The community has five kinds of difficulties that need solving

The community has five kinds of difficulties that need solving
The community has five kinds of difficulties that need solving
Liaocheng CPPCC Yan square Shandong Liaocheng Dongchang office the People's Hospital Tian GuangJian of Dongchang office district of Shandong is in recent years, Liaocheng Dongchang office district of Shandong adopts many kinds of modes to carry on community's hygiene service networking, have already won initial success, has been already building up and building the rural community health station, the urban community health station, the service network can cover 100% of the street, village and 95% of the residents. Community's hygiene service of this district still faces five kinds of difficulties demanding prompt solution mainly at present. It is difficult for management system to it owes unobstructed one to be because public health serve, get corresponding compensation still, it is difficult to separate with the hospital on the manpower, financial resources and material resources in the community health Center that the general hospital holds, the majority is that the brand of the hygiene service organization of the community is hung again on the basis of former medical organization. Second, undertaken community's hygiene service function from the community hygiene centre where the commune hospital in the town made the transition, but the majority still belongs to collective properties, implement difference and allocate funds, under lower situation of one's own income, launch a large number of public health services, awkward further, has influenced community's hygiene to serve the full play of the function seriously. Three is some reasons such as being outmoded, undermanned because of the apparatus of facilities of health clinics in towns and townships, it is still unable to transform to the community health Center. Fourth, there are many rural community health stations at the cost of private or individual, apparatus of facilitieses are mostly that the village cure input, the property right belongs to the health clinics in towns and townships ' Community health Center) ,The property right is not distinct. The infrastructure is put into the insufficient regulation not carrying out " instruction on developing community's hygiene service of the State Council " strictly. It is embodied in, first, not offered essential house and medical sanitary equipment for hygiene service organization of the community. Lease the house at most urban community health stations of Dongchang office district at present, the fund of its house of business mainly comes from and raises independently or is remedied by the hospital, the rental becomes a heavy burden of the hygiene service organization of the community. Second, subsidize community's public health service funds insufficiently. Most community hygiene service organizations are in losing or keeping with an effort state, have restricted the development of community's hygiene service in urban and rural areas seriously. Third, facilities are different in device layout. The whole urban community health station is better, some have disposed simple film making machine and biochemical analytical equipment, but a lot of community service stations remain clinical thermometer, stethoscope, blood pressure table " Third kind " . Can't stand sanitarily in hygiene that other sanitary conditions are very bad, say jokingly by the massesed " " . Lack corresponding compensation mechanism in a situation that it is insufficient to put into the government, it is the main means of keeping the health organ of the community surviving to increase the medical income. But the intersection of community and medical care reduce or remit registration fee, to object of special care, strand masses, implement the intersection of expenses and measure such as being favourable make the masses receive material benefit specially. However, the income of health organ of the community is reduced and has not been compensated, aggravate organization's burden. Doctor's quality is whole on the low side because the community is sanitary to work and mainly reflect as public beneficially, in with insufficient compensation mechanism cases, the medical worker has relatively low income. The professional title of the above-mentioned most intermediates of community health station seriously enough, lack community's hygiene and serve backbones. In the city, the medical worker that medical technology is competent is unwilling to work for hygiene service organization of the community. It is a local that the function gives play to and offsets community's hygiene of Dongchang office district to serve the main target, the service function is only limited to several minority such as basic medical treatment and children's free immunization campaign, the health control, prevention from suffering from the diseases ' Especially infectious disease is prevented) , measures of the health education are less. On the other hand, because of the fast development of trade and business and tourist industry, there is more outside size of population, flowability is relatively great, have increased the difficulty which provides the hygiene service for this kind of group virtually. Countermeasure strengthen the intersection of government and responsibility, offer essential to it puts one into to be local government while building service centre of the community, reserve certain construction land or house in advance for the service station of the hygiene, dispose professional and medical apparatus, verify the service funds of public health. Second, accelerate pushing into the commune hospital with condition ' Room) Make the transition to the intersection of community and the intersection of hygiene and service organization, authorize, work out, include in the finance and subsidize in batches, realize the hygiene in urban and rural areas is covered completely. Third, the community hygiene service organization that social forces run, while bearing the public health that the government trust, serving, the government should give corresponding compensation according to service item and standard. Fourth, strengthen the building of contingent, strengthen the training, examination to assigned personnel, accelerate its growth. When existing and undermanned, personnel of the above professional title that can encourage second and intermediate on the job or retired of the above general hospital, after training in complete medical science, go to the hygiene service organization of the community to hold a part-time job (full-time job) Work, encourage the medical volunteer to participate in the hygiene volunteer of the community and serve after training. Include it in the medical insurance by fixed position, improve and change the place of examination and give full play to the basic medical insurance policy to serve the facilitation of development to community's hygiene bidirectionally. The government should be on the basis that the rural patient include in succouring newly and agriculturally jointly, include the eligible community health organ in the basic medical insurance (new agricultural shutting, urban worker's medical insurance, medical insurance of urban residents) Fixed range, really give play to the healthy " doorkeeper ", doctor of community Role,make masses benefited. Want, bring chronic disease of community within basic medical insurance, wipe out range, raise the intersection of community and the intersection of hygiene and service organization, treat to wipe out proportion respect in the intersection of community and chronic disease. Improve the mechanism of rewarding and punishing of changing the place of examination bidirectionally, solve progressively " it is upwards easy to change the place of examination, difficult to change the place of examination downwards " Phenomenon,push bidirectionally change the place of examination system implementation. Set up various networks, realize the resource-sharing one is set up and served the network. May serve resources and the deformity population and birth control and recover and succour resource and other hygiene resources to merge into and include in the hygiene service organization of the community in unison, set up public health and serve the platform, make the community health Center become and collect the entity that hygiene, people, birth control, deformity recovered, the centre implements a set of persons, three brands. Realize platform share, can reduce repeated input, save strength, can also give play to the greatest benefit that the government invest, satisfy masses to medical treatment, prevent, health care, the intersection of people and family planning, recover, health education, food and use medicine safe basic demand to the greatest extent. Second, set up information network. Through accelerating the network construction pace of the hygiene service organization of the community, the relevant health file including floating population, patient's materials,etc., all input computer control, implement the follow-up service, between between community and community, community hygiene service organization and big institute of traditional Chinese medicine of higher level, realize resource-sharing, information sharing, improve prevention and therapeutic effect of disease.


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