Township hospitals are an important link in rural tertiary medical outlets, shouldering the important tasks of basic medical care and basic public health services, an important link to directly solve the problems of difficult and expensive medical treatment in rural areas, and the main carrier for medical and health services to open up the "last mile" for grassroots people.
Compared with general hospitals, patients in township hospitals are relatively fixed, and doctors and patients are more familiar with each other. Hospitals can adhere to the patient-centered service concept, take deepening reform and service democracy as the main line, focus on continuously improving the quality of medical services and improving service capabilities, deepen the equalization of basic public health services, and provide high-quality, efficient, safe and convenient personalized medical care services for the people in their jurisdictions.
Township hospitals can adhere to the concept of social benefits and serving the masses, change passive service into active service, go deep into village communities to carry out residents' health checkups and follow-up of patients with chronic diseases, and change the service mode of waiting for clients to come to the door in the past. For the elderly who can't go to the centralized point for physical examination in remote villages, organize medical staff to go to their homes for health examination.
Conditional township hospitals can strengthen the coordination and linkage with family planning, social security, villages and communities, and implement the system of combining endowment insurance qualification certification with health examination. You can also combine the "1+ 1+ 1+N" collaborative interactive family doctor combination contract mode to provide health guidance for contracted residents in the jurisdiction and help patients refer.
Shortcomings of township hospitals:
1, the medical service level is low. Affected by the planned economic system and historical factors, the overall quality of health technical medical staff in township hospitals is seriously low. To develop township hospitals, we must have "three elements" at the same time. Capital investment, talent investment and market integration are necessary conditions for development, and all three are indispensable. However, township hospitals are often not satisfied: without money, hospitals cannot increase medical equipment and improve medical conditions; Medical staff are emotionally unstable, lack of confidence, and their enthusiasm and sense of responsibility are not fully exerted, which makes it difficult to attract patients: rural patients go to village clinics for minor illnesses and county hospitals for serious illnesses; The fewer patients, the more money the hospital has, which makes the work of township hospitals in an unsaturated state. The existing medical services cannot meet the health care needs of the masses. .
2. Lack of management experience and serious brain drain. Due to the limited funds and platform resources, township hospitals cannot absorb high-level talents. Managers often have no systematic health management training and lack experience in primary health management. The level of medical and health technicians is limited, and the low income causes emotional instability, lack of confidence, lack of sense of responsibility, and insufficient enthusiasm.
3. The influence of market economy on hospital development: ① The negative effect driven by interests leads to a large number of brain drain and affects the stability of medical staff. ② The maladjustment between the price of medical and health charges and the market economy has greatly affected the normal operation of medical work and the development of new technologies and new therapies.