National basic public health service project performance evaluation Ningbo has repeatedly won the first nationwide
Author:Ningbo Evening News Time:2022.09.09
The 10 years since the 18th National Congress of the Communist Party of China have been weaved with a public health protection network. Infectious diseases, chronic diseases, occupational diseases, and local disease prevention and control are more effective and powerful.
The national basic public health service project is an important part of promoting the gradual equalization of basic public health services. It is an important task for deepening the reform of the medical and health system. Not long ago, the National Health and Health Commission and the Ministry of Finance announced the performance evaluation of the national basic public health service project in 2021, and Ningbo won the first place in the country on behalf of Zhejiang Province.
This is a true portrayal of the city's adherence to the development concept of people's health, coordinating and optimizing medical resources at all levels, and effectively promoting the high -quality development of health and health undertakings. Living in Ningbo, the people are more happy and healthy.
Wang Shengli (first from the left) and the respiratory specialist experts conducted slow lung prevention mission.
The family doctor system realizes the full health management
Wang Chengming, 62, lives in Jiangbei District, Jiangbei District. As early as 10 years ago, he was found to have high blood pressure and diabetes. He was still obese. The BMI index exceeded 28. He usually had bad hobbies of smoking and drinking.
In 2015, he signed a family doctor with Dr. Wang Shengli, the Health Service Center of Yongjiang Street Community Health Service Center in Jiangbei District. After Wang Shengli, after a comprehensive inspection and clear diagnosis, adjusted the medicine for Master Wang and conducted dietary guidance and exercise. Wang Chengming's various indicators gradually controlled.
Two years ago, when Wang Chengming went to the community health service center to distribute medicine, he accidentally mentioned that his chest tightness was often recently tight. Wang Shengli suspected that he was angina pectoris. On the same day, he transferred Wang Chengming to the First Hospital of Ningbo through the two -way referral platform. Further inspection, he confirmed that his heart had a problem. Master Wang quickly underwent the crown balloon expansion. The surgeon said that fortunately, he found that he had timely and avoided the occurrence of myocardial infarction.
After being discharged from the hospital, Dr. Wang Shengli adjusted the blood sugar control plan according to Wang Chengming's heart situation, and worked hard to persuade him to quit smoking and restrict wine and increase exercise. Through health management, Master Wang’s medical examination results showed that all indicators were in normal scope. He was very satisfied with this: "In the past, he ran to large hospitals because of a lot of problems. After signing a family doctor, you can solve the problem at your doorstep. "
The story of Wang Shengli and Wang Chengming in the past 7 years is a microcosm of the daily work of all family doctors in our city.
The medical staff of the Ningbo Medical Center Li Huili Hospital entered the campus to explain the seven -step washing method for students. Correspondent Zhang Linxia's picture
Multiple measures, won the country first many times
In July of this year, the National Health Commission and the Ministry of Finance announced the results of the national basic public health service project performance evaluation of 2021, and Ningbo won the first place in the country on behalf of Zhejiang Province. Since 2016, our city has participated in the performance evaluation of national projects four times, and has achieved the first and first excellent results of the first and first time. Behind this is the unremitting efforts of the city's multiple measures to promote the development of basic public health.
In order to promote the equalization of urban and rural health services, the city actively enhances the comprehensive service capabilities of grass -roots medical institutions. Functional block star construction is basically covered.
At the same time, the city establishes a vertical collaboration mechanism for medical and health institutions. More than 40%of the comprehensive hospitals at all levels are open to the grassroots at the grassroots level 14 days in advance, and family doctors make accurate appointments; , Establish a remote medical service center in a comprehensive hospital, and set up cloud clinics in grass -roots medical institutions to achieve the city's long -range medical system grid and full coverage; establish a regional imaging center, inspection center and other shared centers in the county to ensure regional medical and health resources. Homogeneous sharing.
In addition, the city has also established 55 specialty specialty specialtors and 126 specialty specialty specialtors of the county -level level to build a capable support platform for the continuous deepening of the health management of basic public health services.
The integrated outpatient clinic for chronic diseases helps "healthy health"
With the rapid development of the economy and society and the significant improvement of people's living standards, chronic diseases such as hypertension and diabetes have become one of the most important diseases that threaten the health of the people.
Focusing on the high -frequency needs of the elderly and patients with chronic diseases, the city will organically integrate the health management of high blood pressure, diabetic patients with the health management of patients with basic public health service projects to create an integrated outpatient clinic and provide standardized services.
In 2021, a total of 815,900 patients and 245,500 patients with type II diabetes were included in management. The standardized management service rates reached 66.10%and 66.11%, and the control rate reached 65.54%and 61.19%. A new pattern of common chronic disease management was constructed.
Next, our city will continue to make efforts in this field. This year, the Municipal Party Committee and Municipal Government focused on the health management of the entire cycle of chronic diseases through one -stop services, and launched the livelihood project of "Healthy Health" operation.
According to the plan, Ningbo will build a chronic disease integrated outpatient clinic in 45 primary medical and health institutions in the city this year. By the end of 2024, 154 primary medical and health institutions in the city will achieve full coverage of the integrated outpatient construction of chronic diseases, providing a full cycle of chronic disease patients in the city, one period, one one Standing standardized health management services. Realize the primary consultation rate of patients with chronic diseases and the lower rotation rate of patients with chronic diseases above the second level, blood pressure and blood glucose control rate of patients with chronic diseases, stabilizing chronic diseases, reducing patients in patients with chronic diseases, and the incidence of complications. Two reduction "goals. Up to now, the "Healthy Health" operation this year's 45 grass -roots medical and health institutions have all started the construction of chronic diseases and health institutions. It is expected that all project construction and acceptance work can be completed by the end of October.
Several ten years
In 2011, the city took the lead in piloting the family doctor's contract service system based on the national implementation of contract signed services. Starting from May 1, 2015, the whole province has taken the lead in implementing a family doctor system based on the "four medical linkage" of medical, medical insurance, medicine, and medical prices. Since its launch, it has been included in the municipal government's livelihood project for 4 consecutive years.
At present, the city has set up a total of 154 community health service centers (township health centers), and the health service circle of “10 minutes in cities and 20 minutes in rural areas” has basically formed. The 4,220 family doctors of these 154 grass -roots medical institutions were 1.71 million in real time, of which 1.4 million were 10 types of key groups.
Family doctors can provide precise services such as appointment, diagnosis, diagnosis, family bed beds, referrals, "long -pressed" and supporting households for signing residents. The individual health needs of the masses have been continuously met, and their sense of obtaining grassroots hygiene has improved significantly. The outpatient service volume of grass -roots levels in the city increased from 46.36 million in 2016 to 59 million in 2021, and the grass -roots consultation rate increased from 62.2%to 65.1%.
Reporter Lu Qiwen Chengxin Correspondent Chen Qiong Pan Yilin Bowen/Photo
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