Inadvertently, a piece of work is over. Looking back on the work during this period, there must be many difficulties and hardships. Sort it out and write a work summary. Then the question is coming, how to write a work summary? The following is a summary essay on primary health care that I compiled for you, hoping to help you.
According to the requirements of the Notice of the Municipal Health and Family Planning Commission on Submitting Materials for Primary Health Work, combined with the actual situation in our district, the summary report of primary health work in our district is as follows.
First, improve the system of primary medical and health service institutions.
First, the construction of grassroots medical and health service institutions will be included in the government's practical projects for the people. The XX District Party Committee and the District Government issued the Notice on the Three-year Action Implementation Plan (20 16—20 18) for improving the medical and health service capacity in XX District of XX City (Tong District Committee [2017] No.6), and 19 township hospitals achieved standardization through the construction of precision poverty alleviation projects. In 20 17, 45 clinics in poor villages were built (the district government invested 2.55 million yuan), and the rest 173 clinics in non-poor villages were built in 20 18 (the district government invested/kloc-0.54 million yuan). In 20 18, the district government invested 4.8 million yuan to complete the infrastructure construction urgently needed by township hospitals. Second, the District Health and Family Planning Bureau and the District People's Social Security Bureau issued the Notice on Carrying out the Pilot Work of Integrated Management of Rural Health and Family Planning Personnel in an All-round Way (Tong District Health and Family Planning Bureau [2065 438] 187) to achieve the goal of integrated management of people, finance and materials in rural medical and health institutions. All township health centers in the whole district 19 implement integrated rural management. Increase and adjust the establishment of some township health centers, take an examination of the personnel who have obtained the qualifications of practicing doctors and practicing assistant doctors, send them to serve in village clinics, implement "district hiring villages to manage villages", fill blank village clinics, and establish a stable team of rural doctors.
Second, improve the primary health service system.
The first is to reconstruct the three-level health service system. Incorporate district-level hospitals into the planning of system construction, give priority to social benefits, safeguard the public welfare nature of basic medical and health services, incorporate the development and revitalization of primary medical and health undertakings into the comprehensive evaluation of district-level hospitals, and let district-level hospitals assume the responsibility of primary technical guidance and fulfill the obligation of "serving the main body". The second is to improve the functional orientation of grass-roots institutions. Grass-roots medical and health institutions are divided into three categories. One category is that central (township) hospitals (including community health service centers) further expand medical services to improve the judgment and initial rescue ability of acute and critical diseases; Those who are far away from urban areas belong to the second category, paying equal attention to basic medical care and public health, and can undertake outpatient and emergency services and hospitalization services for common diseases and frequently-occurring diseases; There are three kinds of people near the city. On the basis of focusing on public health services, they provide outpatient and emergency services for common diseases and frequently-occurring diseases. Focus on the construction of 3-5 central township hospitals, which are secondary medical centers that radiate certain areas. Have the conditions and ability to carry out Class I and Class II operations and carry out diagnosis and treatment of more than 50 general diseases; The third category will carry out the diagnosis and treatment of more than 30 general diseases, and strengthen the construction of general clinics and disease departments with the highest disease spectrum in the region according to the local disease spectrum. Third, vigorously develop urban community health. Urban communities have played an active role in alleviating the difficulty and high cost of medical treatment in big hospitals in cities. In order to cope with the contradiction between the lack of grassroots service capacity and the rising medical demand brought about by urbanization and the accelerated aging of the population, we should vigorously develop urban community health services according to the changing trend of population mobility and medical demand, and realize the benign interaction of "community health service centers transfer patients to secondary and tertiary hospitals in the region, and secondary and tertiary hospitals transfer patients to community health service centers". Guide urban general hospitals and social forces to set up community health service institutions, explore the establishment of standardized pediatric clinics in some communities, and ease the pressure on large hospitals.
Third, improve the capacity of primary health care services.
20 18, the capacity of primary medical and health service institutions improved, and the number of outpatient visits was 524,500, an increase of 25 percentage points over the same period of 20 17. The first is to carry out appropriate technical training at the grassroots level. Entrusted XX District Hospital of Traditional Chinese Medicine and XX District People's Hospital to conduct one-on-one training and assessment for 900 primary medical staff in stages, such as touching abdomen and chiropractic, pressing beans at ear points, scraping moxibustion, TCM physique identification, cardiopulmonary resuscitation, trauma treatment, burn and scald treatment, cardiovascular and cerebrovascular sequelae care, family rehabilitation guidance, etc., to ensure that each trainee fully grasps professional and technical knowledge and technical essentials. The second is to speed up the training of general practitioners. Two batches of 45 assistant practicing doctors or practicing doctors with college education or above have been selected to participate in the training of general practitioners, which has accelerated the training of general practitioners. Third, increase the allocation of basic medical equipment. Actively strive for the support of the district government, and equip township hospitals with 5 sets of B-ultrasound, 4 sets of color ultrasound, 9 sets of ECG monitors, 8 sets of 10 automatic biochemical analyzers, 7 sets of electrolyte analyzers, 5 sets of urine analyzers, 9 sets of blood analyzers and 2 sets of electrocardiographs, all of which have been installed and debugged. Guaranteed the normal work of primary medical and health service institutions.
Fourth, do a good job in basic public health services.
First, vigorously carry out health education activities. Actively carry out health education "into the village, into the school, into the family" activities, at least once a quarter to enter the school to carry out health education lectures, distribution of health education materials. The second is to pay close attention to the quality of residents' health records. All units should comprehensively clean up and verify the established residents' health records, and fill them up. If any inaccuracies are found, they should be corrected immediately, improve the integrity and authenticity of the health records, and enter them into the electronic health record information system in time to lay a good foundation for issuing residents' health cards. The third is to strengthen the management of key groups. Strengthen the physical examination management of seven key groups, such as poor households, children aged 0 to 6, pregnant women, elderly people over 65, hypertension, diabetes, patients with severe mental disorders and tuberculosis, to ensure the quantity, quality and physical examination services of follow-up. The fourth is to do other work as a whole. Further strengthen vaccination, infectious disease prevention, health supervision and co-management, pre-marital health care, Chinese medicine health, contraceptive management and other work, and strive to improve service coverage and ensure service quality and progress. The fifth is to further strengthen guidance. District Basic Public Health Service Guidance Center, District CDC, Maternal and Child Health Hospital and Health Law Enforcement Supervision Brigade should strengthen the guidance, training and supervision of grassroots medical and health institutions, not less than 3 times a year, and further standardize grassroots services.
Verb (abbreviation for verb) promotes family work.
The first is to strengthen organizational leadership. A family work leading group headed by the deputy head of the district government was established to promote family work in our district at a high level. Since 20 17, the district government has held three meetings to listen to and study the family planning work, and it is clear that the district health and family planning bureau will take the lead and other responsible units will cooperate closely to conscientiously implement departmental responsibilities; The second is to consolidate the responsibility system. The District Party Committee Office and the District Government Office issued the document "Implementation Plan for Family Work in XX District of XX City" (No.71issued by Tong District Party Committee), with a capital of 500,000 yuan, to build a smart home information platform, clarify the responsibilities and tasks of each department, and form a joint effort. The third is to improve the working system. Construct a combined contract mode of "1+ 1" for district-level hospital specialists, township-level general practitioners and village-level health administrators. By the end of June 1 13, there were 1 13 family doctor service teams in the whole district, with a contracted resident population of 346,927, covering 52.92%. Key groups signed contracts 1420 12, covering 82.75%; The coverage rate of contracted services for poor households who have set up a card has reached 100%.
Sixth, promote special actions to change work style and perform duties.
According to the requirements of the Provincial Health and Family Planning Commission, our bureau issued the Implementation Plan of Special Action for Changing Work Style and Performing Duties in Grassroots Medical and Health Institutions (Tong District Health and Family Planning Commission [2065 438] 148), set up a leading group for special action, held five related meetings, focused on service ability, mental outlook, hospital outlook, functional layout and mass satisfaction, and made great efforts to focus on rectifying employees' ". Each unit has established an internal performance appraisal plan, further strengthening the standardization construction. The number of hospitalizations decreased by 28% compared with the same period of last year, and the outpatient and emergency expenses were 50. 14 yuan, which decreased by 7.6% compared with the same period of last year.
Seven, in-depth development of health poverty alleviation work
There are 23,922 poor households in the whole region, and 100% of the poor households at home have undergone physical examination, and the signing rate of family doctors is 100%. At the same time, four basic public health services, such as establishing residents' health records, have been carried out for all rural poor people. For patients with hypertension, diabetes, the elderly and severe mental disorders, a green referral channel will be built, and seriously ill patients in primary health care institutions will be referred to secondary and tertiary designated medical institutions for special treatment in time to ensure the orderly convergence and standardized development of health and poverty alleviation work. In order to ensure that all poor rural households who have set up a file to receive health management and treatment in time, our district connects with the poor departments in real time with the number of poor people and treatment information, and makes statistical analysis on the treatment progress regularly to check for missing and filling gaps. At the same time, using primary medical staff and doctors, experts from secondary and tertiary medical institutions will sink to the grassroots in time, so that poor people can enjoy professional diagnosis, treatment and rehabilitation at the grassroots level.
Eight, the next step
(a) improve the primary health service network, to create a characteristic primary health service capacity. Sort out the construction of primary medical service institutions in the whole region, make efforts to make up for blind spots, advantages and disadvantages, and sudden characteristics, and strive to build and put into use18 in 20 173 non-poor village clinics, focusing on accelerating the construction of individual township hospitals. Starting from the health needs of residents, according to the coverage and advantages of primary medical and health service institutions, we will develop TCM physiotherapy, maternal and child health care, chronic diseases and medical care in a differentiated way.
(2) Explore the "internet plus" XX model of chronic disease management, and promote graded diagnosis and treatment and family implementation. First, starting from strengthening the standardized management of hypertension and diabetes in the whole process, we will pilot new chronic disease management modes such as intelligent terminal monitoring, family doctor monitoring and guidance, online consultation and follow-up, linkage between general practitioners and specialties, remote diagnosis and treatment technology, appointment, registration and referral, and full-course follow-up management in grassroots medical and health service institutions, select 1-2 community health service centers to build characteristic wards of hypertension and diabetes, and build beds for difficult and chronic diseases in XX District People's Hospital to realize the standardized diagnosis and treatment of chronic diseases in the whole process. The second is to explore the new mode of "open medical association and medical * * *", make full use of Internet+medical information technology, and build a remote outpatient platform in XX district based on medical and health units in our district, with well-known experts connected to it and grass-roots medical and health units connected to it. Realize health consultation, consultation and guidance, remote consultation, expert appointment, accurate referral, follow-up, chronic disease monitoring and remote teaching between secondary and above medical institutions and primary medical institutions, explore the close cooperation mechanism between family doctors and specialists, and do classified diagnosis and treatment and family work based on the health needs of ordinary people.
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