| This paper mainly adopts literature research, data collection, questionnaire three methods to obtain the relevant materials. By the method of data collection and questionnaire, the chengde city from 2011 to 2013, the construction situation of community health service institutions, business conditions, such as residents’ satisfaction with the degree of the data collection and analysis; Through the literature research mastered the characteristics of community health service at home and abroad and the research progress of related; Through the comparative analysis, reflect the present situation of chengde city community health service work.The chengde city community health service by the end of 2013, chengde city a total of 10 community health service center. The workload of community health service institutions in general is on the rise, In 2013, this 481300 chengde city community health service, the hospital 2862 person-time, maternal system management, 3645, 15641 infants system management, immunization 157000 person-time, 2 kinds of vaccine 23400 person-time, infectious disease management, 2341, 28453 slow disease management, gynecological diseases census of 59800 people, establishing health records of 178000 people, health education, 512600 times, 65- year- old(shuangluan extension is 60 years old) and above free physical examination of 35600 people. 2013 community health service center of the business income of 34.77 million yuan, of which medical income 8.96 million yuan, drug income is 23.46 million yuan, the income structure is given priority to with basic medical income.The city a total of 528 community health service organization staff, age composition, has the highest percentage of 30 ~ 39 years old age group, 39.39%, more than 50 workers, the lowest share is 10.61%; In qualification structure, a high percentage of general doctors and nurses, accounted for 42.42% and 42.42% respectively; In technical titles constitute the scale from high to low order, primary titles accounted for 55.87%, respectively, intermediate titles accounted for 22.92%, with no titles accounted for 14.39%, senior titles accounted for 6.82%; On education form, college education accounted for 57.01%, technical secondary school or high school(21.97%), bachelor degree or above accounted for 18.75%, middle school and the following education accounted for 2.27%, the overall structure of the title on the low side.The community residents for community health services in the overall satisfaction is 88.92%; Service attitude(99.27%), nurse technology(99.15%),(98.52%), and how easy it is to see a doctor the environment(97.48%), medical costs(97.36%), doctors, the technical level(93.21%), equipment configuration(92.76%), drug prices(75.12%), drug species(47.41%), the types of drug was less than 60.00%, the overall satisfaction of community health service is not high.Based on system based on the study of community health service at home and abroad, in view of the city community health service function is not perfect, and medical talents team construction is relatively backward, community residents of community health service satisfaction is not high, the current situation of community health service information lag and so on, put forward to raise awareness, government dominated; Deepen the reform, the establishment of mechanism; Training talents, improve the level; Integration of resources, improve efficiency; Strengthen the propaganda, build atmosphere of five aspects, such as the opinions and Suggestions, pointed out the direction for chengde city community health service development, and progress for our city’s medical and health system reform in depth as reference value. |
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