Sample Research Report on Medical Reform

The lack of reform momentum is the reality of China's health care reform problem, and the political cost of health care reform and its share of the situation has a decisive impact on the reform momentum. The following is a sample research report on health care reform that I have organized for you, welcome to read it.

Medical reform work Research Report Sample Article 1

In order to y implement the CPC Central Committee and the State Council on deepening the reform of the medical and health system of the relevant spirit, to further strengthen the construction of rural primary health care institutions, improve the primary health care service system, the scientific optimization of resource allocation, a comprehensive understanding of the current situation of grass-roots health care reform work in the county of **, and to promote the healthy development of grass-roots health work, the author In-depth Dongping, Yakushan, Baihetan and many other townships (towns) health centers and part of the village health room for field research. By taking a look, listen, check, visit and other ways, in-depth understanding of the current situation of the development of grass-roots health work, listened to the views and suggestions of the grass-roots medical institutions and the public, and put forward some comments and suggestions on the relevant work.

First, the basic situation

(a) the status of the grass-roots health team

The county *** there are 211 primary health care institutions, of which 19 township health centers, village health room 191. The county health system *** has a career establishment of 773 people (405 people in the county direct medical and health institutions, township health centers 368 people), the actual number of active employees 521 people (269 people in the county direct medical and health units, township health centers 252 people). Township health centers have 240 health technicians, 12 workers; 8 people with undergraduate degrees, 161 people with specialized degrees, 83 people with secondary education and below; 1 person with senior titles, 16 people with intermediate titles, 52 people with junior titles. Rural health professionals and technicians per 1,000 people only 0.89 people, far below the city (2.14 people), the province (3.8 people) the average level. The county has 426 rural doctors. Among them, 1 person with college education, 311 people with secondary school and similar secondary school education, 78 people with short-term training, 36 people with junior high school education.

(ii) infrastructure development

The county's 19 township health centers have 6 configured ambulances, 9 township health centers configured color ultrasound, Zhongzhai, lead factory, Jintang, Medicine Mountain, etc. also configured biochemical analyzers and other medical equipment, 6 township health centers configured with X-ray machines; a small number of health centers are equipped with appropriate traditional Chinese medicine equipment to carry out Chinese medicine suitable technical services; village health centers themselves equipped with blood pressure meter; the village health centers are equipped with blood pressure meter; the village health centers are equipped with blood pressure meter; the village health centers are equipped with blood pressure meter; the village health centers are equipped with blood pressure meter. Health centers are equipped with their own sphygmomanometers, thermometers, stethoscopes and other simple equipment.

Second, grass-roots health work carried out

(a) medical and health system reform work comprehensively promoted

20xx June medical reform since the start of the county people's government attaches great importance to the establishment of the ** County deepen the reform of the medical and health system leading group, the formulation of medical reform policy, research and development of relevant supporting measures and methods, decomposition and refinement of the medical reform objectives and tasks, and coordinate the promotion of the county's medical reform work. To promote the county's medical reform work.

1. The national basic drug system has been successfully implemented.

Since June 20xx, 19 township (township) health centers and 191 village health rooms in the county have fully launched the implementation of the national basic drug system, and township health centers and village health rooms are all equipped with and using the national basic drugs, and the implementation of zero-differential-rate sales; the county medical institutions are equipped with and using the national basic drugs according to the proportion of the national basic drugs used at the county, townships, and villages at all levels of the health care institutions using the national basic drugs uniformly by the provincial centralized purchasing platform for drugs and online purchasing. Centralized drug procurement platform for online procurement and distribution, government-organized medical institutions equipped with the use of basic drugs to achieve full coverage.

2. The level of equalization of public ****health services is constantly rising.

** the first half of the county *** establish urban and rural residents electronic health records 574,413 people, the file rate of 97.3%; cumulative set of health education bulletin boards 596, 83 times to carry out health education publicity and consulting activities, carry out knowledge of health education lectures 326 times, the issuance of health education publicity materials 31,800 copies; cumulative 0?6 years old children system management 37,376 people, newborns, children's health care system management, the number of people in the county, the number of people in the county and the total number of people in the county. The cumulative number of children aged 0-6 years under systematic management was 37,376, and 1,914 newborn visits; the cumulative number of maternal prenatal checkups was 2,079, and 1,873 postnatal visits; the cumulative number of elderly people aged 65 years old or above under health management was 46,478; the cumulative number of chronic disease management visits was 35,740 (of which 2,7754 were hypertensive patients, and 7,986 diabetic patients); the cumulative number of severe mental illness management visits was 1,738; and the cumulative number of severe mental illness management visits was 1,738, and the cumulative number of chronic diseases managed was 1,738. The total number of cases of severe mental illness management is 1738.

3. The construction of medical and health service system on a new level.

First, the infrastructure of medical institutions is steadily advancing. Dongping, Chongxi, old store and other health center business building construction projects, has been put into use. ** years of new construction projects in five township health centers (Hongshan, Mao rent, furnace room, new store, Ma Shu) has been in May this year to start construction, is currently under construction. Second, the effective implementation of compensation policies for primary health care institutions. ** year, the development and issuance of the ** County People's Government on the establishment and improvement of the implementation of the compensation mechanism of primary medical and health care institutions "(QiaoZhengFa [**] No. 9) and" ** County People's Government Office on the issuance of ** County primary medical and health care institutions of the implementation of the management of the program of two lines of income and expenditure "(QiaoZhengBanFa [**] No. 3) two documents, the establishment of the compensation mechanism of the primary health care institutions, mainly through the Basic public **** health service guarantee mechanism and the implementation of the general diagnosis and treatment fees for primary medical institutions into the compensation; the implementation of? The implementation of the two lines of income and expenditure? Management, all township health centers in the county to implement the full financial allocation, the implementation of financial subsidies to rural doctors to ensure that the village doctor per person per month subsidies of not less than 400 yuan, to build the bottom of the network of primary health care services.

(2) key health work steadily

1. Disease prevention and control work in an orderly manner.

**In the first half of the year, through the adoption of effective preventive and control measures, the prevention and control of major infectious diseases has been effective. First, six vaccine run, five vaccine (hepatitis B, BCG, polio, DPT, leprosy, MMR) vaccination rate are more than 95%, by improving the vaccination rate, effectively preventing the occurrence of counting the immunization of targeted infectious diseases; second is to effectively strengthen the management of epidemics, infectious disease reporting work to further standardize the lack of reporting, underreporting, misreporting phenomenon has been further curbed; third is to do a good job of tuberculosis prevention and control work. ** the first half of the year, 153 newly discovered active tuberculosis patients, of which 54 cases of the first treatment of Tuyang, the first treatment of Tuyin 87 cases, 12 cases of severe Tuyin, have been included in the categorization and management.

2. Maternal and child health care has been steadily advancing.

**Year with the township health centers signed a health work target responsibility book, the collection of prevention and protection of the work of the responsibility of the gold, and effectively strengthen the management of maternal and child health care work. At the same time to? The program is leading the way in strengthening the maternal health care system. Project as a leader to strengthen maternal health services. First, to further reduce the maternal mortality rate and infant mortality rate, and strive to improve the maternal hospital delivery rate, in the first half of the year, the county hospital delivery of 3,053 people, hospital delivery rate of 95.4%. The second is to organize and implement the ? Maternal and Child Health Program? As of June 30, **, *** completed the marriage examination 2894 people, completed the newborn genetic metabolic disease screening 1804 people, screening rate of 58.2%, newborn hearing screening 1937 people, screening rate of 62.5%, children's health management of 43,903 people, maternal health management of 3,198 people, maternal system management of 2,980 people.

(C) the smooth operation of the new rural cooperative medical care.

**Year **County new rural cooperative medical fund mobilization standards for each person 380 yuan, of which farmers per capita contribution of 60 yuan, the central and provincial financial support of 320 yuan, the county *** there are 503,300 people to participate in the new rural cooperative, the participation rate of 98.57%. The implementation of the new rural cooperative medical care program has been adjusted and supplemented to improve: First, increase the supplementary insurance for major diseases. Second, the hospitalization ceiling was raised. The annual cumulative hospitalization compensation ceiling for participants has been increased to 380,000 yuan. Thirdly, the new rural cooperative medical care program is organically combined with medical assistance for major diseases and medical assistance for the poor, and is jointly carried out with the county civil affairs bureau and the human resources and social welfare bureau. The one-stop medical assistance has effectively alleviated the burden on the general public. Medical aid, effectively reducing the medical burden of the majority of participants.

Third, there are difficulties and problems

(a) grass-roots health talent lagging behind.

First, the township health center staffing is seriously insufficient, the medical service capacity is far from keeping up with the masses of medical service demand. 19 township health center with a total establishment of 368, now only 252 people, resulting in part of the township health center equipped with medical equipment and testing equipment no one operates, long-term idle, resulting in the waste of health resources in an unorganized manner, a serious impact on the quality of medical care and service capacity enhancement. County township health centers *** there are 118 temporary staff, 46.8% of the official staff, although in the short term to alleviate the outstanding contradiction of the shortage of health personnel, but also increased the economic burden of the employer. Second, the shortage of professional and technical personnel. At present, the township health center has only 240 health professionals and technicians, due to the shortage of grass-roots medical personnel, township health center medical care is not divided, doctors over the scope of practice phenomenon is serious, resulting in low medical service capacity, the masses to see a doctor difficult to be alleviated. Thirdly, the structure of technical titles is unreasonable, the composition of the educational level is low, and the number of personnel without titles is extremely high. As of June this year, in the county township health center of 240 medical personnel, deputy high title 1 person, accounting for 0.04%, intermediate title 12 people, accounting for 5%, junior title 51 people, accounting for 21.2%, of which the village doctor with junior title only 16 people, accounting for only 3.5%. Holding a license to practice only 64 people, did not obtain a license to practice 187 people, accounting for 77.9%, the vast majority of health care workers do not have a license to practice, there is a legal risk of low title and no title has become the main force of grass-roots health work. Fourthly, the training of talents is not enough. Township health centers due to a serious shortage of staff, the selection is very difficult, especially general practitioner training and business backbone training is difficult to send personnel to participate in, medical technology is difficult to improve. Fifth, the village doctor is aging trend, the team shrinks, in the case of the inability to timely replenishment of suitable personnel, will inevitably lead to the fault of the village medical personnel team.

(ii) The introduction of talent policy and mechanism is not perfect.

First, due to the introduction of talent policy and incentive policies and other issues have not been effectively implemented, the introduction of talent high barrier, coupled with the township health center working environment is relatively difficult, professional show (2016 latest investment research report) and business promotion space is not large, resulting in most medical graduates are reluctant to work in the township health centers, the recruitment target often can not be implemented in place in full, part of the graduates after applying for employment and then quit the phenomenon. The phenomenon of graduates resigning after being recruited occurs from time to time. Secondly, professional talents? The second is that professional talents cannot be recruited, and some graduates quit after being recruited. The following are some of the reasons for this. cannot be recruited and retained. The loss of personnel with technical expertise is serious, and a small number of newly recruited health technicians have a short period of experience in their positions and are slow to improve their business skills. Third, the existing medical staff work enthusiasm is not high, the grass-roots front-line village doctors, because of the low treatment, no social security, team instability, fault generation problem is increasingly prominent.

(C) health care reform-related policies and measures to be sound and perfect.

Since the reform in 20xx, although the development and introduction of some of the supporting policies of the health care reform, but the deepening of the health care reform of the implementation of the comprehensive supporting reforms are not yet in place. Such as job appointment system, income distribution system, performance appraisal system, basic public **** health service funds use management methods and other management system is not sound and perfect, resulting in grassroots medical staff to participate in the health care reform enthusiasm is not high. On how to ensure the sustained healthy and orderly development of the hospital, how to better mobilize the enthusiasm of medical staff, how to provide the masses with more convenient, fast, inexpensive health care services, etc., still need to be further followed up and improved.

(d) The capacity of primary health care services is not strong.

First, the primary health care institutions infrastructure, equipment construction lagging behind, difficult to carry out effective health care services, do not adapt to the current development of health work and the public demand for medical services. Most of the township health center construction time is long, its planning layout and functional setup is unreasonable, and even some have become dangerous, the county there are 13 health room no business room. In terms of equipment construction, most township health centers are not equipped with X-ray machines, ultrasound and biochemical analyzers and other equipment, part of the townships have been equipped with, due to long-term unmanned operation, management and maintenance of improper and so on, has been aging and destroyed. Secondly, the quality of medical care still needs to be improved and the medical order needs to be standardized. Medical personnel service consciousness is not strong, the quality of service is not high, the patient outflow phenomenon is serious; medical disputes occur from time to time, dealing with the difficulty; rural individual illegal medical practitioners, management is more difficult to crack down on the illegal practice of medicine is difficult; village health service capacity is weak, the masses have big opinions, satisfaction is low.

(E) the construction of medical ethics there is a weak link.

First, a small number of health professionals lack of dedication to the spirit of professionalism, dedication, sense of responsibility is not strong, poor service attitude; the second is a weak sense of service, the lack of communication with the patient; third, a small number of health professionals in the economic interests of the drive to the pursuit of pure economic interests as the highest principle; fourth, the medical ethics of the medical staff of the medical education and management is not in place. These problems, resulting in some patients do not get timely and effective treatment and delayed, and even cause medical disputes or accidents, seriously damage the social image of the health care industry.

(F) the new rural cooperative fund supervision is difficult.

First, the lack of limitations and deficiencies in the management system. There is no legislation to support the new rural cooperative, the regulatory mechanism is not further established and sound, supervision and management functions are not centralized, powers and responsibilities are not unified. Secondly, there is a large number of patients who are enrolled in the program, but the management organization has a small number of staff, and there is a huge amount of auditing and settlement business. Third, the phenomena of indiscriminate examination, drug abuse and irrational use of drugs are prominent in some medical institutions. This has increased the burden of the public in visiting the doctor, and also increased the burden of the New Agricultural Cooperative Fund. Fourth, the weak supervision of village health centers, due to the village health centers are many and wide, the mountain is high and the emperor is far away, it is extremely difficult to implement effective supervision of them.

(7) The basic drug system needs to be further improved.

The existence of basic drugs bidding drugs part of the high price, distribution is not timely; part of the drugs due to the low price, low dosage, although many clicks on the purchase, but the distribution company said that there is no goods, can not be distributed in place; due to the region, the physician's habits of medication are different, the national and provincial directory of basic drugs can not fully meet the needs of the masses of medication, some of the efficacy of the masses rely on the commonly used drugs did not win the bidding; some of the network The side-effects of the labeled drugs are big, causing the masses to have opinions, and the medical services of township health centers have been affected to varying degrees.

Fourth, the views and recommendations

(a) to strengthen the grass-roots health talent team building.

First, for the county township health center serious shortage of personnel actually, accelerate the establishment and improve the introduction of talent mechanism. Simplify the procedures for the introduction of talent, appropriately lower the standard for the introduction of talent, the implementation of ? The employer selects the person, the personnel department examines? The entry mechanism; the introduction of preferential policies for the introduction of talent, the proposal in the salary, title promotion and other aspects of the tilt, so that personnel are willing to come, stay down; Second, increase the cultivation efforts. Carry out continuing medical education work, support grassroots medical personnel to participate in academic upgrading education, improve the ability of grass-roots medical personnel to improve the quality of medical services and academic level; do a good job of grass-roots public health personnel training and rural doctor education, the implementation of rural doctor education and training planning; implementation of linkage measures to help, and increase the health talent counterpart to help, and to enhance the capacity of grass-roots medical and health services.

(ii) Improve the supporting policies related to health care reform.

First, strengthen the government's responsibility and improve the input mechanism. Rural public **** health and basic medical services have the characteristics of public **** products, should be as the government's important public **** service projects, adhere to the public welfare-oriented, to establish the government to invest in the main multi-input mechanism. The focus of financial support should be adjusted to support public **** health, preventive health care, personnel training and the construction of infrastructure for township health centers and village health offices. The second is to establish and improve a scientific and rational benefit-oriented and performance appraisal mechanism, tilting preferential policies in favor of important front-line positions and those who have made outstanding contributions. Third, standardizing the mechanism for drug procurement and distribution, strengthening the assessment and supervision of drug distribution enterprises, urging them to distribute medicines in a timely, efficient and sufficient manner, and improving the quality of their services to meet the people's demand for medicines. Fourth, establishing a medical liability insurance system. We have implemented medical liability insurance, established a medical liability insurance system that combines risk transfer and dispute handling in line with the characteristics of medical practice risks in ** County, established and perfected a social sharing mechanism for medical risks, and adopted a variety of channels and means to effectively resolve conflicts and disputes between doctors and patients. Fifth, strengthening the management of village doctors. Actively promote the integrated management of rural health, establish and improve the village doctor training and assessment system, in strict accordance with the requirements of the Regulations on the Management of Rural Doctors, to strengthen the management of the rural doctor team, training and assessment.

Sixth, the establishment and improvement of the normalization mechanism to combat the illegal practice of medicine. County health supervision and the township health supervision station to effectively perform their duties, increase unannounced audits and supervision and law enforcement; for illegal practice of hidden, evidence collection is difficult, to vigorously publicize the harm of illegal practice of medicine, and actively collect clues to carry out the normalization of the work, and resolutely crack down on all types of illegal practice of health hazards to the masses, standardize the medical order.

(C) Efforts to enhance the ability of grassroots services.

First, to strengthen the infrastructure and equipment construction of primary medical institutions. In the existing township health center has been the construction project, the county financial to implement local financial supporting funds to ensure that the project under construction is completed on schedule; attention to solving the shortage of some township health centers and dangerous housing problems, and actively strive for construction projects, to solve the dilemma of some of the village health center has no business room, to strengthen the infrastructure of the primary health care institutions. Secondly, the construction of medical quality has been continuously strengthened. Further strengthen the standardized management of medical personnel behavior, and actively promote the standardization of diagnosis and treatment, and conscientiously implement the national, provincial and municipal development of clinical management rules and regulations, diagnosis and treatment and nursing routines and technical operation norms; the establishment of a medical quality assessment system, the implementation of regular assessment of the quality of medical care, and timely detection and resolution of problems in the health care services; strengthen the dynamic supervision of medical quality, and continuously improve the quality of medical care, reduce medical risks, and ensure medical safety. The company has also established a medical quality assessment system to implement regular assessment of medical quality and timely detection and resolution of problems in medical services.

(d) Strengthen the supervision of new rural cooperative funds.

Further establish and improve the supervision and management system of the new rural cooperative work, the new rural cooperative fund operation analysis and risk early warning system, to maintain a high-pressure situation on the new rural cooperative fund supervision. Strengthen the supervision of the designated medical institutions to ensure the use of the new rural cooperative fund security and maximize the benefits; in the original service population approved on the basis of the amount of prescription, to further explore the approval of the amount of prescription of the new rural cooperative, to ensure its scientific rationality, and to prevent fake prescriptions to seize the new rural cooperative fund and other acts.

(E) vigorously strengthen the construction of medical ethics.

First, in-depth medical ethics education. Carry out professional ethics education, carry out warning education, analysis of medical disputes, so that medical personnel consciously establish a sense of responsibility, moral consciousness and legal awareness, and do their best to do their jobs. Second, establish and improve rules and regulations and implement institutionalized management. Establish and improve medical ethics and medical supervision mechanism, do a good job in the health industry internal self-supervision and external supervision; build medical ethics evaluation system, grasp the medical ethics evaluation activities. Improve the evaluation standards and methods of medical ethics, according to the standards and principles of medical staff or medical institutions of behavior and activities of medical ethics judgment; the establishment of assessment files, the assessment results and personal interests linked as an annual assessment, evaluation of excellence, the allocation of wages and bonuses, promotion and promotion of an important basis.

(F) increase financial investment, promote the overall promotion of rural health work.

First, promote the construction of disease prevention and control system. Continue to do a good job of AIDS, tuberculosis, viral hepatitis and other major infectious diseases and emerging infectious diseases monitoring, control and outbreak disposal; the implementation of the expanded national immunization program, consolidate and maintain the rural immunization program vaccination rate of more than 90%, to build a solid crowd immunity barrier; promote the standardization of vaccination institutions, optimize the working environment and conditions of vaccination, improve the quality of vaccination services; adhere to the government-led, professional and technical institutions to support the combination of prevention and treatment. Adhere to the government-led, professional and technical institutions to support, prevention and treatment of the combination of the work of the idea of building a platform for the prevention and treatment of chronic diseases management work, and promote the work of chronic diseases in-depth; improve the construction of rural public **** health emergency response system, improve the handling of major epidemics and public **** health emergencies. The second is to strengthen maternal and child health care. The implementation of a good? Maternal and Child Health Program. to effectively reduce maternal and infant mortality rates, emphasize the construction of obstetrics and pediatrics departments, strengthen maternal and child health care, and improve the basic quality of the birth population. Thirdly, we are strengthening food hygiene and safety management. Increase food risk monitoring, increase the supervision of centralized disinfection enterprises of catering utensils, and actively carry out comprehensive law enforcement supervision of hygiene. We have strengthened the training of health supervisors, improved the mechanism for coordinating health supervision, expanded the coverage of grassroots health supervision, and promoted an overall improvement in the level of health supervision. Fourth, the emphasis on rural environmental health improvement work. Focusing on strengthening rural environmental sanitation, we have emphasized coordination between departments and townships, established an operational mechanism for rural garbage disposal, improved rural garbage disposal facilities, and increased disposal capacity. Give full play to the role of the main participation of the masses, guide the establishment of good health habits, advocate scientific, civilized, healthy lifestyle, improve rural environmental health, improve the quality of life.