The Relation Of Medicine And Prevention In County Level Public Health Institutions Of Province

ObjectsThe primary topic on the public health medical and health institutions of the relationship between anti-reality, a clear primary prevention in public health between health care institutions the problems, and explore primary prevention in public health between health care institutions integration path for the public health and clinical medicine in the health Promote the organic integration of reference and basis.Subjects11 cities in the province divided by geographical location Southern, central and northern, in the three regions, each region were randomly selected a city, taking the city and the city of all the county hospitals (Chief of preventive health care, chief of infection, Director in charge) for primary public medical institutions of disease control questionnaire (32 copies) and depth interviews (4). On the extraction of all county-level city and the city's CDC (Infection Control Section Chief ,Deputy Chief, Director in charge) for primary CDC survey of disease control (32 copies) and depth interviews (6). Sources of informationFrom the province's County level health care institutions in the field of public Site investigation and related literature.Method1,Literature analysis including both paper and electronic publications.2,In the Site investigation, face to face communication and related leadership interviews (10 people), to sum up, induction and analysis, to supplement quantitative data.3,Extracted all hospital (Chief of preventive health care, chief of infection, Director in charge) a total of 32 primary health care institutions conducted by the disease control questionnaire. Extract all of the CDC (Infection Control Section Chief, Deputy Chief, Director in charge) for a total of 32 primary disease control questionnaire. A total of 64 Questionnaires, 63 questionnaires, of which 62 valid questionnaires, the total recovery of 98.4%, efficiency 97%.4,Data analysis of the data using descriptive SPSS13.0 software, chi-square test statistical analysis.ResultsThe relation status of medicine and prevention in primary public health institutions of province Medical institutions engaged in prevention and health care workers to Tertiary (secondary) education post-dominated (60.44%), preventive medicine graduates were 13.19% of the total number of people, disease control institutions in communicable disease control staff to Tertiary (secondary) education post-dominated (53.5%), graduates of preventive medicine, the total number of 47.52%; preventive health care can be guaranteed funding for only two, there are certain gaps 10, 19 have no protection, accounting for the total number of investigative bodies of 61.29%;, 87.10% of the medical institutions omitted investigation of infectious diseases, 61.29% of the medical providers to report quality assessment into the overall work of the unit; not established between the two systems of information sharing mechanisms, disease control agencies on health care and control of infectious diseases agency inspection and supervision work has not been carried out in all disease control institutions, inspection and supervision of the relatively low frequency; community health promotion and cancer death report preference for the central region, followed by south and north. CDC is also for the management of chronic diseases blank. Conclusion1,Funding for preventive health care can not be guaranteed, in the low quality of preventive health-care workers, preventive health care can not be in accordance with regulatory requirements of quality and quantity still have not been completely resolved the situation, the phenomenon of light Prevention weight doctors still exists.2,The quality of infectious diseases and respond to infectious diseases has been greatly improved ability to deal with, but the medical and disease control mechanisms for coordination and cooperation between agencies, disease, regular communication of information, timely epidemic early warning, prevention work is still early stage.3,Address the disposal of infectious diseases or public health emergencies, health care and disease control agencies can not consciously coordinated, the larger the social cost of disposal4,Disease control and health agencies in monitoring and management of chronic disease to be the concept of cooperation has not yet established. SuggestionsStrengthening government responsibility; establish a sound early warning mechanism; strengthen preventive health care and hospital infection control subjects, and improve disease control; do a good job of chronic disease prevention and hospital health education; improve community health services; reform of medical education modelNew points of view in the studyThe relation study of medicine and prevention in primary public health institutions of province, explore the primary public health and clinical medicine in health promotion in the path of integration. Assumption for future study1,Further improve the indicators of entry2,Expand the scope and depth of research...