Table 1 Workload and EV of each NEPHS in different areas (compared with a standard clinic visit)
Types | Service Contents | Unit | Mid-east Chinaa | Western China | ||
|---|---|---|---|---|---|---|
Workload (minutes) | Mean EV | Workload (minutes) | Mean EV | |||
Standard clinic visit | Family physician consulting with patient | per person | 15.0 | 1.0 | 15.0 | 1.0 |
Health records management service | Establish residents’ health records | per person | 30.0 | 2.0 | 37.5 | 2.5 |
Update of residents’ health records | per person | 7.5 | 0.5 | 12.0 | 0.8 | |
Health education | Make annual implementation plan of health education | per time | 720.0 | 48.0 | 1170.0 | 78.0 |
Set up health education bulletin board | per time | 373.5 | 24.9 | 720.0 | 48.0 | |
Public health consultation activities | per time | 669.0 | 44.6 | 135.0 | 9.0 | |
Public health knowledge lecture | per time | 463.5 | 30.9 | 480.0 | 32.0 | |
Immunizations | Establish vaccination file | per person | 9.0 | 0.6 | 10.5 | 0.7 |
Vaccination service | per visit | 16.5 | 1.1 | 16.5 | 1.1 | |
Handling of suspected abnormal vaccination reaction | per visit | 18.0 | 1.2 | 6.0 | 0.4 | |
Health services for children aged 0 to 6 years | Family visit of newborn | per visit | 118.5 | 7.9 | 52.5 | 3.5 |
42 days follow-up | per visit | 72.0 | 4.8 | 51.0 | 3.4 | |
Infant physical examination | per visit | 30.0 | 2.0 | 16.5 | 1.1 | |
Physical examination of preschool children | per visit | 30.0 | 2.0 | 69.0 | 4.6 | |
Maternal health services | Early pregnancy health management | per visit | 54.0 | 3.6 | 37.5 | 2.5 |
Health management in the second trimester | per visit | 40.5 | 2.7 | 27.0 | 1.8 | |
Health management in late pregnancy | per visit | 42.0 | 2.8 | 27.0 | 1.8 | |
Postpartum visit | per visit | 81.0 | 5.4 | 30.0 | 2.0 | |
42 days postpartum health examination | per visit | 42.0 | 2.8 | 28.5 | 1.9 | |
Elderly people’s health services | Physical examination for the elderly | per person | 39.0 | 2.6 | 34.5 | 2.3 |
Health guidance for the elderly | per person | 12.0 | 0.8 | 6.0 | 0.4 | |
Health services for patients with hypertension | Screening of patients with hypertension | per person | 39.0 | 2.6 | 24.0 | 1.6 |
Follow up evaluation and classified intervention of hypertension patients | per visit | 36.0 | 2.4 | 36.0 | 2.4 | |
Health examination for patients with hypertension | per person | 42.0 | 2.8 | 34.5 | 2.3 | |
Health services for patients with type II diabetes | Diabetes screening | per person | 42.0 | 2.8 | 31.5 | 2.1 |
Follow up evaluation and classified intervention of diabetic patients | per visit | 36.0 | 2.4 | 37.5 | 2.5 | |
Physical examination of diabetic patients | per person | 42.0 | 2.8 | 37.5 | 2.5 | |
Health services for patients with severe mental illness | Information management of patients with severe mental illness | per person | 108.0 | 7.2 | 79.5 | 5.3 |
Follow up evaluation and classified intervention of severe mental illness | per visit | 72.0 | 4.8 | 42.0 | 2.8 | |
Physical examination for severe mental illness | per person | 66.0 | 4.4 | 43.5 | 2.9 | |
Reporting and management of infectious diseases and public health emergencies | Discovery and registration of infectious diseases and public health emergencies | per time | 114 | 7.6 | 21.0 | 1.4 |
Report and handling report of infectious diseases and public health emergencies | per time | 121.5 | 8.1 | 7.5 | 0.5 | |
Health management with Chinese medicine | Recognition of TCM constitution (aged over 65) | per visit | 30.0 | 2.0 | 27.0 | 1.8 |
Health care guidance of traditional Chinese medicine (over 65 years old) | per visit | 15.0 | 1.0 | 13.5 | 0.9 | |
Chinese medicine health guidance for children (6, 12, 18, 24, 30, 36 months old) | per visit | 24.0 | 1.6 | 21.0 | 1.4 | |
Health supervision assistance services | Food safety information report of health supervision | per time | 565.5 | 37.7 | 495.0 | 33.0 |
Occupational health consultation guidance | per time | 205.5 | 13.7 | 180.0 | 12.0 | |
Health supervision assists in the inspection of drinking water health and safety | per time | 514.5 | 34.3 | 517.5 | 34.5 | |
Health supervision and coordination of school health services | per time | 171.0 | 11.4 | 90.0 | 6.0 | |