The community hygiene service organization of our country expects the government further supports

The community hygiene service organization of our country expects the government further supports
The community hygiene service organization of our country expects the government further supports
In recent years, under the efforts of governments at all levels and related departments, community's hygiene service network of our country further develops, input power is being strengthened constantly, the service function is complete progressively, and obvious effect that community's hygiene work makes positive progress. But on the other hand, the problem of house of business of service organization of community's hygiene is not solved properly yet, the device layout of service organization of the hygiene of some communities still needs to improve. Build and contact the reporter at the urban seminar to know in the national community's hygiene service system that was held in Nanjing a few days ago especially, while contacting the hygiene service construction of community of the city in 28 focal points, though " the government puts into " Have notable effect, but still need the further support of the relevant policy. The data that the government serves and throws to community's hygiene into and obviously increases Ministry of Public Health reveal, up to the end of 2007, the national all cities above region have already launched community's hygiene services, the whole country is set up together to 6340 community health Centers, more than 20,000 community health stations. 2007, national community health Center (station) The person is up to 226 million persons to make a diagnosis, meanwhile, work such as immunity inoculation of the city, children's health care, pregnant and parturient women's health care are further implemented in the hygiene service organization of the community, it is not that the infectious disease prevention and control is launched extensively that hypertension, diabetes,etc. are chronic, community's hygiene service is playing a more and more important role in implementing public health and basic medical treatment. The hygiene Zhang ZhenZhong, chief of institute for economic research of Ministry of Public Health says, contacts the urban government to put the public health into obviously increasing especially in 2007, the public health funds of per person are 16.2 yuan, increase by 56.5% compared with that of last year. "The government further provides funds and subsidizes the service item of the public health on the basis of running the hygiene service organization of the community. This one that has safeguarded the hygiene service organization of the community is public beneficial, also ensure residents to enjoy the public health service free. " " community hygiene service system builds and gets in touch the urban base-line survey report especially " that finish just reveal, contact the community hygiene service organization of the city to rely mainly on the fact that the government hold especially, the financial input to community's hygiene service of the government obviously increases. The centre held in organizations investigated by the government accounts for 77%, it account for nearly 17% for the enterprises and institutions to hold, it accounts for 4% for individual to hold, accounting for nearly 2% of other properties. What the government of community health station held accounts for 69%, it accounts for nearly 16% for individual to hold, it account for 13% for the enterprises and institutions to hold, accounting for nearly 2% of other properties. Contact the city (the district) according to every focal point The organization that the community hygiene service organization planned to set up has counted and already built up counts and compares with the analysis result, most centre that city build up already count, more than 80% proportion counted to plan, the building up rate is 72% on average, the street total number 22% not setting up the community health Center yet at present, the street coverage rate of the community health Center is nearly 78%; The construction of the community health station is similar to centre, the station already built up counts and accounts for nearly 75% planning to be counted. It is lack of 25% from the planning quantity that the hygiene service organization of the community builds up quantity. Improve the coverage rate of community's hygiene service, remain an important task. House of the business and apparatus dispose and still need to improve it is reported, contact the city (the district) in 28 focal pointsing The area of house of the average business of the community health Center is 1984 square meters, among them, 36% of the its area of house of business of centre is smaller than 1000 square meters, has not reached the standard that Ministry of Public Health has stipulated. Look according to business source and capital source situation of house, 39% of the centres are in order to buy by oneself, 32%, in order to rent, in buying by oneself and renting the centre of the house of the business, its capital source of centre of 49% is in order to raise independently. The area of house of average business of community health station is 244 square meters, among them, 48% of the area of house of station business is smaller than 150 square meters, has not reached the standard that Ministry of Public Health has stipulated; There is its house of business of station of nearly 16% in order to buy by oneself, at the station where 50% are in order to rent, in the house of the business in order to be bought by oneself and rented, its capital source of station of nearly 70% is in order to raise independently. Namely the community health Center (station) that rents house About 70% of organizations are some or all self-raised rental, it is obvious the problem of house of business of service organization of community's hygiene was not solved properly yet. Chief of Nanchang Municipal Health Bureau Wei GuoHua says, the community hygiene service organization of Nanchang is except that several come by the district level hospital changes, it were the social forces that ran the private medical organization. The private medical organizations mostly still have no ability to buy the house at present, can only be by way of renting. If let them expand the service place by the own fund, the pressure is very large, need to strive for more fund's support. The reporter interviews to know, as a whole, 28 focus the consruction on and contact the apparatus of the community health Center in the city to allocate the situation better, especially the outfit of several apparatuses such as Shijiazhuang, Yinchuan, Shanghai and Hangzhou is in sound condition. It is blood glucose appearance and computer that the community health station allocates the best apparatus, the station in most cities 90% has these two apparatuses. It allocates most bad apparatus to be to recover physiotherapy apparatus, less than 50%; Secondly it is a image apparatus of health education, and these two apparatuses are that the community health station launch the health education and relevant basic apparatus that work. While improving the apparatus, medical college grandfather Professor Xun Lu of Tongji University of Central China University of Science and Technology proposes further making the relation between community health Center and service station in order. In the community health station polled, implement the centre, accounting for nearly 63% of integrated management stands with the affiliated centre, the station that does not implement the centre, integrated management stands accounts for 37%. Lu ZuXun says, the centres of some cities, relation while standing are also relatively fluffy at present, remain and further make the mechanism of management in order, strengthen and unify management, really reflect community's hygiene service mode based on networking. The business income is still that the main funds source of service organization of community's hygiene forms seeing from organization's income, the main source of gross income of the organization is a business income, it is relatively small to subsidize the proportion the finance, especially stand, is less than 10%. In the business income, the income proportion of the clinic exceeds 60%. By the look of composition of the clinic income, stand while being both centre and, medicines income proportion relatively loud, the income proportion of centre clinic medicines is close to 70%, is in hospital the medicines income has exceeded 50% too, the income proportion of clinic medicines standing exceeds 70%, close to 80% last first half of the year, it is obvious the situation of raising medicine with medicine was still very general. Come from the proportion of the medical insurance fund and see in and gain from the clinic income in hospital, the proportion from medical insurance fund of the clinic is relatively low, probably accounts for 25%, this proportion standing is lower; It is relatively tall that the centre gains and comes from the proportion of the medical insurance fund in hospital, exceeds 50%. From the always accepting of hygiene service organization of the community Enter and find with the total expenditure, the centre can maintain the balance between revenue and expenditure and slightly save, and the average gross income that stands is lower than the total expenditure, accept and does not support propping up. By the look of composition of the expenditure, the proportion that the business expenditure of the hygiene service organization of the community has accounted for the total expenditure has exceeded 50%, secondly it is personnel's salary expenditure, exceeds 20%. The intersection of expenditure and proportion to compare 2007 and 2006, stand while being both centre and, personnel salary, social security and other expenditure increase to some extent, among them it is comparatively obvious that the expenditure of social security increases, and staff training and proportion of the business expenditure drop to some extent, expenses, retired personnel of centre, increase to some extent, stand, appear little range drop. Some chiefs of health bureau say, community's hygiene service organizational construction has not been put in place far, need more fund and policy support. Especially some Midwest city, it is still the 'mouth-feeding' budget at present, can't take out more financial support. They propose to include the hygiene organizational construction of community of the undeveloped city in the project that the treasury bond supports, or consult the modes of new rural cooperative medical service and worker's medical insurance, make the intersection of community and hygiene serve funds of construction, set up one piece long-efficiency to increase the mechanism.


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