每年都有人找我復核居民個人健康檔案國家基本公共衛生服務項目究竟是什么？家庭醫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

　　家庭醫生團隊簽約對象

　　Family doctor team signing partners

　　主要以轄區內65歲及以上老年人、高血壓、糖尿病、孕產婦、0-6歲兒童及嚴重精神障礙患者為重點簽約對象，一般人群也可以簽約。您可以到桂陽社區衛生服務中心及衛生室簽約家庭醫生團隊。簽約服務包類型

　　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

　　基礎服務包（同時就是國家基本公共衛生服務包）分為：一般人群基礎服務包、高血壓基礎服務包、糖尿病基礎服務包、65歲以上老年人基礎服務包、孕產婦基礎服務包、兒童服務服務包（0-6歲）、嚴重精神障礙基礎服務包。什么是國家基本公共衛生服務項目？

　　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

　　國家基本公共衛生服務項目，是我國政府針對當前全體居民存在的主要健康問題，以兒童、孕產婦、老年人、慢性疾病患者為重點人群，面向全體居民免費提供的最基本的公共衛生服務。

　　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.

　　包括哪些內容？目前，國家實行12項免費基本公共衛生服務項目內容包括：居民健康檔案管理、健康教育、預防接種、0～6歲兒童健康管理、孕產婦健康管理、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、嚴重精神障礙患者管理、結核病患者健康管理、中醫藥健康管理、傳染病及突發公共衛生件報告和處理以及衛生監督協管服務等。

　　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項免費公共衛生服務

　　12 free public health services

　　01居民健康檔案管理項目及內容：居民健康檔案的建立、使用和維護管理。桂陽街道常住居民可到桂陽社區衛生服務中心或村衛生室免費建立居民健康檔案。

　　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健康教育項目及內容：提供健康教育資料、設置健康教育宣傳欄、開展公眾健康咨詢服務、舉辦健康知識講座、開展個體化健康教育。

　　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預防接種項目及內容：預防接種管理、預防接種服務、疑似預防接種異常反應處理。桂陽社區衛生服務中心預防接種工作人員為適齡兒童建立預防接種證和預防接種卡等兒童預防接種檔案。采取信息推送方式，通知兒童監護人，告知接種疫苗的種類、時間、地點和注意事項。

　　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歲兒童健康管理項目及內容：新生兒家庭訪視和滿月健康管理、嬰幼兒和學齡前兒童健康管理。醫生根據兒童不同時期的生長發育特點，開展兒童保健系列服務，以保障和促進兒童身心健康發育，減少疾病的發生。

　　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孕產婦健康管理項目及內容：孕早期 、孕中期和孕晚期健康管理、產后訪視、產后42天健康檢查。桂陽街道孕產婦可到桂陽社區衛生服務中心（南陽轉盤）四樓接受產前咨詢、領葉酸、孕期保健指導等服務。

　　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老年人健康管理項目及內容：對轄區內65歲以上常住居民，提供生活方式和健康狀況評估、體格檢查、輔助檢查、健康指導。體檢項目包括一般體格檢查與輔助檢查。輔助檢查項目包括血常規、尿常規、肝功、腎功、血糖、血脂、腹部B超、心電圖。體檢地點：桂陽社區衛生服務中心（南陽轉盤紅綠燈旁或春花社區消防大隊旁）；體檢時間：周一到周五上午8：00—10:00，節假日不體檢；注意事項：早上空腹，攜帶身份證或醫保卡。

　　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目及內容：轄區內35歲以上常住居民中原發性高血壓和2型糖尿病患者，檢查發現、隨訪評估和分類干預、健康體檢。在我中心建立了高血壓或糖尿病健康檔案，簽約了家庭醫生，家庭醫生會定期提供慢性病患者健康管理服務；患者會在醫生的指導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的危害；在管理過程，醫生會及時發現其他健康問題，及時調整治療方案。高血壓、糖尿病患者可在桂陽社區衛生服務中心住院部或是南陽綜合門診辦理高血壓或糖尿病特病。需攜帶身份證和醫保卡。

　　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嚴重精神障礙患者管理項目及內容：對轄區內常住居民中診斷明確、在家居住的嚴重精神障礙患者，提供患者信息管理、隨訪評估（每年至少4次）和分類干預、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肺結核病患者健康管理項目及內容：對轄區內肺結核病可疑者及診斷明確的患者（包括耐多藥患者），提供篩查及推介轉診、第一次入戶隨訪、督導服藥和隨訪管理、結案評估。

　　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中醫藥健康管理項目及內容：對轄區內65歲及以上常住居民和0-36個月常住兒童，提供老年人中醫體質辨識、兒童中醫調養。

　　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傳染病及突發公共衛生事件報告和處理項目及內容：傳染病疫情和突發公共衛生事件風險管理、傳染病和突發公共衛生事件的發現和登記、相關信息報告及處理。

　　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衛生監督協管服務項目及內容：食源性疾病及相關信息報告、飲用水衛生安全巡查、學校衛生服務、非法行醫和非法采供血信息報告。 如果你是年輕人，可以帶自己的孩子到桂陽社區衛生服務中心進行兒童體檢和預防接種，還可以帶家里年滿65歲老年人參加我們開展的免費體檢，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生室進行慢性病隨訪和健康體檢，到社區衛生服務中心購買高血壓、糖尿病藥物，并享受醫保報銷政策。

　　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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