Research On The Status And Countermeasure Of Health Education Service Of Village Clinics In Guangzhou

ObjectiveThe purpose of this study is to analyze the status of development and health education service ofvillage clinics in Guangzhou as well as the influencing factors,put forward the health education promotion policy of the village clinics in Guangzhou,so as to provide policy basis for promoting rural health education in Guangzhou.MethodCensus method was used to investigate the institution and medical personnel of the village clinic by unified-design questionnaire.An interview was completed with the key personnel of the city(district)health bureau,city(district)health education,town hospitals and village clinics.The descriptive analysis was adopted to analyze the general condition of the village clinics,the allocation of health education facilities,the present situation of human resources,the health education services,the attitude and technical knowledge of the medical personnel with adoption rate,composition ratio and other indicators.The Logistic regression analysis was used to analyze the influencing factors of the status of the publication of the propaganda column and the compliance situation of Issue data type in the village clinics.Data were recorded and statistical analysis by software of Epidata(version 3.1)and SPSS(version 21.0).Result1.The general condition of the village clinic.The management property of the village clinics are attached to the village collective ownership and township hospitals,accounting for 72.0% and 16.8%,respectively.Close-typeand basic-type of the town and village health services integration management were implemented in therural areas of Guangzhou.The proportion of health clinics that bear basic public health services is 86.6%.2.The allocation of the health education facilities.Among all the village clinics,93.0%,72.4%,75.9%,22.5% and 94.8% of them have health education publicity column,publicity materials exhibition stand,computer,video playback devices and health education zone in the farmer's bookstore,respectively.3.The constitute of the medical personnel in village clinics.The sex ratio is 1:0.7 for male and female.The age range from 20 to 82 years old,and the group of 30 to 39 occupies 32.3% while 60 years old and above occupies 29.8 %.Technical secondary school education account for 50.5%;0.6% medical personnel has never learned medical scienceandwestern medicine acconnt for 37.9% while prophylactic medicine holds 1.3% only.People holds professional qualification occupies 38.8% while the village doctor qualification occupies about 58.8%.4.The attitude and statue of knowledge control of health educationof medical personnel in village clinic.89.8% medical personnel think that health clinics need to be carry out health education services.96.6% of them will be lovely to carry out health education services during the course of treatment.19.6% medical personnel think that it is fully capable of carrying out health education services during the course of treatment.Meanti mes,51.0% medical personnel think that they had the ability to carry out health education seminars for the villagers.The proportion of medical personnel who master in the setp of health promotion,form of health education,propagation mode of health education,propagation effect of health education,health behavior was 8.4%,20.2%,0.9%,46.1% and 18.3% respectively.5.Status of health education service in village clinics.Most village clinics just only coordinate to do some simple health education,such as issuing promotional materials and conducting i ndividualized health education.In 2013,38.7%,37.1% and 80.4% village clinics had not conducted lectures,consultation and video games.94.2% of the medical staff had carried out individualized health education services to patient.43.9% medical personnel claimed that they had carried out health education lectures for the rural residents.83.7%,15.5%,15.3%,4.6% and 27.3%village clinics achieve the standard of "Guangzhou City Hospital and the village health station(room)performance appraisal implementation plan(Trial)"(2011)in the number of lectures published,lectures,consultations,video playback and kinds of the promotional materials.The results of Logistic stepwise regression analysesrevealed that whether the clinic bear the basic public health services,had publicity column,had been trained by health education,medical personnel quantity and clinic management properties wereinfluencing factors for publicity column's standard-reaching rates,while whether the clinic bear the basic public health services,medical personnel had been trained by healtheducation,the people served by the clinic were the influencing factors for materials' standard-reaching rate.6.Theobstruction factors of health education in village clinics.The results of the interview revealed that the congestion of management system,formalisticperformance evaluation,insufficient funds in basic public health services,attaching importance to medicine but despising prevention in the management agency and the village health department related personnels' opinion,lack of capacity and quantity in medical staff and insufficient health consciousness in rural residents wereobstructed factors for health education implement in village clinics.Conclusion1.Health education service should be enhanced in village clinics.2.The influencing factors of carrying out health education services in the village clinics includecounty-rural health service integration management pattern,performance appraisal system,public health service system of subsidies,the ability and quantity of the medical staff,the hardware facilities,the villagers' participation.3.The aspiration of medical personnel conduct health education service is higher in the village clinics,however the ability should be improved.4.The allocation of health education service facility needs to be improved in the village clinics.Suggestion1.Accelerate the process of close county-rural health service integration management,and improve the mechanism of appraisal and compensation.2.Adjust the structure of medical personnel,and strengthen the training to improve their health education skills of the medical personnel in the village clinics.3.Increase the input to i mprove the allocation of the health education service facilities.4.Make full use of medical services platform to standardize the individualizedhealth education.