The whole country of service demonstration of innovative community's hygiene of Wuhan

The whole country of service demonstration of innovative community's hygiene of Wuhan
The whole country of service demonstration of innovative community's hygiene of Wuhan
[Community's hygiene serves the story ] to it is reported government's leading factor, our city builds up the hygiene of community of covering the outskirts with and serves the network, bear daily life the people's basic medical treatment and basic public health service function. The newest statistics reveal, this year, community's hygiene of our city serves 8,722,300 of expected Damien of clinic quantity, accounts for more than 1/3 of the total clinic quantity of medical organization of the whole city. Count, reveal community the intersection of hygiene and the intersection of clinic and time expenses up to 40.3, resident serve comprehensive satisfaction, up to 96% to the intersection of community and hygiene still. According to the introduction of relevant person in charge of Municipal Health Bureau, before 2004, only 8 people went to the community to go to a doctor in every 100 patients in the whole city; Now, get citizen that community diagnose the illness increase progressively with 20% speed of the above every year. 416 community health stations cover the outskirts to it is introduced, in order to help citizens seek medical advice, our city builds community's hygiene service network to propose " Walk for 15 minutes and seek medical advice and enclose " Goal,realize community sanitary serve cover all. According to the planning overall arrangement, the community health Center sets up the area of centre of the range had jurisdiction over at the place where the residential district handles affairs mostly, the community farther from the community health Center is supplementary set up the community health station. Centre and station manage integratively. By the end of October of 2010, the whole city build up 124 community health Centers, 416 stand together. Since 2008, 58 community health Centers will utilize the central authorities to expand domestic demand totally in the whole city investment get newly-built or maintenance. This year, our city lists the accomplishment ratio of house of the business of the community health Center in government's performance management objectives. " the old doctor enters the community " Upgrade the service level in order to promote community's hygiene service level in an all-round way, our city recruits " the old doctor enters the community " from society publicly . To work in above- second -class hospital originally, the intersection of intermediate and above professional title, healthy and old doctor that work for community voluntarily, the government subsidizes subsidies. At present, the whole city recruits nearly 300 old doctors and goes to the community health station to work together. In addition, implement " introduce university students " The project, have introduced over 600 university students together, many as the graduate student. It is introduced, our city has also launched the training plan of technical staff of community's hygiene, defend professional classification, person of skill, while being other according to complete doctor, the intersection of community and nurse and common doctor Wei, implement community's hygiene technical staff wholly to train. Since 2009, be appropriated special funds by the finance, Municipal Health Bureau chooses a group of key doctors under the age of 40, with the academic credentials above undergraduate, medical practitioner's qualification, send to medical college subsidiary Peking Union Medical College Hospital and relevant public health organs of Tongji University of Central China University of Science and Technology, train the complete doctor, set up the echelon of hygiene service inter-disciplinary talent of the community. The service government of 35 items of public health " Purchase " Community's hygiene serve, bear the basic public health, serve mainly. Last year, our city has established and included setting up resident's health file, infectious disease prevention and control, chronic disease such as hypertension, diabetes prevent and control, plan 9 big classes and 35 basic public health service items of immunity, mother and child care, health education inclusive. In 2006, the all community health Centers in our city launched department's construction of the standardized public health. Organize 30 more than in that first line work expert, take the lead in, publish " the the intersection of community and the intersection of public health and the intersection of services and guide " in the whole country, guide the community and launch the normal basic public health service. At present, resident file by the intersection of health and file rate reach 73.61%, 2010, the whole city have 6,901,800 person in all participate in the intersection of community and the intersection of health education and consulting activity, it is 100% in immunity inoculation Damien is 1,835,000 stitches of time, the reporting rate of epidemic situation of infectious disease. Community's hygiene is by the past " Lay stress on curing instead of make light of defending " Change to the public health service. It is reported, 35 basic public health service governments " purchase " . Our city sets up community's public health to serve and subsidize the funds specially, this year of this funds has already been adjusted to 29 yuan / person-year. And, set up performance appraisal system and release the funds. More than 70% of the communities see the doctor and use medicine " A difference rate " From the beginning of this year, 11 pilot districts and 51 community health Centers in the whole city have started national basic medicine system, realize a difference rate of medicines to sell. The total number of pilot districts accounts for 73% of the whole city, the 100% of community health Center that the government holds implements. In every pilot district, choose 5 to provide and deliver enterprises on average, allocate 272 kinds of basic medicines in unison for the community. Arrange 30 million yuan together, is used for starting and implementing the basic medicine system pilot project in two grades of municipal or district finance. At present, every pilot district basic medicine system has already been set up tentatively, the selling price of medicines drops, the amount of money of the single prescription drops, the clinic quantity of the medical organization rises, masses' satisfaction rises, the public beneficial direction of basic medical care is reflected progressively. The medical worker in the community health Center is meeting and examining a patient. The family doctor pays a home visit thousands of times to the doorstep Residents praise " cure the disease and stay indoors " Government's leading factor, our city builds up a community hygiene service network which covers the outskirts, bear daily life the people's basic medical treatment and basic public health service function, multiple actions innovate for the whole country. Wuhan was successively confirmed as the hygiene service system of community of the State Council and built the country to contact the city especially; Ministry of Public Health promotes the public hospital to cooperate with hygiene service organization of the community in the pilot city; The health service of domestic first World Health Organization cooperates on the base. The picture is that community's doctor gives the area under one's jurisdiction child's vaccine inoculation. It is reported early in the morning, Jianghan District advanced community health Center doctor Min LiangJie of the street and got to resident's king in the area under one's jurisdiction and defeated home of China yesterday, moxibustion of having an acupuncture treatment for him, massage,etc.. Last October, Wang ShengHua came down with cerebral hemorrhage, the half-length hemiplegia of left, after the large hospital undergoes an operation, come back home to recover. Advance the intersection of street and community health Center, make the intersection of community and doctor for 35 year, LiangJie Min the intersection of hall and doctor change " run errands doctor " into from sit . Not long ago, great-grand mother Liu happen suddenly at home brain block up, left hemiplegia, have money dare, in hospital. After Min LiangJie hears, the case call if shoulder and pay a home visit. Enter the door, find home tacky, he helps to take blood pressure, after catheterization, massage physiotherapy, hold sleeves and clear up the rubbish again. Later, he insist give medicine, give medicine, recover physiotherapy to the doorstep 2 times a day, after the two month, actually let mother-in-law Liu resume self-care ability. Min is good there is an account in the heart in the victory: "The intersection of area under one's jurisdiction and 25,000 resident, set up the intersection of health and file all, telephone loud, who I that call know what's what. " Since 2006, doctor Min paid a home visit 1291 times to the doorstep, did not have a rest all the year round, ran at three four home each day sometimes. Whole body is stiff half a year ago, arrive The joint moves about freely now, Wang ShengHua says with a smile: "Thanks to the family doctor, in the past, we got the hospital and enjoyed such a service, stay indoors now, can cure the disease all the same. " "Compared with large hospital, are the apparatus, technology of the hygiene service organization of the community in weak tendency? �� of ������ Shen crotch wish �� of �� Die heart Ji all bones of the body in large bamboo or straw hat with a conical crown and broad brim in �����! ? The community of gold bridge opens " Baby group " Child-bearing knowledge it answers public hospitals to be multi-form to participate in community's hygiene take the lead in setting up family doctor's system in the whole country online It is reported as the hygiene service organization at the basic level, the engineering level restricts " attractiveness " ,The patient seeks medical advice or chooses the large hospital. 2007, our city take the lead in, pursue the public hospital to cooperate with hygiene service organization of the community in the mechanism while being national, by promoting community's hygiene service level in an all-round way. The large hospital participates in community health Center's mainly holding, deposits, is in charge of direct directly ' Medical community in the area) With 4 kinds of modes of coordinated cooperation. At present, more than one hundred community health Centers in the central urban district form partnerships with 38 public hospitals. In addition, the large hospital organizes experts to go to the fitting community health Center to diagnose, make the rounds of the wards regularly, launch technology lecture, teach suitable technology, accept community medical worker receive a training of study and short-term cultivation free, implement it " one to one " Strip teach,promotion community medical worker clinic diagnosis horizontal. Some community health Centers and large hospitals or having independent medical science of money of legal job to examine the laboratory, examining the field and launching cooperation. The hygiene service organization of the community still allocates more than 800 sets of long-range heart electricity to diagnose that guards the appearance, the family doctor measures the electrocardiogram for residents, convey to the large hospital electrocardiogram and diagnose the room on the net, diagnosed by the expert. Large hospital and community hygiene service organization " United by marriage " ,Have promoted and changed the place of examination in the mechanism bidirectionally. The hospital is to transferring to the patient and making the preferential policy in the community health Center, open the landscaped roadway, transfer to the medical insurance threshold fee of the patient on reducing or remitting, and is responsible for recovering a patient's going back to the community health Center. These explore, get Ministry of Public Health to be sure, Wuhan assert, serve for participating in community's hygiene in the large hospital city of polit construction project. Residents receive material benefit even more, enjoy " the price of first class hospital, the tertiary hospital serves " at the gate of home ,It is difficult and seeing the doctor to relieve and see the doctor effectively expensively. This year, the hygiene service organization of community of central urban district realizes and changes the place of examination 52,500 persons bidirectionally altogether. After last network to build up hygiene of it is reported on communitying,tradition "sit hall practise medicine " Service mode restriction serve efficiency. In 2009, our city will take the lead in starting family doctor's institutional improvement in the whole country, will let the family doctor enter the community, enter the family, launch basic medical treatment and public health service, realize hard " every family has one's own family doctors, everybody enjoys the basic health care service " Goal. Every community health Center of the whole city chooses to have the good complete doctor who links up the ability, business with consummate skill as the family doctor. Regard family doctor as the core, organize the service group with nurse, doctor and logistic attendants of public health. The family doctor divides and serves the area of responsibility, set up health file for residents, offer the health to healthy crowd to remind; Offer the prevention and health care service to key crowd; Make a diagnosis, recover and change the place of examination and serve to the ill crowd. At present, central urban district have 1200 over people, family doctor of community, in all, realize serve responsibility, all cover. Residents are up to 70% to the family doctor's name, knowing rate of service content of organization's sum where one occurs. Our city will also build family doctor's system to include in hygiene system performance management by objectives and funds at all levels and appropriate in the system, family doctor go to community, enter number of times of family, list performance in, examine, funds subsidize and organization comment first and tenure of director examine the hook with public health. The patient praises: The family doctor serves conveniently, low priced, solve anxiety for the people. The good doctor and king emerging while serving in community's hygiene contend in beauty. It is reported in the money bridge community health Center of the hospital of Hankow, community's doctor builds up " group of baby of gold bridge " ,Offer to parents and give birth to children to consult online throughout the year, answer consulting telephones of parents in 24 hours. This " baby group " Have not attracted the young master grandmother grandfather. Launch commenting on, the appraisal of children's early comprehensive development and sieve of the nutritive disease physically to check the children in the area under one's jurisdiction, it is the work of the community health Center of gold bridge " Center " . The staff members in the centre find, are all " three plus two " that child's tape is raised now The mode, namely three people of one family and old man, the old man lacks the science of child-bearing knowledge, young people meet a lot of questions and puzzled in child-bearing. In January of this year, the community health Center developed " health management projects of children " . It is introduced, this management project has been opened " group of baby of gold bridge " on the net ,Community's children's health care doctor offers to parents and gives birth to children to consult online, answer parents' consulting telephone in 24 hours. " group of baby of gold bridge " Still offer regularly " The serial classrooms of seientific child-bearing " ,Until the intersection of parents and puzzled problem divide the intersection of nutrition and page, the intersection of intelligence and page, the intersection of disease and the intersection of page and three block into, sum up, circulate to turn on the class for 8 the intersection of health and classroom usually, ran a baby's skill per month and trained the lesson, not merely provided the platform exchanged for parents, also impart the correct method that the skill trains to parents. The statistics show, the baby participating in the project at present has been already up to more than 200 people, more than 200 parents join QQ group, run, 28 say " the seientific child-bearing, achievement future " Serial lectures, 587 persons in all listen to the teacher. House live the intersection of bamboo and the intersection of leaf and path of garden taken the place of and raised by the grandmother at a distance, the baby is extremely agitated and shy with strangers, diet mood is not good, the grandmother is very worried. Hear the community hold the child-bearing lecture, the grandmother each lesson listens to the teacher and records the note seriously. Nowadays, reach the age of 1 at a distance in the path, participate in baby's match and still get and creep the competition champion. House gate enjoy Chinese medicine recover The paralysed mother-in-law stands up The average form prescription once of traditional Chinese medicine is less than 20 yuan The one that it is reported traditional Chinese medicine has " Simple, relieve oneself, test, honest " Characteristic and it is specializing in preventing and whole idea it make a diagnosis conform with community's basic medical treatment and function of the public health service. From 2008, our city actively promotes the traditional Chinese medicine service to enter the community. In order to promote community's traditional Chinese medicine service ability, our city introduces regular universities and colleges more than 70 of graduate students and undergraduates, rehiring over 100 retired old docters of TCM, about 140 coordinated cooperation doctors of large hospital, substantiate the traditional Chinese medicine service team of the community. Until November of this year, the intersection of the whole city and community health Center build up Chinese medicine all culture atmosphere strong and facility apparatus complete serving the intersection of staffing and reasonable standardized department of traditional Chinese medicine by traditional Chinese medicine. Department of traditional Chinese medicine of all community health Centers of the whole city is equipped with more than 5 kinds of Chinese medicine Make a diagnosis apparatus, each the intersection of Chinese medicine and personnel know 10 more than traditional Chinese medicine suitable for technology. Last year, traditional chinese medical science clinic of service organization of community's hygiene of our city quantity accounted for 25% of the total clinic quantity of community's hygiene, the traditional Chinese medicine rate of utilization of the clinic is up to 35.4%; It is up to 76.5% with the participating in rate of traditional Chinese medicine of the hospital bed set up at a patient's home to in hospital. Amount of money of prescription once of average form of traditional Chinese medicine of the community health Center of the whole city is less than 20 yuan. At present, has one liang of districts of mine already created? �ȫ���'s good fortune is taken off noon Yan ��'s careful my darling ��'s ��� Qia convulsion and belly �� Ning Luan �� flood lip �ȫʡ�'s good fortune is taken off noon Yan ��'s careful my darling ��'s ��� Qia convulsion belly �? Standardized the intersection of public health and department build, get up disease, prevent and control network, it is reported that is based on community's hygiene service system, our city build get up urban disease prevent and control network, handle SARS effectively , people infect with high pathogenic bird flu, the intersection of brothers and the intersection of mouth and ill first type the intersection of H1N1 and the intersection of influenza,etc. and epidemic situation. Statistics reveal, the epidemic situation has not infectious disease has not taken place and break out in recent years in our city, great public health event of influencing people's health and social stability did not happen. In order to make disease prevent and cotrol the focus of work to shift down, deepen the community, enter the family, our city takes the lead in launching the standardized public health subject construction of health organ at the basic level in the whole country, invest nearly 20 million yuan, has finished the establishment of 185 community health Centers and standardized public health departments of health clinics in towns and townships in the whole city, have tamped the service network bottom of the public health. As community's infectious disease managerial ability is promoted, the coverage rate of vaccine inoculation is expanded. Statistics reveal, children inoculate to rise from 78,000 persons in 2005 to 242,000 persons in 2009 to flowing alone. Department of traditional Chinese medicine of the community health Center offers Chinese medicine service for resident. It is reported to learn from the red community health Center of steel city in the green hill district yesterday, recover in community's Chinese medicine for more than one year, sixty years old paralysed mother-in-law Li YanPing " station " miraculously Stand up. Li YanPing house live in red the intersection of steel and the intersection of city and 19 street 5 18 No., suffered from the brain and blocked up last year, left limbs were paralysed, the serious language obstacle appears and swallow the function obstacle. The old man is difficult to bear the psychological or physiological double blow, depressed all day. Learn old man's situation, the group of red family doctor of community health Center of steel city in the green hill district calls voluntarily, examine blood pressure for the old man, instruct the old man how to take medicine. According to the condition that the old man is paralysed, the family doctor communicates with old man and relative, have sent the mother-in-law to the department of traditional Chinese medicine of centre in time, and made the scheme of recovering of Chinese medicine with Chinese medicine group. Rehabilitation of swallowing the function and training etc. from suffering from side limb treatment, daily life self-care ability training, language, one year passed by, mother-in-law Li lost the wheelchair, stood. Nowadays, the old man can walk independently, speak fluently, it can be paid by oneself that basic life is nearly all, blood pressure has got steady control too. Will it be July this year, first issue " the intersection of apoplexy and the intersection of sequela and Chinese medicine recover in the suitable technological training class " that community health Center hold Have, mother-in-law Li advises by using one's own experience as an example, claims: " the community is good in medical treatment, traditional Chinese medicine, acupuncture and moxibustion, mystery of recovering, make me reborn " . The first hospital of market deposits the unveiling ceremony of the community health Center.


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