Strengthening and expanding township health centers is the key to the success of health care reform!

? Editor's note: This article is organized by the Deputy Secretary General of the Secretariat of the Union of Directors of Community Health Centers in Shanxi Province, Comrade Zhao Feng, according to the recording of the speech of the Director of the Wanrong County Health Bureau of Yuncheng City, Mr. Jia Jinwei, Secretary General of the Union of Directors of Community Health Centers in Shanxi Province by Zhou Liying, released in the WeChat group to express our gratitude for their hard work.

? Healthcare reform has been underway for years, and the key to its success is that 90% of patients can be treated satisfactorily within the county. If the township health centers are not strong, 90% of the patients in the county to get treatment is an empty word, so how to do strong township health centers? Township health center work method: First, the public **** health is the foundation, the second is health management is the core, the third is the combination of public health and medical care is the key, the fourth is the introduction of talent and training is to ensure that the five innovation and development is out of the way, the sixth is the combination of medical care is the direction!

? First, the public **** health is the foundation

? Our township health center's main responsibility is to carry out basic public **** health services, good health management of residents, some places attach importance to clinical and light public health, will only be more and more busy, more and more; some places only engage in public health, and relaxation of medical care, but also did not have a good grasp of the "degree", I believe that the positioning of the township health centers should be: public **** health + basic medical care, the township health center should be: the public **** health + basic medical care. * * * health + basic medical care, specifically, the township health center service model should be changed from the original medical services to the main public * * * health services to carry out a comprehensive preventive health care, rehabilitation, health education, family planning, health supervision, basic medical care, emergency treatment and other integrated services; service mode from passive services to active services; service object from the patient to all the patients as the focus of the patient, we are both "to", "to", "to", "to", "to", "to", "to", "to", "to", "to" and "to", "to". We are not only "treating the disease", but also "preventing the disease", that is, to move the gate forward, so that the masses can enjoy free services at their doorsteps, and improve the satisfaction and sense of achievement of the masses and benefit from them! After the landing of hierarchical diagnosis and treatment, 50% or more of the patients to stay in the township health center treatment, go to the health center to see a doctor, who gives to see, is a doctor, that is to say, the public **** health management in place, (the masses) recognized you, will look for you (to see a doctor), so that the public **** health is the basis of the development of township health centers. Only public **** health services recognized by the masses, in order to retain patients in our township health center treatment.

? Second, health management is the core

? Health management is what we usually talk about chronic disease management, health management management? How to manage? Wanrong is 33 kinds of chronic diseases, such as hypertension, diabetes, cancer, cardiovascular disease, cerebrovascular disease, obesity patients, psychiatric patients, etc., the ranking in the first ten must be managed in place, for each person, first of all, to give him the advice of the health management, we must figure out how the disease is, is the problem of family genetics, is the problem of lifestyle, or the living environment, the working environment, etc., must find the cause of the disease. The first step is to find out how the disease came about, whether it is a family genetic problem, a lifestyle problem, or a problem with the living environment, the working environment, etc. We must find out the cause of the disease; secondly, we must carry out health management and take interventions, so that we don't have the problem of not having any patients in our township hospitals. When we township health center health management in place, township health center development, township health center social core status is played, therefore, health management is the core of township health center management.

? Third, the combination of public health and medical care is the key

? The relationship between public **** health and medical care is the relationship between fish and water, our public **** health is water, our medical care is fish, fish can not be separated from the water, that is, our medical care can not be separated from the public **** health for support, public **** health should be the material and spiritual support of medical care, therefore, the core of the township health centers is still the public **** health, no matter from the three levels of the aspects of the above said, or the strengthening of public health is the key. It is still based on strengthening public **** hygiene, and the awareness of public **** hygiene is also the awareness of prevention, what is meant by disease? Professionals have many interpretations, but my understanding is that once a bad lifestyle becomes a habit, it is a disease, and what does public **** hygiene do? It is to intervene, it is to prevent disease, public **** hygiene is expressed in two words, that is to prevent disease! So, how to prevent disease? For the public **** health I summarized four sentences: one is to help the people to establish the concept of health; second, to help the people to change the bad lifestyle; third, to help the people to develop healthy habits; fourth, to help the people to achieve a healthy life (interjection: this is not a big summary of health promotion). These four words do a good job, public **** health is good, public **** health is good, the health of the whole population will realize the problem (pithy, there should be applause here).

? Fourth, the introduction of talent and training is a guarantee

? No matter what the work, can not do a good job all depends on the people, are the people of the problem, the introduction of talent and training is a guarantee, is to support the basic medical public health and the protection of the service.

? Fifth, innovation and development is the way out

? We in addition to do a good job of public **** health and basic medical work, each township health center, each medical institution we require must have their own characteristics, let's say, this township health center is a small surgical do well, this township health center of cardiovascular and cerebrovascular disease to see a good, this township health center highlights pediatrics, this township health center is a gynecological, this township health center is a traditional Chinese medicine and so on. ......, in the process of gradual development and advancement, must have their own outstanding highlights, which reflects both universality and individuality, both to achieve comprehensive advancement and development focus or characteristics.

? Sixth, the combination of medical care is the direction

? In the future, our direction is to realize the combination of medical care. To realize the health of the people, first of all to realize the health of the elderly, the elderly health of the world peace, how to achieve, rely on who? Relying on our grassroots institutions, relying on our township health centers to realize the integration of medical care, we believe that the elderly to be in the elderly homes mainly can not live on their own, or have difficulties in life, what is the cause of the disease, disease accounts for the vast majority of the disease, as well as other lifestyles, but they all need medical protection. Our elderly people have a sense of security, a sense of security, a sense of well-being, a sense of old age rely on who to realize, rely on our primary health care institutions.

? Township health centers are an important hub of the three levels of health care, is the backbone of rural health. Strong township health centers are a prerequisite for the success of health care reform, strong grassroots, how strong? First, the township health center infrastructure first-class, the second is equipped with first-class equipment, the third is the medical level of personnel skills first-class, the fourth is the first-class public **** health management, the fifth is the first-class performance appraisal program, the sixth is the first-class characteristics of the township skills and technology to create first-class, the seventh is the combination of medical care is the direction. Only by improving the service capacity of township health centers, township health centers can keep pace with the development of the times, in order to do a good job of health management of the people under the jurisdiction, in order to effectively promote the construction of new rural areas and the process of well-off society.