In our daily life, the frequency of reports is on the rise, including headlines, text, endings and so on. I believe many friends are very upset about writing reports. The following is the sample report of township hospitals I collected for you, hoping to help you.
Research Report of Township Health Centers: Fan Wen 1 Township Health Centers are the hubs of rural tertiary health networks, which undertake the functions of rural preventive health care, basic medical care and public health management, and play an active role in facilitating farmers' medical treatment and ensuring their health. According to the development status, difficulties and problems faced by township hospitals, our bureau conducted a detailed investigation on the infrastructure, medical conditions, service capacity and service functions of township hospitals (including central hospitals).
First, the status quo of rural health
1, infrastructure and equipment configuration
The average business space of township hospitals (including central hospitals) in our district is about 3,956 ㎡, with 5/kloc-0 beds, equipped with X-ray machines, biochemical analyzers, gastric lavage machines, ventilators, anesthesia machines, comprehensive operating tables, electrocardiographs and other equipment. Three central hospitals are equipped with ordinary ct. Some township hospitals are lower than this configuration, and some equipment is aging, which can only basically meet the medical needs of local farmers.
2. Development of health services
The central health center has basically set up 12 business departments, including internal medicine, obstetrics and gynecology, surgery, ENT, Chinese medicine, emergency department, pediatrics and preventive health care. However, the business departments of town and street health centers are lower than this setting, and the average outpatient (emergency) visits in 20xx are 42 164, the discharge visits are 949, and the operating table 134. The housing, department construction and staffing of public health services basically meet the requirements of the Ministry of Health; Obviously, basic medical services and public health services are at a low level.
3. Health manpower situation
As a result, the staff of township hospitals (including central hospitals) in our district are aging, and there is a phenomenon of broken files. Most of the medical staff in township hospitals are mainly Chinese medicine students. There is a serious shortage of talents, especially clinical graduates with high academic qualifications and talents with higher professional titles. The average number of middle-level professional titles does not exceed 10, and most of them are junior. The introduction and cultivation of talents has become the biggest obstacle to the development of township hospitals.
Second, the problems in rural health
One of the crux: "can't afford to lose";
Unreasonable setting of medical institutions leads to the contradiction between limited health resources and unreasonable resource allocation, resulting in waste of health resources; Township hospitals are not simple medical institutions. In addition to providing basic medical services for rural people, it also undertakes many rural public health functions, such as maternal and child health care, daily epidemic prevention, popularization of health knowledge and handling public health emergencies. Therefore, township hospitals cannot compare with general clinics and pharmacies.
The second crux: "Who will raise it";
Financial support is limited, governments at all levels do not attach importance to health work, and the central government's health policy is not implemented enough. As a result, the investment in township hospitals is not large, and some funds have shrunk; However, the expenses borne by township hospitals are large, and the amount of various insurances that employees need to pay is large, and the funds of retired employees and on-the-job employees are tight; Who will pay for the renewal of medical equipment, the improvement of medical environment, the training of medical personnel and the daily operating expenses of the hospital? Now hospitals are required to make zero profits from drugs, and it is not allowed to support doctors with drugs. Who will support the hospital?
The third crux: "no one";
Most township hospitals are understaffed, and only a few hospitals simply send their staff out to study, let alone improve or develop new business. This situation of "unable to get out" and "unable to get in" has led to some newly purchased government equipment being neglected. Life is hard, the conditions are simple, and even the normal salary can't be kept. How can we attract talents under such circumstances? Can you retain talents?
Third, facing opportunities.
1, the national rural health work conference proposed that people's governments at all levels should increase investment year by year, and the growth rate should not be lower than the growth rate of recurrent fiscal expenditure in the same period. From 20xx~20xx, the annual increase of health expenditure at all levels will be mainly used to develop rural health undertakings. By 20xx, the reconstruction and construction tasks of county-level medical institutions, county preventive health care institutions and township (town) hospitals will be basically completed. However, relying on the national debt funds and the Red Cross assistance funds, our district has carried out housing renovation and equipment purchase for some township hospitals in our district.
2. With the gradual increase of farmers' health investment and the gradual improvement of the new rural cooperative medical system, this work has brought new opportunities to township hospitals in our district. Judging from the development of the new rural cooperative system, the business volume of township hospitals in our district has increased significantly; With the gradual increase of financial investment in health at all levels, the medical needs of farmers will increase significantly.
Fourth, suggestions and countermeasures for the long-term development of township health undertakings.
1, we should make full use of national debt construction funds.
With the implementation of the national debt project and the increase of policy support for rural health work in China, some rural health centers with development potential will be built and equipped one after another in the future. The construction of health centers should be based on the long-term, moderately control the scale of development, avoid the waste of investment and equipment, strive to create fine products, and develop characteristic hospitals and specialties.
2. Enhance the health care function.
For hospitals that cannot survive, maintain or limit their medical scale, tilt limited resources and funds to preventive health care, and highlight the function of preventive health care. Idle houses and newly expanded houses are directly used for township preventive health care, with emphasis on township vaccination clinics. Personnel with certain professional expertise are enriched into the preventive health care team, and their basic medical services are undertaken by powerful hospitals nearby.
3. Integrate health service functions and expand service scope.
Clarify the functional orientation of health service networks at all levels and give full play to the overall functions of rural health networks. Establish the position of township health institutions organized by the government as operational guidance centers for rural preventive health care and medical services, and clarify their responsibilities in rural preventive health care, basic medical care, first aid and primary health care personnel training and operational guidance. Township hospitals mainly provide public health services, comprehensive preventive health care and basic medical services, and are entrusted by county-level health administrative departments to undertake health management functions. Township hospitals should reform their operating mechanism, explore new service modes, establish rural community health service center system with state support, vigorously promote the implementation of rural health regional planning, establish rural community health service network, and effectively provide basic health services for farmers.
4. Increase investment and implement the national rural health economic policy.
In addition to actively introducing and striving for national and provincial financial input, with the development of economy, local governments should increase investment in rural health and earnestly fulfill their responsibilities, especially to fully implement the matching fund policy required by the state to avoid aggravating the increase of bad debts in township hospitals. Through the way of government transfer payment, the bad debts that have been formed in township hospitals have been cancelled, and the burden that has been formed in the historical development of township hospitals has been effectively reduced.
It is a complex and arduous task to solve the problems existing in township hospitals, which requires the joint efforts of all parties. It is necessary to clarify the functional orientation of township hospitals in the three-level health network and fully understand the basic role of township hospitals in solving the problem of "difficult and expensive medical treatment" for farmers. Constantly straighten out the management system, establish the public welfare nature of township hospitals, reduce market-oriented operation, and give play to the role of township hospitals in ensuring farmers' basic medical and public health services.
Model essay on the investigation report of township hospitals II. development situation
(1) Infrastructure construction
Wenping Town Central Health Center covers an area of 6,934 square meters, with a building area of 1.544 square meters, including 445 square meters for outpatient service and 1.099 square meters for ward. A total of 420,000 construction funds were invested, including 2 1 10,000 county subsidies and 2 1 10,000 self-raised funds. The construction area of the comprehensive inpatient building is 1200m2, which is under construction.
(2) Configuration of medical equipment
Ambulance, 200mA X-ray machine, ECG monitor, black-and-white ultrasonic diagnostic instrument, full-automatic electric gastric lavage machine, oxygen generator, electrocardiogram machine, full-automatic biochemical analyzer.
(3) talent team building
In 20xx, 22 people were approved, including 15 people, of whom 1 person was seconded from the county hospital, and only 14 people were on the staff. In-service 13, there are 4 people aged 50-59, 4 people aged 30-40 and 6 people aged 2 1-30. There are 9 people with junior college education, 4 people with technical secondary school education and high school education 1 person. In-service 13 people, there are 2 practicing doctors, professional assistant doctors 1 person, and no nursing staff with professional qualifications. The hospital has employees 10, including 5 non-professional technicians, who work in the toll room, cleaning room, ambulance and canteen respectively, and the rest work in clinical and public health posts respectively. My town governs 18 village clinics, 1 community clinics, and village doctors 19 people, including 3 with technical secondary education, 2 with high school education, 4 with junior high school education, and 0 with primary school education 10. Among them: 2 people aged 20-30, 4 people aged 30-40, 3 people aged 40-50 and 50-73 years old 10.
(IV) Operation of the unit
There were 9538 outpatient visits in 20xx, with the average outpatient expenses of 46 yuan and hospitalization of 14 17, with the average hospitalization expenses of 495 yuan, outpatient reimbursement expenses of 3077 1 yuan and hospitalization reimbursement expenses of 467 133 yuan; Total medical income 1 16057 1 yuan. 20xx1-10 had 9447 outpatient visits, with an average outpatient expense of 63 yuan, 586 hospitalizations, with an average hospitalization expense of 669.4 yuan, outpatient reimbursement expense of 176274.65 yuan and hospitalization reimbursement expense of 2693 yuan; The total medical income is 987,445.08 yuan.
(5) First aid and disease services
1. Occurrence and control of epidemic situation
Infectious diarrhea occurred in 20xx 1 10 10 month; Infectious diseases were reported and controlled in time, and no major epidemic situation was caused.
2. Monitoring of key epidemic situations
The first is vaccine-specific disease surveillance. In the past year, the monitoring of vaccine-targeted diseases has been strengthened, and no vaccine-targeted diseases have been found;
The second is malaria surveillance. In order to consolidate the achievements of malaria control, 57 blood slides were completed in June, including local residents 1 16 and floating population 4 1. Focus on strengthening the monitoring of floating population, and no malaria epidemic has been found;
Iii. Measles case monitoring: There are 18 villages and 1 community in the whole town, and no measles epidemic has been found in10/0 months.
Second, the existing problems
(1) The admission procedure is complicated.
The procedures of hospitalization, drug purchase and outpatient service are complicated, which brings inconvenience to the masses and leads to the first choice of individual outpatient service for mild diseases.
(2) Medical technology needs to be improved.
Medical technology can't keep up with the needs of the masses, and there is a lack of technical talents, which can't convince the masses and keep patients.
(3) Medical equipment is not complete.
The conditions can't keep up with those without medical equipment and those with medical equipment, and the basic equipment is poorly equipped, so it is difficult to solve the serious illness problem without going out of town.
(d) The system of prohibiting reimbursement for medical services in some clinics is unreasonable.
It is difficult to solve the problem of not leaving the village for minor illnesses because there are few basic drugs and it is inconvenient for the masses to treat them.
(E) Service attitude needs to be improved.
The enthusiasm of medical staff is not high, their work style is sloppy, they lack patience to explain policies to the masses, their service attitude is not good, and their service is unfair.
(6) Doctors don't pay attention to personal image.
Doctors speak uncivilized in their work, which does not match the position of doctors and is detrimental to the overall image of the hospital.
(7) Poor sanitary conditions.
The sanitation inside and outside the hospital is poor, the walls of the inpatient department are scribbled everywhere, the sheets are not changed in time, and the office layout is unreasonable.
Three. Countermeasures and suggestions
(1) Strengthen internal strength training to fill talent vacancies.
Medical technology is the life of the hospital and the most favorable backing for retaining patients. At present, the situation of serious illness and minor illness entering big hospitals has become more and more serious. In the final analysis, it is because of medical technology, and the source of medical technology is nothing more than introducing talents and cultivating talents. It is unrealistic to introduce talents in backward and poor mountainous areas, but professional and technical personnel can be hired through personal relationships or high salaries to fill talent vacancies. Training talents is also an effective way to strengthen medical technology. Based on the shortage of talents in health centers, we will improve the medical technology of medical teams by introducing experts for systematic technical training and sending medical teams out for inspection to fill the vacancy of talents.
(two) experts sit in the clinic, increase visibility and improve the reputation of the hospital.
Reputation determines the way out of the hospital, and how to improve the reputation of the hospital deserves our deep consideration. Invite experts to the health clinic for consultation through multi-party relations or high salaries, establish friendly relations with experts, and assign special personnel to cooperate with experts in technical study of medical work. When experts can't come to the hospital, they can guide medical work remotely through modern technology. Take advantage of the market day to set up stalls and set up experts for free diagnosis and treatment, actively participate in public welfare undertakings, deeply rooted in the hearts of the people, and comprehensively enhance the reputation of the hospital.
(3) Improve the system guarantee and strengthen internal management.
As the saying goes, Fiona Fang can't be made without rules. Rules are systems, the guarantee of work and the carrier of internal management.
The first is to strengthen the service concept. Keep in mind that service is our aim, let go of face and identity, have a heart-to-heart talk with patients, patiently and meticulously explain patients' problems, take the initiative to care about patients' condition, and let patients feel at home when they are admitted to the hospital and have a souvenir when they leave the hospital. This can not only improve the relationship between doctors and patients, but also benefit the physical and mental development of patients. Service should be treated with a normal heart, treated equally, served fairly and justly, and put an end to emotional and relational phenomena;
The second is to strengthen the construction of medical ethics. Strengthen the construction of doctors' professional ethics, always keep in mind that personal behavior represents hospital behavior, and earnestly achieve civilized consultation, civilized diagnosis and civilized medical treatment;
The third is to strengthen the system to manage people. Formulate a good mechanism and system, adhere to the system of managing people and affairs, let the system be deeply rooted in the hearts of the people, let the whole hospital participate in supervision, and let the system run in the sun.
The fourth is to strengthen pioneering and innovation. Based on the shortage of essential drugs, it is necessary to find a policy in the policy, thoroughly understand the policy, include drugs in the scope of joint medical reimbursement as far as possible, reduce the burden on patients, and effectively solve the problems of difficult and expensive medical treatment.
(4) accurate positioning, seeking a way out, and taking the road of characteristic medical care.
Overall planning of the whole hospital, analysis of advantages and disadvantages, selection of highlights, grasping characteristics, replacing the face with points, and comprehensively spreading out to form a set of characteristic flat medical service system. For example, He Shun 'ao, an old Chinese medicine practitioner in Wenping Health Center, is among the best in the county in Chinese medicine medical technology. We should seize this bright spot, hire some Chinese medicine experts, set up our own R&D team, and add a set of characteristic medical service system, so that Wenping's health can get on the right track as soon as possible and reappear its former glory.
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