Summary of TB prevention and control in village clinics in 1 20XX With the correct guidance of county CDC and the direct care of hospital leaders, the TB prevention and control work in our hospital was successfully completed. The work in the past year is briefly described as follows:
I. Main Work Completed
1, the most important thing to do a good job in publicity and education of tuberculosis prevention and control is to raise the awareness of prevention among the whole people, focusing on prevention and nip in the bud. Therefore, it is very important to publicize the knowledge of tuberculosis prevention and treatment. To this end, our hospital has carried out publicity and education on TB prevention and control knowledge in this year's TB prevention and control work, such as in 3. On the 24th TB prevention and control day, TB prevention and control publicity activities were carried out by setting up points, publicizing TB prevention and control knowledge, health consultation and distributing publicity materials. Go to the village to give special lectures on tuberculosis prevention and treatment from time to time; Follow-up, medication guidance and prevention guidance for close contacts of tuberculosis patients and their families within their jurisdiction; Conduct irregular relevant knowledge training for medical staff and rural doctors in our hospital. In order to improve the awareness and level of tuberculosis prevention and treatment of people and medical staff in the area.
2. Management of the whole process of patient treatment: all the tuberculosis patients diagnosed and treated in the county chronic disease station are included in the follow-up management of tuberculosis in this area, and regular home visits are made. The contents of follow-up include: explaining the condition, introducing the treatment plan, dosage, usage and side effects of the drug, and the importance of adhering to the law of medication. Deal with those who take medicine late, such as recovering patients in time by telephone or home visit. And strengthen education to persuade patients to insist on timely treatment. Train patients and their families so that they can identify anti-tuberculosis drugs, understand commonly used doses and methods of administration, and possible side effects, and urge patients to use drugs regularly. Verify the drug use, check the remaining amount of drugs, and urge outpatients to take drugs on time and review them. Through follow-up, do a good job in patients' ideological work and strive for patients to actively cooperate with treatment. During the follow-up period, we should not forget to carry out publicity and education on tuberculosis prevention and treatment, including: tuberculosis is a respiratory infectious disease, and we must pay attention to its air transmission to family members and surrounding people in the first two months of treatment. Tuberculosis can be cured, so we should establish firm confidence and fully cooperate with doctors. The key to cure tuberculosis is to adhere to the rules of chemotherapy plan formulated by doctors and complete the prescribed course of treatment.
There may be side effects after taking the medicine. If there are side effects, seek medical advice in time, and don't stop taking the medicine by yourself. In principle, after 2 months, 5 months and 6 months of treatment, go to the county chronic disease station to check sputum on time.
Second, the existing problems
1. Patients and their families in the jurisdiction have a low cultural quality, so it is difficult to receive education on tuberculosis prevention knowledge and improve their awareness of disease prevention.
2. Patients' understanding of injustice is limited. After the drug reaction, the patient refused to listen to the doctor's advice and insisted on taking the medicine.
Three. Views on future work
1, strengthen the business and professional ethics study of clinicians and rural doctors, and improve their sense of responsibility and professional level.
2, often carry out various training courses to improve the professional level of village doctors.
3, increase the propaganda of health education, especially the propaganda of tuberculosis prevention and control knowledge. Strengthen awareness and improve people's awareness of disease prevention.
Summary of TB prevention and control work in village clinics 20xx is the last year to implement the national TB prevention and control plan, and it is also a crucial year to realize the ultimate goal of the national TB prevention and control plan. Our hospital focuses on the implementation of the "five-rate" technical plan for tuberculosis prevention and treatment of the Ministry of Health, focusing on ensuring the quality of patient detection and treatment, earnestly doing the overall work of the hospital and serving the construction of a new socialist countryside. The annual work is summarized as follows:
I. Prevention and treatment of tuberculosis
(1) Registration of tuberculosis patients
In the whole year, 902 newly diagnosed patients were registered, and 20 1 person were newly diagnosed, completing the annual plan101%; 54 cases of retreated smear positive patients completed the annual plan100%; 39 cases were negative in smear; The network of non-TB institutions reported 290 cases of suspected pulmonary tuberculosis, and 56 cases of severe cases were excluded; Among them, 224 cases were referred, with a referral rate of 95.7%; 58 cases need to be followed up, 58 cases have been followed up, and 53 cases have been tracked in place, with a tracking rate of 100% and a tracking rate of 9 1%. Summarize the information of epidemic prevention every quarter and report it to all relevant units in the county once.
(two) the treatment outcome of new smear positive patients in the previous year.
203 cases of new smear-positive pulmonary tuberculosis were registered in 20XX, of which 87 cases were cured/kloc-0, and the cure rate was 92%. 4 cases completed the course of treatment; 2 cases died of non-tuberculosis; 10 cases of adverse reactions; The patient system management rate is 98%; All the above data were completed at the beginning of the year.
(iii) Capital investment
According to the national, provincial and municipal planning, the county finance included the TB prevention and control funds of 6.5438+0.8 million yuan in the budget, which ensured the development of TB treatment management, publicity and education and planning activities. Make full use of the central transfer payment of 1.29 million yuan to do a good job in reporting, managing, supervising and tracking pulmonary tuberculosis patients.
(4) Supervision and visits
The township prevention and protection stations are supervised every two months, and the social defense department has designed a "free patient drug collection monitoring table". If a patient does not take medicine or stop taking medicine in time, he will call the patient or his family immediately. Throughout the year, * * * supervisors visited more than 220 tuberculosis patients, striving to visit every tuberculosis family, especially to re-educate patients who stopped taking drugs or used drugs irregularly. 165438+ 10, which took a week, traveled 1200 kilometers, and paid the referral fee to the rural doctors.
(five) publicity "3.24 World Tuberculosis Day"
March 24th, 20XX is XX World Tuberculosis Day, and this year's slogan is "Stop TB, be healthy and harmonious". Accompanied by the Basic Education Department of the Education Bureau, this activity mainly went to five primary and secondary schools in the city to publicize tuberculosis knowledge, focusing on health education courses, posted 20 posters, distributed 50 CDs on "Preventing Tuberculosis" and "Curing Tuberculosis", and distributed 3,000 pamphlets on "Preventing Tuberculosis, Being Healthy and Harmonious", especially 1 for freshmen, so that every teacher and student could see, hear and learn. In addition, XX brochures were left for the Basic Education Department of the Education Bureau and distributed to primary and secondary schools in towns and villages to let teachers and students in the county know about TB prevention and treatment. Through publicity, teachers and students have improved their understanding of the importance of tuberculosis prevention and control, understood the knowledge of tuberculosis prevention and control, and enhanced their awareness of tuberculosis prevention and control.
(six) held the county tuberculosis prevention and control work conference.
On April 8, the county-wide tuberculosis prevention and control work conference was held in the conference room of tuberculosis hospital. The director in charge of the county health bureau, the chief of the prevention and control department, the president of the prevention and control hospital, the president of the CDC, the president of the general hospital and the township prevention and control stationmasters attended the meeting. At the meeting, the work of tuberculosis control in XX county was comprehensively summarized, and the work indicators, tasks and priorities of tuberculosis control in XX county were formulated. Deputy Director Wang of the Health Bureau pointed out the priorities of this year, such as implementing the free policy, improving the quality of work, strengthening the prevention and control of key groups, publicity and education, and doing a good job in the fifth national transfer. Finally, the Institute of Tuberculosis Prevention and Treatment signed a 20XX target responsibility letter with township hospitals. The convening of this meeting timely summarized and analyzed the achievements and existing problems of tuberculosis prevention and control work in our county, defined the work priorities and objectives in XX years, and laid a solid foundation for the smooth development of various tuberculosis prevention and control work, the fifth national tuberculosis epidemiological survey and the full implementation of tuberculosis prevention and control planning.
(7) The site work of the fifth national water diversion project in Surabaya was completed.
From May of 10, after 14 days' efforts, through the full cooperation of Jining Sixth Dispatching Team and Jinzhuang Village Committee, the chest X-rays of 667 villagers in Xiyinyi Village1/kloc-0 were examined, and the response rate reached 95.26%, which was satisfactory. Four suspected pulmonary tuberculosis patients were found at the transfer point, and smear-positive pulmonary tuberculosis patients were diagnosed 1 case, and the free treatment policy was implemented according to the requirements of the guidelines. On the 24th, a chest X-ray examination was done for those who had not been selected, and souvenirs were distributed. The mobile team provided thoughtful service for the masses, which was well received by the members of the village Committee and the masses and established a profound friendship with them. In order to express gratitude, the village Committee specially made a banner of "serving the people wholeheartedly and with superb skills", and the village party secretary personally presented it to the Sixth Dispatching Team.
(eight) the completion of the final evaluation report of tuberculosis prevention and control planning.
① Maintain the coverage rate of modern tuberculosis control strategy (dots)100%;
② The referral rate of pulmonary tuberculosis patients and suspected pulmonary tuberculosis patients reached over 85%;
③ The detection rate of new smear positive pulmonary tuberculosis patients is above 70%;
④ The cure rate of new smear positive pulmonary tuberculosis patients reached over 85%;
⑤ The participation of medical institutions in tuberculosis prevention and treatment reached1.000%;
⑥ The treatment rate of MDR-TB patients is 90%.
⑦ The treatment rate of tuberculosis patients in floating population is over 90%;
⑧ The training rate of rural doctors in tuberculosis prevention and treatment technology for more than two times reached 90%;
Pet-name ruby TB prevention and control knowledge awareness rate of more than 80%.
Attending the "planning" period to reduce the number of deaths by 658; The number of people who cured infectious patients and avoided new pulmonary tuberculosis was1531; The social medical expenses reduced by avoiding new patients are 6.5438+0.04 million yuan; The social and economic benefits saved by avoiding the loss of labor force are 98.966 million yuan.
(9) The physical examination of freshmen in primary and secondary schools in the county was completed.
According to the requirements of "Management Measures for Physical Examination of Primary and Secondary School Students" issued by the Ministry of Health and the Ministry of Education, 10 to 12 carried out tuberculin detection on 697 1 primary and secondary school students in the county, and informed 2 16 students with strong positive results to come to our hospital for free chest X-ray and sputum smear examination.
(10) Improve efficiency and complete performance appraisal.
In order to scientifically evaluate the work of tuberculosis prevention and control and promote the comprehensive and sustainable development of tuberculosis prevention and control, according to the Work Plan for Performance Appraisal of Disease Prevention and Control issued by the Ministry of Health, our hospital has solidly carried out the performance appraisal of disease prevention and control (tuberculosis part). This performance appraisal is an evaluation of the work carried out in XX years, mainly including 9 business indicators, such as the discovery rate of new smear-positive patients, dots coverage rate, systematic management rate of tuberculosis patients, cure rate of new smear-positive patients, reporting rate of tuberculosis patients in medical institutions, referral rate of tuberculosis patients, tracking rate of tuberculosis prevention and control institutions, screening rate of family members of tuberculosis patients, and coverage rate of quality assurance system among tuberculosis sputum smear microscopy rooms. Staff have been sent to Qufu, Jining and other places to observe and study, and to conduct on-the-spot investigations on the experience and practices of performance appraisal, which has enhanced their perceptual understanding of performance appraisal. Through the active efforts of nearly 1 month, the tuberculosis part of our hospital's performance appraisal is progressing smoothly, and the data preparation work is fully completed. On February 23, 65438, the municipal performance evaluation team came to our county to inspect the work, comprehensively and objectively evaluated the achievements of tuberculosis prevention and control in our county, and put forward some shortcomings such as incomplete and detailed preservation of some original materials. Performance appraisal has played a guiding role in our future work and promoted the level of tuberculosis prevention and control.
(eleven) business skills.
1, participated in the first medical skills competition in our county, set up a leading group, and selected young business backbones from July. After three months of hard training, although the final results were not satisfactory, the overall quality and technical level were really improved through the competition.
2. Participated in many training courses on tuberculosis knowledge, social prevention and health education held by provinces and cities. Through training, the professional level and working ability of TB control personnel have been improved, and the smooth implementation of TB control plan has been ensured.
Second, the development of other work.
(A) the Party branch to carry out in-depth activities for excellence.
Carrying out the activity of striving for excellence is an important test to implement Scientific Outlook on Development. All the party member cadres in our hospital are fully organized, promoted and implemented with a highly responsible attitude, a spirit of reform and innovation and a pragmatic style. Combine grasping business with grasping party building, focus on the determined work objectives, lead work with activities, promote activities with work, really work hard on the implementation of work, and turn activities into a powerful driving force for all work. At the same time, we insist on party building leading the league building, party building leading the league building and party building leading the league building. Through the activities, the enthusiasm of creating advanced collectives and striving to be advanced individuals was promoted, and a good atmosphere of striving for Excellence was formed.
(two) do a good job of medical quality inspection twice a year.
Effectively improve medical services, strengthen the education of medical ethics and medical laws and regulations, so that employees can further establish the idea of serving patients wholeheartedly, adhere to the "patient-centered" service concept, and continuously improve the level of medical services.
(C) the new rural cooperative medical reimbursement system
Since the reimbursement of the new rural cooperative medical system was started in our hospital, under the correct leadership of the new rural cooperative medical system jointly organized by the Health Bureau, we have earnestly carried out various tasks and achieved certain results. Business personnel earnestly study the rules and regulations of the new rural cooperative medical system and operate in strict accordance with the rules and regulations. No violation of laws and regulations was found in the inspection of the new rural cooperative medical system in the county, and the annual cumulative compensation fee was 1 17000 yuan.
(D) change the work style of cadres
Since the prohibition of alcohol, the county government has attached great importance to it, adopted various forms to carry out study and education, and paid close attention to implementation. Hospital leaders and middle-level cadres have strengthened the daily education and management of employees, forming a form of hierarchical education management. The cadres and workers of the hospital implemented the prohibition of alcohol with practical actions, and there were no unhealthy phenomena such as drinking and drinking at noon.
(five) actively participate in patriotic health activities.
Our institute actively participates in the activities of creating civilized cities. In the environmental sanitation renovation, more than 20 dead ends were cleared, 64 illegal advertisements and 38 sprayed materials were removed, which contributed to keeping the overall environmental sanitation in our county in a good state.
(six) the situation of safe production
Attach great importance to medical quality and safety, always put medical quality and safety in the first place, strictly implement various rules and regulations, earnestly implement them, and pay close attention to medical quality, so that there will be no medical accidents in medical safety work in our hospital for one year.
(seven) temporary office relocation work
Due to the demolition of the original leased land, a private house was rented in the east of Sicheng Hongyu Gas Station1south of the national highway 300m327. After the relocation, all departments can work normally.
(8) The construction of the new hospital has been basically completed.
The address of the new hospital is located on the east side of the road in the east of the factory, covering an area of 20 mu, with a building area of 1300 square meters. Now the main body and supporting houses have been basically completed and are being renovated internally. After the completion of the new hospital, it will bring us great development space.
(9) Cultural life
In May, organize all employees to visit and study in the beautiful coastal city of Dalian. The whole activity schedule is compact and rich, and everyone feels the breath of big cities and modernization. Feel the essence of metropolis and the spirit of civilization. During the three days, we were United and friendly, communicated with each other, and achieved the goals of relaxing mood, cultivating sentiment, broadening our horizons and enhancing friendship, and were well educated in reform, innovation, patriotism and spiritual civilization.
165438+ The first fun sports meeting was held in our hospital on126 October. It's the first time to hold such a group activity, and it's difficult to plan at the initial stage. Lack of experience is the biggest obstacle. After the help of colleagues and many discussions, the planning was on the right track. Although the weather is cold, it has not affected the active participation of employees. These events are slow cycling, one-minute skipping, badminton and table tennis. Everyone's mood is high, the atmosphere is cheerful, and the competition process is extremely fierce. They all took an active part in the competition, which not only enjoyed the fun of the competition, but also played a role in keeping fit and boosting morale in a difficult environment.
In the past year, under the leadership of the Health Bureau, we have made some achievements and made some progress in tuberculosis control, but we also have to see many difficulties and challenges. In XX, we will face great challenges. For example, after the completion of the new hospital, whether our medical and nursing ability and management ability can keep up with the development of the situation, and whether the planning, construction and utilization of wards can be carried out smoothly will also be a great challenge. There is still a gap between the actual work and the standard county. These problems need close cooperation of all departments, and everyone should update their ideas to meet the needs of medical reform and the masses. As long as everyone has the attitude of loving the hospital and family, our tomorrow will be like sesame blossoms.