Jiangxi: The basic duke defends and serves and examines skilfullying use " The third party "

Jiangxi: The basic duke defends and serves and examines skilfullying use " The third party "
Jiangxi: The basic duke defends and serves and examines skilfullying use " The third party "
The staff reporter speak north serves the proportion in community's hygiene serve to increase day by day with the basic public health in autumn, how to carry on overall, true examination to it is the question that the Ministry of Health has been thinking. Jiangxi Province has introduced the third party to assess the examination mechanism in the basic public health is served and examined for 4 year in succession, have improved the objectivity examined, has already helped the medical health organ in the basic unit to find the defect in serving in time, also offered scientific basis for the fact that the administrative administrator of the hygiene makes the policy. It helps to improve examination objectivity in recent years that the third party assesses, the basic public health service funds in urban and rural areas of Jiangxi Province rise to 25 yuan by 15 yuan of per person, the service item rises to 11 items from 9 items, a plurality of respects of meeting an urgent need etc. that involve control of disease, mother and child care, psychosis preventing and curing, sanitary control, hygiene. The basic public health is served in community's hygiene serve the proportion increases day by day, and the continuously dynamic examination contributes to finding the question in serving, raise quality and efficiency of the service. At present, the examination that most community hygiene service organizations serve to the public health is to take community's medical worker to fill in the way that examine the manual, is checked by the centre director, though can arouse the enthusiasm of medical worker to a certain extent, still difficult to avoid the situation of making a false report, misrepresenting deliberately. In order to improve the objectivity that is examined, the department of public health of Jiangxi Province introduces the third party and assesses the examination mechanism, trust public health institute, south medical colleges, Jiujiang institutes of Jiangxi,etc. third party's non-governmental organization of Nanchang university to investigate, take the measure of random sampling, the authenticity, knowing rate and masses' satisfaction carry on the investigation to the basic public health service. According to institute Professor Zhou XiaoJun of the public health of Nanchang university, investigate that covers the whole province 11 setting up area cities, 19 areas under the jurisdiction of the municipal government, serve the task to assign to the starting point with community's public health of June of 2007, finish investigating live in annual July, have already monitored and assessed for 4 years continuously so far. In less cities of the community health Center, survey all centres; In more cities of the community health Center, investigate that counts 80% no less than the total number. Carry on random questionnaire investigation to the residents in the range had jurisdiction over of community health Center smoking, required for the crowd who enjoys basic public health service item by the residents investigating, investigate the number of people is no less than 50. Investigate content include basic situation of respondent, public health the intersection of health service and manual release, registration, operating position, child, pregnant and parturient women, woman, key crowd 35~59 years old 0~3 years old enjoy the relevant situation of the basic public health service item etc.. The statistics show, in 2008~2011, the investigation covered the hygiene service organizations of 771 communities, 39744 community residents together. Take the investigations of 2011 years when have just finished as examples, investigate 183 hygiene service organizations of the community together, 9080, resident of community. Because of investigating that widely coverd, sample quantity is great, representativeness is relatively strong, and it is comparatively steady to monitor the result in 4 years continuously, therefore can reflect the performance of the basic public health service truly. Monitoring data reveal person who know still have, promote space, know rate, resident to appraise public health, serve, launch good 3 important index in satisfaction and qualification rate. Monitoring data for 4 years in succession reveal resident serve, know to basic public health rate, satisfaction, qualification rate appear ascendant trend slowly while being overall. Compared with 2008, the knowing rate rises to 58.7% from 35%, resident's satisfaction rises to 72.3% from 65.2%, the public health serves the qualification rate and rises to 84.5% from 76.9% too. The propaganda and popularization that rise of the knowing rate mean the public health serve is being deepened progressively, the improvement of satisfaction means the public health service accords with resident's demand generally, and is accepted and approved by residents gradually. Meanwhile, these data reflected too that implement chronicity and arduousness of the basic public health service. Though these three indexes are rising overallly, we can't be too optimistic to these data. "Civilian do not serve the knowing rate to the basic public health high enough, prove that propagates a large amount of work to do in hygiene. " The hygiene industry of institute of Jiujiang investigated live in participation is managed department Professor Wang Xin and said. He thinks, the hygiene service organization of the community should utilize strength of the residents committee of the community positively, adopt the form of hanging banners, putting up and propagating singly etc. to strengthen and propagate, expand influence of community's hygiene service, improve resident's trust. The hygiene service organization of the community propagates the public health service at present, mainly adopt the residents committee to release the public health and serve and propagate single, health care to book card, physical examination table and public health and serve the manual when the way free. But such a method, has not merely increased the work load of the hygiene service organization of the community, residents' knowing rate may not necessarily improve either. For this reason, the expert points out how to inform these of to issue in resident's hands, let resident understand meaning that public health serve and set up corresponding working mechanism really, it is the subject needing badly being studied. Resident's use of the public health service may be influenced by three factors. First, residents serve and realize mistaken ideas to the basic public health, think the large hospital expert more, the apparatus is good, feel more reliable psychologically; And the apparatus in small scale of service organization of community's hygiene is relatively bad, the trust intensity to community's doctor is relatively low. There is not a position in resident's mind in the hygiene service organization of the community, many residents are unwilling to accept the public health service. Second, some urbanites are organized by unit the physical examination every year, so it is unnecessary to accept the basic public health service in the community. How to avoid repetition, set up the public health service, combine hygiene resources, these problems still merit attention and study. Third, some the intersection of community and resident consciousness strong health have, think it is of no use for public health to serve, for example women in the fringe area unwilling to make the gynaecology, check. , the Ministry of Health should summarize working experience too, while doing a good job of colony's public health, design the individualized health examination set menu for the elderly, pregnant woman, children. In addition, direct against the health control of chronic disease such as diabetes, hypertension, don't only stay and guide the respect at the health, also offer some basic treatment medicines, improve the enthusiasm that the masses participate in the basic public health service. The data analysis offers the monitoring of the basic public health service result of scientific basis for the fact that the policy is made, not merely let the hygiene service organization of the community realize the defect in serving, and improve, have offered science for adjusting, improving the basic public health service item compensation policy even more Basis. There are continuous monitoring data in time, the administrative administrator of the hygiene passes the data analysis correctly, have formed the management policy of the basic public health service item in urban and rural areas progressively. Such as making management to the fixed organization of service item of the basic public health, stipulate the entry condition, right and obligation of the fixed organization, make and manage the contract convention clearly, reward and punish the measure clearly. Meanwhile, examine the performance to 11 kinds of national basic public health service items, and made the basic public health service item examination standard in urban and rural areas, examine quantity of service and service quality of the basic public health service item especially, the use and management of the subsidy fund, staff training, and situations such as the social effect,etc.. To examining the organization not up to standard, except reducing and subsidizing the funds in proportion according to the regulation, circulate a notice of criticism, order to rectify and improve at the same time; To examining the community hygiene service organization not up to standard for two years in succession, has cancelled it and offered qualification of a service of public health. Utilize the third party to assess the mechanism, carry on judgement and supervision to the basic public health service, will promote the hygiene service organization of the community to offer normal, high-quality basic public health service for resident effectively.


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