20XX is the key year to promote the work of health care reform, in order to implement the party's livelihood projects, actively and steadily promote the construction of rural integration, improve the public **** health services and emergency response capacity of public **** health emergencies, so that the people of the whole township gradually enjoy equalization of the public **** health services. According to the county health work conference and the town of the fourteenth party congress spirit, combined with the actual town, specially formulated 20XX public **** health work plan.
First, strengthen the organization and management, improve the work system
The establishment of a new rural public **** health service system led by the town government, the central health center as the main body, rural doctors as the basis for the village health force as a supplement. By the town public *** health administrator specifically responsible for the daily management and coordination of health work. The village women's director is also the public **** health information officer, with the village health office to do a good job in the village of environmental health, water and toilet, health education, corporate health, collective meals, food and drugs, and other health-related products, inspection, information reporting, to assist the jurisdiction of the professional health care personnel to do a good job in the village of the resident population and the migrant population of maternal and child health management, immunization standardization work. The central health center will further strengthen the leadership, set up a team of responsible doctors to guide the standardization and orderly development of public **** health work in this jurisdiction. Village health office in the center of the unified management of health hospitals, undertake the basic public **** health services and basic medical services in administrative villages.
Second, strengthen the promotion of village health room construction and rural doctor team management
According to the government requirements, comprehensive consideration of the town's service population, the needs of residents and geographic conditions, and other factors, the overall planning of the village health room set up. In principle, each central village set up a community health service station, each administrative village set up a village health room, in accordance with the requirements of the full coverage of village health services, not built village health room can be set up to provide medical and health services according to the requirements of the "three" (fixed, fixed-time, fixed-point), but also by the neighboring village health room to implement the * * * * * * * built **Enjoyment of services. Village health room construction by the administrative village application, standardized new or expanded health room, by the health administrative department after acceptance by the financial grant.
From February 29th village health room fully implement the basic drug system, the implementation of zero-differential rate sales of drugs. The center of the health center on the village health center to implement the "five unified" management. In order to facilitate the reimbursement of the rural residents of the cooperative medicine, the eligible village health center will be included in the management of the cooperative medicine designated medical institutions, the reimbursement rate is not lower than the health center. By the village two committees to apply, reported to the town government to arrange the plan, the county co-management office acceptance and approval after the implementation.
By the central health center and the village committee **** with the implementation of the appointment system for rural doctors, improve the ability to enter and exit and incentives for effective assessment mechanism and distribution program, the central health center on a monthly or quarterly basis on the village responsible for the post assessment of the doctor, the results of the assessment as the basis for the performance of the distribution.
Third, actively carry out the fourth round (20xx-20xx) participating farmers health checkups
In order to truly realize the government's money, health, farmers benefit from the purpose of this year will continue to be carried out by the community health service center to participate in the new rural cooperative medical care for farmers to carry out once every two years of free health checkups and women's disease free census work. The main medical examination group to take the village centralized medical examination and scattered to the hospital medical examination way to ensure that the elderly over 60 years old annual medical examination rate of more than 80%, women's disease screening rate of more than 80%.
Fourth, to strengthen the public **** health services
1, to strengthen the publicity and education of farmers' health knowledge. Set up health education bulletin boards in accordance with the norms, of which the central health center bulletin board no less than 2, village health office and community health service station bulletin board no less than 1; at least 9 times a year to carry out public health consulting activities; at least 1 health knowledge lecture held every month; farmers' health knowledge knowledge rate of more than 85%.
2, to assist in the management of rural maternal and child health. Two-year women's disease screening rate ≥ 80%. So that every hospitalized delivery of rural pregnant women enjoy government subsidies; so that more than 90% of the preparation for pregnancy or pregnancy within three months of rural women free folic acid supplementation; no maternal deaths caused by health care. Women's and children's health care has been standardized, and the rates of issuance of child immunization cards, vaccination rates and systematic management of children aged 0-3 years have reached more than 99 per cent. Timely grasp of the health status of women of childbearing age and pregnant women, pregnancy and childbirth health care management for pregnant women, maternal system management, hospital delivery rate of 100%.
3, do a good job of safe vaccination. Strictly in accordance with the immunization procedures for the implementation of vaccination, the full implementation of the vaccine receipt and management system, the treatment of vaccination reactions and reporting system, safe vaccination inspection system, rewards and penalties system and other relevant systems of safe vaccination.
4, cooperative medical publicity and mobilization work in place, the relevant policies announced on the wall, requiring the village mass cooperative medical participation rate of 90% or more, the farmers of cooperative medical satisfaction rate of 85% or more, participation in the error rate of information control within 1 ‰, 1/3 of the village health clinic to carry out cooperative medical settlement work. The implementation of the cooperative medical settlement system on the spot, the patient enrollment object of strict review of the gatekeeper, to eliminate the impersonation of cooperative medical patient identity settlement, monthly reimbursement to the insured farmers to publicize the situation.
5, vigorously carry out the rural patriotic health movement, and actively carry out the creation of health village activities, and promote the rural environment improvement, water and toilets and other patriotic health work. Farmers new housing hygienic toilet penetration rate of 100%; to assist in water quality monitoring and other work; to strengthen sanitation and hygiene and centralized collection and treatment of household garbage supervision and inspection, no less than 2 times a year.
6, to help carry out health supervision and inspection, master the jurisdiction of occupational disease hazards in the enterprise background, to help carry out occupational disease prevention and control laws and regulations and prevention and control of knowledge propaganda, occupational hazards monitoring and occupational health checkups and other work.
7, the basic public **** health service projects to meet the standard rate and major public **** health service projects to achieve a completion rate of 85% or more.
V. Actively do a good job of maintaining stability
Proper handling of medical disputes involving people in the jurisdiction and within the jurisdiction; no incidents of serious harm to the social order and stability caused by improper disposal. Timely reporting, effective disposal of public **** health emergencies, to assist in maintaining stability.
Six, work measures and requirements
1, strengthen leadership, clear division of labor, close cooperation. Departments, village committees, community health service centers should be fully aware of the importance and urgency of carrying out grass-roots public **** health work, and effectively strengthen the leadership, so that each division of labor, each responsible for the implementation of the main body of the basic public **** health service projects, mapping of the target base, a clear understanding of the content of the service, the work objectives and assessment methods. Timely grasp and analyze the progress of public **** health work in the villages, found that the problem of timely feedback, and put forward corrective comments, to ensure that the implementation of basic public **** health service projects in place. The villages should be included in the work of the target management and performance appraisal of the important content.
2, strengthen training, improve quality. In view of the current situation of public **** health services in our town, the establishment of a sound public **** health work regular meeting system and the progress of the main objectives of the work of the monthly notification system, to strengthen the communication and coordination with the higher level of the professional public **** health units, the use of the monthly meeting to carry out training, to complete the training of the public **** health personnel "national basic public **** health service norms (201x version)" training, the requirements of the responsible doctor over the age of 55 years of age, the qualification rate of training Up to 70% or more, the training rate of public **** health professionals under 55 years of age qualified up to 90% or more, to comprehensively improve the quality of community health management, disease prevention and control, maternal and child health care, health supervision, community responsible doctors and other types of health team.
3, strengthen publicity, raise awareness. Departments, village committees, community health service centers usually have to strengthen the publicity of health care reform policies, new rural cooperative policies, etc., to ensure that the annual basic public **** health projects to the village as a unit of the standard rate of 85% or more; the various indicators of the public **** health work in full compliance with the standard. Gradually improve the public's satisfaction with the public **** health work.
Part II
According to the provisions of the basic public **** health service projects, in order to further improve health education, combined with the actual situation in our town, the development of this plan.
First, the guiding ideology
With the "Three Represents" important thought and the scientific concept of development as a guide, in order to improve the quality of health of the general public for the purpose of improving the health of the residents in the jurisdiction of the health of the main body through a variety of forms of education, vigorously carry out health education and health promotion work, and strive to 201x year In the second half of the year, the rate of health knowledge reached 90% and the rate of health behavior reached 70%.
Second, the work objectives
(a) the establishment of a sound health education institutions and grass-roots education network, the implementation of personnel, funding, and conscientiously fulfill the World Health Organization, the country to determine the publicity day, publicity week for the promotion of health laws and regulations, health knowledge propaganda and popularization, and correctly guide the community residents to actively participate in the various activities beneficial to the physical and mental health of residents to guide the residents to the passive "spend money for the disease" into an active "investment for health", fundamentally improve the residents' own health knowledge and health care ability.
(2) Strictly in accordance with the requirements of the higher level to carry out health education lectures and health education consulting activities.
(C) take a variety of forms, targeted to patients and their relatives to carry out health education, hospitalized patients related health knowledge ≥ 85%.
(d) the villages to carry out a variety of forms of health activities, the residents of the basic knowledge of health ≥ 85%, healthy lifestyles and behavior formation rate of ≥ 60%, the rate of mastery of basic skills ≥ 60%.
(e) seriously fulfill the World Health Organization, medical institutions to carry out the creation of smoke-free units.
Third, the work content
(a) strict implementation of the relevant provisions of the national basic public **** health services
In accordance with the Municipal Health Bureau, "on the promotion of the equalization of basic public **** health services," the Ministry of Health, "the national norms of public **** health services 201x version," and do a good job in all aspects of health education. The main work is as follows:
1. Publicize and popularize the "Chinese citizens' health literacy a basic knowledge and skills (for trial implementation)", and cooperate with the relevant departments to carry out citizens' health literacy promotion actions.
2. Resident health education: reasonable diet, weight control, appropriate exercise, psychological balance, improve sleep, salt limit, quit smoking, alcohol, control drug dependence and other healthy lifestyles and intervention of risk factors of health education.
3. Health education for key populations such as young people, women, the elderly, people with disabilities, and parents of children aged 0-6.
4. Health education on key diseases such as hypertension, diabetes, breast and cervical cancer, tuberculosis, hepatitis, AIDS, influenza, hand-foot-mouth disease and rabies.
5. Carry out health education on public **** health issues such as food hygiene, public **** health emergencies, occupational hygiene, radiation hygiene, environmental hygiene, drinking water hygiene, drug rehabilitation and family planning.
(B) to carry out health activities
201x mainly carry out the following health education activities:
1. Formulate the annual health education work plan.
2. Distribute health education materials:
(1) Distribute to the village level health materials (including health education folders, health education prescriptions, health manuals, leaflets, etc.). Need to collect: first, the health education activities record sheet, second, the information distribution form, and third, all the health education information put on file.
(2) placed in the hospital waiting area, clinic, consultation and other places of publicity materials (including health education folders, health education prescriptions, health manuals, pamphlets, etc.), statistics on the number of materials issued, fill out a * health education activities record sheet.
(3) play audio-visual materials (including videotapes, vcd, dvd and other audio-visual communication materials). Diagnostic room in the hospital and the village health stations in the normal response time, played in the health education room. Need to be in the collection: one is the health education activities record sheet, the second is to play the audio-visual record sheet.
(4) set up health education bulletin board. Town health centers not less than 2 bulletin boards, village health stations not less than 1, each bulletin board area of not less than 2 square feet. Publicity columns are generally set up in the most obvious outdoor places, the town health center and village health station quarterly at least 1 time to change the content of the health education publicity column. Need to collect: a health education activities record sheet, the second is the bottom of the publicity, the third is the production of publicity samples, the fourth is the replacement of the content of each period of publicity column photos.
3. Carry out public health counseling activities. Combined with the comprehensive demonstration of chronic diseases and healthy lifestyle activities, the need to carry out public health consultation activities.
4. Organize health knowledge lectures. Health knowledge lectures are aimed at villagers in the area, township health centers to hold a monthly health knowledge lectures, rural health offices to hold a monthly health knowledge lectures. Need to collect: First, health education activities record sheet; Second, health knowledge lectures on the bottom; Third, the effect of organizing health knowledge lectures billing; Fourth, the residents sign in book; Fifth, the lecture when the picture data.
5. Health education work data file management. Town health center, village health station to have a complete record of health education activities, should be collected in a timely manner, organize, properly stored health education materials, records, summaries, evaluation and other information, including text, pictures, audio-visual files, etc., to establish a complete work file, in order to assess the work and evaluation of the effect.
Fourth, school, kindergarten health education
Publicity and guidance on school health education, chronic diseases and common diseases such as oral health care for health education, to carry out this education coverage rate of 60%. Sex education for schoolchildren.
V. Implementation of supervision and assessment
(a) Supervision and assessment of the main content: plan development, organization and management, use of funds, quality of service, service effect, resident satisfaction.
(2) assessment indicators
1. The type, quantity and distribution rate of printed health education materials.
2. Type, number and time of broadcasting health education audio-visual materials.
3. Health education bulletin boards set up and content updated.
4. The number of times health education lectures and health education consultation activities were held and the number of participants.
5. Survey on the knowledge rate of residents' health knowledge.
6. Health education data collection and organization.
Part III
In order to effectively improve the management level of the town's basic rural public **** health services program, the solid implementation of the rural basic public **** health services program of the content, and constantly improve the health of the town's masses, according to the requirements of the relevant documents of the higher levels, combined with the actual work of the town, the town's annual rural basic public **** health services program work to do the following plan.
First, background analysis: the existing 20 administrative villages in my town, *** counting the population of 75,000 people, the town set up a community health service center 2, prevention and protection of a seat, the village community health service station 12. Jurisdiction *** have catering and public **** place units 206, centralized water supply units 3.
Second, the work objective: the leadership of the Municipal Health Bureau and the town government, under the guidance of the higher business departments, through the *** with the collaboration of various departments, the successful completion of the rural basic public **** health service project indicators, and constantly improve the management of the town's rural basic public **** health service project and the health of the masses.
Third, the work of the indicators:
1, health education: village health education bulletin board information timely replacement rate of 100%; village health education information into the household rate of 85%; the masses and students of health education knowledge knowledge rate of more than 90%; the formation of health behavior rate is greater than 90%.
2, the handling of public **** health emergencies; medical staff emergency public **** health knowledge training rate of 100%; timely reporting rate, the correct disposal rate of 100%.
3, the prevention and treatment of major diseases:
Tuberculosis: network direct reporting rate of 100%, referral rate of 100%, tracking 95%, in place rate of 80%. The rate of sputum examination for suspected tuberculosis symptoms reaches 95%, the rate of examination for close contacts of Tuyang tuberculosis reaches 90%, patients are visited once a week at the village level, and the rate of visit is 100%, and the rate of medical staff supervising the treatment is 80%.
Schistosomiasis: the completion rate of the task of checking snail more than 95%, drug snail mortality rate is greater than 80%, live snail density decline is greater than 85%, the completion rate of the task of checking the disease is more than 95%. The target population to check and treat the disease detection rate of more than 80%.
AIDS: the distribution of publicity materials to the township as a unit of the household rate of 4%; villagers knowledge rate of 70%; village AIDS publicity wall slogans amounted to more than 5, to the township as a unit of the annual coverage of 10% of the village;
Intestinal infectious diseases: diarrhea patients cholera retrieval rate of not less than 10% and 1 per thousand of the total population; by ten days
level-by-level reporting of diarrhea patient registration number, retrieval number, The number of suspected patients occurred, the report timely rate of 100%. The number of internal supervision and inspection in April-October is not less than 1 time/month. Reasonable disposal of the occurrence of enteric infectious disease outbreaks, should be mobilized infectious disease outbreaks mobilization rate of 100%.
Acute infectious diseases: May-October to carry out blood tests for febrile patients, complete the blood tests and deworming tasks issued by the superiors, and rationally dispose of malaria outbreaks.
4, women's health: women's health care network is sound, complete the task of women's disease investigation and treatment issued by the higher level; maternal hospital delivery rate of 100%, the system management rate of more than 95%, to carry out menopausal health care services.
5, children's health: related infectious diseases within 48 hours of the flow transfer rate of 95% and above, outbreak outbreak reporting rate of 100%; the occurrence of each outbreak outbreak, the surrounding susceptible populations of emergency vaccination rate of 95%; in accordance with the provisions of the timely reporting of resident children and migrant children's inoculation rate of routine monthly statements, monthly reporting rate of 100%; newborn card rate and children under 4 years of age card rate of 98% or more; basic immunization. 98% or more; the basic immunization rate reaches 95% or more; the booster immunization rate of relevant vaccines reaches 90% or more. Hepatitis B vaccine first shot timely rate of 90% or more; polio vaccine basic immunization timely rate of 90% or more; routine report of vaccination reaction and zero case report of the monthly statement reporting rate of 100% seriously implement the work of informed consent prior to preventive vaccination, preventive vaccination before the notification rate of 100%, the use of the provincial system of printed preventive vaccination certificate of the utilization rate of 95% or more; preventive vaccination of disposable syringes rate of use and safe destruction rate of 100%. The rate of use of disposable syringes for preventive vaccination and safe destruction rate reached 100%; children's system management rate of more than 95%; frail children management rate of 100%.
6, chronic disease prevention: all patients over 35 years of age to implement the first blood pressure measurement system, blood pressure measurement rate of 100%; diagnosed with hypertension, diabetes, tumors and other chronic disease patients to establish a management file, the file rate of 80% to achieve more than; regular follow-up of hypertension, diabetes, tumors and other chronic disease patients and systematic management, at least four follow-up visits per year, the rate of systematic management of more than 50%; make full use of health checkups, clinical trials, clinical trials and other chronic disease patients, the systematic management rate to achieve more than 50%. ; make full use of health checkups, clinical information, combined with proactive door-to-door service, and gradually establish health records for farmers, and carry out targeted health interventions. 80% of the elderly over 60 years of age filing rate reached 80%, and the number of follow-up visits per year is greater than 4 times; standardize and carry out a good management of psychiatric patients.
7, food and drinking water hygiene supervision: engaged in food workers physical examination rate of ≥ 98%; training pass rate of 98%, the physical examination of those who failed to transfer the rate of 100%; health supervision and inspection of more than four times a year per unit coverage; food production and operation of the unit sampling once a quarter, the type of food is not less than five categories; food poisoning report rate of 100%, the correct disposal rate of 100%; there are Occupational hazards factors in charge of the enterprise regular training (once a year), the coverage rate of 100%; regular training of workers (once a year), the coverage rate of ≥ 80%; the establishment of community drinking water source accounts for residents, the registration rate of 100%; the establishment of the water supply unit health records, archiving rate of 100%.
8, public **** health information collection and reporting: network direct reporting system is functioning properly, a sound system.
Fourth, the work measures:
1, strengthen leadership, clear responsibility: the town of rural basic public **** health services project leading group, to strengthen the rural basic public **** health services project management leadership, clear responsibilities of the relevant functional departments, coordinate the work between the relevant units, in order to promote the development of the work.
2, strengthen collaboration, smooth progress: the relevant departments should be under the leadership of the project leading group, strengthen collaboration, around the project assessment rules, conscientiously perform their duties to ensure the successful completion of the project objectives; and for the work of the problems that arise, regularly summarize, and take targeted measures to be improved.
3, strengthen the assessment, quality assurance: the project leading group should be based on the assessment of the program to strengthen the assessment of the relevant departments, the assessment of the problems found in a timely manner to provide feedback, urge the functional departments to be improved, and in accordance with the results of the assessment of the allocation of relevant funds.