The main contents of the national basic public health service project (usually called "service package"):
Establish 9 categories of 2 1 item, including residents' health records, health education, vaccination, prevention and treatment of infectious diseases, prevention and treatment of chronic diseases such as hypertension and diabetes, child health care, maternal health care, elderly health care, and case management of severe mental illness.
National major public health service projects mainly refer to major infectious diseases, chronic diseases, endemic diseases, occupational diseases and other major diseases, as well as health problems that seriously threaten key groups such as women, children and the elderly, and key intervention projects such as the prevention and control of public health emergencies. Continued projects include the prevention and control of major diseases such as tuberculosis and AIDS; National immunization plan; Rural women give birth in hospitals. The project started in 2009 is to replant hepatitis B vaccine for people under 15 years old; Eliminate the harm of coal-burning fluorosis; Rural women take folic acid supplements before pregnancy and early pregnancy; Poor cataract patients see the light again; Rural drinking water improvement and toilet improvement; Screening of rural women's diseases.
Safeguards to promote the equalization of basic public health services include the public health service delivery system,
Improve the funding guarantee mechanism, improve service capacity, and standardize project management.
Among them, the public health service provision system: the national basic public health service projects are mainly provided free of charge to all residents through urban and rural grassroots medical and health institutions such as township hospitals, village clinics and urban community health service centers and stations, supplemented by other grassroots medical and health institutions. Major public health service projects are mainly organized and implemented by professional public health institutions. Professional public health institutions mainly include disease prevention and control, health education, maternal and child health care, mental health prevention, emergency treatment, blood collection and supply, health supervision, family planning and other institutions. Hospitals should undertake the duties of monitoring, reporting and treatment of major diseases and public health emergencies, as well as other public health service duties stipulated by the state. Encourage medical and health institutions organized by social forces to provide public health services and assume legal public health responsibilities. Optimize the allocation of public health resources and strengthen mutual assistance among various medical and health institutions.
Perfecting the funding guarantee mechanism means determining the subsidy funds according to the population and providing basic public health services for urban and rural residents free of charge. In 2009, the per capita funding standard for basic public health services was not less than 15 yuan, and 20 1 1 year was not less than 20 yuan. The central government grants subsidies to difficult areas through transfer payments. The personnel funds, development and construction funds, public funds and business funds of professional public health institutions are all arranged by the government budget. The working funds required for business development are determined according to the tasks and funding standards and appropriated by the government. Funding standards are adjusted in a timely manner according to actual needs. The service income of professional public health institutions should be turned over to the financial accounts or included in the budget management. Reasonably arrange the funds needed for major public health service projects. The government is responsible for the capital construction, equipment purchase, personnel expenses and business expenses of public health services approved by township hospitals, urban community health service centers and service stations in accordance with state regulations, and subsidizes them according to the quota and the way of purchasing services. The government should give reasonable subsidies to rural doctors to undertake public health services and other tasks, and the subsidy standards shall be formulated by local people's governments. Public hospitals undertake the responsibility of public health services, and the government should give special subsidies. The public health tasks undertaken by various medical and health institutions at all levels organized by social forces shall be compensated by the local government by purchasing services.
Improving service ability refers to vigorously cultivating public health technology and management talents and improving public health service and management ability. Change the public health service mode: professional public health institutions should regularly go deep into workplaces, schools, communities and families, carry out health monitoring and evaluation, study and formulate public health prevention and control strategies, and guide other medical and health institutions to carry out basic public health services. Urban and rural primary medical and health institutions should go deep into families, fully grasp the main health problems in their jurisdictions, take effective health intervention measures on their own initiative, and combine basic public health services with medical services. Apply the preventive health care technology and methods of traditional Chinese medicine to give full play to the role of traditional Chinese medicine in public health services.
Standardizing project management is to further improve the basic public health service standards. Study, formulate and popularize appropriate technical specifications, and improve the management system and workflow. Improve the management system of major public health service projects. Integrate existing major public health projects, make overall consideration and highlight key points. Establish an expert demonstration mechanism for major projects and implement dynamic project management. To study and formulate implementation plans for major public health service projects. Pay attention to the evaluation of the implementation effect.
The next step is to coordinate relevant departments as soon as possible and issue the Opinions on Promoting Equalization of Basic Public Health Services. Detailed relevant policies and measures, including fund management measures, basic public health service standards, assessment management measures for basic public health service projects, and implementation plans for major public health projects. At the same time, carry out publicity and training on equalization of basic public health services and strengthen supervision and inspection.
The policy is understood and the spirit is mastered. Implementation is the key, and colleagues should work hard.
On July 27th, 2065438+0/KLOC-0, at 2 pm, we started from the First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine and participated in the exhibition of celebrating the 90th anniversary of the founding of China * * * Production Party and Tianjin Health Achievement held by Tianjin Health Bureau in the exhibition hall of Pingjin Campaign Memorial Hall. Sitting on the bus, we feel like a hot summer, warm and proud. As a medical worker, we feel glorious and proud.
This exhibition * * * is divided into 1 1 parts, which are displayed in two exhibition halls through a large number of pictures and objects, which is a brilliant achievement of career development; Leadership care, encouragement and encouragement; The medical profession shines in Kyushu; Resource adjustment benefits the people; Public health promotes health; Science and education promote the rapid development of medical technology; A hundred flowers blossom in international exchanges; Medical assistance goes hand in hand; Quick response is people-oriented; Healthy and harmonious culture; The theme of post innovation is endless. The key point is to accelerate the reform of medical and health system, realize the full coverage of urban and rural sales of essential drugs with zero difference rate, improve the primary medical and health services and public health service system, and achieve remarkable results in the reform of public hospitals. At the same time, as a member of the First Affiliated Hospital of Chinese Medicine, I am also extremely proud. Academician Shi Xuemin's research:< 1995 won the third prize of national scientific progress, and Academician Zhang Boli's research on the treatment of senile vascular dementia by tonifying kidney and removing turbidity >: > won the second prize of national scientific progress in 2002, and won the second prize of national scientific progress in 2005, and many leaders of our hospital were awarded the title of advanced workers.
During this visit, I saw that medical experts and scholars such as Nightingale Medal winner, Bethune Medal winner and moral model winner have laid a solid foundation for the development of Tianjin's health cause. As a young nursing worker, I continue to inherit and carry forward the fine traditions of my predecessors in clinical frontline nursing posts, closely focus on the development of high-quality nursing services, change service concepts, innovate high-quality service models, and change passivity into initiative in nursing work, which runs through every nursing procedure. Let patients get care like relatives and close the relationship between nurses and patients. At the same time, it is necessary to strengthen the study of their own professional knowledge and improve the theoretical knowledge of specialized subjects, so as to better educate patients about diseases, provide dietary guidance and rehabilitation training, and answer various difficult questions for patients. Quality nursing service will be effectively implemented in all nursing links. With the full support of all departments in the hospital, the service concept of "patient-centered" is reflected everywhere from improving the hospitalization environment of patients and providing surprise services for patients. We can only constantly sum up and improve in our work, explore and practice together, strive for progress, and wholeheartedly provide patients with full-course, comprehensive, high-quality and intimate nursing services to create a comfortable and warm environment.
High-quality nursing service is not achieved overnight, but a long-term and arduous task, facing many difficulties. We need the support of society, the attention of leaders and the passion and action of all nursing staff. As long as we firmly believe, bear in mind our responsibilities, carry forward our traditions, strive for Excellence first, advance scientifically, and advance along the direction guided by the older generation, we will certainly go further!