What questions will be asked in the structured interview of health system? What questions do you often take in the basic knowledge interview of nursing specialty?

1. What are the key problems to be solved in the current medical and health industry reform?

Reference answer

Grasp and apply the law of supply and demand of medical and health services in the development of socialist market economy, distinguish and adapt to the health needs of different levels of people, adjust the scale and structure of health service industry in time, and improve the utilization efficiency of health resources;

Establish and improve the health input and compensation mechanism to adapt to the socialist market economy;

Study the regulation mechanism of health development and correctly guide the competitive behavior of medical and health services.

2. What are the main contents of China's current urban medical and health system reform policy?

Reference answer

Implement regional health planning, strict access system, and implement health and safety industry management.

Medical institutions are divided into profit-making and non-profit management. The government of non-profit hospitals gives appropriate financial subsidies, enjoys preferential tax and fee policies, and implements government-guided prices for medical charges. For-profit hospitals operate independently and the prices are liberalized.

Straighten out the supervision system of health law enforcement, set up health supervision offices, and strengthen the supervision function of health law enforcement. Establish centers for disease control and strengthen prevention and health care.

Hospital drug procurement is subject to unified bidding, and outpatient pharmacy is managed by two lines of revenue and expenditure.

The reform of personnel system in health institutions will implement the target responsibility system and full employment system during the leadership term and reform the labor distribution system.

At present, people all over China have the problem of "difficult and expensive medical treatment". Could you please briefly explain the reason for this phenomenon?

Reference answer

At present, the problem of "difficult and expensive medical treatment" strongly reflected by ordinary people is caused by long-term accumulation of various reasons. The main reasons for this phenomenon are as follows:

The development of medical and health undertakings is unbalanced. At present, 80% of the national medical resources are in cities and 20% in rural areas; High-tech, advanced equipment and outstanding talents in the medical and health field are basically concentrated in big cities and hospitals.

The financial input is seriously insufficient and is decreasing year by year. The proportion of government investment is much lower than that of developed countries and most developing countries.

The development of medical insurance is slow. In 2005, the number of medical insurance for urban workers was 654.38+0.3 billion. Together with 50 million civil servants and employees of public institutions who enjoy free medical care, about 200 million urban residents have medical security. The population participating in the new rural cooperative medical system is small, and the guarantee ability is very limited.

The production and circulation of drugs and medical devices are out of order. There are more than 4,000 pharmaceutical manufacturing enterprises, more than 8,000 pharmaceutical wholesale enterprises and 65,438+200,000 pharmaceutical retail enterprises in China. The cost of these enterprises needs to be maintained through market operation, and drug prices cannot keep rising.

The operating mechanism of public hospitals is unreasonable, and there is a tendency of profit-seeking. On the one hand, the government's annual appropriation only accounts for 7% ~ 8% of the hospital's total income, and the remaining 90% is obtained by the hospital's own medical services; On the other hand, the government does not care about the hospital's income and expenditure, and allows hospitals to charge and distribute freely.

Lack of government supervision over the medical market.

In recent years, vicious incidents caused by food hygiene have occurred frequently in society. As a candidate for the public health department, please talk about how you think food safety should be improved.

Reference answer

Food safety is a big issue related to people's livelihood. From "big head milk powder" to "Sudan red", from "Nestle milk powder" to "golden snail", people's nerves are stimulated again and again, and the sense of responsibility of merchants is also being tortured. I think, to improve food safety and hygiene, we must pay attention to the following aspects:

Actively carry out the formulation of agricultural product standards. In 2006, the agricultural sector focused on formulating general standards such as market access standards, methodological standards and production guidelines for major agricultural products, which promoted fair trade in agricultural products and ensured quality and safety, and accelerated the construction of agricultural national standards and industry standards systems. We will promote the scale of base construction, the environmental harmlessness of producing areas, the standardization of production processes, the institutionalization of quality control, the branding of product circulation, and the productization of production and operation.

Actively promote the construction of agricultural products inspection and testing system. In accordance with the key projects in the outline of the 11th Five-Year Development Plan, the agricultural sector has implemented the planning of agricultural product quality and safety inspection and testing system, further strengthened the construction and improvement of the material system, and comprehensively improved the inspection and testing ability and level.

Continue to strengthen the supervision of agricultural inputs. Controlling the source pollution of agricultural products is the first pass to supervise the quality and safety of agricultural products. The supervision of agricultural inputs in agricultural sector strongholds is organically combined with the quality and safety management of agricultural products, the supervision system of agricultural inputs is improved, the special rectification work of agricultural inputs is carried out in depth, and the behavior of manufacturing, selling and using fake and shoddy agricultural inputs is resolutely cracked down to purify the agricultural input market. Adopt modern circulation methods such as chain operation to improve the market share of high-quality inputs.

Vigorously promote the construction of market access system for agricultural products. The market access system of agricultural products is the main direction and effective way to promote the "pollution-free food action plan" and strengthen the quality and safety supervision of agricultural products under the new situation.

Pay attention to rural food safety. It is necessary to take strengthening rural food safety as an important task in building a new socialist countryside, strive to establish a quality and safety prevention and control system for rural food markets, constantly improve and standardize rural food sales facilities and conditions, and promote the prosperity, stability and safety of rural food markets.

5. Clindamycin Phosphate Glucose Injection produced by Anhui Huayuan Bio-pharmaceutical Company not only did not bring happiness to patients, but caused the whole society to question the drug quality management. What do you think of this matter?

Reference answer

In recent years, major medical cases have occurred frequently, which has become the focus of the whole society. From this, we also realize that the problems existing in the medical field are not the problems of a certain link, but may be systematic, that is, the whole medical management system, system and even the concept of two supervisors, especially in the field of drug quality management. To solve the problem of drug quality management, we must change the traditional concept of drug quality management, clarify the responsibilities of relevant subjects in all aspects of drug management, and straighten out the overall mechanism of drug management. Of course, national supervision is not the whole of the quality management system, and production and operation, medical institutions and their medical workers should bear their due responsibilities for drug quality. Only on the basis of clear responsibility, can we improve the responsibility consciousness of relevant subjects, urge the responsible person to really play the role of drug quality supervision in the responsibility link, and decompose large-scale drug quality supervision and inspection work into all links and subjects. Therefore, only by fundamentally rationalizing the interests and rights and responsibilities among drug regulatory authorities, producers and operators, medical institutions and medical workers can the people use safe drugs and prevent similar incidents from happening frequently.

After the operation, the nurse found that there were only six pieces of gauze left, and she remembered that it was obviously seven pieces. The doctor said I was the director or you were the director. what do you think?

Reference answer

First of all, it should be affirmed that the nurse's serious and responsible attitude is correct. If a piece of gauze is really forgotten in the patient, the consequences are unimaginable. The attitude of being responsible for patients is the basic medical ethics that doctors should have. For the doctor, it is necessary to verify the correctness of what the nurse said with the attitude of thinking for the patient under uncertain circumstances. The relationship between doctors and nurses is equivalent to the relationship between leaders and subordinates, which implies that as leaders, we should carefully analyze the suggestions made by subordinates and adopt correct suggestions, while as subordinates, we should calmly treat the different opinions of leaders and analyze them correctly. Obey the leadership on non-principled issues, and reflect major principled issues to superiors. If your correct opinion is not adopted, you won't work passively.

Seven, when you were on duty, you already had a lot of things in your hand, and the head nurse gave you an important thing. What would you do?

Reference answer

As a nurse, it is inevitable to encounter such a situation, which requires us to do our best to overcome the difficulties and complete the task on time and with good quality.

I should believe that this is the negligence of the head nurse, or that there are too few people for me. Treat it correctly and don't complain. If there is no conflict between several working hours, I will handle it according to the principle of which is more important.

If possible, when dealing with new tasks, first adjust the things at hand and see if you can squeeze in time to finish them. If overtime can be solved, add overtime.

If it is really not possible, explain the situation to the leader, and colleagues will assist or undertake other tasks. If I do the most suitable thing, please ask the head nurse to coordinate and hand over my affairs to others.

8. Doctors often hide their illness from patients. what do you think?

Thinking guidance

Viewpoint 1: From a psychological point of view, most patients will fall into despair after learning that they are terminally ill, and even refuse to continue receiving treatment. Therefore, it is beneficial to cooperate with the treatment to conceal the patient's condition properly, but if the patient already knows and insists on asking, the doctor should respect the patient's right to know, gently tell him his condition, and give more guidance to help him tide over the psychological difficulties.

Viewpoint 2: First of all, I don't think doctors should hide their illness from patients. The reason is very simple. Based on medical ethics, doctors can't hide their illness. In addition, if you don't tell the patient about your illness, how can you get the patient's cooperation? The key lies in when and how the doctor tells the patient. At Harvard, I once met an example: a patient had cancer, and the doctor thought for a long time and decided to tell the patient the sad news slowly. Therefore, doctors encourage patients and introduce the progress of treatment to him every day, and the disease develops from simple to in-depth Gradually, the patient had a real understanding of his illness, accepted the fact calmly, and finally passed away peacefully. Doctors have also done a lot of meticulous work for patients' families and obtained their cooperation.

Nine, Engels said: "From some small things, we can see a person's good quality." Please talk about your experience according to the characteristics of nurses' work.

Thinking guidance

For nurses, small things are really important, and everything should start with small things. No matter big or small, it is related to the overall situation. This is especially true for a person who has just started working. I think this sentence can also be derived as: "some small things can show a person's bad qualities." Quality is an abstract noun and a comprehensive conclusion drawn from countless small things. It makes sense to see the big from the small. I believe everyone is a talent. The key is to use the right place.

Ten, the wise man said that if a person wants to be happy, he must regard himself as others, others as himself, others as others, and himself. How do you understand it?

A: To think of yourself as someone else and others as yourself is empathy. When encountering misunderstandings and contradictions, you should put yourself in others' shoes. Only in this way can hostility be turned into friendship, and you can feel the same when others encounter difficulties or success. This is the person who cares about others, and others will care about you. Treating yourself and others as others is the courage to take responsibility. Never shirk your responsibility to others, never be jealous of others' advantages over yourself, and never take what belongs to others for yourself. In short, people who get happiness know how to choose. The wise man told us such an open-minded and healthy attitude towards life. Zhang Yunhe, Shen Congwen's wife, has a very good saying, which is the three secrets of happiness, similar to this. Don't punish yourself for other people's mistakes, don't punish others for your own mistakes, and don't punish yourself for your own mistakes.

Eleven, you are very professional, and your leader is not familiar with the technical operation, often let you do this and that, making you at a loss. What would you do?

Everyone has his own strengths, and the leaders are not familiar with the technical operation, but the leadership organization and coordination ability is indeed stronger than mine. It is not surprising that this phenomenon exists in practical work, and it should be acknowledged and accepted.

Because the leader is the decision-making and organizer, and I am the executor and the person who completes my specific tasks, I generally try my best to adapt to the work plan and tasks assigned by the leader;

The work plans and tasks issued by the leaders violate the technical operation rules, and blind implementation may cause losses or accidents, and it is necessary to persuade the leaders to change or refuse to implement them;

Communicate with the leader frequently, and exchange and discuss with him (her) on technical knowledge and technical operating procedures, so that he (she) is familiar with technical knowledge and technical operating procedures, and put forward more constructive opinions for his (her) reference before arranging and allocating each work plan.

Twelve, suppose you work in a unit, outstanding achievements, affirmed by the leadership. But at the same time, you find that your colleagues are increasingly isolating you. What do you think of this problem? what are you going to do？

Outstanding achievements, it is definitely a good thing to get the leadership, and work harder in the future.

Check whether your enthusiasm for work is greater than your enthusiasm for communication between colleagues and strengthen communication between colleagues. * * * The same hobby.

Not doing other people's work at work hurts other people's self-esteem.

Stir up trouble before you stop leading.

Be ready to help others.

Personal contact with leaders should not be too excessive, resulting in an image of flattery.

Thirteen, please combine the current situation of rural health work in our city, and talk about your thoughts on strengthening rural health work.

Answer the main points

Accelerate the construction of tertiary medical, prevention and health care institutions in rural areas.

Strive for financial investment in rural health work at all levels.

Strengthen the construction of rural health team and constantly improve the professional and technical quality.

Further promote and improve rural cooperative medical care and various medical compensation systems.

Fourteen, one winter night, you received a telephone report from the duty room of the health department: a chemical reagent explosion occurred in the workshop of a factory in the suburbs, and more than a dozen wounded people were rescued at the scene. If you were the deputy director of the health department on duty, what measures would you take?

Answer the main points

Immediately organize the first aid team to go to the scene to rescue, and notify the relevant hospitals to prepare for receiving the wounded.

Report the situation to the director and higher government departments at any time.

Rushed to the scene to organize rescue, and arranged to transport patients according to the urgency of the injury.

Contact the on-site commander to fully grasp the casualties.

Fifteen, nearly a thousand people in the student canteen of a university in our city have food poisoning, ranging from dizziness, abdominal pain, vomiting and diarrhea to coma and blood pressure drop. The situation is very urgent. In this regard, the superior instructed the Municipal Health Bureau to organize the medical staff of major hospitals in the city to do their best to rescue them. The city bureau has decided that you are responsible for organizing the rescue work. Please put forward the measures to carry out the work.

Answer the main points

Notify the major hospitals urgently by the quickest communication way, explain the tasks, prepare as soon as possible, and receive emergency treatment.

Cooperate with public security and other parties to investigate the causes of poisoning, analyze and identify poisons, and provide basis for targeted rescue.

Organize, distribute and transport patients.

Symptomatic rescue (such as oxygen inhalation and infusion). ) should be carried out before finding out the poison, and notify the hospital for targeted rescue after finding out the poison.

Keep abreast of the development and treatment of the disease, such as organizing expert consultation and dispensing drugs.

Report to the Ministry of Health, accept criticism and guidance, and inform all units in the city to take warning.

16. Now that AIDS is spreading rapidly, there are more and more drug addicts in China. In order to prevent AIDS, the state distributes needles to drug addicts free of charge in areas with serious drug abuse to prevent the spread of AIDS. Some people think that this is connivance for drug abuse. What do you think of this?

Reference answer

As we all know, drug abuse not only has a great impact on a person's health, but also makes it easy to get AIDS if you take drugs through intravenous injection. According to relevant statistics, 30% of AIDS patients are drug addicts. It can be said that drug abuse is the main route of transmission of AIDS.

The government's free distribution of needles in areas where drug abuse is serious has great positive significance in preventing the spread of AIDS and has played a good role in prevention and treatment, which should be affirmed.

However, I think it is more important to treat the symptoms. In addition to these basic preventive measures, the government should first make efforts in publicity and education, and publicize the dangers of drug abuse and AIDS prevention regularly or irregularly, especially in rural areas with weak health awareness. Secondly, the government should set up relevant departments to find drug addicts and send them to drug rehabilitation centers for compulsory detoxification. Finally, the public security department should intensify drug control and cut off the route of drug transmission.

1. As a medical worker, what advantages and disadvantages do you think you have?

I am a medical worker, engaged in medical work, able to contact all kinds of people, and often deal with some unexpected events, which makes me have a strong ability to treat people, calm when things happen, clear thinking, crisp and neat, serious and steady, and patient.

I have a strong team spirit, I can establish a cooperative relationship of mutual trust with my colleagues, I have good listening and communication skills, I can interact with others, I enjoy information and honor, I work hard, I can finish my work in time, I am willing to help my colleagues and undertake work other than myself, and this spirit has been improved and perfected in my work.

As the saying goes, no one is perfect, and I also have shortcomings, such as shallow social experience and little work experience. Only by constantly discovering and correcting ourselves and learning from others sincerely and humbly can we overcome our shortcomings and constantly improve ourselves.

When you were on duty, an emergency patient suddenly fainted in front of you. How did you handle it?

It's normal to encounter this kind of thing at work. I want to handle it calmly, quickly and properly, and I can't panic.

Immediately check the patient's vital signs to see if they are stable, and report this situation to the chief physician on duty in the hospital.

If the patient's condition is stable, I will work with the nurse on duty to deal with the patient's condition accordingly.

If the patient's condition is critical and serious, I should immediately contact the doctor on duty in other departments and ask for assistance in treatment.

You can't leave your post without permission during treatment, and you can't arrange your own shifts. If the patient needs to be examined by our company, I should report the situation to the doctor on duty and leave after approval.

3. You are an emergency medical worker. When you are on duty, your relatives and friends have something urgent to ask you. What would you do?

Ask friends and relatives carefully, understand the specific situation and nature of emergencies, and then make corresponding judgments.

If this urgent matter is related to my occupation, such as relatives being unwell or injured, I will deal with it according to the situation on duty at that time and the priority of illness. I will deal with serious patients first, and I will never give priority to my relatives because of my personal relationship.

If it is a personal matter, I will explain the principle of our emergency duty to my relatives. Be sure to stick to your post and not leave your post without leave. See if you can help him deal with it after work. I believe my relatives and friends can understand.

If it's really urgent, I'll ask the chief doctor on duty in the hospital for leave, and I can leave my post only after the leaders on duty agree and arrange relevant personnel to replace me.

After you are hired, what preparations will you make if you are transferred to the countryside to support agriculture?

As a new doctor, it is very necessary to exercise at the grass-roots level, and the work at the grass-roots level is also very important, so I will not complain, but exercise at the grass-roots level with a positive attitude, and enrich my grass-roots experience through this exercise and lay a good foundation for better work in the future.

Access to relevant information, in-depth understanding of national rural policies and measures.

It is to understand the overall economic development of the township through relevant departments, such as the Statistics Bureau.

It is to go deep into the fields to understand the actual situation, understand the ideas of the masses, understand the local weak links, and formulate their own work plans and key issues in their work.

5. What do you think of individual medical workers accepting red envelopes in violation of regulations? What would you do if you were in this situation?

The phenomenon of accepting red envelopes exists, but this situation is individual, not universal, and most doctors refuse to accept red envelopes. In recent years, the health authorities have repeatedly used "receiving red envelopes" as an excuse to carry out rectification of unhealthy trends in the industry. From the establishment of a report phone to the establishment of an honest account; From hiring social supervisors to unannounced visits; The Law on Medical Practitioners in People's Republic of China (PRC) stipulates that doctors may not take advantage of their positions to ask for or illegally accept patients' property or seek other illegitimate interests. The problem of collecting red envelopes has changed a lot in recent years.

Most hospitals are public, and the normal income of doctors depends on their qualifications and professional titles. Capable doctors do more work and don't get much, which is one of the reasons for receiving red envelopes. The social environment has caused doctors to receive red envelopes. In fact, the root cause of receiving red envelopes is not doctors. Patients often have the view that doctors will not seriously see a doctor unless they give him a red envelope. Actually, this is a misunderstanding.

In such a situation, I will explain to the patient that I will never accept red envelopes, and explain to him that even if the real patient does not give red envelopes, the doctor will take care of the patient's life. This is our professional ethics, and it is also the minimum criterion for a doctor.

6. When you were on duty, what would you do if you found mass nitrite poisoning?

Immediately report this situation to the college leaders, including the approximate number, location and severity of poisoning.

Immediately contact the chief physician on duty, report the specific situation, and request the chief physician on duty to inform all departments of the hospital to be prepared to rescue a large number of patients.

To rescue patients, we should prioritize, rescue the seriously injured first, and at the same time, we must get in touch with the patients' families as soon as possible.

Inform hospital security personnel to maintain order, and pay attention to appease family members' emotions to prevent the situation from expanding.

What happens in this process should be reported to the superior at any time.

Seven, the country is vigorously developing community health, the city health bureau decided that from this year, all newly recruited medical staff must serve in township community health centers for five years. Do you think you have a greater role in the community or in the municipal hospital?

The state vigorously develops community health services, which is a policy that benefits the country and the people. As a new doctor, it is very necessary to exercise at the grassroots level, and the work at the grassroots level is also very important. So I won't complain, but go to the grassroots to exercise with a positive attitude.

I think we should look at it dialectically. Working at the grass-roots level can enrich my grass-roots work experience, improve my basic business level and lay a good foundation for better work in the future.

However, municipal hospitals are exposed to a variety of diseases, have relatively more opportunities for exercise, and their professional level can be greatly improved, because they can play a greater role with the accumulated experience in the community.

8. What do you think is unreasonable in the hospital where you practice? How did you handle it?

In the process of internship, I found that there were few facilities for the disabled in the hospital where I practiced.

In view of this situation, I first made a survey with my classmates, such as counting the number of disabled people who entered the hospital within a week and asking them to fill out some questionnaires.

After the investigation, I will write a detailed investigation report and submit it to the hospital, analyze the patient's satisfaction and the equipment that needs to be added, and put forward practical plans for the hospital's reference, hoping that these situations can be solved by the hospital.

9. A salesman of a large pharmaceutical company came to your department to sell drugs, claiming that he had established contacts in the hospital, and other colleagues received red envelopes. As long as you prescribe more medicine for me, you can get a proportional commission. I was just about to give you a red envelope when my colleague came in. What should you do?

I will explain to pharmacology that I will never accept red envelopes. As a medical worker, I have the minimum professional ethics.

Take the initiative to communicate with colleagues, explain that this is the first time such a thing has happened, and ask colleagues how to solve such a thing next time.

Conduct self-reflection to see if there is anything wrong with your usual speech or behavior, which has caused a wrong impression and misunderstanding on pharmacology.

If this phenomenon of accepting red envelopes does happen, I should suggest to the hospital to improve the relevant system.

In today's society, medical disputes have become a hot topic. what do you think?

The occurrence of medical disputes and medical accidents is inevitable, especially in recent years, affected by many factors, the incidence of medical accidents has shown an obvious upward trend.

By analyzing all kinds of medical disputes and accidents in recent years, we can almost find lessons from responsibility. Work is not serious, the system is not implemented, talk casually, don't talk about skills. Therefore, I think to do a good job in preventing medical disputes, we must strengthen the sense of responsibility of all kinds of personnel at all levels.

No one wants to see the occurrence of medical disputes because the wishes of both doctors and patients are the same. As a doctor, we must strengthen communication, mutual understanding and trust with patients and children. Medicine is a highly specialized field. Patients should first trust and abide by the doctor's entrustment, actively cooperate with the doctor's treatment and examination, and at the same time understand some common sense of diseases. As for the "doctor's parents", doctors should also treat anxious patients with a cordial and patient attitude, and advise them to explain clearly to their families when doing relevant examinations and treatments. Only in this way can disputes be prevented subjectively, thus ensuring the smooth progress of medical work, allowing patients to get timely treatment and recover as soon as possible.

Xi. the popular H 1N 1. You are from the Health Bureau. How to organize publicity activities? What are the key problems?

At present, the popularity of H 1N 1 has caused global spread. First of all, we should attach importance to this matter ideologically, vigorously publicize how to prevent it, and talk about some conventional treatment principles.

Make plans on the time, place, objectives, departments to be coordinated, necessary funds, selection of activities personnel, specific forms and contents of activities, and report them to the leaders for approval.

Make preparations, coordinate various departments in advance, apply for funds, select and train staff, contact grass-roots departments such as streets and ask them to assist in this work. And print some brochures to facilitate on-site distribution.

In the process of implementation, do a good job of organization and coordination to ensure the complete success of the activity.

After the activity, we should summarize it in time, report to the leaders and sum up the experience and lessons.

12. What should you do if you suddenly find a patient suspected of H 1N 1 in the outpatient department?

First of all, keep a calm mind and don't panic. It is normal to meet such patients in the hospital.

Tell the patient in a euphemistic tone that other tests are needed, and then take him to another room for isolation.

Report the situation to the superior immediately and explain that the patient has been isolated.

Inform the patient gently that he may have HIN 1 and need other tests to make a diagnosis. I hope he can cooperate with our work, isolate him and stop walking around.