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According to the results of the Fifth National Health Service Survey, the demand for medical and health services among Chinese residents continues to increase, and the prevalence of chronic diseases is increasing rapidly. , the demand for and utilization of health services has increased, and the economic impediments to the use of health services have eased.
Theoretically, if people's needs for health services can be translated into needs, it is possible for them to be met through the actual use of health services, but in reality this is not the case. On the one hand, people may not seek access to health services due to various subjective and objective reasons, such as limited economic affordability, and may not be able to turn needs into needs.
On the other hand, in fact, due to the limited and unreasonable allocation of health resources, there are poor service quality, low efficiency, waste of resources, and the phenomenon of overutilization and advanced consumption of medical services by patients who enjoy public funds and labor insurance medical care.
When the supply is greater than the demand (oversupply), the demand will be satisfied, but when the supply is oversupplied, it will often lead to the underutilization of health resources, such as the idle use of personnel, beds, instruments and equipment, etc., and the utilization efficiency is low; When the supply is less than the demand (short supply), it is impossible to fully meet the demand, and there will be a phenomenon of waiting for medical treatment and hospitalization not receiving the services they deserve. The ideal state of supply and demand is that supply and demand are roughly balanced, and the supply is slightly greater than the demand to meet people's necessary needs to the greatest extent.
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First, the concept is different.
1. A community hospital is a community-based health care service institution. The state is now vigorously developing the community medical service system, so that minor illnesses can be solved at the doorstep, which greatly alleviates the pressure of medical treatment and the medical service capacity of large hospitals.
2. Community health service center refers to the general term of health care activities with the content of prevention, medical treatment, health promotion and health promotion provided by health and relevant departments to residents in a certain community.
Second, the purpose is different.
1. The purpose of the establishment of community hospitals is to solve the problem of "difficult and expensive medical treatment" for the common people, and put forward the slogan of "minor illnesses do not leave the community, and major illnesses only go to the hospital".
Community health service institutions can provide residents with low-priced, nearby, convenient and fast medical and health services, so as to attract residents to community health medical institutions for medical treatment, divert patients with common diseases and minor diseases, and then realize the maximum and rational allocation of limited medical resources, solve the problem of difficult and expensive medical treatment for residents, and let patients no longer queue up.
2. The purpose of community health services is to provide comprehensive health care services, pay attention to prevention, not only save resources, but also better meet the needs of residents for health care. In developing countries, where the economy is low and health resources are limited, it is all the more important to develop community health services and promote simple technologies to improve the health of the population.
Third, the subordinate branches are different.
1. The subordinate branches of community hospitals are branches of district and county hospitals, and the health bureau has the power to dispatch the first two types of hospitals, while the local neighborhood community of the community hospital of the independent legal person only has the power of coordination, but has no management power.
2. The community health service station is the next branch of the community health service center, and these two are themselves a unit, a mother, and a child. The community health center is another name for a certain hospital, and the health service station is a designated medical institution under this hospital, which is a clinic that can provide convenience for nearby community residents.
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The general prevention and protection department does line management, and the follow-up of patients is the main work of the community health service station. Of course, it also depends on the actual local situation. The prevention and protection department is not necessarily a follow-up community, and may also do other things, such as transfusing follow-up information, sitting in outpatient clinics, and so on.
All in all, the work of the prevention and security department is very messy, chaotic and busy, and even requires you to know a little bit of everything, which will definitely enrich your working life. It is a very workout place. In addition, I would like to say that doctors are really not drudgery to follow up patients in the community, and they can understand the patient's suffering and find ways to help solve it.
In fact, as long as you do it with your heart and the patient understands you, this is the biggest victory for us as doctors.
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Hospitals are community-run. The service center is the service point of the enterprise unit.
In fact, there is no community hospital, but everyone is used to calling it, and a community center is a health care center set up in the community. There will be several community health service stations under the community health center, which share public health tasks, mainly medical treatment, health records, education, geriatric care, health supervision, etc.
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The prevention and protection department of this second-class hospital is in this community service center, and the community service center also includes three community service stations, I don't know the details...
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Improvement measures: Community health is one of the priorities of the current health reform. 2 Community health services have achieved initial results, but also exposed many problems in development, and it is necessary to study their sustainable strategies.
It is necessary to promote the development of community health services by strengthening the best behavior. It is necessary to attach importance to planning work, clarify the functions and tasks undertaken by all types of medical institutions at all levels in community health services, and rationally build service networks. It is necessary to clarify the content and methods of community health services, truly reflect the characteristics of community health services, improve various economic policies, enhance community health compensation services, strengthen the training of community health service personnel, and establish a qualified general practice (3 pages in total).
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1。Health resources, especially advanced health care resources, are scarce2. The blindness of the common people to see a doctor, and minor diseases, especially children's minor diseases, also have to go to big hospitals3.
The construction of community hospitals is insufficient, the technical force is insufficient, and the people do not trust community hospitals very much4. Community hospitals do not advertise enough.
5。The large prescriptions and blind use of drugs in large hospitals deepen the psychological impact under the psychological effect of cheap and ungood goods.
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Optimistically, the former was born for the latter and serves the latter, but in fact the former is just a decoration, taking advantage of the opportunity to collect money under the name of pure deception of taxpayers' money.
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