Community's hygiene is examined to become very awkward

Community's hygiene is examined to become very awkward
Community's hygiene is examined to become very awkward
The input power that the government serve to community's hygiene is larger and larger, in the face of the hard-won fund, if no set of science, tight, overall and performance appraisal system easy to operate, may have thrown out host of fund, but not played a due role, cause the government, resident, even is unsatisfied with in the community hygiene service organization. So, how to carry on the performance scientifically to examine, make valuable funds play a greater role, have already become the subject to be solved urgently. Hebei the intersection of Shijiazhuang and the intersection of city and the intersection of community and hygiene serve the intersection of administrative center and Liang ZhenYu the intersection of examination and index turn into, play with words some the intersection of community and the intersection of hygiene and service organization to examine work quite little The word, an important reason is that some examination indexes which an administrative department designs lose contact with reality. In order to finish these indexes, the community has done much useless work, but real value is not big. For example, some examine and demand to prepare a large number of characters materials, not only there should be annual work programs, summaries, also plan immune work program and summarizing, family planning guide work program and summary, a single health education will have annual plans soon, summarize, implement the plan, implementing scheme, plan etc. in 3 years in year. And these plan, summarize and implementing scheme write finally to what extent is qualified with, without concrete requirement, score while examining if have, does not see the concrete content at all. So, a lot of organizations are from the download of network, changing a title of an emperor's reign with plan of prior year continues dealing with the inspection, enable, examine to play with words, has consumed for a large amount of time and energy, but did not achieve a lot of actual effects. We still find while examining, the bigger organization, there is no the patient's organization, a lot of organization of the idler, have the time and energy to make up these things in the office. It is useless that it is not said that various are planned and summarized, the score must be low, because write a amount of labour planned and can't be mentioned to wait for the work in the same breath while comparing to set up health file, can't " mend for 3 days and summarize malicously, can support for half a year and work " ; Do not do the practical thing, only do the phenomenon of the assume presentable looks. In addition, it should be comprehensive to plan to summarize, such contents as the content involves the health education, plans immunity, infectious disease preventing and curing, family planning and guides, needn't require a job and a plan; An activity and a summary. The inaccurate satisfaction investigation of investigation result of satisfaction is that the performance examines a very important content, however, there is a problem greatly in actual operation in this important index. The time of investigation is too late to register one's residence at random, often ask to the patient seeing the doctor, and this kind of investigation method is very inaccurate. Unless it diagnose the illness for to last health organ to since resident, believe in by here naturally,or for fear of hurting one's feelings, unwilling not to offend by doctor, it is in the majority to often praise, even propose some suggestions to adjust the medical insurance to submit an expense account proportion,etc., have nothing to do with the hygiene service organization of the community, can not reflect the truth. Some community organizations find out about the administrator's examination set pattern too. They will arrange some one's own ones on the same day " Out-and-out patient " Awaiting the inspection group, as soon as sometimes we just entered the door, breathed out and stood up four or five patients, praise unanimously " It is very good that this community stands " . Deal with this kind of situation, first, require every community hygiene service organization to announce the informants' hot-line telephone of administrative department, if the patient is discontented, can reflect to the administrative department directly, the detailed record of question which the administrative department reflects to the patient, list in the year-end score of the examination. Second, give play to the advantage of Internet, through setting up the special management platform, reflect residents' satisfaction through residents' clicking rate, and take the essential technological measure, guarantee a network serial number ' A computer) There is only a chance to click and is hit. Third, especially pay attention to criticizing the suggestion. It even not adopt on some technological for means,some people is still will " the general mobilizations social " ,Mobilize all relations and vote for oneself, this requires it is extremely opinion criticized in attention that we want, for example on the score, praise once and add by 1 fen, it makes a reduction of 5 fen to criticize once, make sure fair as much as possible. The hygiene service organization of the community serves community resident that the patient up to standard but inconvenient of the house area goes to a doctor, it should be a supreme evaluation index whether the client is satisfied. So, will appraise while making the index with the patient's eyes more, prevent examining marks very high, but ordinary people do not approve, the awkward situation that no one goes to a doctor. For example, though some area of mechanism house has met the qualification, the position is on 8 storeys of the office building, although there are lifts still very inconvenient from head to foot; Others are in the basement, there is no sunshine all day, ventilate badly, the air is dirty; Some consist of transfusion observation rooms, but without a bathroom, the patient should run very far in last toilet, very inconvenient. While making the examination index, should put the client's requirement in primary position to consider all the time. If not only the house area wants meets the qualification in the transfusion observation room, there will be heatings in winter, there are air conditioners in summer, there should be bathrooms nearby, should ventilate well. Otherwise even reaching the basic standard should deduct points according to the circumstances. Only see whether there is an apparatus but no matter could use the assessment criteria to require the community health Center sets up and rescues the room normally, there is a stomach washing machine, suck the apparatus of phlegm device,etc. to rescue the room. While examining, we can't only see whether there are these apparatuses, it depends on whether these apparatuses can be used normally, staff members will use, combine the serial number of recording equipment, prevent lending temporarily. Because used temporarily, the apparatus has been already unable using, staff members will not use, similar too with having, should deduct points too. The examination is required " The reporting system of the epidemic situation " , " three checks seven pairs of systems " Go to the wall. The wall is only a form on the system, the more important thing is to want everybody to bear in mind. " reporting system of the epidemic situation " Hang on the wall, ask to community's doctor but can not say infectious disease answers in the report of several hours; " check seven pairs three times " Hang on the mouth, quiz a nurse but can not answer the concrete content out. Appear the situation, whom brand make finer, more beautiful to take, deduct points too. Assessment criteria volume so thick that see some advanced the intersection of assessment criteria and the intersection of volume and getting thick a little book of picture of area as the intersection of book and author this, it is not so not all right maybe as half days to examine an organization. Such a city examines, can finish in a short time, should finish such detailed examination, I'm afraid that should establish a special group. So, the design of the examination project of the performance wants the weight to have degree, catch focal point and key question, should especially do a good job of prevention work emphatically. Having injection, infusion, write a prescription, have economic income, everyone can do, community different from individual clinic, government, the reason why subsidizes, the more important thing is we do the free public health service, because prevent disease the work does not have direct economic benefits. So, the index one of examination to the health organ of the community Reflect the hygiene working policy of putting prevention first definitely? �� oh Lian �� join Jian of �� of my darling nurse plant R ��� Mei cape sword �� Su plum ' �� of sole of �� s firms idle with insane looks �ͬ�� tip bath last ���� of Quan of Hs thin extremely Lu of Qu reef the intersection of �� and the intersection of midge and the intersection of clam and Zhyuan surge to say the looks witch have. Does ��'s skillful careful �'s tomb �� Jie Ju train the rose dumpling brown to closely question and is at a disturbance of ��'s frame? The examination content is owed concretely The basic standard of the health organ of the community requires there are the community health stations " The information management room of the health " , " prevention and health care room " . For convenience the work, everybody generally places the health file on the complete consulting room, children inoculate and originally place the minute book on inoculating and registering the room, recovering and place the massage parlour on recovering. If these materials are placed on completely " The information management room of the health " ,In this way the patient has come, doctors will go to information management room to fetch the file first, send off back after finishing writing, if can only have no enough time, mend, and then the case history content that mends is often stereotyped, because doctors can not remember patient's situation at that time. But if needn't put these things, " information management room of the health " What should put? " prevention and health care room " Also the similar problem exists, if there is immunological function of plans, according to the requirement of associated documents, area should be more than 40 square meters, register the room, inoculate in the room, observation ward, a house is obviously not enough; And not planned the community hygiene service organizations of the immunity, mother and child care function, " prevention and health care room " What is done to use again? In a word, if demand to set up these two rooms, but can't explain its concrete function, there can only be a brand finally then even if count, even 1 empty house. A lot of community hygiene service organizations rent house, deal in now, the area of the community health station is just 150 square meters altogether, having two more empty houses, everybody will have an opinion naturally. So the intersection of examination and index this kind of either examine, prove concrete requirement right away. By all means no matter the even more tight examination method of the course has slipping and unreasonable places for the result. It is really a difficult problem to make just judging to the operation state of an organization during one shorter time, for the contingency factor of reducing the performance and examining, we need to write the work at ordinary times into the score of the examination. For example our city make monthly report form in time, correct, each meeting, train, join, write year-end score of the examination into on time. What our city carried out is 1000 points of assessment criterias, do not make a reduction of 10 fen to participate in the meeting once, while cashing the public health and compensating the funds at the end of the year, 10 points may be 1000 yuan. We will offer every organization and how many organizations report belatedly and how many the intersection of organization and datas have logical mistake behind the report form every month, announce on the information management platform, thinking of at the end of the year must deduct points. In addition, will fully give play to the role of Internet, will develop the corresponding information management software, the clinic amount, prescription quality, health file to every organization file the situation, medical procurement and sale are monitored when the basic situation is while going on, guarantee work quality. No matter course of the result if by all means, it is apt to make the behavior of the organization out of hand and adopt some acts and efforts for expediency eager for quick success, cause the superficial prosperity. The health dossier should pay attention to screening the authenticity of the work in not verifying and examining to the household. For example, examine the development situation of the health education of service organization of community's hygiene, we demand to offer the picture materials of educational activities of the health, the result presents the scene that a lot of people listen to the teacher in the down coat in undershirt, summer in January. So, this kind of situation appears, has even offered picture, lecture notes, table of registering, also deduct points. In a word, through requiring the hygiene service organization of the community to offer the characters material, should make them know how to do the monitoring of health file, health control, hypertension, diabetes at first, and with the progress of the work, will examine the authenticity that they recorded soon. For example, the health dossier entered one and examined blood pressure once on the somth of some month, really registered one's residence. We can find out from household by telephone, fulfill the work conscientiously, make residents really enjoy the material benefit of community's hygiene service. The more pay for more work has not reflected community's public health buys the basic hygiene and serves for ordinary people at the cost of government to serves the funds no, do not give the welfare fund of service organizations of community's hygiene, " products " guaranteeing to be bought as the administrator Out-and-out, worth. If the organization has done for one year, the family planning is only guided for two or three times, only recovered and recorded there are two 300 a person, health file of Third Five-Year Plan Period, then can't cash and compensate the fund firmly soon. If it is lax to examine, what the hygiene service organization of the community has not done to work but has received corresponding compensation, then their next year's work will also not have too great progress as before. We have taken the subsidies of the government, but what work is not done, it is unable to explain to the masses, also unable to explain to the government. So, should cash the funds on the compensation of the funds according to serving people, work load and work quality strictly. Such as one 10,000 community of people, until 10 of per person subsidize community's public health, serve the funds government, the health organ of the community is year-end deserved 100,000 yuan, score of the examination is 900 marks, use 100,000 times 90%, it takes 90,000 yuan; Score of the examination 800 mark,must 80,000 yuan; The score of the examination is lower than 600 fen, 1 fen is subsidized not to have. Arrested the money lost and carried on distribution two times more, reward to the advanced organization, or print and propagate single, the poster, health education prescription,etc. to release free in unison. Manage 5,000 people and management 10,000 people, examine and get 600 scores and get 900 scores, compensation should not the ones that received, can't be the same either. The index has blind areas too more detailedly Burst of 2008 " The milk power incident of three deer question " China, every community hygiene service organization gives full play to the work in the community, the situation is familiar with, exposed to the close advantage with residents, has done a large amount of work in sifting to check, answer the relevant problem, stabilize masses' mood tentatively. So, must increase and decrease dividing the project at the end of the assessment criteria, carry on some essential adjustment according to the detailed conditions of those years. Whether it has a regulation in the file that the performance is examined, as to doing very well in the accident, obtain the scientific findings, publish the monograph, make good achievements, represent this area and participate in in the technological match that higher authorities organize relevantly and compare and assess and make the honor, what added lustre must merit with dividing rewarding for the whole trade; Criticize, the great medical incident appears as to exposed, notified by the department of higher level by the news mediaing, the ones that tarnished whole community's hygiene services must reduce and divide. The ones that need paying attention to are rewarding and binding, such as 1000 points of examination contents, add and divide into 50 points to bind, can't add with no limits; But reduce and divide Project does not have lower limit, can reduce, go down, examine mark lower than 600, should cancel their community hygiene, serve the qualification. Chain the quality and accuse of the mechanism: The intersection of shock absorber and the intersection of community and the intersection of hygiene and performance of service organization that performance examine examine, should include quality, quantity, the intersection of community and the intersection of satisfaction and 3 part mainly. Quality is examined: The service quality is a lifeline of community's hygiene work. Social benefit and economic benefits of community's hygiene service are embodied through the service quality. Some areas have already set up the relatively complete quality controlling organization to community's hygiene service. The health bureau of these areas is responsible for the organization and coordination of the work of quality control, expert panel of quality control of engaging area members, every quality control expert panel, according to the request of health bureau by the concrete arrangement of administrative center of community's hygiene of the district, accuse of business quality to the service item of the community health Center regularly. And accuse of assessing the result and forming the assessment report to report the quality to health bureau of the district, feedback to the hygiene administrative center of the community. Daily ones that are mainly responsible for community's hygiene vocational work in the administrative center spot check the quality with other relevant business to accuse of. The quality accuses of way and standard: Quality accuse of every quarter of expert panel ' Half a year) Organize an expert panel quality to accuse of. The community's hygiene administrative center in the district is according to the request of need of work or health bureau of the district, it is checked to the vocational work of the community health Center that irregular and quality control. The quality controlling mechanism set up also includes the business quality to community's hygiene service, including medical technological working, community's hygiene public health services; Service quality, make the corresponding quality control standard in including external service, intension service, management quality,etc.. The quality accuses of implementing: Each medical worker of self-control knows one's own working quality requirement, accomplish self- quality control. Second the intersection of organization and quality accuse of the intersection of community and the intersection of hygiene and service organization with serve the intersection of group and captain or the intersection of system and executive and the intersection of business and group leader, responsible for first class quality accuse of while being complete, its span of control of quality involves each worker, each work position. Second quality accuses of the quality control composed of 3 parts of administrative system and checks and rates the group to responsible for synthetically, quality its it accuses of ranges to be business segments and community health station of system ' Click) . Train and comment on the community health Center to carry on regular quality to train to relevant laws and regulations, standardizing system and management,etc. in a planned way in quality. Improve personnel to the working system, operational procedure, " Three bases " The knowing degree and mastering the intensity skillfully, to control it to standardize service act of knowledge skill, avoid the working fault. Use ISO9000 quality certification system to regard serivce object as the focus, setting up one set meets the system file that the community health Center ran, thinning for community for hygiene for the procedures of service activity, it define by thing of getting, then, get by people, make quality control have practicality and feasibility even more. The quantity is examined: The but the design of working efficiency to community's hygiene service that the quantity is examined, under the condition that the government guarantees to the fund input of community's hygiene service, it is unlikely to present the hygiene workers of the community not to provide service and cause the situation that the quantity of service drops actively. The examination of the work load is different to some extent because the working properties of every system are different. To different systems ' Including being serve group, support system, cure the intersection of skill and system, the intersection of ward and system,etc.) while being complete ,Higher authorities assign different quantized indexes, make its task that should be finished to him every month. Every systematic work load performance calculates and adds or subtracts the bonus part of ultra quantity according to the formula of the allocative decision. Examine through make quantity, actual effect that produce whether the intersection of community and the intersection of hygiene and service organization work, finish in sound condition, per person's work load increases greatly. Resident's satisfaction is examined: Resident's satisfaction comments on the actual effect of community's hygiene service in term of serving the demanding party. It is to rely mainly on the fact that specialization is assessed that the third party who some areas set up assesses the mechanism, assess the comprehensive assessment mechanism in order to be complemented in democratization. Assess the mechanism through the scientific assessment method in specialized satisfaction, scientific assessment index system, objective, science, reflecting process of reform and result in an all-round way. Its method is, the health bureau trusts the social speciality to investigate the company as assessing the side, carry on resident's satisfaction investigation, and sort out, analyze the census data. Therefore count community resident's satisfaction to every index of the community health Center and whole satisfaction. In addition, in order to remedy specialization the deficiency assessed, assess the mechanism in satisfaction that some areas still set up democratization, it is regular to launch by the residents committee of the street and the satisfaction of resident of the flexibility is assessed, aim at finding out about residents' demand change in time. The third party assesses the mechanism, " display " that can get up the reform , the policy is complete " The leading device " Function, offer the important guarantee for the fact that the comprehensive reform is being advanced in order constantly. (select from the medical college of Tongji University of Central China University of Science and Technology " the health organ of the community implements two lines of revenue and expenditure and manages the current situation and appraises the report of subject for research ")


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