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<p><strong>　　一、工作目標(biāo)</strong></p><p>　　在全市范圍全面推廣創(chuàng)建無煙醫(yī)療衛(wèi)生系統(tǒng)工作，至底，全市100%的衛(wèi)生行政部門和至少50%的醫(yī)療衛(wèi)生機構(gòu)要建成無煙單位，確保20__年實現(xiàn)衛(wèi)生行政部門和醫(yī)療衛(wèi)生機構(gòu)全面禁煙目標(biāo)。將無煙醫(yī)療衛(wèi)生系統(tǒng)創(chuàng)建工作與無煙日主題活動相結(jié)合，開展大眾媒體宣傳活動。底，市直醫(yī)療衛(wèi)生系統(tǒng)中，市衛(wèi)生局、市衛(wèi)生局衛(wèi)生監(jiān)督所、市婦幼保健院、市中心血站要建成符合《標(biāo)準》要求的無煙單位。</p><p><strong>　　二、創(chuàng)建時間：1月-12月</strong></p><p><strong>　　三、組織機構(gòu)</strong></p><p>　　市級成立市創(chuàng)建無煙醫(yī)療衛(wèi)生機構(gòu)工作組，負責(zé)全市創(chuàng)建無煙醫(yī)療衛(wèi)生機構(gòu)工作的方案制定、日常管理和監(jiān)督檢查等，由以下人員組成：</p><p>　　略</p><p><strong>　　四、主要工作任務(wù)</strong></p><p>　�、宸秶喝懈骷夅t(yī)療衛(wèi)生機構(gòu)，包括：</p><p>　　1.衛(wèi)生行政部門：市級、縣區(qū)級</p><p>　　2.醫(yī)療機構(gòu)：綜合醫(yī)院、�？漆t(yī)院、婦幼保健機構(gòu)</p><p>　　3.公共衛(wèi)生機構(gòu)：疾病預(yù)防控制中心、衛(wèi)生監(jiān)督所</p><p>　　4.社區(qū)衛(wèi)生服務(wù)中心（站）</p><p>　　5.鄉(xiāng)鎮(zhèn)衛(wèi)生院</p><p>　�、婀ぷ魅蝿�(wù)：</p><p>　　1.加強組織領(lǐng)導(dǎo)，完善制度化建設(shè)。</p><p>　�、鸥鲃�(chuàng)建單位成立控?zé)燁I(lǐng)導(dǎo)小組和工作小組，制定本單位控?zé)熞?guī)劃，設(shè)立控?zé)煿ぷ魅藛T，明確職責(zé)，建立機構(gòu)內(nèi)無煙單位創(chuàng)建工作制度。</p><p>　�、圃O(shè)立控?zé)煴O(jiān)督員和巡查員隊伍，完善落實監(jiān)督巡查工作制度。</p><p>　　⑶制定本單位無煙制度。參照國家頒布的標(biāo)準制定或完善本機構(gòu)無煙場所制定。選擇特定時間召開全體員工大會，公布無煙制度，正式啟動無煙單位創(chuàng)建活動。</p><p>　　2.開展現(xiàn)狀評估。了解本單位創(chuàng)建無煙機構(gòu)的準備狀態(tài)、現(xiàn)有資源以及員工的相關(guān)情況等�，F(xiàn)狀評估可參照《創(chuàng)建全面無煙醫(yī)院指南》執(zhí)行。</p><p>　　3.全面無煙環(huán)境建設(shè)。</p><p>　�、沤y(tǒng)一規(guī)范無煙環(huán)境布置。開展機構(gòu)內(nèi)無煙環(huán)境布置，統(tǒng)一規(guī)范禁煙標(biāo)識張貼。場所入口處有醒目禁煙標(biāo)識，大廳、候診室、病房、衛(wèi)生間、手術(shù)室等候門口等重點區(qū)域有明顯的禁煙標(biāo)識，室內(nèi)場所無吸煙區(qū)、吸煙室和煙具。</p><p>　�、圃O(shè)置室外吸煙區(qū)。有明顯引導(dǎo)標(biāo)識。</p><p>　�、情_展宣傳活動。張貼宣傳資料，利用機構(gòu)內(nèi)多種途徑宣傳本單位無煙制定，提高知曉率，促進無煙制度執(zhí)行。</p><p>　　⑷建立無煙環(huán)境監(jiān)督管理機制。將無煙環(huán)境納入機構(gòu)常規(guī)檢查，每月督導(dǎo)檢查，公布檢查結(jié)果，并調(diào)整控?zé)煷胧?/p><p>　�、砷_展知識競賽等多種形式的'控?zé)熤R宣傳活動。</p><p>　�、书_展機構(gòu)內(nèi)創(chuàng)建宣傳工作。利用已有的條件開展媒體、電子屏、電視、墻體廣告、櫥窗、板報等開展多種形式的創(chuàng)建宣傳工作和控?zé)熛嚓P(guān)知識。</p><p>　　4.開展全員戒煙技能、勸戒技巧等控?zé)熤R與技能的培訓(xùn)。提高職工控?zé)熤R水平，鼓勵和幫助職工戒煙。提高醫(yī)務(wù)人員提高戒煙服務(wù)的技能，主動提高戒煙服務(wù)。包括在問診中詢問吸煙史，鼓勵其戒煙。</p><p>　　5.開展過程和效果評估</p><p>　�、砰_展過程評估。評估內(nèi)容包括啟動會的情況、環(huán)境布置情況、監(jiān)督員工作情況、控?zé)熡媱潓嵤┣闆r、培訓(xùn)情況等。</p><p>　�、崎_展效果評估，創(chuàng)建效果符合全面無煙環(huán)境標(biāo)準。評價內(nèi)容包括場所內(nèi)二手煙暴露情況、員工健康指標(biāo)、員工戒煙比例增加、員工對吸煙和被動吸煙知識態(tài)度的改變情況等。</p><p><strong>　　五、督導(dǎo)檢查與評估</strong></p><p>　　㈠省級：衛(wèi)生廳委托創(chuàng)建無煙醫(yī)療衛(wèi)生機構(gòu)工作指導(dǎo)組（省健康教育所）對全省各州市衛(wèi)生行政部門創(chuàng)建無煙單位情況進行督導(dǎo)檢查，同時檢查督導(dǎo)全省各級醫(yī)療衛(wèi)生系統(tǒng)控?zé)煿ぷ鲌?zhí)行情況，采取聽取主管部門及相關(guān)機構(gòu)工作匯報、檢查檔案資料、現(xiàn)場考查（包括暗訪）等形式進行，時間6-11月。</p><p>　�、媸屑壓涂h級：市級和縣級衛(wèi)生行政部門組織有關(guān)人員對各地醫(yī)療衛(wèi)生機構(gòu)創(chuàng)建無煙單位情況進行逐級督導(dǎo)檢查，時間5-10月。</p><h2>衛(wèi)生機構(gòu)控?zé)煿ぷ饔媱?</h2> <p><strong>　　一、預(yù)期目標(biāo)</strong></p><p>　　（一）進一步落實衛(wèi)生部等四部門有關(guān)醫(yī)療衛(wèi)生系統(tǒng)全面禁煙的決定，加大明察暗訪力度，鞏固和發(fā)展無煙醫(yī)療衛(wèi)生系統(tǒng)建設(shè)成果。</p><p>　�。ǘ┻M一步強化大眾媒體控?zé)熜麄髁Χ�，廣泛開展吸煙具體危害的宣傳，提高公眾對吸煙危害的正確認識。</p><p><strong>　　二、主要工作內(nèi)容和干預(yù)活動</strong></p><p>　　（一）鞏固無煙醫(yī)療衛(wèi)生系統(tǒng)建設(shè)成果</p><p>　　1．自評自查</p><p>　　各醫(yī)療衛(wèi)生機構(gòu)要強化全體工作人員參與控?zé)煿ぷ鞯囊�，對本單位控�(zé)熐闆r進行自我評估，使用的評估表格《無煙醫(yī)療衛(wèi)生機構(gòu)評分表（20xx版）》和《醫(yī)療機構(gòu)吸煙狀況記錄表》。要求在7月底之前完成，并與本單位控?zé)煼桨浮⒄掌⒆栽u報告一并報區(qū)衛(wèi)生局愛衛(wèi)辦和區(qū)疾控中心慢病科，自評報告中應(yīng)闡述存在的問題及整改獎懲措施。</p><p>　　2、區(qū)級明察暗訪</p><p>　　區(qū)衛(wèi)生局將組織由愛衛(wèi)辦、區(qū)疾控中心、1個綜合醫(yī)院、2個社區(qū)衛(wèi)生服務(wù)中心的專家組成的檢查組，對全區(qū)無煙醫(yī)療衛(wèi)生系統(tǒng)建設(shè)的完善和鞏固情況進行明察暗訪，暗訪情況在全區(qū)醫(yī)療衛(wèi)生系統(tǒng)通報。暗訪內(nèi)容主要為機構(gòu)內(nèi)吸煙現(xiàn)象（包括有人吸煙、煙頭和煙味）、無煙環(huán)境布置、吸煙區(qū)的設(shè)置等，其中將加大對吸煙現(xiàn)象的扣分力度。無煙環(huán)境布置中，增加對機構(gòu)入口處的標(biāo)識的扣分項。</p><p>　　室外吸煙區(qū)的具體要求為：（1）有固定室外區(qū)域，有固定的盛放煙蒂和煙灰的地方，符合消防要求；（2）遠離建筑物的進出通道、建筑物的入口、提供餐飲服務(wù)的地方和衛(wèi)生間，遠離交樞紐，遠離主要人行道，遠離人群密集的地方；</p><p>　�。�3）有清晰明顯的吸煙區(qū)標(biāo)識和引導(dǎo)標(biāo)識，有條件的地方在吸煙區(qū)張貼健康警示，提醒吸煙和被動吸煙對健康的危害。</p><p>　　3.市級督導(dǎo)暗訪</p><p>　�。�1）市級督導(dǎo)。市級督導(dǎo)評估組由兄弟縣（市、區(qū)）、4-5人組成，7月底之前隨機督導(dǎo)檢查兩個辦事處（社區(qū)衛(wèi)生服務(wù)中心）和局屬各單位。</p><p>　　（2）市級暗訪</p><p>　　市衛(wèi)生局將對無煙醫(yī)療衛(wèi)生系統(tǒng)建設(shè)的完善和鞏固情況進行不定期暗訪，暗訪內(nèi)容與區(qū)級明察暗訪內(nèi)容相同。</p><p>　　全區(qū)各醫(yī)療衛(wèi)生機構(gòu)要不斷鞏固控?zé)煶晒�，確保市級督導(dǎo)暗訪取得好成績。市級督導(dǎo)結(jié)果將全市通報。</p><p>　　4．進一步加強對現(xiàn)有戒煙門診以及與煙草煙霧危害預(yù)防控制關(guān)系密切的.診室、病區(qū)（如心腦血管系統(tǒng)、呼吸系統(tǒng)等）的主管領(lǐng)導(dǎo)和醫(yī)護人員的培訓(xùn)指導(dǎo)，建立規(guī)范的戒煙門診制度，完善戒煙門診基本設(shè)施，為吸煙者提供規(guī)范的戒煙服務(wù)。所有三級醫(yī)院和二級醫(yī)院開展規(guī)范的簡短戒煙服務(wù)。</p><p>　�。ǘ┐蟊娒襟w傳播活動</p><p>　　1．制定大眾媒體控?zé)焸鞑ビ媱�，確定傳播人群和主題，充分利用各類媒體（包括廣播、電視、網(wǎng)絡(luò)、報紙等）和學(xué)校、社區(qū)、街道等宣傳欄，按照計劃廣泛而持續(xù)開展控?zé)煷蟊娒襟w宣傳。推薦的宣傳包括：</p><p>　�。�1）利用現(xiàn)有的視頻《二手煙，無形殺手（辦公室篇）》、《海綿肺》等，在電視或LED視頻連續(xù)播放至少一個月。</p><p>　�。�2）利用戶外廣告牌、海報等宣傳吸煙的具體危害，如吸煙引起中風(fēng)和心臟病、吸煙引起肺癌等。</p><p>　�。�3）在節(jié)假日期間，宣傳“送煙就是送危害”，積極營造“不送煙、不敬煙、不吸煙”的社會風(fēng)氣。</p><p>　�。�4）利用設(shè)計的吸煙相關(guān)危害展板在單位間（不限于醫(yī)療衛(wèi)生機構(gòu)）進行巡展，向各單位工作人員廣泛宣傳吸煙的危害。</p><p>　�。�5）結(jié)合世界無煙日等主題宣傳日活動，向市民宣傳吸煙和被動吸煙的具體危害。</p><p>　�。�6）在青少年中開展“拒吸第一支煙”、“被吸煙我不干”等專項宣傳活動，預(yù)防和減少青少年的主動吸煙行為和被動吸煙暴露。</p><p>　�。�7）結(jié)合“全民健康生活方式行動”和健康素養(yǎng)大巡講，深入社區(qū)，開展控?zé)煿嬷v座，倡導(dǎo)無煙家庭，創(chuàng)造室內(nèi)無煙環(huán)境。</p><p>　　2．定期收集廣播、電視、網(wǎng)絡(luò)、報紙等媒體對當(dāng)?shù)乜責(zé)煿ぷ�、吸煙危害等方面的宣傳，�?0xx年7月1日-20xx月6月30日期間的各類媒體報道于20xx年7月15日之前報送區(qū)衛(wèi)生局愛衛(wèi)辦和區(qū)疾控中心慢病科，參加“20xx-2013年度中國控?zé)煷蟊娒襟w傳播活動”，其中廣播報道提供音頻資料，電視報道提供視頻資料，網(wǎng)絡(luò)和報紙?zhí)峁┪淖仲Y料。</p><p><strong>　　三、時間進度安排</strong></p><p>　　1．20xx年6月15日之前，完成區(qū)級實施方案的制定和培訓(xùn)工作，并按照方案的要求組織開展無煙醫(yī)療衛(wèi)生機構(gòu)的建設(shè)和鞏固工作；</p><p>　　2．20xx年6月下旬-7月，組織完成交叉督導(dǎo)。按照市衛(wèi)生局交叉督導(dǎo)安排和要求，區(qū)衛(wèi)生局組建督導(dǎo)評估組，完成對接受督導(dǎo)評估的縣（市、區(qū)）的督導(dǎo)評估工作。</p><p>　　3．20xx年6-10月，在各醫(yī)療衛(wèi)生機構(gòu)自評自查的基礎(chǔ)上，通過區(qū)級明察暗訪，完成全區(qū)自評自查工作，按時上報相關(guān)材料。</p><p>　　4．20xx年6-10月，區(qū)組織對各醫(yī)療衛(wèi)生機構(gòu)的控?zé)煿ぷ髑闆r開展暗訪和督導(dǎo)。</p><p>　　5．20xx年10月20日前完成工作報告，報區(qū)疾控中心慢病科。</p><p>　　6．20xx年10月底之前，區(qū)疾控中心慢病科向區(qū)衛(wèi)生局愛衛(wèi)辦提交全區(qū)工作總結(jié)。</p><p>【衛(wèi)生機構(gòu)控?zé)煿ぷ饔媱潯肯嚓P(guān)文章：</p><p><a 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