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西安市人民政府关于印发推进健康西安行动实施方案的通知

GEQU、XIANRENMINZHENGFU,SHIRENMINZHENGFUGEGONGZUOBUMEN、GEZHISHUJIGOU:

XIANJIANG《TUIJINJIANKANGXIANXINGDONGSHISHIFANGAN》YINFAJINIMEN,QINGRENZHENGUANCHELUOSHI。

XIANSHIRENMINZHENGFU

2021NIAN1YUE19RI

TUIJINJIANKANGXIANXINGDONGSHISHIFANGAN

为贯彻落实《国务院关于实施健康中国行动的意见》(国发〔2019〕13号)、《陕西省人民政府关于推进健康陕西行动的实施意见》(陕政〔20207号)精神,推进实施健康西安行动,结合我市实际,制定如下实施方案。

YI、ZHIDAOSIXIANG

SHENRUGUANCHELUOSHIXIJINPINGZONGSHUJIGUANYUAIGUOWEISHENGGONGZUOXILIEZHISHIHELAISHANKAOCHAZHONGYAOJIANGHUAJINGSHEN,SHIZHONGBARENMINQUNZHONGSHENGMINGANQUANHESHENTIJIANKANGFANGZAIDIYIWEI,ZONGJIEXINGUANFEIYANYIQINGFANGKONGGONGZUOJINGYAN,CHUANGXINFANGSHIFANGFA,WEIRAOPUJIJIANKANGSHENGHUO、YOUHUAJIANKANGFUWU、WANSHANJIANKANGBAOZHANG、JIANSHEJIANKANGHUANJING、FAZHANJIANKANGCHANYEDENGLINGYU,SHISHIJIANKANGXIANZHUANXIANGXINGDONG,TUIDONGCONGHUANJINGWEISHENGZHILIXIANGQUANMIANSHEHUIJIANKANGGUANLIZHUANBIAN,JIEJUEHAOGUANXIRENMINJIANKANGDEQUANJUXING、ZHANGQIXINGWENTI;CHANGDAOWENMINGJIANKANGLVSEHUANBAODESHENGHUOFANGSHI,TUIDONGJIANGJIANKANGRONGRUSUOYOUZHENGCE,BAQUANSHENGMINGZHOUQIJIANKANGGUANLILINIANGUANCHUANCHENGSHIGUIHUA、JIANSHE、GUANLIQUANGUOCHENGGEHUANJIE;NULICHUANGZAOGAOPINZHIJIANKANGSHENGHUO,SHIXIANJIANKANGYUJINGJI、SHEHUIXIEDIAOFAZHAN,WEIFENLIPUXIEXIANXINSHIDAIZHUIGANCHAOYUEXINPIANZHANGZHULAOJIANKANGZHIJI。

ER、ZONGTIMUBIAO

DAO2022NIAN,QUANSHIJIANKANGYOUXIANDEZHIDUSHEJIHEZHENGCETIXIJIBENJIANLI,QUANMINJIANKANGSUYANGSHUIPINGCHIXUTIGAO,JIANKANGSHENGHUOFANGSHIJIAKUAITUIGUANG,JIANKANGFUWUNENGLIWENBUTISHENG,JIANKANGHUANJINGBUDUANGAISHAN,ZHONGDAMANXINGBINGDAOZHIDEFABINGLVSHANGSHENGQUSHIDEDAOEZHI,ZHONGDIANCHUANRANBING、DIFANGBING、ZHIYEBING、YANZHONGJINGSHENZHANGAIDEDAOYOUXIAOKONGZHI,ZHICANHESIWANGFENGXIANZHUBUJIANGDI,ZHONGDIANRENQUNJIANKANGZHUANGKUANGMINGXIANGAISHAN,JUMINZHUYAOJIANKANGZHIBIAOXIANZHUTISHENG。

DAO2030NIAN,JIANKANGYOUXIANDEZHIDUSHEJIHEZHENGCETIXIGENGJIAWANSHAN,QUANMINJIANKANGSUYANGSHUIPINGDAFUTISHENG,JIANKANGSHENGHUOFANGSHIQUANMIANPUJI,JIANKANGFUWUNENGLIDADAOJIAOGAOSHUIPING,JIANKANGHUANJINGDEDAOXIANZHUGAISHAN,JIANKANGCHANYEGAOSUFAZHAN,ZHONGDAMANXINGBINGDAOZHIDEGUOZAOSIWANGLVMINGXIANJIANGDI,ZHONGDIANCHUANRANBING、DIFANGBING、ZHIYEBING、YANZHONGJINGSHENZHANGAIFANGKONGXIAOGUOMINGXIAN,JUMINZHUYAOJIANKANGZHIBIAODADAOHUOYOUYUQUANGUOPINGJUNSHUIPING。

SAN、ZHONGDIANRENWU

(YI)JIANKANGZHISHIPUJIXINGDONG

1.完善全市健康教育服务体系。加快健康教育服务体系建设,完善工作机制,提升健康教育人员能力,建成以专业健康教育机构为引领、公共卫生机构和基层卫生服务机构为骨干、医疗机构为支撑的健康教育体系。建立以健康促进为核心、社区为基础、家庭为单位、学校与工矿企业和公共场所为重点的健康教育工作模式。持续亚博游戏网站健康促进区县创建。建立医疗机构和医务人员亚博游戏网站健康教育和健康促进的绩效考核机制。完善市级并逐步建立区县级居民健康素养监测体系,亚博游戏网站全市居民健康素养监测工作。到20222030年,全市居民健康素养水平分别不低19%30%。(市卫生健康委牵头,市委编办、市教育局、西安广播电视台分别负责;各项任务均需各区县政府、西咸新区及各开发区管委会负责落实,下同)

2.建立健康科普传播平台。完善市级并逐步建立区县级健康科普专家库,建立科普专家准入机制和管理办法。建立市级健康科普资源库,共建共享健康知识和技能传播资源,围绕《中国公民健康素养—基本知识与技能》等健康知识,针对全市重点人群、重点健康问题编制健康科普核心信息。构建全媒体健康科普知识发布和传播机制,鼓励全市各类媒体开办优质健康科普栏目,各类传媒平台定期发布健康科普公益广告。动员社会力量参与健康知识普及。实施全民健康素养促进行动,广泛亚博游戏网站健康教育进学校、进企业、进社区(村)、进家庭等工作。(市卫生健康委牵头,市委宣传部、市委网信办、西安广播电视台分别负责)

3.DALICHANGDAOJIANKANGWENHUALINIAN。QIANGHUAZHENGFUZAIJIANKANGWENHUAJIANSHEZHONGDEZHUTIDIWEI,JIANGJIANKANGWENHUAJIANSHERONGRUCHENGSHIWENHUAJIANSHETIXI。TONGGUOXINWENMEITI,YINDAOJUMINXINGCHENGKEXUEJIUYILINIANHEDUIYILIAOFUWUJIEGUODEHELIYUQI,SHULIJINGWEISHENGMING、GUANAIJIANKANG、ZUNZHONGYIXUEGUILVDELINIAN,ZENGJINQUANSHEHUIDUIYIXUE、YIWURENYUANDELIJIEHEZUNZHONG。TUIJINJIANKANGCUJINYIYUANJIANSHE,QIANGHUAYIJIANKANGWEIZHONGXINDELINIAN,JIAQIANGYIWURENYUANRENWENJIAOYU,DALIHONGYANG“JINGYOUSHENGMING、JIUSIFUSHANG”DECHONGGAOZHIYEJINGSHEN。YI“SHIJIEWEISHENGRI”DENGGELEIXIANGGUANJIERIWEIQIJI,SHENHUAJIANKANGLINIANCHUANBO。ZHI2022NIAN,XINGCHENGREAIJIANKANG、ZHUIQIUJIANKANG、CUJINJIANKANGDESHEHUIFENWEI。ZHI2030NIAN,JIANKANGWENHUALINIANSHENRURENXIN,XINGCHENGQUANSHEHUIGUANZHUJIANKANG、CUJINJIANKANGDELIANGHAOFENWEI。(SHIWEISHENGJIANKANGWEIQIANTOU,SHIWEIXUANCHUANBU、SHIWEIWANGXINBAN、XIANGUANGBODIANSHITAIFENBIEFUZE)

4.QIESHITISHENGJUMINJIANKANGZIWOGUANLINENGLI。CHANGDAO“MEIGERENSHIZIJIJIANKANGDIYIZERENREN”DELINIAN,TISHENGJUMINJIANKANGYISHI、JIANKANGSUYANGYUZIWOGUANLINENGLI。YINDAOJIATINGYISHENG、SHEHUITIYUZHIDAOYUANZHUDONGWEIJUMINTIGONGJIANKANGZHIDAO,YIWURENYUANZHANGWOYUGANGWEIXIANGSHIYINGDEJIANKANGKEPUZHISHI,BINGZAIZHENLIAOGUOCHENGZHONGWEIHUANZHEHEJIASHUTIGONGXIANGGUANJIANKANGZHIDAO。CHANGDAOGERENDINGQIJILUSHENXINJIANKANGZHUANGKUANG,LEJIEZHANGWOJIBENZHONGYIYAOHEJIJIUZHISHI。TIGAOGONGZHONGYINGJIZIJIUHUJIUZHISHIYUJINENG,CUJINZIJIUHUJIU。WANSHANGONGGONGCHANGSUOJIJIUSHESHISHEBEIPEIBEIBIAOZHUN,ZAIXUEXIAO、QISHIYEDANWEI、JIAOTONGSHUNIU、DAXINGSHANGCHANGDENGRENQUNMIJICHANGSUOPEIBEIJIJIUYAOPIN、QICAIHESHESHI,QIESHITIGAOGONGGONGFUWUCONGYERENYUANANQUANYISHIYUYINGJIJIUHUJINENG。(SHIWEISHENGJIANKANGWEIQIANTOU,SHIWEIXUANCHUANBU、SHIJIAOYUJU、SHIMINZHENGJU、SHISHICHANGJIANGUANJU、SHIYINGJIGUANLIJU、SHIKEXIEFENBIEFUZE)

(ER)HELISHANSHIXINGDONG

5.提升营养健康服务能力。实施《国民营养计划(2017—2030)》,组建市级营养健康指导委员会,推进多部门协作机制的建立,实现对各相关技术机构、高等院校、社会团体等的有效动员。加强对地方病、贫困地区的营养干预,重点推进农村义务教育学生营养改善计划和贫困地区儿童营养改善项目,逐步解决居民营养不足与过剩并存问题。亚博游戏网站健康食堂和健康餐厅创建活动,加强学校标准化食堂建设,在幼儿园、学校、养老机构、医院等集体供餐单位配备营养师,在社区配备营养指导员。以全民营养周、食品安全宣传周、“5·20”中国学生营养日等主题活动为载体,利用各类媒介传播健康营养知识,鼓励全社会参与以减盐、减油、减糖及健康口腔、健康体重、健康骨骼为重点的全民健康生活方式。到2022年和2030年,成人肥胖增长率持续减缓,5岁以下儿童生长迟缓率分别低于7%和5%,孕妇贫血率预期分别低14%10%,居民营养健康知识知晓率分别比2019年提高10%、比2022年提高10%。(市卫生健康委牵头,市教育局、市民政局、市市场监管局分别负责)

6.加强食品安全监管。健全食品安全监管体系,鼓励企业制定实施严于食品安全国家标准或地方标准的企业标准,指导食品生产经营者落实和应用国家级、省级食品安全标准。提高各级食品、农产品及进出口食品安全风险监测和检验检测能力建设标准。农产品和食品年抽检量达到4批次/千人,其中农药兽药残留检验量不低于2份/千人。主要农产品质量安全监测总体合格率98%以上,食品安全抽检合格率达98%。强化不合格食品核查处置,监督抽检不合格食品核查处置率达到100%。

QUANMIANTUIJINSHIPINQIYESHIPINANQUANZHUISUTIXIJIANSHE,WANSHANSHIJIROUCAILIUTONGZHUISUTIXIJIANSHE。CHIXUJIADASHIPINANQUANZERENBAOXIANTUIGUANGLIDU,GULISHIPINANQUANFENGXIANXIANGDUIJIAOGAOHETUIGUANGJICHUHAODESHENGCHANQIYEJIJITUIXINGSHIPINANQUANZERENBAOXIAN,BUDUANTISHENGSHIPINANQUANZERENBAOXIANTOUBAOLV。QUANMIANSHISHISHIPINANQUANFENGXIANFENJIGUANLI,YANGESHIPINSHENGCHANJINGYINGXUKE,JIAQIANGDUISHIPINSHENGCHANJIAGONG、LIUTONGQIYE、CANYINQIYEHEXIAOFEIHUANJIEDEJIANDUJIANCHA,CHIXUYABOYOUXIWANGZHANYIXIAOZUOFANG、XIAOCANYIN、XIAOTANFANHESHIPINWANGLUOXIAOSHOUQIYEWEIZHONGDIANDEGAOFENGXIANSHIPINANQUANZHENGZHI。FENJIFENLEIYABOYOUXIWANGZHANCANCHUFEIQIWUZIYUANHUALIYONGHEWUHAIHUACHULISHIDIANGONGZUO。GULICANYINFUWUTIGONGZHECAIYONG“HULIANWANG+MINGCHULIANGZAO”XINGSHI,TISHENGCANYINZHIHUIHUAGUANLISHUIPING。GULIQIYEGAIJINSHENGCHANGONGYIHESHENGCHANJISHU,KAIFADITANG、DIYOU、DIYANDESHIPIN,TUIDONGDITANGHUOWUTANGSHIPINDESHENGCHANYUXIAOFEI。JIAQIANGDUIYUBAOZHUANGSHIPINYINGYANGBIAOQIANDEJIANDUGUANLI,TANSUOZAIWAIBAOZHUANGBIAOSHIMEIRENMEIRIYOUYANTANGSHIYONGHELILIANGJIANYIDENGXINXI,JIJITUIDONGZAISHIPINBAOZHUANGSHANGSHIYONG“BAOZHUANGZHENGMIANBIAOSHI(FOP)”XINXI,BANGZHUXIAOFEIZHEXUANZEJIANKANGSHIPIN。

DALIFAZHANLVSE、YOUJIDILIBIAOZHIDENGJIBAOHUNONGCHANPINHESHIPINCHANYE。JIAQIANGNONGCHANPINSHENGCHANJIDI、CHANDIYUNSHUCHEHETUZAICHANGDENGHUANJIEJIANCECHOUJIANHENONGCHANPINSHENGCHANZHONGDIANCHANYE、ZHONGDIANCHANPIN、ZHONGDIANQUYUZHUANXIANGCHOUJIANLIDU,QIANGHUANONGCHANPINZHILIANGANQUANFENGXIANYUJING,YIFAGUIFANNONGCHANPINZHILIANGANQUANSHENGCHANXINGWEI。YANBACHANDIHUANJINGANQUANGUAN,SHENRUSHISHINONGYAOSHOUYAOSHIYONGJIANLIANGHECHANDIHUANJINGJINGHUAXINGDONG,YABOYOUXIWANGZHANSHEGEDENGZHONGJINSHUZHONGDIANXINGYEQIYEPAICHAZHENGZHI,TUIDONGNONGYONGDIFENLEIGUANLI,WANCHENGSHOUWURANTURANGGENGDIANQUANLIYONG。YANFATUIGUANGDIDU、DICANLIUNONGYAOSHOUYAOCHANPIN,TAOTAIGAOFENGXIANCHANPIN。JIADAXUANCHUANYUYINDAO,ZUOHAOSHESHIPINANQUANWANGSHANGYUQINGJIANCE、YANPANHECHUZHIGONGZUO,JISHIFABUQUANWEIXINXI,YABOYOUXIWANGZHANFENGXIANJIEDU,GULIQIYETONGGUOXINWENMEITI、WANGLUOPINGTAIDENGFANGSHIZHIJIEHUIYINGQUNZHONGZIXUN。DUJUESHIYONGJINYONGNONGYAOSHOUYAOJIFEIFATIANJIAWU,NONGYAOLIYONGLVDADAO40%YISHANG,ZHUYAONONGZUOWUHUAFEILIYONGLVDADAO40%YISHANG。PEIHESHENGJIZHUGUANBUMENYABOYOUXIWANGZHANSHOUYONGKANGJUNYAOJIANLIANGHUASHIDIAN。(SHISHICHANGJIANGUANJUQIANTOU,SHIWEIXUANCHUANBU、SHIFAGAIWEI、SHIWEISHENGJIANKANGWEI、SHINONGYENONGCUNJU、SHIJIAOYUJU、SHISHANGWUJU、SHIZIYUANGUIHUAJU、SHISHENGTAIHUANJINGJU、SHICHENGGUANJU、XIANHAIGUANFENBIEFUZE)

(SAN)QUANMINJIANSHENXINGDONG

7.DAZAOTIYUPINPAISAISHI。QUANLICHANGXIANG“WOYAOSHANGQUANYUN”“WOYUNDONG、WOJIANKANG、WOKUAILE”ZHUTI,JIANCHI“JINGPINHUABANSAI、PINPAIHUADAZAO”DESILU,ZHELITISHENGQUANMINJIANSHENSAISHIPINPAIXINGXIANG、ZHILIANGXIAOYIHEFUSHEYINGXIANG,DAIDONGQUANSHIQUANMINJIANSHENYUNDONGDEPENGBOYABOYOUXIWANGZHAN。JIANCHI“ZHENGFUYINDAO、SHICHANGYUNZUO、SHEHUICANYU”HE“TIYU+”FAZHANLINIAN,CHIXUDAZAOXIANGUOJIMALASONGSAIDENGJINGPINTIYUSAISHI,TUIDONGTIYUYULVYOU、WENHUA、KEJIDENGDUOFANGMIANDEDARONGHE;ZHELIDAZAOXIANSHIQUANMINJIANSHENDAHUI、“WUDONGZHANGAN”QUANMINJIANSHENJINENGDASAI、QIXINGDAHUIDENGQUNZHONGGUANGFANCANYUDEQUANMINJIANSHENPINPAISAISHI,ZAISAISHIZUZHI、QUNZHONGCANYUDENGFANGMIANSHIXIANXINTUPO、XINFAZHAN;CHIXUTUIJINQUXIANTIYUPINPAICHUANGJIAN,JINYIBUKUODAQUXIANPINPAIHUODONGDECANYUMIANHEYINGXIANGLI,DAIDONGJIEZHENTIYUPINPAIHUODONGDECHUANGJIAN,TUIDONGJICENGQUANMINJIANSHENYUNDONGFAZHAN;JIAQIANGYUGEXINGYE、BUMENDEXIEZUO,TUIDONGGERENQUNQUANMINJIANSHENYUNDONGDEYABOYOUXIWANGZHAN;JIJICHENGBANGUOJIA、SHENGJIQUANMINJIANSHENSAISHIHEHUODONG,BUDUANTIGAOWOSHIQUANMINJIANSHENHUODONGDECENGJISHUIPING。(SHITIYUJUQIANTOU,SHIJIYOUGUANBUMENFENBIEFUZE)

8.实施多样化多功能全民健身惠民工程建设。坚持“统筹规划、科学布局、建管并举”的工作思路,实施社区全民健身路径、农民体育健身工程等项目;同步推进多功能运动场、全民健身室内健身房、社区全民健身中心等项目建设;结合城市公园、绿地、广场,采取插件的形式,建设集综合健身区、球类运动区、儿童健身区、健身步道等于一体的功能齐全、环境优美的全民健身园区;加大力度做好全民健身基础设施的维护管理,确保器材设施安全性、公益性,不断夯“15分钟健身圈”和全运惠民工程任务,提升群众全民健身的获得感和幸福感。(市体育局牵头,市城管局、市资源规划局、市财政局、市水务局分别负责)

9.JIANQUANQUANMINJIANSHENZUZHIWANGLUO。QUANMIANJIANCHENGFUGAISHI、QUXIAN(KAIFAQU)、JIEZHEN、SHEQU(XINGZHENGCUN)SIJIDEQUANMINJIANSHENZUZHIWANGLUO,BINGXIANGDAXINGCHANGKUANGQIYE、XUEXIAODENGFANGMIANYANSHENKUOZHAN。JIAQIANGTIYUSHETUANDEGUIFANHUAJIANSHEYUGUANLI,ANZHAO“JIANSHEYUGUANLIBINGZHONG”DEYUANZE,JINYIBUKUODASHI、QUXIAN(KAIFAQU)LIANGJITIYUSHETUANDESHULIANG;CHIXUTUIJINTIYUCHENWANLIANHUODONGZHANDIANJIANSHE,ANZHAO“CHENGSHUYIGEFAZHANYIGE”DESILU,TIGAOTIYUCHENWANLIANHUODONGZHANDIANDESHULIANGJIFUWUSHUIPING;JIADASHEHUITIYUZHIDAOYUANPEIXUNLIDU,DAO“SHISIWU”MO,WOSHIZAICESHEHUITIYUZHIDAOYUANZONGRENSHUDADAO3WANMING。(SHITIYUJUQIANTOU,SHIZHIJIGUANGONGWEI、SHIMINZHENGJU、SHIJIAOYUJU、SHIZHUJIANJU、SHIWEISHENGJIANKANGWEI、SHIZONGGONGHUIFENBIEFUZE)

10.JIAQIANGKEXUEJIANSHENZHIDAO。ANZHAO《GUOJIATIYUDUANLIANBIAOZHUN》《GUOMINTIZHICEDINGBIAOZHUNSHIXINGBANFA》,JINYIBUJIAQIANGSHI、QUXIANLIANGJIGUOMINTIZHIJIANCEZHONGXIN、JIANCEZHANGUIFANHUAJIANSHEHEGUANLI;ZAITIYUCHANG、SHEQUZHONGXINDENGQUYUBUJUYIPIGUOMINTIZHIJIANCEDIAN,BUDUANKUODATIZHIJIANCEFUSHEMIAN。JIADAXUANCHUANPUJILIDU,YINDAOQUNZHONGYABOYOUXIWANGZHANTIZHIJIANCE,TUIGUANGYUNDONGCHUFANG,TUIJINTIYIRONGHEFAZHAN,GENGHAODIFUWUQUNZHONGKEXUEJIANSHEN;JIANCHI“MIANXIANGJICENG、FUWUQUNZHONG、KEXUEZHIDAO”DESILU,TONGGUOKAISHEJIANKANGDAJIANGTANG、GUOMINTIZHIJIANCE、TIYUJIANSHENJINENGZHIDAO、FAFANGKEXUEJIANSHENZHISHISHOUCEDENGDUOZHONGXINGSHI,RANGKEXUEJIANSHENZHIDAOJINJIGUAN、JINQIYE、JINSHEQU、JINNONGCUN、JINXUEXIAO,TUIJINQUANMINJIANSHENYUQUANMINJIANKANGDESHENDURONGHE。(SHITIYUJUQIANTOU,SHIZHIJIGUANGONGWEI、SHIJIAOYUJU、SHIGONGXINJU、SHIMINZHENGJU、SHIZHUJIANJU、SHIWEISHENGJIANKANGWEI、SHIZONGGONGHUIFENBIEFUZE)

11.强化保障措施。制定《西安市全民健身实施计划(2021—2025年)》,将全民健身工作纳入国民经济和社会发展规划、纳入财政预算、纳入政府工作报告;充分发挥全民健身联席会议机制的组织领导作用,定期召开会议,研究解决全市全民健身重大事项;进一步健全全民健身考核评价体系,将其纳入“15分钟便民服务圈”“健康西安”和精神文明建设测评体系,进行全方位综合评价,定期实施检查评估,确保各项任务有序推进。(市体育局牵头,市级有关部门分别负责)

(SI)KONGYANXIANJIUXINGDONG

12.CHIXUTUIJINKONGYANZHIFAJIXUANCHUANGONGZUO。JIADADUI《XIANSHIKONGZHIXIYANGUANLIBANFA》DEXUANCHUANHEZHIFALIDU,JUJIAOZHONGDIANCHANGSUODINGQIYABOYOUXIWANGZHANZHUANXIANGZHIFAHEJIZHONGZHIFA。YIFAGUIFANYANCAOCUXIAO、ZANZHUDENGXINGWEI。JIADAYANCAOGUANGGAOJIANDUZHIFALIDU,JINZHIZAIDAZHONGCHUANBOMEIJIEHUOZHEGONGGONGCHANGSUOFABUYANCAOGUANGGAO。JINZHIXIANGWEICHENGNIANRENSHOUYAN。GULICHENGLIKONGYANXIEHUI,GULIZHIYUANZHEZUZHI、QITASHEHUIZUZHIHEGERENTONGGUOGEZHONGXINGSHI,CANYUKONGZHIXIYANGONGZUOHUOZHEWEIKONGZHIXIYANGONGZUOTIGONGZHICHI。JIANLISHI、QUXIAN(KAIFAQU)LIANGJIYANCAOJIANCEPINGGUTIXI,ZHENDUIBUTONGRENQUNYABOYOUXIWANGZHANYANCAOLIUXINGDIAOCHA,ZHANGWOYANCAOLIUXINGXIANZHUANG。(SHIWEISHENGJIANKANGWEIQIANTOU,SHIWEIXUANCHUANBU、SHICAIZHENGJU、SHIJIAOYUJU、SHIMINZONGWEI、SHIGONGANJU、SHIMINZHENGJU、SHISIFAJU、SHIRENSHEJU、SHIZHUJIANJU、SHICHENGGUANJU、SHIJIAOTONGJU、SHIWENHUALVYOUJU、SHISHICHANGJIANGUANJU、SHITIYUJU、SHIYANCAOJU、SHIGUIDAOJITUAN、SHIJIGUANSHIWUZHONGXINFENBIEFUZE)

13.大力打造无烟限酒环境。亚博游戏网站无烟医院、无烟学校、无烟企业等无烟示范场所建设,积极鼓励领导干部、医务人员和教师发挥控烟引领作用,党政机关要严格遵守《西安市控制吸烟管理办法》,全面落实无烟环境建设。亚博游戏网站烟草危害科普宣传,在全社会普及倡导无烟文化,鼓励和帮助个人戒烟,提高公众控烟意识,以青少年为重点亚博游戏网站多形式、多元化的控烟主题宣传活动,努力降低人群吸烟率。到2022年和2030年,15岁以上人群吸烟率分别低于24.5%和20%。倡导适度适量饮酒和文明饮酒,不劝酒,不酗酒,提高人群的整体认识水平。(市卫生健康委牵头,市委宣传部、市教育局、市民政局、市公安局、市司法局、市机关事务中心分别负责)

14.JIANSHEQUANSHEHUICANYUDEJIEYANFUWUTIXI。TUIGUANGJIANDUANJIEYANGANYUFUWUHEYANCAOYILAIJIBINGZHENZHI,JIANGXUNWENBINGRENXIYANSHINARUDAORICHANGDEMENZHENWENZHENZHONG。QIANGHUADUIJIEYANFUWUDEXUANCHUANHETUIGUANG,JIAQIANGJIEYANMENZHENGUIFANHUAJIANSHE,SHIGENGDUOXIYANZHEKAISHIJIEYAN,BINGZAIJIEYANGUOCHENGZHONGHUODEBANGZHU。CHONGFENFAHUIZHUANYEJIGOUKONGYANZHULIJUNZUOYONG,QUEDINGZHUANRENFUZEBINGZUZHISHISHI,QUEBAOJINGFEITOURU。NULIDAZAOZHENGFUCHANGDAO、QUANSHEHUICANYUDEJIEYANFUWUTIXI。(SHIWEISHENGJIANKANGWEIQIANTOU,SHIWEIXUANCHUANBU、SHIJIAOYUJU、SHIGONGANJU、SHICAIZHENGJU、SHISHICHANGJIANGUANJUFENBIEFUZE)

(WU)XINLIJIANKANGCUJINXINGDONG

15.JIAQIANGXINLIJIANKANGFUWU。TUIJINSHEHUIXINLIFUWUTIXIJIANSHE,JIANQUANXINLIJIANKANGFUWUWANGLUO,ZHUBUJIANLISHI、QUXIANLIANGJIXINLIJIANKANGFUDAOZHONGXINDENGFUWUJIGOU,YITUOCHENGXIANGSHEQUZONGHEFUWUJIGOUHUOJICENGZONGZHIZHONGXINDENGJIGOUJISHESHI,JIANLIXINLIZIXUN(FUDAO)SHIHUOSHEHUIGONGZUOSHI(ZHAN),DAJIANJICENGXINLIJIANKANGFUWUPINGTAI;ZHENGHESHEHUIZIYUAN,SHELISHIXIANJIWEICHENGNIANRENXINLIJIANKANGFUDAOZHONGXIN;GULIHEPEIYUXINLIZIXUNZHUANYERENYUANCHUANGBANSHEHUIXINLIJIANKANGFUWUJIGOU,SHIDIANTONGGUOGOUMAIFUWUDENGXINGSHIXIANGJIGUAN、QISHIYEDANWEIJIQITAYONGRENDANWEIHUOSHEQUQUNZHONGTIGONGXINLIZIXUNFUWU。CHUANGXINXINLIJIANKANGFUWUMOSHI,WANSHANSHEQU、JIAOYUXITONG、JIGUANQISHIYEDANWEIHEYILIAOJIGOUDEXINLIJIANKANGFUWUJIGOUJIQIGONGNENG。JIADAXINLIJIANKANGGONGZUORENYUANPEIYANGLIDU,WENBUTUIJINXINLIJIANKANGZHIYUANZHEFUWUDUIWUJIANSHE,JIAQIANGJINGSHENWEISHENGYILIAOJIGOUNENGLIJIANSHE,WANSHANRENSHIXINCHOUFENPEIZHIDU,TIXIANXINLIZHILIAOFUWUDELAOWUJIAZHI。CHANGDAOYIWURENYUANZHANGWOXINLIJIANKANGZHISHIHEJINENG。JIADAXINLIJIANKANGZHISHIKEPUXUANCHUANLIDU,PUJISHIYONGZHISHIHEJINENG,CUJINJUMINXINLIHEXINGWEIWENTIDEZAOQISHIBIE、GANYUHEKANGFU。JIAQIANGZHONGDIANRENQUNXINLIJIANKANGFUWU,ZHONGDIANGUANZHUWEICHENGNIANREN、FUNV、LAOREN、JIHUASHENGYUTESHUJIATINGRENYUANHEBUTONGZHIYEQUNTIXINLIJIANKANGWENTI。ZHONGSHILIULANGQITAO、FUXINGRENYUAN、XINGMANSHIFANGRENYUAN、QIANGZHIGELIJIEDURENYUAN、SHEQUJIAOZHENGRENYUANJIYIZHAOSHIZHAOHUOYANZHONGJINGSHENZHANGAIHUANZHEDENGTESHURENQUNXINLIJIANKANGFUWU,JIANQUANZHENGFU、SHEHUI、JIATINGSANWEIYITIDEBANGFUXITONG,BANGZHUTESHURENYUANRONGRUSHEHUI。

建立精神卫生综合管理机制,全面推进严重精神障碍患者社区报告登记和救治救助管理服务,完善患者综合风险评估及分级分类服务管理机制,亚博游戏网站社区康复工作。建立精神卫生医疗机构、社区康复机构、社会组织及家庭相互衔接的精神障碍社区康复服务体系。积极亚博游戏网站心理危机干预和心理援助工作,加强心理危机干预和心理援助队伍的专业化、系统化建设。建立和完善心理健康教育、热线服务、评估咨询、精神科治疗等相衔接的心理危机干预和援助服务模式。将心理危机干预和心理援助纳入相关突发事件应急预案和技术方案,相关部门进一步完善为公众提供公益服务的心理援助热线。预期到2022年和2030年,居民心理健康素养水平提升20%30%,精神科执业(助理)医师分别为3.3/10万和4.5/10万。(市卫生健康委牵头,市委政法委、市委文明办、市教育局、市公安局、市民政局、市司法局、市人社局、市科技局、市科协、市市场监管局、团市委、市妇联、市残联、市总工会、市计划生育协会分别负责)

(LIU)JIANKANGHUANJINGCUJINXINGDONG

16.SHENRUYABOYOUXIWANGZHANDAQI、SHUI、TURANGWURANFANGZHI。TUIJINLVSEFAZHANJIANSHESHENGTAIXIAN,QUANLIDAYINGLANTIAN、BISHUI、JINGTU、QINGSHANSIDABAOWEIZHANGONGJIANZHAN,QIESHIJIEJUEYINGXIANGWOSHIJIANKANGDESHENGTAIHUANJINGYINSU。YITIGAOHUANJINGZHILIANGWEIHEXIN,SHIXINGHUANJINGZHILIANGMUBIAOKAOHE,SHISHIZUIYANGEDEHUANJINGBAOHUZHIDU。QIANGHUAYUANTOUYUFANG,QIESHIJIEJUEYINGXIANGGUANGDARENMINQUNZHONGJIANKANGDETUCHUHUANJINGWENTI。SHENRUSHISHIDAQIWURANFANGZHI,QIANGHUAQUYUDAQIWURANLIANFANGLIANKONG,JIAKUAICHANYEJIEGOUZHUANXINGSHENGJI,TONGCHOUTUIJINGONGYEYUAN、YIDONGYUAN、CHENGSHIMIANYUANWURANZHILI,JIAKUAICHENGSHIJIZHOUBIANZAOLINLVHUAHEFANGFENGGUSHALINDAIJIANSHE,DALIFAZHANQINGJIENENGYUANHELVSEJIANZHU,TUIJINCHENGSHIKONGQIZHILIANGCHIXUGAISHAN。JIAQIANGHELIUSHUITIGUANLIANQUANBAOZHANG,SHISHIWEIHELIUYUSHUIWURANFANGZHIXINGDONG,QUANMIANZHENGZHICHENGSHIJIANCHENGQUHEICHOUSHUITI,TUIJINDIXIASHUICHAOCAIQUZHILIYUWURANZONGHEFANGZHI。JIADAYINSHUIGONGCHENGSHESHITOURU、GUANLIHEWEIHU,BAOZHANGYINYONGSHUIANQUAN。QUANMIANSHISHITURANGWURANZHILI,JIAQIANGTURANGHUANJINGXIANZHUANGXIANGCHAGONGZUO,TUIJINZHONGJINSHU、GUTIFEIWU、NONGYEMIANYUANDENGWURANFANGZHIHEHUANJINGJIANGUAN,FANGFANWURANDIKUAISHEHUIHUANJINGFENGXIAN,YOUXIAOBAOHUSHENGTAIXITONG。DAO2022NIANHE2030NIAN,JUMINYINYONGSHUISHUIZHIMINGXIANGAISHANBINGCHIXUGAISHAN。(SHISHENGTAIHUANJINGJUQIANTOU,SHINONGYENONGCUNJU、SHIZHUJIANJU、SHICHENGGUANJU、SHIWEISHENGJIANKANGWEI、SHISHUIWUJU、SHIGONGANJU、SHISHICHANGJIANGUANJU、SHIZIYUANGUIHUAJU、SHIFAGAIWEI、XIANSHUIWUJITUANFENBIEFUZE)

17.SHENHUANONGCUNRENJUHUANJINGZHENGZHI。SHISHIXIANGCUNZHENXINGZHANLVECUJINCHENGXIANGRONGHE,JIADANONGCUNRENJUHUANJINGZHILILIDU,TONGCHOUZHILINONGCUNHUANJINGWEISHENGWENTI。YABOYOUXIWANGZHANNONGCUNCUNZHUANGQINGJIEXINGDONG,DADAOCUNMINYUANLUOHECUNNEIDAOLU、GONGGONGQUYUQINGJIEGANJING、ZHENGJIEYOUXU;SHISHINONGCUNWUSHUIGEMINGGONGCHENG,TUIGUANGDICHENGBEN、DINENGHAO、SHAOWEIHU、GAOXIAOLVDEWUSHUICHULIJISHU,FENLEISHISHINONGCUNSHENGHUOWUSHUICHULI;SHISHINONGCUNCESUOGEMINGGONGCHENG,WANCHENGNONGCUNGONGCE、HUCE、XUEXIAOCESUODEQUANMIANTISHENGGAIZAO;SHISHINONGCUNLAJIGEMINGGONGCHENG,YOUXIAOZHILINONGCUNSHENGHUOLAJI,CHIXUGAISHANNONGCUNRENJUHUANJING。SHISHINONGCUNYINSHUIANQUANGONGGUTISHENGGONGCHENGHECHENGZHENGONGSHUIGONGCHENG,ZHONGDIANJIEJUEYINSHUIXINGDIFANGBINGBINGQUYINSHUIANQUANWENTI。(SHINONGYENONGCUNJUQIANTOU,SHISHENGTAIHUANJINGJU、SHICHENGGUANJU、SHIZHUJIANJU、SHISHUIWUJU、SHIJIAOYUJU、SHIZIYUANGUIHUAJU、SHIWEISHENGJIANKANGWEIFENBIEFUZE)

18.SHENHUAAIGUOWEISHENGYUNDONG。GONGGUTISHENGWOSHIGUOJIAWEISHENGCHENGSHICHUANGJIANCHENGGUO,YABOYOUXIWANGZHANHUANJINGWEISHENGTISHENGXINGDONG,ANZHAODAOLUBAOJIEZUOYEBIAOZHUN,DUIQUANSHICHENGQUDAOLU、JIETOUGUANGCHANGJINXINGCHONGXIHEBAOJIE;YABOYOUXIWANGZHANWEISHENGSIJIAO“DAZHENGZHI、DAQINGLI、DASAOCHU”HUODONG,JIZHONGQINGLICHENGDUILAJI、LUANFANGZAWU、WEIGUIZHANGTIETUHUADEGUANGGAO、TUYADENG;YIJIMAOSHICHANG、NONGMAOSHICHANGWEIZHONGDIAN,QUANMIANZHILISHICHANGTANWEIJIZHOUBIANHUANJINGWEISHENG。JIJIYINDAOWEISHENGXIANCHENG、ZHENXIANGJIANKANGXIANCHENG、ZHENFAZHAN,DAZAOWEISHENGCHUANGJIANSHENGJIBAN,BAJIANKANGZHENGCERONGRUGUIHUA、JIANSHE、ZHILIDEQUANGUOCHENG,BAOZHANGYUJIANKANGXIANGGUANDEGONGGONGSHESHIYONGDIXUQIU,CUJINSHEHUIHUANJINGYURENMINJIANKANGDEXIEDIAOFAZHAN。WANSHANPINGJIATIXI,JIAQIANGJIANKANGCHENGSHI、JIANKANGXIANCHENG、JIANKANGCUNZHENJIANSHEJIANCEYUPINGJIA。(SHIWEISHENGJIANKANGWEIQIANTOU,XIANSHIAIGUOWEISHENGYUNDONGWEIYUANHUIGECHENGYUANDANWEIFENBIEFUZE)

19.推进垃圾综合治理和绿化环境建设。积极实施城市生活垃圾分类,重点完善和提升城乡环卫设施设备,加快厨余垃圾处理厂建设,实现资源化利用。到2030年,全面实施城市生活垃圾分类处理,完善城乡环卫设施,城市生活垃圾无害化处理率保100%,经分类的城市生活垃圾中其他垃圾焚烧处理率达到90%以上,城市餐厨垃圾资源化利用率达80%以上,建筑垃圾资源化利用率达到90%以上,不断提高建筑垃圾资源化利用能力,深入推进装饰装修垃圾分类处置,努力实现建筑垃圾减量化、资源化和无害化。

加强城市空间设计,优化城市绿地布局,强化城市园林绿化建设,加快老旧公园改造,建设绿道绿廊,亚博游戏网站城市周边、城市各板块之间绿化带建设。到2030年,建成区绿地率达到39%,人均公园绿地面积达13.5平方米,建成区绿化覆盖率达到45%,建设绿地小广场、口袋公园不少于400个,新建绿道绿廊不少于1000公里,全市绿道体系基本成形。

SHISHIGONGYEWURANYUANPAIWUXUKEGUANLIHEQUANMIANDABIAOPAIFANGJIHUA,JIAKUAITAOTAIMINGANQUYUZHOUBIANDEYOUSEJINSHUYELIAN、CAIXUANKUANGDENGXINGYE,JIAKUAITAOTAIGAOWURAN、GAOHUANJINGFENGXIANDEGONGYI、SHEBEIHECHANPIN,TUIJINGANGTIE、SHUINI、SHIHUADENGZHONGDIANQIYEDABIAOPAIFANGGAIZAO。JIAQIANGSHIDIZIRANBAOHUQUJISHIDIGONGYUANJIANSHE,BAOHUHEGAISHANZHENXIBINWEIYESHENGDONGZHIWUQIXIDI,YABOYOUXIWANGZHANZIRANBAOHUQUSHENGWUDUOYANGXINGJIANCE,JIANLIZIRANBAOHUQUJIANCESHUJUKU。(SHICHENGGUANJU、SHISHENGTAIHUANJINGJU、SHISHUIWUJU、SHIJIAOTONGJU、SHISHICHANGJIANGUANJU、SHIZIYUANGUIHUAJU、SHIFAGAIWEIFENBIEFUZE)

20.YABOYOUXIWANGZHANHUANJINGYUJIANKANGJIANCEPINGGU。WANSHANYINYONGSHUI、KONGQI、TURANGDENGHUANJINGYUJIANKANGYINGXIANGJIANCEPINGGUCHANGTAIHUAGONGZUOJIZHI。JIANLIJIANQUANHUANJINGYUJIANKANGJIANCE、DIAOCHAHEFENGXIANPINGGUZHIDU,JIAQIANGDUIHUANJINGWURANYUJIBINGGUANXI、JIANKANGFENGXIANYUJINGJIFANGHUGANYUDEDIAOCHAYANJIU,CAIQUYOUXIAOCUOSHIYUFANGKONGZHIHUANJINGWURANXIANGGUANJIBING。SHISHIHUANJINGWEISHENGHEYINYONGSHUISHUIZHIJIANCEXIANGMU,CHIXUYABOYOUXIWANGZHANGONGGONGCHANGSUOJIANKANGWEIHAIYINSUJIANCE,ZHANGWOZHONGDIANGONGGONGCHANGSUOZHUYAOJIANKANGWEIHAIYINSUHEJIANKANGFENGXIAN,ZUOHAOGONGGONGCHANGSUOWEISHENGGUANLI;CHIXUYABOYOUXIWANGZHANKONGQIWURAN(WUMAI)DUIRENQUNJIANKANGYINGXIANGJIANCE,ZHENDUIXINGYABOYOUXIWANGZHANJIANKANGFANGHUZHIDAO;YABOYOUXIWANGZHANNONGCUNHUANJINGWEISHENGJIANCE,PINGGUNONGCUNHUANJINGWEISHENGJIANKANGWEIHAIYINSUHEWEISHENGZHUANGKUANG;TISHENGCHENGXIANGYINYONGSHUISHUIZHIJIANCENENGLI,JIAQIANGSHUIZHIJIANCEHEGONGSHUIANQUANFENGXIANPINGGU,TONGGUOCHENGQUHENONGCUNCUNZHENYINYONGSHUISHUIZHIJIANCEWANGQUANFUGAI,ZHANGWOWOSHICHENGQUHENONGCUNYINYONGSHUISHUIZHIWEISHENGZHUANGKUANGJIQIBIANHUAQUSHI,GUIFANSHUIZHIXINXIGONGKAI,ZHIDAOGONGZHONGJIANKANGYINSHUIHEJIANKANGYONGSHUI。(SHIWEISHENGJIANKANGWEIQIANTOU,SHISHENGTAIHUANJINGJU、SHISHUIWUJU、SHISHICHANGJIANGUANJU、SHIZIYUANGUIHUAJU、SHIFAGAIWEIFENBIEFUZE)

21.CUJINDAOLUJIAOTONGANQUAN。ZHASHITUIJINDAOLUANQUANYINHUANPAICHAZHILI,SHENRUYABOYOUXIWANGZHANGONGLUSUIDAO、ZHANGDAXIAPO、JIWANDOUPO、CHENGXIANGJIEHEBU、XINXIUDAOLUDENGZHONGDIANLUDUANDEANQUANYINHUANPAICHAGONGZUO,JIADAZIJINTOURU,XIAOCHUANQUANYINHUAN。TIGAODAOLUJIAOTONGANQUANSHESHIJIANSHEDEKEXUEXINGHEQIANZHANXING,YANGELUOSHIJIAOTONGANQUANSHESHIYUDAOLUJIANSHEZHUTIGONGCHENGTONGSHISHEJI、TONGSHISHIGONG、TONGSHITOURUSHIYONGDE“SANTONGSHI”ZHIDU。SHENRUMOPAISHULIDUDIANLUANDIAN,QIESHIJIAQIANGZHILI,GAISHANMANXINGJIAOTONGHUANJING,WANSHANMANGDAO、CANJIRENLUNYITONGDAOSHESHIJIANSHE,TISHENGGONGLUANQUANGUANKONGNENGLISHUIPING。CHIXUYABOYOUXIWANGZHANJIAOTONGWEIFA、ZHONGXIAOXUEYOUERYUANXIAOCHEANQUANDENGZHUANXIANGZHENGZHIXINGDONG。TUIJINJINGBAOHEZUOQUANDAOZHANJIANSHEHESHITIHUAYUNXING,TUIJINNONGCUNJIAOTONGANQUANGUANLIXINXIXITONGJISHOUJIAPPYINGYONG,TUIGUANGSHISHI“LUZHANGZHI”,CHONGFENFAHUI“LIANGZHANLIANGYUANYIZHANG”ZUOYONG。SHENHUA“QIANDENGWANDAI”SHIFANGONGCHENGJIANSHE。DALIYABOYOUXIWANGZHANJIAOTONGANQUANXUANCHUANJIAOYU,CHIXUTISHENGQUNZHONGJIAOTONGANQUANWENMINGYISHI。(SHIGONGANJUQIANTOU,SHIJIAOTONGJU、SHICHENGGUANJU、SHIWEIXUANCHUANBU、SHIJIAOYUJU、SHINONGYENONGCUNJUFENBIEFUZE)

22.WEIHUSHI(CHE)NEIHUANJINGJIANKANGANQUAN。JIAQIANGZHUANGSHIZHUANGXIUCAILIAO、RIYONGHUAXUEPIN、ERTONGWANJUHEYONGPINDENGXIAOFEIPINDEANQUANXINGPINGJIA,JUJIAOZHONGDIANCHANGSUO,ZUZHI“BAXIANGSHI”JIANDUCHOUCHA。JIADADUICHOUCHABUHEGECHANPINCHUZHILIDU,ZHONGDIANDUCUQIYELUOSHIZHILIANGANQUANZHUTIZEREN。JUJIAOZHONGDIANXIAOFEIPIN,WANSHANCHANPINFENGXIANJIANCETIXI。TUIDONGMULUNEIXIAOFEIPINLVSECHANPINRENZHENG,QIANGHUAZHONGDIANLINGYUZHILIANGANQUANJIANGUAN,JIANSHAOBUHEGEXIAOFEIPINZAOCHENGDESHANGHAI。

JIAQIANGJIANSHEGONGCHENGZHILIANGGUANLIHESHIGONGXIANCHANGZHUANGSHIZHUANGXIUCAILIAOCHOUJIANCHOUCHA。CHANGDAOJUMINGOUMAIDAIYOULVSEBIAOZHIDEZHUANGSHIZHUANGXIUCAILIAO、JIAJUHEDAIYOUJIENENGBIAOSHIDEJIADIANCHANPIN,JIANGDIZHUANGSHIZHUANGXIUCAILIAOZAOCHENGDESHINEIKONGQIWURAN。TUIJIN“QUANZHUANGXIU”ZHUZHAIJIANSHE,TUIDONGGEXINGHUAZHUANGXIUHECHANYEHUAZHUANGXIUXIANGTONGYI,JIAKUAITUIJINJIANZHUZHUANGSHIJIENENGYULVSEFAZHAN。DUIYUXINZHUANGXIUDEFANGJIANYINGZENGJIATONGFENGHUANQIPINLV,JIANGDIZHUANGSHIZHUANGXIUCAILIAOZAOCHENGDESHINEIKONGQIWURAN。CHANGDAOJUMINDINGQIQINGXIHUOGENGHUANJIAYONGKONGDIAOJILVWANG、YINSHUIJILVXIN、KONGQIJINGHUAQILVWANG,DINGQIJIANCHA、WEIHUBIGUAGUOLU、RANQIZAOJIYOUYANJI。GULIJUMINGENJUSHIJIXUYAO,XUANGOUSHIYIPAILIANGDEQICHE,BUJINXINGFEIBIYAODECHENEIZHUANGSHI,ZHUYITONGFENGBINGJISHIQINGXICHEYONGKONGDIAOXITONG。(SHISHICHANGJIANGUANJUQIANTOU,SHIGONGXINJU、SHIZHUJIANJUFENBIEFUZE)

(QI)ZHONGYIYAOJIANKANGCUJINXINGDONG

23.提升中医药服务能力。合理规划布局全市中医药资源,落实土地供给等配套政策,增加中医药资源供给。坚持以提供中医药服务为主的办院模式,推进公立中医医院提标建设,加快补齐短板,促进医疗资源均衡分布。以中医优势专科专病为重点,培育发展中医临床重点专科,建设国家(省级)区域中医诊疗中心。加强基层中医医疗机构建设,大力推广中医适宜技术和非药物疗法。完善有利于中医药健康发展的政策体系,稳定和健全医保支付方式对中医药的支持力度,促进中医药在分级诊疗、签约服务等方面发挥优势作用。到2022年,建成国家区域中医(肛肠、风湿病)诊疗中心,所有区县举办公立中医医院,社区卫生服务中心和镇卫生院全部建成中医综合服务区,提供中医非药物疗法比例达到100%,村卫生室提供中医非药物疗法的比例达到70%,三级中医医院全部设置康复科。2030年,85%的区县中医医院达到二级甲等标准,村卫生室提供中医非药物疗法的比例达到80%,全面建成覆盖城乡、分工明确、功能互补、密切协作的中医药医疗服务网络。(市卫生健康委牵头,市资源规划局、市住建局、市发改委、市财政局、市市场监管局、市医疗保障局、市行政审批局分别负责)

24.实施中医治未病工程。针对重点人群、慢病患者亚博游戏网站治未病服务与研究,形成并推广干预方案。鼓励中医门诊部和基层医疗卫生机构亚博游戏网站治未病服务。发展中医养生保健服务,规范中医养生保健机构。做好中医药健康管理,发挥中医药在慢性病防治、孕产妇保健等方面作用。亚博游戏网站中医药科普知识进社区、进学校、进机关、进企业、进家庭活动,传播中医药文化、中医养生保健技术和方法,提高中医药健康知识普及率。发展中医药养生保健、特色康复、健康养老和健康旅游等相结合的健康服务新业态,建设中医养生保健和特色康复服务示范基地、中医医养结合示范单位、中医药健康旅游示范基地。2022年,建成市级中医治未病中心,二级以上中医医院全部设置治未病科室,有条件的综合医院和妇幼健康服务机构亚博游戏网站中医特色治未病服务。到2030年,市级中医治未病中心功能定位明晰、服务规范,二级以上中医医院规范设置治未病科室的比例100%。(市卫生健康委牵头,市发改委、市财政局、市委文明办、市教育局、市民政局、市文化旅游局、市市场监管局、市体育局、市行政审批局、市科技局、市残联分别负责)

25.深化中医药传承创新。推进市级中医药临床研究基地和科研机构建设。挖掘整理民间中医特色诊疗、传统中药技术,全面继承国家、省、市名(老)中医学术思想、诊疗经验,推进成果转化应用。健全中医药人才评价激励机制,完善与职称评审、评优评先等挂钩的中医师带徒制度,推荐优秀中医药人才入选国家和省级人才计划。以国家和省、市名(老)中医工作室和重点专科为依托,加强中青年骨干人才培养。建立跨部门、多学科共同参与的中医药协同创新机制,亚博游戏网站重大疾病、传染性疾病等中西医临床协同攻关,形成并推广一批疗效显著的治疗方案、技术成果。加快提升重点研究室、流派传承工作室科研能力。加强秦岭中药材资源保护与开发,建设中药材规范化生产基地。鼓励中药企业与医疗机构、高校院所合作,针对中医优势病种,挖掘经典名方,开发中药新药,推动疗效确切、临床价值高的中药创新药研发和产业化。落实中药质量安全监管制度,加大对制假制劣行为责任的追究力度。到2022年,中西医结合协同治疗重大疾病、传染性疾病机制趋于完善,中医药人才队伍建设得到加强。到2030年,中医药传承创新能力显著提升,建成10个省、市级中医学术流派传承工作室,争10个省级中医药重点研究室,亚博游戏网站中医药重大病种协同创新研究。(市卫生健康委牵头,市资源规划局、市财政局、市人社局、市工信局、市农业农村局、市市场监管局、市科技局分别负责)

(BA)FUYOUJIANKANGCUJINXINGDONG

26.TISHENGFUYOUBAOJIANFUWUSHUIPING。JIJIYABOYOUXIWANGZHANQUXIAN(XIXIANXINQU、KAIFAQU)FUYOUJIANKANGFUWUJIGOUJICHUSHESHIHEFUWUNENGLIJIANSHE,GUANCHEBAOJIANYULINCHUANGXIANGJIEHEDEFANGZHEN,JIJIYABOYOUXIWANGZHANFUYOUBAOJIANLINCHUANGFUWU,TUIJINFUYOUJIANKANGJIGOUBIAOZHUNHUAJIANSHEHEGUIFANHUAGUANLI;CHONGFENLIYONGXINXIHUASHOUDUANJIAQIANGFUYOUJIANKANGCONGYERENYUANDEJISHUPEIXUNHEYEWUGUANLI。SHISHIMUYINGANQUANXINGDONGJIHUA,TUIXINGMUYINGANQUANWUXIANGZHIDU,YABOYOUXIWANGZHANRENSHENFENGXIANSHAICHAYUPINGGU,SHIXINGYUNCHANFUWUSEFENLEI、GAOWEIYUNCHANFUZHUANANGUANLI,WANSHANWEIZHONGYUNCHANFU、XINSHENGERJIUZHIZHUANZHENTIXI,SHIXINGSIWANGGEANBAOGAOHEYUETANTONGBAOZHIDU,BAOZHANGMUYINGANQUAN。JIAQIANGCHUSHENGQUEXIANYUFANGGANYU,WANSHANSANJIFANGKONGCUOSHI,JIJITUIXINGHUNYINDENGJIYUHUNYUJIANKANGJIAOYU“YIZHANSHI”FUWU,YABOYOUXIWANGZHANMIANFEIHUNQIANYIXUEJIANCHAHEYUNQIANYOUSHENGJIANKANGJIANCHA,SHISHIZENGBUYESUANYUFANGSHENJINGGUANQUEXIANXIANGMU,JIJILUOSHIMIANFEICHANQIANSHAICHAHEXINSHENGERJIBINGSHAICHAZHIDU,NULIJIANGDICHUSHENGQUEXIAN,TIGAOCHUSHENGRENKOUSUZHI。JIJIYABOYOUXIWANGZHANSHILINGFUNVLIANGAISHAICHA、ERTONGZAOQIFAZHANFUWU、PINKUNDIQUFUNVLIANGAIJIANCHAHEERTONGYINGYANGGAISHANDENGFUYOUJIANKANGCUJINXIANGMU,JIAQIANGTUOYOUJIGOUWEISHENGBAOJIANYEWUZHIDAO,CHIXUTIGAOFUYOUJIANKANGSHUIPING。(SHIWEISHENGJIANKANGWEIQIANTOU,SHICAIZHENGJU、SHIMINZHENGJU、SHIJIAOYUJU、SHIFUERGONGWEI、SHIFULIAN、SHICANLIANFENBIEFUZE)

(JIU)QINGSHAONIANJIANKANGCUJINXINGDONG

27.提升青少年身心健康水平。加强中小学卫生保健机构建设,按照标准和要求强化人员和设备配备,寄宿制中小学校或600名学生以上的非寄宿制中小学校配备专职卫生专业技术人员、600名学生以下的非寄宿制中小学校配备专兼职保健教师或卫生专业技术人员的比例、配备专兼职心理健康工作人员的中小学校比例符合要求。制定健康学校标准,加快健康学校示范建设。深化学校体育、健康教育教学改革,中小学普遍开设体育与健康教育课程,课程开课率达100%,中小学生每天校内体育活动时间不少于1小时。完善学校健康体检制度和学生体质健康监测制度。建立健全学生常见病监测和传染病预警网络,严格落实传染病防控措施。完善学校饮水安全保障工作,建立学生营养与健康监测评估制度,加强学校集体供餐食品安全和营养质量监管。加强托幼机构卫生保健服务,强化留守儿童教育、孤残儿童、艾滋病孤儿和流浪未成年人救助工作。

倡导中小学生每天在校外接触自然光1小时以上,小学生、初中生、高中生每天睡眠时间分别不少于10、9、8个小时。实施儿童青少年近视综合防控行动,亚博游戏网站分级分类视力健康服务与管理,推进近视综合干预,学校眼保健操普及率达到100%,倡导中小学生非学习目的使用电子屏幕产品单次不宜超15分钟,每天累计不宜超过1小时。健全学校心理教育、预防、咨询和危机干预体系,强化青少年网瘾预防与控制,促进青少年身心健康成长。实施农村义务教育学生营养改善计划,全面预防学生肥胖、营养不良、口腔疾病等,关爱青少年生殖健康,引导学生从小养成健康生活习惯。严格落实国家体育与健康课程标准,强化体育课和课外锻炼。到2022年和2030年,学生体质健康标准达标优良率分别达20%及以上30%及以上;全省儿童青少年总体近视率力争每年降低1个百分点以上,新发近视率明显下降。(市教育局牵头,市卫生健康委、市体育局、市水务局、市委网信办、市市场监管局、团市委分别负责)

(SHI)ZHIYEJIANKANGBAOHUXINGDONG

28.推进职业病危害源头治理。鼓励建设项目优先采用能有效防治职业病危害的技术、工艺、设备和材料,加强建设项目职业病防护设施“三同时”管理,认真亚博游戏网站尘肺病防治攻坚行动,重点在矿山及冶金、化工、建材等行业亚博游戏网站职业病危害专项治理及监督执法检查活动。亚博游戏网站重点职业病监测,对职业健康风险进行评估,及时调整和制定相应政策,适时亚博游戏网站职业病危害专项治理。深入亚博游戏网站工作场所职业病危害因素监测和专项调查,系统收集信息,加强“互联网+职业健康”信息化建设,实行动态监管,提高监管效率,提升用人单位职业健康的防护水平。到2022年2030年,重点行业的用人单位职业病危害项目申报率达到90%及以上;接尘工龄不足5年的劳动者新发尘肺病报告例数占年度报告总例数的比例实现明显下降并持续下降。(市卫生健康委牵头,市发改委、市工信局、市大数据局、市国资委、市生态环境局分别负责)

29.JIAQIANGZHIYEBINGFANGZHITIXIJIANSHE。JIANLIWANSHANSHI、QUXIANLIANGJIFANGZHIJIGOU、JISHUZHICHENGTIXI、JIANGUANTIXIJIANSHEHEZHUANYERENCAIDUIWUJIANSHE,BUDUANTIGAOYEWUSUZHIHENENGLI。DAO2022NIANHE2030NIAN,XIAQUZHIYEJIANKANGJIANCHAHEZHIYEBINGZHENDUANFUWUFUGAILVFENBIEDADAO80%JIYISHANGHE90%JIYISHANG。JIANQUANZHIYEBINGWEIHAIYINSUJIANCE、JIANCEHEZHIYEBINGBAOGAOWANGLUO,ZHIYEBINGZHENDUANJIGOUBAOGAOLVDADAO95%JIYISHANG。(SHIWEISHENGJIANKANGWEIQIANTOU,SHIFAGAIWEI、SHICAIZHENGJUFENBIEFUZE)

30.SHENHUAZHIYEBINGHUANZHEJIUZHUJIUZHIHUODONG。JIADAZHIYEBINGHUANZHEGONGSHANGBAOXIANBAOZHANGLIDU,JIJITUIJINGONGSHANGBAOXIANCANBAOKUOMIANXINGDONG,ZHONGDIANGUANZHUNONGMINGONGCANBAOQINGKUANG。DAO2022NIANHE2030NIAN,GONGSHANGBAOXIANCANBAORENSHUWENBUTISHENG,BINGYU2030NIANSHIXIANGONGSHANGBAOXIANFADINGRENQUNCANBAOQUANFUGAI。JIJIYABOYOUXIWANGZHANZHIYEBINGHUANZHEJIUZHIJIUZHU,ZHONGDIANDUIJUBEIYIZHENDUANWEIZHIYEXINGCHENFEIBING,DANWEICANJIAGONGSHANGBAOXIAN,QIEXIANGGUANYONGRENDANWEIYIBUCUNZAIDENGTESHUQINGXINGDEHUANZHE,JIYINQUESHAOZHIYEBINGZHENDUANSUOXUZILIAO、JINZHENDUANWEICHENFEIBINGDEHUANZHE,JIANGQIZHONGFUHEXIANGGUANBUMENYAOQIUDENARUJIUZHUFANWEI,TONGCHOUJIBENYIBAO、DABINGBAOXIAN、YILIAOJIUZHUSANXIANGZHIDU,ZUOHAOZIZHUCANBAOGONGZUO,QIESHIBAOZHANGLAODONGZHEQUANYI。DUIJIBENSHENGHUOYOUKUNNANDE,QUANMIANLUOSHISHENGHUOBANGFUCUOSHI。(SHIWEISHENGJIANKANGWEIQIANTOU,SHIMINZHENGJU、SHIRENSHEJU、SHICAIZHENGJU、SHIYILIAOBAOZHANGJUFENBIEFUZE)

31.YONGRENDANWEILUOSHIZHIYEBINGFANGZHIZHUTIZEREN。JIADAJIANGUANLIDU,DUCUYONGRENDANWEIYIFALVXINGFADINGZERENHEYIWU,ZHONGSHILAODONGZHEJIANKANGJIANHU,JIANLIWANSHANJIANKANGJIANHUDANGAN。JIAQIANGDUIQIYEFUZEREN、ZHIYEWEISHENGGUANLIRENYUANHELAODONGZHEDEZHIYEJIANKANGPEIXUN,YIFAGUIFANLAODONGYONGGONGGUANLI,TIGAOLAODONGZHEDUIBENGANGWEIZHUYAOWEIHAIJIFANGHUZHISHIDEZHIXIAOLV。LUOSHIZHIYEBINGWEIHAIXIANGMUSHENBAO、ZHIYEBINGWEIHAIYINSUJIANCE、JIANCEYUPINGJIAZHIDU,GONGZUOCHANGSUOZHIYEBINGWEIHAIYINSUJIANCELVDADAO85%JIYISHANG,JIECHUZHIYEBINGWEIHAIDELAODONGZHEZAIGANGQIJIANZHIYEJIANKANGJIANCHALVDADAO90%JIYISHANG。(SHIWEISHENGJIANKANGWEIQIANTOU,SHIRENSHEJU、SHIGUOZIWEI、SHIZONGGONGHUIFENBIEFUZE)

(SHIYI)LAONIANJIANKANGCUJINXINGDONG

32.JIANLIWANSHANLAONIANJIANKANGFUWUZHENGCE。JIANLIHEWANSHANJIANKANGJIAOYU、JIBINGZHENZHI、KANGFUHULI、ZHANGQIZHAOHU、ANNINGLIAOHUDENGLAONIANJIANKANGFUWUTIXI。JIAKUAIZHIDING《XIANSHIGUANYUSHENRUTUIJINYIYANGJIEHEFAZHANDEYIJIAN》HE《XIANSHILAONIANJIANKANGFUWUTIXIJIANSHESHISHIBANFA》。DAO2022NIAN,LAONIANJIANKANGXIANGGUANZHIDU、BIAOZHUN、GUIFANZHUBUJIANLI。(SHIWEISHENGJIANKANGWEIQIANTOU,SHIFAGAIWEI、SHIJIAOYUJU、SHIMINZHENGJU、SHICAIZHENGJU、SHIRENSHEJU、SHIYILIAOBAOZHANGJUFENBIEFUZE)

33.HELIPEIZHILAONIANJIANKANGFUWUZIYUAN。YOUHUALAONIANYILIAOWEISHENGZIYUANPEIZHI,JIJIFAZHANLAONIANYIYUAN、KANGFUYIYUAN、HULIYUANDENGYILIAOJIGOU。JIAQIANGLAONIANYIYUANHEZONGHEXINGYIYUANLAONIANYIXUEKEJIANSHE,DAO2022NIAN,ERJIJIYISHANGZONGHEXINGYIYUANSHELILAONIANYIXUEKEDEBILIDADAO50%YISHANG。SHISHISHEQUYIYANGJIEHENENGLITISHENGGONGCHENG,SHEQUWEISHENGFUWUZHONGXIN(ZHAN)、XIANGZHENWEISHENGYUANHUOSHEQUYANGLAOJIGOU、JINGLAOYUANLIYONGXIANYOUZIYUAN,NEIBUGAIKUOJIANYIPIYIYANGJIEHEFUWUSHESHI,ZHONGDIANWEISHINENGLAONIANRENTIGONGJIZHONGHUOJUJIAYIYANGJIEHEFUWU。NONGCUNDIQUKETANSUOXIANGZHENWEISHENGYUANYUJINGLAOYUAN、CUNWEISHENGSHIYUNONGCUNXINGFUYUANTONGCHOUGUIHUA,PILINJIANSHE。DAO2022NIAN,JICENGYILIAOWEISHENGJIGOUDEKANGFUHULICHUANGWEIZHANBIDA30%YISHANG。GULISHEHUILILIANGJUBANYIYANGJIEHEJIGOU,CAIQUGONGJIANMINYING、MINBANGONGZHUDENGFANGSHIZHICHISHEHUILILIANGWEILAONIANRENTIGONGDUOCENGCI、DUOYANGHUAYIYANGJIEHEFUWU。ZHICHISHEHUIBANDAXINGYIYANGJIEHEJIGOUZOUJITUANHUA、LIANSUOHUAFAZHANDAOLU。(SHIWEISHENGJIANKANGWEIQIANTOU,SHIFAGAIWEI、SHIMINZHENGJU、SHICAIZHENGJU、SHIZIYUANGUIHUAJU、SHIZHUJIANJU、SHINONGYENONGCUNJU、SHIYILIAOBAOZHANGJUFENBIEFUZE)

34.不断提升老年健康服务能力。加强健康教育,利用多种方式面向老年人及其照护者亚博游戏网站老年健身、老年保健、老年疾病防治和康复等健康教育活动,提高老年人健康素养。积极亚博游戏网站老年健康宣传周、老年健康大讲堂等活动。加强老年人健康管理和健康指导服务,促进老年人形成健康生活方式。实施老年人心理健康预防和干预计划,提供日常关怀和心理支持服务,加强老年严重精神障碍患者社区管理和康复治疗。认真落实70周岁以上老年人高龄保健补贴发放工作。落实老年人医疗服务优待政策,医疗机构普遍建立老年人挂号、就医绿色通道,优化老年人就医流程,为老年人看病就医提供便利服务。亚博游戏网站老年友善医疗卫生机构创建活动,推动医疗卫生机构亚博游戏网站适老化改造,亚博游戏网站老年友善服务。到2022年和2030年,65至74岁老年人失能发生率有所下降,65岁以上人群老年期痴呆患病率增速下降。深入推进医养结合服务,基层医疗卫生机构结合历次老年人健康体检结果,每年对辖区65岁及以上居家养老的老年人进行两次医养结合服务,内容包含血压测量、末梢血血糖检测、康复指导、护理技能指导、保健咨询、营养改善指导6个方面。对高龄、失能、行动不便的老年人进行上门服务。落实老年人中医药健康管理服务项目,建立完善老年健康服务体系。持续推进医养结合试点工作。(市卫生健康委牵头,市教育局、市民政局、市财政局、市文化旅游局、市体育局、市住建局分别负责)

35.着力建设老年友好型社会。优化老年人住行医养等环境,推动老年宜居环境建设,加强适老环境建设和改造,减少老年人意外伤害。2022年,建设一批示范性城乡老年友好型社区,形成老年人、家庭、社会、政府共同参与的良好氛围。(市卫生健康委牵头,市人社局、市住建局、市教育局、市民政局分别负责)

(SHIER)CANJIYUFANGJIANKANGXINGDONG

36.WEIHUCANJIRENJIANKANG。YUFANGCANJIDEFASHENG、JIANQINGCANJICHENGDU,BANGZHUCANJIRENHUIFUHUOZHEBUCHANGGONGNENG,CUJINCANJIRENPINGDENG、CHONGFENDICANYUSHEHUISHENGHUO。JIANQUANHEWANSHANKUABUMENHEZUODECANJIYUFANGTIXI、GONGZUOJIZHIHECANJIRENKANGFUFUWUTIXI,SHISHIXIANSHICANJIYUFANGXINGDONGJIHUA,YABOYOUXIWANGZHANQUANRENQUN、QUANSHENGMINGZHOUQIDEZHICANYINSUYUFANGHEZHICANJIBINGFANGKONG。ZHUYAOZHICANYINSUDEDAOYIDINGKONGZHI,CHUANRANXINGJIBING、DIFANGXINGJIBING、MANXINGBING、JIAOTONGSHIGU、GONGSHANGZHICANDENGZHONGDIANLINGYUHEJINGSHENJIBING、ERTONGSHAONIANDENGZHONGDIANRENQUNCANJIFASHENGLVDEDAOYOUXIAOKONGZHI。JIAQIANGJINGSHENBINGFANGZHI,PEIYANGJIANKANGSHENGHUOFANGSHI。QIANGHUACANJIYUFANGXUANCHUANJIAOYU,JIJIYABOYOUXIWANGZHANCANJIYUFANGRICANJIYUFANGXUANCHUANJIAOYUHUODONG,ZENGQIANGQUANSHEHUIDECANJIYUFANGYISHI。JIANGERTONGCANJICHUSHAI、CANJIRENKANGFUNARUJIBENGONGGONGFUWU。YOUXIAOKONGZHICANJIFAZHAN,YICANJIERTONGHECHIZHENGCANJIRENWEIZHONGDIAN,SHISHIJINGZHUNKANGFUXINGDONG。JIAQIANGCANJIRENKANGFUJIGOUGUIFANHUAJIANSHE,GAISHANCANJIRENYILIAOFUWU,QIANGHUAYILIAOJIGOUYUCANJIRENKANGFUJIGOUSHUANGXIANGZHUANZHENHEZUO,TUIDONGJICENGYILIAOWEISHENGJIGOUYOUXIANWEICANJIRENTIGONGQIANYUEFUWU。JIANSHEYIPIZHUANYEHUAGUGANKANGFUJIGOU,JIAQIANGZONGHEYIYUANKANGFUYIXUEKEHEKANGFUYIYUANJIANSHE。DAO2022NIAN,QUANSHIERJIYISHANGYILIAOJIGOUSHEZHIKANGFUYIXUEKEBILIDADAO90%;DAO2030NIAN,ERJIYISHANGYILIAOJIGOUSHEZHIKANGFUYIXUEKEBILIDADAO100%。TUIJINZHENGFUJIGUAN、GONGGONGFUWU、GONGGONGJIAOTONG、SHEQUDENGCHANGSUOHESHESHIWUZHANGAIGAIZAO,XINJIAN、GAIKUOJIANDAOLU、JIANZHUWUHEJUZHUQUDADAOGUOJIAWUZHANGAISHEJIGUIFANYAOQIU。QIANGHUAFANGMANGZHIMANGHEFANGLONGZHILONGGONGZUO。WANSHANPINKUNZHONGDUCANJIRENCANJIAJIBENYILIAOBAOXIANZHENGFUBUTIEZHENGCE。JIAQIANGCANJIRENKANGFUHETUOYANGSHESHIJIANSHE,DUI0—16SUICANJISHAONIANERTONGYUYIKANGFUJIUZHUHEFUZHUQIJUCHANGTAIHUASHIPEI。TIGAOSHIMINJIANKANGSUZHI,QUANMIANJIANCHENGXIAOKANGSHEHUI。(SHICANLIANQIANTOU,SHIMINZHENGJU、SHIWEISHENGJIANKANGWEI、SHIYILIAOBAOZHANGJU、SHINONGYENONGCUNJU、SHIZHUJIANJU、SHIZIYUANGUIHUAJU、SHICHENGGUANJU、SHIJIAOTONGJU、SHIWENHUALVYOUJU、SHISHANGWUJU、SHITIYUJUHEXIBUJICHANGJITUAN、ZHONGTIEXIANJUJITUANFENBIEFUZE)

(SHISAN)ZHONGDIANMANXINGBINGFANGZHIXINGDONG

37.心脑血管疾病防治。倡18岁以上成年人及高危人群定期监测血压、血糖、血脂,全面落35岁以上人群首诊测血压制度,亚博游戏网站超重肥胖、血压血糖增高、血脂异常等高危人群的患病风险评估和干预指导,做好高血压、糖尿病、血脂异常的规范化管理。鼓励、动员红十字会、急救中心、医疗机构和有资质的社会团体亚博游戏网站群众性应急救护培训,完善公共场所急救设施设备配备,普及心肺复苏等应急救护知识与技能。依托市第三医院、市第一医院成立脑血管病和心血管病防治中心,建立健全心脑血管疾病防治网络,以市第三医院为牵头医院完善全市脑卒中急救地图,以西安急救中心为中枢,打造胸痛救治高速通道网。推广心脑血管疾病防治适宜技术,提高院前急救、静脉溶栓、动脉取栓等应急处置能力。定期亚博游戏网站慢性病及危险因素监测,落实心脑血管事件登记报告制度,提供心脑血管疾病风险评估、健康教育以及综合干预等相关服务。到2022年和2030年,心脑血管疾病死亡率分别下降到291.7/10万和265.2/10及以下;30岁及以上居民高血压知晓率分别不低于55%和65%,高血压患者规范管理率分别不低于60%和70%,高血压治疗率和控制率持续提高。(市卫生健康委牵头,市发改委、市教育局、市财政局、市医疗保障局、市红十字会分别负责)

38.AIZHENGFANGZHI。QUANMIANTIGAOGEJIYILIAOWEISHENGJIGOUAIZHENGSHAICHA、ZONGHEGANYU、XUANCHUANJIAOYUHEHUANZHEGUANLINENGLI,ZHIDINGGONGZUOCHANGSUOFANGAIKANGAIZHINAN,BIANZHIAIZHENGFANGZHIZHISHIXUANCHUANSHOUCE,YABOYOUXIWANGZHANGONGZUOCHANGSUOZHIAIZHIYEBINGWEIHAIYINSUDEDINGQIJIANCE、PINGJIAHEGETIFANGHUGUANLIGONGZUO。YITUOSHIZHONGXINYIYUANCHENGLIAIZHENGFANGZHIZHONGXIN,ZAOSHAICHA、ZAOZHENDUAN、ZAOZHILIAO,JIANGDIAIZHENGFABINGLVHESIWANGLV,TIGAOHUANZHESHENGCUNZHILIANG。ZHIDINGQUANSHIAIZHENGSHAICHAHEZAOZHENZAOZHISHISHIFANGAN,YOUXUKUODAAIZHENGSHAICHAFANWEI。WANSHANZHONGLIUDENGJIBAOGAOJISIYINJIANCEDENGJICHUJIANCEGONGZUO,YOUXUKUODAAIZHENGLINCHUANGJIHUIXINGSHAICHA,TUIGUANGYINGYONGCHANGJIANAIZHENGZHENLIAOGUIFAN。ZHENDUIFABINGLVJIAOGAO、SHAICHASHOUDUANHEJISHUFANGANJIAOCHENGSHUDEJIEZHICHANGAIDENGZHONGDIANAIZHONG,TUIGUANGSHIYIAIZHENGSHAICHAJISHU,YABOYOUXIWANGZHANGUIFANXINGSHAICHA。JIAQIANGNONGCUNPINKUNRENKOUAIZHENGSHAICHAJIFUNVLIANGAISHAICHA,JIXUYABOYOUXIWANGZHANPINKUNRENKOUDABINGZHUANXIANGJIUZHI。CUJINJIBENYILIAOBAOXIAN、DABINGBAOXIAN、YILIAOJIUZHU、YINGJIJIUZHU、SHANGYEJIANKANGBAOXIANJICISHANJIUZHUDENGZHIDUJIANDEHUBULIANDONGHEYOUXIAOXIANJIE,JISHIJIANGFUHETIAOJIANDEKANGAIYAOWUNARUYIBAOMULU,JIANGDIAIZHENGHUANZHEJIUYIFUDAN。DAO2022NIANHE2030NIAN,ZONGTIAIZHENG5NIANSHENGCUNLVFENBIEBUDIYU43.3%HE46.6%。(SHIWEISHENGJIANKANGWEIQIANTOU,SHIFAGAIWEI、SHIMINZHENGJU、SHICAIZHENGJU、SHIYILIAOBAOZHANGJU、SHIZONGGONGHUIFENBIEFUZE)

39.慢性呼吸系统疾病防治。将肺功能检查纳40岁及以上人群常规体检内容,推行高危人群首诊测量肺功能制度。推动各级医疗机构,特别是社区卫生服务中心和乡镇卫生院配备肺功能检查仪等设备。依托市中心医院成立慢性呼吸系统疾病防治中心加强基层专业人员培训,提高医疗卫生机构肺功能检查能力。建立慢性呼吸系统疾病防治体系,探索亚博游戏网站慢阻肺患者健康管理。加大慢性呼吸系统疾病防治知识宣传,引导重点人群早防、早诊、早治。到2022年和2030年,70岁及以下人群慢性呼吸系统疾病死亡率下降到9.0/10万及以下和8.1/10万及以下,预期40岁及以上居民慢阻肺知晓率不低于15%和30%。(市卫生健康委牵头,市发改委、市科技局、市财政局、市医疗保障局分别负责)

40.TANGNIAOBINGFANGZHI。JIAQIANGTANGNIAOBINGFANGZHIZHISHIXUANCHUAN,YINDAOJUMINGUANZHUZISHENXUETANGSHUIPING,CUSHITANGNIAOBINGQIANQIRENQUNKEXUEJIANGDIFABINGFENGXIAN,ZHIDAOTANGNIAOBINGHUANZHEJIAQIANGJIANKANGGUANLI,YANCHIHUOYUFANGTANGNIAOBINGDEFASHENGFAZHAN。YITUOSHIDIJIUYIYUANCHENGLITANGNIAOBINGFANGZHIZHONGXIN,WANSHANTANGNIAOBINGYUFANGYUZHENZHIFUWUTIXI,YABOYOUXIWANGZHANXUETANGSHAICHAXINGDONG,ZUODAOZAOFAXIAN、ZAOGANYU。GUIFANTANGNIAOBINGHUANZHEHEGAOWEIRENQUNDEJIANKANGGUANLI。QIANGHUAJICENGYILIAOWEISHENGJIGOUFANGZHINENGLI,LUOSHITANGNIAOBINGFENJIZHENLIAOFUWUJISHUGUIFAN,CUJINTANGNIAOBINGJIBINGFAZHENGSHAICHABIAOZHUNHUAHEZHENLIAOGUIFANHUA,TIGAOTANGNIAOBINGHUANZHEHEGAOWEIRENQUNJIANKANGFUWUSHUIPING。DAO2022NIANHE2030NIAN,TANGNIAOBINGHUANZHEGUIFANGUANLILVFENBIEDADAO60%JIYISHANGHE70%JIYISHANG,18SUIJIYISHANGJUMINTANGNIAOBINGZHIXIAOLVFENBIEBUDIYU50%HE60%,TANGNIAOBINGZHILIAOLVHEKONGZHILVCHIXUTIGAO。(SHIWEISHENGJIANKANGWEIQIANTOU,SHIFAGAIWEI、SHICAIZHENGJU、SHITIYUJU、SHIKEJIJU、SHIYILIAOBAOZHANGJUFENBIEFUZE)

41.QIANGHUAKOUQIANGJIBINGFANGZHI。JIANLIJIANQUANKOUQIANGWEISHENGFUWUTIXI,ZHIDINGKOUQIANGJIBINGFANGZHIJISHUFANGAN,TICHUFANGZHIGUIHUA、JIHUA、KAOHEBIAOZHUN、KONGZHICELVEHEJIANYIDENG。TUIGUANGKOUQIANGJIBINGFANGZHISHIYIJISHU,YOUXIAOTISHENGKOUQIANGWEISHENGFUWUNENGLI。GUANGFANYABOYOUXIWANGZHANKOUQIANGJIANKANGXINGWEIPUJIHEKOUQIANGJIANKANGGUANLI,CHANGDAOJUMINMEITIANSHUAYA2CI。YABOYOUXIWANGZHANKOUQIANGJIBINGGAOWEIXINGWEIGANYU,YABOYOUXIWANGZHANJIANCEYUPINGJIA,TUIJINKOUQIANGJIANKANGGONGZUO。ZHENDUIXUELINGQIANERTONGJINXINGZHUANXIANGKOUQIANGJIBINGFANGZHIXUANCHUANJIAOYU,SHENRUXUEXIAO、SHEQUDUIERTONGJINXINGKOUQIANGJIANKANGJIANCHAJIYIZHEN,ZENGQIANGERTONGKOUQIANGBAOJIANYISHI,YABOYOUXIWANGZHANERTONGKOUQIANGJIBINGZONGHEGANYU,SHISHIWOGOUFENGBIHEJUBUYONGFU,JIANGDIERTONGHENGYAQUBINGHUANBINGLV,TIGAOERTONGKOUQIANGJIANKANGSHUIPING。DUIERTONGKOUQIANGJIBINGFANGZHIGONGZUOJINXINGGUOCHENGGUANLI、ZHILIANGPINGGUHEXIAOGUOPINGJIA,CHIXUGONGGUGONGZUOCHENGXIAO。(SHIWEISHENGJIANKANGWEIQIANTOU,SHIJIAOYUJU、SHIKEJIJU、SHISHICHANGJIANGUANJU、SHIYILIAOBAOZHANGJUFENBIEFUZE)

(SHISI)CHUANRANBINGFANGKONGXINGDONG

42.TUIJINDAQUYUJIANCEPINGTAIJIANSHE。QIANGHUASHIJIJIKONGJIGOUSHIYANSHINENGLIJIANSHE,WANSHANBINGYUANWEISHENGWUJIANCE、JIANDING、SHENGWUXINXIFENXIJISHUPINGTAITIXI,JIAQIANGJIANCEXINJISHUHEXINFANGFADECHUBEIYUYINGYONG,TISHENGCHANGJIAN、XINFA、SHURUJIHANJIANCHUANRANBINGKUAISUJIANCENENGLI。TUIJINYISHIJIJIKONGJIGOUSHIYANSHIWEIHEXIN、JUBEIHESUANJIANCENENGLIDEQUXIANJIJIKONGJIGOUWEIFUZHU、LINCHUANGJIGOUSHIYANSHIHEDISANFANGSHIYANSHIGONGTONGCANYUWANSHANDEXIETONGHUBUXINGDAQUYUJIANCEPINGTAIJIANSHE。(SHIWEISHENGJIANKANGWEIQIANTOU,SHIFAGAIWEI、SHICAIZHENGJU、SHINONGYENONGCUNJUFENBIEFUZE)

43.QUANMIANTISHENGWEISHENGYINGJINENGLI。YAOANZHAO“ZAOFAXIAN、ZAOBAOGAO、ZAOCHUZHI”DEYAOQIU,WANSHANCHUANRANBINGYIQINGHETUFAGONGGONGWEISHENGSHIJIANJIANCEXITONG,YIBUMINGYUANYINJIBINGHEYICHANGJIANKANGSHIJIANWEIZHONGDIAN,ZHENGHECHUANRANBING、ZHIYEBING、YINYONGSHUI、SHIPINANQUANDENGJIANCEXITONG,JIANQUANDUOQUDAOJIANCEYUJINGJIZHI。WANSHANCHUANRANBINGJIANCESHAODIANBUJU,ZAIYIYUAN、JICHANG、HUOCHEZHAN、QICHEKEYUNZHAN、XUEXIAODENGZHONGDIANCHANGSUOSHELIJIANCESHAODIAN,XINGCHENGDUODIANCHUFA、DONGTAILINGMINDEYUJINGYANPANMOSHI。JIAKUAIJIANSHETUFAGONGGONGWEISHENGSHIJIANFENGXIANYINHUANSHUJUKU,JIANQUANGONGGONGWEISHENGZHONGDAFENGXIANYANPAN、PINGGU、JUECE、FANGKONGXIETONGJIZHI,TIGAOYUCEYUJINGYUFANGNENGLI。JIAKUAIGOUJIANJIZHONGTONGYIGAOXIAODEGONGGONGWEISHENGYINGJIZHIHUITIXI,MINGQUEGEXIANGGUANBUMENZHIZE,JIANQUANHUISHANGYANPAN、FENJIXIANGYING、JIUYUANLIANDONGDENGJIZHI。JIAKUAIJIANLIGONGGONGWEISHENGZHUANJIAKU,FENJIFENLEIZUJIANWEISHENGYINGJIDUIWU,WANSHANYINGJIZHUANGTAIXIADONGYUANXIANGYING、QUYULIANDONGHERENYUANDIAOJIJIZHI,TISHENGXIANGYINGNENGLIHEXIAOLV。WANSHANXINXIZHIBAOXITONG,QIANGHUADIYISHIJIANDIAOCHAHESHIHEXIANQIKONGZHICUOSHITONGBUQIDONGJIZHI,JISHIFABUYIQINGXINXI。JIAQIANGYUQINGYANPANHEYINDAO,WANSHANGONGGONGWEISHENGSHEHUIXINLIGANYUTIXI,QIANGHUAXINLISHUDAOHEWEIJIGANYU。(SHIWEISHENGJIANKANGWEIQIANTOU,SHIFAGAIWEI、SHICAIZHENGJU、SHIYINGJIGUANLIJU、SHISHANGWUJU、SHIDASHUJUJU、SHITONGJIJU、SHICEHUIJU、XIANHAIGUANFENBIEFUZE)

44.实施重点传染病专病专防策略和寄生虫病防治工作。健全重大疾病防控联防联控、群防群控机制,动员全社会参与重大传染病防治工作。逐步建立重点传染病临床诊疗和质控中心。持续推进艾滋病、结核病等重点传染病精准防控。深化艾滋病防治“三个全覆盖”策略,推进艾滋病防控“六大工程”,探索创新艾滋病防控模式,持续减少艾滋病新发感染,2022年、2030年全人群的艾滋病感染率控制0.15%和0.20%以下。加强结核病患者发现、登记、报告、转诊、追踪、诊断治疗及全疗程的规范管理工作,全面提高病原学检测能力和耐多药结核病防治工作。肺结核发病率分别下降到50/10万以下和45/10万以下并得到有效控制。完善犬只管理,加强牲畜检验检疫,从源头管控,减少和避免狂犬病、布病等人畜共患传染病的发生。完善犬伤处置、艾滋病机会性感染、结核病等诊疗费用报销机制。防范输入性疟疾造成本地传播,维持消除疟疾状态。亚博游戏网站寄生虫病综合防控工作,降低农村寄生虫病流行区域人群感染率。(市卫生健康委牵头,市委宣传部、市发改委、市教育局、市民政局、市财政局、市医疗保障局、市扶贫办、市农业农村局、市公安局、团市委、市红十字会、西安海关分别负责)

45.GUIFANYIMIAOJIEZHONG。QUANMIANLUOSHIKUODAGUOJIAMIANYIGUIHUA,TISHENGYIMIAOLIUTONGHEYUFANGJIEZHONGGUANLISHUIPING,DALITUIJINYUFANGJIEZHONGXINXIHUAJIANSHEHEJIEZHONGMENZHENGUIFANHUAJIANSHE,JIANLIYUFANGJIEZHONGYICHANGFANYINGBUCHANGBAOXIANJIZHI。JIXUWEICHIWUJIHUIZHUANGTAI。CHANGDAOGAOWEIRENQUNJIEZHONGEV71YIMIAO、SHUIDOU、LIUGANYIMIAO。DAO2022NIANHE2030NIAN,YIXIANGZHEN(JIEDAO)WEIDANWEI,SHILINGERTONGMIANYIGUIHUAYIMIAOJIEZHONGLVBAOCHIZAI95%JIYISHANG。(SHIWEISHENGJIANKANGWEIQIANTOU,SHISHICHANGJIANGUANJU、SHIJIAOYUJU、SHICAIZHENGJUFENBIEFUZE)

(SHIWU)DIFANGBINGFANGKONGXINGDONG

46.落实地方病防治行动计划。完善医保政策,将大骨节病、氟骨症中重度和慢型克山3种常见慢性病纳入我市城镇职工基本医疗保险和城乡居民基本医疗保险门诊治疗慢性病补助范围,并将地方病重症患者纳入家庭医生签约服务范围。建立全市地方病患者信息档案,实现地方病监测、评价和患者治疗全覆盖。完成饮水型氟中毒、高水碘地区改水工程建设,确保改水工程良好运行;分类指导、科学补碘,在碘缺乏地区持续推广居民食用碘盐,在高碘地区推广无碘食盐。到2022年和2030年,地方病危害持续消除。(市卫生健康委牵头,市发改委、市医疗保障局、市工信局、市生态环境局、市水务局、市市场监管局、市商务局、市民政局、市残联分别负责)

(SHILIU)JIANKANGXIBAOSHIFANJIANSHEXINGDONG

47.深化健康细胞示范建设。坚持健康融入所有政策并建立持续推进机制。对健康西安行动中的倡导性指标,在健康细胞建设中予以落实。亚博游戏网站以问题为导向的健康需求调查,结合各类健康场所建设特点,不断丰富健康细胞建设的工作内核、方法和措施,优化健康服务,营造健康环境,构建健康社会,弘扬健康文化,强化监测评估,全面提高市民健康水平。到2022年,健康细胞建设广泛亚博游戏网站,形成一批具有典型示范作用的健康细胞。到2030年,健康细胞建设覆盖社会各个方面,健康服务落实到社会所有居民。到2022年和2030年,人均寿命分别达到77.7岁和78.5岁,人均健康预期寿命得到提高。

48.建设健康机关。明确有益健康的制度政策,建立持续推进工作机制。掌握机关人员健康基本状况,机关人员年体检率达90%以上。针对健康风险主要问题,实施有效指导干预,预防和控制过度疲劳和与工作相关疾病的发生,实施健康风险评价。营造健康教育氛围,培育文明健康文化,提升心理健康素养。推进无烟机关建设,掌握吸烟人群状况,所有室内公共场所、工作场所禁止吸烟。机关食堂、餐厅符合卫生规范,满足健康需求。完善健身设施,亚博游戏网站健身活动。到2022年机关事业单位健康水平不断提升,到2030年健康机关建设效应扩展到全社会。(市卫生健康委、市直机关工委分别负责)

49.JIANSHEJIANKANGJUNYING。JIANGJIANKANGYOUXIANLINIANRONGRUJUNYING,JIANSHEJIANKANGYINGYUAN。YABOYOUXIWANGZHANDUOXINGSHI、DUOTUJINGDEJIANKANGJIAOYU,DINGQIJINXINGJIANKANGJIANGZUO。WANSHANJIANSHENXUNLIANSHESHI,ZUZHIJIANKANGTIJIAN,TINENGDABIAOZHUANGKUANGFUHEBUDUIYOUXIAOLVXINGSHIMINGRENWUYAOQIU。CHUANGJIANWUYANJIEJIUJUNYING,JIANSHEJIANKANGSHITANG,CHANGDAOKEXUESHANSHI。YABOYOUXIWANGZHANXINLIJIANKANGCUJINHUODONG,SHISHIJIANKONGFENGXIANPINGJIA,SHISHIYOUZHENDUIXINGDEJIANKANGGUANLI。JIANSHEJIANKANGJUNYINGWENHUA,JIANLIJIANKANGXIAOWU,CUJINJUNYINGJIANKANGWENHUAFAZHAN。JIANQUANTUFAGONGGONGWEISHENGSHIJIANJUNDILIANFANGLIANKONGJIZHI,JIANLIJUNDILIANHEJIBINGYUFANGKONGZHIDENGJIANKANGWEIHUCUJINTIXI。(SHIWEISHENGJIANKANGWEI、XIANJINGBEIQUFENBIEFUZE)

50.建设健康社区。着力推进健康支持性环境建设,加强社区环境卫生综合整治;完善社区文化体育设施和健身场所,形成方便可及的文化娱乐和健身圈;亚博游戏网站社区健康教育和健康素养促进行动,引导居民养成“三减三健”等健康生活方式;落实基本公共卫生服务,以老年人、儿童、残疾人和慢性病患者为重点,亚博游戏网站家庭医生签约服务。鼓励兴建社区日间照料中心,亚博游戏网站老年人生活照料、短期托养等服务。重点做好经济困难、失能半失能老年人生活照料服务。2022年,社区健康环境有效改善,健康生活方式得到普及。2030年,健康服务保障更加完善,居民健康水平明显提升。(市卫生健康委、市民政局分别负责)

51.建设健康村庄。结合乡村振兴战略,以垃圾、污水、厕所革命为重点,亚博游戏网站农村村庄清洁行动。保障农村饮水安全,到2022年全面完成农村饮水安全巩固提升任务。亚博游戏网站农村生活垃圾和污水治理,加大农村改厕力度,推广适宜改厕技术产品。完善公共卫生服务体系建设,建立指导专家服务团队,定期进村服务。落实国家基本公共卫生服务项目,亚博游戏网站家庭医生签约服务,实施常见病、慢性病和地方病的有效管控。加强文化健身场所建设,亚博游戏网站文化体育活动,促进群众身心健康。(市卫生健康委、市农业农村局、市生态环境局、市水务局、市城管局分别负责)

52.JIANSHEJIANKANGXUEXIAO。JIAQIANGJIANKANGXIAOYUANZHUTIJIANSHE,YINGZAOJIANKANGCHENGZHANGHUANJING。JIAOXUEHESHENGHUOSHESHIBUJUHELI,JIAOSHI、SHITANG、SUSHE、CESUODENGSHEJI、BUJU、NEIBUPEIZHIFUHEGUOJIAXIANGGUANWEISHENGBIAOZHUN,ZHOUBIANSHEHUIWENHUAHUANJINGJIANKANGANDING。JIANLIXUEXIAOJIANKANGJIAOYUTUIJINJIZHI,JIANKANGKE、TIYUKEDADAOGUOJIAGUIDINGKESHI,YABOYOUXIWANGZHAN“SHISHENGJIANKANG、ZHONGGUOJIANKANG”ZHUTIJIANKANGJIAOYUHUODONG。YABOYOUXIWANGZHANXUESHENGTIZHIJIANCE,JIANLISHISHENGJIANKANGTIJIANHEJIANKANGGUANLIJIZHI,YOUZHENDUIXINGDISHISHIJIANKANGGUANLIGANYU。JIANSHEJIANKANGSHITANG,BAOZHANGSHISHENGSHIPINANQUAN。JIANLIZHONGDAANQUANSHIJIANYINGDUIYUAN,TIGAOJIANKANGFANGHUYISHIHENENGLI。JIAQIANGDUIXUESHENGJINSHI、YINGYANGBULIANG、CHAOZHONGFEIPANG、QUCHI、PINXUEDENGCHANGJIANBINGJICHUANRANBINGDEYUFANGKONGZHI。YABOYOUXIWANGZHANXINLIJIANKANGZHUTIHUODONG,TIGONGXINLIZIXUNBANGZHU。TONGGUOSHIFANJIANSHE,XIAOYUANSHISHENGJIANKANGSUYANGHETIZHIZHUNIANTIGAO,XINLIJIANKANGSUYANGZHUBUTIGAO。(SHIJIAOYUJU、SHIWEISHENGJIANKANGWEIFENBIEFUZE)

53.JIANSHEJIANKANGYIYUAN。JIANGJIANKANGLINIANRONGRUYIYUANGUIHUAJIANSHEHEGUANLIYUNYINGQUANGUOCHENG,ZHIDINGYOULIYUJIANKANGCUJINDEGONGZUOZHIDU,JIANLICHIXUTUIJINJIANKANGJIANSHEDEGONGZUOTIXI。TUIJINYIFANGJIEHE,JIANSHEYILIAOJIGOUJIANKANGJIAOYUYUJIANKANGCUJINPINGTAI,JIANGJIANKANGJIAOYUYUJIANKANGCUJINRONGRUYILIAOFUWU。DALIYINGZAOJIANKANGHEXIEZHENLIAOHUANJING,YIHURENYUANZHANGWOYUGANGWEIXIANGSHIYINGDEJIANKANGKEPUZHISHI,BINGZAIZHENLIAOGUOCHENGZHONGZHUDONGTIGONGJIANKANGZHIDAO。JIAQIANGYIYUANYUANGONGJIANKANGGUANLI,JIANLIJIANKANGJIANCHA、ZHIYEJIANKANGJIANHUHENIANXIUJIAZHIDU,YOUZHENDUIXINGDIYABOYOUXIWANGZHANJIANKANGGANYU,SHISHIDUIYIHURENYUANDEJIANKANGBAOHU。CHUANGJIANWUYANYIYUAN,JIANSHEJIANKANGSHITANG,TIGAOZHUYUANBINGRENHEYIYUANZHIGONGJIANKANGYINSHIGONGYINGFUWUZHILIANG。CHUANBOYIYUANJIANKANGWENHUA,CHUANDIJIANKANGLINIAN,CANYUSHEQUJIANKANGGONGYIHUODONG。(SHIWEISHENGJIANKANGWEIFUZE)

54.JIANSHEJIANKANGQIYE。JIANLIJIANKANGJIANCHAHEZHIYEJIANKANGJIANHUZHIDU,ZHANGWOQUANYUANJIANKANGJIBENZHUANGKUANG,YIJUCUNZAIWENTI,SHISHIGANYUXIAOGUOPINGJIA,LUOSHIJIANKANGGUANLIZEREN。JIANLIZHIYEBINGFANGZHIGUANLIZERENZHI,ZUODAOZERENDAOWEI、TOURUDAOWEI,JIANGUAN、FANGHUDAOWEI,YINGJIJIUYUANDAOWEI。JIAQIANGZHIYEANQUANJIAOYU,ZENGQIANGZHIYEJIANKANGFANGHUYISHI,FANGFANZHIYEWEIHAI,DINGQIZUZHIZHIYEJIANKANGJIANCHA,JIANLIZHIYEJIANKANGJIANHUDANGANBINGDINGQIYABOYOUXIWANGZHANPINGGU,CHANGJIANBING、MANXINGBINGHEZHIYEJIANKANGWEIHAIKONGZHIQUDEMINGXIANXIAOGUO。YABOYOUXIWANGZHANJIANKANGQIYESHIFANJIANSHE,TIGAOQIYEZHIGONGSHENTISUZHIHEZHIYEJIANKANGFANGHUYISHI。GAISHANZHIGONGGONGZUOHUANJING,WANSHANJIANSHENDUANLIANSHESHI,PEIYUJIANKANGWENHUA。JIANSHEJIANKANGSHITANG,CHANGDAOHELIYINSHI,XUANJIANGJIANKANGZHISHI,TIGONGJIANKANGFUWU,FANGFANMANXINGBINGFASHENG。CHANGDAOYONGRENDANWEIPINGXUAN“JIANKANGDAREN”,GULIQIYEJIANLIBAOHULAODONGZHEJIANKANGDEGONGJIANCAOZHIDU、JIANSHENZHIDU、WUYANDANWEIDENGXIANGGUANZHIDU。CHANGDAOJIANKANGGONGZUOFANGSHI,ZHENGQUEYUNYONGZIWOJIANKANGBAOHUCUOSHIFANGFANGONGZUOYALIZHENG、GUGEJIROUXITONGJIBINGHEZHIYEBINGDEFASHENG。(SHIWEISHENGJIANKANGWEI、SHIGONGXINJU、SHIGUOZIWEI、SHIZONGGONGHUI、SHIFULIANFENBIEFUZE)

55.JIANSHEJIANKANGJIATING。JIATINGCHENGYUANSHULIZIJISHIJIANKANGDIYIZERENRENDELINIAN,CANYUJIANKANGJIANSHE,JIAJUHUANJINGZHENGJIE,JIANYUESHIDU、LVSEDITAN、YIYUJIANKANG;JIANLIXIANDAIJIANKANGGUAN,BAOCHILIANGHAODEXINLISUZHI,DUANLIANLIANGHAODESHENTISUZHI,XIUYANGYOULIANGDEDAODESUZHI,JIJICANYUSHEHUIHUODONG,JIATINGGUANXIRONGQIA,LINLIHEMUXIANGCHU;YANGCHENGLIANGHAODESHENGHUOXINGWEIXIGUAN,ZHANGWOBIYAODEYUER、LAONIANRENZHAOHU、ZAIHAITAOSHENG、JIATINGJIJIUDENGZHISHIHEJINENG;ZHANGWOCHANGJIANJIBING、CHUANRANBINGFENGXIANYUJINGDEFANGKONGBAOJIANJINENG,LEJIEJIATINGYIBANYINGJIFANGHU、JIJIUDENGZHISHIHEJINENG;PEIBEIJIAYONGJIJIUBAO(HANSHILIANGDEXIANGGUANYAOPIN、TIWENJI、KOUZHAO、XIAODUJIZHIXUEBAOZHALEI,JIJIULIANXIDIANHUADENG);DINGQIJINXINGZIWOJIANKANGJIANCE,KEXUEJIUYI、HELIYONGYAO,JIANKANGXINGWEIXINGCHENGLVDEDAOTIGAO。(SHIWEISHENGJIANKANGWEI、SHIFULIAN、SHIHONGSHIZIHUIFENBIEFUZE)

(SHIQI)JIANKANGBAOZHANGWANSHANXINGDONG

56.JIANKANGFUWUTIXIJIANSHE

(1)GONGGONGWEISHENGTIXIJIANSHE

JIAQIANGGONGGONGWEISHENGJIGOUNENGLIJIANSHE。JIAKUAISHIGONGGONGWEISHENGZHONGXINXIANGMUJIANSHE,TUIJINGEQUXIANJIGEKAIFAQUJIKONGJIGOU、GONGGONGWEISHENGZHONGXINHEXIANJIYIYUANGANRANXINGJIBINGKEDENGKESHIJIANSHE,TIGAOSHI、QU(XIAN)LIANGJIJIGOUYIQINGCHUZHINENGLIHEJIUZHINENGLI。JIAKUAIJIANSHESHIZHONGXINXUEZHANXINYEWUPEIXUNZONGHELOU,TISHENGSHIZHONGXINXUEZHANKEYANHESHIYANSHIJIANCEJISHUSHUIPING。(SHIWEISHENGJIANKANGWEIQIANTOU,GEYOUGUANQUXIANZHENGFUJIGEYOUGUANKAIFAQUGUANWEIHUIFENBIEFUZE)

JIAQIANGJICENGJICHUSHESHIJIANSHE。SHISHIXINJIAN、GAIKUOJIANGONGCHENG,GAISHANJICENGYILIAOWEISHENGJIGOUYONGFANGTIAOJIAN,JIAKUAITUIJINCUNWEISHENGSHIGONGYOUHUAJIANSHEJINCHENG,QUEBAOJICENGJIGOUYEWUYONGFANGDABIAO、GONGNENGFENQUHELI。CHIXUTUIJINBIAOZHUNHUAJIANSHE,TISHENGJICENGYILIAOJIGOUDENEIHANJIANSHE,JIADAYIWURENYUANDEPEIXUNLIDU,TIGAOFUWUSHUIPING,MANZUJIBENYILIAOHEJIBENGONGGONGWEISHENGFUWUXUQIU,BUDUANTISHENGQUNZHONGJIUYIMANYIDU。(GEYOUGUANQUXIANZHENGFUJIGEYOUGUANKAIFAQUGUANWEIHUIFENBIEFUZE)

(2)YILIAOFUWUTIXIJIANSHE

GOUJIANZHENGHEXINGYILIAOWEISHENGFUWUTIXI。JIANCHISHIJIJIANZHONGXIN、XIANJITINENGLI、JICENGZHUWANGDI,GOUJIANSHENGSHILIANDONG、XIANXIANGCUNYITIHUADEYILIAOWEISHENGFUWUTIXIFAZHANJIZHI,QUANMIANJIANCHENGTIXIWANZHENG、FENGONGMINGQUE、GONGNENGHUBU、XIEZUOMIQIE、YUNXINGGAOXIAODEZHENGHEXINGYILIAOWEISHENGFUWUTIXI。

JIAQIANGWANZHENGDEYILIAOTIXIJIANSHE。ZENGJIAERTONG、FUCHAN、KANGFU、ZHONGLIU、LAONIANYIXUE、JINGSHENWEISHENGDENGBORUOZHUANKEZIYUANTOURU,WANSHANSHIJIZHONGLIU、XIONGWAIDENGZHUANKEYIYUANJIANSHE,JIAQIANGKANGFU、LAONIANBING、ZHANGQIHULI、MANXINGBINGGUANLI、ANNINGLIAOHUJIGOUDENGJIEXUXINGYILIAOJIGOUJIANSHE。

TUIJINGUOJIAJIQUYUYILIAOZHONGXINHESHENGJIQUYUYILIAOZHONGXINJIANSHE。SHISHISHIJIYIYUANZONGHENENGLITISHENGGONGCHENG,JIAKUAISHIERTONGYIYUANJINGKAIYUANQUXIANGMU、SHIHONGHUIYIYUANGAOTIEXINCHENGYUANQUXIANGMU、SHIDIYIYIYUANQIANJIANJIGAOXINQUGONGGONGWEISHENGZHONGXINXIANGMU、SHIDISANYIYUANDIERQIKUOJIANXIANGMU、SHIGONGGONGWEISHENGZHONGXINXIANGMU、SHIDIJIUYIYUANGAIKUOJIANXIANGMU、SHIZHONGYIYIYUANNANYUANQUXIANGMU、SHIZHONGXINYIYUANJINGKAIYUANQUXIANGMUDENGSHIJIZHONGDIANYIYUANXIANGMUJIANSHE。ZENGQIANGDUIXIAN、XIANGZHEN、CUNGEJIYILIAOWEISHENGJIGOUDEFUSHEDAIDONGZUOYONG,TUIDONGJIANSHESHIYUKANGFU、HULIDENGZHONGXIN。(SHIWEISHENGJIANKANGWEIQIANTOU,SHIFAGAIWEI、SHICAIZHENGJU、SHIZIYUANGUIHUAJU、SHIZHUJIANJU、SHISHENGTAIHUANJINGJU、GEYOUGUANQUXIANZHENGFUJIGEYOUGUANKAIFAQUGUANWEIHUIFENBIEFUZE)

ZHUANBIANYILIAOWEISHENGFUWUGONGJIMOSHI。TUIJINYILIAOLIANHETIJIANSHE,ZAICHENGQUZHONGDIANTUIDONGCHENGSHIYILIAOJITUANJIANSHE。YINDAOSANJIGONGLIYIYUANZHUBUJIANSHAOPUTONGMENZHEN,ZHONGDIANFAZHANWEIJIZHONGZHENG、YINANBINGZHENGZHENLIAO。

全面建立成熟完善的分级诊疗制度,形成基层首诊、双向转诊、上下联动、急慢分治的合理就医秩序。2022年,符合省情、市情的分级诊疗制度基本建立。2030年,各级各类医疗机构依照功能定位,建立成熟稳定的分工协作机制,形成成熟定型的分级诊疗制度。

TISHENGYILIAOFUWUSHUIPINGHEZHILIANG。TONGGUOSHIJIZHIKONGZHONGXIN,JIANLIFUGAIZHUYAOZHUANYEHEXUEKEDEYILIAOZHILIANGKONGZHIZHIBIAOTIXI,TUIJINYILIAOJIGOUJIANCHA、JIANYANJIEGUOHUREN。QUANMIANSHISHILINCHUANGLUJINGGUANLI,TIGAOZHENDUIZHONGDAJIBINGDEGUIFANHUAZHENLIAOYUGUANLISHUIPING。JIANSHESHI、XIANNAOZUZHONG、XIONGTONGZHONGXINLVSEJIUZHITIXI。CHIXUTUIJINGAISHANYILIAOFUWUXINGDONGJIHUA,TIGAOYILIAOFUWUTONGZHIHUACHENGDU。WANSHANCHENGSHIYIYUANDUIKOUZHIYUANJICENGYILIAOWEISHENGJIGOUZHANGXIAOJIZHI,TIGAOJICENGJIGOUYILIAOFUWUSHUIPING。

FAZHANJIANKANGCHANYE。JIAKUAIWANSHANJIANKANGCHANYEFAZHANZHENGCETIXI,YIJIANQUANZHILIANGBIAOZHUNTIXI、TISHENGZHILIANGKONGZHIJISHUWEIHEXIN,YIZHONGDAXIANGMUWEIYINLING,YITUOGELEIYOUZHIYILIAOJIJUQU、YIYAOCHANYEJIJUQU、ZHONGDIANSHENGTAIGONGNENGQU、YUNDONGXIUXIANCHANYEJIDI,FAZHANGELEIJIANKANGCHANYE,ZAIYILIAOFUWU、JIANKANGYANGLAO、JIANKANGXINXI、JIANKANGLVYOU、GAODUANYILIAOJIANKANGDENGFANGMIANFAZHANYIPIGUGANQIYEHEJIGOU。DALIFAZHANJIYUHULIANWANGDEJIANKANGFUWUYE,TUIJINJIANKANGYILIAOLINCHUANGHEKEYANDASHUJUYINGYONG,PEIYUZHIHUIJIANKANGXINXINGYETAI,ZENGQIANGXINXIJISHUDUIWEISHENGJIANKANGCHANYELINGYUDEZHICHENGNENGLI。ZHICHISHEHUILILIANGCANYUFAZHANYUNDONGXIUXIANCHANYE,YIHUWAIYUNDONG、SHANDIYUNDONG、SHUISHANGYUNDONGWEIZHONGDIAN,JIAQIANGYUNDONGXIUXIANSHESHI、YUNDONGXIUXIANJIDI、PINPAISAISHITIYUHETIYUZHIZAOYEJIQUNJIANSHE。JIAKUAIFAZHANJIANKANGSHIPINCHANYE,QIANGHUABIAOZHUNSHENGCHAN、LVSEGUANKONG、PINPAIYINLING,PEIYUYIPIJIANKANGTESEMINGPINCANYINHESHIPINQIYE。JIAQIANGWOSHICHUANTONGBAOJIANSHIPINPINPAIJIANSHE。JIAKUAIYIYAOQUANLINGYUTIZHIJIZHIGAIGE,YITUOSHINEIYIYAOLONGTOUQIYEHESHEHUILILIANGJIANLIYIPIYAOPIN、YILIAOQIXIE、XINXINGSHENGWUYIYAOCAILIAO、KANGFUBAOJIANCHANPINDENGYANFAZHONGXINHECHANYEJIDI,WANSHANYIYAOKEJICHENGGUOZHUANHUAJIZHI,SHANGSHIYIPIKEJIHANLIANGGAO、JUYOUGUOJIGUONEILINGXIANSHUIPINGDEXINXINGCHANPIN,TUIDONGWOSHIYIYAOQIYEZUODAZUOQIANG。TUIJINSHINEIYIYAOLIUTONGXINGYEZHUANXINGSHENGJI,XINGCHENGYIPIJUYOUGUONEIJINGZHENGLIDEKUASHIDAXINGYIYAOLIUTONGQIYE。TISHENGCHANYEZHILIANGBIAOZHUNSHUIPING,JIAKUAILVSEZHINENGZHIZAO,PEIYUXINSHANGYEMOSHI,CUJINYIYAOCHANYETIZHIZENGXIAOHEZHUANXINGFAZHAN。(SHIFAGAIWEI、SHIWEISHENGJIANKANGWEIQIANTOU,SHIKEJIJU、SHICAIZHENGJU、SHIRENSHEJU、SHITIYUJU、SHIGONGXINJU、SHISHICHANGJIANGUANJUFENBIEFUZE)

57.JIANKANGXINXIHUAJIANSHE

(1)建立健康信息服务平台。健全全民健康信息平台,完善电子健康档案、电子病历数据库和全员人口数据库、实现医疗服务、公共卫生服务、计划生育、医疗保障、药品供应保障和综合管理六大应用系统业务协同,建立基本完备的全民健康信息化机制。全面建立远程医疗专用体系,发展智慧健康医疗惠民服务,远程医疗覆盖市、县、乡医疗卫生机构。推进医疗卫生机构信息公开共享和健康档案向个人开放。2030年,健康信息化服务能力达到全国先进水平。

(2)TUIJIN“HULIANWANG+YILIAOJIANKANG”FUWU。GUIFANHETUIDONG“HULIANWANG+YILIAOJIANKANG”FUWU,CHUANGXINHULIANWANGYILIAOJIANKANGFUWUMOSHI,CHONGFENLIYONGCHUANDAISHI、ZHIRUSHIZHINENGJIANKANGJIANCESHEBEI,JIEHEYIDONGZHONGDUAN、GUDINGZHONGDUANDENGSHEBEI,TIGONGGEXINGHUAJIANKANGGUANLI、KANGFUYANGLAOFUWU,DAZAOGAODUANYILIAOJISHUHEGUANLIPINGTAI。JIANLIWANSHANZHANGSHANGYILIAOAPP,YOUXIAOGUIFANWANGLUOYUYUE,ZAIXIANZIXUN、WANGLUOZHIFU、YUANCHENGYILIAO、YUANCHENGJIANKANGJIAOYUPEIXUNDENGJIANKANGXINXIFUWU。YUNYONGXIANDAIXINXIJISHU、TUIJIN“HULIANWANG+FENJIZHENLIAO+YIBAOJIESUAN”,JIANGYOUZHIYILIAOZIYUANYANSHENZHIXIAN、XIANGYILIAOJIGOU,SHIXIANYOUZHIYILIAOZIYUANDEGONGXIANGYUYOUXIAOLIYONG,WEIRENMINQUNZHONGTIGONGYOUZHI、GAOXIAO、BIANJIEDEYILIAOFUWU。

(3)鼓励健康大数据开发应用。建立健全健康医疗数据共享机制,推进医疗健康大数据开放共享、深度挖掘和广泛应用。全面深化健康医疗大数据在健康服务、健康保障、临床科研、医药研发和行业管理等领域的应用,培育健康医疗大数据应用新业态。优化公立医院病种组合指数、药品指数、耗材指数等标准指数体系,健全与病种指数对应的医疗费用分级分类管理标准,探索建立每个单位病种指数对应的资源投入、成本结构等评价机制与方法。推进健康医疗大数据分级分类分域规范化应用,推动网络可信体系建设,加强健康医疗数据安全保障和患者隐私保护。到2030年,人人拥有规范化的电子健康档案和功能完善的居民健康卡,全面实现全民健康信息的规范管理和使用,满足公众个性化服务和精准化医疗的需要。(市卫生健康委牵头,市委网信办、市发改委、市大数据局、市财政局分别负责)

58.JIANKANGRENCAIDUIWUJIANSHE

(1)JIAQIANGJICENGYILIAOWEISHENGRENCAIDUIWUJIANSHE。ZHENGTITUIJINNONGCUNWEISHENG、SHEQUWEISHENG、JIBINGYUFANGKONGZHI、FUYOUBAOJIANDENGGELEIJICENGYILIAOWEISHENGRENCAIXIEDIAOFAZHAN,ZHICHIJICENGZAIGANGYISHENGTISHENGXUELICENGCI,JIESHOUTUOZHANPEIXUN。JIXUSHISHIJICENGYIXUERENCAIDINGXIANGZHAOPIN、NONGCUNDINGDANDINGXIANGMIANFEIYIXUESHENGPEIYANGXIANGMUHEJICENGYILIAOWEISHENGJIGOUQUANKEYISHITEGANGJIHUA,YINDAOYILIAOWEISHENGRENCAIDAOJICENGWEIQUNZHONGFUWU。JIXULUOSHIJICENGYILIAOWEISHENGRENCAIPINGJIAQINGXIEZHENGCE,JIAQIANGCUNYIDUIWUJIANSHE,JIANLICUNYISHOURUWENDINGZENGZHANGJIZHI。

(2)SHENHUAWEISHENGZHUANYEJISHURENCAIRENSHIGUANLIZHIDUGAIGE。ANXUSHEGANG,CHONGFENKAOLVDANWEIFAZHANXUQIU,KEXUEGUIHUAGANGWEIPEIZHI。HELITIGAOYILIAOWEISHENGJIGOU,TEBIESHIJICENGYILIAOWEISHENGJIGOUZHONGGAOJIGANGWEIBILI。LUOSHIYILIAOWEISHENGJIGOUYONGRENZIZHUQUAN,DUIGAOCENGCIRENCAIHETESHUJINQUEZHUANYERENCAIKEYIYOUXIANPINYONG,JIYUQIZHICHENGJINSHENGYUXINZIDAIYUXIANGYINGYOUDAI。ANYOUGUANGUIDINGHECHENGXU,KEYOUYONGRENDANWEIZIZHUGONGKAIZHAOPIN,NARUBIANZHINEIGUANLI。QUANMIANTUIXINGSHIYEDANWEIGONGZUORENYUANGANGWEIPINYONGZHI,XINGCHENGNENGJINNENGCHU、YOUZHONGXUANYOUDELINGHUOYUNXINGJIZHI。CHUANGXINYIWURENYUANSHIYONG、LIUDONGYUFUWUMOSHI,TUIJINYISHIDUODIANZHIYE,TUOKUANYIWURENYUANZHIYEFAZHANKONGJIAN。WANSHANYIWURENYUANRONGYUZHIDUYUJIANGCHENGZHIDU。

(3)JIANLISHIYINGYILIAOXINGYETEDIANDEXINCHOUZHIDU。LUOSHI“LIANGGEYUNXU”WANSHANJIXIAOGONGZIZONGLIANGHEDINGBANFA,HELIQUEDINGGEJIGELEIYILIAOWEISHENGJIGOUJIXIAOGONGZIZONGE,JIAKUAITUIDONGGONGLIYIYUANXINCHOUZHIDUGAIGE。KUODAGEDANWEIDEFENPEIZIZHUQUAN,CAIQUZAIJIXIAOGONGZIZONGLIANGNEIJIANGUGONGPING、FENPEIQINGXIEXIANGJIEHEDEFANGFA,HELIDIAOJIEBUTONGXUEKEHEZHUANYEDEXINCHOUDAIYUBIAOZHUN,JIANLIZIZHULINGHUODEFENPEIJILIJIZHI。LUOSHIGUOJIAYOUGUANTESHUGANGWEIJINTIEZHENGCE,DUOTUJINGTIGAOGEJINQUEZHUANYERENCAIGANGWEIDEXIYINLI。(SHIWEISHENGJIANKANGWEIQIANTOU,SHIRENSHEJU、SHIJIAOYUJUFENBIEFUZE)

SI、ZUZHIJIGOU

ZAISHIWEI、SHIZHENGFULINGDAOXIA,JIANKANGXIANJIANSHEGONGZUOWEIYUANHUI(YIXIAJIANCHENGWEIYUANHUI)TONGCHOUTUIJINJIANKANGXIANXINGDONGDEZUZHISHISHI、JIANCEHEKAOHEXIANGGUANGONGZUO。GENJUGONGZUOXUYAODINGQIHUOBUDINGQIZHAOKAIHUIYI,BAOKUOQUANTIHUIYI、ZHUANTIHUIYIHEBANGONGSHIHUIYI,JIJIYANJIUTUIJINJIANKANGXIANJIANSHEDEZHONGDAWENTI,XIEDIAOTUIDONGGEQUXIAN、XIXIANXINQU、GEKAIFAQUHEGEBUMENGONGZUOLUOSHI。WEIYUANHUIBANGONGSHISHEZONGHEXIEDIAOZU、YEWUZHIDAOZU、JIANCEPINGGUZU、XUANCHUANYINDAOZUHE17GEZHUANXIANGTUIJINGONGZUOZU。PINQINGXIANGGUANLINGYUZHUANJIAZUCHENGZHUANJIAZIXUNWEIYUANHUI,FUZEWEIJIANKANGXIANXINGDONGTUIJINSHISHITIGONGJISHUZHICHI。

WU、KAOHEPINGGU

ANZHAOJIANKANGZHONGGUO、JIANKANGSHANXIXINGDONGDEGONGZUOYAOQIU,TANSUOSHIJIANSHIYIWOSHISHIJIDEKAOHEFANGFA,ZHUBUGUDINGKAOHEZHIBIAOHECHENGXU。JIANCHIKEXUEGUIFANKAOHE,TIGAOKAOHEDEZHENDUIXINGHEYOUXIAOXING,LIJIEXINGSHIZHUYI、GUANLIAOZHUYI,BUZENGJIAJICENGFUDAN。

(YI)ZIWOPINGCHA。GEQUXIANZHENGFU、XIXIANXINQUJIGEKAIFAQUGUANWEIHUI、SHIJIGEBUMENGENJUNIANDUMUBIAORENWU,ZUZHIZICHA,YUMEINIAN12YUE5RIQIANJIANGBENNIANDUGEZHUANXIANGXINGDONGZHONGDIANRENWUWANCHENGQINGKUANGBAOWEIYUANHUIBANGONGSHI。

(ER)SHIDIHECHA。WEIYUANHUIZUJIANKAOHEZU,DUIGEQUXIANZHENGFU、XIXIANXINQUJIGEKAIFAQUGUANWEIHUI、SHIJIGEBUMENGEZHUANXIANGXINGDONGMUBIAORENWUWANCHENGQINGKUANGJINXINGSHIDIKAOHE。

(SAN)ZONGHEPINGJIA。KAOHEZUGENJUGEQUXIANZHENGFU、XIXIANXINQUJIGEKAIFAQUGUANWEIHUI、SHIJIGEBUMENZIPING、JIANCEPINGGUTIXISHUJUBIDUIYIJISHIDIHECHAQINGKUANG,DUIGEZHUANXIANGXINGDONGZHUYAOZHIBIAO、ZHONGDIANRENWUWANCHENGQINGKUANGJINXINGZONGHEKAOHEPINGJIA,XINGCHENGSHUMIANBAOGAO。

(SI)JIEGUOYUNYONG。JIANGKAOHEJIEGUONARUSHIZHENGFUDUIGEQUXIANZHENGFU、XIXIANXINQUJIGEKAIFAQUGUANWEIHUI、SHIJIGEBUMENZONGHEMUBIAOKAOHEZHIBIAOTIXI,ZUOWEIDUIGEJILINGDAOGANBUZONGHEKAOHEPINGJIA、GANBUJIANGCHENGSHIYONGDEZHONGYAOCANKAO。

LIU、GONGZUOYAOQIU

(YI)JIAQIANGZUZHILINGDAO。GEQUXIANZHENGFU、XIXIANXINQUJIGEKAIFAQUGUANWEIHUIYAOJIAQIANGZUZHILINGDAO,ANZHAOQUANSHIGONGZUOYAOQIU,JIEHEZISHENSHIJI,BIANZHISHISHIJUTIXINGDONGFANGAN,TONGCHOUZHUAHAOGEXIANGCUOSHILUODI,QUEBAOGEXIANGMUBIAORENWURUQIWANCHENG。SHIJIGEBUMENYAOTONGLIHEZUO、GEFUQIZE、XIHUACUOSHI,QIESHIBAJIANKANGRONGRUGEXIANGZHENGCEJUCUOZHONG,QUANMIANTUIJINJIANKANGXIANXINGDONG。

(ER)JIANQUANZHICHENGTIXI。GEQUXIANZHENGFU、XIXIANXINQUJIGEKAIFAQUGUANWEIHUIYAOCANZHAOSHIJIMOSHI,ZUJIANXIANGYINGDEGONGZUOJIGOU。CHENGLIZHUANJIAZIXUNWEIYUANHUI,WEIJIANKANGXIANXINGDONGTIGONGZHILIHEJISHUZHICHI。CHONGFENFAHUIXIANGGUANXINGYEXUEHUI、XIEHUIHEQUNTUANZUZHIYIJIQITASHEHUIZUZHIZUOYONG,ZHIDAO、ZUZHIJIANKANGCUJINHEJIANKANGKEPUGONGZUO。JIADAZHENGFUTOURU,JIANLIJIANQUANWENDINGDEJINGFEIBAOZHANGJIZHI,YINDAO、GULISHEHUIHEQIYETOUZIJIANKANGLINGYU。JIAQIANGJIANDUZHIFA,JIANLIYUNXINGYOUXIAODEZHILIANGSHENCHAJIZHI,BAOZHANGGEXIANGMUBIAOSHIXIAN。JIAQIANGXINXIZHICHENG,TUIJIN“HULIANWANG+YILIAOJIANKANG”TIXIJIANSHE,SHIXIANJIANKANGXIANGGUANXINXIHULIANGONGXIANG。

(SAN)GUANGFANXUANCHUANYINDAO。GEJIXUANCHUANBUMENPEIHEYEWUZHUGUANBUMEN、FADONGSHEHUILILIANGCANYUJIANKANGXIANXINGDONG,JIAQIANGXUANCHUANTUIGUANG、YULUNJIANDU、KEXUEYINDAOHEDIANXINGBAODAO。XIANRIBAOSHE、XIANGUANGBODIANSHITAIYAOBANHAOGELEIJIANKANGGONGYIXUANCHUANHEJIANKANGCUJINZHUANBAN、ZHUANLAN,TIGAOQUANSHEHUIDUIJIANKANGXIANXINGDONGDERENZHIDUHECANYUDU。SHICHENGGUANJU、SHITIYUJU、GEQUXIANZHENGFU、XIXIANXINQUJIGEKAIFAQUGUANWEIHUIYAOJIAQIANGJIANKANGGONGYUAN、JIANKANGZHANGLANGHEJIANKANGBUDAODENGJIANKANGZHICHIXINGHUANJINGJIANSHE,ZAIJIEDAO、GONGYUAN、GUANGCHANGDIANZIPINGSHEZHIJIANKANGXIANXUANCHUANNEIRONG;SHIGUIDAOJITUANYAOZAIDITIEZHANNEISHEZHIJIANKANGXUANCHUANNEIRONG,KAISHEJIANKANGZHUTIXUANCHUANZHUANLIE;XIANCHENGTOUJITUANYAOSHELIJIANKANGZHUTIXUANCHUANGONGJIAO、JIANKANGZHUTIXUANCHUANZHANPAI;GONGHUI、GONGQINGTUAN、FULIAN、HONGSHIZIHUI、JISHENGXIEDENGQUNTUANZUZHIJIQITASHEHUIZUZHIYAOJIJITUIDONGJIANKANGCUJINHEJIANKANGKEPUGONGZUO,DUOXINGSHI、DUOQUDAO、QUANFANGWEIYABOYOUXIWANGZHANXUANCHUAN,XINGCHENGTUIDONGJIANKANGXIANXINGDONGDELIANGHAOFENWEI。

附件:健康西安行动主要指标

附件

健康西安行动主要指标

领 域

序号

指标性质

健康西安行动目标

2022

2030

(一)健康知识普及行动

1

居民健康素养水平(%)

预期性

≥19

≥30

2

个人定期记录身心健康状况

倡导性

3

个人了解掌握基本中医药健康知识

4

居民掌握基本急救知识和技能

5

医务人员掌握与岗位相适应的健康科普知识,并在诊疗过程中主动提供健康指导

6

建立并完善健康科普专家库和资源库,构建健康科普知识发布和传播机制

约束性

实现

7

建立医疗机构和医务人员亚博游戏网站健康教育和健康促进的绩效考核机制

约束性

实现

(二)合理膳食行动

8

成人肥胖增长率(%)

预期性

持续减缓

9

居民营养健康知识知晓率(%)

比2019年提高10%

比2022年提高10%

10

孕妇贫血率(%)

<14

<10

11

5岁以下儿童生长迟缓率(%)

<7

<5

12

人均每日食盐摄入量(g)

倡导性

≤5

13

成人人均每日食用油摄入量(g)

25—30

14

人均每日添加糖摄入量(g)

≤25

15

蔬菜和水果每日摄入量(g)

≥500

16

每日摄入食物种类(种)

倡导性

≥12

17

成人维持健康体重

18.5≤BMI<24

18

每万人拥有营养指导员(名)

预期性

1

(三)全民健身行动

19

城乡居民达到《国民体质测定标准》合格以上的人数比例(%)

预期性

≥91

≥92.5

20

经常参加体育锻炼人数比例(%)

预期性

≥50

≥51

21

机关企事业单位积极亚博游戏网站工间操

倡导性

22

鼓励个人至少有1项运动爱好或者掌握一项传统运动项目,参加至少1个健身组织,每天进行中等强度运动至少半小时

倡导性

23

鼓励医疗机构提供运动促进健康的指导服务,鼓励引导社会体育指导员在健身场所等地方为群众提供科学健身指导服务,提高健身效果,预防运动损伤

24

鼓励公共体育场地设施更多更好地提供免费或低收费开放服务,符合条件的企事业单位体育场地设施全部向社会开放

25

城市慢跑步行道绿道的人均长度

(m/万人)

预期性

持续提升

26

每千人拥有社会体育指导员(人)

预期性

2.5

2.8

27

农村行政村体育设施覆盖率(%)

预期性

基本

全覆盖

≥100

(四)控烟行动

28

15岁以上人群吸烟率(%)

预期性

<24.5

<20

29

全面无烟法规保护人口比例(%)

预期性

≥30

≥80

30

个人戒烟,创建无烟家庭,保护家人免受二手烟危害

倡导性

31

领导干部、医务人员和教师发挥在控烟方面的引领作用

倡导性

32

鼓励企业、单位出台室内全面无烟政策,为员工营造无烟工作环境,为吸烟员工戒烟提供必要的帮助

倡导性

33

建成无烟党政机关

约束性

基本实现

持续保持

(五)心理健康促进行动

34

居民心理健康素养水平(%)

预期性

20

30

35

失眠现患率(%)

预期性

上升趋势减缓

36

焦虑障碍患病率(%)

预期性

37

抑郁症患病率(%)

预期性

38

成人每日平均睡眠时间(小时)

倡导性

7—8

39

鼓励个人正确认识抑郁和焦虑症状,掌握基本的情绪管理、压力管理等自我心理调适方法

倡导性

40

各类临床医务人员主动掌握心理健康知识和技能,应用于临床诊疗活动中

倡导性

41

精神科执业(助理)医师(名/10万人)

预期性

3.3

4.5

(六)健康环境促进行动

42

居民饮用水水质达标情况

预期性

明显改善

持续改善

43

居民环境与健康素养水平(%)

预期性

≥15

≥25

44

积极实施垃圾分类并及时清理,将固体废弃物主动投放到相应的回收地点及设施中

倡导性

45

防治室内空气污染,提倡简约绿色装饰,做好室内油烟排风,提高家居环境水平

倡导性

46

学校、医院、车站、大型商场、电影院等人员密集的地方应定期亚博游戏网站火灾、地震等自然灾害及突发事件的应急演练

倡导性

47

提高自身健康防护意识和能力,学会识别常见的危险标识、化学品安全标签及环境保护图形标志

倡导性

(七)中医药健康促进行动

48

中医医院设置治未病科室比例(%)

预期性

90

100

49

三级中医医院设置康复科比例(%)

约束性

85

90

50

镇卫生院、社区卫生服务中心提供中医非药物疗法的比例(%)

约束性

100

100

村卫生室提供中医非药物疗法的比例(%)

70

80

(八)妇幼健康促进行动

51

婴儿死亡率(‰)

预期性

≤5

≤4

52

5岁以下儿童死亡率(‰)

预期性

≤7

≤5

53

孕产妇死亡率(1/10万)

预期性

≤13

≤10

54

主动学习掌握出生缺陷防治和儿童早期发展知识

倡导性

55

主动接受婚前医学检查和孕前优生健康检查

倡导性

56

倡导0—6个月婴儿纯母乳喂养,为6个月以上婴儿适时合理添加辅食

倡导性

57

产前筛查率(%)

预期性

≥95

≥98

58

新生儿遗传代谢性疾病筛查率(%)

预期性

≥98

59

新生儿听力筛查率(%)

预期性

≥90

60

农村适龄妇女宫颈癌和乳腺癌筛查覆盖率(%)

预期性

≥80

≥90

(九)青少年健康促进行动

61

国家学生体质健康标准达标优良率(%)

预期性

≥20

≥30

62

全市儿童青少年总体近视率(%)

约束性

力争每年降低1个百分点以上

新发率明显下降

63

中小学生每天在校外接触自然光时间1小时以上

倡导性

64

小学生、初中生、高中生每天睡眠时间分别不少于10、9、8个小时

倡导性

65

中小学生非学习目的使用电子屏幕产品单次不宜超过15分钟,每天累计不宜超过1小时

倡导性

66

学校鼓励引导学生达到《国家学生体质健康标准》良好及以上水平

倡导性

67

符合要求的中小学体育与健康课程开课率(%)

约束性

100

(九)青少年健康促进行动

68

中小学生每天校内体育活动时间(小时)

约束性

≥1

69

学生眼保健操普及率(%)

约束性

100

70

寄宿制中小学校或600名学生以上的非寄宿制中小学校配备专职卫生专业技术人员、600名学生以下的非寄宿制中小学校配备专兼职保健教师或卫生专业技术人员的比例(%)

约束性

≥70

≥90

71

配备专兼职心理健康工作人员的中小学校比例(%)

约束性

80

90

(十)职业健康保护行动

72

工伤保险参保人数(亿人)

预期性

稳步提升

实现工伤保险法定人群参保全覆盖

73

接尘工龄不足5年的劳动者新发尘肺病报告病例数占年度报告总例数比例(%)

预期性

2019—2022年平均值较2015—

2018年平均值明显下降

持续下降

74

重点行业劳动者对本岗位主要危害及防护知识知晓率(%)

倡导性

≥90

持续保持

75

鼓励各用人单位做好员工健康管理,评选“健康达人”,国家机关、学校、医疗卫生机构、国有企业等用人单位应支持员工率先树立健康形象,并予以奖励

倡导性

76

对从事长时间、高强度重复用力、快速移动等作业方式以及视屏作业人员,采取推广先进工艺技术、调整作息时间等措施,预防和控制过度疲劳和工作相关肌肉骨骼系统疾病发生

倡导性

77

采取综合措施降低或消除工作压力

倡导性

78

辖区职业健康检查和职业病诊断服务覆盖率(%)

预期性

≥80

≥90

(十一)老年健康促进行动

79

65—74岁老年人失能发生率(%)

预期性

有所下降

80

65岁及以上人群老年期痴呆患病率(%)

预期性

增速下降

81

老年健康核心信息知晓率(%)

倡导性

不断提高

82

提倡老年人参加定期体检,经常监测呼吸、脉搏、血压、大小便情况,接受家庭医生团队的健康指导

倡导性

83

鼓励和支持老年大学、老年活动中心、基层老年协会、有资质的社会组织等为老年人组织亚博游戏网站健康活动

倡导性

84

鼓励和支持社会力量参与、兴办居家养老服务机构

倡导性

85

二级以上综合性医院设老年医学科比例(%)

预期性

≥50

≥80

86

养老机构以不同形式为入住老年人提供医疗卫生服务比例(%)

预期性

100

持续改善

(十二)残疾预防健康行动

87

二级以上医疗机构设置康复医学科比例(%)

预期性

90

100

(十三)重点慢性病防治行动

88

心脑血管疾病死亡率(1/10万)

预期性

≤291.7

≤265.2

89

总体癌症5年生存率(%)

预期性

≥43.3

≥46.6

90

70岁及以下人群慢性呼吸系统疾病死亡率(1/10万)

预期性

≤9.0

≤8.1

91

30—70岁人群因心脑血管疾病、癌症、慢性呼吸系统疾病和糖尿病导致的过早死亡率(%)

预期性

≤15.9

≤13.0

92

人群健康体检率(%)

倡导性

持续提高

93

18岁及以上成人定期自我监测血压,血压正常高值人群和其他高危人群经常测量血压

倡导性

94

40岁以下血脂正常人群每2—5年检测1次血脂,40岁及以上人群至少每年检测1次血脂,心脑血管疾病高危人群每6个月检测1次血脂

倡导性

(十三)重点慢性病防治行动

95

基本实现40岁及以上人群每年至少检测1次空腹血糖,糖尿病前期人群每6个月检测1次空腹或餐后2小时血糖

倡导性

96

基本实现癌症高危人群定期参加防癌体检

倡导性

97

40岁及以上人群或慢性呼吸系统疾病高危人群每年检查肺功能1次

倡导性

98

30岁及以上居民高血压知晓率(%)

预期性

≥55

≥65

99

高血压患者规范管理率(%)

预期性

≥60

≥70

100

高血压治疗率(%)

预期性

持续提高

101

高血压控制率(%)

预期性

持续提高

102

静脉溶栓技术亚博游戏网站情况

预期性

所有二级及以上综合公立医院卒中中心均亚博游戏网站

所有二级及以上医院卒中中心均亚博游戏网站

103

35岁及以上居民年度血脂检测率(%)

预期性

≥27

≥35

104

18岁及以上居民糖尿病知晓率(%)

预期性

≥50

≥60

105

糖尿病患者规范管理率(%)

预期性

≥60

≥70

106

糖尿病治疗率(%)

预期性

持续提高

107

糖尿病控制率(%)

预期性

持续提高

108

癌症防治核心知识知晓率(%)

预期性

≥70

≥80

109

高发地区重点癌种早诊率(%)

预期性

≥55

持续提高

110

乡镇卫生院、社区卫生服务中心提供中医非药物疗法的比例(%),村卫生室提供中医非药物疗法的比例(%)

约束性

100

100

70

80

111

鼓励亚博游戏网站群众性应急救护培训,取得培训证书的居民比例(%)

预期性

≥1

≥3

112

40岁及以上居民慢阻肺知晓率(%)

预期性

≥15

≥30

(十四)传染病防控行动

113

艾滋病全人群感染率(%)

预期性

<0.15

<0.2

114

5岁以下儿童乙型肝炎病毒表面抗原流行率(%)

预期性

<1

<0.5

115

肺结核发病率(1/10万)

预期性

<55

有效控制

116

提倡负责任和安全的性行为,鼓励使用安全套

倡导性

117

咳嗽、打喷嚏时用胳膊或纸巾掩口鼻,正确、文明吐痰

倡导性

118

充分认识疫苗对预防疾病的重要作用,积极接种疫苗

倡导性

119

以乡(镇、街道)为单位适龄儿童免疫规划疫苗接种率(%)

预期性

≥95

(十五)地方病防控行动

120

达到基本控制要求的包虫病流行县比例(%)

预期性

100

121

无输入性第二代继发病例及时诊断和治疗输入性疟疾病例(例)

预期性

不断提高

122

血吸虫病防治

预期性

123

燃煤污染型氟砷中毒、大骨节病和克山病危害

预期性

保持基本消除

124

饮水型氟砷中毒、水源性高碘危害

预期性

有效控制

(十六)健康细胞示范建设行动

125

健康细胞建设广泛亚博游戏网站

预期性

形成一批具有典型示范作用的健康细胞。

健康细胞建设覆盖社会各个方面,健康服务落实到社会所有居民。

(十七)健康保障完善行动

126

平均每千人口卫生技术人员数

预期性

9.92

13.58

127

每千常住人口执业(助理)医师数

预期性

2.6

3.0

128

平均每千人口注册护士数

预期性

4.76

8.5

129

远程医疗覆盖率(%)

预期性

50

100

健康水平

130

人均预期寿命(岁)

预期性

77.7

78.5

131

人均健康预期寿命(岁)

预期性

提高

显著提高









市政发[2021]1号.doc


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