Awkwardness of the hygiene service organization of the community
Awkwardness of the hygiene service organization of the community
All the time, fully utilize the resources of the medical organization of the community, has been all regarded as and relieve the large hospital the effective way of the pressure of making a diagnosis. But because one's own hardware facilities of medical organization of the community are insufficient, personnel's professional quality is limited, serve the intersection of consciousness and drawback such as being insufficient wholly, place into the community medical organization of the great expectations but become " organization in name only " that little someone made inquiries originally ,Not only can crowd go on, shunt effectively, waste making a diagnosis resources limited instead to go to a doctor. " whether small disease make a diagnosis and give treatment enter community " ,It is the key action of making a diagnosis and giving treatment in grades, seeking medical advice step by step, a route that the mode changes that really realize residents and seek medical advice too. However, according to the current situations and development of the hygiene service organizations of some communities, realize such a goal also has some difficulties. Seek medical advice, used to until medical level, personnel assignment uneven to restrain community health station from develop main factor, cause the small disease to make a diagnosis and give treatment finally " It is difficult to enter " Community. The community health Center is left unused recently, the reporter sees in a community health Center of the provincial capital, though here is bright and clean, the condition of seeking medical advice is complete, but besides there are two households who buy the medicine and a patient of infusioning in the time of a whole morning, there are no other people to patronize. Staff members do not chat, or else play with one's own mobile phone sees the news or plays games. A staff member complains: "The whole community is as many as ten thousand people, but ones that come here to see the doctor every day are not several people. " This staff member still shows, amount of the number of people of seeking medical advice relates to but also season at their place, it is sudden and cool to meet it, the person of cold will increase quickly, the increase that the patient will be corresponding too. In fact, this is a epitome of a current situation of the development of service organization of the whole community's hygiene too. At present, community health Centers spread all over every community of provincial capital, these organizations are equipped with the specialized medical personnel, consist of consulting room, therapeutic room, the intersection of treatment and the intersection of room,etc. and department, too can meet some the intersection of resident and the intersection of cold, diarrhoea,etc. and light demand of seeking medical advice of disease. But these's work load of service organization insufficient, some in fact and the house was deserted, a large number of medical resources are laid aside or in name only. Meanwhile, got to the residents to the large hospital to go to a doctor of small disease and is growing on and on. Reveal to the investigations of several large hospitals, the disease of the plentiful clinic of the hospital is common diseases such as cold, generating heat, gynecological disease,etc. according to the reporter, in fact citizens' these small diseases can well get the valid and prompt treatment in the hygiene service organization of the community. "By the look of this, the function that the hygiene service organization of the community has born in changing the place of examination in grades was not brought into play at all. Small disease enters the large hospital, it is totally a kind of wasteful use of resources as to large hospital. " A large-scale courtyard of general hospital of a doctors are said so. Medical quality influences seeking medical advice in the hygiene service organization of idea community since can offer prompt and effective basic medical treatment service for resident, and its price is obviously lower than the large hospital, then, why do not citizens choose the hygiene service organization of the community while seeing the doctor, seek something far and wide when it is within reach in the large hospital instead? Citizens Ms Zhang's view is very representative. Ms Zhang got cold not long ago, though there are community health stations at home gate, she is strong to bear the illness to large hospitals to line up to see the doctor. She says: "Although slight illness is a small disease, once it is a serious major issue to misdiagnose that, I do not dare to take the health and joke. Present community health station no matter medical level or service quality let people to be difficult to believe in really. On the contrary, go to the large hospital to see the doctor though people also line up for a long time more, feel steady and sure. " The insider thinks, a lot of citizens like Ms Zhang, there is " superstition " to the large hospital psychologically . "This is a kind of inertia of seeking medical advice, we can't ignore this kind of inertia and seek medical advice on behavioral decisive influence to citizens. " Certainly, just as Ms Zhang worried about, the hygiene service organizations of some communities make a diagnosis and give treatment competence really remain to improve. Citizens Mr. Suns say, his son has had cold, the result has been gone to the community health station to read for several times, it is totally good not to also have. Then, Mr. Sun loses confidence to the community health station completely, go to a doctor once before not having again. While interviewing, citizens Ms. Wangs say, doctors of the hygiene service organization of the community has two kinds of, one kind retires and is rehired back; Another kind is a university student who just graduated from the school, there were very few but experienced doctors in the prime. A person in charge of community health Center admits too, salary working in the community and various welfare treatment can not far catch up with the large hospital, this is the key reason causing the community health Center to lack talents. The support on policy impels medical resources to transfer Community's hygiene service quality has issued various policies in order to improve in the provincial capital: First, take advantage of the force " One hundred institutes revitalize medicine " The project, continue implementing the project of the treasury bond, finish the construction of 24 community health Centers, 17 community health stations, transformation task in an all-round way; Second, according to " Fill up " The principle, increase financial input, allocate the common medical apparatus to community's organization; Third, the community hygiene service organization supervising hardware facilities such as the house area,etc. not to up to standard of rectifies and improves actively, strive to make it all up to standard. Have a normal service according to the national basic public health, guide correctly, strengthen training, change the service theory, improve the ability to deal with public health and basic medical problem, continue carrying on the establishment of the demonstration organization in the province, in order to demonstrate to drive the hygiene service organization of community of the whole city to improve service ability. Carry on the revision trial of the qualification to the demonstration organization at the same time, supervise it to guarantee service level. Strengthen and train, through various forms such as undergo job-specific training, continuing educating, to the hospital of the first, second and third to receive a training,etc., accelerate knowledge structure, medical personnel of community, from training for main fact to change completely, the medical care which improves the hygiene service organization of the community supplies ability; Fourth, pursue the basic medicine system in an all-round way, solve " raise medicine with medicine " System loophole,service mode of lasting service organization transition, take the initiative and serve, make house calls, offer basic medicine, basic medical treatment and public health service for community resident. The reporter knows from the department of public health of the province, the department of public health of the province has specially made the apparatus at 16,200,000 yuan and allocated the plan, on the basis of the basic apparatus of service organization of community's hygiene allocates the task to basically finishing, will strengthen the information system equipment of service organization of community's hygiene to allocate especially, in order to accelerate the construction of community's hygiene informationization, to improve community's hygiene service ability. Staff reporter Dou JinBo
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