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    中醫藥健康管理服務規范

    老年人中醫藥健康管理服務

    一、服務對象

    轄區內65歲及以上常住居民。

    二、服務內容

    每年為65歲及以上老年人提供1次中醫藥健康管理服務,內容包括中醫體質辨識和中醫藥保健指導。

    (一)中醫體質辨識

    按照老年人中醫藥健康管理服務記錄表前33項問題采集信息,根據體質判定標準進行體質辨識,并將辨識結果告知服務對象。

    (二)中醫藥保健指導

    根據不同體質從情志調攝、飲食調養、起居調攝、運動保健、穴位保健等方面進行相應的中醫藥保健指導。

    三、服務流程

    四、服務要求

    (一)開展老年人中醫藥健康管理服務可結合老年人健康體檢和慢性病患者管理及日常診療時間。

    (二)開展老年人中醫藥健康管理服務的鄉鎮衛生院、村衛生室和社區衛生服務中心(站)應當具備相應的設備和條件。有條件的地區應利用信息化手段開展老年人中醫藥健康管理服務。

    (三)開展老年人中醫體質辨識工作的人員應當為接受過老年人中醫藥知識和技能培訓的衛生技術人員。開展老年人中醫藥保健指導工作的人員應當為中醫類別執業(助理)醫師或接受過中醫藥知識和技能專門培訓能夠提供上述服務的其他類別醫師(含鄉村醫生)。

    (四)服務機構要加強與村(居)委會、派出所等相關部門的聯系,掌握轄區內老年人口信息變化。

    (五)服務機構要加強宣傳,告知服務內容,使更多的老年人愿意接受服務。

    (六)每次服務后要及時、完整記錄相關信息,納入老年人健康檔案。

    五、工作指標

    (一)老年人中醫藥健康管理率=年內接受中醫藥健康管理服務的65歲及以上居民數/年內轄區內65歲及以上常住居民數×100%。

    注:接受中醫藥健康管理是指建立了健康檔案、接受了中醫體質辨識、中醫藥保健指導、服務記錄表填寫完整。

    0~36個月兒童中醫藥健康管理服務

    一、服務對象

    轄區內常住的0~36個月常住兒童。

    二、服務內容

    在兒童6、12、18、24、30、36月齡時,對兒童家長進行兒童中醫藥健康指導,具體內容包括:

    (一)向家長提供兒童中醫飲食調養、起居活動指導;

    (二)在兒童6、12月齡給家長傳授摩腹和捏脊方法;在18、24月齡傳授按揉迎香穴、足三里穴的方法;在30、36月齡傳授按揉四神聰穴的方法。

    三、服務流程

    四、服務要求

    (一)開展兒童中醫藥健康管理服務應當結合兒童健康體檢和預防接種的時間。

    (二)開展兒童中醫藥健康管理服務的鄉鎮衛生院、村衛生室和社區衛生服務中心(站)應當具備相應的設備和條件。

    (三)開展兒童中醫藥健康管理服務的人員應當為中醫類別執業(助理)醫師,或接受過兒童中醫藥保健知識和技能培訓能夠提供上述服務的其他類別醫師(含鄉村醫生)。

    (四)服務機構要加強宣傳,告知服務內容,提高服務質量,使更多的兒童家長愿意接受服務。

    (五)每次服務后要及時記錄相關信息,納入兒童健康檔案。

    五、工作指標

    0~36個月兒童中醫藥健康管理服務率=年度轄區內按照月齡接受中醫藥健康管理服務的0~36月兒童數/年度轄區內應管理的0~36個月兒童數×100%。

    附件:
                老年人中醫藥健康管理服務記錄表.docx
                體質判定標準表.docx
                6~18月齡兒童中醫藥健康管理服務記錄表.docx
                24~36月齡兒童中醫藥健康管理服務記錄表.docx
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