Summary of work > Summary of half-year work

Work of the Health Bureau in the first half of the year


The work of the Health Bureau in the first half of the year and the work arrangement year of the second half of the year is a crucial year for thoroughly implementing the scientific development concept and accelerating health reform and development. Under the correct leadership of the district committee and the district government, the business guidance of the municipal health bureau and each With the assistance of the medical units at the level, the District Health Bureau has successfully completed the tasks for the first half of the year. In accordance with the spirit of the Fourth Plenary Session of the Sixth Session of the District Committee, it will further accelerate the reform of the health system, promote the development of health care, and improve the health quality of the people. The goal is to focus on the health work objectives, the whole system is united, the ideas are clear, the work is solid, and all the health work has made new progress. The work situation in the first half of the year is summarized as follows:
I. Taking a new step in the reform of the medical and health system This year, we adhere to the tenet of “hospital development and public satisfaction”. Due to the system, we have continuously deepened reforms, released vitality, and promoted institutional innovation, mechanism innovation and management of medical institutions in our district. Innovation,
1. Focus on getting rid of the difficulties and grasping reforms. On the basis of earnest research and repeated argumentation, the district hospital has set up the first outpatient department of the whole hospital in the Datun area, which is large in scale, complete in equipment, complete in medical, nursing and technical personnel. The opening of the month will enable the hospital to develop and utilize social public welfare resources, broaden the medical market, open up new ways, and enable the poor to enjoy new ways of rescue medical services, and guide the hospital to the track of self-survival and benign development.
2. Focus on resource adjustment and grasp reform. With the renovation of Wolong area, Wolong Hospital has been relocated as a whole. Currently, the demolition party has reached an agreement to provide certain compensation. Wolong Hospital provides medical and health services to local residents in the two community health service stations of Yanfang and Erfang. The transformation of Wolong Hospital provided a platform for the re-allocation of medical resources in Wolong area and fostering new economic growth points, which effectively promoted the development of the hospital.
3. Strengthen medical quality management. We regard medical quality management as the entry point for transforming functions and changing styles, strengthening the legalization of basic research and medical services, in accordance with the requirements of the Administrative Measures of Benxi Medical Institutions and the Implementation Plan of Benxi City Medical Market Clearing and Reorganization. In order to implement special rectification in a standardized, orderly and effective manner, 11 medical units were investigated and dealt with in the first half of the year, including 3 illegal medical practitioners and 8 rectified, effectively purifying the medical market, gradually improving the early warning mechanism for medical safety, and localized management. The medical accident acceptance program was standardized. The Health Bureau accepted 15 medical disputes in the first half of this year, which made a new breakthrough in medical quality supervision.
From January to June of the year, the number of medical treatments was 24,392; the utilization rate of open beds was 17.3%; the rate of treatment improvement was 94%; the success rate of critically ill patients was 100%; the medical accident was zero; the business income was 1.99 million yuan.
Second, the rural health reform and development steadily promoted the rural health management system reform gradually deepening, the actual situation of the village clinics mostly for rural doctors, the district in September last year realized unified business management, unified medical documents, unified drug procurement channels The unified management of loose rural health organizations, such as unified drug prices, unified rules and regulations, and unified charging standards, has been recognized by the municipal bureau. On this basis, this year, the existing rural health clinics were gradually implemented and rectified. The Health Bureau purchased medicine cabinets for Taidi Village, Liangjia Village and Weining Village, beautifying and brightening the village clinic, improving the medical environment and inspiring The enthusiasm of the village doctors, effectively strengthen the construction of the tertiary medical preventive health network, and carry out the pilot of the suburban health service city, from passive services to active services, from the waiting for patients to the door-to-door service, providing medical care, prevention and protection for rural residents. All-round health services such as ship rehabilitation, health education, and family planning guidance have laid a solid foundation for achieving the goal of primary health care for everyone in XX--20nn, and have achieved practical results based on health support for agriculture and poverty alleviation. The medical poverty alleviation action deployed in the district freely sent medicines to the three old ones, the poor people and the old people's homes in the three towns to publicize medicines, publicize medical knowledge, and diagnosed and treated more than 300 patients, and distributed medicines worth 10,000 yuan.
Third, the community health service system has been continuously improved With the increase of new residential communities, community health service stations have also been established. In the first half of the year, three new community health service stations have been set up in our district. At present, there are 17 community health service stations in urban and rural areas, ranking the whole city. The first. This year, under the guidance of the Municipal Health Bureau, relevant measures and standards have been formulated in accordance with the “Regulations on the Administration of Medical Institutions” on community health institution category standards and community health institution management practices, and the supervision of community health services has been strengthened, from community health agency personnel and technology. Strengthening access management, transforming service concepts, strengthening the concept of professional ethics, focusing on implementing various rules and regulations and technical operating procedures, guiding community health service personnel to establish a people-oriented "family, love" service concept for community residents Provide humanized services.
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IV. New achievements in disease prevention and control system construction At the beginning of this year, the Mingshan District Epidemic Prevention Station has officially changed its name to the Mingshan District Center for Disease Control and Prevention and the Health Supervision Office. Two brands and one institution, focusing on disease prevention and control, strengthen the health supervision system. Reform, change work functions, base on their own duties, and perform their duties.
In the prevention and treatment of infectious diseases. On the basis of strengthening the direct online reporting of the epidemic situation last year, the information analysis of infectious disease epidemics was carried out from January of the year, and an epidemic briefing was made every month, and the dynamic changes of the epidemic situation were analyzed. In the prevention and treatment of epidemic hemorrhagic fever, according to the spirit of the city government's instructions and the "implementation plan for vaccination in areas with high incidence of epidemic hemorrhagic fever in Benxi City", combined with the actual situation of our district, the implementation of vaccination in the high incidence area of ​​epidemic hemorrhagic fever in Mingshan District was formulated. The program mobilizes and coordinates the various departments of the society to organize, plan and systematically carry out epidemic hemorrhagic fever prevention and control work, and vaccinate 21 villages and 4 communities in 2 towns and 4 sub-district offices respectively. The number of vaccinations in the district should be 21.349, and the actual number of vaccinations is 11.438, and the vaccination rate is 54.3%. At present, vaccines are replanted in communities and villages with an incidence of more than 200/100,000, and the vaccination rate is over 90%. Work is in progress. The incidence of hemorrhagic fever has dropped significantly. A total of 415 infectious diseases occurred in the region from January to May, with an incidence rate of 119.5/100,000 and a six-injection rate of 99.1%. The local disease monitoring, disinfection monitoring, and four-hazard monitoring all completed the work indicators for the first half of the year. In early June, there were cases of brucellosis in Datun Village, Wolong Town, and the district government attached great importance to this work. The Provincial Center for Disease Control and the Municipal Center for Disease Control and Prevention sent people to Datun Village to drain, and a total of 107 people were collected. Being tested.
Food hygiene supervision work. From March to June of the year, the district has a total of more than 6,500 health check-ups for food and public employees, completed 93% of the number of people inspected throughout the year, and re-issued 1,133 health permits, completing the total number of households in the year. 61%. At the same time, in accordance with the requirements of the Food Sanitation Law and the Administrative Licensing Law, the procedures are strictly enforced, and improvement suggestions are made to those who do not meet the requirements. After the improvement is signed by the director, the supervisor can sign the opinions before issuing the hygiene. The license is to be supervised and the responsibility is to the people. In the first half of the year, three administrative penalties were imposed, a fine of 4,000 yuan, and 81 households were ordered to rectify and two households were banned.
Vigorously carry out special rectification of food hygiene. In March this year, it carried out special rectification of school canteens, drinking water and food industry households in the school three times. For 15 self-provided water source units in the area and Daqiang Lake in Wolong Town, drinking water in Jinkeng Village Health supervision was carried out, and the disinfection rate was only 27%. For this reason, the CDC issued a health supervision opinion to the water supply unit and ordered it to be corrected within a time limit.
V. The maternal and child health work has been continuously consolidated and improved. This year's work for women and children in the whole district is centered on the implementation of the "One Law and Two Programs", focusing on controlling maternal mortality, further strengthening the business training of grassroots maternal and child health workers, and improving the maternal and child health care network. In accordance with the requirements of the System for Responsibility for Maternal Death Faults, the sense of responsibility of governments and health administrators at all levels has been enhanced. In the first half of the year, 553 high-risk pregnancies were screened out, all system management and hospitalization were delivered, and several cases were not coordinated due to health. Bureaus, health stations, and hospitals have attached great importance to them and have been promptly and effectively controlled.
Indicator completion: 665 pregnant women, 662 registered, 579 system management, system management rate 86.81%; birth weight 20 children, the incidence rate is 3%; birth defects 7 people, the incidence rate is 10.5 ‰; pregnancy 1 maternal death; 667 live births per year, 4 infant deaths, 6 infant mortality rate; 664 postpartum visits, 99.55% visit rate; 86.43% systemic health care rate for children under 3 years old; 5 years old The following children's malnutrition survey 4822 people, 9 malnourished, the incidence of malnutrition is 1.9 ‰; 8767 children under 7 years old, health care management 6580 people, health care management rate is 70.05%; breastfeeding 414 people, breastfeeding rate 86.07 %; 951 children in the nursery school newly entered the park, 951 health checkups; 194 staff members, the health check rate is 100%; the care and inspection rate of the nursery school is 100%.
Our district is the provincial child death monitoring point. The three network monitoring and statistical work are in the forefront of the four districts. In this year's maternal and child health work inspection, the company achieved good results and was highly appraised by the higher authorities.
Sixth, science and technology to achieve new results
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"The country is talented, the government is governed by talents, and the industry is talented." Strengthening the construction of the talent team and creating a team of health professionals that the party and the people can trust are the key to the success of the reform and development of the health industry. In accordance with the relevant provisions of the Municipal Health Bureau's "Benxi City Continuing Medical Education "xx" Project and the "Regulations on Continuing Medical Education", the Health Bureau has strengthened the management of personnel science and education, and increased the continuing medical education in various forms and ways in health reform. With regard to the important position and role of propaganda in development, from the perspective of long-term development, more emphasis will be placed on continuing medical education, and organizational implementation, personnel implementation, and work implementation will be implemented. All units actively participated in various short-term trainings organized by the Municipal Health Bureau. District hospitals, district hospitals, and maternal and child health stations now have employees in the municipal direct hospitals to study clinical advanced knowledge. At the same time, the Health Bureau made full use of the existing health and medical education resources, and carried out a series of training and education activities based on the principle of “four new” and “three natures”. In the first half of the year, it mainly carried out various types of infectious disease prevention knowledge for employees of the whole system. And professional knowledge such as sanitation and isolation. Organized training for infectious disease prevention knowledge training and medical waste treatment in factories and mines, individual clinics and branches in the jurisdiction. On May 30th, the Municipal Health Bureau organized an evaluation and inspection of continuing medical education in our district, which was well received.
VII. Industry style construction highlights new highlights In the first half of this year, as the first unit to participate in the education to maintain the advanced nature of party members, a total of 67 party members from the Health Bureau and affiliated units actively participated in this educational activity and vigorously carried out “taking patients”. The educational activities on the theme of “centering”, “dedication and dedication, and medical treatment for the people” have further strengthened the awareness of the service objectives of the majority of party members and medical personnel, and the relationship between the party and the masses and the relationship between doctors and patients has been improved. Enhance the integrity of medical staff through in-depth study of the "Civil Moral Construction Implementation Outline", "medical staff medical ethics" and "medical staff" six bans and health administrative law enforcement personnel "eight inaccuracies" and other relevant provisions on the construction of the style of work The concept of service, human services and emotional services enhances the core competitiveness of hospitals. District hospitals took the lead in implementing the popular consultation and accompanying consultation services. The hospitals implemented the “Sunshine Project” for medical and health service charges, conscientiously implemented the medical and health service price management regulations, and strictly eliminated irrational drug use, which is unreasonable. Check and discard the behavior of valuable drugs. In the city's special treatment of medical charges, there is no wrong project in our district to effectively protect the vital interests of the masses and establish a good image of medical workers.
While affirming the achievements, we are also clearly aware that there are still many contradictions and problems in the development of health in our district. The main manifestations are as follows: First, public health is relatively weak, and the health management mechanism under the socialist market economic system has not really The formation, the second is insufficient medical input, equipment shortage, lack of talents, regional medical units still lack of advanced medical testing equipment, few college students, lack of medical staff, rural medical teams are also unstable; third, the transformation of health functions And the construction of health administrative management capacity needs to be further strengthened. Some medical units are not well managed, lacking long-term development plans, and the mind is not enough to liberate and restrict the development of health care. In the second half of the year, we must attach great importance to these issues and take effective measures to solve them seriously.
Working arrangements for the second half of the year:
With the implementation of the scientific concept of development, the government's functions have also changed. From the past economic-led government to the social welfare service-oriented government, the main function of the government is to develop social undertakings and maximize the material culture of the people. Need to promote the all-round development of people and achieve coordinated development of economy, population, resources and environment. Health undertakings are an important social welfare undertaking, which has a bearing on the vital interests of the broad masses of the people and the overall situation of the development of the whole region. All units and departments must attach great importance to it, carefully organize and implement it, and actively promote the continuous development of the health industry. In the second half of the year, we must concentrate on the following aspects:
I. Deepening the reform of the urban medical and health system This year, the municipal government has requested to promote the transformation of the general hospitals below the second level to the community health service centers. The medical institutions in our district will flexibly choose different forms of restructuring according to different situations and conditions. should. Encourage and support social capital to participate in the reform of the property rights system of the hospital, revitalize existing assets, broaden the development space, effectively mobilize the enthusiasm of the health personnel, enhance the vitality of health institutions, and continuously meet the multi-level and diversified health service needs of the people. The purpose of hospital development and public satisfaction.
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Practically strengthen medical management, take the “Management Year” activity of the Ministry of Health as an opportunity, adhere to the patient-centered, on the basis of continuously improving the quality of medical technology, standardize medical service behavior, optimize medical service processes, and improve the quality of medical services throughout the process. Maximize patient needs. We will strengthen the administration of medical administration according to law, review and re-examine the past institutions, prohibit illegal joint ventures, lease, contract and conduct departmental activities, prohibit undocumented medical personnel from engaging in medical activities, and ensure the safety of the people.
Second, vigorously promote the construction and development of the rural health service system to take the whole year of the rural health year as the starting point, comprehensively promote the construction of rural health service system, further strengthen the standardization construction of township hospitals, and truly achieve the four matching of personnel, housing, facilities and funds. The construction of Grade A village clinics strives to reach more than 75%. At the same time, to strengthen the training of rural health technicians and transform the rural health service concept and service model, it is necessary to implement two five-in-one in management, and one to implement five in service management. The integration of five rural key tasks, such as strengthening the management of rural health institutions, implementing the implementation of primary health insurance, implementing rural health organizations, implementing new rural cooperative medical care, and promoting community health service models, promotes each other and comprehensively Development; Second, the implementation of the five-in-one service content, that is, around the center of rural people's health, the combination of medical, preventive ship rehabilitation, health education and family planning technical guidance, to provide farmers with convenient, fast and continuous And cheap comprehensive health care services.
Third, urban community health services must have new breakthroughs in the second half of the year, will cooperate with the newly established Community Health Service of the Municipal Health Bureau to study and formulate the “xx” development plan for community health services in Benxi City, and further determine the development goals and strategies of community health services in the district. Actively seek government funding support.
Before the end of September, the municipal three hospitals and municipal occupational hospitals should complete the pilot work for the transformation to the community health service center. According to the localized management, the district health bureau will participate in this work to improve the service model, strengthen the service function, and standardize the service management. To give play to the role of the community in human care, health education, etc., to provide the people with health care services that integrate prevention and protection of the ship, plan for childbirth and common and multi-incidence prevention and rehabilitation, and ensure basic medical care for community residents. Health needs to be solved at home. Continue to carry out the training of general practitioners and general nurses, and continue to carry out the activities of creating provincial demonstration community health service stations to achieve rapid improvement of levels and levels.
Fourth, continue to strengthen the construction of the public health system, do a good job in disease prevention and control work, focus on the construction of the public health system, work hard to improve functions, further improve emergency response capabilities, implement various prevention and control measures, and strengthen plague, cholera, and AIDS. Prevention and treatment of major epidemic diseases such as epidemic hemorrhagic fever, tuberculosis, viral hepatitis, brucellosis, etc., should take vaccine immunization as a key prevention and control measure, further strengthen the monitoring and prevention and control of the epidemic, and extensively carry out hemorrhagic fever vaccination. Meet and exceed the vaccination rate standards set by the City Council. Increase the knowledge of prevention and treatment of hemorrhagic fever, and cooperate with Aiwei to effectively control the occurrence of mouse-borne diseases. The awareness rate of universal AIDS knowledge should reach 80% in cities and more than 45% in rural areas. Modern tuberculosis control strategies have a population coverage rate of 100%, achieving 70% of patient discovery goals.
V. Continue to strengthen maternal and child health work In accordance with the requirements of the Municipal Bureau, strengthen the construction of obstetrics in township hospitals, strive to make the maternity equipment of township hospitals in our district meet the provincial standards, further improve the construction of village-level maternal and child health care networks, and urge governments at all levels to pay attention to Rural maternal and child health work, with female village doctors to ensure maternal and child safety, and effectively reduce maternal mortality, infant mortality, birth defects, and reduce maternal, infant and under-five mortality rates to 23/10 10,000, 11.4 ‰, 12.6 ‰.
Sixth, increase efforts to rectify the situation, establish and improve the education system for health personnel.
By maintaining the educational activities of the advanced nature of party members, all employees of the health system armed their minds with the important thinking of the "three represents," vigorously carrying forward Yang's spirit of doing their duty, saving the wounded, selfless dedication, rigorous and realistic, combined with the actual work of each unit, in the "optional action" Under the request, create distinctive service brands with unique characteristics, so that hospitals have characteristics, departments have brands, everyone has goals, further improve the service commitment system, and establish three levels of "hospital to society, department to hospital, individual to department" Service commitment system to maintain a good image of the health industry.
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Establish and improve the lifelong education system for health technicians, strengthen the training of in-service health technicians, continue to promote general physician education, continuing medical education, rural doctor education, strengthen job training, and improve the quality and skills of non-professionals in rural women and children. In order to establish the goal of the talent echelon structure, increase the talent introduction and training, and provide a solid talent guarantee for the development of medical and health undertakings.
In short, this year's health work tasks are still very arduous and arduous, and there are many difficulties and contradictions. However, we firmly believe that under the correct leadership of the district committees and district governments, as long as we are energetic and energetic, we will further emancipate our minds and seize Grasping opportunities, working with one heart and one mind, and working hard, will certainly create a new situation in health work and make new and greater contributions to speeding up the second entrepreneurial process in Mingshan District.

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