Pleasure and anxiety of community's hygiene performance examination

Pleasure and anxiety of community's hygiene performance examination
Pleasure and anxiety of community's hygiene performance examination
Staff reporter Han Lu "There is the performance that examines this good assistant, this thorny job of arranging the night shift no longer makes the criminal difficult too. " From July 1 this year, the pilot time delay clinic service of 141 community health Centers of urban area of Beijing. Among them, the 24-hour emergency call of the pilot project of 24 community health Centers is handled and served, it is exactly one of the pilot projects that Germany defeats the community health Center. The task is arduous, but Korea S., director of centre �b�b seems very calm. In respect to defeating the community health Center in Germany, the good night shift of the everybody value that make, weights accounted for in the performance is examined of taking to strengthen night shift, working only. It has been already operated for 3 years that the performance that Germany defeated the community health Center is examined, one's own comment is that Han �b�b gives: Both worried and glad. Like " two lines of revenue and expenditure " Starting, community's doctor eats " emperor's grain " ,But enthusiasm is not reduced at all, working efficiency, service quality, resident's satisfaction are promoting constantly. On March 1, 2007, as the only pilot unit of Xicheng District of Beijing, Germany defeated the community health Center to start " two lines of revenue and expenditure " formally Manage. Personnel's funds and business income break off relations, community's doctor eats " emperor's grain " ,The administrator's worry follows too: Will the community health Center get back to mess era? In front of putting �b�b in Korea S. at first in difficult problem. The government appropriates the per capita salary of 45,000 yuan (48600 yuan / person-year at present) every year ,How could assign, go down fair the money, stimulate the staff's working enthusiasm to the maximum extent? She leads everybody to begin to explore that establish the system of checking and rating. According to the performance examination method which this centre makes, examine and assign and divide two grades to go on: Central to the department ' Stand) ,Department ( Stand) To post personnel. Go from business department to the logistics, security personnel, the target examining it. The examination content includes working quantity, work quality, service satisfaction, resource utilization ratio, 4 total marks are determining the incomes of department and department. While examining the working quantity, 520 services which the centre involved have been presumed the coefficient one by one, coefficient high to prove the the intersection of risk and great, responsibility of job large working intensity large time consuming and long, if the doctor does an operation may be that the nurse have injections 100 times. Multiply the coefficient of every job and working quantity which it corresponds to, stand up totally, the final result of receiving the working quantity and examining. At the time of the work quality of the examination, concentrate on weak spot served especially, examine the service links with quality defect every month, and to the short-term examination index different to become effective, examine once every quarter or every year. "The centre predecessor is the hospital outside Germany, no enough to be familiar with that the medical worker is relative to the public health service, so our examination focal point is this one. " Han �b�b says. At the time of examination satisfaction, the centre has adopted 4 kinds of means: Intercept patient's questionnaire investigation at the gate of hospital; Engage the social supervisor to be touring among service station and investigate secretly; Until the first floor put touch-sensitive screen appraise system, support patient give a mark; Install the satisfaction test and assessment device in every service window, divide into " whether excellent, good, middle, difference, bad " Five grades. While examining resource utilization ratios, the centre has presumed to the department the expenditure binds the line, exceeding and binding the line will accept punishment soon, thus avoid to " run and emit the water clock " Emergence and it is medical consumptive material, it that consumptive material waste phenomenon when working. The worker assaults fortified position at work gram is difficult in order to encourage, centre set up group cooperate award, the intersection of work and innovative award, change the place of examination award, come into family, recover award, strong in, teach outstanding the intersection of lecturer and the intersection of award,etc. and special award bidirectionally especially also. The ones that should be rewarded are rewarded, the ones that should be fined are fined. The statistics show, the same work post, bonus disparity can reach as high as 1200 yuan. "Once, it is ' healthy and open ' that found the doctor of a community the mobile phone has not started the machine, has deducted 500 yuan. " Korea S. �b�b say " to such situation, we never condone. " Have examined and seen the effect soon in performance of this centre. Clinic quantity was increased progressively by 24% every year, the business income was increased progressively by 30% every year, average daily clinic quantity has already been up to more than 800 persons; Average the intersection of prescription and volume, clinic time expenses, every day such as bed expenses reduce 30%~40% in hospital. Not only the basic medical care, the working quantity of the public health service is also increasing progressively. This centre sets up 73,000 paper health files, 65,000 electronic health files in one year, woman " the second cancer " Sift and look into nearly 7000 people, influenza vaccinations is 7114 people. Korea S. �b�b say centre this win a lot of district level rewards at city level until performance examined, in 7 scientific research tasks that the centre set up, there are 2 items in national key science and technology support. The worried performance increases successively, but the salary of performance can't increase synchronously, will do better than today every tomorrow, could get the same remuneration. How far can such examination go? Make so much achievement, Han �b�b but can't smile. Because a more severe problem is put in front of her: Loss of the prosperous prevention talents of the business of centre. Korea S. �b�b say the intersection of community and than to little doctor have large hospital work load of doctor, a lot of people have been already overload operation, but the income is not high. "The salary has not grown simultaneouly with the work load. " Korea S. �b�b tell reporter whether community work load and efficiency of doctor promote, examine mark to be right away more and more high, but the payrolls that the finance is appropriated for the whole centre are certain, so the performance score can only devalue constantly. "For example, you got 3000 scores last month, the bonus was 1000 yuan; You worked harder this month, got 3500 scores, but may only get the bonus of 800 yuan. " In fact, the performance assessment criteria of the centre is improving constantly. "Can only do better than today tomorrow, otherwise the income will drop soon. " Let Korea S. whom �b�b worry that " spur on the flying horse, one day in the future will let everybody to be dog-tired constantly. " In the face of such a situation, Han �b�b seems unable to do what one wishes. Manage, improve treatment of staff from economy, can only do the best, make sure " undertaking stay people, culture stay people, emotion stay people " . Consider the staff's continuing education, help young people to introduce the marriage partner, any worker has fallen ill, the leader must go to its home to look about. Some people stay, some people want to go; Someone has gone to the pharmaceuticals, disease has accused of the centre after someone has gone, somebody goes to test a graduate student. "An undergraduate course graduate comes, send out first to receive a training for 3 years, be practising clinically for 2 years, could work alone. Having left after deciding to go, the injury to us is really too great. " Korea S. �b�b say centre have 18 people study outside altogether now, the intersection of people and salary and bonus these undertake by the unit. "One has paid the penalty of 35,000 yuan, not Can't leave. " Korea S. �b�b think though a lot of community health Centers examine the performance at present, have not caused in inside " Mess " ,But the outside competition mechanism among the organizations has not been set up. She thinks, the bonus pool that should be set up respectively national-levelly, district level at city level according to different standards, through checking and rating regularly, encourage the innovative work pattern in the centre, offer more high-quality, safe, high-efficient services to community resident. "Health of the people of tube 120,000 of a centre of ours. If each centre is doing things desperately, then the government will only save more money, save worry even more. " Korea S. �b�b tell reporter whether hang at the honor roll that appear soon in centre, have, evaluate " the five-star the intersection of service and model " that come out just this year . "According to the performance assessment criteria before this, each department can nearly all reach the full marks, can not pull open disparity, so we propose the ' initiative, hospitable, courteous, thoughtful ' star service standard. But as to the intersection of star and model these, centre offer some spiritual encouragement and support as much as possible just too. " Germany of Beijing of editorial afterword defeats the exploration that the community health Center began the performance since the beginning of of 2007 and examined to practise, and made certain actual effect, it is definite to deserve. And their worry and thinking are worth government department's noticing. The performance was examined for 3 years when pursues, the working total amount of the hygiene personnel of the community increased, working efficiency, work quality improve, have promoted the development of community's hygiene service. But because the community allocates funds amount is certain, so personnel have difficult with the simultaneous growth income. Although have many kinds of means to arouse enthusiasm, the income is " bound " Really cause the community to actually further ran off on deficient talent resources, working enthusiasm is difficult to keep. Everybody admits, the health care workers at the basic level are the important strength of the medical reform, when they explore during the medical reform actively, strive with all strength, also need support of sufficient supply, otherwise its fighting capacity may drop, the influence on reforming can be just well imagined. In addition, when the performance is examined and pushed away in an all-round way, we see internal performance it examines to be should terminal that performance examine never too, want, promote the intersection of community and hygiene serve whole, develop proportionally, need external push of competition mechanism. For example use the performance to examine this to the hygiene service organization of the community " The baton " ,Can't " do and do and lack samely more and it is easy to do to do badly and samely " . Can stimulate the hard aggressive strength of service organization of community's hygiene like this, and can enjoy equal basic medical treatment and public health service to impel the residents in an administrative division in result.


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