The residents in Jiangxi utilize community's hygiene service insufficiently

The residents in Jiangxi utilize community's hygiene service insufficiently
The residents in Jiangxi utilize community's hygiene service insufficiently
Since 2006, in especially 2007, 2008, our province will take the lead in implementing community's public health and serving certificate and service card system in the whole country separately, by August of 2011, offered 340 million yuan worth of free public health service for resident of 8,940,000 persons' community at least. On August 21, the investigation result of the service organization reveals according to third party's non-governmental organizations such as the public health institute of Nanchang university,etc.'s investigation, the residents of our province serve the registering rate to the basic public health of urban and rural areas with the satisfactory rate relatively tallly, but residents know rate and utilization ratio are not high, there are larger improved spaces. It is favorable to discover the problems for third party to assess our province put fund that public health serve into, exceed 340 million yuan in recent years, it is very extensive to involve the surface. In order to do the good thing well, improve examination objectivity, our province determines to introduce the third party and assess the mechanism, examine the basic public health and serve social effect, trust third party's non-governmental organizations such as the public health institute of a university of Nanchang,etc. to investigate the service organization, take the measure of random sampling, the authenticity, knowing rate and masses' satisfaction carry on the investigation to the basic public health service of urban and rural areas. It is reported, community's public health service is assessed and examined since 2008, hold once every year, take the measure of random sampling, the authenticity, knowing rate and masses' satisfaction carry on the investigation to the basic public health service of urban and rural areas. Our province has announced for 4 years in succession community's hygiene serves and utilizes investigating organization's number and sample amount, take the investigations of 2011 years when have just finished as examples, investigate 183 organizations together, investigate residents are 9080. According to the intersection of investigation and square introduction, the investigation 100% cover all city and area under the jurisdiction of the municipal government of setting up etc., each district covers the more than 80% of the community health Centers at least, have stronger representativeness. The satisfactory rate of community's hygiene is 72.3% 21 days this year, the reporter analyzes the data since 2008 are found, know rate, utilization ratio, registering rate and satisfactory rate in community's basic public health service at present of our province, though some satisfaction is not high enough, the ascendant trend year by year appears. Take the knowing rate of community's basic public health service to say, it will be 35.0% in 2008, it will be 56.2% in 2009, it will be 56.6% in 2010; Investigated 9080 people in 2011, 5334 of persons who know, the knowing rate, it is 58.7%; From utilization ratio, residents enjoy community's public health to serve the free physical examination situation, it will be 17.6% in 2008, it will be 35.8% in 2009, it will be 38.5% in 2010. In investigating 9080 people 2011, that participated in free physical examination is 3881 people, the free physical examination rate is 42.7%. While investigating satisfaction every year, three kinds of situations that the questionnaires are designed: Satisfied, generally satisfied, unsatisfied. It is 65.2% to be satisfied and generally satisfied in 2008, 75.0% of 2009, 71.3% of 2010; In 9080 people who investigated in 2011, 3881 people participated in free physical examination, among them a satisfied one is 2805 people, satisfactory rate is 72.3%. " it is not high to the knowing rate of basic service of community's hygiene how to continue improving knowing rate and utilizing rate, prove the propaganda work is insufficient, or can not do completely. " On the 21st, save a long-term expert paying close attention to health care reform of the Chinese Academy of Social Sciences and say, such forms as some communities adopt the banner, community to put up are strengthened and propagated, the result is comparatively obvious. Present way, mainly residents committee puts up the notice, issue the public health and serve the certificate, health care and make an appointment Carlos, release the intersection of physical examination and table, voucher, public health and serve publicity materials such as the manual free. These ways, the resident knowing rate is not high. The expert points out, how to inform these of to issue to residents in the hand and set up corresponding working mechanism, it is the subject needing badly being studied. As for utilization ratio being non- high, the relevant persons in charge of department of public health of the province point out, mainly have the following reasons: It is resident that serve know, storing mistaken ideaing in to basic public health at first, the masses think the large hospital expert more, the apparatus is good, and the community hygiene service organization is in small scale, the apparatus is relatively bad, the trust intensity to the doctor is relatively low; Secondly residents knowing rate, it is not tall the notifying rate; Finally, the health of residents of some communities does not have strong consciousness, think public health services offered have no function, the women in the fringe area are unwilling to do the gynaecological disease inspection. The expert proposes, will improve and know rate and utilization ratio, except should improve residents' health consciousness, let resident realize, launch the basic public health serve the importance to prevent disease. Secondly, as the Ministry of Health, should take market demand as the direction too, according to characteristics such as resident's age, gender, job,etc., science sets up the individualized public health service item. Staff reporter Zhang XuHong


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