Summary of township public health service work

According to the requirements of “xxxx annual xx town public health service project work tasks and assessment standards”, “xxxx annual xx town public health service project work tasks and assessment criteria”, county health control county county disease control center and county women's insurance institute With the support of the xx town committee and the town government, our center combined xx actual situation, xxxx year to strengthen hardware construction, improve the system, strengthen the construction of the general practitioner team, and earnestly carry out the "six-in-one" community service and other aspects of active work, The current situation of public health services in our center in xxxx is summarized as follows:

Overview of the town: xx town is located in the eastern part of xx county, in the center of the south of the Yangtze River, the area of ​​the town. Square kilometers, from the county town Lingxi. km; the town has a total administrative village, eight residential areas, the total number of people. People, males, females, females, people over 60 years old, people, children aged 0-7 years, people, foreign population, people, agricultural population, people, agricultural population accounts for about 6.% of the total population.

Institutions and personnel: xx town community health service center employs 95 people, including 82 professional and technical titles, accounting for 86.3% of the total staff, including 61 with college education or above, and one with senior professional titles. There are 13 intermediate professional technical titles, 28 practicing doctors, 6 practicing assistant physicians, 21 practicing nurses, 54 primary health technicians, 6 general practitioners, and 7 training students.

The status quo of public health medical services: the whole town has a center, two stations, 23 village clinics, 5 individual clinics, 21 responsible doctors in the town, 8 coordinators, 27 liaison officers, and residents of the jurisdiction. Provide "six-in-one" services such as prevention, health care, rehabilitation, health education, basic medical care, and family planning guidance. The medical service covers the xx area and surrounding towns and villages, with a population of about 120,000.

Rural public health service management: xx town community health service center conducts supervision and guidance on the work of public health service projects four times a year for responsible doctors and Yunyan Health Center of the town; the center establishes 10851 health records, standardized chronic disease management 3,787 people, including 3,313 people with hypertension, 8.02%, and 294 people with diabetes, accounting for 0.70%. The annual physical examination should check 30,767 people, the actual physical examination was 20,651, and the physical examination rate reached 67%. The responsible doctor team paid 20,495 free on-site services.

1. Reasonable layout of community health service agencies

According to the "Opinions on the Development of Urban Community Health Services in Zhejiang Province" and the "Implementation Opinions of Wenzhou Municipal People's Government on Accelerating the Development of Urban and Rural Community Health Services", based on the planning of the community health service institutions in xx County, based on the distribution of existing health resources According to the service population, service zoning, service radius and community health service requirements that can be reached by residents within 15 minutes of travel, optimize and integrate medical and health resources. At present, the logo of one center and two community health service stations is clear and the layout is reasonable. All are based on public health and basic medical services. Provide residents with a “six-in-one” comprehensive health and wellness service.

2. Improve facilities and facilities of community health service centers

At present, the center room area of ​​our center is 3,200 square meters. The center sets up the medical rehabilitation department, the preventive health department, the health education department, the logistics support department and the community health service comprehensive office. The child health clinic and the women's health clinic meet the county standardization construction standards, and the vaccination clinic The demonstration requirements of the province, including the separation of the vaccination room, to ensure a seedling and a compartment, the establishment of health education classrooms, the addition of computer, multimedia, vcd and other audio-visual education, set up health education bulletin, monthly health promotion content, section Indoor health education prescriptions are available for residents to check;

3. Accelerate the training of community health service personnel and improve service capabilities

21 community-responsible doctors are equipped according to the population of 1000-1500 people in the area under their jurisdiction. Each responsible doctor team has a qualified assistant or above as the captain. The center has developed a training plan for all employees. All community-responsible doctors participate in rural public health knowledge training organized by the County Health Bureau. 80% of them organize general medical knowledge training or training through the Municipal Health Bureau, including Chinese medicine, Chinese medicine, preventive medicine, Training in psychology knowledge. Select the technical backbone to the municipal hospital to focus on training, and gradually improve the level of community health services.

4. Promote organizational management in an orderly manner

Set up a comprehensive office for community health services, and the director of the center will serve as the director of the office, and accept the work plan for the work tasks of the higher level. Supervise the implementation of various service work of community-responsible doctors, continuously improve the quality of service; develop a team of responsible doctors to communicate and communicate implementation plans, actively explore the general team service methods, and gradually promote the team service model to the district.

In accordance with the requirements of standardized community health service centers, establish and improve the system of consultations for responsible doctors, two-way referral systems, key disease management systems, and various operational procedures and public health emergency plans to ensure that community health services have rules to follow, and Combined with the assessment plan to implement one by one.

The layout of each department is publicized on the wall. The consultation service measures include a sub-consultation desk, medical treatment procedures, health prescriptions, etc., service time, service items, prices, and various measures for benefiting the people, etc., to facilitate the public to seek medical treatment.

Formulate the work objectives of community-responsible doctors, the public health assessment allocation plan, the principle of public health funds to go with the fees, and strictly follow the opinions of the public finance special funds of the county finance bureau and county health bureau;

Formulate the rural integrated management archives of the xx town community health service center, and improve the management assessment mechanism of the center.

5. Deepen community health services based on public satisfaction

Improve the connotation of community health services, care for vulnerable groups, carry out love services, and patrol clinics. The service of love clinic: the five-guarantee households, low-income households, and disabled people in the whole town, the certificate exemption registration fee, medical treatment fee, injection fee and other surgery and examination expenses, and zero profit of medicines. Free health checkups are provided once a year for clients over the age of 60 in their jurisdiction, and personal health records are established. At the same time, we conducted roving medical clinics in the community and nursing homes. At the same time, we carefully produced various publicity pictures, carefully prepared 5 kinds of health education materials for rural common diseases, and held 12 health education lectures to help people establish self-discipline and self-care awareness. The social response is good.

Publicize the team of community-responsible doctors, photos of the community-responsible doctors, contact information, etc. on the health education bulletin board of the community and the village, and issue the responsible doctor to contact the business card, indicate the name of the responsibility, contact number, etc., to facilitate the provision of services and supervision.

In conjunction with the free health checkup of insured farmers, conduct community residents' health surveys, actively implement the responsible doctor system and team service model, sign a two-way referral agreement with city and county hospitals, accurately and timely collect community residents' health service needs, and dynamically track management. The majority of residents welcome.

Implement key population services, strengthen regular follow-up services for key populations, provide regular follow-up services for seniors over 60 years of age, implement dynamic management, provide community management for patients with tuberculosis, hepatitis and mental illness, with slow patient population, special hardship, disabled, low As a breakthrough point for work, insurance, five-guarantee households, etc., to improve disease awareness rate, control rate, medication rate, management of 3313 hypertension, 42 tumors, 294 diabetes, 15 coronary heart disease, 36 strokes, spirit 63 patients, 24 tuberculosis, timely registration of the archives. Early detection, early diagnosis, and early treatment of chronic diseases reduce or relieve their illness and improve their quality of life.

Unified production of health education bulletin boards, posting of health education posters, combined with the establishment of work, responsible doctors in-depth community, family, school and public places, carry out various forms of health education activities. Community-responsible doctors in each village regularly open health education classes to popularize various health knowledge. This year, a total of 11 health posters were published, 35*4 publicity windows, 12 health education lectures, and 13 health day activities. The health knowledge questionnaire was surveyed once, and more than 50,000 healthy prescriptions were made. More than 30,000 copies of various health knowledge and publicity materials were distributed. The contents include prevention and treatment of sexually transmitted diseases such as AIDS, chronic non-communicable diseases such as hypertension and diabetes, respiratory infectious diseases, intestinal infectious diseases and mental health knowledge.

Strengthened the intervention of risk factors in community behavior and carried out propaganda against smoking and anti-drug work. On May 31st, World No Tobacco Day, a publicity and consultation activity was carried out, and more than 2,000 copies of information were distributed. On June 6th, we will give lectures in Yiyi Village. On October 8th, we will hold a lecture on chronic diseases in Yi Er Village. On October 10th, Mental Health Day, we will conduct consultation activities at the market of xx vegetables. On November 14th, the Diabetes Prevention and Prevention Day, we gave a lecture in Furong Village;

Various types of community health services have been promoted in an orderly manner. The indicators of maternal and child health care have reached or exceeded the county average. The rate of vaccination for children is 100%, and the rate of children under 3 years old is 97%. The maternal system rate 91%, 1679 women's censuses.

Strengthen the management of infectious diseases and public health emergencies. This year, our center continued to strengthen the prevention and treatment of infectious diseases, improved the emergency plan for public health emergencies, and revised the management system for infectious disease prevention and control. All employees are trained and assessed on the knowledge of infectious disease prevention and control, so that everyone knows and everything is implemented. At the same time, our center completed the construction of the infectious disease information network in XX.

Third, the difficulties and plans

1. The public health service project in xxxx has achieved certain results, but it also has the following difficulties: public health finance and community health service funding are insufficient, which restricts the development of community health services. Lack of talents, general practitioner training requires a process, full-employment system and effective incentive mechanism still need to be supported by policies and measures; residents have a sense of community health services, government departments have limited support, and door-to-door service resistance Large, information construction is urgently needed.

2. Future plans: strive for government-led, strengthen functions, increase investment in community health services; increase publicity, earnestly carry out community health services, and gradually change the stereotypes of medical staff and community residents through publicity-attraction-re-propaganda Promote their voluntary participation in community health services; strengthen the construction of professional and technical teams, start standardized training for general practitioners as soon as possible, improve the level of community health services; innovate operational mechanisms, initiate informatization construction, policy support, implement internal incentives, external supervision , grading medical care, community first consultation system, etc., to promote the sustainable and healthy development of community health services.

Looking forward to the future, we have a long way to go, but we firmly believe that under the supervision and guidance of the leaders of the xx County Health Bureau, the County CDC, and the County Women's Insurance Institute, we will actively innovate, forge ahead, and keep up with the times. The spirit of advancement, continuous innovation of thinking, innovative mechanisms, creative work, and explore a sustainable development path for community public health services.