Exploration on the current situation and development countermeasures of health room services in Beijing suburb villages under the integrated management of rural health
Objective To understand the current situation of health room services in suburban villages in Beijing,and analyze the problems in integrated rural management from the perspectives of personnel team,service,and management,and propose solutions.Methods A survey and interview were conducted on 171 on-the-job rural doctors,433 permanent residents,and 26 community health service center managers in Huairou District,Beijing,to understand the situation of service provision and performance assessment of village clinics,residents'demand for health services and their utilization of services,etc.,through the information system and data reporting system of medical institutions at the village and vil-lage levels,the data such as the number of services provided by village clinics and community health service centers were collected to understand the situation of services provided by village clinics.Results Among on-the-job rural doctors,155(90.6％)hold a rural doctor practice certificate or have obtained the qualification of a rural general practitioner as-sistant physician,and 170(99.4％)of rural doctors have engaged in or engaged in non-medical work such as farming and aquaculture.The total monthly outpatient volume of village clinics accounts for 4.21％(967 cases/year)of the total outpatient volume of community health service centers,of which 72.49％(701 cases/year)were simply measuring blood pressure.Diagnosis and treatment services were the service items with the highest demand rate among residents.Rural doctors did not pay enough attention to performance evaluation,the performance evaluation process was not standardized,and the incentive effect of the results was not obvious.Conclusion The unclear institutional responsibilities,inconsis-tent and non-standard service content standards of village clinics have affected the integration of rural health services.At the same time,the functions of township community health service centers in the integrated management of rural health room services need to be clarified.It is recommended to clarify the service scope and standards of village clinics,achieve homogenization of services,optimize the service methods and management models of village clinics,achieve integrated management of drugs and finance,accelerate the training of rural doctors,and promote integrated management of person-nel and performance evaluation.
Integrated managementVillage health roomHealth services
维普
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