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衛生部關于疾病預防控制機構指導基層開展基本公共衛生服務的意見

各省、自(zi)治區、直轄市(shi)衛生廳局,新疆(jiang)生產建設兵團衛生局:

根據《“十二五”期間深(shen)化醫(yi)藥衛(wei)生(sheng)體(ti)制(zhi)(zhi)改革規劃(hua)暨實施方案》的要(yao)求,按照(zhao)“保(bao)(bao)基(ji)(ji)本(ben)、強基(ji)(ji)層(ceng)、建(jian)機(ji)制(zhi)(zhi)”的基(ji)(ji)本(ben)原則(ze),為進一步(bu)提(ti)高基(ji)(ji)本(ben)公共衛(wei)生(sheng)服務(wu)均等化水平(ping),切實保(bao)(bao)障基(ji)(ji)層(ceng)醫(yi)療(liao)衛(wei)生(sheng)機(ji)構(gou)落(luo)實基(ji)(ji)本(ben)公共衛(wei)生(sheng)服務(wu)的質量和效(xiao)果,結(jie)合《各級(ji)疾病預防控(kong)制(zhi)(zhi)中心(xin)基(ji)(ji)本(ben)職(zhi)責》,現就疾病預防控(kong)制(zhi)(zhi)機(ji)構(gou)及其他專業(ye)防治機(ji)構(gou)指導基(ji)(ji)層(ceng)開展基(ji)(ji)本(ben)公共衛(wei)生(sheng)服務(wu)提(ti)出以下意見(jian)。

一、總體要求

各級疾(ji)(ji)病(bing)(bing)預(yu)(yu)防(fang)(fang)控(kong)制機構及(ji)相(xiang)關專(zhuan)業防(fang)(fang)治機構,特別是縣級疾(ji)(ji)病(bing)(bing)預(yu)(yu)防(fang)(fang)控(kong)制機構及(ji)相(xiang)關專(zhuan)業防(fang)(fang)治機構要(yao)(yao)以(yi)服(fu)(fu)務(wu)基(ji)層(ceng)為(wei)(wei)宗(zong)旨,堅(jian)持預(yu)(yu)防(fang)(fang)為(wei)(wei)主、防(fang)(fang)治結合(he),指(zhi)導(dao)基(ji)層(ceng)醫療衛(wei)(wei)生(sheng)(sheng)機構切實發揮(hui)基(ji)本(ben)(ben)醫療和公共衛(wei)(wei)生(sheng)(sheng)服(fu)(fu)務(wu)的雙重網底(di)作用(yong)。根據衛(wei)(wei)生(sheng)(sheng)部、財(cai)政部、國家人口計生(sheng)(sheng)委《關于促進基(ji)本(ben)(ben)公共衛(wei)(wei)生(sheng)(sheng)服(fu)(fu)務(wu)逐步均等化的意見》的有(you)關精神和疾(ji)(ji)病(bing)(bing)預(yu)(yu)防(fang)(fang)控(kong)制工作實際,加強(qiang)有(you)針對(dui)性的指(zhi)導(dao),實施實用(yong)性培訓(xun),推行實效性考核。要(yao)(yao)將(jiang)指(zhi)導(dao)基(ji)層(ceng)落實有(you)關基(ji)本(ben)(ben)公共衛(wei)(wei)生(sheng)(sheng)服(fu)(fu)務(wu)作為(wei)(wei)疾(ji)(ji)病(bing)(bing)預(yu)(yu)防(fang)(fang)控(kong)制工作的重中之重,真(zhen)正使鄉鎮(zhen)衛(wei)(wei)生(sheng)(sheng)院、村衛(wei)(wei)生(sheng)(sheng)室、社區(qu)衛(wei)(wei)生(sheng)(sheng)服(fu)(fu)務(wu)機構成為(wei)(wei)預(yu)(yu)防(fang)(fang)疾(ji)(ji)病(bing)(bing)、促進健康(kang)的重要(yao)(yao)力量,使城鄉居民真(zhen)正享有(you)均等化的基(ji)本(ben)(ben)公共衛(wei)(wei)生(sheng)(sheng)服(fu)(fu)務(wu)。

二、切實履行(xing)職責(ze),加強對基層的針(zhen)對性(xing)指導(dao)

各(ge)(ge)級疾病預(yu)防(fang)控制機(ji)構及相關專(zhuan)業(ye)防(fang)治機(ji)構要根(gen)據(ju)《國家基本(ben)(ben)公共衛生服(fu)務(wu)(wu)規范(2011年版)》和(he)衛生部、財(cai)政(zheng)部關于落實(shi)基本(ben)(ben)公共衛生服(fu)務(wu)(wu)均等化的(de)各(ge)(ge)項要求,深入了解基層醫療衛生機(ji)構的(de)服(fu)務(wu)(wu)情況和(he)實(shi)際需要,開展針對性指導。

(一(yi))加強健(jian)(jian)(jian)(jian)(jian)(jian)康(kang)(kang)(kang)教(jiao)育。根(gen)據基(ji)(ji)層健(jian)(jian)(jian)(jian)(jian)(jian)康(kang)(kang)(kang)教(jiao)育工(gong)作要求和(he)特點,疾病預(yu)防控(kong)制(zhi)機(ji)構和(he)健(jian)(jian)(jian)(jian)(jian)(jian)康(kang)(kang)(kang)教(jiao)育機(ji)構要結合居(ju)民(min)(min)(min)健(jian)(jian)(jian)(jian)(jian)(jian)康(kang)(kang)(kang)素養基(ji)(ji)本知識與技能情況,以促進(jin)居(ju)民(min)(min)(min)提高健(jian)(jian)(jian)(jian)(jian)(jian)康(kang)(kang)(kang)行為(wei)能力(li),養成健(jian)(jian)(jian)(jian)(jian)(jian)康(kang)(kang)(kang)生活行為(wei)方式為(wei)重點,指導基(ji)(ji)層醫(yi)療衛(wei)生機(ji)構編制(zhi)印發健(jian)(jian)(jian)(jian)(jian)(jian)康(kang)(kang)(kang)教(jiao)育資料,協助建立形式多樣的健(jian)(jian)(jian)(jian)(jian)(jian)康(kang)(kang)(kang)教(jiao)育宣(xuan)傳(chuan)陣(zhen)地(di),充分利用各種健(jian)(jian)(jian)(jian)(jian)(jian)康(kang)(kang)(kang)宣(xuan)傳(chuan)日,與基(ji)(ji)層共同舉辦公(gong)眾健(jian)(jian)(jian)(jian)(jian)(jian)康(kang)(kang)(kang)教(jiao)育咨詢(xun)和(he)講座,促進(jin)居(ju)民(min)(min)(min)健(jian)(jian)(jian)(jian)(jian)(jian)康(kang)(kang)(kang)素養的提高和(he)健(jian)(jian)(jian)(jian)(jian)(jian)康(kang)(kang)(kang)行為(wei)的養成。

(二)抓(zhua)好預防(fang)(fang)(fang)(fang)接(jie)(jie)(jie)(jie)種(zhong)(zhong)。疾病(bing)預防(fang)(fang)(fang)(fang)控制機構(gou)要(yao)根(gen)據預防(fang)(fang)(fang)(fang)接(jie)(jie)(jie)(jie)種(zhong)(zhong)工(gong)作要(yao)求和(he)基層(ceng)(ceng)實際,在協助縣級衛(wei)生(sheng)(sheng)行政部門完善(shan)接(jie)(jie)(jie)(jie)種(zhong)(zhong)服(fu)(fu)務方(fang)(fang)式、服(fu)(fu)務周期(qi),優化接(jie)(jie)(jie)(jie)種(zhong)(zhong)單位布局設置(zhi)的(de)同時,加(jia)強(qiang)對(dui)基層(ceng)(ceng)接(jie)(jie)(jie)(jie)種(zhong)(zhong)單位及人員(yuan)的(de)資(zi)質管理(li)(li),指導基層(ceng)(ceng)建設規范(fan)化免疫接(jie)(jie)(jie)(jie)種(zhong)(zhong)門診(zhen),合(he)理(li)(li)安排流程(cheng),加(jia)強(qiang)疫苗(miao)(miao)和(he)冷鏈(lian)管理(li)(li),確(que)保(bao)接(jie)(jie)(jie)(jie)種(zhong)(zhong)安全(quan)。要(yao)指導鄉鎮衛(wei)生(sheng)(sheng)院(yuan)、村衛(wei)生(sheng)(sheng)室(shi)和(he)社(she)區(qu)衛(wei)生(sheng)(sheng)服(fu)(fu)務機構(gou)定期(qi)開展(zhan)責任區(qu)域內適(shi)齡接(jie)(jie)(jie)(jie)種(zhong)(zhong)對(dui)象的(de)摸底調查,上報疫苗(miao)(miao)和(he)注射器的(de)使用計劃(hua),按照《預防(fang)(fang)(fang)(fang)接(jie)(jie)(jie)(jie)種(zhong)(zhong)工(gong)作規范(fan)》、《全(quan)國疑似預防(fang)(fang)(fang)(fang)接(jie)(jie)(jie)(jie)種(zhong)(zhong)異(yi)(yi)常反(fan)應監測方(fang)(fang)案》等(deng)(deng)要(yao)求開展(zhan)責任區(qu)域內的(de)預防(fang)(fang)(fang)(fang)接(jie)(jie)(jie)(jie)種(zhong)(zhong)工(gong)作,并對(dui)基層(ceng)(ceng)落(luo)實接(jie)(jie)(jie)(jie)種(zhong)(zhong)任務、疫苗(miao)(miao)針對(dui)傳染病(bing)發病(bing)和(he)疑似預防(fang)(fang)(fang)(fang)接(jie)(jie)(jie)(jie)種(zhong)(zhong)異(yi)(yi)常反(fan)應報告處置(zhi)情況進(jin)行監測和(he)評價。在農牧區(qu)、邊遠山區(qu)、海島等(deng)(deng)交通不便地區(qu),要(yao)指導鄉鎮衛(wei)生(sheng)(sheng)院(yuan)及村衛(wei)生(sheng)(sheng)室(shi)提供入戶接(jie)(jie)(jie)(jie)種(zhong)(zhong)服(fu)(fu)務。城市地區(qu)要(yao)以流動(dong)人口為重點(dian),指導和(he)督促基層(ceng)(ceng)醫療衛(wei)生(sheng)(sheng)機構(gou)在有關部門的(de)配合(he)下(xia),主動(dong)發現流動(dong)兒(er)童,通過(guo)增設臨(lin)時接(jie)(jie)(jie)(jie)種(zhong)(zhong)點(dian)和(he)巡回接(jie)(jie)(jie)(jie)種(zhong)(zhong)等(deng)(deng)方(fang)(fang)式,確(que)保(bao)流動(dong)兒(er)童的(de)預防(fang)(fang)(fang)(fang)接(jie)(jie)(jie)(jie)種(zhong)(zhong)。



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