Summary of public health service work in health centers
The basic public health service project was officially launched in our town in July XX. The project has been in operation for nearly half a year, and our institute has done a lot of work in accordance with the National Basic Public Health Service Project Implementation Plan. In the past few months, the responsible persons of each project have been able to arrange and basically complete the tasks, and can formulate various work systems, rewards and punishments according to the content and requirements of the basic public health services in our town, and improve the comrades’ Responsibility and enthusiasm for work have laid the foundation for the good results achieved by our town this year. In order to further improve the basic public health service project in XX, the implementation of basic public health service projects this year is summarized as follows:
First, strengthen leadership, set up institutions, and formulate plans.
According to the “Opinions on Promoting the gradual equalization of basic public health services” and the “Implementation Plan for Basic Public Health Service Projects in Lingbao City” by the Ministry of Health, the Ministry of Finance, the National Population and the Family Planning and Fertility Commission, Yangping Town was established in conjunction with the actual situation. The Leading Group for Basic Public Health Service Projects formulated the “Implementation Plan for Basic Public Health Service Projects in Yangping Town”. The basic public health service projects were calibrated and assigned to people, and the responsibilities were clearly defined. The responsible persons of each project implementation formulated their own work plans and The project runs the project and can be standardized.
Second, improve the system, strict training, and standard behavior.
The hospital uniformly formulated and printed 200 copies of the Basic Public Health Service Work Manual, which was distributed to every employee and township doctor. The project implementation offices have formulated relevant systems and put them on the wall to organize relevant personnel to study hard. In order to standardize the management of national basic public health service projects, on June 25th, our hospital specially invited the staff of the municipal bureau to organize the staff of the whole hospital and the health clinics of various health centers to conduct special training on the contents of the National Basic Public Health Service Regulations. The training has enabled all village doctors to basically grasp the various contents of the national basic public health service standards, and laid a good foundation for the smooth implementation of basic public health service projects in our town and better serve the health of the residents.
3. Arrangement and progress of basic national public health service projects in nine countries.
1. Establishing the National Health Public Service Project for Residents' Health Archives, the health construction of residents is the basis. We organize the implementation of various project participants with women, children, the elderly, chronic patients, mental patients and other people, on a voluntary basis. By organizing the physical examinations in the villages and villages to establish a unified and standardized resident health record for the resident population in the jurisdiction, the contents of the health archives are detailed and filled out. Up to now, 10,664 people have established resident health files. We will arrange a physical examination for the kindergartens of the first and second middle school students in the whole town from late November to December.
2. Health education focuses on the basic knowledge and skills of health literacy, prevention and treatment of chronic diseases, and key health issues in the jurisdiction. The responsible persons of each project can provide health education publicity information and health education consultation services for residents in the jurisdiction through the promotion of villages and streets. Set up a health education bulletin board and update the content regularly to conduct health education activities such as health knowledge lectures. Up to now, 4 health education columns have been set up in the main streets, and the layout has been updated 4 times. The public health education videos have been broadcasted, the public health consultation activities have been carried out 6 times, the health knowledge lectures have been held 12 times, and various publicity prints have been issued 150,000. The remainder. Through the joint efforts of the project owners and continuous health guidance and intervention, the bad hygiene habits of some people have been changed to a great extent, and the disease has started from prevention.
3. Vaccination for children of school age to receive free hepatitis B vaccine, BCG vaccine, polio vaccine, DTP vaccine, measles vaccine, A liver vaccine, ECM vaccine, JE vaccine, MMR vaccine, etc. Reporting suspected abnormal reactions in vaccination and assisting in the investigation of key tasks for vaccination work in national basic public health service projects. In order to do this work, we have once again confirmed the vaccination sites. Each inoculation site has the cold storage facilities and equipment as stipulated in the “Regulations on the Management of Vaccine Storage and Transportation Management” and carries out the vaccine and cold chain management as required. The quality of the vaccine. In June, vaccination personnel were trained in vaccination.
The operation of the cold chain has successfully completed 10 cold chain operations. It should inoculate 14450 children and 13370 children, with a vaccination rate of 93%. Among them: 10,232 children were immunized on the basis of basic immunization, and 9574 were immunized by 94. BCG should be planted in 475 people, 471 people in the field, the vaccination rate is 99%; newborns hbv should be planted with B13 vaccine, 1813 people, 1755 people, the vaccination rate is 97%, the timely vaccination rate is 100%; polio sugar pills should be There are 2199 people and 2107 species, the vaccination rate is 96%; the triple vaccine should be 2195 people, the real species is 2089 people, the vaccination rate is 95%; the measles vaccine should be 880 people, the actual species 841 people, the vaccination rate is 96%, a group The cerebral vaccination should be 1739 people, the actual species is 1428, the vaccination rate is 82%; the JE vaccine should be 931, the actual species 883, the vaccination rate is 95%. 418 people should be immunized, 3796 people should be planted, and the inoculation rate will be 90%. Among them, 547 people should be planted with polio sugar pills, 503 people should be planted, and the inoculation rate will be 92%. 804 people should be planted in the triple vaccine, and 736 people should be inoculated. The rate is 91%; the second vaccine is 199, the actual species is 159, the vaccination rate is 80%; the blast vaccine should be 724, the actual species is 683, the vaccination rate is 94%; the a+c group should be 832 People, 711 people, vaccination rate 85%; JE vaccine should be 837 people, 752 people, the vaccination rate is 90%. A liver vaccine should be planted in 278 people, 252 people in real species, and the inoculation rate is 91%.
In the XX years of card, certificate and book management, our town continued to strengthen the management of village-level cards, certificates and books. After making full use of the monthly cold chain operation, it will conduct an assessment of the village-level project immunization work. A village-level inoculation point was jointly supervised and examined 84 times. Strongly guarantee the timeliness, completeness and accuracy of the card, certificate and booklet. So far, 475 people have been built, 475 have been established, 475 have been built, and 475 people have been entered into the computer.
Measles, leak detection and intensive immunization work In order to control the epidemic of measles epidemic in our town, our town organized the personnel of the anti-protection station and the five inoculation points of the township from May 26 to June 2, XX. All children in the three administrative villages in the district and the surrounding area were surveyed by nets. A total of 743 children were investigated in Yangping Township and surrounding administrative villages. Seven children were involved in the investigation. There are 215 children; there are 22 children in the land and 105 children in the field. Among them, 215 people need to be inoculated once, and 61 doses of 2 doses are needed, totaling 337 needles.
In order to earnestly fulfill the solemn commitment made by the Chinese government to the world to eliminate measles in China by 2019, Yangping Town is in accordance with the requirements of the National Medication Elimination Medication Program XX-2019 and the National Measles Vaccine Immunization Program in XX. Under the unified leadership of the town government and the health center, the immunization of measles vaccine was carried out on children from 8 months to 14 years old from September 11 to 20, XX. The number of children between the ages of 8 months and 14 years old should be 7477. In addition to the inoculation of children with contraindications, the actual number of children in the town was 7,119, the inoculation rate was 97.6%, achieving the goal of 95% of the higher level requirements.
Influenza A h1n1 flu vaccine and other vaccinations In order to cope with the epidemic of common infectious diseases, maintain the health care system, and the normal operation of the public service system, the town vaccinated the students with H1N1 flu for a total of 3,571 people. 32 village-level farmers were vaccinated with 3,704 influenza A vaccines. A total of 7275 people were inoculated. The varicella vaccination work was carried out. A total of 636 children were vaccinated; the B-hepatitis vaccine for children aged 6-15 years in Yangping was completed. B liver vaccine should be inoculated 6636 needles, the actual inoculation 5604 needles, the inoculation rate is 84%; the influenza vaccine vaccination work was carried out. A total of 792 children aged 3 years old, 3180 children over 3 years old and 3180 people adults,
4. Infectious disease prevention and treatment timely discover, register and report infectious disease cases and suspected cases found in the jurisdiction; carry out knowledge and consultation services on infectious diseases prevention and control such as tuberculosis and AIDS; cooperate with the prevention and treatment department of the city epidemic prevention station to treat and manage tuberculosis patients. As of November, cases of Class B infection cases, cases of Class C infection cases, cases of infectious cases were reported in a timely manner, cases of tuberculosis cases were referred, and cases of patients were managed. It has played a positive role in the prevention and control of infectious diseases.
5. Child Health In order to establish a child health handbook for infants and toddlers from 0 to 36 months, a new visit and child care system management will be carried out. The maternal and child doctors of our hospital participated in the three-day national public health service standard training in Sanmenxia in October. Through training, each person participating in the training has defined the purpose and mastered the "normative" standards. Up to now, 344 books have been built for children from 0 to 36 months, 344 people have been born in XX, and 344 people have visited.
6. Maternal health care According to Lingbao's “Basic Public Health Service Project Implementation Plan”, at least 5 pregnant women's health services and 2 postpartum visits are provided for pregnant women at least once a year. Carry out general physical examinations and health guidance for pregnant women during pregnancy, nutrition, mental health, etc., to understand postpartum recovery and provide guidance on common postpartum problems. As of November, the responsible persons of all projects have carried out health management for all maternal women, with 479 maternal files, 411 early pregnancy, 85.5% early pregnancy, 100% prenatal health management, and 100 postnatal visits. %.
7. Health management of the elderly Registration and management of the elderly aged 65 and over in the jurisdiction, conducting health risk factors investigation and general physical examination, providing health guidance such as disease prevention, self-care and injury prevention, self-help, etc. . At the beginning of the health record of residents, we have made the elderly a key group for health management. Up to now, the number of elderly people over the age of 65 has been registered in 3,912 people, and 2,531 files have been established. All the elderly who have established archives are managed for health services, and the management service rate is 65%. Through health knowledge, elderly people over the age of 65 can voluntarily undergo a physical examination.
8. Chronic disease management Chronic disease management, mainly for health guidance for high-risk groups such as hypertension and type 2 diabetes. For the 35-year-old or older, the first blood test was performed in the outpatient clinic. Registration and management of patients with confirmed hypertension and diabetes, regular follow-up, and physical examination and medication, diet, exercise, psychological and other health guidance. As of November, the responsible persons of each project have registered and managed 1,566 hypertensive patients and registered and managed 197 diabetic patients.
9. Patients with severe psychiatric diseases manage the management of patients with severe mental illness. Our main task is to register and manage patients with severe mental illness in their jurisdiction; under the guidance of professional institutions, follow-up treatment and treatment of patients with severe mental illness living at home Rehabilitation guidance. Up to now, a total of 69 people with mental illness in the jurisdiction have been established.
4. Strengthening supervision and mutual communication, and jointly improving the work of basic public health services, the leaders of the hospital have attached great importance to this work and have supervised the project work many times.
On July 1, the basic public health service was launched to investigate the physical examination activities in the countryside. The leaders of the hospital personally led more than 20 people from the medical examination team to station in the mulberry field to carry out investigations and medical examinations.
On August 4th, the coordination meeting for physical examination work in the countryside was held, and the medical examination project portfolio was re-adjusted: eight reorganizations into four groups, namely blood group blood glucose group, general condition group, organ function group, and symptom life examination. group. At the same time, strict requirements have been placed on personnel arrangements and equipment management.
In September, members of the school team conducted a comprehensive inspection of the work of the nine basic public health service projects, timely discovered problems in the project work, and promptly corrected them, which promoted the healthy operation of the project work.
In November, the hospital established a basic public health service supervision team to conduct a comprehensive supervision of the public health service project in our town. The supervisors affirmed the work done since the public health service project, and also found out the existence. Some questions. The hospital requires that the good things should be done in a practical and practical manner, and that the archives should be built into a living file to better serve the broad masses of the people.
--- The main problems currently exist:
The public health work in our town has entered the normal operation track as a whole, but from the current situation, there are still some problems and weak links, mainly in:
1. Organizational functions are not in place. Although the three-level public health management and service network has been basically completed, it still does not fully play its corresponding functional role. The towns and villages have insufficient links, and the lack of close connection and unconstrained cooperation have affected the quality of work to a certain extent.
2. The measures are not solid enough. Although the responsible persons actively carried out public health work, they also found that individual comrades did not know enough, the work flow was in the form, and the effective implementation plan was not formulated in combination with their own actual conditions. The guidance to the village health center was insufficient, and the management of some responsible persons was insufficient. The level of business of the instructors is not high, and it is difficult to provide effective guidance and supervision.
3. The health file information is not standardized. The individual health file data is not standardized enough, the health file content is empty, there are more errors, and there are more logic errors.
4. The intensity of work needs to be strengthened. From the inspection, it was found that the medical knowledge of individual doctors was not comprehensive enough, the work was passive, the sense of responsibility was not strong, and the lack of active door-to-door awareness. The main manifestations are as follows: First, the screening of chronic diseases is not in place. Although the chronic patients have already established health records, the ratio of qualified files that meet the requirements is not high, the contents are incomplete, and the records are not true. The follow-up and management of chronic diseases is in the form. Second, although the health management of the elderly has been carried out in parallel with the health construction of the residents, the registration is not detailed and the management is not in place. Third, the number of health education lectures is insufficient, the layout is not replaced in time, the content and form of health education are single, and the information is incomplete. .
5. Public health service personnel have insufficient service awareness, single service skills, and inflexible work methods.
6. Lack of relevant knowledge training. Most of the rural doctors and nurses are engaged in medical clinical and nursing, lack of knowledge about some behavioral interventions such as chronic diseases, and health behavior guidance. It is urgent to strengthen training and guidance.
--- Next work arrangement:
1. Improve the working mechanism and strengthen work responsibilities. It is necessary to strengthen the leadership of public health work, improve the working mechanism, strengthen the responsibilities of the work, analyze and summarize the implementation of the project in a timely manner, and find effective and timely measures to correct the problems in a timely manner to ensure the comprehensive and orderly and healthy development of the project.
2. Strengthen business guidance and improve the assessment system. According to the requirements of the work, each responsible person should do a good job in guiding the work of the doctors in the village clinics in the district, and improve the quality of the archives. The town defense station should conduct performance appraisal of the annual work of the health center; the results of the assessment should be linked to the subsidy. .
3. Strengthen training and develop training in public health services.
4. Increase publicity and raise health awareness. First, it is necessary to combine the actual and the regular and phased approach to carry out targeted publicity activities with the aim of achieving disease-free early prevention, early treatment of diseases, reducing poverty due to illness and returning to poverty due to illness. The majority of the people actively participate. The second is to use health education as a means to serve the people sincerely. In particular, the staff of the village health clinic provide some useful medical and health knowledge to the people through health education and doctors' follow-up services, so that the people can understand the country as the whole town. Residents maintain health records, provide free medical examinations for pregnant women and children under 3 years of age, and subsidize rural maternity delivery. These are all free services provided by the state for residents. Through the joint efforts of the staff of the whole hospital, the residents of the town can know that they can enjoy the medical services provided by those countries free of charge, improve the health awareness of the people, and consciously accept public health services.
First, strengthen leadership, set up institutions, and formulate plans.
According to the “Opinions on Promoting the gradual equalization of basic public health services” and the “Implementation Plan for Basic Public Health Service Projects in Lingbao City” by the Ministry of Health, the Ministry of Finance, the National Population and the Family Planning and Fertility Commission, Yangping Town was established in conjunction with the actual situation. The Leading Group for Basic Public Health Service Projects formulated the “Implementation Plan for Basic Public Health Service Projects in Yangping Town”. The basic public health service projects were calibrated and assigned to people, and the responsibilities were clearly defined. The responsible persons of each project implementation formulated their own work plans and The project runs the project and can be standardized.
Second, improve the system, strict training, and standard behavior.
The hospital uniformly formulated and printed 200 copies of the Basic Public Health Service Work Manual, which was distributed to every employee and township doctor. The project implementation offices have formulated relevant systems and put them on the wall to organize relevant personnel to study hard. In order to standardize the management of national basic public health service projects, on June 25th, our hospital specially invited the staff of the municipal bureau to organize the staff of the whole hospital and the health clinics of various health centers to conduct special training on the contents of the National Basic Public Health Service Regulations. The training has enabled all village doctors to basically grasp the various contents of the national basic public health service standards, and laid a good foundation for the smooth implementation of basic public health service projects in our town and better serve the health of the residents.
3. Arrangement and progress of basic national public health service projects in nine countries.
1. Establishing the National Health Public Service Project for Residents' Health Archives, the health construction of residents is the basis. We organize the implementation of various project participants with women, children, the elderly, chronic patients, mental patients and other people, on a voluntary basis. By organizing the physical examinations in the villages and villages to establish a unified and standardized resident health record for the resident population in the jurisdiction, the contents of the health archives are detailed and filled out. Up to now, 10,664 people have established resident health files. We will arrange a physical examination for the kindergartens of the first and second middle school students in the whole town from late November to December.
2. Health education focuses on the basic knowledge and skills of health literacy, prevention and treatment of chronic diseases, and key health issues in the jurisdiction. The responsible persons of each project can provide health education publicity information and health education consultation services for residents in the jurisdiction through the promotion of villages and streets. Set up a health education bulletin board and update the content regularly to conduct health education activities such as health knowledge lectures. Up to now, 4 health education columns have been set up in the main streets, and the layout has been updated 4 times. The public health education videos have been broadcasted, the public health consultation activities have been carried out 6 times, the health knowledge lectures have been held 12 times, and various publicity prints have been issued 150,000. The remainder. Through the joint efforts of the project owners and continuous health guidance and intervention, the bad hygiene habits of some people have been changed to a great extent, and the disease has started from prevention.
3. Vaccination for children of school age to receive free hepatitis B vaccine, BCG vaccine, polio vaccine, DTP vaccine, measles vaccine, A liver vaccine, ECM vaccine, JE vaccine, MMR vaccine, etc. Reporting suspected abnormal reactions in vaccination and assisting in the investigation of key tasks for vaccination work in national basic public health service projects. In order to do this work, we have once again confirmed the vaccination sites. Each inoculation site has the cold storage facilities and equipment as stipulated in the “Regulations on the Management of Vaccine Storage and Transportation Management” and carries out the vaccine and cold chain management as required. The quality of the vaccine. In June, vaccination personnel were trained in vaccination.
The operation of the cold chain has successfully completed 10 cold chain operations. It should inoculate 14450 children and 13370 children, with a vaccination rate of 93%. Among them: 10,232 children were immunized on the basis of basic immunization, and 9574 were immunized by 94. BCG should be planted in 475 people, 471 people in the field, the vaccination rate is 99%; newborns hbv should be planted with B13 vaccine, 1813 people, 1755 people, the vaccination rate is 97%, the timely vaccination rate is 100%; polio sugar pills should be There are 2199 people and 2107 species, the vaccination rate is 96%; the triple vaccine should be 2195 people, the real species is 2089 people, the vaccination rate is 95%; the measles vaccine should be 880 people, the actual species 841 people, the vaccination rate is 96%, a group The cerebral vaccination should be 1739 people, the actual species is 1428, the vaccination rate is 82%; the JE vaccine should be 931, the actual species 883, the vaccination rate is 95%. 418 people should be immunized, 3796 people should be planted, and the inoculation rate will be 90%. Among them, 547 people should be planted with polio sugar pills, 503 people should be planted, and the inoculation rate will be 92%. 804 people should be planted in the triple vaccine, and 736 people should be inoculated. The rate is 91%; the second vaccine is 199, the actual species is 159, the vaccination rate is 80%; the blast vaccine should be 724, the actual species is 683, the vaccination rate is 94%; the a+c group should be 832 People, 711 people, vaccination rate 85%; JE vaccine should be 837 people, 752 people, the vaccination rate is 90%. A liver vaccine should be planted in 278 people, 252 people in real species, and the inoculation rate is 91%.
In the XX years of card, certificate and book management, our town continued to strengthen the management of village-level cards, certificates and books. After making full use of the monthly cold chain operation, it will conduct an assessment of the village-level project immunization work. A village-level inoculation point was jointly supervised and examined 84 times. Strongly guarantee the timeliness, completeness and accuracy of the card, certificate and booklet. So far, 475 people have been built, 475 have been established, 475 have been built, and 475 people have been entered into the computer.
Measles, leak detection and intensive immunization work In order to control the epidemic of measles epidemic in our town, our town organized the personnel of the anti-protection station and the five inoculation points of the township from May 26 to June 2, XX. All children in the three administrative villages in the district and the surrounding area were surveyed by nets. A total of 743 children were investigated in Yangping Township and surrounding administrative villages. Seven children were involved in the investigation. There are 215 children; there are 22 children in the land and 105 children in the field. Among them, 215 people need to be inoculated once, and 61 doses of 2 doses are needed, totaling 337 needles.
In order to earnestly fulfill the solemn commitment made by the Chinese government to the world to eliminate measles in China by 2019, Yangping Town is in accordance with the requirements of the National Medication Elimination Medication Program XX-2019 and the National Measles Vaccine Immunization Program in XX. Under the unified leadership of the town government and the health center, the immunization of measles vaccine was carried out on children from 8 months to 14 years old from September 11 to 20, XX. The number of children between the ages of 8 months and 14 years old should be 7477. In addition to the inoculation of children with contraindications, the actual number of children in the town was 7,119, the inoculation rate was 97.6%, achieving the goal of 95% of the higher level requirements.
Influenza A h1n1 flu vaccine and other vaccinations In order to cope with the epidemic of common infectious diseases, maintain the health care system, and the normal operation of the public service system, the town vaccinated the students with H1N1 flu for a total of 3,571 people. 32 village-level farmers were vaccinated with 3,704 influenza A vaccines. A total of 7275 people were inoculated. The varicella vaccination work was carried out. A total of 636 children were vaccinated; the B-hepatitis vaccine for children aged 6-15 years in Yangping was completed. B liver vaccine should be inoculated 6636 needles, the actual inoculation 5604 needles, the inoculation rate is 84%; the influenza vaccine vaccination work was carried out. A total of 792 children aged 3 years old, 3180 children over 3 years old and 3180 people adults,
4. Infectious disease prevention and treatment timely discover, register and report infectious disease cases and suspected cases found in the jurisdiction; carry out knowledge and consultation services on infectious diseases prevention and control such as tuberculosis and AIDS; cooperate with the prevention and treatment department of the city epidemic prevention station to treat and manage tuberculosis patients. As of November, cases of Class B infection cases, cases of Class C infection cases, cases of infectious cases were reported in a timely manner, cases of tuberculosis cases were referred, and cases of patients were managed. It has played a positive role in the prevention and control of infectious diseases.
5. Child Health In order to establish a child health handbook for infants and toddlers from 0 to 36 months, a new visit and child care system management will be carried out. The maternal and child doctors of our hospital participated in the three-day national public health service standard training in Sanmenxia in October. Through training, each person participating in the training has defined the purpose and mastered the "normative" standards. Up to now, 344 books have been built for children from 0 to 36 months, 344 people have been born in XX, and 344 people have visited.
6. Maternal health care According to Lingbao's “Basic Public Health Service Project Implementation Plan”, at least 5 pregnant women's health services and 2 postpartum visits are provided for pregnant women at least once a year. Carry out general physical examinations and health guidance for pregnant women during pregnancy, nutrition, mental health, etc., to understand postpartum recovery and provide guidance on common postpartum problems. As of November, the responsible persons of all projects have carried out health management for all maternal women, with 479 maternal files, 411 early pregnancy, 85.5% early pregnancy, 100% prenatal health management, and 100 postnatal visits. %.
7. Health management of the elderly Registration and management of the elderly aged 65 and over in the jurisdiction, conducting health risk factors investigation and general physical examination, providing health guidance such as disease prevention, self-care and injury prevention, self-help, etc. . At the beginning of the health record of residents, we have made the elderly a key group for health management. Up to now, the number of elderly people over the age of 65 has been registered in 3,912 people, and 2,531 files have been established. All the elderly who have established archives are managed for health services, and the management service rate is 65%. Through health knowledge, elderly people over the age of 65 can voluntarily undergo a physical examination.
8. Chronic disease management Chronic disease management, mainly for health guidance for high-risk groups such as hypertension and type 2 diabetes. For the 35-year-old or older, the first blood test was performed in the outpatient clinic. Registration and management of patients with confirmed hypertension and diabetes, regular follow-up, and physical examination and medication, diet, exercise, psychological and other health guidance. As of November, the responsible persons of each project have registered and managed 1,566 hypertensive patients and registered and managed 197 diabetic patients.
9. Patients with severe psychiatric diseases manage the management of patients with severe mental illness. Our main task is to register and manage patients with severe mental illness in their jurisdiction; under the guidance of professional institutions, follow-up treatment and treatment of patients with severe mental illness living at home Rehabilitation guidance. Up to now, a total of 69 people with mental illness in the jurisdiction have been established.
4. Strengthening supervision and mutual communication, and jointly improving the work of basic public health services, the leaders of the hospital have attached great importance to this work and have supervised the project work many times.
On July 1, the basic public health service was launched to investigate the physical examination activities in the countryside. The leaders of the hospital personally led more than 20 people from the medical examination team to station in the mulberry field to carry out investigations and medical examinations.
On August 4th, the coordination meeting for physical examination work in the countryside was held, and the medical examination project portfolio was re-adjusted: eight reorganizations into four groups, namely blood group blood glucose group, general condition group, organ function group, and symptom life examination. group. At the same time, strict requirements have been placed on personnel arrangements and equipment management.
In September, members of the school team conducted a comprehensive inspection of the work of the nine basic public health service projects, timely discovered problems in the project work, and promptly corrected them, which promoted the healthy operation of the project work.
In November, the hospital established a basic public health service supervision team to conduct a comprehensive supervision of the public health service project in our town. The supervisors affirmed the work done since the public health service project, and also found out the existence. Some questions. The hospital requires that the good things should be done in a practical and practical manner, and that the archives should be built into a living file to better serve the broad masses of the people.
--- The main problems currently exist:
The public health work in our town has entered the normal operation track as a whole, but from the current situation, there are still some problems and weak links, mainly in:
1. Organizational functions are not in place. Although the three-level public health management and service network has been basically completed, it still does not fully play its corresponding functional role. The towns and villages have insufficient links, and the lack of close connection and unconstrained cooperation have affected the quality of work to a certain extent.
2. The measures are not solid enough. Although the responsible persons actively carried out public health work, they also found that individual comrades did not know enough, the work flow was in the form, and the effective implementation plan was not formulated in combination with their own actual conditions. The guidance to the village health center was insufficient, and the management of some responsible persons was insufficient. The level of business of the instructors is not high, and it is difficult to provide effective guidance and supervision.
3. The health file information is not standardized. The individual health file data is not standardized enough, the health file content is empty, there are more errors, and there are more logic errors.
4. The intensity of work needs to be strengthened. From the inspection, it was found that the medical knowledge of individual doctors was not comprehensive enough, the work was passive, the sense of responsibility was not strong, and the lack of active door-to-door awareness. The main manifestations are as follows: First, the screening of chronic diseases is not in place. Although the chronic patients have already established health records, the ratio of qualified files that meet the requirements is not high, the contents are incomplete, and the records are not true. The follow-up and management of chronic diseases is in the form. Second, although the health management of the elderly has been carried out in parallel with the health construction of the residents, the registration is not detailed and the management is not in place. Third, the number of health education lectures is insufficient, the layout is not replaced in time, the content and form of health education are single, and the information is incomplete. .
5. Public health service personnel have insufficient service awareness, single service skills, and inflexible work methods.
6. Lack of relevant knowledge training. Most of the rural doctors and nurses are engaged in medical clinical and nursing, lack of knowledge about some behavioral interventions such as chronic diseases, and health behavior guidance. It is urgent to strengthen training and guidance.
--- Next work arrangement:
1. Improve the working mechanism and strengthen work responsibilities. It is necessary to strengthen the leadership of public health work, improve the working mechanism, strengthen the responsibilities of the work, analyze and summarize the implementation of the project in a timely manner, and find effective and timely measures to correct the problems in a timely manner to ensure the comprehensive and orderly and healthy development of the project.
2. Strengthen business guidance and improve the assessment system. According to the requirements of the work, each responsible person should do a good job in guiding the work of the doctors in the village clinics in the district, and improve the quality of the archives. The town defense station should conduct performance appraisal of the annual work of the health center; the results of the assessment should be linked to the subsidy. .
3. Strengthen training and develop training in public health services.
4. Increase publicity and raise health awareness. First, it is necessary to combine the actual and the regular and phased approach to carry out targeted publicity activities with the aim of achieving disease-free early prevention, early treatment of diseases, reducing poverty due to illness and returning to poverty due to illness. The majority of the people actively participate. The second is to use health education as a means to serve the people sincerely. In particular, the staff of the village health clinic provide some useful medical and health knowledge to the people through health education and doctors' follow-up services, so that the people can understand the country as the whole town. Residents maintain health records, provide free medical examinations for pregnant women and children under 3 years of age, and subsidize rural maternity delivery. These are all free services provided by the state for residents. Through the joint efforts of the staff of the whole hospital, the residents of the town can know that they can enjoy the medical services provided by those countries free of charge, improve the health awareness of the people, and consciously accept public health services.
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