The first health management training report
In 20xx, under the guidance of the superior management department, our hospital conscientiously implemented the spirit of the document "* * * *(20xx version) Basic Public Health Service Project of Urban and Rural Grassroots Medical and Health Institutions", strengthened internal management, paid close attention to the work of basic public health service projects, fully mobilized the enthusiasm and initiative of the staff in the hospital, and made certain achievements in the management of hypertension and diabetes. Now we will treat hypertension in our hospital in 20xx.
1. Establish a basic information system for chronic diseases, and use the existing network to directly report newly diagnosed cases of hypertension, diabetes and malignant tumors. The leader is in charge of this work, and the responsibility is implemented to the people. Regularly check and supervise reports of chronic diseases.
2, in the area of key population to carry out screening of hypertension and type 2 diabetes, early detection of hypertension and diabetes patients, to ensure early diagnosis and early management of hypertension and diabetes patients.
3. Provide health guidance and lifestyle intervention to high-risk groups of chronic diseases such as hypertension and diabetes, register and file patients with hypertension and diabetes, incorporate them into health management, and follow up regularly to improve the standardized management rate and control rate of hypertension and diabetes, improve self-management and knowledge and skills, and reduce or delay the occurrence of complications of hypertension and diabetes.
4. Explore the management mode and mechanism from group prevention and control, individual prevention and control, regular follow-up management of chronic diseases such as hypertension and diabetes.
5, strengthen health education and health promotion, regularly carry out lectures and publicity on hypertension and diabetes, popularize the knowledge of prevention and treatment of hypertension and diabetes among residents in the area, control various risk factors, and improve people's health awareness.
6. Establish a standardized computer file management system for hypertension and diabetes.
Second, chronic disease archiving and management
1, file management of patients with hypertension
(1)20xx hypertension screening: 2805 people.
(2) 2) Blood pressure at the beginning of 20xx35 years: 100%.
(3) Health management rate of hypertensive patients = number of hypertensive patients managed in that year (1230)/ total number of hypertensive patients in that year (2,438) *100% = 50.5%.
(4) Standardized management rate of hypertensive patients = number of hypertensive patients managed according to standard requirements (12 19)/ number of hypertensive patients managed in that year (1230) *100% = 99.1%.
(5) The blood pressure control rate of the management population = the number of people whose blood pressure reached the standard in the latest follow-up (875)/ the number of people who have managed hypertension (1230) *100% = 71%.
2. Filing and management of diabetic patients
(1)20xx diabetes screening: 2760 people.
(2) The first blood sugar test for patients over 40 years old with 20xx: 100%.
(3) The health management rate of diabetic patients = the number of diabetic patients managed in that year (398)/ the total number of diabetic patients in that year (1137) *100% = 35%.
(4) Standardized rate of health management for diabetic patients = number of people who carry out health management for diabetic patients as required (360)/ number of people who manage diabetic patients within one year (398)* 100%=90.4%.
(5) The blood sugar control rate of the management population = the number of people who reached the fasting blood sugar standard in the last follow-up (1, 2 1)/ the number of people with diabetes under management (398)* 100% = 30. 1%.
Third, health education of chronic diseases.
1. 12 Carry out health education related to chronic diseases.
2. Eight publicity columns related to the prevention and treatment of chronic diseases were held throughout the year.
3. 2,680 leaflets on the prevention and treatment of chronic diseases were distributed throughout the year.
Fourth, training.
1, participated in the training of knowledge related to chronic diseases of superiors for 6 times throughout the year.
2. Throughout the year, our hospital organized staff and rural doctors to conduct four trainings on chronic diseases.
Problems and plans of verbs (abbreviation of verb)
Prevention and control of chronic diseases is a long-term process. Although the management of chronic diseases in 20xx years has achieved certain results, there are still many shortcomings.
1. Incomplete collection of basic information of electronic archives.
2. Follow-up of chronic diseases is not timely.
3, chronic disease follow-up table and other related information management is not standardized.
4. Insufficient chronic disease management personnel.
The second health management training report
According to the relevant requirements of the Notice of state administration of traditional chinese medicine Office on Launching the Pilot Work of Traditional Chinese Medicine in Basic Public Health Services (state administration of traditional chinese medicine 20x40), the overall deployment of the pilot work and the requirements of the regional cooperation group for the pilot work of traditional Chinese medicine health management for hypertensive patients, our bureau actively explores the effective ways of traditional Chinese medicine treatment in basic public health services, fully performs the function of prevention and control of chronic diseases, gives full play to the advantages of traditional Chinese medicine, and guarantees the health of residents in the jurisdiction. Now, for 20xx40 years,
After the meeting of TCM Health Management Cooperation Group for Hypertension in 20xx, our bureau organized the directors of community health service centers to study the meeting documents carefully, understand the spirit of the meeting, absorb the good experiences and practices of other provinces in the project team, and discuss the opinions and suggestions on the implementation of the project in our district. Combined with the prevention and treatment measures of chronic diseases in our bureau for 20xx years, as well as the standardized management requirements for hypertensive patients in Technical Specifications for Health Management of Hypertensive Patients and Guidelines for Prevention and Treatment of Hypertension in China, we will vigorously carry out the prevention and treatment of hypertension with traditional Chinese medicine, and actively carry out health education in combination with measures such as tobacco control, alcohol control and dietary intervention. Constructing the preventive health care service system of traditional Chinese medicine to promote the comprehensive and coordinated development of traditional Chinese medicine.
Second, the main practices
On the basis of xx in 20xx, this year's community work will focus on the prevention and care of common diseases, frequently-occurring diseases and chronic diseases, highlight the characteristics of traditional Chinese medicine by means of health education and health promotion, vigorously carry out the national healthy lifestyle action, popularize the knowledge of traditional Chinese medicine health care and disease prevention in various forms, and guide community residents to establish a healthy lifestyle. The measures taken are as follows:
1. Strengthen publicity.
In the health consultation and free clinic activities, the unique advantages of Chinese medicine "simplicity, convenience, cheapness, efficiency and test" were publicized to the community residents, and nearly 1,000 residents benefited from the free clinic activities, and the project screening activities were carried out in advance during the free clinic. Highlight the characteristics of traditional Chinese medicine in the daily diagnosis and treatment process, popularize the appropriate technology of traditional Chinese medicine, and actively carry out the project of auricular point treatment of hypertension in community health institutions. Formulated and printed TCM health education prescriptions, TCM health manual and TCM health knowledge atlas, and distributed nearly 5,000 copies. Make full use of billboards and electronic screens of community health service institutions to publicize the knowledge of TCM health preservation, disease prevention and treatment. The knowledge of traditional Chinese medicine runs through the health education lectures held by community health service institutions, and some institutions actively set up hypertension clubs to facilitate the communication between patients with hypertension. District Health Education Institute held special lectures for residents, popularized the common sense of TCM health care for chronic diseases, and highlighted special topics such as TCM health care, dietotherapy, mood regulation, exercise and body conditioning.
2. Formulate norms
Issued the "Implementation Plan for the Prevention and Treatment of Chronic Diseases in Traditional Chinese Medicine Community", guiding community health service institutions to carry out the prevention and treatment of chronic diseases in traditional Chinese medicine, using the knowledge of traditional Chinese medicine to standardize management, and providing health guidance for patients with hypertension and diabetes.
3. Strengthen training
Further strengthen standardized management. According to the requirements of "Guidelines for the Prevention and Treatment of Hypertension in China" and "Guidelines for the Prevention and Treatment of Diabetes in China", each center began to conduct centralized training for the project medical staff and chronic disease management personnel, which is conducive to improving the quality of data monitoring.
Third, the existing problems
1. is short of funds and needs self-financing to carry out this project.
At this stage, the expenses are borne by the community center, which brings great pressure to the community center. Lack of funds has brought many difficulties to this work. I hope the project team can give support in terms of funds and equipment.
2. Team building.
In the community health team, there is a shortage of Chinese medicine talents, especially those who can bring Chinese medicine services into the community health security system. Most of the staff of community health service institutions are engaged in specialized diagnosis and treatment projects. Community health service requires medical staff to change from a single biological model to a bio-psychological-social medical model. Compared with superior medical institutions, the treatment of community health personnel is low, and it is difficult to introduce good talents and mobilize existing personnel, which affects the overall vitality of the community service team. It is hoped that the project team can give guidance to the personnel training of TCM health management for hypertensive patients, so as to improve the service efficiency and quality of medical staff.
Four. Future plans
Article 3 Health Management Training Report
Really soon, in a blink of an eye, my internship in the experience center will be over. I remember that I was very happy when the department arranged an internship in the experience center. I thought two weeks would be easy, but when I really got there, I felt that everything was too easy for me, and everything didn't seem as easy as I thought. The physical examination center, in my impression, is a leisurely department with nothing to say. On the first day of reporting to this department, I reconfirmed my thoughts. There is really nothing serious in the physical examination center. Because most of the doctors here are anti-employed, the natural age is a certain age, and there are not many people on the first day of physical examination, so I was arranged to record the examination results for a teacher in the general project examination room on the third floor. She taught me to record my blood pressure more quickly and accurately, and the examination items here need me to learn. Although the days after that were not what I always thought, I thought it was quite delicious after I was busy. I greet patients every day and record the results, which not only greatly changes my introverted personality, but also makes me cheerful. It also exercised my listening. At first, I was depressed: why are you so annoying? I speak so fast that I won't repeat it. Asked quite impatiently. It's annoying, but I gradually realize that it's not what I think. I also learned a lot of medical knowledge from teacher Ren!
In the physical examination center, it is a tedious thing to help sort out the patient's physical examination report every afternoon. Being a nurse is really a test for me. Patience is a necessary quality for nurses, which just exercises my endurance. I really appreciate it here.
Seeing that the internship here is coming to an end, although it is only two weeks, it is also a little reluctant. With the endurance and other things I have developed in the physical examination center, I think I will really do better in the only two weeks left.