Volume 22 Issue 2
Feb.  2024
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Article Navigation >  Chinese Journal of General Practice  > 2024  >  22(2): 277-280
CHEN Jingjing, WANG Haili, PENG Yingchun. Exploration on the current situation and development countermeasures of health room services in Beijing suburb villages under the integrated management of rural health[J]. Chinese Journal of General Practice, 2024, 22(2): 277-280. doi: 10.16766/j.cnki.issn.1674-4152.003383
Citation: CHEN Jingjing, WANG Haili, PENG Yingchun. Exploration on the current situation and development countermeasures of health room services in Beijing suburb villages under the integrated management of rural health[J]. Chinese Journal of General Practice, 2024, 22(2): 277-280. doi: 10.16766/j.cnki.issn.1674-4152.003383
shu

Exploration on the current situation and development countermeasures of health room services in Beijing suburb villages under the integrated management of rural health

doi: 10.16766/j.cnki.issn.1674-4152.003383
  • 1.

    Liu Li Miao Town Community Health Service Center, Huairou District, Beijing 101499, China

Funds:

 22SRB008

 2021-B-001

 2022-C-002

 2023

  • Received Date: 2023-10-12
    Available Online: 2024-03-27
    Abstract
  •   Objective  To understand the current situation of health room services in suburban villages in Beijing, and analyze the problems in integrated rural management from the perspectives of personnel team, service, and management, and propose solutions.  Methods  A survey and interview were conducted on 171 on-the-job rural doctors, 433 permanent residents, and 26 community health service center managers in Huairou District, Beijing, to understand the situation of service provision and performance assessment of village clinics, residents' demand for health services and their utilization of services, etc., through the information system and data reporting system of medical institutions at the village and village levels, the data such as the number of services provided by village clinics and community health service centers were collected to understand the situation of services provided by village clinics.  Results  Among on-the-job rural doctors, 155 (90.6%) hold a rural doctor practice certificate or have obtained the qualification of a rural general practitioner assistant physician, and 170 (99.4%) of rural doctors have engaged in or engaged in non-medical work such as farming and aquaculture. The total monthly outpatient volume of village clinics accounts for 4.21% (967 cases/year) of the total outpatient volume of community health service centers, of which 72.49% (701 cases/year) were simply measuring blood pressure. Diagnosis and treatment services were the service items with the highest demand rate among residents. Rural doctors did not pay enough attention to performance evaluation, the performance evaluation process was not standardized, and the incentive effect of the results was not obvious.  Conclusion  The unclear institutional responsibilities, inconsistent and non-standard service content standards of village clinics have affected the integration of rural health services. At the same time, the functions of township community health service centers in the integrated management of rural health room services need to be clarified. It is recommended to clarify the service scope and standards of village clinics, achieve homogenization of services, optimize the service methods and management models of village clinics, achieve integrated management of drugs and finance, accelerate the training of rural doctors, and promote integrated management of personnel and performance evaluation.

     

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