# Report # Introduction Improving medical services is the eternal theme of hospitals. As the organizer and practitioner of the Party's purpose of serving the people in hospitals, grass-roots party branches should actively participate in the actions to improve medical services and do a good job in serving the people. The following is a report on improving medical services compiled by KaoNet. Welcome to read it!
A report on improving medical services
Under the strong leadership of the county party committee and the county government, and under the specific guidance of the superior health administrative department, our bureau has established a new image of cadres in accordance with the "four major goals" and the "five spirits" new requirements of the county party committee and the county government, constantly improving the people's medical environment, improving the quality of medical services, and focusing on solving the problem of "expensive medical treatment" and constantly satisfying the people.
summary of the work in the first half year
(1) rural health work
1. According to the requirements of the second round of recruiting medical practitioners to work in township hospitals implemented by the Provincial Health Department and the Provincial Department of Finance, our county has recruited six new medical practitioners to work in township hospitals.
2. This year, we won the first batch of two sewage treatment and auxiliary facilities construction projects in township hospitals to expand domestic demand, with a total investment of 1 million yuan, and the central hospitals in Sanhui Town and Yongxing Town each have 511,111 yuan.
3. Expand the construction of domestic demand for seven health centers, including Baitu, Helin, Jingbian Town, Qingxichang Town, Sanban, tuxi and Yanfeng Town, with a total investment of 6.33 million yuan. It is estimated that the main project will be completed by the end of August.
(II) Urban Health Work
1. The reconstruction of the surgical building of the county hospital is a post-disaster reconstruction project of the Hong Kong government, which will be implemented after the Hong Kong government submits it to the Legislative Council for approval.
2. The urban community health service has been continuously improved. * * Jiangzhen Community Health Service Center carried out its work according to the basic project of urban community public health service in Sichuan Province, and carried out the baseline survey, chronic disease management, disease control and other aspects according to the prescribed plan, and sent 15 medical staff to provinces and cities to train general practitioners and general nurses.
(3) public health
1. The equipment and equipment of the infectious diseases department of the CDC and county hospitals have been strengthened, and the construction of the outpatient and inpatient comprehensive building of the county maternal and child health hospital has been accelerated.
2. The work system and work responsibilities of public health emergency plan have been further implemented. The Emergency Plan for Sudden Public Health Events in * * County Health System, Health Emergency Work System and Job Responsibilities in * * County Health System, Health Emergency Material Reserve Plan in * * County, Health Emergency Work Training Work Plan in * * County, Prevention and Control Response and Epidemic Disposal Plan for Influenza A h1n1 in * * County and Medical Treatment Work Plan for Influenza A h1n1 in * * County have been issued successively. Revised the "Emergency Plan for Food Poisoning in * * County", and truly prepared for the disaster and nip in the bud.
3. The construction of health emergency teams has been strengthened, and 236 medical rescue, disaster relief and disease prevention groups have been established, with 341 emergency personnel in counties, towns and townships. At the same time, the database of health emergency expert groups has been established with 49 personnel. More than 1,111 government functionaries, leaders in charge of county-level medical institutions and directors of emergency offices, and heads of township (center) health centers or public health section chiefs have been trained and tested for sudden public health emergency work.
(4) The new rural cooperative medical system has been steadily improved
1. Raising funds for participation. This year, the county participated 1.1197 million people, with a participation rate of 97.3%, and raised 76.1988 million yuan. Among them, individual farmers paid 2,219,411 yuan, county financial subsidies 4,411,111 yuan, central subsidies 35,971,111 yuan, and provincial financial subsidies 33,519,411 yuan were all in place.
2. compensation for farmers. From October to May this year, the cumulative number of beneficiaries was 325,225, and the compensation amount was 44.684 million yuan. Among them, there were 288,129 outpatient visits, and the compensation amount was 4,853,711 yuan; There were 4,661 special outpatient visits, with a subsidy of 984,211 yuan, 27,796 hospitalizations in the county, with a compensation of 31,434,611 yuan, and 4,749 hospitalizations outside the county, with a compensation of 8,411,511 yuan.
3, study and practice Scientific Outlook on Development, seriously solve the problem of "expensive medical treatment", and formulate the "Guan (! ) In order to further standardize the Interim Provisions on the Management of New Rural Cooperative Medical Institutions in the County and the Notice on the Compensation Work of New Rural Cooperative Medical System in 21xx, the problem of "expensive medical treatment" among the people has been effectively solved and good results have been achieved.
(5) The public health and major disease prevention and control measures are effective
1. We have successfully completed the tasks of medical isolation observation and home observation of Yan Yong, a citizen of our county, who has close contact with the confirmed cases of influenza A h1n1 in our province. The prevention and control of influenza A h1n1 has achieved phased results and has been well received by the county party committee and government.
2. The prevention and control of rabies has been strengthened. At the beginning of this year, there were 46,484 dogs in the county; From 1 to the end of April, * * * killed 11467 dogs (including 513 dogs in restricted areas and 88 dogs injured people and animals); There are 35,726 dogs (including 692 new dogs, 164 ornamental dogs and 72 guard dogs). Among the existing dogs, there are 25,584 immunized dogs, with an immunization rate of 72%; * 19491 dogs; There are 21,931 tethered dogs. There were 857 person-times of dog injury exposure, and 857 person-times of standardized treatment after dog injury exposure, with a standardized treatment rate of 1.111%; There were 1 cases of dog injury to livestock. 13 cases of violation of the Regulations on Prevention and Control of Rabies in Sichuan Province were handled, 13 administrative punishments were imposed, and 851 yuan was fined.
3. Publicity, supervision and inspection of key infectious diseases such as tuberculosis, AIDS and cholera have been strengthened, management has been further strengthened, and responsibilities have been fulfilled.
(6) remarkable achievements have been made in maternal and child health work.
1. On April 21th, our county won two first prizes in the city's 21xx annual maternal and child health information statistics work and neonatal disease screening work at the Dazhou Maternal and Child Health and Community Work Conference.
2. 2311 cases of neonatal diseases were screened, and the screening rate reached 42.15%; 68 maternal and child doctors in county-level medical and health units were trained in direct reporting of maternal and child health reports on the Internet.
3. Strive to reduce
maternal and infant mortality rates. From October to May this year, the hospital delivery rate was 81.13%, and the hospital delivery rate of high-risk pregnant women was 99.86%. The referral rate of high-risk pregnant women according to the prescribed procedures reached 98.5%; 695 high-risk pregnant women were managed, with a management rate of 99.86%; The rate of prenatal examination was 92.88%, and the rate of postpartum visit was 92.47%. The system management card establishment rate is 92.38%, and the card book recovery rate is 99%; The systematic management rate of pregnant and lying-in women reached 91.75%; 5178 cases were delivered by new method, the delivery rate of new method was 99.98%, and the incidence of neonatal tetanus was 1‰; There were 1 cases of maternal death, with a mortality rate of 21/111,111; 52 infants died, with a mortality rate of 1.4 ‰; There were 5111 cases of neonatal card establishment, and the card establishment rate reached 98.64%; The systematic management rate of children under 3 years old is 91.11%, and the growth and development monitoring rate is 99%.
(VII) Continuous improvement of medical service level
1. In order to improve the medical technical level and overall quality of rural doctors, this year, the professional knowledge of rural doctors was intensively trained, tested and assessed, which laid the foundation for the first renewal and registration of rural doctors in China.
2. Strengthen the institutionalization of hospitals, continuously improve the management level of hospitals and improve the quality of medical services. Open services, publicize charging standards and drug prices, strengthen communication and exchanges between doctors and patients, and let patients feel at ease when they come as much as possible, and be happy when they leave.
3. Pay attention to continuing medical education. In the first half of this year, 563 doctors' network cards have been issued. A mock examination was conducted for rural doctors' distance education students, which laid the foundation for graduation examination. Other advanced training work is going on normally.
(VIII) Voluntary blood donation was carried out in an orderly manner
From October to May this year, there were 892 unpaid blood donations in the county, and the amount of blood donated reached 295,911 ml, which met the clinical blood demand.
(9) Strengthening health law enforcement
1. Centrally cleaning up and rectifying the medical market. Two clean-up and rectification teams, led by Deputy Director Yang Ruqi and Deputy Director Qu Hailin, have been set up to clean up and rectify the medical market and entertainment places in the county, and have achieved initial results.
2. Strengthen health law enforcement. During the holidays of New Year's Day, Spring Festival, Qingming Festival and May Day, 211 health supervisors and 51 vehicles were dispatched. According to the requirements of the Food Hygiene Law and the Regulations on the Administration of Public Places, 285 restaurants, 4 supermarkets, 13 farmhouses, 5 hotels, 11 entertainment places and 2 tourist attractions were inspected, and the existing problems were ordered to be rectified in time.
3. Seriously carry out special rectification actions to crack down on illegal addition of non-edible substances and abuse of food additives in catering consumption, dispatch 138 health supervisors, supervise and inspect 785 households, supervise 49 samples of dairy products and 12 samples of hot pot bottom materials, and the qualified rate of samples is 111%.
4. Supervise and inspect food hygiene, drinking water and prevention and control of infectious diseases in 123 schools in the county. Through the inspection of school food hygiene, drinking water hygiene, infectious disease prevention and control work, the health permit holding rate is 111%, and the employment rate with valid health qualification certificate reaches 97.7%. Some suggestions are put forward for the problems existing in individual schools, and the rectification is implemented.
5. Strengthen the supervision and management of medical institutions and blood products. 319 health supervisors were dispatched, 41 vehicles were used, 216 medical institutions were inspected, 4 illegal medical practices were banned, 3 were ordered to suspend business, 12 were warned, 15 were rectified within a time limit, 73 kinds of drugs and 21 pieces of equipment were confiscated, and a fine of 53,411 yuan was imposed.
(11) The work of traditional Chinese medicine has been continuously strengthened
1. We have carried out the project training of popularization of appropriate technology of traditional Chinese medicine for common and frequently-occurring diseases at the grass-roots level in * * county, trained 61 teachers, and trained the teachers determined by 61 township (center) hospitals, community health service centers and 457 village health stations in batches. At present, medical and health units at all levels in the county are promoting appropriate technology of traditional Chinese medicine according to the arrangement of the bureau.
2. Sign up for the training of more than 111 on-the-job TCM clinical staff (under 51 years old) in the county to review four classic TCM works.
(11) Medical ethics has improved significantly
1. Actively explore and establish a long-term mechanism for building a clean and honest party style, and issued the Key Points of Discipline Inspection and Supervision and Rectification of Health System in the County of 21xx, and signed the Responsibility Letter for Building a Clean and Honest Party Style with the principals of all units.
2. According to the requirements of the County Commission for Discipline Inspection, combined with the in-depth study and practice of Scientific Outlook on Development activities, we will solidly carry out the activities of "learning advanced deeds of Comrade ying wang" and "case analysis and warning education activities of commercial bribery in health system" to build a solid ideological defense line for party member cadres to resist corruption and change.
3. The supervision and inspection on the disclosure of medical fees, standards and drug prices in various medical and health units have been strengthened, and the transparency of fees has been continuously improved. Strictly implement the provisions of Dazhou Medical Service Price.
4. Implement the responsibility system of first diagnosis, and the medical staff should receive it warmly and make careful diagnosis and treatment. Doctors guide patients to relevant departments for diagnosis and treatment for those who are not within the scope of responsibility, and there is no phenomenon of shirking patients.
5. Medical staff should treat patients according to their illness, check them rationally, and use drugs rationally, thus reducing the practice of over-prescribing and over-checking.
(12) Comprehensive management of urban and rural environment has been carried out in a solid way
1. Our bureau organized the leaders and deputy leaders of county-level medical and health units to study the Administrative Measures of the People's Government of * * County on Deepening the Comprehensive Management of Urban and Rural Environment (for Trial Implementation) and the Office for Investigating the Fault Responsibility of Comprehensive Management of Urban and Rural Environment in * * County (! ) Law (for Trial Implementation) ",what should I do around" carrying out the comprehensive management project of urban and rural environment? " In-depth study and discussion were carried out, and the responsibility and fault accountability were clarified. Every employee consciously implemented the responsibility and took the initiative to clean up the responsibility area, and the office equipment was stored neatly and neatly.
2. Insist on centralized cleaning and daily hygiene supervision of the responsible area every Friday, so as to ensure the cleanliness and order of the responsible area. In the daily health supervision, we publicize the purpose and significance of comprehensive management of urban and rural environment to the residents, improve their awareness of civilization, health and merit, and guide them to participate in the comprehensive management of urban and rural environment.
(XIII) The activities of in-depth study and practice in Scientific Outlook on Development have achieved remarkable results
On March 27th, the Health Bureau held a mobilization meeting of in-depth study and practice in Scientific Outlook on Development for county-level medical and health units, which conveyed and implemented the spirit of the mobilization meeting of the county party committee and government on in-depth study and practice, and at the same time, combined with the actual health work, issued the Implementation Plan of in-depth study and practice in Scientific Outlook on Development by the Health Bureau of * * County and the Schedule of Learning and Research Stage, which clarified the work objectives, steps and schedules. Do it according to the prescribed actions. In the study practice, leaders wrote 15 research reports, party member cadres wrote more than 311 learning experiences, held 8 study columns, 36 information briefings and 8 propaganda slogans. The theoretical level of all cadres and workers has been improved.
Second, the main problems
1. The rural health foundation in the county is poor, and the level of diagnosis and treatment is generally low. The health service capacity still cannot meet the needs of the people and needs to be improved urgently.
2. The shortage of medical technicians, the difficulty in introducing and losing grass-roots talents, and the shortage of total health resources make it difficult to recruit.
3. The local financial investment in health care is insufficient, and the township (center) hospitals are short of equipment, which can't meet the needs of public health emergencies.
Third, work arrangements for the second half of the year
1. Continue to study and practice Scientific Outlook on Development in depth, implement the new requirements of the "Five Spirits" of the county party committee and government, and establish a new image of cadres.
2. Do a good job in the comprehensive management of urban and rural environment and the special patriotic health campaign in 21xx.
3. Reception and handling of letters and visits. Complete the task of resolving the accumulated cases of letters and visits in an all-round way; Complete the proposals and motions of the county people's congress and the county CPPCC.
4. Start the rural maternity hospital delivery subsidy project in an all-round way. All medical units should pay close attention to the work of maternal and child health and implement it in accordance with the requirements of the May 26th "County Maternal and Child Health and Community Health Work Meeting".
5. Do a good job in the quality, safety and data accumulation of the central government's construction projects to expand domestic demand, prepare for the audit, and do a good job in the completion acceptance on time.
6. Improve the sanitary disposal capacity of unexpected accidents. Further improve various systems and plans, implement emergency equipment and facilities, carry out emergency drills, and improve emergency response capabilities.
7. Effectively control infectious diseases. Further do a good job in the prevention and control of various key infectious diseases, and prevent and control the outbreak of infectious diseases. It is required that the reporting rate of statutory infectious diseases should reach 111%.