In 20 18, under the guidance of the county health planning commission and the superior business departments, our hospital strictly implemented the implementation plan of the national basic public health service project and the spirit requirements of the document on public health of the party Committee of the health planning commission, and successfully completed this year's public health service task. The completion of basic public health services in our hospital is briefly reported as follows:
One is to strengthen organizational leadership.
In accordance with the requirements of the relevant documents of the Health Planning Commission, a leading group for public health services in Xiaotun Health Center was established in our hospital, with the dean as the leader and the dean in charge as the deputy leader, and the responsibilities were clearly defined according to their respective division of labor to ensure that the responsibilities were implemented to people. Strengthen the training of public health service personnel within the jurisdiction, organize the study of the third edition of basic public health service standards, and rectify the problems issued by provinces, cities and counties one by one.
Two. Implement 14 basic public health service projects.
1. Establish residents' health records. At present, 8874 people in the jurisdiction of our hospital have all completed filing and file updating. After the filing is completed, in order to ensure the integrity and authenticity of the file, organize the staff of the whole hospital to conduct self-examination on the health file and rectify the problems found one by one.
2. Key population management. In order to effectively prevent and control chronic diseases such as hypertension, diabetes and severe mental illness, according to the requirements of the Health Planning Commission, our hospital has established health records of chronic diseases such as hypertension and type 2 diabetes and severe mental illness among residents in its jurisdiction, carried out follow-up management of chronic diseases such as hypertension and type 2 diabetes, and grasped the incidence, death and current situation of chronic diseases such as hypertension and type 2 diabetes in its jurisdiction.
(1) management of hypertension patients
First, make the first blood pressure diagnosis for residents aged 35 and above;
Blood pressure was measured during the diagnosis and treatment of residents;
Blood pressure is measured in healthy people;
And query in the process of establishing health records.
The second is to register and manage the diagnosed hypertension patients and provide face-to-face follow-up. Every follow-up asks about the illness, measures blood pressure and provides health guidance such as medication, diet, exercise and psychology.
The third is to conduct free health check-ups for registered hypertension patients.
By the end of 20 18 and 12, our hospital had registered and managed 764 patients with hypertension, provided follow-up for 743 patients with hypertension, and completed 657 physical examinations, with a physical examination rate of 86%.
(2) management of patients with type Ⅱ diabetes mellitus
First, blood sugar is detected through health examination and screening of high-risk groups;
In the process of establishing residents' health records, patients were found by asking.
The second is to register and manage the diagnosed patients with type 2 diabetes and provide face-to-face follow-up. Every follow-up should ask about the condition, measure fasting blood glucose and blood pressure, and provide health guidance on medication, diet, exercise and psychology.
The third is to carry out annual physical examination for registered and managed patients with type 2 diabetes.
By the end of 20 18 and 12, 262 diabetic patients were registered and managed in our hospital, and 252 diabetic patients were followed up. 2 16 people were examined, and the physical examination rate was 82%.
(3) Management of severe mental illness. Registration management, follow-up and rehabilitation guidance for patients with severe mental illness who have been diagnosed clearly and live at home. There are 32 patients with severe mental illness in the jurisdiction, all of whom have been filed, and the filing rate is100%;
25 people have been examined, and the physical examination rate is 78%.
(4) Health management of the elderly over 65 years old.
From 20 18 to 12, our hospital registered 65-year-olds and above 166 people, and 842 people underwent physical examination according to work requirements, with a physical examination rate of 72%.
3. Health education. In strict accordance with the requirements of health education service standards, we will conscientiously implement the health education project of the County Health Planning Commission. Formulated the "20 18 Health Education Work Plan of Xiaotun Health Center in Linze County", carefully organized and implemented it, and carried out special health education activities such as iodine deficiency disorders, breastfeeding, children's vaccination publicity, hypertension, AIDS, etc., and distributed publicity materials in various ways, carried out health education, and set up publicity columns to target key populations, key diseases and our jurisdiction.
By the end of 20 18, more than 2,000 copies of various health education leaflets 15 were distributed, 8 publicity banners were posted, more than 500 people were consulted by the public, 2 large-scale free clinic activities were held, 53 health education lectures were held, 55 training kits were provided, and 77 health salon activities were held, with more than 2,000 people being taught.
4. Maternal and child work
(1) Management of children aged 0-6: 59 births, 59 live births and 58 newborns;
The number of neonatal visits was 58;
There were 4 high-risk infants, 65438 stillbirths and 65438 infant deaths.
0-6 years old children systematically manage 5 10 people;
And give TCM health care guidance to children over 6 months old.
(2) Management of pregnant women: 60 pregnant women, 59 hospitalized live births and 59 registered women;
After 60 postpartum visits, the systematic management rate of pregnant women was 98.3%.
There are 25 high-risk pregnant women in management.
(3) The blackboard newspaper for women and children in health centers publicized and changed for 6 times;
2 large-scale health education activities and 7 rural doctor trainings.
5. Immunization plan
(1) Infectious disease management: Up to now, legal infectious disease cases 12 have been reported through the infectious disease network direct reporting system, and the missed inspection of infectious diseases has been carried out on time. From 1 to 12, no infectious disease cases have been reported.
(2)afp monitoring: afp monitoring is carried out on time every month, and the reporting rate is 100%.
(3) Routine immunization:1-65438+cold chain operation in February 1 1 time. Vaccination on time every month has no side effects, and the vaccination rates of all kinds of vaccines are above 96%.
(4) Vaccination certificate inspection for school children: In March and September, the vaccination certificate inspection was carried out in 6 primary schools and 6 kindergartens in the township in the spring and autumn semester, and the inspection of children who missed and replanted seeds was completed.
6. Health supervision work
Under the guidance of the county health supervision bureau, the health supervision and co-management work in our hospital has been carried out smoothly. In order to ensure the school health, public health, drinking water, medical institutions and infectious diseases inspection as the focus, strengthen the inspection, combined with the actual work of our hospital, formulate the work plan of health supervision and co-management, and ensure obvious results. As of 20 18, 12, of which the number of school health inspectors was 2;
Number of inspections in public places: 4 times;
Number of inspections of medical institutions and infectious diseases:11;
Testing times of drinking water for residents: 2 times.
7. Tuberculosis management
From June 1 day to February 65438+2, 7 patients with pulmonary nodules were registered and managed in our hospital. All patients were followed up according to the standard requirements and took drugs regularly throughout the course.
Three. 20 19 year work plan
1. Strengthen organizational management and implement responsibilities. Pay close attention to the implementation of basic public health service projects, make overall arrangements and implement them to individuals. Adjust the work direction and method according to the work progress. The relevant person in charge must often ask about the progress and effectiveness of the work, remind and interview the key work, carry the indicators and standards on his shoulders, often supervise, inform and train, find problems in time, and promptly guide and supervise the rectification problems; We must be hands-on, carefully organize, take the lead in implementing the task indicators, and earnestly do the project work in detail. Public health personnel should also strengthen the guidance of public health service in village clinics, improve the working mechanism, strengthen post responsibilities, analyze and summarize the implementation of the project in time, and take effective measures to rectify the existing problems in time to ensure the comprehensive, orderly and healthy development of the project.
2. Strengthen the management of public * * * health village personnel. Public health workers are required to correct their working attitude, improve their working enthusiasm and constantly explore more effective working methods. In practical work, we should pay attention to communication methods, actively coordinate and connect projects, sum up work experience in time, and strive to complete public health project tasks with minimum human input and high quality. Assist village doctors to perform their respective duties, quantify various tasks, actively communicate with county-level business departments, and strive to complete various national basic public health services with good quality and quantity.
3. Strengthen the management of village doctors. Strengthen the training and management of rural doctors. Make use of the monthly meeting and weekly working hours of village doctors, arrange special personnel to carry out standardized training on public health work, and conduct comprehensive training on common problems and weak links in the work for many times until the village doctors master it, further refine the responsibility book of village doctors' target management, standardize all work, fully mobilize the enthusiasm of village doctors, and complete all public health work with good quality and quantity.
4. Make great efforts to make basic public health services detailed and practical based on the Standard. Strengthen the training and study of the National Basic Public Health Service Standard (Third Edition), and promise to carry out the work in strict accordance with the requirements of the standard and do the work in detail. First, strengthen the management of residents' health files, adhere to the electronic and dynamic management of residents' files, update health files in time, and improve the utilization rate of health files. Second, we should standardize the screening of patients with chronic diseases. We should give full play to the role of grass-roots organizations at the two levels in rural areas and take measures in a planned and comprehensive way. Gradually increase the screening of chronic diseases, so that the standardized management rate of hypertension patients and the standardized management rate of type 2 diabetes patients reach the standard. Third, we should strengthen the physical examination of the elderly. By improving the health check-up rate of the elderly, we can identify patients with chronic diseases in key populations and strengthen management in a targeted manner. The fourth is to establish a linkage mechanism. Manage maternity, such as children aged 0-6. The establishment of information feedback system, women's mobile stations, general hospitals, Chinese medicine hospitals should promptly feedback the information data of prenatal examination to relevant primary medical institutions.
5. Intensify publicity and raise health awareness. Village clinics should make use of chronic disease follow-up, publicize health education knowledge to the masses, timely obtain information about people with chronic diseases and pregnant women, change some people's bad living habits, strengthen basic public health services and publicize relevant national policies to benefit the people, and strive to improve people's health awareness. Solidly promote the work of basic public health service projects, and complete the objectives and tasks on time according to the requirements of each project.
The above is a summary of the progress of public health work in our hospital. If there is anything wrong, please criticize and correct me.