What services should be provided according to the national basic public health service standards?

The national basic public health service project is an important content to promote the gradual equalization of basic public health services and an important work to deepen the reform of the medical and health system. It is the most basic public health service provided by our government to all residents free of charge, focusing on children, pregnant women, the elderly and patients with chronic diseases. The funds needed to carry out service projects are mainly borne by the government, and urban and rural residents can directly benefit.

This standard is a reference for rural and urban grassroots medical and health institutions such as township hospitals, village clinics and community health service centers (stations) to provide basic public health services free of charge, and can also be used as a basis for health administrative departments at all levels to carry out performance evaluation of basic public health services. The basic public health service items listed in the Code are mainly organized and implemented by township hospitals and community health service centers. Village clinics and community health service stations accept the business management of township hospitals and community health service centers respectively, and undertake basic public health service tasks reasonably. Urban and rural primary medical and health institutions shall accept the professional guidance of local public health institutions such as disease prevention and control, maternal and child health care and health supervision. Other medical and health institutions that provide national basic public health services may refer to the implementation of the Standards.

The specification includes 1 1 items, namely: urban and rural residents' health file management, health education, vaccination, health management of children aged 0-6, health management of pregnant women, health management of elderly people, health management of patients with hypertension, health management of patients with type 2 diabetes, management of patients with severe mental illness, reporting and handling of infectious diseases and public health emergencies, and service standards of health supervision and co-management. In the service specification, the service object, content, process, requirements, assessment indicators and service record forms of national basic public health services are stipulated respectively. The relevant service records for individual services in the Code should be included in the unified management of residents' health records, and the assessment index standards should be determined by local governments according to local actual conditions.

Service specification for urban and rural residents' health records management

First, the service target.

Permanent residents within the jurisdiction, including registered and non-registered residents who have lived for more than half a year. Focus on children aged 0-6, pregnant women, the elderly, patients with chronic diseases and patients with severe mental illness.

Second, the service content

(a) the contents of the residents' health records

Residents' health records include personal basic information, health examination, health management records of key populations and other medical and health service records.

1. Personal basic information includes basic information such as name and gender, as well as basic health information such as past medical history and family history.

2. Physical examination includes general health examination, lifestyle, health status, medication for diseases and health evaluation.

3. The health management files of key populations include the health management files of children aged 0-6, pregnant women, the elderly, patients with chronic diseases and severe mental illness required by the national basic public health service project.

4. Other medical and health service records include other admission, referral and consultation records except the above records.

(B) the establishment of residents' health records

1. When residents in the jurisdiction receive services in township hospitals, village clinics and community health service centers (stations), medical personnel are responsible for establishing residents' health records for them, and filling in corresponding records according to their main health problems and service provision. At the same time, fill in and issue resident health record information cards for the clients.

2. Township hospitals, village clinics and community health service centers (stations) organize medical personnel to establish health records for residents through on-site service (investigation), disease screening and health examination, and fill in corresponding records according to their main health problems and service provision.

3. In areas where residents' electronic health record information system has been established, township hospitals, village clinics and community health service centers (stations) shall establish residents' electronic health records for individuals through the above-mentioned methods, and issue national unified standard medical care cards.

4. Fill in the relevant record forms of health files in the process of medical and health services, and put them into the residents' health archives for unified custody. In rural areas, it can be stored centrally in families. The data of residents' electronic health records are stored in the electronic health records data center.

(C) the use of residents' health records

1. Residents who have filed files should hold the residents' health record information card (or medical care card) when going to township hospitals, village clinics and community health service centers (stations) for follow-up. After obtaining their health records, the attending doctor will update and supplement the corresponding records in time according to the follow-up situation.

2. When carrying out home medical and health services, you should consult the health records of the clients in advance and carry the corresponding forms, and record and supplement the corresponding contents in the service process. The institution that has established the electronic health record information system shall update the electronic health record at the same time.

3. For clients who need referral and consultation, the attending doctor should fill in the referral and consultation records.

4. All service records should be collected and filed in time by the responsible medical personnel or file management personnel.

Health education service specification

First, the service target.

Residents within the jurisdiction.

Second, the service content

(A) the content of health education

1. Publicize and popularize "China citizens' health literacy-basic knowledge and skills (for Trial Implementation)". Cooperate with relevant departments to promote citizens' health literacy.

2. Health education for teenagers, women, the elderly, the disabled, parents of children aged 0-6, migrant workers and other people.

3. Carry out healthy lifestyle education such as reasonable diet, weight control, proper exercise, psychological balance, sleep improvement, salt restriction, tobacco control, alcohol restriction, drug dependence control, detoxification and risk factor intervention.

4 to carry out health education on key diseases such as hypertension, diabetes, coronary heart disease, asthma, breast cancer and cervical cancer, tuberculosis, hepatitis, AIDS, influenza, hand, foot and mouth disease, rabies and brucellosis.

5 to carry out health education on public health issues such as food safety, occupational hygiene, radiation hygiene, environmental hygiene, drinking water hygiene, family planning and school hygiene.

6 to carry out health education in response to public health emergencies, disaster prevention and mitigation, and family first aid.

7 publicity and popularization of medical and health laws and regulations and related policies.

Vaccination service specification

First, the service target.

Key groups such as children aged 0-6 in the jurisdiction.

Second, the service content

(A) vaccination management

1. Establish vaccination files such as vaccination certificates and vaccination cards for all children aged 0-6 who have lived in the jurisdiction for three months in time.

2. Take appointment, notification, telephone, SMS, internet, broadcast notification and other appropriate ways. Inform children's guardians of the types, time, place and related requirements of vaccination. In remote mountainous areas, islands, pastoral areas and other areas with inconvenient transportation, vaccination can be carried out by means of home visits.

3. Check and sort out the children's vaccination card 1 time in the responsible area every six months.

(2) Vaccination

According to the national immunization plan, school-age children are vaccinated regularly. The key populations in some provinces were vaccinated with hemorrhagic fever vaccine. Emergency vaccination of anthrax vaccine and leptospirosis vaccine will be carried out for high-risk groups in key areas. According to the needs of infectious disease control, strengthen immunization, group vaccination and emergency vaccination of hepatitis B, measles and polio vaccines.

1. Work before inoculation. Vaccination staff should check the children's vaccination certificate (card, book) or electronic file before vaccinating children, check the name, sex, date of birth and vaccination records of the recipients, and determine the recipients and the varieties to be vaccinated this time. Ask about the health status of the recipient, whether there are any contraindications to vaccination, etc. And inform the recipient or his guardian of the variety, function, contraindications, adverse reactions and precautions of the vaccine, which can be in the form of written or (and) oral notification, and truthfully record the notification and inquiry.

2. Work during vaccination. Vaccination staff shall recheck the name of the recipient, vaccination certificate, vaccination certificate and the vaccine varieties vaccinated this time in the vaccination operation, and carry out vaccination in strict accordance with the requirements of the vaccination month (year) age, vaccination site, vaccination route, safe injection, etc.

3. Work after vaccination. Inform the child's guardian that the recipient will observe in the observation room for 30 minutes after vaccination. Record it on the vaccination certificate and card (book) in time after vaccination, and make an appointment with the child guardian for the type, time and place of the next vaccination. Conditional area input computer and network reports.

(3) Treatment of suspected abnormal reaction to vaccination

If any abnormal reaction to vaccination is found, the vaccinators shall handle and report it according to the requirements of the National Monitoring Plan for Abnormal Reaction to Vaccination.

Health management service standard for children aged 0 ~ 6.

First, the service target.

Children aged 0-6 living in their jurisdiction.

Too much content. Other omissions.

For reference.