Jiangsu: Offer the basic public health service free Let the masses have disease and have disease few late

Jiangsu: Offer the basic public health service free Let the masses have disease and have disease few late
Jiangsu: Offer the basic public health service free Let the masses have disease and have disease few late
Implement basic public health service item and service item of the great public health, enable urban and rural residents enjoy the equal public health that take, serve progressively, the purpose is to intervene in influencing the main hygiene question of resident's health, reduce the main healthy dangerous factor, prevent and control main infectious disease and chronic disease effectively. The provincial government of Provincial Party committee pays close attention to, increase the input in fund, per person of service item of the basic public health of our province subsidizes the standard to improve and get and is at least 25 yuan this year, the provincial finance subsidizes different economic types area according to 17 yuan of per person, standard of 14 yuan, 10 yuan, 5 yuan separately through transfer payment, adopt " that year in full to dial, examine, close next year in advance " Method, set aside the central and provincial financial subsidy fund of 776 million yuan of this year in advance, provide the immunization campaign for urban and rural residents free, pregnant and parturient women's health control, old person's health control, chronic disease management, getting in weight spiritual disease are managed,etc. 41 basic public health service items of 10 kinds. Up to November, two grades of cities, counties have already implemented the subsidy fund of 1,220 million yuan of the project. Meanwhile, establish and improve system of service item announcement of the basic public health within the range of the whole province, basic public health service item name offered to social announcement free, content of consulting and supervising the complaints hotline in serivce object, service content, service standard, service procedure, facilities for the convenience of the people, service etc., accept the social supervision voluntarily. At present, 10 kinds 41 basic public health service item and service item of the great public health that province book are popularized, the disparity in urban and rural areas and enjoying the public health service between area and crowd obviously dwindles, urban and rural residents can obtain province free basic public health serve definitely, great disease and main healthy dangerous factor get preliminary control, the intersection of urban and rural residents and the intersection of health and competence raise further, residents serve knowing to the basic public health rate and satisfaction are more than 90% of the policy progressively equally and melt. Prevent and control disease, take place, control emergence of disease prevailing while being prevailing actively, what counts is and prevent. In recent years, our province relies on the basic public health service item, has made the obvious effect in disease prevention and control. First of all, launch the basic public health service to the key crowd. Mainly include: Children's health care. Set up health care manuals of children for 0- 3 years old infant and pre-school children, launch neonates and visit looking at and children's health care system management. The neonate visits and looks at it at least twice, at least 4 times within children's health care and a year old, at least 2 times every the second year and the third year every year; Woman's health care. Mainly set up health care manual for pregnant and parturient women, launch the health service of 5 pregnancy periods at least and visit and look at in 2 postpartums; The elderly's health care. Register and manage 65 years old and the elderly in the area under one's jurisdiction, launch the health dangerous factor investigating and general physical examination, offer the prevention from suffering from the diseases, keep healthy oneself and injure prevention, saving oneself etc. to guide and serve healthily. Add up to and offer fixed health physical examination,etc. service for 4,400,000-6 years old children and 790,000 pregnant and parturient women free this year; Free in order that the elderly carry on the physical examination and guide healthily over 8,330,065. Secondly, prevent and cotrol basic public health service to disease. First, immunization campaign. Inoculate country's immunity such as hepatitis B, Bacillus Calmette-Guerin, spine dust to plan vaccine for the children of the right age; In the key area, carry on the inoculation of pertinence to the key crowd; The ones that find, report in the immunization campaign are suspected to unusually react, and assist to investigate and handle. Second, infectious disease is prevented and cured. Find, register and report infectious disease case and suspected case found in the area under one's jurisdiction in time, participate in dealing with the on-the-spot epidemic place; Launch infectious disease preventive treatment knowledge propaganda and advisory service; Cooperating with the professional public health organ, tuberculosis patient, AIDS patient, malaria patient treat and manage to not in hospital ing; Assist the professional public health organ to supervise safely food security, drinking water. Third, chronic disease is managed. Guide high-risk group of chronic disease such as hypertension, diabetes,etc.; The crowd implements the clinic to examine and examine blood pressure for the first time to 35; Register, manage to making a definite diagnosis of hypertension and diabetic, follow up a case by regular visits to regularly. Fourth, serious spiritual disease is managed. Register and manage the serious spiritual disease patient in the area under one's jurisdiction; Spiritual the intersection of disease and patient go on, treat, follow up a case by regular visits to and recover guidance. Report to 155050 people of infectious disease totally this year, report promptness rate is close to 100%. Set up immunization campaign certificate for more than 3 million children of the right age free, offer a kind of vaccine immunization campaign service, it is up to 99.9% to build card rate. Manage 5,310,000 hypertension patients, 1,520,000 Model �� diabetics within the year, the rate of management standardized is more than 90%. Register and manage the heavy mental patient 235,000 in the house under the guidance of professional organization. The whole province A, B, third infectious disease morbidity 277.86/10 Wan, it is the lowest for the whole country. Third, launch the health education in a more cost-effective manner. Strengthen the health education, teach the masses health knowledge, improve resident's sense of self-protection and ability, promote the level effective means of masses' health. The Ministry of Health at all levels of the whole province regards health education as invisible hygiene resources, utilize in a more cost-effective manner, to contents such as accomplishment ABC of the health and skill, raising healthier, better educated children and key health problem of area under one's jurisdiction,etc., provide the health education for urban and rural residents and propagate information and health education advisory service, set up the propaganda column of the health education and upgrade the content regularly and launch health educational activities such as the knowledge lecture of the health,etc.. This year, the whole province upgrades 315,000 propaganda columns of the health education regularly, releases various to declare 91,820,000 copies of material teaching materials healthily free, hold the knowledge lecture of health nearly 130,000 times. Solve the intersection of masses and practical problem, it implements great public health to be to promote public health serve equal importance that take scratch hands progressively in service item conscientiously, also outfit masses, let the people get the great action of material benefit. Measure of organizing and leading, implementing the project to subsidize the funds, standardize the project management, improve the running quality of the project, examine the project performance etc. through strengthening the project in our province, make great efforts to promote the task of the project to implement. Up to November, rural pregnant and parturient women give birth in hospital and subsidize 340,300 people, finish 162.06% that the national task counts; Rural women augment folic acid 522,000 people, finish 208.79% that the national task counts; Check 1,541,100 people, finish 12842.8% that the national task counts in rural woman's breast cancer; Check 1,522,300 people, finish 1383.92% that the national task counts in rural woman's cervical cancer; It is 94004, 94656, 92991 respectively that pregnant and parturient women's AIDS, syphilis and hepatitis B measure the number of people, finish the national task count separately ' 85800 people's number of times) 109.6%,110.3%,108.4%; Sift the checking rate and part Up to 96%, 97%, 98.9%; The proportion that the neonate injects hepatitis B and immunoglobulin (Ig) that the positive pregnant and parturient women of surface antigen of hepatitis B are given birth to reaches 96%, the new discovery HIV is infected with pregnant and parturient women and premarital checkup woman 41, syphilis infects 570 pregnant and parturient women, have all implemented mother's and baby's blocking integrated control. Serve masses to the doorstep voluntarily Medical health organs of basic unit such as the community health Center of the whole province,etc. changed in the past " Sit in the hall and practise medicine " The mode, deepen community and family, know the main health problem of the residents of area under one's jurisdiction in an all-round way, serve, make house calls, offer humanization service, take the intervening measure of the health actively voluntarily, strengthening the health control to urban and rural residents constantly, improve pertinence and substantial results of the public health service conscientiously, build close relation with masses, make the masses' trust, obtain the masses' support and cooperation, do not let the masses go out of the community, can enjoy the free basic public health service without going out of the door. If Wuxi launches in the long district of the south in an all-round way " Set up and regard kinsfolks as the health control target, regard family's healthy doctor, in order to manage the person liable the healthy doctor's responsibility system of family of the accountability unit of integrated service directly, with the responsibility group of a district as " It is a responsibility system project of the family health doctor of the key content, " serve the people and create to fight for first excellently " after forming every community health Center and community medical worker Good atmosphere. A lot of medical workers utilize one's own break, shuttle back and forth among building, because they know that may touch the serivce object at this time only. Serving the form is turned into and takes the initiative passively, the medical worker seat has changed, the way of communication with serivce object has changed too, has got the masses' extensive praise. Setting up standardized health file not merely helps the medical worker to understand residents' health status and change in an all-round way, offer comprehensive, continuous, effective health care service for it, implement the comprehensive health control, also it influences community resident's healthy subject problem to help the Ministry of Health at all levels to grasp in an all-round way, adjust and improve the tactics of prevention and control in time, improve the pertinence of the intervening measure. The whole province regards setting up resident's health file as and catches hands, according to " record for all one's life, service all one's life, all one's life of management " Requirement,is it in urban and rural areas to promote, basic unit is medical health organ and medical worker is getting more healthy as centre by resident, offer all kinds of health care service for masses. Since 2008, the cities, counties, two grades finance, will put into more than 200 million yuan for construction of information system of hygiene at the basic level based on health file together. From this year, the provincial finance has arranged the special fund of 70 million yuan every year for three years in succession, used mainly for supporting the hygiene information construction of weak area of economy. The whole province regards crowds such as woman, children, the elderly, disabled person, chronic patient,etc. as the focal point, on the voluntary basis, it is a health file of the residents that the permanent resident population in the area under one's jurisdiction sets up unity, standardizes. All parts combine resident's health file information resources, the city regards county as the unit with the market, countryside of area under one's jurisdiction, have built up and is based on resident's electronic health file, the hygiene information system at the basic level of the function of serving etc. that merge basic medical treatment and public health, have offered the platform for collection, memory, dealing with and exchanging of resident's health file information, make resident's health file set up, transferred and read and used when the medical health organ is real, have broken resident's health file in the past " Someone files, someone's ability use " Situation. Since 2009, our province has unified form and content of the health file, will accelerate changing the paper health file into the electronic health file, and realize the area networks and raise the quality of resident's electronic health file. So far, the whole province sets up 61,235,000 resident's health files totally, the whole crowd filing rate is up to 77%, the filing rate of resident's electronic health file is 72%.


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