每年都有人找我复核居民个人健康档案国家基本公共卫生服务项目究竟是什么？家庭医生签约究竟是签什么？

　　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

　　家庭医生团队签约对象

　　Family doctor team signing partners

　　主要以辖区内65岁及以上老年人、高血压、糖尿病、孕产妇、0-6岁儿童及严重精神障碍患者为重点签约对象，一般人群也可以签约。您可以到桂阳社区卫生服务中心及卫生室签约家庭医生团队。签约服务包类型

　　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

　　基础服务包（同时就是国家基本公共卫生服务包）分为：一般人群基础服务包、高血压基础服务包、糖尿病基础服务包、65岁以上老年人基础服务包、孕产妇基础服务包、儿童服务服务包（0-6岁）、严重精神障碍基础服务包。什么是国家基本公共卫生服务项目？

　　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

　　国家基本公共卫生服务项目，是我国政府针对当前全体居民存在的主要健康问题，以儿童、孕产妇、老年人、慢性疾病患者为重点人群，面向全体居民免费提供的最基本的公共卫生服务。

　　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.

　　包括哪些内容？目前，国家实行12项免费基本公共卫生服务项目内容包括：居民健康档案管理、健康教育、预防接种、0～6岁儿童健康管理、孕产妇健康管理、老年人健康管理、慢性病患者(高血压和2型糖尿病)健康管理、严重精神障碍患者管理、结核病患者健康管理、中医药健康管理、传染病及突发公共卫生件报告和处理以及卫生监督协管服务等。

　　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项免费公共卫生服务

　　12 free public health services

　　01居民健康档案管理项目及内容：居民健康档案的建立、使用和维护管理。桂阳街道常住居民可到桂阳社区卫生服务中心或村卫生室免费建立居民健康档案。

　　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健康教育项目及内容：提供健康教育资料、设置健康教育宣传栏、开展公众健康咨询服务、举办健康知识讲座、开展个体化健康教育。

　　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预防接种项目及内容：预防接种管理、预防接种服务、疑似预防接种异常反应处理。桂阳社区卫生服务中心预防接种工作人员为适龄儿童建立预防接种证和预防接种卡等儿童预防接种档案。采取信息推送方式，通知儿童监护人，告知接种疫苗的种类、时间、地点和注意事项。

　　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岁儿童健康管理项目及内容：新生儿家庭访视和满月健康管理、婴幼儿和学龄前儿童健康管理。医生根据儿童不同时期的生长发育特点，开展儿童保健系列服务，以保障和促进儿童身心健康发育，减少疾病的发生。

　　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孕产妇健康管理项目及内容：孕早期 、孕中期和孕晚期健康管理、产后访视、产后42天健康检查。桂阳街道孕产妇可到桂阳社区卫生服务中心（南阳转盘）四楼接受产前咨询、领叶酸、孕期保健指导等服务。

　　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老年人健康管理项目及内容：对辖区内65岁以上常住居民，提供生活方式和健康状况评估、体格检查、辅助检查、健康指导。体检项目包括一般体格检查与辅助检查。辅助检查项目包括血常规、尿常规、肝功、肾功、血糖、血脂、腹部B超、心电图。体检地点：桂阳社区卫生服务中心（南阳转盘红绿灯旁或春花社区消防大队旁）；体检时间：周一到周五上午8：00—10:00，节假日不体检；注意事项：早上空腹，携带身份证或医保卡。

　　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项目及内容：辖区内35岁以上常住居民中原发性高血压和2型糖尿病患者，检查发现、随访评估和分类干预、健康体检。在我中心建立了高血压或糖尿病健康档案，签约了家庭医生，家庭医生会定期提供慢性病患者健康管理服务；患者会在医生的指导下建立健康的生活方式，合理使用降血糖或降血压的药物，将血糖、血压控制在理想水平，最大限度地减少糖尿病或高血压给健康带来的危害；在管理过程，医生会及时发现其他健康问题，及时调整治疗方案。高血压、糖尿病患者可在桂阳社区卫生服务中心住院部或是南阳综合门诊办理高血压或糖尿病特病。需携带身份证和医保卡。

　　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严重精神障碍患者管理项目及内容：对辖区内常住居民中诊断明确、在家居住的严重精神障碍患者，提供患者信息管理、随访评估（每年至少4次）和分类干预、健康体检（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肺结核病患者健康管理项目及内容：对辖区内肺结核病可疑者及诊断明确的患者（包括耐多药患者），提供筛查及推介转诊、第一次入户随访、督导服药和随访管理、结案评估。

　　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中医药健康管理项目及内容：对辖区内65岁及以上常住居民和0-36个月常住儿童，提供老年人中医体质辨识、儿童中医调养。

　　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传染病及突发公共卫生事件报告和处理项目及内容：传染病疫情和突发公共卫生事件风险管理、传染病和突发公共卫生事件的发现和登记、相关信息报告及处理。

　　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卫生监督协管服务项目及内容：食源性疾病及相关信息报告、饮用水卫生安全巡查、学校卫生服务、非法行医和非法采供血信息报告。 如果你是年轻人，可以带自己的孩子到桂阳社区卫生服务中心进行儿童体检和预防接种，还可以带家里年满65岁老年人参加我们开展的免费体检，如果家里有高血压、糖尿病等慢性病患者，可以到我中心或者村卫生室进行慢性病随访和健康体检，到社区卫生服务中心购买高血压、糖尿病药物，并享受医保报销政策。

　　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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