The health clinics in towns and townships continue educating the new mode - -Take demand as the direction

The health clinics in towns and townships continue educating the new mode - -Take demand as the direction
Staff reporter Wang Dan is by September of 2010, some health clinics in towns and townships of 1/3 of the provinces in the whole country will implement " take demand as the direction " Training mode,it is been thereafter launch nationwide. What for " take demand as the direction " ? What should the health clinics in towns and townships do among them? What kind of improvement can be got through this project to defend skill personnel? Bringing these questions, reporters have interviewed the relevant expert responsible for this project implementation. , hygiene technical staff of health clinics in towns and townships coming up to a large number have not passed strict formal training, quality is not high, the education are not high, it is not enough to grasp basic medical hygienic knowledge and technology. 2002, Ministry of Public Health, once to Beijing, 2242 villages and towns of 189 health clinics in towns and townships of 7 provinces, cities and autonomous regions such as Ningxia defend skill personnel and tertiary hygiene administrative staff of 157 provinces cities and counties and carry on the investigation, the result reveals, the health clinics in towns and townships have the the one on duties of 12.75% that have not learnt the universities and colleges to train through curing, the person who doesn't have regular professional education accounts for 21.79%, the persons who have not obtained the intermediate and the above professional title for technical personnel account for 86.21%. At present, this kind of state changes not big. From September of 2005 to September of 2008, the on-the-job training pilot work of technical staff of the hygiene of health clinics in towns and townships is launched in Ningxia, Hebei, Anhui, Fujian, Guizhou, 6 13 health clinics in towns and townships saved of Sichuan. Sichuan Province the intersection of Yilong and county it rejuvenates the intersection of town and Wu, commune hospital of internal medicine department to be the intersection of junior college and education, he participated in the pilot project and was trained in 2004. " the health clinics in towns and townships defend personnel's on-the-job training of the skill to guide the manual " to carry on task analysis through contrasting, it is 149 items that it is counted that he wants to be engaged in the task that this professional work should finish, test before 2004 pilot work begins, it is only 24 items to finish the task and count. Centralized the intersection of study and " health clinics in towns and townships defend on-the-job training, person of skill, guide the manual " that commune hospital organize in on-the-job training of 4 year, him through teach oneself, will it be 0.5- 1 hour every day on average, participate in academic the intersection of lecture and 10 over, participate in the discussion of case 5 or more times every year while being average, and participated in the professional knowledge in one year and received a training and studied. At the end of 2008 pilot project, until and evaluation group which the unit organizes evaluate in unison comment, he finishes the task and counts 121 Damien, passing rate is 80%. In addition, participate in the knowledge of internal medicine department and test and assess while assessing in pilot work that he also organizes in Ministry of Public Health, 3 internal medicine departments carried on operate and is passed. The mat young tiger proposes, the villages and towns defend the forming of the on-the-job training mechanisms of personnel of the skill, the most basic settlement measure is to set up the normal management system taking government as leading factor, want until " whether will what learn anything, need what what mend " at the same time It is a principle, but take but and and training method with strong practicality. The training materials want thinning standardization to it is introduced, at the pilot stage of this project at present, the project team has already written the serial teaching material " the first aid of the emergency call guide the manual "s of the on-the-job training of hygiene technical staff of health clinics in towns and townships, " the on-the-job training of hygiene technical staff of health clinics in towns and townships guides the manual ". These teaching materials regard service function of the commune hospital as the goal, stress the post task, defend skill personnel's good operation standard, knowledge and attitude of finishing the task to require after expressing each post of commune hospital, correspond to the services of the commune hospital directly, can serve the practical work directly. The health clinics in towns and townships can be according to local health demands, condition apparatus of commune hospital and functions and tasks of commune hospital,etc. given at first, confirm service items such as medical treatment, preventing, keeping healthy, recovering, health education, health control, planning the preparental instruction,etc., and detailed to turn several training task catalogues its, implement to the hillock, fulfil down to everyone. Subsequently, each one defends skill personnel to need to contrast the above-mentioned manual to comment from commenting and technological group's group of commune hospital according to the task undertaken by it, find out the generality issue ' More than 30% of the personnel) , individual the question ' Fewer than 3 people) With group's issue ' Between the two) ,The commune hospital makes the training plan. For example, only " use the iodine to bend over solutions and clean hands and the skin in order to prevent cross infection " As prevent the intersection of training and task one of in the project, namely detailed to turn " get ready, bend over solutions by 0.5% of the iodine " , " remove gloves " , " scribble, wipe hand and 1- 3 minutes such as function such as skin " Wait for the step. Biao Xi say until different to weigh hygiene thinning standardizing in technological ability in the past, it is the key to strengthening the project effectively. According to defending statistics of skill personnel to 13 pilot health clinics in towns and townships, the case history writes the disqualification rate to drop to 8.5% from 12.8% before pilot project after the pilot project, the average post accomplishment ratio is improved from 52.4% to 78.3%, the technological mistake rate drops from 2.7% to 1.6%, patient's satisfactory rate rises from 88.3% to 94.5%. Train the mode to emphasize the training mode that sustainability is made according to the project, health clinics in towns and townships should according to training goal, divide into individual, colony, group, choose temporarily released from one's regular work, temporarily released from one's regular work, half off-the-job training; Train by theoretical training, clinical skills training, clinical thinking method; Individuals with pertinence or training methods of the group such as training, short-term training class, teaching by correspondence of the school,etc., and by provincial and city health authority confirm and offer and accept training organization, speciality, discipline, adviser of tasks ' Teachers) When. In addition, it is accepted that organization, commune hospital and personnel who participates in training of training need to make the training plan together. While the training plan carries out, the training organization needs to check and rate the personnel who participates in training constantly, in order to adjust and optimize the training plan. Young tiger points out the mat, the sustainability of the mode that guarantee to be trained, the primary condition is to create the good policy environment, set up effective hypervisor, implements strict control measures, responsibility reaches the hillock, the task reaches people, thus guarantee each performs its own functions in province and city, health clinics in towns and townships,etc., make the regional health clinics in towns and townships defend the staff training of the skill to implement in a planned way finally. Chain: Set up the standardization of regarding basic skill as guidelines and is trained and can be divided into 10 steps: The first step is distributed task to by the commune hospital. The second step is defended skill personnel and contrasted the standard to examine by oneself oneself. Hospital administrator makes up the technological group to spot check and check in the third step. The fourth step and defend skill personnel to list the task list that can't standardize operation together by technological group. 5th classify the task list not standardizing operation by commune hospital and technological group commonly ' Divided into generality question and individual character question) . The sixth step and defend skill personnel to make the training plan by technological group, and commune hospital and county hospital implement the concrete training method ' Comprise, for example, and receive a training, run training class, video to study and train, Panel discussion, specific guidance,etc.) . Seven steps from county hospital, commune hospital, trainer, lasting skill personnel, groups technological to train together. The eighth step is appraised by technological group and achievement to training of administrative staff. Until commune hospital, technological group and defend the intersection of skill and personnel according to finish, make the new training plan by training plan situation and commune hospital assigned new task ninth. The tenth step enters circulation of the higher ladder according to new training demand.

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