Community health service development ideas and measures

Actively and steadily promoting urban and rural community health services and building urban and rural community health service systems are of great significance for optimizing the health service structure of the city, facilitating people's medical treatment, reducing the cost burden, and establishing a harmonious relationship between doctors and patients.

I. Review and basic overview

The development of urban and rural community health services has experienced a lot of years in the city, and the pace of advancement has been in the midst of twists and turns. Especially in recent years, community health service work has achieved certain results. First, the community health service network in the main urban area has basically taken shape. At present, there are community health service centers in the main urban area, and community health service stations. Second, the community health service talent team was initially established. The city is engaged in community health service staff, including health technicians. Third, community health institutions have achieved initial success in fulfilling public health and basic medical services. Providing convenient and inexpensive medical services for the elderly, chronically ill patients, the poorest inhabitants and the floating population is popular with the public. The role of community health services as a network for public health and basic medical networks is emerging, playing a major role in the prevention and treatment of hand diseases and “milk powder incidents”.

While achieving the results, we are also clearly aware that there is still a big gap between the community health service work in our city and the requirements of the higher authorities and the expectations of the broad masses of the people. Mainly manifested in the fact that the public's trust and utilization rate of community health service institutions is not high; community health service institutions focus on medical treatment, medicine, medicine, prevention and treatment, and preventive health care function is weak, the nature of public welfare is not sufficient The public health and basic medical network functions of community health service institutions have not been fully utilized; there is no orderly service pattern of “severe illness” to hospitals, “small diseases” in the community, and rehabilitation to the community. The main reason for the above problems is the lack of effective support and guidance for community health services in terms of policies, mechanisms, systems, and inputs. Second, the community health service talent team has a weak foundation, poor facilities and equipment, and it is difficult to obtain the trust of the people. Third, the community health service institution has not been established as a “gatekeeper” system for residents' health, and the two-way referral between general hospitals and specialist hospitals is not smooth. Fourth, management is not standardized, and integrated management has not been fully implemented. Fifth, propaganda and education is not enough, and the concept of people's medical treatment needs to be changed.

Second, ideas and measures

While stepping up the construction of community health service institutions and enriching the connotation, we should strive for effective policy tilt, ensure people, finances, and materials, and create a strong atmosphere for community health services.

In the past 11 years, we have to ensure the community health services based on the public welfare nature of community health services, based on the “Implementation Opinions on Accelerating the Development of Urban and Rural Community Health Services in Our City” and “The Planning of Urban and Rural Community Health Service Organizations in Our City”. Fairness and accessibility, alleviating the difficulty of seeing people and seeing doctors, and promoting innovation in systems and mechanisms. Main ideas and measures:

Broaden the policy area and step up implementation of relevant supporting measures

Through the government cooperation mechanism involving relevant departments, relying on the community health service leading group of the city, broaden the policy areas, increase financial input, implement the housing and equipment facilities of community health service institutions, and start the work of community health service organizations as soon as possible. .

Integrate management resources to improve management efficiency

Implement the comprehensive service functions of community health service institutions, including public health and basic medical care. Now public health management is in the disease control supervision department, and community health service management is in the medical administration department. The content of the two is cross-cutting, so that split management is not conducive to improving efficiency. The guidance of community health service work is difficult to play a systematic role, so it is necessary to integrate management resources.

Taking the opportunity of creating a city standardization community health service center, we will tighten the connotation construction with a point of view. According to the unified arrangements of the municipal bureau, the city? The construction of a community health service center has been enrolled in the next year's health as a private practical project. Therefore, we must build the city's standardization construction as the source of power, combine the standardization construction and implementation of the 2019 health practice project, and deepen the connotation of community health service work. This year's creation of units and other issues is a lesson. It is advisable to arrange work for next year, implement measures early, pay close attention to construction, and successfully complete the creation work. At the same time, with the standardization unit as the slogan, the merged health center will be transformed into a community health service station, and other units will be supported and encouraged to actively carry out community health services. Deepen the reform of the operation mechanism of community health services. The community health service center implements integrated management of service stations and implements unified management of drugs, services and systems. The conditions are mature and comprehensively implement financial management, drug purchase, staff deployment, salary distribution, and business. "Six unification" management such as guidance and system construction; consolidate and improve the community-responsible doctor system, and focus on making the service mode from the waiting for patients to active service and on-site service as the main method.
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