The Comparison And Analysis Of Different Kinds Of Medical Institutions Community Health Services

1. objectiveIn recent years, With reform and development of the continuous deepening of the national health system , Community health services as a new form of medical and health services.It is play an important role of addressing the basic health needs of the masses. The building of a harmonious society which the promotion of social stability has important practical significance. community health service has been carried out for many years. As a result of launching the concept and different conditions,different mechanisms,a lot of Organized main.so it is creating a different service models and effectiveness.It is have their own characteristics. This study of different levels of community health services of the Daqing Oilfield Enterprises owned medical institutions develop the status of investigations and comparison and analyse and Summing up successful experience.and analysis of the existing problems. Thus positive proposals is benefit of community health service development, In order to promote the healthy and rapid development of the country and benefit the people.2. Methods2.1 Investigation targetsUsing census method, choice of Daqing City salaatu district,ranghulu, Honggang district, Longfeng district, the datong district five Oilfield General Hospital group which is 91 community health service agencies. It is used proportional stratified random sampling method from 2000 community residents for the survey targets. 2.2 Survey content2.2.1 Daqing Oilfield General Hospital Group of community health service institutions, distribution and operations.2.2.2 It is Daqing Oilfield Group General Hospital medical institutions at various levels of community health services infrastructure, human resources, personnel training, business conduct, operating income and two-way referral cases.2.2.3 Daqing Oilfield General Hospital Group of different levels of medical institutions in the community health service develop satisfaction survey.2.3 Survey methods2.3.1 It is refer to relevant information: quarter, the Census and Statistics Department statements, annual summary, etc.2.3.2 Questionnaire survey: Refer to the domestic literature related research questionnaire, Daqing City with a corresponding adjustment to the actual situation, consult the relevant expert advice, the researchers designed the questionnaire. It is surveide to come to community health service agencies attending patients.2.4 Data analysisThe survey used excel.2003 building a database of information,SAS 8.02 software is used for statistical analysis. Including general descriptive statistics, Statistfaction is compared with the chi-square test, Other data directly to sum up, summarized and analyzed.2.5 Quality control2.5.1 The investigating officers that the purpose of the investigation and the significance of the reunification of the survey methodology training 2.5.2 The survey, conducted by direct questionnaire survey questionnaires recovered at the scene.2.5.3 Statistical data analysis, the two man input data at the same time, enhance data entry control3. Results and Discussion3.1 Daqing Oilfield General Hospital Group of the community health service network has been formed at all around the city and in the organization and management model developed their own characteristics, and formed a fruitful "Daqing mode." Daqing Oilfield enterprises to develop community health services was the main diversification。3.2 Different levels in the oilfield business community agencies working in the health services, The hospital carried out from the core community health service agencies in the area of infrastructure such as housing, the department set up and staffing and equipment。Members of the hospital, pending further strengthen grassroots institutions, the worst of members hospitals. Human resource allocation such as doctors and nurses configuration, education, duty, age structure and training, the three have their own merits and demerits. The highest rate target practicing physicians, community health service agencies that practicing law awareness gradually strengthening. Public health doctors have fulfilled the minimum that the community health service agencies to achieve public health network is still weak at the end of function. Hospital staff in the grassroots on the overall configuration of the advantages, particularly in the general practitioners, community nurses allocation obvious advantages. The core hospitals in practicing physicians, mid-level practitioners and physicians over the allocation of the good conduct. Three officers in the tertiary and secondary proportionately higher, secondary and the tertiary staff is being investigated community health service personnel mainstay.The age composition, Staff of grassroots institutions are getting on the age structure of the trend. Staff of the core hospitals have more autonomy. The management of grassroots institutions and logistical personnel relative bloated. Major multi-year precipitation down with the institutional and human factors relevant factors. training of doctors and nurses in the community and the grass-roots institutions work good. the functions of the community "six one" carried out and the core hospitals and grassroots institutions have their own merits, members of the hospital have be further strengthened.The reduction of free medical examinations, health education seminars, the establishment of health files and the core hospitals do better. Several households in the area, bear EPI area tasks, chronic disease management, health education publicity, grass-roots institutions carried out the better, member hospitals have be strengthened. In a two-way referral conduct, members hospitals are clearly better than the core hospitals and grassroots institutions. satisfaction rating of residents in the community and the overall satisfaction of the residents are higher, the core hospital are dominant. Further analysis suggested that the members of the grassroots institutions in hospitals and the level of medical technology and equipment configuration, medical care environment needs to be improved.4. Conclusions and suggestionsDaqing Oilfield general hospital group of the community health service network has been formed and all around the city. The organization and management model developed their own characteristics. On the area of infrastructure construction,the core hospital community health service agencies has obvious advantages, grassroots institutions to be further strengthened. The core hospitals in the Chinese medicine practitioners and physicians configuration above the intermediate level,Are strong. Grass-roots institutions in general practitioners, community nurses advantage of the allocation, But management and logistics personnel have relatively bloated.Training of the medical staff and the grassroots institutions have obvious advantages.The functions of the community "six one" carried out and the core hospitals and grassroots institutions have their own merits, members of the hospital have be further strengthened.In a two-way referral implementation, the members of the hospital are clearly better than the core hospitals and grassroots institutions. Satisfaction rating of residents in the community and the overall satisfaction of the residents are higher, the core hospital are dominant.Recommendations:1.The policy which will be conducive to attracting talent to the medical community2.Increasing community health services for grassroots input3.Further improving the community's public health services4.Speeding up the building of the contingent of community health service.