1 standardization of professional vocational training
The quality of professional training is directly related to the application quality of basic public health services. Public health personnel at all levels are selected through competition. In order to ensure the training quality, a set of training mechanism is established to ensure the training quality. Through business training, constantly strengthen and improve business level. Explore the establishment of a long-term mechanism to gradually transform temporary and emergency training into long-term and institutionalized training. Through special lectures, off-the-job training, counterpart support and other forms, the basic public health personnel are trained in popularizing skills and cultivating applicable talents. Focus on the full-time training and assessment of the staff of the public health office and public health assistants in the whole region. Participate in or undertake the "forum of famous doctors" in the field of health, organize professional instructors of medical and health units, community health service institutions and project staff of township hospitals and village clinics to carry out special training to improve project management level and service ability. Many times, managers were organized to learn advanced management experiences and practices from other regions and cities, and on-site meetings were organized in the whole region to strengthen work exchanges and promote work development.
2 Classification management standardization
Establish and improve the hierarchical responsibility system. The district government set up a public health service leading group, and the district health bureau set up a public health management office to clarify full-time staff. All towns and streets have identified 1 official staff as public health liaison officers. Each township (street) shall set up a public health service management office, and be equipped with staff with good professional skills and strong sense of responsibility according to the standard of serving the population of 3/ 1000. In the administrative village (neighborhood), the official staff of standardized village clinics (community health service stations) serve as village (neighborhood) public health assistants to promote public health.
2. 1 clarify the responsibilities and systems of public health work at all levels.
According to the unified standards for the construction of public health service management offices, there are 12 public health offices in the whole region, with special office buildings. The management office is equipped with disease prevention and control room, health supervision room, maternal and child health care room, chronic disease management room, health education and file management workshop according to the "five-room separation" model. Equipped with necessary facilities, further accelerate the equalization of basic public health services, promote the development of public health service projects, bind the responsibilities and systems of public health work at all levels and put them on the wall, and take the lead in formulating the accounts of public health service projects in districts, towns (streets) and villages (residences) in the city and earnestly implement them.
2.2 Measures for the implementation of public health service management
According to the Basic Public Health Service Standard of Shandong Province, paper forms and electronic forms are used uniformly, and all staff are trained in the use of software. Through training, make them fully grasp the project objectives, tasks and working methods, operating specifications, form card filling and other contents, and strive to make everyone understand and understand, so as to achieve the effect of training. In order to improve the construction of public health information management platform, an implementation plan was put forward, in which an office was set up by a designated person, an independent computer room was built, and hardware facilities such as servers, switches and firewalls were added. Each unit shall designate a special person to be responsible for information construction. Establish an electronic information service network covering medical and health institutions at the district, township and village levels, and implement the national essential drug system on time.
2.3 Improve the public health management mechanism at all levels.
Taking the implementation of the national basic public health project as a breakthrough, we will actively build a three-level public health service network and promote the equalization of urban and rural public health services. All units at all levels signed a target responsibility letter, established a responsibility system for supervision and guarantee, regularly supervised the progress of the work, and promoted the orderly and stable development of all work. In the city, we took the lead in setting up two disease control responsibility steering groups, with the responsibility assigned to people, and "sinking" into township hospitals and community health service institutions by means of regular rotation, roving guidance and counterpart assistance, so as to strengthen the guidance and management of grassroots public health services. Give better play to the role of professional public health institutions such as disease prevention and control, health supervision and maternal and child health care. In primary health services, such as business guidance, technical support, supervision and management. The members of the bureau's leading group are divided into branches and use weekends and other time to make unannounced visits. Municipal and district people's congresses, government and CPPCC leaders visited the public health service work site several times to inspect the work. Relevant leaders of the Provincial Health Department and the Municipal Health Bureau gave on-site guidance for many times, and made rectification and improvement item by item according to the opinions and suggestions put forward by leaders at all levels. Hold on-site meetings in time, compile and distribute typical materials for summary and promotion; For the problems and deficiencies found, put forward rectification opinions on the spot, and report to the district government and the Municipal Health Bureau through notification. So as to urge the grassroots public health work to make unremitting efforts.
3. Standardization of supervision and assessment at all levels
Strengthen supervision, strictly implement the evaluation mechanism at all levels, take the implementation of basic public health service projects as an important part of system construction and performance evaluation, verify the number of services, clarify the quality standards, encourage and guide grassroots medical and health institutions to change their service models, change passive services to on-site active services, change one-sided pursuit of economic benefits to pay more attention to social benefits, change internal evaluation of health departments to multi-sectoral and mass participation evaluation, and change compensation according to staffing to performance evaluation. The evaluation index and system have been formulated, with health centers at all levels taking the lead, organizing experts to form an evaluation team, including the number of service population and the quality of completion, and introducing a mass evaluation mechanism to comprehensively evaluate the awareness rate, satisfaction and service utilization rate of the masses.