Part I:
Township health center is a public **** health-based, integrated to provide preventive health care and basic medical services, and by the district and county health administrative departments commissioned to undertake the function of public **** health management of the collective system of units, is an important hub of rural health, and townships Health center director is the core of this hub, the construction, management and development of good township health center plays a vital role, combined with the actual work, to talk about the following points of work experience:
First, grasp the management, out of the benefits, and promote the development of
First of all, the township health center director to have a certain level of hospital management and management capacity, the health center of the All medical activities are planned, organized coordination, control and operation, so that the various aspects of the diagnosis and treatment of each other, close cooperation, so that the hospital people, money, materials and other factors are reasonably arranged, make full use of, high-quality and efficient diagnosis and treatment of diseases to complete the task of the township of the masses to solve the problem of common diseases, frequent diseases, and to promote the health of the hospital's social and economic benefits steadily increased.
Secondly, the director of the township health center should have the ability of public **** health management, he can face the township people, the comprehensive use of legal, administrative, preventive medicine technology, publicity and education means to mobilize the whole township people *** with the participation of the elimination and control of various types of infectious diseases and their related factors, to improve the health level of the residents of the township.
In addition, the director of the township health center should be able to coordinate the relationship between the health center and the health bureau, the township government, the CDC center, the maternal and child health care, and to coordinate the relationship between the various departments in the hospital, the relationship between the staff, and to improve the horizontal contact with the brotherhood, to complement the shortcomings of the resources **** to enjoy, and in particular, to focus on the coordination of the high level, in order to win the support of the leaders of the work of the hospital, to promote the work of the health center. Support, to promote the benign development of the health of the township.
Second, professional, familiar with the policy
Township health center is to provide local residents with basic medical and preventive health care grass-roots medical ()疗机构, the more grass-roots leaders the more to be highly technical, as a dean, you need to have a preventive medicine or clinical medicine in the superb technical skills, your skills in the staff have prestige, to facilitate the management of the hospital. As a director, you must have excellent technical ability in preventive medicine or clinical medicine, your technology has prestige in the staff, so as to facilitate the management of the hospital, your technology has prestige in the public, and it is more conducive to promote the development of the hospital with famous doctors to build a famous hospital. In addition, as a director, you need to be familiar with the national policy on rural health and regulations, keen to understand the new rural health policy, combined with the actual situation of the township, the integration, in order to formulate a good to promote the development of the township health program.
Third, the ability to solve practical problems -
Rural health work in the difficulties and contradictions are quite a lot, as a dean, we must be good at grasping the main contradictions, we must have a sense of the overall situation, we must be from the development of health care in the township is the big picture, the township's economy is the big picture, the township's people's health is the big picture to think about the issue of work to be organized from these Starting from the big picture, the service is subordinate to these big picture, your work will not lose big because of small. As a dean, as I, how to solve this problem is the weight of my work, urgent, as long as I solve this problem, so that serious losses, on the verge of closure of the health center back on track, revitalization, outpatient income steadily rising, prevention, maternal and child, public **** health management of the work of the full range of work, I believe that the leadership of the recognition of the township can get the praise of the masses. Of course, as a dean, not only need to deal with important work and problems, daily work of small things to deal with, is also a reflection of your ability. As a township health center director, it is necessary to speak principle and politics, such as in the work of immunization and the handling of sudden public **** health incidents, and at the same time have to speak emotionally, such as the handling of small things in life, it is necessary to be able to flexibly deal with the township health centers are faced with a variety of matters intricate and complex, as a dean, you are not able to flexibly deal with the situation, it is certainly not feasible.
Fourth, abide by the law, integrity
Township health center director is not an official, not a civil servant, but after all, his hand has a certain amount of power, there is a certain amount of money in his hands in charge of the use, plus nowadays the community to look for favors, looking for relations, so the director must withstand the humane pass, the right pass, the money pass, the honor pass! Test, to resist *, abide by the law, impartiality, integrity, hard work, in order to the development of health care in the township regardless of personal gain or loss.
Fifth, pragmatic, create performance
Practice is the test of truth. Dean's diploma is high, the ability is strong, the method is good, if not in the reality of the work to create a good performance, is the "paper", can not stand the test of practice. As a township health center director, in the current situation, to seize the following priorities, to create a good performance.
1, the full implementation of the integration of rural health services management
At present, the rural doctors practice is not standardized, the technical level is low, the aseptic operation is not strict, fake and shoddy medicines, and the townships unmanaged, the district and county management is not in place, the implementation of health policies and policies are difficult to implement only to the countryside of two levels of health institutions to gather together, through the integrated management of rural health, to The only way to improve the rural health service system, the implementation of standardized management and operation to promote the health of the township lasting and orderly development.
2, attach great importance to the cultivation of rural health team
At present, because of the poor conditions of the township health hospitals, low treatment, resulting in a high level of talent is reluctant to come, come also can not stay. As a director to take the initiative to actively participate in training, improve business level, management skills and comprehensive quality, in order to play a leading role in the continuing education and business training of employees, at the same time, we must institutionalize the training of the health team, the development of an annual plan, long-term planning, and the system of rewards and punishments, in order to promote the quality of the rural health team to continue to improve, to ensure that the sustainability of the development of the rural health industry.
3, effectively grasp the rural public **** health services and management
The public **** health is the focus of rural health work, is **** the central government, the State Council explicitly put forward by the district and county health administrative departments entrusted with the management function, as a township health hospital director, must be personally grasp and put in place to ensure that health Social benefits and the well-being of the entire township residents.
4, spend a lot of effort to improve the quality and level of basic health care
With the continuous improvement of the standard of living in rural areas, the residents of the health of the importance of the health of the medical environment is also increasingly demanding, as the director of the township health hospitals, we must keep pace with the times, and vigorously renovate the health hospitals of the hardware facilities to build and reform, and to grasp the software () supporting the construction of talent. Standardized diagnostic and treatment services,
Comprehensively enhance the level of health care services, to adapt to the general public's increasing health needs.
5, for the new rural cooperative medicine to provide good service
At present, the country carried out a new rural cooperative medicine pilot, effectively alleviating the farmers difficult to see a doctor, the problem of expensive medical care, but also for the construction and development of our township health centers to provide a new opportunity and challenge, we have to respond to the national policy for the new rural cooperative medicine to provide good service. We have to respond to the national policy and provide good service for the development of new rural cooperative medical care.
In short, the township health centers have difficult conditions and poor equipment. Medical staff level is not high, people are not stable, as the township health center director is facing a lot of pressure, a lot of difficulties, but we must firmly believe that the party's leadership, active learning, strict management, confidence, innovation, and strive for the policy of fostering, and strive for the support and help of the leadership at all levels, we will be able to open up a new situation in our rural health work.
Part II:
xx year in the Health Bureau and the township party committee, the government under the correct leadership, closely around the xx year under the goal of the task, and actively respond to the sudden public **** health incidents, borrowing the implementation of a new type of rural cooperative medical care, and strive to solve the masses of people difficult to see a doctor, expensive to see a doctor problem in the entire hospital Cadres and staff *** with efforts to achieve significant social and economic benefits.
First, pay close attention to the action, tree new style, comprehensively enhance the overall image of our hospital,
1, the patient as the heart to improve the quality of service, to create a people's satisfaction with the hospital is the goal of the development of our hospital, in order to improve the attitude of the service, the implementation of the service, and to effectively rectify the industry's unethical practices. Our hospital widely solicit patients and the community's views and suggestions, set up a report box, public reporting telephone, the production of publicity slogans, the implementation of the "five one" project, the issuance of physician business cards, call back the phone, send the opinions of the card and the social questionnaire survey, in order to make the views and suggestions to the letter, strictly in accordance with the system of investigation and handling, so that the hospital style of work has improved greatly, the overall image of a marked improvement. The overall image of the hospital has been significantly improved.
2, to carry out health cleaning, and actively participate in the six cities and create provincial health township activities. Combined with the actuality of our hospital quickly declared civilization, hygiene, beautification, brightening, greening health hospital *, the implementation of the "five packets in front of the door" responsibility system, requiring department staff to clean up indoor and outdoor hygiene before going to work, divided into areas of responsibility, health cleaning on Tuesdays and Fridays, and check the evaluation, so that indoor and outdoor hygiene is clean and tidy, the goods and equipment placed neatly, the daily generation of medical garbage. The indoor and outdoor hygiene is clean and tidy, the articles and equipment are neatly arranged, and the medical garbage produced every day is incinerated in time for harmless treatment. In order to cooperate with the creation of provincial health township activities, we scrape the walls of the ward building to replace the worn out door, making fly curtains and window nets, the flowers, grass, trees in the hospital flower beds for pruning, watering and fertilizing, to provide patients with a warm, comfortable medical environment. norms, medication is reasonable and safe, medical records written in a timely and standardized, detailed nursing records, the implementation of the section approval system, the president of the in-depth clinical examination, and actively participate in the rescue of patients with critical illnesses, the medical quality assessment team in strict accordance with the assessment program every six months to carry out a supervisory inspection, found that the problem is dealt with in a timely manner, the whole year there is no medical errors and disputes.
2, encourage staff to further study, participate in business training. This year, two people were sent to the higher level of training, an employee off-duty study, more than ten people to participate in the promotion and qualification exams, five people took the promotion title, so that the level of our professional and technical personnel to a new level.
3, after all the cadres and staff of the hospital to *** with the efforts of the hospital business has improved significantly, outpatient clinic volume than last year has increased, restored to the level of outpatient clinic in xx year, reached 21,873, hospitalized 819 people, 287 cases of internal medicine surgery, hospital delivery of 326 cases, an increase of 20 cases last year, the cure rate of 80, the rate of improvement of 15, the mortality rate of 0.11 The cure rate was 80, the improvement rate was 15, the mortality rate was 0.11, the success rate of resuscitation of acute and critical patients was 90, the compliance rate before and after surgery was 92, the infection rate of sterile surgery was zero, and the total income reached 2.28 million yuan. Internal medicine admission rate increased by 21 compared to last year, the number of surgical tables increased by 10 compared to last year, hospital delivery increased by 8 compared to last year, the total business income of more than 1.69 million yuan compared to last year, an increase of 35.
Third, to effectively do a good job of the new rural cooperative medical work
1, the new rural cooperative medical care this policy of the people's welfare implementation of the past two years, by the vast majority of farmers welcome. But in xx years of agricultural financing work due to self-financing part of the share doubled, also faced many difficulties, in order to dispel the farmers to participate in the concerns, do a good job of explaining the financing work, we printed more than 3,000 copies of the "xx years of the majority of farmers participating in the policy statement" issued to the township, village cadres and farmers hand, the publicity car 5 to the villages to widely publicize the new rural cooperative policy, the organization of the fixed-point rural doctors actively cooperate with the village cadres to do a good job of financing work, contact the migrant workers to join the work, and contact the migrant workers to join the work, and the village cadres to do a good job.
The New Farmer's Cooperative, which has been in operation since the beginning of the year, is the first of its kind in the United States, and is the first in the world to be used in the United States for the purpose of promoting the New Farmer's Cooperative, which is the first of its kind in the United States.
2, actively do a good job of participating farmers medical compensation. To our hospital medical discharged participating farmers, the same day to honor the compensation, the fixed rural doctor reported outpatient small subsidies I hospital timely advance. This year *** compensation for all kinds of 6704 people, compensation amounted to more than 76.7 yuan, really reduce the burden on farmers, this year compensation for hospitalization 489 compensation amounted to 390,000 yuan, fixed compensation for 114 people, amounting to more than 50,000 yuan, outpatient micro-compensation 6,101 people, amounting to more than 326,000 yuan.
3, for the majority of participating farmers to provide a monitoring platform, in the outpatient hall corridors corridor prominently hung in the agricultural clinic procedures, the scope of compensation, compensation standards and compensation required to provide materials, the daily occurrence of the day of the agricultural clinic compensation information on the human village formula, and announced the report phone, accept the community to monitor.
Fourth, the development of measures to actively complete the project work, efforts to deal with unexpected public **** health incidents
1, xx year our hospital was designated as the construction of the prevention and protection station and the "seven, two, one warm" project acceptance year, we designate a hospital leadership personally, carefully organized, increased investment, replaced the operating room, the operating room and the hospital, the operating room, the operating room, the operating room, the operating room, the operating room, the operating room, the operating room, the operating room, the operating room and the operating room.
2, the village health center construction project work is demanding, short, difficult. To this end, we attach great importance to the timely development of site selection program, accelerate the progress of the project, my township 5 project village in the first acceptance of 3, and 2 will be completed in late December.
3, in response to the work of this hand, foot and mouth disease, we seriously organized, widely publicized health science knowledge, the establishment of fever, specialist clinic, set up two isolation ward, mobilizing rural doctors, layer by layer screening, timely referrals, and at the same time to do a good job of outbreak investigation and reporting, monitoring work. In response to the incident of the problem milk powder, our hospital deployed seven personnel to participate in the screening work, two comrades at the same time running, early work, late work, lunch without rest, the township of nearly 1,000 infants eating Sanlu milk powder screening.
Fifth, in accordance with the objectives, a solid job of prevention and protection
1, adhere to the regular meeting system, held a regular meeting of rural doctors once a month, and the meeting instead of training to strengthen the health laws and regulations, rules and regulations, knowledge of the plan exemption learning and training. Annual **** held 19 meetings of village doctors, actively organize village doctors to participate in the Health Bureau held by the continuing education of health regulations, professional knowledge training and learning and education, to complete the township 44 village health room assessment * work, in accordance with the requirements of the higher level, once a month into the village supervisory inspections and strict management, so that the village doctors in my township management work and the construction of prevention and protection of the network is further strengthened.
2, planning and exemption work unremittingly, seriously do a good job of children's card, × × × *, book management, the daily newborn children check the line in a timely manner on the card, in accordance with the procedures for vaccination, and do a good job in a timely manner for newborns Hepatitis B disease the first shot vaccination. As of December reported 360 newborn children, card * 360 people, inoculation "five vaccine" 5672 people, and the mobile children's vaccination target for the transfer *, inflow of replenishment work, this year, no vaccination errors and accidents.
3, grasp the management and monitoring of infectious diseases, do a good job of newborn children tetanus, measles, a under the p and other infectious diseases of active and passive monitoring tasks, carry out a cause of death investigation, strict standardization of the hospital outpatient log management, fill out the outbreak of epidemic report card in a timely manner, and do a good job of network direct reporting. Annual **** reported 16 cases of infectious disease events, no late report, omission phenomenon.
4, with the functional departments to do a good job. Cooperate with the Health Supervision Institute of the township food market inspection and monitoring, practitioners physical examination * work, *** experience 65 people, * 40, and do a good job of disinfection monitoring of the village health clinics. early March to carry out the B brain vaccination, *** kind of 1,685 people; in August to carry out intestinal deworming 6,000 people; September vaccination of Hepatitis A vaccine 825 people; in November to carry out influenza ac vaccination *** kind of 510 people. As a result of good organization, the strict implementation of one person, one needle, one tube of safe vaccination, without any errors and accidents. Pay close attention to tuberculosis screening work, take the countryside to check, village doctors report and other measures, timely detection of escort referral, supervision of chemotherapy mode, overfulfilled the tuberculosis referral task.
5, maternal and child work under the guidance of the county maternity hospital, borrowing "reduce and eliminate" the implementation of the project to give a strong impetus to strengthen maternal × × × × × × * health care, and effectively do a good job of prenatal health checks, and actively carry out the work of women's disease screening and treatment to improve the rate of hospital births, this year, **** build maternal health card 369, hospital delivery 326 times, hospital delivery, and the number of people who had a birth in the hospital. Delivery 326 times, hospital delivery rate of 90, writing standardized obstetrics calendar 326 times, the township-wide women's disease census, 520 women's disease prevention and treatment. Actively complete a variety of maternal and child health care statements, to achieve timely and accurate "reduction and elimination" project compensation work in a timely manner to cash, no deduction of the phenomenon of misrepresentation, a better completion of the annual maternal and child health care tasks.
Sixth, there are shortcomings
Although, xx year we have made some achievements, but from the higher government and the people's requirements have a certain gap, mainly because of the lack of emancipation of the mind, the step is small, a small step is full, the knowledge structure of the medical staff is unreasonable, part of the professional and technical personnel did not obtain a professional certificate, to the quality of medical care to pose a hidden problem, the agricultural cooperative work tasks, the health center and village doctors, the work of the government and the people's government. A lot of work, health centers and rural doctors to take on the work of agricultural financing is too heavy, financial investment in the big nowhere, which also need to be resolved in the future work.