Busy year is coming to an end, my section of the work in this year to do a short return. Health knowledge transfer, health lecture hall
We in XX **** open health lecture hall more than 50 walk through the Mafang town every village. Health knowledge rate has increased even more than last year, reaching more than 70%, the class knowledge rate reached 100%. Since April 20, XX in Pinggu District, Mafang Town, Dongdian Village, the first lecture began, as of today, "patient health education lecture hall" has been successfully held more than 420, the distribution of more than 30 kinds of publicity materials 13 million copies.
Material collection and return
We are in close contact with the social management center, and actively and accurately return the community-related information and report a variety of data materials.
File management and crisis input
This year, more than 300 new diabetes files, more than 1,800 follow-up visits to the elderly over 65 years old. Fourth, the establishment of chronic hypertension, diabetes clinic - the community specialization of chronic disease management
In the hospital leadership support, after the investigation and mapping of the health status of the people in the Mafang area, after a number of learning and study, February 22, XX, Mafang Hospital "hypertension - diabetes outpatient (Chronic Disease Division)" was formally established. Based on the high incidence of chronic diseases in the region and their great harm, the Department of Chronic Diseases began to provide more diagnostic and therapeutic services for the general public in the region, and assisted in educating patients to manage their chronic diseases. Since the establishment of the Department of Chronic Diseases, 22 natural villages in the Mafang area have carried out large-scale medical examinations for hypertension and diabetes, and set up "chronic disease detection and management tracking files" for patients with abnormalities in the examinations, which have so far provided more than XX villagers with medical examinations and checkups.
Not only that, the Department of Chronic Diseases of Mafang Hospital also actively explores new modes of popularizing knowledge of chronic diseases, and advocates the masses to learn basic medical and health knowledge in a way that is pleasing to the people, such as carrying out the "Mafang Hospital Cup Health Star Knowledge Contest" and the "Mafang Hospital Cup Culinary Competition".
Under the guidance of the Party and the country's major policies, Mafang Hospital, with the aim of "serving patients wholeheartedly", has explored the basic medical and health service model in rural areas (communities), "seeking newness, realism, and effectiveness", and stood on the people's perspective to think of a new service model. The company has been exploring the basic medical and health service model in rural areas (communities), "seeking newness, seeking reality, seeking effectiveness", standing on the people's point of view to think about the new mode of service, and practically doing and insisting on doing well in the program thought out, embarking on the road of exploring the attentive service for the patients in the community, which is well received by the people.
In order to meet the needs of patients' health consultation, so that patients can get timely, detailed, scientific guidance on medication and health policy information, Mafang Hospital President Qu Yongcheng, in consultation with the clinicians, arrangements for the establishment of a 24-hour "health" hotline, and approval of the printed "The "Mafang Hospital Doctor-Patient Contact Card", on which the telephone number of Zhang Yarong, clinical attending physician and health counselor of Mafang Hospital, was printed prominently, was distributed on the spot in the "Patient Health Education Lecture Hall", or entrusted to the director of Mafang Hospital. It is also distributed on the spot of "Patient Health Education Lecture" or entrusted to the village committee to notify the villagers to receive it free of charge. A small card designed with care, so that the majority of villagers easier to consult the first time in the prevention, health care, medication knowledge, so that the majority of villagers to obtain the "family doctor" attentive service, physician-patient communication "faster, more timely, more convenient". Since the printing and distribution of the "Mafang Hospital doctor-patient contact card", more than 1,000 times connected to the health hotline, responding to the villagers thousands of health advice, for individual patients with hundreds of cases of medication guidance.
Work Progress and Completion
Before the end of December to complete the Department of Health and the Social Management Center and the Community Health Service Center of the temporary work
Part II: Community Health Service Center annual work summaryIn the district party committee and the district government and the District Health Bureau of the care and leadership. Caring leadership, in the double post street party committee, office and district disease control, health care, supervision and other departments of the support and help, the center leadership team to carry out in-depth activities to create excellence as an opportunity to conscientiously implement the grass-roots medicine and health system reform series of documents, closely around the work of the basic public **** health services gradually equalization, highlighting the key points, and strengthen the management. Through the whole center of medical staff *** with efforts, the center of the work of the former has a greater improvement, better completed the work of the higher level of the tasks assigned to the work, and strongly promote the healthy development of community health services, is now the work of the report as follows:
First, the basic situation
(a) staffing center business room nearly ㎡, the service population of about 10,000 people, 2010 Since, the center in strict accordance with the requirements of Luyang District job setting related documents, to determine the specific positions, clear job levels, duties and tasks, work standards and conditions of service, the organization of personnel bidding for the post, according to the post employment, signing an employment contract. The center's existing professional and technical personnel 40 people, the District Human Resources and Social Security Bureau approved 40 positions. Now 6 intermediate titles, 15 practicing physicians (including 11 general practitioners, 2 are in training), 10 general nurses, has set up a general practice service
team of 10 (6 centers, 4 service stations).
(B) hardware construction center basic medical facilities have improved greatly, complete facilities, comfortable environment, the overall appearance of a new, provincial and municipal delegations to visit and learn. The new purchase of imported general practice diagnostic and treatment instrument, a new urinary sediment analyzer, the addition of general practice clinic (1-5), expanding the outpatient infusion room, the addition of observation room, the new construction of 30 beds. However, the center to develop the characteristics of the combination of Chinese and Western medicine, the current equipment can not meet the needs of the development of Chinese medicine.
(C) basic medical and income and expenditure from January 1, 2010, all of my center's drugs to implement zero-differential rate sales. At the same time to strengthen the standardized management of hospital infection, in Hefei City, community health assessment, the city inspection team's praise.
Continue to promote public hospitals to support community health work, my center and the Hefei First People's Hospital signed a counterpart support agreement, has been the city of the first hospital experts four half-day weekly rotating clinic to receive advice, guidance on the rational use of medication. Annual experts *** counted more than 200 times. At the beginning of this year and contact with the Chinese medicine appropriate technology counterpart support work to carry out rehabilitation wards, currently admitted to the hospital 122 people, community people do not have to go to the big hospitals to line up at home to enjoy the expert outpatient services, welcomed by the community residents.
This year, the center also shoulder, "national demonstration of community health centers" "China Community Health Association training base", "Hefei City, AIDS antibody test point", "Hefei City, standardized testing of antibodies", "the Chinese community health center", "the Chinese community health center", "the Chinese community health center", "the Chinese community health center".
Outpatient visits and operational income compared with the same period last year (see the following table)
Item outpatient visits admissions total income total expenditure year (excluding exemptions)
(million)
(million) 2010 (January-April)
287719177.17216.57 2011 (January-April)
50449797.17216.572 2011 (January-April)
50449797.17216.572 2011 (January-April)
504497.17216.572 2011 (January-April)
504497185.05176.97 year-on-year growth of 75.324.110.04-0.18 (d) community health services work solidly since the implementation of the basic community health services gradually equalization began in 2010, our center in accordance with the spirit of the relevant documents of the District Department of Health, under the guidance of the District CDC and the District Health Station, and the smooth development of the basic public **** health services Gradual equalization of work. The reorganization of the entire general practice team, the strengthening of staff training, and the strengthening of general practice team management by setting the amount of tasks on a monthly basis have improved the motivation of the staff, and the various tasks of the public **** health service have been completed in a better way. Health education, planned immunization work at all levels of supervision and inspection are among the best, health records, geriatric health care, prevention and control of infectious diseases than before a great improvement in the work of women and children are being carried out in an orderly manner. (See the attached table for details of the specific workload)
Second, the implementation of the grass-roots medicine and health system reform from the center in accordance with the spirit of the higher-level documents, the implementation of the national essential drugs directory and zero-percentage sales of medicines on January 1, 2010, the simultaneous implementation of the two-tier management of financial revenues and expenditures, the end of February 2010 to complete the full employment, the second half of 2010 the center to develop the performance appraisal standards, the official launch of performance assessment. Performance appraisal was officially launched. Through personnel changes, job competitions, the implementation of performance assessment, activated the internal vitality, greatly mobilized the work of medical staff enthusiasm, sound internal organization, clear responsibilities for the work of laying a solid foundation.
Zero-differential implementation of the service station: I was in the center on April 25 and May 24, respectively, on the jurisdiction of the six service stations to carry out the "zero-differential" inspection and guidance work. From the inspection, the overall situation is good, but there are still the following problems:
1, all the service station prescriptions of essential drugs are not separate from the optional drugs prescribed and saved 2, in addition to Xiaogang service station in addition to the rest of the service station drug detail ledger has not been established or is not perfect 3, the Xinghua service station purchased by the provincial complementary drug prices higher than the provincial bidding prices, and the total amount of optional drugs accounted for the total amount of drugs purchased Proportion ≥ 104, Green City Garden service station self-selected drug markup rate ≥ 13, outpatient logbook registration is incomplete, some patients are not registered, the cost of medicines in the prescription is not separate from the cost of materials pricing 5, Huaixi, Xinghua community service station of the purchase order did not see, so the price of medicines publicized with the retail price is the same need to be further confirmed.
6, the service station drugs are not in accordance with the requirements of the inventory on time.
I will increase the supervision of the service stations in accordance with the requirements of the Center, to promote the standardization of the implementation of the drug "zero differential rate" service stations.
Third, there are difficulties 1, due to the center of the population under the jurisdiction of a large number of staff are one person multi-tasking, the center of the health file filing rate, chronic diseases and the elderly management rate to be improved.
2, children's health care has been sunk, the work task is increasingly heavy, staffing can not meet the work demand.
3, the center in the creation of "national demonstration of community health centers" work, from the assessment of the indicators there is still a distance, the work needs to be further enhanced.
Fourth, the next step (a) the basic medical services 1, strengthen the publicity to further increase the volume of basic medical services. Make full use of the Hefei First People's Hospital Western medicine counterpart support and Chinese and Western medicine hospital Chinese medicine counterpart support advantages, in-depth residential neighborhoods to carry out large-scale publicity and free clinic activities. Increase the publicity of community health services, basic drug directory, health insurance policy, the center of preferential policies, etc., to improve the degree of social cognition of our center and increase the trust of community residents.
2, improve the function of the hospital management information system and software query system, improve the accuracy of the center's various types of information statistics, to provide a basis for assessing the workload of medical staff.
3, through the establishment of Chinese medicine counterpart support mechanism, the opening of Chinese medicine rehabilitation ward, the introduction of combined Chinese and Western medicine hospital technology, personnel and management experience, to strengthen the capacity building of community Chinese medicine services, and to give full play to the advantages and role of Chinese medicine in community health services. At the same time, the use of standardized construction of Chinese medicine department as an opportunity to increase the appropriate technology of Chinese medicine and measures to benefit the people, adding elements of Chinese medicine, highlighting the characteristics of Chinese medicine technology suitable for community residents.
(B) the basic public **** health services 1, improve the health record filing rate and update rate, chronic disease management rate, standardized rate.
2, improve the elderly and chronic disease free medical examination normalization mechanism, medical examination, archiving, follow-up should be interlocked, and improve the coordination mechanism of each team, each medical examination section. Flexible use of performance appraisal program, timed quantitative, pulling the performance pay grade, improve the work of medical staff enthusiasm and urgency.
3. Strengthen the management of the general practice team, improve the coordination ability of the general practice team leader, and gradually establish and improve the work mechanism of the "family doctor" contact person.
4, to create a "national demonstration of community health centers" as an opportunity to play the role of a typical radiation drive, by strengthening the demonstration of the construction of typical models to activate the community health services to enhance the overall work. Health records, health education, chronic disease management and other nine basic public **** health services equalization work in practice, so that community residents personally feel the benefits of the reform of the primary health care system.
5, improve the integration of the management mechanism of the service stations under the jurisdiction, and strengthen the training and supervision of the service stations.
(C) Strengthen the contact with the streets and neighborhood committees Try to establish a regular meeting system with the streets and neighborhood committees
system, mutual communication and collaboration to carry out the work of the people.
Last year, my center won, "Luyang District Women's Civilization Demonstration Post" "2009 annual population and family planning management advanced unit" honorary title, in Hefei City, the first place in the performance evaluation of community health services good results. We were honored with the title of "Women's Civilization Demonstration Post", "2009 Advanced Unit in Population and Family Planning Management", and won the first place in Hefei Community Health Service Performance Assessment. Leaders and community people have high expectations of us, we shoulder an important responsibility, we will make persistent efforts, for the existing problems and weak links in community health services to develop corrective measures, improve the mechanism, bold innovation, I believe that this year, in the district health bureau attaches great importance to the correct leadership, in the support of colleagues in the unit, in the majority of health care personnel's hard work, our work will be even higher! !
Part III: Summary of the work of the community hospitalFive years ago, when people around me learned that I studied preventive medicine, the first reaction was: Oh, the vaccination ah. At that time, the concept of "prevention" was relatively narrow in everyone's mind, and the awareness of preventive health care was not as strong as it is now. Clinical and preventive, one in front of the stage, the other behind the scenes, one faces the patients, the other faces the public. The clinicians in front of the stage save lives and help the injured, while the preventive workers behind the scenes protect and escort them, both of which are indispensable. There is an old Chinese saying that prevention is better than cure, and this saying can be used to describe preventive health care work perfectly. When I came to the community at the end of July, the first thing I did was to conduct various population surveys: health knowledge questionnaires, colorectal cancer screening, the Fifth National Health Service Survey, and chronic disease and risk factor surveillance. In this process, I y realize that the "bridge" role of the neighborhood committee is irreplaceable, it is related to the residents' understanding of our survey work, trust and cooperation. Before the survey is conducted, it is necessary to publicize the purpose and importance of our survey to the public through the neighborhood committee. In addition, the surveyors should also take the training before the survey work seriously and master the key points of the questionnaire, so as to avoid reworking at a later stage, resulting in a waste of time and manpower. In November until now, I began to participate in the work of planned immunization, mainly vaccination registration and appointment. In just two months, I have gained a deeper understanding of preventive work. Unlike clinical work, prevention is not a job with immediate results, but vaccination has one of the most significant effects in prevention work. If the work of prevention was big and shapeless to me before, I can now see the corner of it through the immunization program, which makes me feel like my feet are on the ground. During registration, the people I come into most contact with are parents of small children. There are long lines and hundreds of people, so maintaining good order is a fundamental guarantee. When parents disagree with us, on the one hand, we have to communicate with them in a timely manner, and on the other hand, the intervention of a third party can often help to alleviate the problem. To do every simple thing well is not simple, and to do every ordinary thing well is not ordinary. Details determine success or failure. Many aspects of community work are very meticulous, which requires us to treat them seriously and responsibly. I believe that in the near future, through the continuous efforts of our public health people, residents of disease prevention and health promotion will make great progress!
Part IV: Community hospital work experienceCommunity health centers are prevention-oriented, prevention and treatment of health institutions, Shanghai in this regard is in a leading position in the country, it is because of this I chose to work in Shanghai. Participate in the work to now nearly half a year, in the continuous ` work, I gradually from the students to grow into a community health worker, in the process I have a lot of thinking and feeling about their work.
Practice is the only standard for testing theory. Just stepped into a new position, empty from the school learned the theory, do not know too many things, do things inevitably shrink. As a newcomer, the work is not only to learn, but also dare to do, do not be afraid of mistakes and stand behind the teacher to look at the light. Only in the continuous practice to find their own shortcomings, so that more purposeful learning, in order to continuously improve the level of business. Of course, dare to do does not mean blindly start, in the process need to see more, ask more, remember more, in the study of practice, in the practice of learning.
Business learning is important, but daily learning can not be ignored. Modern society, the speed of knowledge update is very fast, people only must continue to learn, update their knowledge base, to adapt to time and environmental changes, in order to adapt to the increasingly fierce competition, competent in their jobs, otherwise, eventually be eliminated by the reality. At the same time, the ideological concepts also need to continue to learn to improve, so that the idea is always with the party with the organization to maintain consistency, to ensure that the practice of work does not deviate from the correct track.
The work of the community, more so that I y appreciate, as a grass-roots health workers, shoulder the heavy responsibility and due diligence. In practice, everything needs to be treated seriously and carefully. In the prevention section, the most contact is a variety of data various tables, may be a number written wrong will destroy a table, may write a word wrong will lead to name duplication. Therefore, before each time I do something, I will remind myself to be conscientious, responsible for things is also responsible for themselves. In the work, according to the division of labor, to correct their own position, so as not to overstep the position, not to leave the job, strict compliance with the duties, to complete their duties. Only to do a good job of self-positioning, to clarify the duties, unity of comrades, sincere, down-to-earth, loyal, hard work, one step at a time, serious work, in order to complete the work, do my job as a grass-roots health worker's job.
In the new year, I will learn more, ask for advice, improve their own shortcomings, and take every step solidly, and strive to achieve good results in the work.
Part V: Community general practitioner year-end summaryThis year, I was in the community center under the leadership of the leadership, adhere to the spirit of the 18th as a guide, closely around the whole center of the development of the overall situation, and conscientiously carry out the medical work, the full performance of the doctor's duties.
First, strengthen the political and business learning, and constantly improve their own quality. Over the past year, to actively participate in the center of the organization of the various learning activities, a more systematic study of the spirit of the 18th National Congress, to do ideological, political and always maintain a high degree of consistency with the party center. At the same time, adhere to the principle of learning to use, with the principle of success, the organic combination of learning and work, so that learning to work, work to learn, both promote each other, **** with the improvement. Work against advanced colleagues to find gaps, check problems, find shortcomings, their own thinking, style, discipline and work standards, work quality and work efficiency have improved greatly.
Second, conscientious and responsible medical work. "Saving lives, treating the sick and saving lives" is the duty of medical workers, so, in the spirit of patients, I am responsible for the center responsible for the spirit, and actively do a good job. 1, is to adhere to the business study without relaxing. Insist on learning the new results of the theoretical study of general medicine, and constantly draw new nutrients to promote the continuous improvement of their own business level. 2, is to adhere to the principle of "excellence, meticulous", and enthusiastically receive every patient, adhere to the work of the community dedicated to the love of the patients, so as to ensure the quality of the work.
Third, strict requirements for themselves, and actively contribute to the development of the center. As a member of the center, it is incumbent upon us to be informed and contribute to the development of the center. At the same time, strict demands on themselves, not complacent, adhere to the work, abide by the discipline, conscientious, hard-working,
set up a good image of themselves. Over the past year, with the help of the leadership and the support of comrades, although the work has made certain achievements, but with the requirements of the organization is still far from the other comrades compared to the gap, in the future work, we must continue to work hard to overcome the shortcomings, to create a more excellent work performance.