"We are old, and it is inconvenient to go to the hospital to get medicine, can we let the doctor see a doctor and prescribe medicine in the neighborhood committee?"
"Can my GP increase the number of chronic disease follow-ups?"
"In addition to doing a physical examination, can the doctor talk about medication taboos and health knowledge?"
In the Huatangyuan community of Meilong Town, many elderly people over 65 years old, especially those with chronic diseases, have put forward some urgent needs for professional medical services. Wang Ting, deputy to the People's Congress of Meilong Town and secretary of the Huatangyuan Neighborhood Committee, listened carefully to the voices of residents, and put forward the "Suggestions on Further Improving Community Public Health Services" at the fifth meeting of the Sixth People's Congress of Meilong Town after visiting and researching, hoping to enrich the grassroots strength of community public health and increase the publicity of basic public health service projects.
The "Proposal" came to the Meilong Community Health Service Center through circulation, and coincidentally, the Meilong Community Health Service Center is planning to "set up community public health affairs assistants in grassroots units". What is the current state of progress and what benefits are the residents enjoying?
Community Public Health Affairs Assistant
Seventy-eight communities have been allocated, and their responsibilities have been clarified
The essence of setting up community public health affairs assistants in grassroots units is to benefit the people, benefit the people, and facilitate the people. At present, 78 communities in Meilong Town have set up community public health affairs assistants. So, what kind of services will this position provide? The Meilong Community Health Service Center issued a document clarifying the responsibilities of this position.
The community public health affairs assistant is an assistant who undertakes non-medical affairs in the community public health service, and the work content is mainly to assist the family doctor (team) to carry out the publicity, launch, appointment, registration and other public health projects such as health examination for the elderly, colorectal cancer screening, and management of patients with severe mental disorders; Assist community public health committees and family doctors in health centers to carry out other work (delivery of medicines to residents, temporary special work, etc.), and assist in carrying out basic medical care, basic public health, and health management.
At the same time, in order to ensure the quality of service, the family doctor team of Meilong Community Health Service Center will also evaluate the work of community public health affairs assistants. Wang Ting introduced that since the establishment of Huatangyuan's community public health affairs assistant, it has helped the itinerant medical team and family doctors to do a good job in publicity, mobilization, appointment, registration and other transactional work
The work efficiency has been significantly improved
Seniors can register in the morning and get their medicine in the afternoon
It is understood that the Meilong Community Health Service Center is currently equipped with 85 family doctors and 28 family doctor assistants.
However, compared with the huge elderly population in Meilong Town, family doctors and assistants have a large workload, resulting in many elderly people not being able to see a doctor and get medicine in time. The addition of community public health assistants has helped them share a lot of work and improve the efficiency of primary care.
Regarding the improvement of work efficiency, Meilong Community Health Service Center has done data research: since the community public health affairs assistant joined, Meilong Community Health Service Center has made quite good progress in the four key tasks of physical examination for the elderly over 65 years old, community tour medical projects, family doctor contracting, and management of patients with severe mental disorders: the number of people over 65 years old has increased by 10% year-on-year, and the contract rate of family doctors has increased by 9.92%; The number of roving medical service sites has increased by 16 neighborhood committees compared with 23 years, and the number of roving trips has increased from 2,290 in the fourth quarter of 2023 to the first quarter of 2024
In addition to meeting the basic medical service needs of residents, residents also put forward needs for medication guidance and health education. Wang Ting also made it clear in her proposal to "increase the publicity of basic public health service projects". In the next step, they will continue to integrate the resources of experts and doctors, provide personalized lecture services for more communities, strengthen the popularization of scientific knowledge of health care, enhance the health awareness of the masses, and let residents change from focusing on "treating the disease" to "treating the disease", so as to better improve the health and well-being of the people.
With the establishment of community public health assistants, what services do older people enjoy?
"Now it's much more convenient to see a doctor and get medicine than before, you don't have to go so far, you can get the medicine prepared by the doctor at the neighborhood committee at your doorstep. "Grandma Wang, who is in her 80s in Huatangyuan Community, suffers from chronic diseases, and used to go to a hospital 3 kilometers away every two weeks to register for medicine, but now she only needs to find a family doctor to dispense medicine every Thursday morning when the family doctor goes to the community for medical treatment, and she can get the medicine in the afternoon of the same day.
Uncle Shen, who is in his 70s, has no longer had to go to a tertiary hospital 1 hour away from his home to get medicine since he signed a contract with a family doctor. ”
Wang Ting introduced that the work faced by the community public health affairs assistant is a more concrete and small affairs, according to the different medical needs of different elderly people, and the community public health affairs assistant will continue to refine the work content to help more elderly people solve the problem of seeking medical treatment.
"Upgrading" of primary medical services at the "doorstep"
Bringing health care closer to residents
Provide timely health protection for the elderly
This kind of intimate, meticulous service
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Contributed by Mei Xiaoxuan
Editor/Preliminary Reviewer: Yue Shunshun (Intern)
Re-examiner: He Tingting
Final review: Mao Jie