Summary of half-year work of community health service center
In the first half of 20nn, under the correct leadership of the party and government departments at all levels and with the joint efforts of all comrades, the Center has achieved good results and accumulated some experience. The three aspects of achievements, problems and plans are summarized as follows:
First, the results:
1. The service building has been expanded, and the software construction has been more standardized. Since the beginning of the spring, the center has raised its own funds of 600,000 yuan under the kind support of the party and government leaders at all levels and with the support of the construction community community committee. Yuan, on the basis of the original two-story building, added another layer to increase the area of rehabilitation housing by about 700 square meters. In order to improve the service conditions of the community center, 20 standard toilets have been added and renovated, and each rehabilitation room has a bathroom. The new house is currently in the renovation stage and is expected to be put into use in August.
Last year, the center was equipped with a community health service platform, and the clinics in the center were also equipped with computers. However, the information in the community health service platform is not available to the doctors in each clinic, and the results of the doctors in each clinic cannot be added to the resident's personal health record. This makes the health record in the community health service platform a dead file. In order to solve this problem, the center overcame various difficulties. In April this year, the regional network was finally established, which greatly improved the utilization rate of the community health service platform, and laid a good foundation for fundamentally solving the problem of dead files.
On this basis, the center has established twenty-eight types of rules and regulations, namely, professional ethics and codes of conduct for all types of personnel, job responsibilities of various personnel, training, management, assessment and reward and punishment systems for various personnel, health education. The software construction of the center, such as prevention, health care, medical care, rehabilitation, and technical guidance for fertility planning, etc., the construction of the software of the center is more perfect.
2, health education is often unremitting, community prevention and comprehensive development of the center's health education work at the beginning of the year to develop a plan. The Center regards the popularization of health knowledge as the focus of the year's work. It has issued “Citizen Health Knowledge Reader”, “Health Education Reader”, “TB Prevention and Treatment Knowledge”, “Avian Influenza Prevention and Control Manual” and “Hypertension Health Education Handbook” for community residents. 3,500 copies of "Health knowledge should be known 200 questions"; 15,000 copies of "Spring Health Knowledge Publicity Key Points"; 6 issues of the board report; 2 publicity through the window; through health consultation, lectures, home promotion, individual Interviews and other means, active education for women, children, the elderly, migrant population and high-risk groups of key diseases; 12 kinds of prescriptions for health education; 2 lectures on large-scale health education, lectures on small health education 4 times, including interactive lectures 2 times. The center carried out various forms of publicity on the "3.24" tuberculosis control day, "5.15" prevention and treatment of iodine deficiency day, "5.17" World Hypertension Day, and "5.31" World Tobacco Control Day. Community residents' health awareness rate is 75%.
The Center timely registered and reported 3 cases of legal infectious diseases; assisted the city and district CDC to carry out disease surveillance, epidemic investigation, infectious disease source investigation and death cause investigation; and actively carried out prevention and treatment of common infectious diseases. At the same time, the center also supervised the diagnosis of confirmed tuberculosis, and the individual case rate was 90%.
The Center has overcome many difficulties and improved the working conditions of the vaccination room. The passive situation of child immunization prevention has been greatly improved.
The Center has initially mastered the population data of the population under 7 years old. The community vaccination certification rate of the three communities directly managed by the Center reached 100%. The standard vaccination rate of the six vaccinations for routine vaccination reached 95.1%.
As of June 30, 20nn, the Center and its affiliated Fengxiang, Recreation, Dongguan, Zebei, and Nanjie Community Health Service Stations established 23,498 family health files and personal health records for residents of Dongjie Community. Up to 55.8%.
3, community medical treatment has begun to scale chronic disease management is exploring the center to bear the treatment of common diseases and frequently-occurring diseases of community residents, but also give play to the advantages of expert groups and provide quality services for community residents. Provided family health services such as family visits and family beds, carried out traditional Chinese medicine services, established precautions for prevention and treatment of medical accidents, adhered to 8 hours of daily practice time, and were staffed on duty during breaks to provide service links for community residents. Card, there is a convenient way to communicate.
The center attaches great importance to the construction of specialties, and the specialists in prostate and spine are highly praised by the majority of patients.
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In the past six months, the center has conducted health checkups for 2048 cadres and workers of community residents and some administrative units, institutions, factories and mines, schools, etc., and has been well received by the general public. Through a physical examination, a group of chronic diseases were screened, including 364 cases of hypertension and 8 cases of diabetes, and the screening of patients with key chronic diseases was registered. The center and various community health service stations registered 1678 cases of hypertension, managed 1196 cases, and the management rate reached 71.3%; registered 219 cases of diabetes, managed 136 cases, and the management rate reached 62.10%. The center also creatively produced a chronic disease distribution table, which is familiar with the condition, family address and telephone number of each chronically ill patient, and gave targeted health education and behavioral interventions. Monthly follow-up urged them to regularly measure blood pressure, measure blood sugar, etc. .
4. Community health care Solidly promoted the community rehabilitation start-up center and community health service stations to initially grasp the basic conditions of women of childbearing age in various communities, establish a health manual for pregnant women, and guide them to conduct regular health care and prenatal examinations. Provided counseling and guidance for maternal health, nutrition, psychology, postpartum rehabilitation and other aspects. A general survey of common gynecological diseases was carried out.
The Centre and community health service stations visited some newborn families in various communities and established child care manuals.
The Center and community health service stations guide older people in all communities to disease prevention and self-care. The elderly over 60 years old were managed and some of the elderly were visited.
The center carried out prenatal and postnatal care, contraceptive knowledge guidance, and counseling services; freely distributed contraceptives for community residents; using households to establish health records and follow-up opportunities, educated women of childbearing age on family planning, prenatal and postnatal education; Provided counseling and guidance for family planning. The technical guidance work for the whole family planning is step by step. Project fertility, prenatal and postnatal care have gradually become the conscious actions of residents.
The Center and various community health service stations registered persons with disabilities in their jurisdiction. There are 265 disabled people, of whom 121 are physically disabled, accounting for 45.7%; 44 are mentally disabled, accounting for 16.6%; 40 are visually impaired, accounting for 15.0%, and 23 are intellectually disabled, accounting for 8.7%; 12 people, accounting for 4.5%; 11 people with speech disabilities, accounting for 4.2%; 14 other people with disabilities, accounting for 5.3%. On the basis of careful registration, targeted guidance was also provided for family rehabilitation training for some disabled people.
5. The grassroots management has been carried out in an orderly manner. In the first half of the year, all the staff of the Center Organization Center and various community health service stations earnestly studied and implemented the spirit of the party's xx conference and the spirit of the Central Committee and combined their own work and practical ideas. Learn the experience. After the Wenchuan earthquake, the center organized medical staff to listen to relevant reports. The community health service workers in the heart of the disaster area have taken the initiative to provide support to the organization to support the disaster area. They have donated a total of 13,000 yuan, of which some Communist Party members paid a special party fee of 4,400 yuan to the disaster area.
Conducted business guidance for five community health service stations including Fengxiang, Kangle, Dongguan, Zebei and South Street. The center insists on holding a regular meeting of the stationmaster every month. At the meeting, we routinely reported on the work of the previous month, arranged the work for the next month, and trained the relevant business knowledge of community health services.
Actively participated in the cultural and sports activities organized by the District Health Bureau. In the case of few people and busy work, the center overcomes all difficulties and participated in the sports competition organized by the District Health Bureau and the performance of "Qing Qiyi, Olympics". The two programs of "Red Cross Family Health Worker" and "Girl of Dabancheng" participating in the center won the third prize.
In the first half of the year, it has repeatedly accepted the investigations of the party and government leading departments at all levels in the provinces and municipalities and the business guidance of the health administrative departments at various levels in the provinces and municipalities. In the process of investigation and guidance, leading comrades at all levels have fully affirmed the work of the center.
Through practice, we have three experiences:
Give play to the advantages of experts. The Community Health Service Center relies on geriatric hospitals and is currently a more appropriate model. Giving full play to the advantages of a group of old experts is an effective measure to enhance the core competitiveness of community health services.
Implement three transformations. Under the current circumstances, community health service centers must implement three transformations, from treatment-based to prevention-based; from patient-centered to health-centered; from waiting for patients to active home-based services;
Establish a volunteer team. In the community health service work, a reliable volunteer team must be established. In addition to community health services, community-based physicians and individual practitioners in the community are an important force to rely on.
[page]
Second, the problem
1. With the establishment of community health service institutions, the public welfare of community health service institutions needs to be further established and reflected;
2. The community health service team is far from being able to adapt to the needs of the rapid development situation, the number needs to be increased, and the quality needs to be improved;
3. Staffing, staff salaries and office expenses of community health service agencies need to be implemented as soon as possible;
4. The degree of informatization of community health service institutions needs to be further improved. The problem of lack of transportation needs to be resolved as soon as possible.
Third, intend
1. Continue to give full play to the advantages of experts, and unswervingly follow the path of experts into the community, so that more residents can enjoy high-quality medical and health services at their doorsteps. Continue to run a special specialty, so that advanced prostatectomy and minimally invasive disc technology bring the gospel to more patients;
2. Pay close attention to the construction of service concept and implement three transformations, that is, the transition from treatment-based to prevention-based, from patient-centered to health-centered, from waiting for patients to active home-based services;
3. Expand the volunteer team and combine the professional team with the volunteer team to bring the community health service work to the depths.
4. Continue to build health records for residents, and the filing rate should reach 80%. Strengthen the screening and management of key chronic diseases. The blood pressure rate of the first diagnosis of patients over 35 years old is ≥90%, and the rate of hypertension is 80%.
5. Actively carry out community health service excellence demonstration activities, and strive to pass the review and acceptance of the leading group of provincial community health service institutions to create excellent demonstration activities before the end of 20nn, in order to vigorously promote the construction of community health service institutions, and constantly improve service functions, and strive Meet the health needs of the community residents, and make the community health service work to a new level and work hard.
July 5, 20nn
First, the results:
1. The service building has been expanded, and the software construction has been more standardized. Since the beginning of the spring, the center has raised its own funds of 600,000 yuan under the kind support of the party and government leaders at all levels and with the support of the construction community community committee. Yuan, on the basis of the original two-story building, added another layer to increase the area of rehabilitation housing by about 700 square meters. In order to improve the service conditions of the community center, 20 standard toilets have been added and renovated, and each rehabilitation room has a bathroom. The new house is currently in the renovation stage and is expected to be put into use in August.
Last year, the center was equipped with a community health service platform, and the clinics in the center were also equipped with computers. However, the information in the community health service platform is not available to the doctors in each clinic, and the results of the doctors in each clinic cannot be added to the resident's personal health record. This makes the health record in the community health service platform a dead file. In order to solve this problem, the center overcame various difficulties. In April this year, the regional network was finally established, which greatly improved the utilization rate of the community health service platform, and laid a good foundation for fundamentally solving the problem of dead files.
On this basis, the center has established twenty-eight types of rules and regulations, namely, professional ethics and codes of conduct for all types of personnel, job responsibilities of various personnel, training, management, assessment and reward and punishment systems for various personnel, health education. The software construction of the center, such as prevention, health care, medical care, rehabilitation, and technical guidance for fertility planning, etc., the construction of the software of the center is more perfect.
2, health education is often unremitting, community prevention and comprehensive development of the center's health education work at the beginning of the year to develop a plan. The Center regards the popularization of health knowledge as the focus of the year's work. It has issued “Citizen Health Knowledge Reader”, “Health Education Reader”, “TB Prevention and Treatment Knowledge”, “Avian Influenza Prevention and Control Manual” and “Hypertension Health Education Handbook” for community residents. 3,500 copies of "Health knowledge should be known 200 questions"; 15,000 copies of "Spring Health Knowledge Publicity Key Points"; 6 issues of the board report; 2 publicity through the window; through health consultation, lectures, home promotion, individual Interviews and other means, active education for women, children, the elderly, migrant population and high-risk groups of key diseases; 12 kinds of prescriptions for health education; 2 lectures on large-scale health education, lectures on small health education 4 times, including interactive lectures 2 times. The center carried out various forms of publicity on the "3.24" tuberculosis control day, "5.15" prevention and treatment of iodine deficiency day, "5.17" World Hypertension Day, and "5.31" World Tobacco Control Day. Community residents' health awareness rate is 75%.
The Center timely registered and reported 3 cases of legal infectious diseases; assisted the city and district CDC to carry out disease surveillance, epidemic investigation, infectious disease source investigation and death cause investigation; and actively carried out prevention and treatment of common infectious diseases. At the same time, the center also supervised the diagnosis of confirmed tuberculosis, and the individual case rate was 90%.
The Center has overcome many difficulties and improved the working conditions of the vaccination room. The passive situation of child immunization prevention has been greatly improved.
The Center has initially mastered the population data of the population under 7 years old. The community vaccination certification rate of the three communities directly managed by the Center reached 100%. The standard vaccination rate of the six vaccinations for routine vaccination reached 95.1%.
As of June 30, 20nn, the Center and its affiliated Fengxiang, Recreation, Dongguan, Zebei, and Nanjie Community Health Service Stations established 23,498 family health files and personal health records for residents of Dongjie Community. Up to 55.8%.
3, community medical treatment has begun to scale chronic disease management is exploring the center to bear the treatment of common diseases and frequently-occurring diseases of community residents, but also give play to the advantages of expert groups and provide quality services for community residents. Provided family health services such as family visits and family beds, carried out traditional Chinese medicine services, established precautions for prevention and treatment of medical accidents, adhered to 8 hours of daily practice time, and were staffed on duty during breaks to provide service links for community residents. Card, there is a convenient way to communicate.
The center attaches great importance to the construction of specialties, and the specialists in prostate and spine are highly praised by the majority of patients.
[page]
In the past six months, the center has conducted health checkups for 2048 cadres and workers of community residents and some administrative units, institutions, factories and mines, schools, etc., and has been well received by the general public. Through a physical examination, a group of chronic diseases were screened, including 364 cases of hypertension and 8 cases of diabetes, and the screening of patients with key chronic diseases was registered. The center and various community health service stations registered 1678 cases of hypertension, managed 1196 cases, and the management rate reached 71.3%; registered 219 cases of diabetes, managed 136 cases, and the management rate reached 62.10%. The center also creatively produced a chronic disease distribution table, which is familiar with the condition, family address and telephone number of each chronically ill patient, and gave targeted health education and behavioral interventions. Monthly follow-up urged them to regularly measure blood pressure, measure blood sugar, etc. .
4. Community health care Solidly promoted the community rehabilitation start-up center and community health service stations to initially grasp the basic conditions of women of childbearing age in various communities, establish a health manual for pregnant women, and guide them to conduct regular health care and prenatal examinations. Provided counseling and guidance for maternal health, nutrition, psychology, postpartum rehabilitation and other aspects. A general survey of common gynecological diseases was carried out.
The Centre and community health service stations visited some newborn families in various communities and established child care manuals.
The Center and community health service stations guide older people in all communities to disease prevention and self-care. The elderly over 60 years old were managed and some of the elderly were visited.
The center carried out prenatal and postnatal care, contraceptive knowledge guidance, and counseling services; freely distributed contraceptives for community residents; using households to establish health records and follow-up opportunities, educated women of childbearing age on family planning, prenatal and postnatal education; Provided counseling and guidance for family planning. The technical guidance work for the whole family planning is step by step. Project fertility, prenatal and postnatal care have gradually become the conscious actions of residents.
The Center and various community health service stations registered persons with disabilities in their jurisdiction. There are 265 disabled people, of whom 121 are physically disabled, accounting for 45.7%; 44 are mentally disabled, accounting for 16.6%; 40 are visually impaired, accounting for 15.0%, and 23 are intellectually disabled, accounting for 8.7%; 12 people, accounting for 4.5%; 11 people with speech disabilities, accounting for 4.2%; 14 other people with disabilities, accounting for 5.3%. On the basis of careful registration, targeted guidance was also provided for family rehabilitation training for some disabled people.
5. The grassroots management has been carried out in an orderly manner. In the first half of the year, all the staff of the Center Organization Center and various community health service stations earnestly studied and implemented the spirit of the party's xx conference and the spirit of the Central Committee and combined their own work and practical ideas. Learn the experience. After the Wenchuan earthquake, the center organized medical staff to listen to relevant reports. The community health service workers in the heart of the disaster area have taken the initiative to provide support to the organization to support the disaster area. They have donated a total of 13,000 yuan, of which some Communist Party members paid a special party fee of 4,400 yuan to the disaster area.
Conducted business guidance for five community health service stations including Fengxiang, Kangle, Dongguan, Zebei and South Street. The center insists on holding a regular meeting of the stationmaster every month. At the meeting, we routinely reported on the work of the previous month, arranged the work for the next month, and trained the relevant business knowledge of community health services.
Actively participated in the cultural and sports activities organized by the District Health Bureau. In the case of few people and busy work, the center overcomes all difficulties and participated in the sports competition organized by the District Health Bureau and the performance of "Qing Qiyi, Olympics". The two programs of "Red Cross Family Health Worker" and "Girl of Dabancheng" participating in the center won the third prize.
In the first half of the year, it has repeatedly accepted the investigations of the party and government leading departments at all levels in the provinces and municipalities and the business guidance of the health administrative departments at various levels in the provinces and municipalities. In the process of investigation and guidance, leading comrades at all levels have fully affirmed the work of the center.
Through practice, we have three experiences:
Give play to the advantages of experts. The Community Health Service Center relies on geriatric hospitals and is currently a more appropriate model. Giving full play to the advantages of a group of old experts is an effective measure to enhance the core competitiveness of community health services.
Implement three transformations. Under the current circumstances, community health service centers must implement three transformations, from treatment-based to prevention-based; from patient-centered to health-centered; from waiting for patients to active home-based services;
Establish a volunteer team. In the community health service work, a reliable volunteer team must be established. In addition to community health services, community-based physicians and individual practitioners in the community are an important force to rely on.
[page]
Second, the problem
1. With the establishment of community health service institutions, the public welfare of community health service institutions needs to be further established and reflected;
2. The community health service team is far from being able to adapt to the needs of the rapid development situation, the number needs to be increased, and the quality needs to be improved;
3. Staffing, staff salaries and office expenses of community health service agencies need to be implemented as soon as possible;
4. The degree of informatization of community health service institutions needs to be further improved. The problem of lack of transportation needs to be resolved as soon as possible.
Third, intend
1. Continue to give full play to the advantages of experts, and unswervingly follow the path of experts into the community, so that more residents can enjoy high-quality medical and health services at their doorsteps. Continue to run a special specialty, so that advanced prostatectomy and minimally invasive disc technology bring the gospel to more patients;
2. Pay close attention to the construction of service concept and implement three transformations, that is, the transition from treatment-based to prevention-based, from patient-centered to health-centered, from waiting for patients to active home-based services;
3. Expand the volunteer team and combine the professional team with the volunteer team to bring the community health service work to the depths.
4. Continue to build health records for residents, and the filing rate should reach 80%. Strengthen the screening and management of key chronic diseases. The blood pressure rate of the first diagnosis of patients over 35 years old is ≥90%, and the rate of hypertension is 80%.
5. Actively carry out community health service excellence demonstration activities, and strive to pass the review and acceptance of the leading group of provincial community health service institutions to create excellent demonstration activities before the end of 20nn, in order to vigorously promote the construction of community health service institutions, and constantly improve service functions, and strive Meet the health needs of the community residents, and make the community health service work to a new level and work hard.
July 5, 20nn
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