supply, report to our hospital in time, and cooperate with the investigation and handling work of higher authorities.
(7) Yu is fully responsible for vaccination, with the cooperation of village doctors, and the specific work is drawn up by the defense doctor. The specific time schedule has been initially drawn up: physical examination of children in outpatient department will start in February, physical examination of children in kindergarten will start in March, chronic diseases in the village will be checked in April (all patients will be followed up by telephone once), and chronic diseases in the village will be checked once in September. The other two times, you can follow up by phone. If 4. We don't need to make a copy. We have a physical examination every month 10 after the outpatient service, and we can use this time period to complete the supplement.
The specific Baocun personnel arranged for Cao xx, He X and Xu X to open a dawn, and Duan xx assisted Qiao Wu xx, Lu X, Yang X, Zhong X and chronic diseases to reach the villages clearly. Hypertension (guided by Yang X, completed by Yang X and Zhong X in outpatient department) and diabetes were completed by Wu X, including outpatient investigation.
Next year's work will be moved down on a large scale, and the work of the resident staff will be arranged in detail.
chapter five
I. Health Work Plan
1. Guiding ideology
Adhere to the principle of serving the people and putting prevention first, under the leadership of the community health service center, make rational use of community resources and appropriate technologies, take health education as the leading factor, face the community masses, face the residents' families and face the management of chronic diseases, and set up a community health education leading group with experienced health education members in the center as the main part, supplemented by health education personnel in community offices and neighborhood committees, so as to provide effective, economical, convenient, comprehensive and continuous health education for community residents.
2. Broaden channels and strengthen health education and publicity.
According to the actual situation in the station and the needs of residents (villages), careful arrangements and careful organization should be made. Every time before the implementation of health education, we should have this feasible implementation plan. In line with the principle of good faith, we should adopt flexible and diverse forms and pay attention to feasibility and effective management. Specific forms are:
(1): set up consultation room and information retrieval rack, and distribute health education prescriptions.
(2) Use newspapers, posters, handbooks, leaflets, columns, blackboard newspapers, models, videos, free clinics, expert lectures, group discussions, face-to-face consultations, etc. , can be located in dams, squares, farmers' markets, activity rooms of neighborhood committees or village committees or organizing committees, or tea shops. To spread the skills of prevention and treatment of chronic diseases and guide residents' behavior.
(3) Through the opportunities of various activities carried out by village elderly associations, community neighborhood offices, community neighborhood committees and the center itself, health education will be carried out in an interactive way to guide residents to seek medical treatment in time.
(4) Take advantage of the National Day for the Prevention and Treatment of Chronic Diseases and other opportunities to vigorously carry out large-scale comprehensive publicity and education on the prevention and treatment of chronic diseases, so that the prevention and treatment of chronic diseases is well known and everyone consciously participates.
(5) Take the opportunity of promoting a healthy lifestyle for all people to carry out various scientific and technological education activities.
3. Strengthen the health education and training of medical staff.
Carefully formulate a health education training plan, do a good job in training health education staff, so that they can fully understand the purpose and significance of implementing health education, master the contents, methods and requirements of health education activities, learn professional knowledge and technology related to health education, improve their understanding of the importance of health education, and provide reliable personnel and technical support for implementing health education. Provide guidance and training for full-time (part-time) health education personnel.
2. Chinese medicine work plan
Traditional Chinese medicine is the cultural treasure of the motherland and the crystallization of wisdom left by the Chinese nation's struggle against diseases for thousands of years. Chinese medicine has always advocated the health concept of "preventing disease". In fact, Chinese medicine has always been around us and has long been integrated into our daily life. Today, the way of keeping in good health left by our ancestors, the art of preventing and treating diseases, is still our magic weapon for keeping in good health.
Carry out TCM health guidance for the elderly, take the community as the service area, take the elderly over 65 as the service object, and provide TCM physique appraisal, physique evaluation, health intervention and other services.
Expected result
1: Through the distribution of publicity materials on TCM health education, the community residents' awareness of TCM disease prevention and treatment will be improved, the health level of community residents will be improved, and the awareness rate of TCM health among residents will be improved.
2. Establish a good image of service station in residents' minds, and constantly improve the rate of patients seeking medical treatment.
3. Promote the doctor-patient relationship and create a warm community medical environment.