On April 25 to April 28, under the leadership of the Municipal Women's Federation, the organization of a medical detachment to the six horizontal, respectively, Daju three days of medical examination work. During the three days, the medical checkups were conducted for about 560 women in fishing and rural areas, and the feedback from the public was relatively good, with a high degree of trust compared to that of the urban areas. During the three-day medical checkup, the number of medical checkups was large, the conditions were difficult, and the workload was relatively heavy, but the staff had no complaints and did their best. Basically, each person has to undertake 180 people's medical checkups every day, and the dedication and persistence shown by our staff is touching, and no complaints have been reflected.
Shengsi:
Number of medical checkups: 230 people
Time of medical checkups: 1:00pm to 5:30pm on the 25th, 7:00am to 5:40pm on the 26th
Arrangement of on-site work: gynecological checkups for Liu Moying and He Miao; leucorrhoeal test for Director Peng; ultrasound checkups for Li Yan; registration and inquiries for Zheng Jiaozhou; logistic materials and on-site order maintenance for Huang Jun;
Maintaining order at the site;
Maintaining order at the site. Maintenance;
Site situation: because of the limited work site, the number of people on the scene is relatively concentrated, but the site order is mixed but not chaotic, the whole work link is more coordinated, the link does not appear to be a mistake. The general reaction of the people is: the city's experts, we can trust. So the degree of trust is relatively high.
Problems: Due to the local Women's Health Bureau report, the local county health department on April 26, 8:30 am or so to the medical examination site to check the hospital employees' work documents and professional documents. The local Women's Federation leadership to stop, and then six horizontal county health department telephone contact with the City Health Bureau and Dinghai District Health Bureau to ask about the situation, but the City Health Bureau and the District Health Bureau are answered do not know that there is such a thing. The situation is very embarrassing, through the coordination of the director of the Municipal Women's Federation Sun, decided to end the medical examination on the 26th, the follow-up medical examination by the local county people's hospital women's health insurance.
Media coverage: Local TV stations reported 5 seconds of news on the evening of the 26th, and the Zhoushan Evening News reported 1/2 page
DQ:
Number of people in the medical examination: 330 (including the valid medical examination form)
Time of the medical examination: 27th, 1:00 pm to 5:30 pm, and 28th, 7:30 am to 5:30 pm
Site Work Arrangements: Same as above
Site Situation: The site of the medical examination is a local village health service center, which is strongly supported by the staff of the health service center. But unfortunately the director was not in, so did not be able to contact the director, only left a business card entrusted to the person in charge to convey greetings. The number of people on the spot was also very concentrated, the number of medical checkups in the afternoon of the 27th amounted to 60 people, the 28th medical checkup was the most concentrated day, the workload was huge, the number of medical checkups on that day amounted to 270 people, which greatly exceeded the number of people who had been arranged beforehand, and the vast majority of them were rushed to come, and many of them were too late to be examined. The medical checkups were recognized and supported by the local residents. There are a lot of people who have not been able to make it to the medical checkup are very anxious, begging us when we can go down again, reflecting that basically there is no problem.
Problems: Due to the occurrence of the six horizontal things completely unexpected, disrupted the planning arrangements. To Daqu physical examination time arranged in advance, the physical examination was to be carried out in the local people's hospital, but when the person in charge of its hospital heard that it is Zhoushan Women's Hospital is not willing to provide space and equipment, but also said that if it is the three hospitals and Zhoushan Hospital I'm willing to provide, but the Zhoushan Women's Hospital is to advertise, I do not borrow. But the reality is that the local people's hospital was originally Daishan County, the second people's hospital, now being Shanghai Xinhua Hospital, the nature of the nature of public hospitals, but the actual mode of operation with private nature. I think this may be the main reason for the refusal of our medical examination. It is worth mentioning that on the 28th, the hospital also put out a banner "Zhoushan City Health System, improve the doctor-patient relationship, free medical check-up activities", but basically no one asked for, and we organized the effect of the physical examination is a very obvious contrast, I personally think that this is also a good counterattack, we are in the difficulties and obstacles to the case, and finally succeeded. I personally think it was a good counterattack, we finally succeeded in spite of all the difficulties and obstacles, and the effect was obvious. At the same time, I also learned that Shengsi had a lot of bad feedback from the public during the medical checkup on the 27th, arguing that why Zhoushan Women's Hospital was notified in advance and why it had to be changed, believing that the authorities were cheating them. Again, this shows that the campaign is still a success.
Media coverage: 5 seconds of local TV news on the 28th, 1/2 page of Zhoushan Evening News on the 30th.
Summary: This rural medical checkup activity can be said to be difficult and obstructed in many ways, but the people still believe in us and still welcome us. Personally, I think the rural market of the outer islands is a market worth developing and should be publicized. And at the same time also requires us to internally in the diagnosis and treatment effect as well as the price to put forward targeted diagnosis and treatment price.
Shunyi District Civil Affairs Bureau:
In order to better implement the spirit of the 17th National Congress of the CPC, and actively promote the construction of a new socialist countryside, and build a socialist and harmonious society, our hospital according to the Central Propaganda Department, the Central Civilization Office, the Ministry of Health and other ministries and commissions on the in-depth implementation of the culture, science and technology, health, "three rural" activities, the spirit of the notification. Beishitiao Township, Liqiao Township and Renhe Township. This activity is our hospital actively responded to the Shunyi District Civilization Office, Health Bureau "to carry out medical activities to the countryside" call organized by a people's initiative, by the majority of farmers warmly welcome, won a good social reputation. Now the second health activities to the countryside as a report:
A volunteer team organizational composition and role
In the 100 days of the "send a doctor to the countryside," the activities of our hospital has always insisted that every day to send out two medical vehicles, 15 people composed of volunteer medical team, volunteer medical team physicians are all of my hospital medical bone marrow, the hospital is a very important part of the medical team.
In this activity part of the volunteer experts despite the old and frail, despite the heat and rain, insisted on going to the countryside (such as surgical experts Lu Shiyin, director of the more than 70 years old, deputy director of the doctor), to relieve the suffering of the farmers to make selfless dedication to the support of the leadership at all levels and the villagers recognized the current region of a superb medical skills, passionate about the service of volunteer team, for the community to pay attention to the praises.
The clinic activities carried out by our main service object for the Shunyi city around the nine townships, according to statistics, including the number of consulting and examination of 12,827 people, the number of 10,323 physical examination, the cost of this activity are funded by the hospital, for the patient to save a variety of medical treatment fees 900160 yuan (see Table 1). Health activities in the countryside by the majority of villagers welcome, not only lifted the villagers from the hidden disease, reducing their economic burden, but also strengthened the villagers' health awareness, so that the majority of villagers actively participate in the disease checkups. Make them realize that only regular body checkups, in order to prevent diseases, a healthy body can be fully engaged in the production and construction, better service for the socialist construction, to achieve a well-off society.
Second, the 20xx annual clinic statistics (see Table 2)
Third, the diagnosis and treatment of various departments
In the 12,827 consultants and 10,323 physical examination: internal medicine 12,322 cases; surgery 12,242 cases; gynecology 8376 cases; blood glucose test 8280 cases; electrocardiogram examination 10172 cases; liver, gallbladder, spleen, pancreas, kidney and other abdominal b ultrasound examination 10036 cases.
Four, statistical cases
The proportion of common diseases in the clinic activities: hypertension 3562 cases; fatty liver 2976 cases; diabetes 1982 cases; gynecological diseases 2322 cases; frozen shoulder cervical spondylosis 1,237 cases; lumbar spine shoulder disc protrusion lumbar muscle strain 1263 cases; gallbladder and kidney stones 471 cases; myocardial ischemia Myocarditis 219 cases; uterine fibroids 1 * 6 cases, etc..
Fifth, the clinic activities to sound the alarm for health checks
In this clinic activities, we feel that people's health awareness and the previous compared to a great improvement, many villagers are actively participate in the examination. However, there are also many common problems that have attracted our attention:
1. Poor health awareness;
The main purpose of our checkups is to find out if there are any potential illnesses through the checkups so that we can take preventive and treatment measures in time. Health checkups do not refer to the various tests done after we get sick, but should be done regularly for a comprehensive body checkup. In April 30th Zhaoquanying Majiapu village clinic, 81-year-old villager Li Weiqin in gynecological examination, the doctor found cervical polyps recommended that she be treated, through the doctor's inquiry, the old man had not done a body checkup before, and do not know anything about their own condition, and feel that they are already so old, a little bit of small illnesses will not be necessary to go to the hospital until now, the old man is still not to come to the hospital for treatment; in May 1 * after the Shayu village, the old man is still not in the hospital for treatment. May 1 * after the Shayu back to the private Qinglan Garden District clinic, villagers Liu Mingqin gynecological examination, the doctor found that her abdomen is very hard to press down, through the ultrasound examination found that the inside has been suspected of tumor-like unknown entities filled (large 1 *.5cm, the initial diagnosis of fibroids), the doctor recommended to the hospital to do a comprehensive examination to confirm the diagnosis. After learning that she just felt bloated in the abdomen and had no appetite, so she had not been concerned about it, and might not have recognized the seriousness of her condition if not for this clinic. Therefore, when the experts told her condition, she went to the hospital the next day to do a comprehensive examination was diagnosed as large fibroids and underwent surgery.
2, more sub-healthy people;
For this physical examination, we found that a large number of people in rural areas have been in the edge of clinical diseases, sub-healthy people, but often this part of the people are indifferent to this, for healthy people, according to the age and gender of the different body to carry out regular checkups. For example, it is necessary to conduct a comprehensive body check at least once a year.
3, gynecological examination is afraid of shame;
activities, some villagers are not willing to do gynecological examination, and some women think that they
they are more than 60 years old, there is no need to do what the examination. In fact, these understandings are all misunderstandings, only to improve the awareness of health checks, in order to achieve the prevention of disease before it occurs.
4, the body of the good do not have to check again;
Many people will be health checkups as dispensable, there are people who rely on the body of the good medical examination, in fact, health checkups is a verification of the health status of the body, not only to do it on time, but also to check out the problem, we must go to the hospital in a timely manner to treat, do not wait until the condition of the seriousness of the only after the remedial action.
Sixth, "send doctors to the countryside" clinic activities sincere for the people, in the community has won widespread praise
I actively responded to the Shunyi District Office of Civilization, the Bureau of Health, "in-depth development of health activities to the countryside Through the in-depth health activities to the countryside, the majority of villagers in a timely manner to detect potential medical conditions, and popularize health knowledge to the villagers, to a certain extent, to enhance the villagers on the importance of health.
This clinic activity is a vivid embodiment of the construction of a new socialist and harmonious countryside, is the implementation of the spirit of the 17th National Congress of the Party, is a positive response to the Shunyi District Government for the people's initiative of the actual performance, giving full play to the role of health care units linking the Party and the people, so that the general public really feel the care of the Party.
This activity not only collects the basic health information of the peasant masses, but also effectively provides quality health care services for the peasant masses, especially the middle-aged and elderly masses, and promotes the attention of the peasant masses to the disease. This activity fully reflects the Shunyi District Spiritual Civilization Office and the Health Bureau's concern for the farmers, and deepens the relationship between the relevant departments and the farmers, while also laying a good foundation for the further development of rural health care in Shunyi. Of course, there are some shortcomings and limitations in the activities, such as due to time constraints can not go to each town (village), some towns (villages) will have the view that; due to the limitations of the daily workload, go to the village can not be all the villagers in the village to check that some of the villagers will be dissatisfied with the mood, etc., so this requires us and the village committees and villagers to communicate more with the communication between the villagers and strive for the continuation of the 09 year! "Sending doctors to the countryside" activities, to other towns (villages) to carry out clinics for more villagers physical examination.
In short, this "send doctors to the countryside" clinic activities by the majority of farmers welcome and appreciate the recognition of the farmers, for the protection of people's health, create a harmonious society, the construction of a new socialist countryside, and made its due contribution.
A summary of the activities of the health hospital to the countryside 3 First, the activities carried out 1, to carry out academic lectures The afternoon of the 15th, by the members of the team in the hospital conference room for the hospital clinic and the community medical staff to open the "basic knowledge of emergency first aid," the "lower extremity venous thrombosis", "cardiac interventional therapy," and so on, three academic lectures, there are 65 people, the number of people in the hospital and the community medical personnel. The academic lectures on these topics were attended by 65 medical staff. 2, the implementation of diagnosis and treatment work In 16, 17 two days of work, experts to the ancient two, CaoBu service station clinic for the general public to carry out diagnosis and treatment and consulting activities, *** for the implementation of diagnosis and treatment of the masses of 85 people. 3, for the masses clinic Squad experts took the initiative to the ancient two, the ancient three homes for the elderly to carry out clinic and health education work, *** for the masses clinic 126 times, by the masses of welcome and praise. 4, the squad experts divided into five groups to our community health service stations, actively communicate with the medical staff, guidance, etc., to help improve the service station's work system, the doctor's medical behavior of diagnosis and treatment norms of guidance, in order to improve their diagnostic and treatment technology to make efforts. Second, pointed out that there are problems Through the three-day helping activities, the team experts pointed out that some of the community health service problems are as follows: 1, the two-way referral system is not good enough, some patients were sent to the ancient town hospitals for treatment and did not transfer back to the community health service station for rehabilitation; some should be sent to the hospital for treatment of patients still stay in the hospital. The patients who should be sent to the hospital for treatment still stay in the health station for treatment. 2, individual community doctors in the process of diagnosis and treatment behavior is not standardized, medication is not standardized, rarely applied to help diagnose the disease of auxiliary examination, there is a hidden danger of medical safety. Three recommendations 1, I hope to develop relevant rules and regulations, so that medical staff consciously implement the two-way referral system, so that "minor illnesses in the community, serious illnesses to the hospital, recovery back to the community". 2, strengthen the community doctors business training, standardize their diagnostic and treatment behavior, and develop a strict system of rewards and penalties, and strive to eliminate medical hazards. 3. Further improve the functions of community health service stations, and actively carry out rehabilitation and health care, health education and other work. "Zhongshan City XX hundred physicians to the countryside to help the detachment" activities to help our town community health service stations to improve business norms and systems, improve the level of diagnosis and treatment of business and technical level, to correct poor diagnostic and therapeutic behaviors (such as drug abuse, etc.), guidance and assistance in the development of health education and other aspects of the work, play a role in helping to improve, Promote the role of standardization, for my town community health service stations and municipal medical institutions to build a communication channel, will be the future promotion and improvement of rural health care work to lay a good foundation. In accordance with the provincial, municipal and county on the in-depth implementation of the "three to the countryside" activities of the deployment and requirements of the Bureau of solid health activities to the countryside, and achieved good social benefits. Now the work is summarized as follows: First, raise awareness, strengthen leadership For the "health to the countryside" work I attach great importance to the Bureau, forwarded to the upper levels of the "three to the countryside" documents, arrangements for the deployment of the "health to the countryside" activities, the "three to the countryside" activities, the "three to the countryside" activities. Documentation, arrangements for the deployment of "health to the countryside" activities, requiring the county medical and health units to the "health to the countryside" activities into the agenda, fully aware of the new situation to carry out "health to the countryside Second, carefully organized and effective According to the health of the target task, the county people's hospital, the county hospital, the county second people's hospital, the county CDC, the county maternal and child health care, the county health school, the county supervision of the county medical and health care units in accordance with their respective functions, and actively carry out the activities of the health of the countryside, respectively, set up a medical team, and vigorously carry out the counterpart activities. Medical team, vigorously carry out counterpart support activities, in-depth clinic, health knowledge propaganda, disease census, supervision and monitoring activities. In accordance with provincial and municipal requirements, county hospitals above the second level to carry out counterpart support work. The county people's hospital sent three business backbone, counterpart support Linquan County Fan Xingji health center, diagnosis and treatment of patients more than 20xx, and actively participate in the difficult and critical patients rescue work, carry out academic lectures, surgical demonstration more than 20 times, to help carry out the appropriate technology project two. County Hospital of Traditional Chinese Medicine organized six experts to support Yingshang County Hospital of Traditional Chinese Medicine, Linquan County Hospital of Traditional Chinese Medicine, Jieshou City Hospital of Traditional Chinese Medicine, Linquan County Guanmiao Township Health Hospital, to carry out business lectures 47 times, teaching room 128 times, orthopaedics, surgical procedures 91, while undertaking the local rural diagnosis and treatment of common diseases and common diseases; to help the Linquan County Guanmiao Health Hospital to set up a standardized operating room, the establishment of a long-term mechanism for the difficult and critical surgery on call, the organization of the difficult and critical patients, and to help develop appropriate technology projects 2. The long-term mechanism of difficult and major surgeries on call, organizing 31 discussions on difficult and fatal medical records, and carrying out new technologies and projects for 6 times; supporting the standardized construction of 4 units of traditional Chinese medicine pharmacy, and cultivating the backbone of the business for free for 6 people. Actively organize the county medical and health units to carry out health activities in the countryside. Organizations sent more than 40 medical backbone in-depth community, township health centers to carry out the medical countryside, for the general public in the lunch harvest, major festivals and other periods to send health clinics, health promotion and other activities, according to statistics, the county hospitals to send doctors to the countryside to carry out more than 30 consultations, more than 4,120 visits to the volunteer clinic, the distribution of more than 6,200 copies of health education promotional materials, accepting more than 5,300 times of consultation, send medicine worth more than 30,000 yuan. Organize and carry out technical guidance training for grass-roots units of public **** health services for 6 times more than 320 people; organization of grass-roots rural doctors full business skills training for more than 20xx people; carry out grass-roots medical personnel training in appropriate technology of traditional Chinese medicine for 251 people over a period of 3 months, held 78 lectures. Actively carry out AIDS and other major infectious diseases health education activities in the countryside, the production of more than 3,000 versions of AIDS propaganda wall characters, the distribution of AIDS, hand, foot and mouth disease, intestinal infections, tuberculosis and other major infectious diseases, 200,000 copies of publicity materials. Township health centers and community health service organizations carried out nine basic public **** health service projects for the local people, established health records for 219,000 people, distributed 1*98,000 copies of health education publicity materials, set up 581 health education bulletin boards, and carried out 745 health education lectures, 20,000 times of maternal health care management services in rural areas, and 30,000 times of health care management services for rural children under the age of three. management services for 20,000 times for rural maternal health care, and 30,000 times for rural children under 3 years of age. The company's website has been updated with the latest information on the latest developments in the field of mental health, including the latest information on the latest developments in the field of mental health. Three, the next 1, further implementation of the provincial Department of Health "on the implementation of the views of the city to support rural health," the spirit of the establishment of counterparts to support and touring medical system, from the county medical units drawn from the excellent health care personnel to form a "health to the countryside" medical teams, year-round tour of the countryside. Medical teams, year-round tour to the countryside to carry out clinics and health advice and other activities, extensive medical activities to the countryside, for farmers to conduct health surveys and treatment of common diseases, popularize the knowledge of health and disease prevention, improve the farmers to prevent and treat disease awareness, and advocate a healthy, scientific way of life. 2, the county medical and health units from the equipment, technology, personnel, etc., to support the construction of township health centers. 3, increase the major infectious diseases health education and publicity efforts, innovative forms of health publicity work from time to time to the grassroots, so that farmers know more about infectious disease prevention and control knowledge to improve their own defense capabilities.