基层医院在开展居民健康体检工作中存在的问题和对策

Existing problems and countermeasures in carrying out the resident health examination work in basic hospitals

本文对绍兴市越城区8家镇街基层医疗单位的居民健康体检的工作情况进行了调查。存在问题:存在体检发动主体责任错位导致部分镇街组织乏力、部分居民健康意识淡薄、上级补贴经费过低使各基层医院承担亏损风险影响积极性、多数承检单位因工作量过大带来卫技人员不足、体检队伍整体素质偏低影响体检结果等问题。对策:1政府应调整居民体检发动主体,加强宣传,提高居民健康意识以提高参检率。2财政应加大投入,在保证设备经费的同时,要进一步加大经费投入,以保证体检的可持续性。3各镇街医院应加快体检队伍建设,努力提升体检人员素质以保证体检质量。4应从实际出发,体检以重点人群为主。

In this paper,the author surveyed the working conditions of the residents health examination of 8 basic medical units in Yuecheng District of Shaoxing City.The problems:Grassroots medical institutions were to carry out resident healthy physical examination work,but there were some problems,such as part of the town streets organizational weakness due to physical examination to launch the main responsibility of dislocation,some residents without health consciousness,lower enthusiasm at the grass-roots hospitals because of lower ranking allowance funds,health personnel shortage due to excessive workload,examination results affected by the low overall quality and so on.Contermasures:1The government should adjust the residents medical engine body,strengthen the propaganda,to improve the health of residents participation awareness in order to improve the detection rate.2The government should increase the investment in the guarantee equipment funds,at the same time,further increase the input of funds to ensure the sustainability of physical examination. 3 The grass-roots hospital should speed up the medical team construction,make efforts to improve the quality of medical personnel to ensure the quality of physical examination.4The hospital should proceed from the reality to focus on the main physical examination population.