Investigation report on health status of community residents 1
In order to know the health knowledge and behavior of residents in this area in time, we used a unified questionnaire to survey 30 people 18? The health knowledge and health behavior of 60-year-old residents were randomly selected, and the survey results are reported as follows:
I. Findings
This * * * spot checks 30 residents in this area, including male 15 and female 15. The age span ranges from 18? 60 years old. There were 300 health knowledge questions in this spot check, and 273 questions were answered correctly, with a health awareness rate of 90.33%, an increase of 0.67% compared with last year; There are 2 10 questions in section * *, and the correct answer is 188 questions. The formation rate of healthy behavior was 89.5%, an increase of 65438 0.07% compared with last year.
Second, analysis and suggestions
1. From the results of this survey, both the awareness rate of health knowledge and the formation rate of health behavior show that the effect of health education in this area is obvious and remarkable in the past year. To this end, we will, as always, carry forward our achievements, continue to do a good job in residents' health education, and add strength to Gong Wei.
2. In terms of health knowledge, this spot check involves ten knowledge points. In the spot check, we found that residents have a good understanding of nutrients, the harm of alcoholism, bad habits that may lead to hypertension and diabetes, and planned immunization for children. In last year's spot check, residents lacked knowledge about the route of AIDS transmission. Through our one-year publicity and education, this year's knowledge spot check has achieved gratifying results, but residents' understanding of the benefits of eating iodized salt and mosquito-borne diseases is still relatively lacking. This makes us realize that in the next stage of health education, we should shift the focus to these weak links in publicity and education activities.
3. In terms of health behavior, although the seven items in this spot check have improved compared with the same period of last year, the situation is still grim. Especially in spitting, eating habits, smoking and drinking. In the bad behavior of spitting, the personnel structure is characterized by men, with low education level and age level, but it has little to do with it. The structural characteristics of bad behavior personnel in eating habits are mostly women, and women's preference for sweets is greater than that of men. Men's bad eating habits are mainly manifested in eating big fish and meat, and rarely eating green vegetables. Eating habits are mainly related to the gender of the spot-check personnel, and have little to do with age, occupation and education. On the issue of smoking and drinking, the characteristics of personnel structure are reflected both horizontally and vertically, regardless of gender, age, occupation and education level. On the one hand, it shows that the economic living standard of residents is constantly improving, on the other hand, it also shows that the construction of economic civilization and spiritual civilization cannot be harmonious and unified. This also makes us realize the importance and urgency of spiritual civilization construction. We should take this sense of urgency as the driving force of our health education work, strengthen publicity, strive to improve the knowledge level of health education for the whole people, urge residents to change their original bad behavior habits, and realize a double harvest of economic civilization and spiritual civilization.
Investigation report on health status of community residents II
Objective: To understand the views, usage, satisfaction and influencing factors of community residents on community health service in Chang Huai 'an, and to provide basis for improving the quality of community health service and creating a good community health environment. Methods: The residents of Ximen community in Huai 'an were randomly investigated by unified questionnaire and interview. Results: 50 questionnaires were effectively recovered. The effective utilization rate is 83.3%. The comprehensive satisfaction of community residents to community health service is 67%, among which residents are more satisfied with service attitude and standardization of drug use, but less satisfied with facilities, equipment, service price and drug price. Residents' utilization rate of community health services also shows different trends with age, education level and employment status. Conclusion: The situation of community health service needs to be improved. We should strengthen the publicity of community health services, strengthen community health education, stabilize drug prices, improve the community health service system and improve the level of community health services and the utilization rate of residents.
Keywords: community health service, community residents' satisfaction utilization rate
Community health service refers to the general name of health care activities provided by health and relevant departments for residents in a certain community with prevention, medical treatment, rehabilitation and health promotion as the content. At present, the developing countries have low economic level and limited health resources, so it is necessary to develop community health services, implement simple technologies and improve the health status of residents. With the development of social economy and the progress of civilization, while saving resources, it can also meet the needs of residents for medical care. In order to provide better health services and implement the relevant government health policies, we investigated the opinions and suggestions of community residents on community health services on 2011. The results are reported as follows.
Object and method
(1) The respondents used a simple random sampling method and used a pre-designed questionnaire to investigate the residents of two communities. Of the 60 questionnaires, 50 were effectively recovered, with a recovery rate of 83.3%.
(2) Survey and Statistical Methods According to the purpose of the survey, the questionnaire was filled in by the investigator, and the investigator asked some special objects. Use statistical data for sorting and analysis.
Investigation report on health status of community residents 1
After a week's internship in xx street community hospital, I think the community hospital has the following characteristics:
First, to facilitate the people.
1, so that residents can enjoy health care around them. Some minor headaches and brain fever can be cured in community hospitals without going far.
2. Medical insurance into the community. At present, the qualified community health service institutions in our province have been included in the basic medical insurance for urban workers. Among the designated medical institutions selected by the insured, there will be 1? 2 designated community health service institutions. In order to encourage the insured to go to the community to see a doctor, our province promotes medical insurance into the community, and actively takes effective measures such as prepayment of medical insurance expenses and increasing the proportion of reimbursement. At the same time, all community health services such as family beds will be clearly included in the scope of medical insurance fund payment, so that the functions of community health service institutions can be effectively played. With the deepening of medical and health reform, the number of people participating in the basic medical insurance for urban workers in Nanping City has reached more than 90,000, with a large number and wide distribution. In order to meet the needs of the insured people to seek medical treatment nearby and enjoy high-quality, convenient and fast community basic medical services at relatively low prices, the relevant departments of our city have set up a network of community medical and health service institutions within the urban area, forming a? Serious illness to the hospital, minor illness in the community? Two-way referral medical and health network for the insured to enjoy? Close at hand? Basic medical and health services.
Second, many patients and their families who have been to community health service centers report that it is much cheaper to see a doctor and get medicine in community hospitals than in large hospitals. Compared with large hospitals, the drug prices in community hospitals can be well accepted by most residents. Under the premise of achieving the same therapeutic effect, doctors try their best to use cheap drugs to reduce the burden on patients and let patients truly appreciate the public welfare of the community. Health Minister Gao Qiang emphasized in June this year that public health services must adhere to the government-led public welfare. ? In order to realize the public welfare of community health service, besides the zero price of drugs, we must also solve the problem of supporting doctors with drugs. ? This community hospital implements two lines of revenue and expenditure and adheres to public welfare. ? Two lines of revenue and expenditure? It means that the community health service management center unifies the financial management of its subordinate stations, and the funds of each station are uniformly distributed by the center, and the income is turned over to the center, thus cutting off the connection between medical service personnel and service income and putting an end to it. Take medicine to support the doctor? This phenomenon has realized the public welfare of community health service.
Third, humanized service In xx Street Community Hospital, almost every resident who comes to see a doctor will have personal or family health records. Establishing health records and leaving the first-hand information of patients is not only convenient for community doctors to manage, but also convenient for doctors in large hospitals to know the patient's situation at the first time after receiving treatment.
Doctors will regularly check the residents' health, grasp the detailed records of residents' health status by using health files, and intervene in time when abnormal symptoms are found. At present, xx Street Community Hospital is making statistics on people with hypertension and hyperlipidemia in the community, and giving guidance and suggestions on diet, medicine and exercise to the sick residents. In the next stage, patients with chronic gastritis will be surveyed for free, so as to find and treat patients with early gastric cancer early. Chronic diseases such as diabetes, heart disease, tumor and coronary heart disease are the focus of community intervention and management. Pregnant women, children and the elderly over the age of 60 are also the key management targets of this community hospital. Health care for pregnant women at all stages of pregnancy, timely vaccination for children, and regular physical examination for people over 60 years old. In addition to daily consultation and rehabilitation guidance, every community medical staff should go into the residents' homes and publicize the residents' health concepts and knowledge. This is the advantage of community health service institutions compared with large hospitals.
Accessibility is the basic requirement of community residents for medical and health services, and it is also an important symbol of improving the service level of medical and health service institutions. Accessibility is mainly manifested in the close geographical location-at home in the community hospital, easy to use-one-stop service for waiting for medical treatment at any time, charging for medical treatment and taking medicine, friendly relationship-treating patients as their own relatives, fair and reasonable prices-selling medicines at low prices and using cheap medicines as much as possible.
The importance of community hospitals lies in Wen Jiabao. On February 8 this year, the State Council presided over the the State Council executive meeting to study and develop urban community health services, and reviewed and approved in principle the Guiding Opinions of the State Council on Developing Urban Community Health Services. The meeting heard the report of the Ministry of Health on the development of urban community health services. The meeting held that community health service is an important part of urban health work and a basic link to realize the goal of primary health care for all. In 2007, the State Council Wen Jiabao reported on the government work in 2007 that community health service is a new form of health service, which is close to the masses, convenient for the masses, prevention-oriented, and combining prevention with treatment. Conforming to China's national conditions and meeting people's needs is the basis for building a basic medical and health system. Medical service is a major livelihood issue, and it is the unshirkable responsibility of the government to do a good job in community health service.
In China, community health service institutions are non-profit public medical institutions, providing basic medical and public health services for the people. All the work of community health service institutions is centered on the health of the community people, and stick to it? Six in one? . So-called? Six in one? Meaning? Prevention, medical care, maternal and child health care, rehabilitation, health education, family planning guidance? The six functional health service networks are popular projects of the government to do practical things for the people, providing effective, economical, convenient, comprehensive and sustainable primary health services for urban residents. The basic task of health service is to enable residents to enjoy public health services such as disease prevention and control and basic medical services for common and frequently-occurring diseases in the community.
Community hospitals advocated by the government are social welfare and belong to non-profit medical institutions. Setting range: 3-65438+ 10,000 residents plan to set up community health service centers, and several community health service stations can be set up according to needs. Provide services: diagnosis and treatment of common diseases and frequently-occurring diseases, and nursing and treatment of chronic diseases with definite diagnosis. Staffing: 2-3 general practitioners and 65,438+0 public health doctors per 10,000 residents. According to the national standard of community doctors, community doctors should be qualified general practitioners or clinicians with practical experience in regular hospitals. The ratio of nurses to doctors is 1: 1. Fees: Community health service fees can be charged by project, or by common diseases and frequently-occurring diseases. Drug price: reduce the rising rate of drug price and encourage the use of cheap drugs. Medical insurance: eligible community health service institutions are included in the designated scope, and eligible community health service projects are included in the payment scope. Cooperation between large hospitals: the advantages of convenient, accessible, economical and humanized community health services, such as two-way referral, national medical records and regular consultation by experts, are gradually reflected. This community hospital fully meets or even exceeds the above conditions and reaches the standard.
However, the low rate of patients in community hospitals affects people's choice of community. First, some community residents do not fully understand community health service institutions and family doctors, and they do not know that they can obtain medical and health services in their own communities. Second, there is a lack of trust in community health services, and they are not at ease to hand over their health care to community doctors; Third, traditional habits make many people think that they should go to the hospital when they are sick. The bigger the hospital, the more assured it is. Fourth, the medical and health system is limited. Many units have clearly defined the designated hospitals for employees to seek medical treatment, and medical treatment in community health service institutions cannot be reimbursed. On the other hand, the drugs commonly used by residents in community health service institutions, especially those commonly used for the treatment of chronic diseases, are not included in the scope of medical insurance, which affects residents' medical treatment.
However, the establishment of a perfect community health service system is a gradual process. It takes time to improve the community health service system, the hardware and software of community health service institutions, and the understanding, acceptance and trust of community health service institutions by residents. Therefore, in the face of developing things, we should not always look at them critically, but should give more tolerance, allow problems of one kind or another in the transitional stage, and give more support, encouragement and trust to the development of community health service system.
I think the further development of community hospitals should be: 1 Strengthen publicity and expand the coverage of community health services to community residents. Vigorously develop characteristic medical services (such as traditional Chinese medicine) and charging mode according to diseases to improve economic accessibility. 3. Establish a medical and health service system with complementary advantages between hospitals and community health service institutions. 4. Further improve service attitude and establish long-term emotional ties with patients.
In short, I believe that community hospitals will develop better and better in the near future!