About the community governance program

5 articles about community governance scheme

In order to ensure the smooth progress of work or things, it is necessary to make a scheme in advance, which is the most complicated one in the plan. How to write a plan can better play its role? I'll bring you a community governance plan, I hope you like it!

about community governance scheme 1

in order to further improve the level of comprehensive prevention and treatment of chronic diseases in communities in our region, reduce the incidence, disability and mortality of chronic diseases, and effectively improve people's health, this scheme is formulated in combination with the actual situation in our region.

1. Guiding ideology

Implement the strategy of giving priority to prevention, moving forward the gateway and sinking the center of gravity, follow the principle of "classified management and advancing step by step", apply the concept of "three-level prevention" of diseases, and monitor the residents with chronic diseases in the area through key measures such as health education, dietary guidance, physical activity promotion and follow-up management, so as to provide continuous, comprehensive and convenient prevention and treatment services for the people with chronic diseases. By using chronic disease risk assessment technology, the level of individual and regional chronic disease risk factors is clarified and quantified, and classified intervention management is implemented according to the general population, high-risk groups and patients, so as to improve people's health awareness, change unhealthy lifestyles, control the level of risk factors, reduce the incidence, disability and mortality of chronic diseases, explore appropriate technologies for comprehensive prevention and treatment of chronic diseases, and comprehensively improve the comprehensive prevention and control ability and level of chronic diseases in communities.

II. Main target indicators

(I) Overall target indicators

Strive for comprehensive prevention and treatment of chronic diseases in communities. Five-star towns and villages account for 2% and four-star towns and villages account for more than 4%.

Work indicators:

1. The awareness rate of common chronic disease prevention knowledge among residents is ≥8%; The formation rate of basic health and disease prevention behavior is ≥7%.

2. The standardized management rate of hypertension patients is over 75%, and the medication rate is over 7%; The blood pressure control rate is above 5%, the blood sugar control rate is above 35%, and the incidence and mortality of stroke and coronary heart disease are decreasing year by year.

(II) Specific target indicators

According to the actual situation of comprehensive prevention and treatment of chronic diseases in communities of towns and villages in our district at this stage, the target indicators of each star are set scientifically by adopting the star system, and we will strive to complete the target indicators such as managing patients and sub-healthy people (i.e. high-risk groups) in five-star towns and villages, implementing graded management of patients in four-star towns and villages, and improving standardized management rate and control rate of patients in three-star towns and villages within three years.

1. Five-star township

Goal: deepen three-level management and reduce complications; Steadily implement the intervention of high-risk groups to reduce risk factors; According to the actual situation, hierarchical management is carried out step by step to monitor the damage of target organs.

Work indicators:

(1) The rate of blood pressure at the first diagnosis of 35 years old and above is over 98%, and the rate of reexamination of abnormal blood pressure is over 9%;

(2) The standardized management rate of hypertension and diabetes is over 8%;

(3) The medication rate of patients with hypertension and diabetes is over 75%;

(4) The blood pressure control rate of patients with hypertension is over 55%, and the blood sugar control rate of patients with diabetes is 4%;

(5) The awareness rate of common chronic disease prevention knowledge among residents is over 85%, and the formation rate of basic hygiene and disease prevention behaviors is over 75%;

(6) Acute events and strokes of coronary heart disease were reported, and the mortality rate decreased by 5%.

2. Four-star township

Goal: strengthen hierarchical management and improve control rate; Appropriately try to carry out intervention in high-risk groups, improve their knowledge, beliefs and behaviors, control risk factors and reduce their level.

Work indicators:

(1) The rate of blood pressure at the first diagnosis of 35 years old and above is over 95%, and the rate of reexamination of abnormal blood pressure is over 85%;

(2) The standardized management rate of hypertension and diabetes reached over 75%;

(3) The medication rate of patients with hypertension and diabetes is over 7%;

(4) The blood pressure control rate of patients with hypertension is over 5%, and the blood sugar control rate of patients with diabetes is 35%;

(5) The awareness rate of common chronic diseases among residents is over 8%; The formation rate of basic health and disease prevention behavior is more than 7%;

(6) Acute events of coronary heart disease, reported occurrence of stroke and mortality decreased year by year.

3. Three-star township

Objective: Strengthen the collection of basic community data and improve residents' health records; Ensure management quality, standardize hierarchical management, improve standardized management rate, and improve medication rate and control rate.

Work indicators:

(1) The rate of blood pressure at the first diagnosis of 35 years old and above is over 9%, and the rate of reexamination of abnormal blood pressure is over 8%;

(2) The standardized management rate of hypertension and diabetes is over 7%;

(3) The medication rate of patients with hypertension and diabetes is over 6%;

(4) The blood pressure control rate of patients with hypertension is over 4%, and the blood sugar control rate of patients with diabetes is over 3%;

(5) The awareness rate of common chronic diseases among residents is over 7%, and the formation rate of basic hygiene and disease prevention behaviors is over 65%.

III. Main tasks

(1) Enriching educational carriers and advocating healthy behavior programs. Give full play to the advantages of integrating health care resources, carry out various forms of health education activities, and improve the knowledge of chronic disease prevention and treatment of rural residents; Under the original intervention model of chronic diseases led by health education, health intervention tools (oil control pot, salt limit spoon and body mass index slide rule) will be fully implemented in the whole region within three years to quantitatively intervene farmers' eating and walking.

(2) Implement the basic project of star-rated management of chronic diseases

1. Five-star towns

(1) Strengthen follow-up management and strictly control quality. According to the patient's blood pressure level and risk factors, it is divided into three levels: low risk, medium risk and high risk, and the responsible doctor manages according to the requirements of each level; The center conducts quality control every month to ensure the quality of hierarchical management.

(2) monitoring the target organ damage of patients, and gradually implementing hierarchical management. To further deepen the three-level management, first, select 2-3 communities to check the target organs such as heart, kidney, brain and fundus every year, closely observe the damage, adjust the management level and intervention plan in time, carry out hierarchical management, accumulate experience, and fully implement it in the whole town within 3 years.

(3) further improve the management of high-risk groups of hypertension and diabetes. On the basis of the pilot management of high-risk groups, we will expand the management coverage, strive to reach 2, people in three years, give individualized lifestyle guidance to the screened high-risk groups once a quarter, carry out risk factor intervention, conduct health check-ups every six months, evaluate the intervention effect, cancel the high-risk management for those who turn into healthy groups, and include the people who develop into patients in special management.

(4) standardize the activities of health clubs for chronic diseases and vigorously carry out peer education. According to the needs of patients, club activities are held once a quarter by holding lectures and expert health consultation; Give full play to the backbone of peer education and regularly carry out interactive exchanges; Improve the incentive mechanism of peer education and effectively improve the educational effect.

2. Four-star towns

(1) Classified management and comprehensive intervention. To further deepen the three-level management of patients with hypertension, according to the blood pressure level of patients at the beginning of the year, it is divided into three levels: mild, moderate and severe, and managed according to the requirements of each level. Mild and moderate patients should focus on health education and medication guidance, and severe patients should focus on monitoring target organ damage and implement individualized management.

(2) Strengthen monitoring and standardize management. Further strengthen the community management of diabetic patients, follow up once a quarter and measure blood pressure and blood sugar, focus on behavioral intervention guidance such as diet and exercise, closely monitor complications, tailor the intervention plan for each patient, and improve the standardized management rate.

(3) effect evaluation and steady improvement. Community health service centers evaluate the management effect of patients with hypertension and diabetes in stations, summarize and analyze the results in time, find out the influencing factors or reasons of poor control, and improve the management quality of hypertension and diabetes in rural communities.

(4) To carry out intervention among high-risk groups and control risk factors. In some communities, the management of high-risk groups was piloted, and the number of managers reached 1, in three years. The screened high-risk groups were given individualized lifestyle guidance once every six months, health education prescriptions were issued, and their health examinations were conducted every year, and the effect was evaluated in real time.

(5) innovate the propaganda carrier to improve the health literacy of different people. Further broaden the propaganda channels of health education, enrich the propaganda carriers, and grasp the needs of farmers' health education through propaganda groups, digital movies, mobile phone text messages, jingles and other carriers, and carry out corresponding publicity activities for different communities, different ages and different groups of people, so as to enhance the enthusiasm of farmers to participate in health education, consciously develop healthy behaviors and lifestyles, and improve the publicity effect of community health education.

3. Three-star towns

(1) Use various channels to collect basic community information, improve residents' health records, and lay a solid foundation for the prevention and treatment of chronic diseases.

(2) Early detection of abnormal patients with hypertension and diabetes through farmers' health check-ups, opportunistic screening and key population screening, and strict implementation of the system of first diagnosis and blood pressure measurement for people over 35 years old, and timely re-examination if abnormalities are found, so as to achieve early diagnosis, early treatment and early management.

(3) In strict accordance with the requirements of three-level management, the patients with mild and moderate diseases should be given intervention guidance once a quarter and the patients with severe diseases once a month, so as to standardize the follow-up procedures and intervention contents, improve the standardized management rate and control rate, find the abnormal situation of patients at an early stage and refer them in time.

(4) Give full play to their respective advantages and take various forms to vigorously carry out health education and health promotion activities.

(3) Create a "one town, one product" chronic disease management project

1. Innovate service means. Fully relying on information technology, using "peer-to-peer" electronic technology to carry out mobile follow-up service for chronic diseases, to realize the real-time entry of follow-up contents and the provision of electronic health education prescriptions by community responsible doctors with handheld computers, and to provide experience accumulation for the performance evaluation of public health services. At the same time, relying on short message platform and network resources, the knowledge of chronic disease prevention and treatment is widely spread, and the benefit of the population and the quality of education are improved.

2. innovate service carriers. Set up a volunteer team composed of township public health liaison officers, community doctors and community residents with certain prestige to carry out publicity in the form of health clubs, peer education and "practice" activities, so as to encourage residents to acquire health knowledge consciously and actively and improve the self-management level of chronic patients and sub-healthy people.

3. Relying on the appropriate technology of Chinese medicine. Using the concept of "preventing diseases before they occur" in TCM, aiming at improving physique and health, we actively carry out TCM health intervention techniques, integrate traditional TCM preventive health care and psychosomatic medicine methods such as acupuncture, massage and ointment, and establish targeted and personalized prevention and treatment programs according to physique types, so as to achieve "preventing diseases before they occur", "preventing diseases before they become ill" and "preventing diseases after they occur" to prevent the occurrence and development of diseases.

4. Relying on the cooperation mechanism between health and sports. Towns and towns located in the urban-rural fringe can hire coaches of China traditional sports (Tai Ji Chuan, Taiji Sword) to carry out training in the community, give full play to the advantages of traditional sports, and urge sub-healthy people and patients with chronic diseases to achieve moderate exercise and maintain psychological balance.

IV. Safeguards

(1) Strengthen leadership and improve institutions. To further strengthen the leadership of the comprehensive prevention and control of chronic diseases in the community, set up a leading group for the comprehensive prevention and control of chronic diseases in the community, formulate plans and plans for the comprehensive prevention and control of chronic diseases, study and solve difficulties and problems in the prevention and control of chronic diseases, and assess and reward the implementation of the prevention and control plan. Set up a clinical expert group and a health education expert group to provide clinical technical and intervention technical support.

(2) pay attention to training and improve ability. Increase investment in human resources, strengthen the allocation of chronic disease prevention professionals in district CDC and township community health service centers, pay attention to the professional theory and practical skills training of full-time and part-time chronic disease prevention personnel, and further strengthen the capacity building of chronic disease prevention in the whole region.

(3) increase investment and strengthen security. Governments at all levels, from the perspective of protecting the health of the masses, have effectively increased their investment, ensured the working funds of comprehensive prevention and control projects for chronic diseases in professional institutions for disease prevention and control and township community health service institutions, introduced preferential measures, encouraged the masses to adhere to standardized treatment, and effectively improved the standardized management rate and control rate of chronic diseases.

(4) widely publicize and raise awareness. Through various popular forms, widely publicize the knowledge of prevention and treatment of chronic diseases, help people understand the relationship between bad life behaviors and chronic diseases, gradually develop civilized and healthy production and lifestyle and hygiene habits, and improve people's awareness and ability of disease prevention.

About Community Governance Scheme 2

In order to further strengthen the comprehensive improvement of community environment, earnestly do a good job in community construction, give full play to community functions, create a good community environment, and actively promote the all-round realization of civilized communities, according to the spirit of the document Guiding Opinions on the Comprehensive Improvement of Community Environment in the City (No.) issued by the General Office of the Municipal Party Committee and the General Office of the Municipal Government, with the consent of the District Working Committee and the District Management Committee, and in combination with the actual situation of our district, the comprehensive community environment in the Economic Development Zone is formulated.

1. Guiding ideology

Actively respond to the call of the municipal party committee and the municipal government to "fight for 4 days and welcome the Seven-city Games", and carry out comprehensive community environment improvement activities in the whole region in accordance with the principles of "government organization, departmental participation, national mobilization, territorial management, comprehensive management, standardization and long-term", improve infrastructure, improve living environment, enhance the quality of civilization, improve happiness index and fully implement them.

II. Organization

In order to strengthen the leadership and coordination of the comprehensive improvement of the community environment, so that the residents' self-government management can be truly implemented, a leading group for the comprehensive improvement of the community environment in the Economic Development Zone is established, and its members are as follows: an office is set up under the leading group, with comrades as the office director. The office is located in the district establishment office, which is mainly responsible for the formulation of remediation plan, the coordination of functional departments, the promotion of remediation work, the supervision of remediation process and the acceptance of remediation results.

III. Work Objectives

Taking the opportunity of creating a national civilized city and a national sanitary city, taking serving the residents as the purpose, and combining with the specific conditions of the communities in the whole region, we will vigorously promote the comprehensive improvement of the environment of residential quarters (courtyards), realize the purification, beautification, lighting and greening of residential quarters (courtyards), and establish a quasi-property management system to achieve the goal of long-term management.

IV. Scope of remediation

According to the actual situation in our district, Nanchi Community is tentatively set as the remediation object. According to the territorial management, the comprehensive environmental improvement work of Nanchi Community is implemented by Baishui Lake Management Office.

v. renovation contents

the renovation of community environment takes residential quarters (courtyards) as a unit, focusing on cleaning and security. On the basis of soliciting opinions from residents and combining with the establishment of standards, Baishui Lake Management Office focuses on renovating the problems that people urgently need to solve. The basic content involves seven.