The national basic public health service project is an important part of promoting the gradual equalization of basic public health services. It is the main health problem of the current urban and rural residents of the Chinese government. Diabetes) patients, patients with severe mental illness and poor households, focusing on the combination of general practitioner system construction, graded diagnosis and treatment system construction and Dr. Tsutsui ’s contract to provide residents with basic public services The government undertakes that urban and rural residents can directly benefit.
At present, the national basic public health service project has 55 items in 14 categories.
Health records management for urban and rural residents, health education, vaccination, 0-6 year old child health management, maternal health management, elderly health management, hypertension and type 2 diabetes patients health management, management of severe mental illness patients, tuberculosis Patient health management, Chinese medicine health management, infectious diseases and public health emergencies reporting and handling, co-management of health supervision, free distribution of contraceptives, health literacy and other services.
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1. Establish residents' health records
Township hospitals, village clinics, and medical staff are the permanent residents in the jurisdiction through household registration (investigation) or outpatient medical services, disease screening, and health checkups, including household registration and non-resident registration residents who have lived for more than six months Establish health records, focusing on children aged 0-6 years, pregnant women, elderly people, chronically ill patients and patients with severe mental illness, family doctors and their service teams in health centers and village clinics provide basic medical services, public Health services and agreed health management services.
2. Health education
Provide printed materials with no less than 12 types of content including health education leaflets, health education prescriptions, and health manuals. More than 6 types of audiovisual materials will be broadcast during the regular consultation period, more than 9 health consultation activities, and the bulletin board will be updated every 2 months , Conduct health knowledge lectures and individualized health education.
According to the vaccine immunization procedure of the National Immunization Program, the children's vaccination files such as vaccination certificates and vaccination cards should be established for all children aged 0 to 6 years old who have lived in the jurisdiction for 3 months.
4. Health management services for children aged 0-6
Newborn family visit at least once, newborn full moon health management, free medical examination 12 times (full moon, 3, 6, 8, 12, 18, 24, 30 months old, 3 years old, 4 years old, 5 years old, 6 years old)
5. Maternal health management services
District maternal and child health institutions provide free maternal and eugenic examinations for pregnant women, free folic acid tablets to prevent neural tube defects for women of childbearing age who are preparing for pregnancy, free establishment of the "Maternal Health Handbook" before 12 weeks of pregnancy, and the first delivery Pre-follow-up follow-up; 16 to 20 weeks of pregnancy, 21 to 24 weeks of pregnancy, 28 to 36 weeks of pregnancy, and 37 to 40 weeks of follow-up visits, 3 to 7 days after delivery, visit the mother ’s home for postpartum health, 42 days postpartum health Check once.
6. Health management services for the elderly
Provide health check-up and management services for the 65-year-old elderly every year, including lifestyle and health assessment, physical examination, auxiliary examination and health guidance. Free auxiliary examination items: including blood routine, urine routine, liver function (serum aspartate aminotransferase, serum alanine aminotransferase and total bilirubin), renal function (serum creatinine and blood urea nitrogen), fasting blood glucose, blood lipids and hepatobiliary, spleen, B-ultrasound and electrocardiogram of pancreas and kidney.
7. Health management services for patients with hypertension and diabetes
For permanent residents aged 35 years and over in the jurisdiction, at least 4 face-to-face follow-ups, health checkups, assessments and classified interventions should be provided for patients with primary hypertension or type II pityriasis, including regular free blood pressure and fasting blood glucose measurements Four times.
8. Management services for patients with severe mental illness
Establish general resident health files for patients with severe mental illness, follow-up at least 4 times a year and conduct risk assessment; conduct a health check once a year, including general physical examination, blood pressure, weight, blood routine (including white blood cell classification), Transaminase, blood glucose, electrocardiogram.
9. Infectious diseases and public health emergencies reporting and handling services
After discovering infectious disease patients and suspected patients during the diagnosis and treatment, the first doctor fills out the infectious disease report card as required and promptly report; Report card "and processing.
10. Health Supervision and Management Service
If you find or suspect food poisoning, occupational hygiene, drinking water hygiene, school hygiene, illegal medical practice and illegal blood collection and supply, you should report to the health supervision agency in time and assist in the investigation。
11. Chinese Medicine Health Management
Every year, the elderly over the age of 65 is provided with TCM constitution identification and TCM health care guidance. Every year, parents of children aged 0-36 months are provided with traditional Chinese medicine diet adjustment and daily living guidance, and parents are taught to massage the abdomen, chiropractic and compress the Yingxiang, Zusanli and Sishencong points.
12. Health management of tuberculosis patients
Recommend referrals for suspected tuberculosis, follow-up management of patients, supervision and standardization of medication and evaluation of cases.
13. Free distribution of contraceptives.
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