Summary of the work of community health service centers

Since last year, all party members and cadres of the center have earnestly studied and implemented the spirit of the 17th Party Congress, and consciously adhered to the scientific development concept as a guide, closely linked to the actual work, boldly explored new ways of community health work under the new situation, and improved the mechanism. It has effectively promoted the healthy development of community health service work. In recent years, the unit has been awarded the advanced unit of grassroots health work in the city for five consecutive years. In XX and 2019, it won the first place in the annual health work assessment for the city for two consecutive years. It has been awarded “Tai'an City Women's Civilization Post” and “Provincial Health”. The Education Demonstration Department Town and other honorary titles. It has made outstanding contributions to the municipal and district grassroots health work, especially community health work.

First, face up to the problem, meet the difficulties, and clarify the development ideas

Caiyuan Street is located in the prosperous area of ​​the city, with a total area of ​​12 square kilometers and 28 communities, with a total population of 153,843 and 43,966 households. There are 1 community health service center, 27 community health service stations, and 106 health technicians, including 49 practicing doctors and 57 registered nurses. Due to various reasons, the health status of the jurisdiction is very complicated and the task is extremely arduous. In order to find out the situation as soon as possible and master the initiative of the work, all the cadres and employees of the center should start from being a "good student", ask the leaders of the bureau to find out their ideas and work priorities; ask the old comrades for more advice, study methods and work. Experience; run to the grassroots, ask more questions, find problems and breakthroughs. Through a lot of research, we first determined the direction of development. Caiyuan Street is located in the urban area. Providing comprehensive community health services for community residents is the direction of the development of the center. It is also in line with the overall work of the district health bureau. It is imperative to solve the transformation of the defense station to the community health service center. The second is to make a good point and face the problem. While maintaining the original good practices and achievements, it summed up several factors that restricted the development of the financial health industry at the time: First, the development of community health , the personnel team did not adapt. The health technicians of Caiyuan were the first to transform from rural doctors since the village was relocated. Relatively speaking, the cultural quality of personnel is low, and the certificate of practice is only a rural doctor's card. There are licensed doctors, assistant doctors, and registered nurses. Few. The service concept also only stays in the church to see the doctor, waiting for the patient to come to the door, is a simple medical service, individual service, intermittent service. It can be said that the cultural quality, technical level and service concept of the personnel team are still not suitable for the development requirements of community health services; second, the infrastructure construction is backward. The community health service center has many problems such as insufficient staff, low technical level, incomplete department, lack of business guidance function, etc. The community health service station has been transformed from the original village health center , and only the brand has been changed. Outdated facilities and equipment, department setting, and staffing are not up to the needs of the six-in-one community health service. Third, the promotion is not in place. Street and community leaders have paid insufficient attention to this work. Community residents do not understand what community health services are. Most residents have traditional concepts of heavy treatment and light prevention, and they are not able to cooperate with the community to develop physical examinations. Fourth, the number of community residents is unclear. Difficult to enter the door, the establishment of health records is very difficult. The territorial units in the jurisdiction do not cooperate and do not understand, the floating population is scattered and difficult to manage. Third, find out the problems that need to be solved and focus on finding breakthroughs. It is proposed to take the emancipation of thought as the guide, improve the level of community health service as the core, improve the community health service mechanism as the means, strengthen the infrastructure construction, talent team construction and publicity and education, and strengthen the assessment reward and punishment as the source of financial protection. The new way of community health work has laid a solid foundation for the healthy development of community health service.

Second, strengthen measures, work hard, and strive to improve service levels

First, develop leadership and work closely with community neighborhood committees. In order to attract the attention of leaders, develop leadership, and strive for and introduce policies. Timely to the head of the office to read the spirit of the national, provincial, municipal, and district meetings and related files, and report in a timely manner, please ask the leaders to understand and value our work. At the same time, grab the highlights, and ask the leaders of the city bureau and the leaders of the district bureaus to inspect. The leaders of the office come to accompany them, use the time to report the work, reach a consensus, form instructions, and promote the work. With the care and support of leaders at all levels, the Street Party Working Committee and various communities attach great importance to community health service work, and set up a community health service leading group with the director as the leader and all relevant departments to perform their duties and do their best. Cooperate with the co-management, and establish the same assessment with the establishment of the star-rated community, laying a solid foundation for the smooth development of the work.

The second is to accelerate service transformation. Pay close attention to personnel training and strengthen the construction of community health teams. The personnel have been engaged in competition for employment. Since XX years, they have launched three competitions for employment and recruited talents for the society. They have comprehensively carried out medical transformation education and training for all employees, and gradually adjusted and improved the personnel hierarchy according to the requirements of institutionalization and standardization. Talents with reasonable structure of age and title. Through efforts in recent years, the old village doctors have passed the national qualification examinations, on-the-job training, off-the-job training, and large hospital experts to teach examinations. More rural doctors have passed the national qualification examinations, and the level of health technology has been greatly improved. Improve, the service concept has also made a qualitative leap.

The third is to build a service framework with high standards. Increase investment and improve the infrastructure construction of community health service institutions. We make full use of existing health resources, through functional transformation, and extended service forms of large hospitals, seize the opportunity of urban village reconstruction, reserve high-standard community health service stations, and focus on building a network framework for community health services. Since 2019, the community health service center has invested 500,000 yuan to renovate and improve facilities and equipment. In the past two years, the office and community have invested a total of 12 million yuan, built and rebuilt 16 community health service stations, and three times to bid for 13 community health service stations. Strictly implement the “six unification” in the construction of community health service stations, namely, unified identification, unified rules and regulations, unified medical documents, unified charging standards, unified drug access channels, and unified service functions. The “five-star” star community health service station creation activity was carried out. The provincial demonstration community health service station standard was adopted as the “one-star” standard. The department layout was reasonable and the rooms were separated. Each community health service station is equipped with at least 2 practicing physicians and 2 practicing nurses. It has special equipment such as laboratory equipment, oxygen supply equipment, fast blood glucose meter, TV, telephone, computer and so on. At present, 8 community health service stations have been named as “five-star” community health service stations by the district community construction steering committee and district health bureau, and other community health service stations have reached the three-star standard.

The fourth is to standardize the service model. The six-in-one comprehensive service of community health is a very complicated and systematic project involving a very extensive system. It has nearly 154,000 people in its jurisdiction. It has old residents, resident residents and a highly mobile diaspora. More than 200 provincial and municipal units have made it difficult to collect and investigate community health background data. In combination with the actual situation, we adopt a "three-step" approach to standardize the service model. First, a large-scale health survey to find out the basics. Four teams were formed---the inspection team, the organization propaganda team, the health check team, and the health investigation team. The Health Bureau shall set up an inspection and guidance team; the organization propaganda team shall be composed of community cadres, district CDCs, and district women's hospital health education personnel; the health checkup team and health investigation team shall be provided by the Municipal Second Hospital of Chinese Medicine, the District People's Hospital experts, and community health services. The center and the medical staff of each station are composed of a number of small detachments, including community package building units, residents working hours, checking the files for the left-behind elderly; children's school hours, establishing student health records; residents working hours, engaging in assault , check the body to build files; every weekend, carry out concentrated assault physical activity. In short, through extensive publicity, free physical examination, household surveys and other forms, we spent a full six months, the community residents file rate reached 72%. After that, we checked and repaired the building, and the current filing rate reached 98%. Second, focus on screening and focus on management. The elderly, women, children, the disabled, and key chronic patients over the age of 60 are our management priorities. The key populations are classified and documented, and the responsible doctors and responsible nurses are identified; the family has doctors and the doctors have families. Again, strengthen follow-up and standardize services. The screening of the current patients and key populations through the household follow-up, family visits, inspections, health education and other interventions, received the expected intervention purposes. Our family doctors, nurses and residents have established a friend-like service relationship. Up to now, the number of residents receiving community health services in the whole street has reached 153,843, 148 family beds have been set up, more than 8,000 home visits have been provided, 43966 family health records have been established, experts have been engaged in community activities, and large hospital experts have visited the community. More times.

The fifth is to improve the government procurement system. Established a sound government procurement community public health project management and assessment mechanism. A purchasing service management organization and a purchasing service performance appraisal organization were established, and a review mechanism combining community health service institutions and health personnel assessment was established. The public health project completion status and resident satisfaction were taken as the evaluation points, and the evaluation was conducted once every six months. The organization implements dynamic management and the final elimination system. At present, one street community health service station has been eliminated from the street.

The sixth is to integrate resources and develop with the potential. The financial resources are medical centers, and the development of community health is one of the shortcuts for their quick start and rapid regulation. There are 4 public hospitals in the jurisdiction that provide targeted support to community health service centers and 24 community health service stations. Mainly responsible for business guidance, technical and equipment support, and personnel training for community health service organizations. The two sides signed an aid agreement and established a two-way referral system. Through experts in the community to carry out medical, health education, consultation, personnel training and other activities, improve the level of medical diagnosis and treatment of common and frequently-occurring diseases in the community, and further enhance the service capacity of community health service organizations.

The seventh is to actively explore and innovate. Implement the management mode of “central management station”. The center shall implement unified management of the business, medicine, finance and personnel of the community health service stations within its jurisdiction. The pharmaceutical equipment is implemented in a unified and centralized procurement throughout the district. The zero price difference is uniformly supplied, and the retail price of medicines is unified. All the prescriptions for medicines entering and leaving the warehouse are implemented in micro-computerized management, which blocks some loopholes in integrated management. A community health assistant system has been established in the community. Community health assistants have community cadres who are responsible for the organization, supervision, management and coordination of community health services. At present, 28 community health assistants in Caiyuan Street have been trained to work and play an active role in the in-depth development of community health services.

Third, the heart of the community, close to the people, community health has achieved remarkable results

Under the correct leadership of the Street Party Working Committee and the guidance and help of the higher-level business departments, through unremitting efforts, the street health work has undergone gratifying changes, and community health service work has achieved remarkable results:

First, the service network is getting better and better. At present, the community has reached a 15-minute community health service circle within the entire street, achieving full coverage of the community health service population. Second, the service capacity and level of the community health service team have been greatly improved. Basically, it can meet the medical and health needs of the community residents, and basically achieve the goal of getting a small illness into the hospital. Third, the service function has been improved. The level of work and service such as rehabilitation, Chinese medicine, health education and family planning guidance has been greatly improved. Fourth, the service model is welcomed. Community health services are close to the people, active service, on-site service, and are welcomed by community residents. They are called community-saving, labor-saving, money-saving and worry-free health services. To this end, in 2019, the center was rated as an advanced unit in the evaluation of the whole district. Through questionnaires and follow-up surveys, the satisfaction of residents reached over 95%. The fifth is to do a good job of combining articles. Focusing on community health service work and based on integrated management, all work has achieved remarkable results. In 2019, the center's business income reached 5.06 million yuan, an increase of 15% over last year. Received a double harvest of social and economic benefits.