每年都有人找我復(fù)核居民個(gè)人健康檔案國(guó)家基本公共衛(wèi)生服務(wù)項(xiàng)目究竟是什么？家庭醫(yī)生簽約究竟是簽什么？

　　Every year, people come to me to review residents' personal health records. What is the national basic public health service project What exactly does a family doctor sign

　　家庭醫(yī)生團(tuán)隊(duì)簽約對(duì)象

　　Family doctor team signing partners

　　主要以轄區(qū)內(nèi)65歲及以上老年人、高血壓、糖尿病、孕產(chǎn)婦、0-6歲兒童及嚴(yán)重精神障礙患者為重點(diǎn)簽約對(duì)象，一般人群也可以簽約。您可以到桂陽(yáng)社區(qū)衛(wèi)生服務(wù)中心及衛(wèi)生室簽約家庭醫(yī)生團(tuán)隊(duì)。簽約服務(wù)包類型

　　It mainly focuses on the elderly aged 65 and above, hypertension, diabetes, pregnant women, children aged 0-6 and patients with severe mental disorders in the jurisdiction, and the general population can also sign the contract. You can sign up with a family doctor team at the Guiyang Community Health Service Center and clinic. Type of signed service package

　　基礎(chǔ)服務(wù)包（同時(shí)就是國(guó)家基本公共衛(wèi)生服務(wù)包）分為：一般人群基礎(chǔ)服務(wù)包、高血壓基礎(chǔ)服務(wù)包、糖尿病基礎(chǔ)服務(wù)包、65歲以上老年人基礎(chǔ)服務(wù)包、孕產(chǎn)婦基礎(chǔ)服務(wù)包、兒童服務(wù)服務(wù)包（0-6歲）、嚴(yán)重精神障礙基礎(chǔ)服務(wù)包。什么是國(guó)家基本公共衛(wèi)生服務(wù)項(xiàng)目？

　　Basic service package (also known as national basic public health service package) is divided into: basic service package for general population, basic service package for hypertension, basic service package for diabetes, basic service package for the elderly over 65 years old, basic service package for pregnant women, basic service package for children (0-6 years old), and basic service package for severe mental disorders. What is the National Basic Public Health Service Project

　　國(guó)家基本公共衛(wèi)生服務(wù)項(xiàng)目，是我國(guó)政府針對(duì)當(dāng)前全體居民存在的主要健康問(wèn)題，以兒童、孕產(chǎn)婦、老年人、慢性疾病患者為重點(diǎn)人群，面向全體居民免費(fèi)提供的最基本的公共衛(wèi)生服務(wù)。

　　The National Basic Public Health Service Project is the most basic public health service provided free of charge by the Chinese government to all residents, focusing on children, pregnant and postpartum women, the elderly, and chronic disease patients, in response to the main health problems currently faced by the entire population.

　　包括哪些內(nèi)容？目前，國(guó)家實(shí)行12項(xiàng)免費(fèi)基本公共衛(wèi)生服務(wù)項(xiàng)目?jī)?nèi)容包括：居民健康檔案管理、健康教育、預(yù)防接種、0～6歲兒童健康管理、孕產(chǎn)婦健康管理、老年人健康管理、慢性病患者(高血壓和2型糖尿病)健康管理、嚴(yán)重精神障礙患者管理、結(jié)核病患者健康管理、中醫(yī)藥健康管理、傳染病及突發(fā)公共衛(wèi)生件報(bào)告和處理以及衛(wèi)生監(jiān)督協(xié)管服務(wù)等。

　　What content is included At present, the State implements 12 free basic public health services, including: management of residents' health records, health education, vaccination, health management of children aged 0 to 6 years, health management of pregnant women, health management of the elderly, health management of patients with chronic diseases (hypertension and type 2 diabetes), management of patients with serious mental disorders, health management of tuberculosis patients, health management of traditional Chinese medicine, reporting and handling of infectious diseases and public health emergencies, and health supervision and management services.

　　12項(xiàng)免費(fèi)公共衛(wèi)生服務(wù)

　　12 free public health services

　　01居民健康檔案管理項(xiàng)目及內(nèi)容：居民健康檔案的建立、使用和維護(hù)管理。桂陽(yáng)街道常住居民可到桂陽(yáng)社區(qū)衛(wèi)生服務(wù)中心或村衛(wèi)生室免費(fèi)建立居民健康檔案。

　　01 Resident Health Record Management Project and Content: Establishment, Use, and Maintenance Management of Resident Health Records. Residents of Guiyang Street can establish resident health records for free at Guiyang Community Health Service Center or village clinics.

　　02健康教育項(xiàng)目及內(nèi)容：提供健康教育資料、設(shè)置健康教育宣傳欄、開(kāi)展公眾健康咨詢服務(wù)、舉辦健康知識(shí)講座、開(kāi)展個(gè)體化健康教育。

　　02 Health Education Project and Content: Provide health education materials, set up health education bulletin boards, provide public health consultation services, hold health knowledge lectures, and carry out personalized health education.

　　03預(yù)防接種項(xiàng)目及內(nèi)容：預(yù)防接種管理、預(yù)防接種服務(wù)、疑似預(yù)防接種異常反應(yīng)處理。桂陽(yáng)社區(qū)衛(wèi)生服務(wù)中心預(yù)防接種工作人員為適齡兒童建立預(yù)防接種證和預(yù)防接種卡等兒童預(yù)防接種檔案。采取信息推送方式，通知兒童監(jiān)護(hù)人，告知接種疫苗的種類、時(shí)間、地點(diǎn)和注意事項(xiàng)。

　　03 Vaccination Program and Content: Vaccination Management, Vaccination Services, and Handling of Suspected Vaccination Abnormal Reactions. The vaccination staff of Guiyang Community Health Service Center establish vaccination certificates and cards for eligible children, and other children's vaccination records. Adopt information push methods to notify child guardians of the type, time, location, and precautions of vaccination.

　　040~6歲兒童健康管理項(xiàng)目及內(nèi)容：新生兒家庭訪視和滿月健康管理、嬰幼兒和學(xué)齡前兒童健康管理。醫(yī)生根據(jù)兒童不同時(shí)期的生長(zhǎng)發(fā)育特點(diǎn)，開(kāi)展兒童保健系列服務(wù)，以保障和促進(jìn)兒童身心健康發(fā)育，減少疾病的發(fā)生。

　　040-6-year-old children's health management project and content: newborn home visits and one month health management, infant and preschool children's health management. Doctors provide a series of child health services based on the growth and development characteristics of children at different stages, in order to ensure and promote their physical and mental health development, and reduce the occurrence of diseases.

　　05孕產(chǎn)婦健康管理項(xiàng)目及內(nèi)容：孕早期 、孕中期和孕晚期健康管理、產(chǎn)后訪視、產(chǎn)后42天健康檢查。桂陽(yáng)街道孕產(chǎn)婦可到桂陽(yáng)社區(qū)衛(wèi)生服務(wù)中心（南陽(yáng)轉(zhuǎn)盤(pán)）四樓接受產(chǎn)前咨詢、領(lǐng)葉酸、孕期保健指導(dǎo)等服務(wù)。

　　05 Maternal Health Management Project and Content: Early, mid, and late pregnancy health management, postpartum visits, and 42 day postpartum health check ups. Pregnant women in Guiyang Street can go to the fourth floor of Guiyang Community Health Service Center (Nanyang Roundabout) to receive prenatal consultation, folic acid, pregnancy health guidance and other services.

　　06老年人健康管理項(xiàng)目及內(nèi)容：對(duì)轄區(qū)內(nèi)65歲以上常住居民，提供生活方式和健康狀況評(píng)估、體格檢查、輔助檢查、健康指導(dǎo)。體檢項(xiàng)目包括一般體格檢查與輔助檢查。輔助檢查項(xiàng)目包括血常規(guī)、尿常規(guī)、肝功、腎功、血糖、血脂、腹部B超、心電圖。體檢地點(diǎn)：桂陽(yáng)社區(qū)衛(wèi)生服務(wù)中心（南陽(yáng)轉(zhuǎn)盤(pán)紅綠燈旁或春花社區(qū)消防大隊(duì)旁）；體檢時(shí)間：周一到周五上午8：00—10:00，節(jié)假日不體檢；注意事項(xiàng)：早上空腹，攜帶身份證或醫(yī)保卡。

　　06 Elderly Health Management Project and Content: Provide lifestyle and health assessment, physical examination, auxiliary examination, and health guidance for permanent residents aged 65 and above in the jurisdiction. The physical examination items include general physical examination and auxiliary examination. The auxiliary examination items include blood routine, urine routine, liver function, kidney function, blood glucose, blood lipids, abdominal ultrasound, and electrocardiogram. Physical examination location: Guiyang Community Health Service Center (next to the traffic lights of Nanyang Roundabout or Chunhua Community Fire Brigade); Physical examination time: 8:00-10:00 am from Monday to Friday, no physical examination on holidays; Attention: Fasting in the morning, bring your ID card or medical insurance card.

　　07慢性病患者健康管理項(xiàng)目及內(nèi)容：轄區(qū)內(nèi)35歲以上常住居民中原發(fā)性高血壓和2型糖尿病患者，檢查發(fā)現(xiàn)、隨訪評(píng)估和分類干預(yù)、健康體檢。在我中心建立了高血壓或糖尿病健康檔案，簽約了家庭醫(yī)生，家庭醫(yī)生會(huì)定期提供慢性病患者健康管理服務(wù)；患者會(huì)在醫(yī)生的指導(dǎo)下建立健康的生活方式，合理使用降血糖或降血壓的藥物，將血糖、血壓控制在理想水平，最大限度地減少糖尿病或高血壓給健康帶來(lái)的危害；在管理過(guò)程，醫(yī)生會(huì)及時(shí)發(fā)現(xiàn)其他健康問(wèn)題，及時(shí)調(diào)整治療方案。高血壓、糖尿病患者可在桂陽(yáng)社區(qū)衛(wèi)生服務(wù)中心住院部或是南陽(yáng)綜合門診辦理高血壓或糖尿病特病。需攜帶身份證和醫(yī)保卡。

　　07 Items and contents of health management for patients with chronic diseases: for patients with essential hypertension and type 2 diabetes who are permanent residents over 35 years old in the jurisdiction, the examination findings, follow-up assessment and classified intervention, and health examination. We have established health records of hypertension or diabetes in our center and signed a family doctor who will regularly provide health management services for patients with chronic diseases; Under the guidance of doctors, patients will establish a healthy lifestyle, reasonably use drugs to reduce blood sugar or blood pressure, control blood sugar and blood pressure at an ideal level, and minimize the harm to health caused by diabetes or hypertension; During the management process, doctors will promptly identify other health issues and adjust treatment plans accordingly. Patients with hypertension and diabetes can deal with hypertension or diabetes in the inpatient department of Guiyang Community Health Service Center or Nanyang Comprehensive Outpatient Department. You need to bring your ID card and medical insurance card.

　　08嚴(yán)重精神障礙患者管理項(xiàng)目及內(nèi)容：對(duì)轄區(qū)內(nèi)常住居民中診斷明確、在家居住的嚴(yán)重精神障礙患者，提供患者信息管理、隨訪評(píng)估（每年至少4次）和分類干預(yù)、健康體檢（每年1次）。

　　08 Management Project and Content for Severe Mental Disorders Patients: Provide patient information management, follow-up evaluation (at least 4 times a year), classified intervention, and health check ups (once a year) for severe mental disorders patients who have been diagnosed and live at home among permanent residents in the jurisdiction.

　　09肺結(jié)核病患者健康管理項(xiàng)目及內(nèi)容：對(duì)轄區(qū)內(nèi)肺結(jié)核病可疑者及診斷明確的患者（包括耐多藥患者），提供篩查及推介轉(zhuǎn)診、第一次入戶隨訪、督導(dǎo)服藥和隨訪管理、結(jié)案評(píng)估。

　　09 Items and contents of health management for tuberculosis patients: provide screening, referral, first home visit, supervision of drug taking and follow-up management, and case closing assessment for tuberculosis suspects and patients with clear diagnosis (including multi drug resistant patients) in the jurisdiction.

　　10中醫(yī)藥健康管理項(xiàng)目及內(nèi)容：對(duì)轄區(qū)內(nèi)65歲及以上常住居民和0-36個(gè)月常住兒童，提供老年人中醫(yī)體質(zhì)辨識(shí)、兒童中醫(yī)調(diào)養(yǎng)。

　　10 Traditional Chinese Medicine Health Management Projects and Contents: Provide identification of traditional Chinese medicine constitution for elderly residents aged 65 and above and children aged 0-36 months within the jurisdiction, and provide traditional Chinese medicine rehabilitation for children.

　　11傳染病及突發(fā)公共衛(wèi)生事件報(bào)告和處理項(xiàng)目及內(nèi)容：傳染病疫情和突發(fā)公共衛(wèi)生事件風(fēng)險(xiǎn)管理、傳染病和突發(fā)公共衛(wèi)生事件的發(fā)現(xiàn)和登記、相關(guān)信息報(bào)告及處理。

　　11 Reporting and Handling Items and Contents for Infectious Diseases and Public Health Emergencies: Risk Management of Infectious Disease Outbreaks and Public Health Emergencies, Detection and Registration of Infectious Diseases and Public Health Emergencies, Relevant Information Reporting and Handling.

　　12衛(wèi)生監(jiān)督協(xié)管服務(wù)項(xiàng)目及內(nèi)容：食源性疾病及相關(guān)信息報(bào)告、飲用水衛(wèi)生安全巡查、學(xué)校衛(wèi)生服務(wù)、非法行醫(yī)和非法采供血信息報(bào)告。 如果你是年輕人，可以帶自己的孩子到桂陽(yáng)社區(qū)衛(wèi)生服務(wù)中心進(jìn)行兒童體檢和預(yù)防接種，還可以帶家里年滿65歲老年人參加我們開(kāi)展的免費(fèi)體檢，如果家里有高血壓、糖尿病等慢性病患者，可以到我中心或者村衛(wèi)生室進(jìn)行慢性病隨訪和健康體檢，到社區(qū)衛(wèi)生服務(wù)中心購(gòu)買高血壓、糖尿病藥物，并享受醫(yī)保報(bào)銷政策。

　　12 Health Supervision and Coordination Service Items and Contents: Foodborne Disease and Related Information Reporting, Drinking Water Hygiene and Safety Inspection, School Health Services, Illegal Medical Practice and Illegal Blood Collection and Supply Information Reporting.  If you are a young person, you can take your children to Guiyang Community Health Service Center for children's physical examination and vaccination. You can also take the elderly over 65 years old at home to participate in our free physical examination. If you have chronic diseases such as hypertension and diabetes at home, you can go to our center or village clinic for chronic disease follow-up and physical examination. You can go to the community health service center to buy drugs for hypertension and diabetes and enjoy the medical insurance reimbursement policy.

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