In order to implement the spirit of documents such as "8888 Key Implementation Plan for Recent Medical and Health System Reform" and "8888 Implementation Plan for Promoting Equalization of Basic Public Health Services" and promote equalization of basic public health services, the "8888 Implementation Plan for Basic Public Health Services" is formulated in combination with the actual situation of our county.

I. Guiding ideology

Guided by Deng Xiaoping Theory and Theory of Three Represents, we will fully implement Scientific Outlook on Development, adhere to the public welfare of basic public health services, and provide nine basic public health services that are fair, effective, safe and convenient for the people free of charge in the form of government purchase in accordance with the ideas of scientific standardization, capabilities, steady progress and practical results. So as to prevent urban and rural residents from getting sick and getting sick less, improve people's health level and continuously promote the basic health of urban and rural residents.

Second, the basic principles

(1) is open, transparent, fair and just. The government purchases basic public health services from the public, formulates project standards, implements service effect evaluation, and accepts social supervision; Adhere to fairness and justice, grass-roots health institutions approved for establishment can participate in providing services equally, and urban and rural residents can enjoy basic public health services equally.

(2) The rights and responsibilities are clear and consistent. Clarify the responsibilities and rights of the government, service agencies and residents in the process of purchasing, providing and enjoying basic public health services, and ensure the effective development of basic public health services.

(3) Standardize and promote. Use incentive mechanisms such as performance evaluation and residents' participation evaluation to purchase the most effective service at the lowest cost and ensure the maximization of social benefits.

(4) People-oriented and pragmatic. Fully embody the people-oriented concept of facilitating and serving the masses, and maximize the quality and effect of services based on residents' enjoyment of good basic public health services.

Three. Main contents and stage objectives

Basic public health services include the following nine items: establishing residents' health records, health education, vaccination, prevention and treatment of infectious diseases (AIDS prevention and treatment, tuberculosis prevention and treatment), child health care, maternal health care, elderly health care, prevention and treatment of chronic diseases (hypertension and diabetes) and management of severe mental illness.

Basic public health service projects can be divided into two categories according to the project undertaker: one is the project that can be directly undertaken by primary health institutions (hereinafter referred to as primary projects), which mainly includes the establishment of residents' health records, health education, prevention and treatment of infectious diseases, health care for the elderly, prevention and treatment of chronic diseases, management of severe mental illness, etc. One is the projects that need to be undertaken by professional public health institutions (hereinafter referred to as professional projects), mainly including vaccination, women's health care, children's health care and other projects undertaken by some professional public health institutions.

Disease prevention and control institutions and maternal and child health care institutions mainly provide technical support for primary health service institutions to carry out basic public health work, and strengthen oral professional guidance, personnel training, quality control and assessment.

(A) the establishment of residents' health records

Focus on women, children, the elderly, the disabled, patients with chronic diseases, etc., and establish a unified and standardized resident health record for the permanent population in the jurisdiction. The main information of health records includes basic information of residents, major health problems and health service records. Health records should be updated in time. In 20 10, the filing rate of residents' health records reached more than 20%, and in 201/kloc-0, it reached more than 30%; The filing rate of health records of key population residents has reached more than 30%.

(2) Health education

1, carry out regular health education activities. (1) Primary medical and health service institutions provide health prescriptions, health guidance manuals, folding pages, etc. To provide residents in the area, each institution shall provide no less than 12 kinds of printed materials every year; (2) Township hospitals shall set up no less than 2 health education publicity columns; Village clinics should set up no less than 1 health education bulletin boards, which should be updated at least once every quarter; (3) Play no less than 6 kinds of health education video materials in cycles; (4) All institutions shall use theme publicity days or holidays to carry out no less than 6 public health consultation activities and distribute publicity materials; 5] Township hospitals hold health knowledge lectures at least once a month; Village clinics hold health knowledge lectures at least once every two months.

2. Carry out targeted health education for key chronic diseases and infectious diseases. Carry out health education and preventive knowledge guidance and publicity on chronic diseases such as hypertension, diabetes, coronary heart disease, asthma, breast cancer and cervical cancer and infectious diseases such as AIDS, tuberculosis, hepatitis, influenza, cholera, hand, foot and mouth disease, chickenpox, mumps and epidemic hemorrhagic fever.

3. Carry out targeted health education for key groups. Carry out targeted health guidance and education for different key groups in the jurisdiction (teenagers, women, the elderly, parents of children aged 0-36 months), including women's health care knowledge, children's health care knowledge, oral health care knowledge, smoking is harmful to health, immunization and so on.

4.20 10 residents' awareness rate of basic health knowledge reached more than 60%, and 20 1 1 reached more than 70%.

(3) Vaccination

1. Provide 12 kinds of primary vaccination services for school-age children aged 0-6 years for free to prevent 12 kinds of infectious diseases. Include hepatitis B vaccine, BCG vaccine, polio vaccine, DTP vaccine, measles vaccine, hepatitis A vaccine, epidemic cerebrospinal meningitis vaccine, Japanese encephalitis vaccine, leprosy vaccine and mumps vaccine.

2. Organize immune management. Establish vaccination cards, certificates and books for school-age children to ensure the normal operation of safe injection and immunization information management systems and vaccine cold chain facilities; Cooperate with disease prevention and control institutions to monitor the immune level and immune effect of the population.

In 3.20 10, the routine immunization rate of children aged 0-6 years reached over 95%.

(4) Prevention and control of infectious diseases

1, carry out infectious disease monitoring in the jurisdiction, and report the epidemic situation of legally reported infectious diseases found in the jurisdiction in time.

2, do a good job in the case referral and disinfection of this unit, and assist professional public health institutions to do a good job in the follow-up of family cases of infectious diseases and the management of close contacts.

3, cooperate with the management of key infectious diseases. Cooperate with higher professional prevention and control institutions to do a good job in standardized management of tuberculosis cases; Cooperate with higher professional prevention and treatment institutions to carry out investigation and follow-up of AIDS patients and virus-infected people and provide consultation.

In 4.20 10, the epidemic reporting rate reached 100%, the timely rate reached 100%, and the timely disposal rate of key infectious diseases reached 100%.

(5) Intervention of chronic diseases such as hypertension and diabetes.

1. Carry out registration and health guidance for patients with key chronic diseases such as hypertension and diabetes. For people over 35 years old, blood pressure was measured at the first diagnosis; Register and manage patients with hypertension and diabetes, and follow up regularly. Every follow-up should ask about the condition, have a physical examination, and give health guidance such as medication, diet, exercise and psychology. Carry out chronic disease prevention education and behavioral risk factor intervention.

2. The registration management rate of chronic non-communicable diseases such as hypertension and diabetes reached 20% in 20 10; 20 1 1, and the registration management rate reached 30%.

(6) Management of severe mental illness

1. Register and file patients with severe mental illness diagnosed within the jurisdiction, treat and follow up patients with severe mental illness living at home under the guidance of professional institutions, and provide consulting services, rehabilitation and treatment guidance.

2.20 10 years, the registration management rate of patients with severe mental illness reached more than 20%; 20 1 1 will reach more than 30%.

(7) Child health care

1. Establish a child care manual for infants aged 0-36 months, and carry out neonatal visits and child care system management. Newborns are visited twice, 1 children are cared for four times, and twice a year in the second and third years. Carry out physical examination, growth monitoring and evaluation, and carry out health guidance such as psychological and behavioral development, breastfeeding, complementary food addition, accidental injury prevention, and common disease prevention.

2. The management rate of children's health care system has been significantly improved. In 20 10, the compilation rate of children's health manuals and the coverage rate of health care management in the county reached more than 60%, and in 201/kloc-0, it reached more than 85%.

(viii) Maternal health care

1. Establish a maternal health care manual, and carry out five pregnancy care services and two postpartum visits. Carry out general physical examination during pregnancy and health guidance such as nutrition and psychology, understand postpartum recovery and give guidance to common postpartum problems.

In 2.20 10, the establishment rate of maternal health care manual reached over 60%, the coverage rate of maternal health care management reached over 50%, and the management rate of high-risk maternal health care reached over 95%; 20 1 1, and the coverage rate of maternal health care management reached over 85%.

(9) Health care for the elderly

1. Through the implementation of the health management service project for the elderly, health risk factors and general physical examination were conducted for the elderly in urban and rural areas, and health guidance was provided for the elderly with chronic diseases, osteoporosis, accidental injuries and other risk factors. Provide health guidance such as disease prevention, self-care and injury prevention and self-help, reduce major health risk factors, and effectively prevent and control chronic diseases and injuries.

2, to carry out health care for the elderly, regular health examination for the elderly over 65 years old, the elderly health management rate in 20 10 and 20 1 1 reached more than 30%.

Fourth, organize the implementation.

(a) the administrative department of health. Organize, guide, supervise and support professional public health institutions and primary medical and health institutions within their jurisdiction to effectively implement basic public health service projects, gradually improve the performance evaluation system of basic public health services, and strengthen the supervision and management and performance evaluation of basic public health services.

(2) the financial department. Formulate measures for the management of special funds, strengthen the management of special funds, and carry out performance evaluation of basic public health services in conjunction with the health administrative department to maximize the efficiency of the use of special funds.

(3) Professional public health institutions. To undertake business guidance and technical support functions such as project evaluation, personnel training, performance appraisal, quality monitoring and appropriate technology promotion of basic public health services. By adjusting the public health function of institutions, improving the service network and strictly managing the service quality, we will accelerate the establishment of the division of labor and cooperation between professional public health institutions and primary medical and health institutions.

(four) township (town) health centers, village clinics and other grassroots health institutions. As the main body of basic public health services, it provides basic public health services for all residents free of charge. Adhere to the service concept with health management as the core and the service mode of active service, door-to-door service and combination of medical treatment and prevention, further adjust and improve the public health service process, equip facilities, service teams and full-time personnel, improve the internal performance evaluation system, conscientiously implement various requirements, ensure full coverage, public welfare and service equalization of basic public health services, and actively play the role of basic public health service network.

Verb (abbreviation of verb) financial guarantee

(1) Raise funds. The financial department shall set up special funds for basic public health services. In 2009, the standard for raising special funds for basic public health services was per capita 15 yuan, and it will reach per capita 18 yuan in 2065, 438+00 yuan per capita in 2065 and 20 yuan per capita in 2065. The source of funds is the subsidy funds issued by the central government and the funds arranged by the municipal and county budgets.

(2) allocation of funds.

1, funds for grass-roots projects. All funds for grassroots projects are used for township (town) health centers and village clinics that provide public health services.

2. Professional project funds. According to the basic public health services and average service costs undertaken by professional public health institutions, the total annual budget of professional project funds is determined. Professional project funds are all used for professional public health institutions that provide basic public health services.

3. Reward and supplement funds. Arrange part of the basic public health special funds for basic public health service incentives and subsidies and performance appraisal fees.

(3) disbursement of funds. In accordance with the principle of combining incentives with constraints, special funds will be pre-allocated at the beginning of the year and liquidated according to the results of performance appraisal at the end of the year. The subsidy measures for grass-roots project funds, professional project funds and award-winning funds shall be adjusted annually by the county-level health administrative department and the financial department according to the changes in project operation and financing standards.

Work requirements of intransitive verbs

(a) to strengthen organizational leadership, and effectively promote the implementation. The administrative department of health should earnestly strengthen the unified management of basic public health services, fully incorporate the project work requirements into the annual overall work plan, carefully organize, properly arrange and comprehensively organize the implementation. County-level disease prevention and control institutions and maternal and child health care institutions should firmly establish a sense of responsibility to guide the implementation of basic public health service projects, set up project technical guidance groups and offices step by step, give full play to the technical support role, and conscientiously do a good job in business technical guidance for project work. Township (town) hospitals and village clinics should carefully control the specific contents and requirements of basic public health services, formulate detailed implementation plans, and implement them item by item.

(two) strict fund management, strengthen performance appraisal. County-level financial departments and health administrative departments are responsible for formulating unified performance evaluation methods for basic public health special funds throughout the county. County-level health administrative departments and financial departments are the main bodies of performance appraisal of basic public health special funds, and conduct spot checks on the performance appraisal results. The health administrative department at the county level and the financial department shall complete the performance appraisal of basic public health services provided by township (town) hospitals and professional public health institutions before 1 15 every year, and report to the municipal health administrative department and the municipal finance department.

(3) Improve service standards and ensure service quality. The health administrative department at the county level shall, according to the service capacity and conditions of primary medical and health institutions, study, formulate and promote the work plan of basic public health service projects such as health education, vaccination, child health care, maternal health care, elderly health care, prevention and treatment of infectious diseases and management of chronic diseases, improve the management system and workflow, and improve the service quality and management level. Focusing on key populations and clients of primary medical and health institutions, we will gradually establish standardized and unified health records for residents, actively promote the electronic management of health records, and strengthen the management of public health information. Professional public health institutions and grass-roots medical and health institutions should change their service methods, adopt door-to-door service, active service and continuous service, and continuously improve the quality of basic public health services.