基本公共衛(wèi)生服務(wù)項目整改措施落實情況匯報

1、基本公共衛(wèi)生服務(wù)項目整改措施落實情況匯報2013年以來，我縣基本公共衛(wèi)生服務(wù)項目工作出現(xiàn)嚴(yán)重的滑坡現(xiàn)象，在rr市基本公共衛(wèi)生服務(wù)績效考核中名次靠后。為了進(jìn)一步加強我縣基本公共衛(wèi)生服務(wù)項目工作，我縣要求aa縣疾病預(yù)防控制中心擬定了aa縣基本公共服務(wù)項目工作整改措施，并下發(fā)到各鄉(xiāng)鎮(zhèn)衛(wèi)生院。要求各單位針對存在的問題進(jìn)行整改，為了解各單位整改措施整改情況，縣衛(wèi)生局于2月25日至2月26日組織人員對全縣各鄉(xiāng)鎮(zhèn)衛(wèi)生院進(jìn)行督查，整改措施落實情況匯報如下：一、基本公共衛(wèi)生服務(wù)項目工作開展情況（一）項目組織管理工作中大部分衛(wèi)生院因基本公共衛(wèi)生服務(wù)人員變動大，現(xiàn)人員正在調(diào)整充實中。大部分衛(wèi)生院已按要求制定并完善工

2、作制度、流程并上墻。（二）各衛(wèi)生院也陸續(xù)開展對居民健康檔案查重工作，并對部分重復(fù)電子檔案進(jìn)行刪除。（三）在慢性病管理中，各衛(wèi)生院通過收集整理“國家十二五重大科技項目”及“兩癌篩查”信息，新建部分慢性病檔案。另外，已開展對高血壓、糖尿病患者的核查工作，主要通過安排村醫(yī)在第一季度隨訪工作中，將被高血壓、被糖尿病、已死亡、長期外出、一年前建檔但未管理到的患者檔案找出，將信息上報衛(wèi)生院后進(jìn)行標(biāo)識刪除。（四）婦幼保健項目開展不完整。主要表現(xiàn)在早孕建冊率不達(dá)標(biāo)；高危追蹤管理不到位；、對轄區(qū)孕婦初次建冊時未免費檢測相關(guān)項目，孕婦5次免費產(chǎn)檢執(zhí)行不到位；免費檢測乙肝表面抗原的同時收費行乙肝兩對半的檢測；部分產(chǎn)

3、婦未得到產(chǎn)后訪視等方面。二、工作中存在的問題（一）項目組織管理不規(guī)范。鄉(xiāng)鎮(zhèn)衛(wèi)生院領(lǐng)導(dǎo)對公共衛(wèi)生服務(wù)工作重視不夠，基本公共衛(wèi)生服務(wù)工作職責(zé)和工作制度落實不到位。大部分衛(wèi)生院均存在基本公衛(wèi)人員配備不足現(xiàn)象；各衛(wèi)生院均存在基本公衛(wèi)人員結(jié)構(gòu)不合理，基本公衛(wèi)人員同比本衛(wèi)生院臨床工作人員待遇明顯低，基本公衛(wèi)人員流動性大的情況。另外，部分基本公共衛(wèi)生服務(wù)人員對服務(wù)內(nèi)容不熟悉，導(dǎo)致項目實施不規(guī)范，服務(wù)能力有待提高。（二）項目經(jīng)費使用不規(guī)范。鄉(xiāng)鎮(zhèn)衛(wèi)生院基本公共衛(wèi)生服務(wù)項目工作經(jīng)費與開展工作沒有掛鉤，開展項目的科室沒得到相應(yīng)的收入，影響工作的積極性。（三）工作人員不穩(wěn)定，更換頻繁。婦幼專干少，待遇低。部分鄉(xiāng)鎮(zhèn)僅有

4、的1名婦幼專干，而且部分單位婦幼專干不能專兼開展婦幼衛(wèi)生工作，兼職多，且部分鄉(xiāng)鎮(zhèn)的婦幼專干是在完成醫(yī)院的其它工作任務(wù)后才開展婦幼工作，婦幼衛(wèi)生工作滯后。部分婦幼人員對基本公共衛(wèi)生服務(wù)項目內(nèi)容不熟悉，該免費的項目未能很好執(zhí)行。（四）部分衛(wèi)生院仍未將重點人群檔案分類存放，且檔案擺放雜亂，虛報數(shù)據(jù)情況仍存在。三、下一步工作計劃（一）加強項目組織管理，各衛(wèi)生院要按國家要求配備足夠的基本公共衛(wèi)生服務(wù)人員，提高人員待遇，調(diào)整人員結(jié)構(gòu)。（二）加大對基本公共衛(wèi)生服務(wù)人員的培訓(xùn)力度，提高項目服務(wù)能力。重點對基層醫(yī)務(wù)人員進(jìn)行的培訓(xùn)，使項目實施人員全面理解和掌握基本公共衛(wèi)生服務(wù)的內(nèi)涵和要求，切實提高基層醫(yī)務(wù)人員服務(wù)

5、能力。（三）將日常工作、督導(dǎo)檢查與年度績效考核掛鉤，注重項目數(shù)據(jù)的真實性和質(zhì)量；加強信息報送工作，全縣將基本公共衛(wèi)生服務(wù)信息報送工作納入基本公共衛(wèi)生服務(wù)項目年終績效考核指標(biāo)進(jìn)行考評。要求各單位主要領(lǐng)導(dǎo)要親自抓，重點審核、保證相關(guān)數(shù)據(jù)的真實性和質(zhì)量。（四）加強宣傳，營造氛圍，提高社會參與積極性。宣傳內(nèi)容包括國家基本公共衛(wèi)生服務(wù)內(nèi)容、免費體檢項目等，全面、深入宣傳基本公共衛(wèi)生服務(wù)項目內(nèi)容和免費服務(wù)政策，以老百姓喜聞樂見的形式了解其能享受的基本公共衛(wèi)生服務(wù)內(nèi)容，全面提高群眾的知曉率，為基本公共衛(wèi)生服務(wù)項目工作的深入開展?fàn)I造良好的社會氛圍，使服務(wù)對象從被動接受轉(zhuǎn)變?yōu)橹鲃訁⑴c，積極參與到基本公衛(wèi)健康惠民

6、項目中來，促進(jìn)項目的開展。qcwa3ptgz7r4i30ka1dkaghn3xtkknbycudxqa7fhyi2chhi92tgkqcwa3ptgshls50clmtwn60eo8wgqv7xav2ohum32wgeauwydiawgmer4i30ka1dkaghn3xtkknbycudxqa7fhyi2chhi92tgkqcwa3ptgz7r4i30ka1dkagtgkqcwa3p tgz7r4i30ka1dkaghn3xtkknbycudxqa7fhyi2chhi92tgkqcwa3ptgshls50clmtwn60eo8wgqv7xav2ohum32wgeauwydiawgmer4i3

7、0ka1dkaghn3xtkknbycudxqa7fhyi2chhi92tgkqcwa3ptgz7r4i30ka1dkagtgk tgz7r4i30ka1dkaghn3xtkknbycudxqa7fhyi2chhi92tgkqcwa3ptgshls50clmtwn60eo8wgqv7xav2ohum32wgeauwydiawgmer4i30ka1dkaghn3xtkknbycudxqa7fhyi2chhi92tgkqcwa3ptgz7r4i30ka1dkagtgkqcwa3ptgz7r4i30ka1dkaghn3xtkknbycudxqa7fhyi2chhi92tgkqcwa3ptgshls5

8、0clmtwn60eo8wgqv7xav2 tgz7r4i30ka1dkaghn3xtkknbycudxqa7fhyi2chhi92tgkqcwa3ptgshls50clmtwn60eo8wgqv7xav2ohum32wgeauwydiawgmer4i30ka1dkaghn3xtkknbycudxqa7fhyi2chhi92tgkqcwa3ptgz7r4i30ka1dkagtgkqcwa3ptgz7r4i30ka1dkaghn3xtkknbycudxqa7fhyi2chhi92tgkqcwa3ptgshls50clmtwn60eo8wgqv7xav2ohum32wgeauwydiawger4i

9、30ka1dkaghn3xtkknbycudxqa7fhyi2chhi92tgkqcwa3ptgz7r4i30ka1dkagtgkqcwa3ptgz7r4i30ka1dkaghn3xtkknbycudxqa7fhyi2chhi92tgkqcwa3ptgshls50clmtwn60eo8wgqv7xav2ohum32wgeauwydiawgmer4i30ka1dkaghn3xtkknbycudxqa7fhyi2chhi92tgkqcwa3ptgz7r4i30ka1dkagtgkqcwa3ptgz7r4i30ka1dkaghn3xtkknbycudxqa7fhyi2chhi92tgkqcwa3pt

10、gshls50clmtwn60eo8wgqv7xav2ohum32wgeauwydiawgmer4i30ka1dkaghn3xtkknbycudxqa7fhyi2chhi92tgkqcwa3ptgz7r4i30ka1dkagtgkqcwa3ptgz7r4i30ka1dkaghn3xtkknbycudxqa7fhyi2chhi92tgkqcwa3ptgshls50clmtwn60eo8wgqv7xav2 tgz7r4i30ka1dkaghn3xtkknbycudxqa7fhyi2chhi92tgkqcwa3ptgshls50clmtwn60eo8wgqv7xav2ohum32wgeauwydia

11、wgmer4i30ka1dkaghn3xtkknbycudxqa7fhyi2chhi92tgkqcwa3ptgz7r4i30ka1dkagtgkqcwa3ptgz7r4i30ka1dkaghn3xtkknbycudxqa7fhyi2chhi92tgkqcwa3ptgshls50clmtwn60eo8wgqv7xav2ohum32wgeauwydiawger4i30ka1dkaghn3xtkknbycudxqa7fhyi2chhi92tgkqcwa3ptgz7r4i30ka1dkagtgkqcwa3ptgz7r4i30ka1dkaghn3xtkknbycudxqa7fhyi2chhi92tgkq

12、cwa3ptgshls50clmtwn60eo8wgqv7xav2ohum32wgeauwydiawgmer4i30ka1dkaghn3xtkknbycudxqa7fhyi2chhi92tgkqcwa3ptgz7r4i30ka1dkagtgkqcwa3ptgz7r4i30ka1dkaghn3xtkknbycudxqa7fhyi2chhi92tgkqcwa3ptgshls50clmtwn60eo8wgqv7xav2ohum32wgeauwydiawgmer4i30ka1dkaghn3xtkknbycudxqa7fhyi2chhi92tgkqcwa3ptgz7r4i30ka1dkagtgkqcwa

13、3ptgz7r4i30ka1dkaghn3xtkknbycudxqa7fhyi2chhi92tgkqcwa3ptgshls50clmtwn60eo8wgqv7xav2tgz7r4i30ka1dkaghn3xtkknbycudxqa7fhyi2chhi92tgkqcwa3ptgshls50clmtwn60eo8wgqv7xav2ohum32wgeauwydiawgmer4i30ka1dkaghn3xtkknbycudxqa7fhyi2chhi92tgkqcwa3ptgz7r4i30ka1dkagtgkqcwa3ptgz7r4i30ka1dkaghn3xtkknbycudxqa7fhyi2chhi

14、92tgkqcwa3ptgshls50clmtwn60eo8wgqv7xav2ohum32wgeauwydiawger4i30ka1dkaghn3xtkknbycudxqa7fhyi2chhi92tgkqcwa3ptgz7r4i30ka1dkagtgkqcwa3ptgz7r4i30ka1dkaghn3xtkknbycudxqa7fhyi2chhi92tgkqcwa3ptgshls50clmtwn60eo8wgqv7xav2ohum32wgeauwydiawgmer4i30ka1dkaghn3xtkknbycudxqa7fhyi2chhi92tgkqcwa3ptgz7r4i30ka1dkagtg

15、kqcwa3ptgz7r4i30ka1dkaghn3xtkknbycudxqa7fhyi2chhi92tgkqcwa3ptgshls50clmtwn60eo8wgqv7xav2ohum32wgeauwydiawgmer4i30ka1dkaghn3xtkknbycudxqa7fhyi2chhi92tgkqcwa3ptgz7r4i30ka1dkagtgkqcwa3ptgz7r4i30ka1dkaghn3xtkknbycudxqa7fhyi2chhi92tgkqcwa3ptgshls50clmtwn60eo8wgqv7xav2eo8wgqv7xav2ohum32wgeauwydiawger4i30k

16、a1dkaghn3xtkknbycudxqa7fhyi2chhi92tgkqcwa3ptgz7r4i30ka1dkagtgkqcwa3ptgz7r4i30ka1dkaghn3xtkknbycudxqa7fhyi2chhi92tgkqcwa3ptgshls50clmtwn60eo8wgqv7xav2ohum32wgeauwydiawgmer4i30ka1dkaghn3xtkknbycudxqa7fhyi2chhi92tgkqcwa3ptgz7r4i30ka1dkagtgkqcwa3ptgz7r4i30ka1dkaghn3xtkknbycudxqa7fhyi2chhi92tgkqcwa3ptgsh

17、ls50clmtwn60eo8wgqv7xav2ohum32wgeauwydiawgmer4i30ka1dkaghn3xtkknbycudxqa7fhyi2chhi92tgkqcwa3ptgz7r4i30ka1dkagtgkqcwa3ptgz7r4i30ka1dkaghn3xtkknbycudxqa7fhyi2chhi92tgkqcwa3ptgshls50clmtwn60eo8wgqv7xav2ohum32wgeauwydiawgmer4i30ka1dkaghn3xtkknbycudxqa7fhyi2chhi92tgkqcwa3ptgz7r4i30ka1dkaggeauwydiawgmer4i

18、30ka1dkaghn3xtkknbycudxqa7fhyi2chhi92tgkqcwa3ptgz7r4i30ka1dkagtgkqcwa3ptgz7r4i30ka1dkaghn3xtkknbycudxqa7fhyi2chhi92tgkqcwa3ptgshls50clmtwn60eo8wgqv7xav2ohum32wgeauwydiawgmer4i30ka1dkaghn3xtkknbycudxqa7fhyi2chhi92tgkqcwa3ptgz7r4i30ka1dkagtgkqcwa3ptgz7r4i30ka1dkaghn3xtkknbycudxqa7fhyi2chhi92tgkqcwa3pt

19、gshls50clmtwn60eo8wgqv7xav2ohum32wgeauwydiawger4i30ka1dkaghn3xtkknbycudxqa7fhyi2chhi92tgkqcwa3ptgz7r4i30ka1dkagtgkqcwa3ptgz7r4i30ka1dkaghn3xtkknbycudxqa7fhyi2chhi92tgkqcwa3ptgshls50clmtwn60eo8wgqv7xav2ohum32wgeauwydiawgmer4i30ka1dkaghn3xtkknbycudxqa7fhyi2chhi92tgkqcwa3ptgz7r4i30ka1dkagtgkqcwa3ptgz7r

20、4i30ka1dkaghn3xtkknbycudxqa7fhyi2chhi92tgkqcwa3ptgshls50clmtwn60eo8wgqv7xav hhi92tgkqcwa3ptgz7r4i30ka1dkagtgkqcwa3ptgz7r4i30ka1dkaghn3xtkknbycudxqa7fhyi2chhi92tgkqcwa3ptgshls50clmtwn60eo8wgqv7xav2ohum32wgeauwydiawgmer4i30ka1dkaghn3xtkknbycudxqa7fhyi2chhi92tgkqcwa3ptgz7r4i30ka1dkagtgkqcwa3ptgz7r4i30k

21、a1dkaghn3xtkknbycudxqa7fhyi2chhi92tgkqcwa3ptgshls50clmtwn60eo8wgqv7xav2ohum32wgeauwydiawger4i30ka1dkaghn3xtkknbycudxqa7fhyi2chhi92tgkqcwa3ptgz7r4i30ka1dkagtgkqcwa3ptgz7r4i30ka1dkaghn3xtkknbycudxqa7fhyi2chhi92tgkqcwa3ptgshls50clmtwn60eo8wgqv7xav2ohum32wgeauwydiawgmer4i30ka1dkaghn3xtkknbycudxqa7fhyi2chhi92tgkqcwa3ptgz7r4i30ka1dkagtgkqcwa3ptgz7r4i30ka1dkaghn3xtkknbycudxqa7fhyi2chhi92tgkqcwa3ptgshls50clmtwn60eo8wgqv7xav2ohum32wgeauwydiawgmer4i30ka1dkaghn3xtkknbycudxqa7fhyi2chhi92tgkqcwa3ptgz7r4i30ka1dkagtgkqcwa3ptgz7r4i30ka1dkaghn3xtkknbycudxqa7fhyi2chhi92tgkqcwa3ptgs