Zhejiang Peasant's health trio

Zhejiang Peasant's health trio
Zhejiang Peasant's health trio
In the past 5 years, Zhejiang Province " without health, there is no well-to-do level to centre on; Without hygiene modernization, there is no whole social modernization " Write an essay. The government combines development and bears and ensures people's healthy responsibility, emphasize the hygiene must be synchronized with society and advanced, benefit all people in urban and rural areas, accord with one's own characteristics and laws of social development, adhere to fair, but and, sustainable development, sketch the contours of the intersection of hygiene and strong mighty blueprint of province thick and heavy in colours. They have put out six major projects, construction at first is peasant's health project. Staff reporter Jin Kuan It is healthy that the government gives to peasants " The gift bag " Make countryside common to defend, serve, wrap up, lay, set up county, township, the intersection of village and tertiary public health that meet the needs of rural socio-economic development, serve the network basically, basically set up the input security mechanism that the governments at all levels strengthen the rural public health, further promote rural disease control, mother and child care, patriotic hygiene, sanitary control and basic medical treatment to work, make peasant everybody enjoy the elementary health care. --Select from the policy of Zhejiang and send [2005 ] " Opinions on Implementing strengthening the work of rural public health of Zhejiang Government " No. 50 Located in the southwest of Zhejiang Province, mountain county Chunan boarded by Anhui Province, it is the first stop where this reporter interviewed. The governments at all levels must guarantee fund input after this locality was born " 12 three big classes " Rural public health service item, the hygiene workers at the basic level emerge at the same time must reach " everybody knows the doctor ", the doctor knows everybody " Job requirements. Chunan is one of the 25 poor counties Zhejiang Province. Though the lake of Thousand island forming by the thing that the storehouse of river of Xin'an of the fifties of last century is built becomes one of the land marks of Zhejiang Province, but it was a river lake branching stream, innumerable hills and peaks that the reservoir brought local hygiene work, population is scattered, the traffic is inconvenient. "Here is the most backward place of the economy of Zhejiang Province. " Locals say so. "Here the intersection of Zhejiang and the whole province, and even the whole of China go on rural public health, serve equal to take in the first county of ' Governor's pilot project ' in the road at first. " Locals say so too. Unlike this, say, in the a word, they are very proud. What is " 12 three big classes " ? Some is that " everybody knows the doctor, the doctor knows everybody " ? The reporter reaches carrying on a experience from the Jiang 's town outside 43 kilometers in Chunan county town. There are dozens of kilometers from there to Anhui Province. Director of home service centre of town community Wang JiHong Jiang was a president of the commune hospital of the town centre of the Jiang 's originally, the place of facing water on three sides in this, a backer has already worked for 8 years. He tells reporters, " three big classes and 12 items " Public health service item and basic content that the health organ at the basic level offers to peasants directly. Among them, are " guaranteeing peasants enjoy the basic hygiene service " In one kind, including health education, health control, basic medical service of Huimin, handy service for the people of cooperative medical service; " guaranteeing the rural key crowd enjoys the key service " In one kind, including children's health care, woman's health care, old man and difficult colony's health care, key disease community manage; The last kind " Guarantee peasants enjoy the basic hygiene security " China, include information gathering and report, environmental sanitation association tube, sanitary control association of public health check, assist to implement the measure of disease prevention and control. Every kind in three big classes includes 4 jobs, there are 12 items altogether, include several concrete tasks in every one again. The reporter sees, " 12 three big classes " Keyword: Every village, every family, it is fixed, call, not sufficient, it take the initiative, conveniently, in time, trends, following. Can know, undertake the intersection of responsibility and doctor of task these, deepen peasant household, can not finish the task for a long time. So, " everybody knows the doctor, the doctor knows everybody " Not because require, it is success will come after conditons are ripe after changing the service mode. In order to do a good job of these, Wang JiHong and medical worker of the centre have used all abilities. They draw slice set up the area of responsibility, allocate the intersection of responsibility and doctor, allocate the liaison man of the public health in each of administrative villages and far natural villages according to village. The liaison man assists the responsibility doctor of the area of responsibility to work. According to different tasks, still cooperate in the group behind the responsibility doctor. Go from county to the villages and towns and then to the administrative village like this, go from commune hospital to the village clinic and then to village committee and public health liaison man, have formed the network. Since 2004 after Chunan became and strengthened the rural public health service item pilot project, this kind of Israel " 12 three big classes " The public health system that the content served peasants has covered the countrysides and peasant households of all of Zhejiang Province progressively. " small disease is shouldered, serious disease waits for death " to go over Peasant,beginning to have is neither around doctor nor anti- disease " the gentleman " . Mother and baby someone care immune someone organize, slow the intersection of disease and someone call, old man and difficult the intersection of crowd and someone make an inspection tour regularly. Where someone has done the feast, had overdue food, had outside floating population, returned to the temporary workers in the township, the suspicious patient has happened, all news will be transmitted as soon as possible to the Ministry of Health of higher level rapidly through the rural public health service network. The requirement for the hygiene work of health authority is transmitted to every family of every village rapidly too, have formed and served with the information two-way high-efficient benign cycle that circulated. The blank of medical care, the blind spot that disease controls, has been reduced to the lowest level. As best test, the hygiene system of Zhejiang Province was here to " milk power of question " last year Incident, handle, rural the intersection of responsibility and doctor and the intersection of public health and liaison man undertake, take the intersection of milk power and situation, know the real situation and arranging and checking the task to the intersection of the whole province and under the age of 3 infant and pre-school children. From requesting to investigate over, should save and fumble and check infant and pre-school children are 1,549,000 in a short week altogether. Deserve chief of province department of public health Yang Jing to say, investigates there are addresses in the data published, have names of parents, there are telephone numbers, have time and variety taken, so fast, full and accurate, accurate, it is unimaginable when there is no complete rural public health service network. In the community health Center in the town of the Jiang 's, the reporter sees their health education classroom house is spacious, bright and clean; Peasant's health file is in perfect order, the responsibility doctor is filling in the new content the volume constantly; There are different operations areas in different vaccine inoculation of immunity inoculation room. In the village, the service station has accounts of information desk, each door-to-door service and following up a case by regular visits to the responsibility doctor to record time and content, and there is peasants' signature. What does the public health liaison man whom villagers served as do, have regular minute book volumes after reporting any situations, doctor is signing responsibility above. The mobile phone of service centre, responsibility doctor, public health liaison man starts the machine in 24 hours, the intersection of mobile phone and number, the intersection of responsibility and photo, name of doctor, cooperate name of doctor put up in most showy position under village while being fixed. Wang JiHong says: "' three big class 12 items ', ' everybody know by doctor,know doctor by everybody ' be walked out from here, act as here But should pitch its root firm. " Has the reporter come to the lower jade spring village of the Jiang 's town? 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The reporter still learns, begin from the pilot project of Chunan, Zhejiang Government determines the provincial finance takes out 10 yuan for each peasant every year, county finance form a complete set 5, give the whole province peasant, buy one the intersection of public health and " gift bag " ,It combine it determine nobody serve peasant who from " The gift bag " China obtained remuneration. This kind let method that market mechanism contribute in a planned way, again, enable county, township, health organs at all levels of village according to one's own actual conditions and ability, find one's own position accurately in the big plate that the rural public health serve, the government sets up the strict system to assess of supervision at the same time. In the small mountain village of Chunan, not merely a doctor diagnoses the illness, someone's epidemic prevention nowadays, someone measures even running water on time, someone collects and deals with the rubbish every day, change to let peasants have bathrooms to use the solar energy in the lavatory A human-oriented science decision, in the most weak countryside of hygiene resource, made the qualitative leap has taken place in the hygiene worked. Make the service organization resting assured The rural health organ returns again " Common" It is healthy to invest in the people the leading factor of the word, turn economic development into the improvement of people's health quality with the achievement of social progress. Safeguard the broad masses of the people's health rights and interests conscientiously, since realize the goal of well-off society in an all-round way and construct the important content of the socialist harmonious society, insist human-oriented, establish and implement scientific development view directness reflects most. --Select from the policy of Zhejiang and send [2006 ] for the 55th <> There is policy of the provincial government, whether the rural hygiene service organization is sound, become the key that could guarantee to realize the goal of peasant's health in Zhejiang Province. It was both in 2004, the government of Huzhou of Zhejiang Province issued and set up and improved new rural community's hygiene service system, develop implementation suggestion of the rural community's hygiene service, propose government's leading factor clearly, accelerate the integrated construction of the hygiene in urban and rural areas. The rural hygiene place officers of department of public health in Zhejiang Province think, the method of Huzhou has reflected the public service properties of government's responsibility and hygiene, it is great hygiene system, great group's mechanism to build integratively, the result is the work the norm, quality are more controllable even more, its development accords with the direction of the national hygiene reform. Deputy Bureau Director of Huzhou Municipal Health Bureau Wu KangLi says while recalling the development during these years: "After SARS, the municipal government has new knowledges on hygiene work. We proposed the focal point of the hygiene work will be to strengthen the rural hygiene in the future in 2004, the difficult point broken through is to strengthen the public health, it develops rural community's hygiene to catch hands. We make two pilot project, medical treatment and the intersection of pregnant and parturient women and management, immunity plan and slow the intersection of disease and management, the intersection of health and file,etc. all in charge of by pilot townships, service centres of the village, and realize and network. The pilot work pattern has got the affirmation of the municipal Party committee and government, the municipal government issues " implementation suggestion which develops the rural community's hygiene service " quickly. The file stipulates that has built up in an all-round way in Huzhou by the end of 2007 ' sound, function putting in place, complete in mechanism new rural hygiene service system ' of serving the network. The rural public health service item of the provincial government was not launched in the whole province yet at that time, set up special funds according to 5 yuan for each peasant for every year, substitutes to the service organization with award and covers the construction of conduct in Huzhou. This job has been listed in 10 practical things of the municipal government for 3 years in succession. The municipal Party committee and government regards hygiene as the opera involving much singing and action which develops the social cause, should say, we have good opportunities. " What does rural community hygiene service organization of Huzhou develop into on earth? The reporter came to Huzhou and is Ji County is fitted before being annual. "Angie community health Center in the countryside and house of the community health station, the whole Huzhou is even the best in the whole Zhejiang. " Fitting chief of Ji County health bureau Xu CunLin has spirit very much while saying this words. In order to let the reporter have a perceptual knowledge on Angie's integration of urban and rural areas, he drags in a reporter and goes to the countryside at once. He say rural hygiene work around " the three the intersection of big class and 12 " now Go on, this " three big classes and 12 items " It is simple to say, can nearly do all work including rural hygiene, if you want to do well, it is not good for none of strong organization and management to ensure. Store the forest slowly accordingly, the reporter has reached and passed and paved one pair of community health stations of a village (equivalent to the village clinic) of town . By the look of appearance, here has looked like a very beautiful one-layer villa, the area is up to more than 180 square meters, set up and the therapeutic room, infusion room, liquor room, complete clinic, health education computer reference room, doctor's office of responsibility, plan the preparental instruction room etc. inside. There are 5 doctors in the service station of the hygiene, among them 2 are responsibility doctors who service centre of hygiene sent, 3 are rural doctors of this village originally. The reporter asks doctor Zhu RuQin on duty on the same day, what difference does compared with the situation originally present work have? She says without thinking, eached do originally, is in charge of curing the disease; Make a round of visits, on duty now, will learn to use the computer, otherwise can't write a prescription, joining and shutting a patient can't submit an expense account live. She nowadays thinks the condition of the service station and has not talked about, the masses are satisfied with the present service. Doctor Zhu's words can be proved with data: The statistics show, the annual emergency calls person of the hygiene service organization of the community was 209,400 in Ann Ji County 2004, rose to 602,500 persons in 2006, will be up to 799,700 persons in 2008. Xu CunLin is corrected and suits well to the health bureau and takes the post as the chief's after SARS. In serving as and correcting a director physically, he has carried on the property relations reform to all state-owned enterprises in Ji County of Ann, that carried in one's arms is the idea of selling the commune hospital too when the health bureau takes up an official post. But just begun to sell to the commune hospital, he feels wrong, then maintains firmly the government runs the hygiene. Xu CunLin says, changes to maintain that because has seen the commune hospital and clinic important position in the public health by oneself, while integrating the village of service organization of community's hygiene, he advocates establishing firmly " Four do not change " Principle, namely the state-run properties of the commune hospital do not change, government become to the intersection of commune hospital and president and the intersection of group and power of appointment and removal of member, the intersection of commune hospital and the intersection of career and the intersection of identity and become, public health function of commune hospital of worker Change. At that time, the village clinic did not undertake public health services, the rural doctor carried on with the commune hospital malignantly and competed, the commune hospital is dressed in rags and extremely shrinking. "Do the medical organizations all open the quilt of commune hospital at private people's home? Evil �� play the intersection of �� and tritium escort the intersection of rose and bag stir table try on �� completely this Zhun � quiet to feed, support the intersection of Peng and R ��, work for the intersection of Jian and the intersection of Buddhist nunnery and swollen pure Fu, wave the intersection of firewood and the intersection of �� and in harmony the intersection of ditch and superfluous the intersection of mother and Sha! ? Since 2004, at the request of community's hygiene regional planning of Huzhou, Angie has carried on the overall arrangement again to hygiene service centre and hygiene service station of the whole county. Invests 12,640,000 yuan to 25 health clinics in towns and townships, carry on the standardized transformation according to the construction criterion of service organization of the national community's hygiene, have finished the construction of 29 community health Centers. Meanwhile, merge the clinic of 286 original villages into 128 hygiene service stations. The area of service station is no less than 120 square meters, overall arrangement, facility, equipment are all unified, the administrative village is responsible for construction, belong to township government, use free for a long time in the hygiene centre of the community, the government takes the place of mending in order to reward. Then, the health bureau publishes the file and cancels the village clinic, dismiss from the room and enter the station, attack and practise medicine illegally. 2006, " fit the management of Ji County community health station " is issued, assign medicines allocating, financial affairs, service price, labor service to the service station of the hygiene clearly, personnel allocate etc. and manage integratively. 2008, " management " is revised again, unify medicines and managing, unifying financial administration, unified labor service and assigning, supporting parents and ensuring and withdrawing from the mechanism, unified management system in unison " Five is unified " ,Have realized the thorough village integrates. "What this kind of change brought is the improvement of the service ability of rural hygiene. " Go the intersection of villa and the intersection of township and the the intersection of pool and community health station, reporter peasant sought medical advice to see rank the intersection of hygiene and front door of service station. JiRen Zhang, doctor of community, say dismiss from that room enter the station first year, peasant seek medical advice every year person double right away. Nowadays, the graduate of junior college studying medicine comes in too. At horse's community health station of the well, the reporter sees a 71 -year-old community's doctor inputs the following up a case by regular visits to the record of the slow disease patient with the computer. It desolate the intersection of level ground and the intersection of town and YouNan Wang, director of community health Center, say medical treatment and public health stand, serve, bear in the center legal liability, he wants to worry about 7 administrative villages, 26 natural villages, 12,000 people's public health, the jobs and labor service of 4 service stations assign. There are 8 computers now in the centre, are in charge of the new agricultural shutting, drug storage, dispensary, immune planning, health file, health education, worker's medical insurance. "Now community's doctor all think that there are prospects. At the end of the year in the year before last, 62 original rural doctors obtained operation qualifications of assistant and doctor, 4 have obtained medical practitioner's qualification. " Xu CunLin tells reporters, he is several big and proud: "The service station in the village builds best, the commune hospital has kept the government and sponsored properties, the community health Center reconstructs esthetically and practically, and nobody dies after succeeding in dealing with a series of accident, oneself has been become into an expert by the layman. And the oldest one is proud, Angie's hygiene service at the basic level has met demands of peasant Angie. " Doctor does responsibility for the rural hygiene " Diagnose " The health data offer basis for making policy health authorities should give full play to the role of function of responsible institution. Related departments and relevant public organizations take each performs its own functions, close cooperation, implement responsibility, promote reform and development of the rural hygiene industry together. --Select from the committee of Zhejiang [2006 ] " the Provincial Party committee of the Communist Party of China Zhejiang, suggetion on further strengthening the work of rural hygiene of provincial government " No. 21 In 2006, a community leaving from community health Center diagnosed the report, arise at the historic moment in Suichang county of the market of Lishui of Zhejiang Province. Someone use the intersection of socio-economic development and concept, diagnose these kind of community the report calls " health index " . " health index " What is it? To be simple the hygiene workers at the basic level pass and survey and study, a village, a piece of villages and towns, a county (market) The situation of the hygiene work and hygiene problem faced are summarized and summed up, shown, propose the suggestion at the same time, then refer to this grade of government, as the work summary of one year, hope to make the new working policy of the hygiene of year, strengthen and improve the basis of the hygiene work as the government. Zhejiang Province Vice Governor Zheng JiWei will make comments and instructions at once after knowing this report: "' health index ' of peasant of Suichang county implements the responsibility doctor's main task to the real place, make peasant's health project examine the foundation that is assessed. Please save the department of public health to study and summarize, complete, popularize in right time. " In Suichang three benevolence She township in the county, reporters have seen " health index " Author - -Three benevolence She and community health Center in the township director Lei ZhenBo. He says, Suichang county began to implement " 12 three big classes " in 2005 Rural the intersection of public health and service item, see one when Li XiaoMing, chief of county hospital, is going to the countryside and surveying and studying have a hair-cut have one's head shaved craftsman in behave by countryside. This had one's head shaved the craftsman has gone over all villages that has an area of several 5 kilometers in the mountain area, adult, child pay attention to some hairdoes, when should speak to, he is clear on the heart, it is unnecessary people are invited, will call then. Because his craftsmanship is good again, villagers call him " good fortune of one hundred families " . This touch to Xiao Ming Li very dark, " if the intersection of responsibility and doctor of us can look like this piece, have one's head shaved craftsman like that, situation in serivce object clear on chest, change service mode, rural public health work with basic medical care worrying, making also OK? " Then he propose the whole county the intersection of community and the intersection of hygiene and services " have one's head shaved craftsman " Idea. Nowadays, this piece " have one's head shaved craftsman " Drawn on three benevolence walls of the hygiene service centre of She township. There is this motto, the rural public health service of Suichang county is being done very sturdily, each responsibility doctor is in a conscientious and down-to-earth manner. In 2006, Center for Disease Prevention and Control, Lishui placed a subject on three benevolence. When chatting, everybody has risen from and launched " 12 three big classes " At the foundation of work, carry on the idea that diagnoses of the public health for the villages and towns with peasant's health and health relevant data. May begin in the same year, the thunder shakes work recording, peasant's physical examination, setting up the chance of the health file to collect the data that the unexpected turn of combined the responsibility doctor, finished this share that year " The health index " . Three benevolence " The health index " Mainly what is written? It is community's overview, social demographic characteristic, epidemiology, behaviouristics diagnosis, hygiene resource diagnoses, the environmental diagnosis of policy, community that diagnose the brief summary sequentially, including population composition, the marriage forms, culture forms, resident's mortality, the cause of the death arranges the location, age cause of the death situation, the intersection of resident and main the intersection of disease and situation, main pathogenic dangerous factor and bad behavior, essential hypertension patient analyze along have illness coming on by location, infectious disease ' Schooling, disease cognition, preventing and curing knowing Know knowing rate,etc.) The intersection of AIDS and cognition, the intersection of tuberculosis and cognition, the intersection of bird flu and cognition, other the intersection of chronic disease and cognition,etc.. In diagnosing the brief summary, authors have put forward the pointed suggestion, and brief on the town government, the demand that the peasants of this town prevent and cotrol for disease is more and more urgent, has the rural disease table already been changed into old infectious disease, new infectious disease and chronic non- infective disease? The food steamed bun tears �� The fat balance shin rake is dripped: �� Raise the arm �� J sword �� refinedly Nest ] nice food Di banter �, my darling of buttocks, =�֪� faints and smelts in vain =�� Ji �� Nai stops �� ��� square-column of my darling Li Fraud that �� acyl �� Lang �� coughs Does Deng Zhyuan keep sauce �� Gou to roll over? If 2006 " Diagnose " The suggestion of China is still owed the operational words partly, three benevolence and some suggestions on the government of She's work summary of the community health Center in the township will be very concrete in 2008. For example train the responsibility doctor completely, serve and increase the new project, the file administration of the health lacks related software, " seek medical advice and enclose in 20 minutes " The elderly's amusement life that construction is uncomplete, abundant and rural, strengthen the management of environmental sanitation The reporter asks Lei ZhenBo: "Do you want to write the content summarized 2008 into ' health index '? " Ray shakes the wave to answer, " diagnoses " Had better once every 45 years, consider peasant pass two the intersection of health and physical examination just 4 year, considered in 5 the government changes one. So will just summarize in 2008. As far as reporter know, the method of Suichang county has already begun to " ferment " in some places of Zhejiang Province . Deserving the department of public health of the province holds in Suichang " 12 three big classes " Rural public health service item on-the-spot meeting, " health index " Have already been paid attention to by local government, and will make policy and exert an influence to the hygiene.


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