1. Report on doctor's counterpart support work
In order to conscientiously implement the "Implementation Opinions on Strengthening the Construction of Health Talents Team" and the "Provisions on Regular Learning at the Grass-roots Level before Health Professionals of Provincial Health Department are promoted to Senior Professional Titles", and further improve the counterpart support work in urban and rural hospitals, in 20xx, according to the requirements of relevant documents from higher authorities and in combination with the actual situation of our county, our bureau issued the document of Social Health Development [20xx] 18, and deployed the counterpart support work.
Our bureau has always attached great importance to this work. At the beginning of the year, a leading group headed by the director and deputy head was established, and an expert group was established. Formulated the "Implementation Plan of Health Counterpart Support for Urban and Rural Hospitals in County Health Bureau for 20xx", so that the division of labor is clear and the responsibility lies with people. Signed counterpart support agreements with county traditional Chinese medicine hospital, county Pingtong town central health center, Muli county people's hospital, county township health center and community health service center.
Second, unite and cooperate and work hard.
According to the plan, from April 1 day of 20xx to September 30, 20xx, our bureau will arrange county-level units to send nearly 100 medical personnel with good ideological style, high professional level, strong management ability and good health to guide the medical staff in the aided hospitals in medical treatment, management, nursing or medical technology. According to the management and clinical practice of the recipient hospital, the experts and medical staff stationed in the recipient hospital carry out clinical rounds, clinical teaching, consultation, technical training, surgical teaching, discussion of difficult cases and deaths. And guide the doctors in the aided hospitals to carry out the diagnosis and treatment of difficult and critical diseases; Training medical staff in aided hospitals; Put forward suggestions on the management of aided hospitals; Help recipient hospitals to build key departments; Give full play to the comprehensive ability and advantages of superior hospitals and improve the level of rural medical services.
Third, the work is solid and the results are remarkable.
Through counterpart support, the medical units directly under the county level in our county have formed a long-term and stable counterpart support and cooperation relationship with the recipient hospitals, and the recipient hospitals have been significantly improved in hospital management, medical quality and medical safety control, infrastructure, discipline construction, and medical service capabilities. 20xx * * * held more than 80 lectures, made teaching rounds 120 times, discussed more than 30 difficult and critical cases, and taught surgery for more than 30 times, which greatly improved the professional and technical level of the aided hospitals. The annual tuition fee is reduced by more than 20,000 yuan, and 2 shadowless lamps, 2 gastroscopes and 2 enteroscopes are donated to the aided hospitals, with ambulances and inspection equipment worth more than 700,000 yuan. The recipient central hospital as a whole has reached the standard of a third-class first-class hospital, and the community health service center has reached the acceptance standard of the health authorities. In the evaluation and acceptance activities of advanced rural counties in China, they all passed with high scores and won unanimous praise from the evaluation expert group.
Four. 20xx annual plan
In 20xx, our bureau will continue to promote counterpart support in urban and rural hospitals in accordance with the relevant work requirements of the state, province, city and county, and further strengthen counterpart support in the following aspects: First, strengthen assessment to ensure the implementation and effectiveness of counterpart support; The second is to clarify the responsibilities, continue to increase the export of talents, strengthen the communication between the two sides of counterpart support, and do a good job in support; The third is to establish a long-term mechanism for counterpart support, expand the scope and connotation of counterpart support, consolidate the achievements of counterpart support, and further improve the management level and business ability of recipient hospitals.
2. Doctor's counterpart support work report
In order to do a good job of "counterpart support for urban and rural medical and health institutions", our hospital carried out counterpart support in accordance with the requirements of the "Implementation Plan for Counterpart Support for Urban and Rural Medical and Health Services in Counties" by the County Health Bureau and combined with the actual situation of the hospital. The details are summarized as follows: 1. Organization and leadership
Our hospital attaches great importance to the counterpart support work in urban and rural areas, and has set up a counterpart support work leading group with the president as the leader and the vice president as the deputy leader, and set up a counterpart support work leading group office, with the chief of medical department as the office director, responsible for formulating the implementation plan of counterpart support for xxx township hospitals and the work plan of counterpart support hospitals, so that the division of labor is clear and the responsibility lies with people. In March of 20xx, our hospital signed a counterpart support agreement with xxx Health Center. According to the agreement, our hospital and the health center are responsible for each other and cooperate with each other to carry out counterpart support.
Second, it helps the situation.
According to the counterpart support agreement, our hospital sent two medical staff with high ideological awareness, strong sense of responsibility and high professional level to township hospitals for a long time to carry out counterpart support and assistance. Attending physician Xxx, relying on the advantages of traditional Chinese medicine specialty in our hospital, helped the health center to build the specialty of traditional Chinese medicine, trained two professionals of traditional Chinese medicine for the health center through the mentoring system, and enabled the health center to independently develop 15 appropriate technologies of traditional Chinese medicine. During the period of rural support, * * * treated more than 30 inpatients and 300 outpatients, conducted more than 0/00 free clinics in rural areas, held more than 20 teaching lectures in health centers, held 6 special academic lectures and trained more than 200 health center personnel. The contents of the lecture include meridian and acupoint science, acupoint injection, acupoint sealing and traditional Chinese medicine 65,438+000.
Head nurse xxx of our hospital participated in the 15 free clinic, collected more than 300 blood samples for free, conducted more than 200 health consultations, held special lectures and business training for three times, and conducted comprehensive and detailed training for all professional and technical personnel in the hospital, so as to familiarize everyone with the nursing theory, nursing routine and technical operation of various common and frequently-occurring diseases. Mastered the commonly used first-aid technology, the use of first-aid drugs and instruments.
Third, personnel training.
From May to July of 20xx, the hospital received further education from Dr. xx in the emergency department of our hospital, and from August to165438+1October, it received further education from Dr. xxx in our hospital. The medical department of our hospital specially arranges one-on-one teaching for senior doctors with high professional level and rich experience in diagnosis and treatment, and strives to cultivate clinical practical talents with high professional level and good medical ethics for the hospital.
Four, the service of the people's free clinic health express activities
According to the unified deployment of city and county health bureaus, our hospital regularly organizes experts from various departments to carry out health express activities in hospitals every month to serve the people. Activities mainly include free clinic, special academic lectures, teaching rounds, and discussion of difficult and critical medical records. More than 90 medical staff in our hospital participated in the activities, including internal medicine, surgery, gynecology, pediatrics, emergency department and so on. * * * More than 680 free clinics were conducted and more than 3,000 publicity materials were distributed.
Our hospital held two special academic lectures in the health center, the themes were "Interpretation of 20xx Cardiopulmonary Resuscitation Guidelines" and "Some Progress in the Treatment of Multiple Injuries". Health centers have participated in more than 50 trainings. Through on-site training, everyone's knowledge of first aid has been improved obviously, and they have basically mastered the basic techniques of hemostasis, debridement, suture, dressing and fracture fixation.
Verb (the abbreviation of verb): existing shortcomings and future work plans.
Through 20xx years of counterpart support, the overall quality and service level of the hospital have been improved, and the self-development ability has been enhanced. The level of diagnosis and treatment of common diseases and frequently-occurring diseases has been significantly improved, which has greatly benefited the grassroots. However, due to the lack of technical strength and financial difficulties in our hospital, the number of people involved in counterpart support work is limited and the participation is not enough, which can not meet the needs of the people in counterpart support areas. There is still a certain gap between counterpart support work and the requirements of superiors. In the future work, we should constantly sum up experience, develop ideas, innovate methods, increase investment and participation, and make our counterpart support work to a higher level.
3. Doctor's counterpart support work report
During the months of working in the countryside, I have always adhered to the four cardinal principles of the Party, loved the Party's health undertakings, and abided by the law. With the support of leaders at all levels in the hospital, I successfully completed this medical service task, got a lot of exercise and gained more. At the same time, I deeply realize that this major decision and measure is conducive to improving the technical level of primary hospitals. 1, medical task completed.
Technical support is mainly provided from common diseases and frequently-occurring diseases, so that local children can get high-quality and convenient medical services nearby, and to some extent, the problems of difficult and expensive medical treatment for ordinary people are alleviated. In the process of counterpart support, we also deeply realize that the people's health knowledge is limited, and there is still a certain gap with the medical and health level required by building a well-off society in an all-round way in China, and we lack understanding of some common diseases. In the rural free clinic activities, we deeply felt the farmers' desire for health knowledge, and personally felt the people's infinite trust in experts and simple expectations. Therefore, do everything possible to carry out various forms of health education at any time and place, and publicize health science knowledge and common sense of health and disease prevention, such as febrile convulsion? What problems should be paid attention to in mixed feeding? Does neonatal jaundice need treatment? How to prevent hand, foot and mouth disease? Knowledge of prevention and treatment of common diseases in children. Improve people's awareness of self-care and guide people to develop good hygiene habits. Deeply welcomed and praised by the families of children.
2, reasonable arrangement of emergency ward work.
* * * Completed more than 500 outpatient visits, more than 20 emergency visits, and more than 0/00 free visits/kloc, assisting in consultation and discussion of difficult cases. At the same time, we had extensive exchanges with local medical staff, and held various practical lectures, such as guidelines for diagnosis and treatment of neonatal jaundice, pneumonia and chronic cough in children, to improve the medical level. There are 30 medical staff attending. Through typical case analysis and difficult case discussion, the core system will be put in place. For example, the clinical manifestations of mycoplasma pneumonia, combined with multiple organ damage, azithromycin course of treatment and other issues are answered in detail to standardize the diagnosis and treatment behavior. Try to give patients satisfactory treatment with limited drugs and examination methods. In clinical work, help young doctors find scientific research points, establish scientific research thinking and cultivate innovative ability. According to the common diseases in nursing work, two lectures were arranged, namely "Technical Guidance of Alcohol Bath and Rubbing Bath" and "Home Care of Children Pneumonia", in order to better complete the nursing work. * * * Completed teaching rounds for more than 20 times, with more than 0/00 teachers/kloc. Help departments to establish clinical pathway management, adverse event reporting, difficult disease discussion, critical value reporting, business learning and other systems. Further improve the institutionalization of departments.
3. Actively participate in hospital management in spare time.
In view of the current situation of "high risk, low income, hard work, difficult work and marginalization" in pediatrics, * * * discusses the future development direction of pediatrics. How to prevent medical disputes in the current tense relationship between doctors and patients? How to improve the quality of medical record writing and implement the "three-base rounds" system is directly related to medical safety and can better reflect the medical level of a hospital. Should be the direction of our next efforts and the focus of our work. Under the new situation, how to carry out pediatric outpatient service, better serve children and alleviate their suffering is the same subject that our pediatricians are facing. Is our eternal pursuit.
4. "Going to the countryside for half a year will benefit you for life".
From them, I learned how to better communicate with patients and establish a harmonious doctor-patient relationship. Their work style and professionalism of unity and cooperation, hard work and Excellence left a deep impression on me, and also made me get a lot of exercise and gain more. Encourage yourself to study technology harder in your future work, improve your professional level and make better contributions to your child's health.
4. Doctor's counterpart support work report
According to the relevant spirit of the Notice of the Ministry of Health on Implementing "Ten Thousand Doctors Supporting Rural Projects" and the Implementation Plan of the Provincial Health Department on Supporting Urban and Rural Grassroots Health Work, and according to the requirements of the hospital, I earnestly implemented it. Now I will summarize my counterpart support work in the X department of xx People's Hospital from xx to xx as follows: I went deep into the clinical front line of xx department to participate in clinical duty and treat patients, and carried out the following work according to the specific situation of X department:
1, basic management, on the basis of the implementation of thirteen medical core systems, through specific cases and related problems in daily work, strengthen the optimization and improvement of the management process of recipient departments, establish a scientific medical quality management system, and comprehensively improve the basic medical management level of recipient departments.
2, medical technology, according to the actual needs of the recipient departments, combined with specific cases to help and guide clinical medical work. Working methods include clinical diagnosis and treatment demonstration teaching rounds, teaching operations, medical record discussions, lectures and other forms. Combined with the lack of diagnosis and treatment of xx and xx-related diseases in the recipient department, the related knowledge, experience and surgical skills were discussed and exchanged with colleagues in the recipient X department. Invite the relevant personnel of the recipient departments to participate in various levels of academic activities held by our hospital. According to the relevant requirements of technical project access management, combined with the characteristics of recipient departments, actively promote the appropriate diagnosis and treatment technology of xx and xx diseases to recipient departments, and improve the medical service capacity of recipient hospitals. Report the work of the month to the provincial health department and the hospital in time every month. See the monthly report for specific diagnosis and treatment and academic activities.
Through half a year's mutual learning and communication with local X colleagues, we have achieved the following main results:
1, update the concept that it is better to teach people to fish than to teach them to fish, and instill some advanced medical concepts, such as "continuous learning", "patient first", "minimally invasive concept", "people-oriented, listening to patient communication theory", "subdivision of sub-specialties" and "general practice theory". , and will be assisted by various departments. Not only in business, but also brought advanced management concepts, strict core system in medical process, organization of ward rounds, difficult and critical cases, preoperative discussion, regular business study and so on.
2. Improve the level of diagnosis and treatment of xx diseases and injuries in recipient departments. Through mutual learning, exchange of experience, holding academic lectures and other forms, not only the management level of recipient hospitals has been improved, but also the medical technology level of recipient hospitals has been improved.
3. Broaden the service radius, improve the influence of hospitals, and carry out counterpart support work. Through the output of medical services, we can broaden the radius of medical services in our hospital and improve the influence and popularity of the hospital. Actively respond to the national medical reform, actively carry out two-way referral with the recipient departments, realize resource sharing and complementary advantages, and achieve the goal of a win-win situation for both the hospital and the recipient hospital.
5. Doctor's counterpart support work report
According to the requirements of the documents of the ministries and agencies, we will further implement the "Double Thousand Project" project of supporting agriculture and health in urban medical institutions of the Provincial Health Department, and our hospital will provide counterpart support to XX hospitals. The work of supporting primary medical institutions in our hospital from 20XX to 20XX is summarized as follows: 1. Carefully organized.
After receiving the notice from the superior health administrative department about counterpart support, including "Double Thousand Projects" and "counterpart support for township hospitals", our hospital actively organized and earnestly implemented it. The dean in charge takes the lead in carrying out counterpart support in our hospital, and the Medical Department is responsible for the specific implementation of daily counterpart support.
In accordance with the relevant requirements, our hospital went to the recipient hospitals for on-the-spot investigation and investigation, conducted extensive communication with local hospital leaders, and completed the preparatory work for project implementation, which made a good start for counterpart support.
Second, reasonable implementation.
Our hospital has formulated a series of implementation plans and management regulations for counterpart support work, mainly including:
1.20XX From April to April 20XX, three doctors are sent to XX Health Center every year for health protection and technical support; From June 20XX to June 20 1 February, four doctors were sent to XX Health Center for counterpart support, each person1year. The organizational relationship of the agricultural support personnel sent to XX was transferred to the local health center and accepted the leadership of the sending unit.
2. Selection conditions: adhere to the four cardinal principles, love the party's health cause, abide by the law, have good medical technical level and ability, have noble medical ethics, and have no bad medical behavior; Indications and above, healthy, under 45 years old.
3. Health supporting agriculture is listed as a necessary condition for promotion to senior professional and technical positions. Those who do not obey the arrangement of the hospital and refuse to accept the task of supporting agriculture shall not be promoted to professional titles, and shall be dismissed immediately under the employment system and shall not be employed in our hospital in the future.
4. Give some rewards to rural temporary workers: ① Go back to the hospital to rest for one month after completing the task of supporting agriculture; (2) monthly subsidy (reward) to 600 yuan, and the round-trip travel expenses can be reimbursed once every two months; (3) Hospital treatment remains unchanged.
5. After the arrival, the recipient hospital and our hospital will jointly identify the support personnel and assess the completion of the support tasks, personal thoughts and work.
Third, remarkable achievements have been made.
Since April of 1.20XX, the information of counterpart support staff in our hospital is as follows:
2. Attending physicians from different specialties, such as internal medicine and surgery, selected by our hospital have carried out a series of medical and health services in local health centers, conducted many lectures on knowledge, and carried out surgical operations such as XX, which have solved acute, dangerous, serious and difficult problems such as myocardial infarction, brain stem infarction, liver cirrhosis and liver cancer. All counterpart support medical teams have successfully completed their counterpart support tasks as required, and achieved remarkable results in four aspects:
(1) Strengthen environmental management and improve health image.
(2) Establish various rules and regulations to standardize medical behavior.
(3) Master basic knowledge and improve medical quality.
(4) New technology, new business and clinical teaching.
Through counterpart support, the recipient hospitals have significantly improved in system management, hospital sensory control, implementation of diagnosis and treatment norms, writing quality of medical documents, diagnosis and treatment diseases, and economic income of hospital diagnosis and treatment. At the same time, it has also been widely recognized and praised by local residents.
3. While sending doctors to support the hospital, our hospital has also organized many experts to carry out free clinics and lectures in the aided hospitals.
4. Up to now, the relevant medical backbones supported by our hospital have completed more than 20 professional technical lectures, performed more than 80 surgeries/kloc-0, conducted more than 90 rounds of teaching, treated about 2,600 patients and discussed more than 50 critical medical records.
Fourth, there are shortcomings.
Generally speaking, the counterpart support medical team basically completed the counterpart support task according to the specific requirements of the provincial and municipal health administrative departments. Counterpart support medical team members can overcome various difficulties to carry out their work, improve the overall level of local hospitals, establish some rules and regulations, meet some local health needs, solve some difficult and critical medical records, and accelerate the understanding and cooperation between the two hospitals. Our hospital will, as always, carry out counterpart support to ensure the effectiveness of the project.
At the same time, some problems have been found: our hospital is at a critical stage of development, and there is a relative shortage of health technicians, especially those at the intermediate level and above. North Anhui Branch sends four intermediate health technicians to the countryside every year to support, and the hospital health technicians are even more nervous; Due to the close distance, some supporting doctors do not meet the requirements and live completely in the aided hospitals; Teaching and lecture records are not standardized and complete; There is still a big gap in the quality of medical record writing; Clinical medication is also unreasonable; At the same time, the performance of the obligation of informed disclosure is insufficient; Due to the limitation of hospital software and hardware conditions, there are also hidden dangers of medical safety, which will be further improved in the next step.