Health Bureau work summary

Health Bureau work summary

Since the beginning of this year, under the leadership of the municipal party committee and the municipal government, under the specific guidance of the higher-level health department, the city’s health work has conscientiously implemented the spirit of the Fifth Plenary Session of the Party’s xxth session, and adhered to the scientific development concept as the guiding principle. The main line, with deepening reform as the driving force, invigorating the spirit, pioneering and innovating, solidly promoting various health work, successfully completing various health tasks, and achieved remarkable results. The health work in 2019 is summarized as follows:

I. Accelerating the pace of urban and rural health integration

Comprehensively promote the new rural cooperative medical work. At the on-site meeting of the Provincial Health Reform and Development Conference in January this year, the leaders of Xuezhong and Zhongwei Governor gave high praise to the new rural cooperative medical work in the city and put forward new requirements. The Municipal Personnel Bureau and the Municipal Office of the Municipality timely implemented and resolved the establishment of personnel of the new rural cooperative medical institutions at the city, county and township levels, which provided effective protection for this work. All the towns and towns in the 18 districts and counties except the Jinniu District and the High-tech Zone have started the new farmer's work. The number of farmers who should participate in the new rural cooperative medical system in the city is 5,621,100. The actual number of participants was 5.0045 million, and the participation rate was 89.43%. Among them, the participation rate of farmers in Jinjiang District reached 100%, Qingyang District, Wuhou District, Chenghua District, Wenjiang District, Xindu District, Dujiangyan City, Jixian County, Xinjin County, Longquanyi District, Qingbaijiang District, Chongzhou City, Daxie The participation rate of farmers in 13 districts and counties such as counties and Pujiang counties is over 90%, and the participation rate of two cities including Pengzhou and Handan is over 87%. From January to October of 2019, a total of 1,279,700 people were entitled to reimbursement of medical expenses among the participating farmers, and the medical expenses were reimbursed for 4,748,800 yuan. 2.145 million participating personnel began settlement settlement on July 1.) The new rural cooperative medical care of our city was awarded the first “Chengdu Outstanding Contribution Award”.

According to the situation of more funds deposited last year, in order to improve the reimbursement rate of township-level and district-level medical institutions, on the basis of in-depth research and scientific calculations, measures such as lowering the deductible line and raising the capping line have been welcomed by the public. Chenghua, Wenjiang, Shuangliu and Jintang also established a large-scale outpatient fee compensation system for outpatients with chronic diseases; Qingyang, Dujiangyan, Wenjiang, Xindu, Qingbaijiang and Pengzhou have established special compensation funds to increase the high cost of serious illnesses. The compensation of patients; Dujiangyan, Chenghua and Wenjiang further improved the rural medical assistance system, organically combined the cooperative medical care and the medical poverty relief system, and better solved the problem of medical treatment for vulnerable groups.

Further deepen rural health reform. The first is to formulate the "Chengdu Rural Health Planning", "Guiding Opinions on Optimizing Township Health Resources in Chengdu" and "Guiding Opinions on Rural Health Reform and Development in Chengdu". The second is to actively promote the reform of the rural health management system and operational mechanism. According to the Xindu and Qingbaijiang rivers determined by the municipal government as the pilot area for rural health reform, the bureau has held seven special sessions to revisit the reform plans of the two districts. Strengthen guidance on reform work. According to the plan, Xindu and Qingbaijiang began to reform the property rights system for the name-name hospitals. The rural health reform program in Pengzhou is being further demonstrated and improved. At the same time, the city's non-established township health centers were reorganized and arranged, and all districts and counties formulated reform plans according to local conditions. This year, the reform of the property rights system of non-established township health centers was comprehensively promoted. The third is to strengthen the capacity building of rural health services. First, strengthen the standardization of township hospitals. The “Standards for the Construction of Township Health Centers” was formulated. At the end of this year, except for the completion of individual projects due to project bidding and other reasons, the rest of the construction projects will be completed. Second, strengthen the standardization of village health stations. In accordance with the work objectives of the Municipal Party Committee and the Municipal Government for “doing practical things for the people”, the “Standards for the Construction of Health Stations in Chengdu Villages” was formulated, and the standardization construction of 30 village health stations was completed this year.

Strengthen urban health support for rural health. In-depth promotion of rural health counterpart support "seven one-year project", based on the strict implementation of the city doctors in the promotion of attending physicians or deputy chief physicians to the rural accumulative service one year system, based on the development of Chengdu, urban support for rural health counterparts The assistance program, the city and county hospitals regularly go to the countryside and village to carry out roving medical treatment. At present, 14 medical and health units at the municipal level have established counterpart employment support relationships with 14 key township township hospitals.

Establish a mutual aid fund for children's hospitalization, and realize the integration of children and children in urban and rural areas. In order to solve the medical insurance for the majority of primary and middle school students and infants and young children, in September 2019, the city officially launched the work of mutual support for children in the hospital, becoming the third city in the country after Shanghai and Beijing to establish a mutual aid fund for children, and the first in the country. A city led by the government and led by the department to carry out children's hospitalization mutual aid. Up to now, the city has 1,005,900 people participating in the children's hospitalization mutual aid, the participation rate is 76.05%, has been settled 5,705 person-times, the reimbursement amount is 1.857 million.

Second, the health project has completed a good year

Actively promote the annual construction of health projects. This year, around the "project year" determined by the municipal party committee and the municipal government, strengthen project planning, demonstration and introduction, earnestly do a good job in bidding management, and further increase the construction of national debt public health projects, disease control projects and medical treatment systems. In strength, the annual health project completed a total investment of 315 million yuan, successfully fulfilling the target tasks assigned by the municipal party committee and the municipal government at the beginning of the year.

The construction of rural health projects has progressed steadily. Completed the construction of 57 rural health service system projects, including 5 disease control system construction projects such as Longquanyi District CDC and Dayi County CDC, 5 medical treatment system infectious disease area construction projects, and National Debt Township Health Center construction project 33 There are 14 key town health center construction projects.

The construction of municipal health projects is progressing smoothly. Completed the construction of Chengdu Emergency Medical Rescue Center, Municipal Disease Control Center and Municipal Mental Health Center, with a completed area of ​​36,424 square meters; the main body of the city's integrated Chinese and Western medicine hospital has been completed; the municipal public health medical treatment center project has started construction; the city women's and children's medical center The demolition work is being carried out in a timely manner; the investment for the whole year was 266.11 million yuan.

Third, the public health system is improving day by day.

The construction of the health emergency system has been further strengthened. We will conscientiously implement the principle of prevention and unremitting efforts, unremittingly prepare for emergency response, implement various emergency measures, adhere to the combination of peacetime and war, and continuously improve the ability to respond to public emergencies. Improve 7 health emergency plans. Strengthen the construction of the health emergency team, set up the city's public health emergency database and health emergency team. The provincial and municipal leaders conducted observations with the provincial joint drills to deal with sudden large-scale traffic accidents, and the American Heart-to-Heart experts and Tianjin emergency command experts to carry out the Sino-US urban emergency rescue drills. For the district and county township hospitals, 480 emergency personnel were trained.

Establish an emergency command system for public health emergencies in Chengdu to achieve data collection and crisis judgment related to public health emergencies

Ding, decision analysis, command deployment, timely communication, linkage command, on-site support and other functions. The emergency response police handled 60 major public emergencies, including 29 major traffic accidents, 12 food poisoning incidents, 3 house collapse incidents, high-risk afp2 episodes of epidemics, and 1 anthrax; 14 incidents of 6 or less, 6 There were 7 large-scale incidents of 10 or less people and 39 large-scale incidents of 10 or more people, involving a total of 883 medical treatments. Timely handling of measles, poisoning, gas explosions and other events. After the outbreak of "human infection with swine streptococci" in Chengdu, the overall situation of strengthening leadership, active response, concerted efforts, scientific control, so that the epidemic has been effectively controlled and extinguished in a relatively short period of time. The bureau was rated by the provincial party committee and the provincial government as “the advanced collective for the prevention and control of swine streptococcal disease in Sichuan Province”.

The health law enforcement supervision system has been continuously improved. We will implement the "Outline for the Comprehensive Implementation of the Implementation of Administration by Law" and strengthen the construction of the health legal system in accordance with the "Chengdu 2019 Annual Administrative Work Plan". The Health Law Enforcement Supervision drafted the "Major Administrative Approval System for Chengdu Health Bureau" and the "Administrative Approval Work Program for Chengdu Health Bureau", and comprehensively implemented the major decision-making publicity system, the hearing system, the expert consultation system, the punishment case filing system, and the collective discussion system. Branches of the Municipal Health Bureau, deputy directors, government affairs center personnel, supervisors, etc. participate in the "Administrative Licensing Law" and other laws and regulations training. The qualified rate of training for leading cadres and law enforcement personnel is 100%, and the rate of certification for law enforcement personnel is 100%. The cleanup work involving the promotion of urban and rural integration, the project year's regulations and normative archives is completed; the Chengdu Municipality's Measures for the Administration of Infectious Diseases Drafting and submitting, combined with the strategic deployment of urban-rural integration, actively explore and improve the urban and rural health law enforcement system, and carry out pilot projects for grassroots public health system construction in Xindu and Qingbaijiang. Shuangliu County is the first to promote rural public health in our city. The system construction, the establishment of a district and township and county health clinics 21, greatly enhanced the grassroots law enforcement forces, public health supervision and management work fell to the grassroots.

Vigorously carry out health law enforcement work. Leading the food reassurance project and food safety special rectification activities, and conscientiously fulfilling the responsibility of the comprehensive coordination of the Municipal Food Safety Office, the large-scale rectification of the branch and the investigation and handling of major cases. We increased food supervision and vigorously promoted quantitative and hierarchical management of food hygiene. The city's 9,868 catering industry implemented quantitative and hierarchical management of food hygiene supervision, with an implementation rate of over 70%. In the five urban districts, 337 small and medium-sized food and beverage outlets in 32 demonstration streets in the high-tech zone have carried out standardized management of quantitative and grading, and awarded the awarding of units A, B and C. Actively explore the quantitative and hierarchical management of public places, and actively strive to be identified by the Ministry of Health as one of the 13 pilot cities for quantitative and hierarchical management of public places across the country. Comprehensive coordination of the municipal food safety supervision department, successfully handled food safety emergencies such as “problem turtle”, “Sudan red” food, and hot pot “cotton oil”. We will conscientiously carry out the health protection work for large-scale conferences and major events, and complete more than 189 tasks for health supervision and support throughout the year, including 37 party and state leaders and foreign guests, and 103 large-scale health guarantees for over 10,000 people. There were 505 species in 13 categories, and the cumulative number of meals was more than 3 million. Zero-recording of food-borne diseases and food poisoning incidents occurred.

Efforts will be made to promote the construction of a standardized service-oriented government. First, further clarification of the powers, the health administrative examination and approval matters from the original four departments to all the responsibility of the health window staff directly responsible for the initial review and the final review of most matters. The second is to strengthen the front and back-end forces to strengthen the connection work, reduce the intermediate links, and shorten the processing time limit. The third is to reduce the original 27 administrative examination and approval items to the current 22 items. The fourth is to amend the "Guidelines for Administrative Approval of the Municipal Health Bureau", strengthen the prior notice, and produce the "Notice of Pre-service for Catering Industry". The fifth is to simplify the six approval items, such as food advertisement certification review, foreign doctors' short-term medical licenses, and medical advertisements, from the promises to the ones. Sixth, the precautionary health examination and approval items for new construction, expansion, reconstruction and construction projects, industrial technology transformation and technology introduction projects have been reduced from 6-15 working days to 5-12 working days; licensed physician/practicing assistant physician registration approval, nurses The practice registration approval is reduced from 15 working days to 10 working days.

In the past year, the administrative department of the municipal government center has received 1,432 registrations for medical practitioners/practicing assistants; 359 medical advertisements have been accepted; 19 have been accepted for the examination and approval of sexually transmitted diseases; 860 food safety licenses have been accepted; 55 cases were accepted; 8238 cases were accepted for examination and approval of nurses; 484 cases were accepted for public places; 70 pieces were accepted for the examination of work permit for radiation equipment; 354 ​​were accepted for radiation work permit, and 237 were for health permit change, total 12113 Pieces. The approved projects will be closed within the time limit promised. The window staff of the Health Bureau received three banners from the public, and three people received the report from the government affairs center.

Fourth, all major health work has been comprehensively promoted

Actively carry out major disease prevention and control work. Focusing on prevention and treatment of cholera, tuberculosis, and AIDS, we will comprehensively carry out prevention and control of major diseases. In 2019, the incidence of acute infectious diseases in the city was 254.74/100,000.

Comprehensive prevention and treatment of AIDS, tuberculosis and cholera. Formulated the “Implementation Plan for the Implementation of the “Four Frees and One Care” Policy in Chengdu”, “Implementation Plan for Comprehensive Prevention and Control of AIDS in Chengdu in 2019”, and “Implementation Plan for Integrated Demonstration Zone for AIDS Prevention and Control in Chengdu” and other supporting archives and programs. The establishment of a methadone maintenance treatment pilot clinic has provided alternative treatment services for 302 drug users. AIDS screening was conducted on 27,094 paid blood donors and 20,836 “two-worker” personnel, and 111 cases of AIDS were screened. We will implement the medium-term goals of the national, provincial and municipal TB prevention and control plans, pay close attention to the two important aspects of patient discovery and treatment, and fully implement the Japanese aid project and the Global Fund project. In the city, 3,311 new cases of smear-positive patients were completed, the target tasks discovered by smear-positive patients were completed ahead of time, and the “Technical Plan for Prevention and Control of Cholera in Chengdu” was implemented to effectively increase the monitoring of cholera and strengthen the health education of the people. The city has been in the past 3 years. In the case of continuous cholera epidemics, there was a zero incidence of cholera throughout the year.

Focusing on the immunization program vaccination rate, the “five seedlings” basic vaccination rate is over 95%. The bird flu epidemic surveillance, personnel training and drills were effectively strengthened, and good results were obtained. At the same time, the management of dog injury clinics was strengthened, and 8270 cases of canine injuries were treated. To carry out the investigation of chronic diseases and the cause of death, and to develop a three-year action plan for the prevention and treatment of chronic diseases in Chengdu, and launched an intervention program for hypertension and diabetes.

The city completed a total of 81.97 million m2 of snail inspection, and found that the area of ​​snails was 9,726,800 m2, and strengthened the work of schistosomiasis control. The area was increased by 359,000 m2 compared with the same period of the previous year; the area of ​​snail-killing was 9,344,700 m2, and the investigation was completed 91.43. Ten thousand people; completed the expansion of chemotherapy by 127,300. Focused on strengthening the prevention and control of small schistosomiasis in China and health education; strengthening the joint prevention and control work, convened the "Chengdu, Leshan, Meishan, Deyang City schistosomiasis joint prevention joint control work conference", and set up four city joint defense joint control leading group And reached an agreement on joint control work. The provincial government's blood-stasis inspection team inspected the city's blood-defense work and gave praise. The city's incidence rate is stably controlled within 0/10,000 countries to basically eliminate malaria disease standards; the city has achieved the national standard for eliminating iodine deficiency disorders by districts and counties.

quasi. Pujiang and Anhui achieved the goal of national schistosomiasis transmission control on schedule, and Daxie completed the goal of schistosomiasis transmission control ahead of schedule.

Vigorously develop community health and promote the construction of urban medical service system.

1. Vigorously develop community health and promote the construction of urban medical service system. The first is to strengthen government responsibilities and implement relevant policies. The Opinions of the Chengdu Municipal Committee of the Communist Party of China and the People of Chengdu on Accelerating the Development of Urban Community Health Services were issued, and the development of community health work was the focus of the urban medical system reform. The second is to strengthen the urban medical system reform process. There are 16 medical institutions at all levels that have been transformed into community health service institutions. Some central urban areas have basically achieved the prototype of urban hospitals and communities. The third is to deepen the “six-in-one” function of the community and implement the “five health promotion work” into the community. Vigorously promote the prevention and treatment of chronic diseases, prevention and treatment of osteoporosis, balanced nutrition, rehabilitation of disability, and Chinese medicine services into community activities. The fourth is to standardize the management of community health service institutions and formulate the “Chengdu Community Health Service Work System and Responsibilities”, which has been recommended by the provincial health department to the whole province. The fifth is to create a national community health service demonstration zone as a carrier to promote community health services to a new level. Eighteen provincial community health service demonstration centers have been approved by the provincial health department. Sixth, relying on the Sino-British project and creating national demonstration advantages, improve and improve the poverty medical assistance system, and promote the connotation construction of community health service institutions. In the past two years, the poverty relief fund has reached more than 8.9 million. Seventh, the measures to implement the “three reductions and two exemptions” for community health services in Chengdu have been implemented, and more than 2 million yuan have been implemented; 8 general hospitals and 15 Chinese medicine institutions have been instructed to provide more than 30 community health service centers to establish effective two-way The referral mechanism gradually formed a pattern of “small diseases in the community, major illnesses entering the hospital, and rehabilitation back to the community”.

2. Strengthen the construction of the maternal and child public health system. First, increase structural adjustment and strengthen connotation construction. Continue to strengthen the practice standards of obstetric practice institutions, the city's obstetrics practice institutions from the original 434 to 299. The second is to strictly control personnel access and strengthen the construction of the pediatric team. The new entry personnel and the examination and examination of the obstetrics post training for practitioners will be changed from three years to once a year, and the dynamic management of obstetric practitioners will be implemented to strictly control the quality of posts. The third is to pay close attention to system construction and strengthen the quality management of obstetrics. Formulated the “Management Code for Maternal Death Assessment in Chengdu”, established maternal death report, on-site forensics, grading review, and sharing of resources. “In the rural areas, the project birth station was merged with the township health center, and the urban planning service station was established. Consolidation with community organizations. Fifth, maternal and child health information and monitoring network are sound. The city has established 570 three-network monitoring points to promote the construction of maternal and child health information network.

In 2019, the city received 71,601 person-times in total, the maternal mortality rate was 21/100,000, the infant mortality rate was 13.40‰; the birth defect rate was 10.31‰; the maternal system health care rate reached 80.58%, and the child system health care management rate Up to 88.42%, 986,561 cases of women's diseases were investigated; 232,890 person-times of family planning were carried out.

3. Continue to improve the construction of public health information systems. Launch the city's emergency public health emergency command system and medical information management system, the construction of children's hospitalization mutual aid system, realize the data transmission, processing, analysis and statistics of the municipal medical and health unit information management system, and provide data for the management of the health administrative department. Resources to achieve information resource sharing. The “New Rural Cooperative Management System” and “Drug Management System” were checked and accepted.

Strengthen drug bidding and price management. First, vigorously promote the “sunshine” procurement policy for pharmaceutical products. The procurement information is reflected on the Internet in a timely manner, subject to the supervision of the social and health administrative departments, and the results of the ratings are regularly announced to the public, and the relevant medical institutions are urged to regulate procurement activities. The second is to implement the "three networks in one", no longer distinguish between the classification of drugs for bidding, hanging nets, and filing, and synthesize the drugs in the above three categories into one catalogue for procurement by various recruiting and follow-up medical institutions. The third is to require all medical institutions that follow the standard to purchase online. The city recruited and followed the standard medical institutions to purchase 70.84 million yuan of drugs, including online purchase of 55.922 million yuan, accounting for 79.8% of the total purchase amount, exceeding the online purchase amount of the provincial drug recruitment regulations of not less than 70%. Claim. The city accepted the inspection by the provincial inspection team for the “medicine recruitment” work, which was fully affirmed by the provincial inspection team. Cooperate with the Municipal Price Bureau to further regulate the price of medical service items, and issue the Notice on Amending the Price of Some Medical Services in Chengdu to further standardize the charging behavior of medical services.

Strictly rectify and standardize the medical service market. The city dispatched a total of 7,692 law enforcement supervisors, dispatched 2,301 vehicles, and inspected 6,683 medical institutions, investigated and handled 951 medical institutions and family planning institutions that employed non-health technicians, and cleared 2 medical institutions in the contracted department. Conducted 5 cases of STD clinics, investigated and prosecuted 20 false advertisements, filed 603 investigations, confiscated 96.69 million yuan of illegal income, fined 445,100 yuan, revoked 2 licenses for medical institutions, and banned 1531 unlicensed medical practitioners. 2,200 boxes of medicines. 10 cases were transferred to the industry and commerce department.

Further strengthen medical quality management, actively carry out hospital management year activities, and evaluate and review hospitals at all levels in accordance with the "Hospital Management Evaluation Guide". Adhere to the release of medical information on the medical quality, workload and expenses of twenty-five hospitals at the provincial and municipal levels. 100% of the city's clinical blood comes from voluntary unpaid blood donation, the proportion of hospital blood transfusions reaches 68%; for the sputum-based blood stations with insufficient equipment technology and weak management, the three blood collection points in Wenjiang, Xinjin and Pengzhou have been cancelled and closed; The Department of Blood Transfusion was established in the city's general hospital above dimethyl. Continue to strengthen medical waste management. Do more than 120 large-scale conferences and events medical insurance work. Actively promote the city to support rural health and sanitation services to the countryside, and arrange 20 doctors from 10 majors in Jintang Hospital to go to the top three hospitals in our city for training, and improve the medical treatment capacity of county hospitals. Actively carry out the construction of the Minor Psychological Counseling Center in Chengdu. The “Implementation Plan for Medical Service Benefits of Chengdu Huimin Hospital” was formulated. On May 25th, Huimin Hospital was officially launched. The Sixth People's Hospital of Chengdu and the Tenth People's Hospital became the first batch of Huimin Hospital in Chengdu. Six old experts from the municipal medical units in the branch participated in the first “Silver Age Action” service group in Chengdu, and went to Yizheng County in the old revolutionary area to support doctors. At the same time, the branch-level medical units provided counterpart support to Yilong County to provide medical equipment value. More than 170,000 yuan.

Prepare the “xxx” health development plan. In accordance with the principle of “experimental planning, opening and editing, and scientific planning”, on the basis of clarifying the development plan of “xxx” development of Chengdu's health industry, we will conscientiously prepare and draft the plan. Convene deputies to the NPC deputies, CPPCC members and experts to solicit their opinions on the plan. At present, the plan has been revised and submitted to the municipal government before the end of the year.

Strengthen the exchange and cooperation of Chinese medicine with foreign countries. Chengdu Chinese Medicine was invited to the city of Linz, Austria to participate in the first China Traditional Chinese Medicine Exhibition. The exhibition of the Chengdu Traditional Chinese Medicine Medical Center in the 2nd International Conference on Modernization of Traditional Chinese Medicine was unanimously praised.

Seven, patriotic health work continues to deepen

Carry out comprehensive environmental sanitation. We carried out comprehensive environmental sanitation reform with the theme of “renovating environmental sanitation, raising health awareness, and building a harmonious Chengdu”. A total of more than 30,000 people were dispatched, more than 45,000 tons of accumulated garbage were removed, and more than 1.5 thousand unsanitary corners were cleared. Over tens of thousands of illegally set up stalls. Renovate 78 farmer's markets, and improve the city's environment. At the same time, vigorously carry out the work of four pest prevention, control more than 32,000 places of "four evils", and put 150 tons of various disinfectant drugs, so that the density of "four evils" can be effectively controlled. In the National Aiweihui Branch, it was well received in the inspection of the city's patriotic health work.

Extensive health education work. With the theme of health and disease prevention, various forms of health education were carried out, and the “Healthy Chengdu” column was opened on TV stations. The program was broadcasted for 180 times throughout the year, and 148 medical staff and health education workers were also attached throughout the year. In 35 towns and townships in districts and counties, activities to send health knowledge to the countryside were carried out. During the period of human-infected Streptococcus suis and flu epidemic in the city, 2 million copies of propaganda, 20,000 sets of health education siding, and 100 prevention and control discs were printed and distributed to towns, villages and communities. The majority of the people have mastered the prevention knowledge in a timely manner and effectively controlled the epidemic.

Comprehensively carry out rural water reform and toilet work. Focusing on the schistosomiasis area, pilot projects for toilet renovation projects were carried out in Qionglai, Pujiang and Datun. A total of 130,000 health education trainings were completed for the target population, and 8,200 households were built to improve the living environment of farmers. Focusing on the construction of key towns and towns, we will actively promote the construction of municipal health towns. Starting from grasping the infrastructure construction of towns, grasping the town safety and rectification, and grasping the standard management, seven municipal health towns have been built throughout the year.

Eight, party members "first education" activities have achieved remarkable results

Party members’ "first education" activities received practical results. In the activity of "maintaining the advanced nature of party members", we will focus on promoting the integration of urban and rural health and solving the outstanding problems of "difficulty in seeing a doctor and expensive medical treatment". In response to the six aspects of self-examination and the public's deficiencies, the bureau's leadership team held three meetings to study and formulate rectification plans. To solve the problem of "expensive medical treatment and difficult medical treatment" as a public policy commitment to rectify the advanced nature education activities of the municipal party committee and the municipal government, publicize it in the news media such as the Chengdu Daily, accept supervision from all walks of life, and focus on promoting new rural cooperative medical care and urban and rural areas. Positive measures were taken in the areas of medical assistance for the poor, strengthening the construction of urban community health service centers, standardizing the quality management of medical services and practicing behaviors, and achieved initial results. After democratic appraisal, the satisfaction rate of the state's advanced education activities was evaluated, and the satisfaction rate reached 96%.

Promote the construction of the style with the "first education" activity. Paying close attention to the soft environment governance, shaping the image of the civilized window, focusing on the investment soft environment survey and evaluation, the problems reflected in the health work in the “10,000 people's assessment”, the six special studies of the party group, seriously reflecting, actively rectifying and submitting to the municipal government Report of the Chengdu Municipal Health Bureau on Further Regulating the Behavior of Medical and Health Services. In order to control the unreasonable growth of medical expenses, the "Implementation Opinions on Standardized Diagnosis and Treatment Services and Medical Charges" was formulated, and specific requirements were put forward for rational use of drugs, inspections, and regulation of charges. Improve and implement the medical ethics inspection and inspection system. The campaign to create “National Civilized City” and “Integrity Model Hospital” has been carried out to enhance the image of the health industry.

Do a good job in supervision and management, and accept 115 letters and reports. 46 cases were accepted and 43 cases were settled, with a settlement rate of 93.5 %. Completed 4 economic responsibility audits for leading cadres. Strengthen the supervision of the construction of health projects.

Solidly carry out the "Party members into the Wanjia" activities. Adhere to the counterpart support work as an important part of the practice of advanced nature, the party members of the branch to the 邛崃, Jintang, Xiyuhe along the street community, Xihuamen community and other places of condolences, visited the help object and poor low-income households, sent last year And condolences. Visiting farmers, investigating the bottom, focusing on the development of ideas, family specific difficulties, etc., targeted assistance to the poorest villagers.

Working around the center of the Health Bureau, with the "maintaining the advanced education of the Communist Youth League members" as an important carrier, the youth skills training, ability training and "competing for efficiency, being an expert" activities were carried out, and won the Chengdu "Double Strike Double Innovation" branch award. The branch "Tianfu Red Ribbon", the prevention and control of AIDS volunteer recruitment activities, recruited 240 publicity volunteers. The ideological and political construction of the youth in the health system has been further strengthened.

Health Bureau work summary

In 2013, under the leadership of the district/city health department, the county party committee, and the government, we closely focused on the work of the county party committee and the government, and further promoted the pace of reform of the medical and health system. In accordance with the overall requirements of “guarantee basic, strong grassroots, and construction mechanisms”, Focusing on the health and people's livelihood plan, paying close attention to medical quality management, strengthening the party's style of work, implementing the objectives and tasks of the medical reform work, and comprehensively doing all the key health tasks.

I. Progress of key health work

The health and livelihood program is progressing smoothly. First, completed the task of building 257 standardized village clinics. At the same time, raising funds for the village clinics equipped with diagnostic tables and chairs, inoculation tables and 15 institutional cards, and strive to move in at the end of November; second, the smooth implementation of maternity and child health "six exemptions and one aid" policy. Free hospitalization for 6118 rural pregnant women in our county, free screening of 3 diseases for 5210 newborns in our county, free treatment for 6 newborns screened; 3,820 newly married couples in urban and rural areas of our county were examined for marriage The third is to complete the construction project of the outpatient building of Tianping and Huoshizhai Health Center. It has been completed and delivered for use; the fourth is to actively promote the construction of rural health information. An information network was opened for 25 township hospitals and two community health service stations.

The pace of deepening medical reform has been accelerating. Focusing on the overall thinking of “Strengthening the basic level, ensuring the basics, and building the mechanism”, we will further refine the objectives, strengthen our responsibilities, and conscientiously implement the objectives and objectives of the various medical reforms in 2019. The basic drug system has been continuously consolidated, and the proportion of medical reimbursement for medical and health institutions in the county has been greatly improved. The cancellation of drug additions at county-level public hospitals has progressed smoothly. The reform of public hospitals has achieved initial results, and the unreasonable growth of hospital medical expenses has been remarkable.

The key health work was implemented steadily. First, the healthy Ningxia action work was carried out in an orderly manner. On the basis of summarizing the experience of the first and second rounds of Ningxia's national action, the member units of the county, in light of the 39 activities of the eight rounds of this round, took the action of health and action as a starting point and widely carried out the dissemination activities of health knowledge. Second, the Chinese medicine service capacity project is progressing smoothly. The County Chinese Medicine Hospital completed the grade assessment and acceptance of the second-class hospitals of Chinese medicine. The County Chinese Medicine Hospital actively explored the establishment of a medical clinic, collected and collated relevant materials, and dispatched Chinese medicine professional and technical personnel to actively carry out the general survey of Chinese medicine resources in the county. Third, infectious disease prevention and immunization programs have achieved remarkable results. Our county has established a multi-sector emergency cooperation mechanism for health, agriculture and animal husbandry, timely improved the emergency plan, and actively responded to the epidemic situation, comprehensively prevent and control; strengthen personnel training, improve emergency support; strengthen early warning monitoring, and do a good job report The "three measures" have achieved the re-improvement of major disease prevention and control capabilities. Fourth, continue to carry out the work of “creating health”. We must continue to promote the “creation of health” in our county through the extensive construction of publicity atmosphere, increased infrastructure investment, implementation of greening and beautification projects, centralized special rectification, health education and vector control. The fifth is to complete the recruitment of health workers in our county. After written examinations, qualification review, interviews, etc., the competition for 181 positions was completed, and efforts were made to start in early November. Sixth, the food safety and sanitation supervision and law enforcement capabilities have been further improved. Food safety and health supervision and law enforcement activities, various training courses and various law enforcement activities were carried out. Seventh, it carried out various activities such as "learning the party's constitution and observing discipline" and the next three levels of "three, six, six, six gangs". Starting from the hotspots and difficult issues that the people pay attention to, we will further strengthen the relationship between the cadres and the masses, guide the cadres of the system organs to go to the grassroots level, and do practical and good things for the people at the grassroots level.

Second, 2019 health key work ideas

First, earnestly implement the health and livelihood plan. Complete the construction of the village clinic information network and the construction of the remote clinic system of the township hospital. On time, we will complete the task of “six exemptions and one aid” for women and children. The second is to speed up the key work of medical reform. Take strong measures to continuously accelerate the pace of reform of public hospitals and improve the basic drug system and new mechanisms for the operation of primary medical institutions. The third is to continuously strengthen infrastructure construction. Completed the new project of the Ninghe, Shizi, Hongyao Township Health Center Inpatient Department, East and West Street Community Health Service Station, and strive to expand the inpatient department of the County Chinese Medicine Hospital and the hospitals such as Wang Min and Ma Jianxiang. The fourth is to continuously consolidate the construction of the talent team. Complete the recruitment of medical and health units in our county, and the recruitment of health technicians in the air, and strive to solve the problem of old-age medical care for the village. The fifth is to vigorously promote various public health work. We will do a good job in prevention and control of major diseases and patriotic health work, further promote the work of “creating health”, continuously strengthen food safety supervision, and improve food safety risk monitoring capabilities.

Third, the main initiatives

In order to ensure the completion of the 2019 health key work, the Health Bureau will promote the overall health work next year by strengthening the “three in place”, improving the “four capabilities” and implementing the “five measures”.

Strengthen "three in place." First, arrange the deployment in place; second, pay close attention to implementation; third, assessment rewards and punishments are in place.

Improve "four capabilities." The first is to improve the overall ability of services; the second is to improve the ability of serving the public; the third is to improve the ability of service at the grassroots level; the fourth is to improve the ability of medical services. .

Implement the “five measures”. First, focus on implementation; second, strengthen responsibility and implement; third, improve the system and implement it; fourth, strengthen supervision and implementation; fifth, focus on progress.

Health Bureau work summary

In the 20th year, the * District Health Bureau, under the leadership of the district committee and district government and the extensive efforts of the cadres and workers of the health system, guided the spirit of the Third and Fourth Plenary Sessions of the Party and implemented the spirit of the National and Municipal Health Work Associations. We will implement the "people-oriented" scientific development concept, focus on strengthening public health construction, deepen the reform of the medical system, continue to promote the main construction goals, and successfully complete the various work indicators and tasks throughout the year.

First, solidly and meticulously promote the construction of the public health system, and the public health service will increase steadily.

The emergency public health emergency mechanism has been continuously improved, and public health emergencies have been effectively dealt with throughout the year.

In the handling of many public health emergencies throughout the year, the health system responded quickly and the measures were strong, and coordinated with the various departments of the district to effectively control the situation. The construction of the public health system with "one mechanism and four systems" as the core has achieved initial results, and the results of strengthening the construction of the public health system have been verified in practice.

In the avian flu epidemic and infectious atypical pneumonia epidemic that occurred in the early 20th year, the district quickly launched a public health emergency response mechanism, and the systems of disease control, health supervision, medical treatment, and information systems were closely coordinated. The network and the group network cooperated with each other. Under the leadership of the district government, they quickly controlled the epidemic situation in our district and ensured the safety of residents and the stability of social order. In the "2.5" Miyun major trampling casualty accident and the wounding of mental patients in Beijing Medical Kindergarten, the Health Bureau launched the * District Medical Treatment Network, urgently mobilized experts from the medical institutions in the district to participate in the rescue of the wounded, transporting critically ill patients, and starting the blood source protection system. The use of all parties in the region has effectively supported the rescue operation. Timely treatment of sudden acute intestinal infections in the district. In the case of a large number of patients and complicated conditions, the Health Bureau led a professional organization to conduct on-site sampling, environmental disinfection, and stream regulation. Due to effective measures, the district has no Continued infection cases quickly restored the normal order of the units concerned.

The annual health and disease prevention indicators have been implemented, and the preventive health care mechanism has been continuously improved.

Continue to maintain the high-quality and high-vaccination rate of the program immunization work, and carry out the investigation and re-cultivation of children who have not been immunized in the migrant population. Preschool children's "polio", triple, measles vaccination rate of 99.98%, neonatal BCG vaccination rate of 99.9%, no cases of polio, no drinking water pollution accidents and acute poisoning accidents. In order to prevent and control the outbreak of infectious diseases in summer, early training of personnel, inspection of equipment, to ensure that the outpatient clinic is open on time. Monitoring of high-risk groups of STDs and AIDS in the whole district. Continue to supervise the management of tuberculosis, and take preventive chemotherapy under the voluntary principle for those who are positive in the students of the Greater China University, and maximize the control of tuberculosis infection. Strengthen the prevention and control of infectious diseases and epidemic reports, and implement the direct reporting of infectious diseases. The rate of underreporting of infectious diseases in the whole region is less than 1%. From January to October, the incidence of Class A and B infectious diseases in the whole district was reported to be 380.*/100,000. The annual health and disease prevention work indicators in the * district are controlled within the specified range.

Continue to improve the preventive health work mechanism and advance various tasks. This year, the mental health work in our district has made new progress under the care of the city leaders. Improve the work network, district health, finance, public security, civil affairs, the Disabled Persons' Federation, the Education Commission and the sub-district offices and other relevant departments to further strengthen the understanding of the management of mental patients. A work program for mental health from 20* to 20* years was formulated to further clarify the work objectives. In order to prevent the occurrence of anecdotal events in mental patients, the mentally ill patients in the district were investigated and strengthened. Implement the mental rehabilitation project of the municipal government to do one of the practical things for the citizens, and send a specialist to carry out rehabilitation training for mental patients. Providing free services for impoverished mentally disabled patients. As of October, there were 1,353 free outpatient clinics for unemployed, non-reimbursable channels and non-revenue poor mental patients, with a total investment of 47,872 yuan. Strengthen disease prevention management in areas with concentrated population such as construction sites and bazaars. Relying on the community health service platform of the whole district, it will strengthen cooperation with large hospitals in the jurisdiction and actively carry out the control of chronic non-communicable diseases. Give full play to the basic role of health education and carry out health promotion activities in all walks of life. Innovate the maternal and child health work model, strengthen the guidance and management of maternal and child work institutions in the jurisdiction, reduce maternal and infant mortality, and carry out child birth defects monitoring. The scope of health care management has improved the quality of post-natal visits. We will safeguard the health rights and interests of female employees and carry out gynaecological examinations for more than 30,000 female employees in the district. Together with the District Disabled Persons' Federation, it completed the health screening of 1333 children aged 0-6 years in Yuetan area. The completion of maternal and child health work indicators in the region continued to maintain the leading level in the city.

Enrich the connotation of community health services, and further strengthen the public health network.

Taking the opportunity of “creating a national community health service demonstration zone with Chinese medicine characteristics”, the bureau digging deep into the Chinese medicine health resources in the jurisdiction, standardized 22 community station signs with Chinese medicine characteristics, and added Chinese medicine treatment equipment. Strengthen the training of Chinese medical knowledge and skills of community medical personnel in the district, and carry out pilot projects for teachers and train Chinese medicine professionals for the community.

The community health service software and hardware facilities were gradually improved. All the centers and sites were equipped with computers, and community health archives software was installed. The three-level network management platform between the health bureaus, centers and sites was basically formed. The district's community health service website was built to provide residents with medical guidelines and health guidance, publicize the situation of medical staff, and increase the standardization and transparency of services. With the support of the district government and the cooperation of the streets, the housing and housing rent problems that have long plagued the development of community health services have been solved.

In September and November, our district accepted the evaluation and acceptance of the “National Community Health Service Demonstration Zone with Chinese Medicine Features” at the city and national levels, and received high praise. Through the creation of activities, the community health services in the * district have been continuously innovated in management, and the connotation has been continuously enriched. The strength of the public health network has been further strengthened, and good social benefits have been achieved. Community residents have become the biggest beneficiaries.

Second, implement the objectives and tasks of comprehensive urban governance, and make every effort to ensure the safety of the medical market, food hygiene and safety of the system.

Health supervision and enforcement have been strengthened, and the market economic order has been effectively safeguarded.

In the areas of food hygiene, public places, drinking water, infectious diseases and disinfection, we will strengthen daily supervision and law enforcement, expand the coverage of health supervision and inspection of various units in the district, and increase the frequency of supervision. From November 2003 to October 20, the number of food hygiene units supervised reached 28,564, with a pass rate of 89.3%. There were 307 health administrative punishments, 50 kilograms of foods were seized, 77 drug devices were confiscated, 12 illegal medical practitioners were banned, and people reported in a timely manner. Quantitative grading management guidance and acceptance were carried out in the catering establishments throughout the district. By the end of November, 135 had reached the A-level standard. Special inspections were carried out in response to the unqualified milk powder incident in Puyang and the contamination of Vibrio cholerae in aquatic products. During the “May 1st” and “Eleventh” festivals, the food hygiene of the tourist areas such as the zoo, Beihai and Jingshan will be supervised to ensure that the citizens will have a safe and peaceful holiday. Strict law enforcement work has maintained the stability of the food market and social order in the * district, and successfully completed the guarantee work of important activities such as the "two sessions", "* international financial forum" and the Fourth Plenary Session of the Fourth Session.

The supervision of medical institutions is deeper and the safety of medical services in the whole district is guaranteed.

Standardize the practice of for-profit medical institutions, with medical quality and safety as the core, and review the medical institutions at the first and lower levels. There are 391 participating medical institutions in the district, and 294 have passed the review, and 97 need to be rectified. The annual medical institution verification and evaluation work will be combined to strengthen the concept of practicing medicine according to law, supervising the unqualified medical institutions to rectify in time, cleaning up a group of medical institutions that do not meet the regulatory standards, and penalizing the illegal acts. Through the review and verification, the management level of medical institutions and the safety of medical services have been greatly improved. According to the deployment of the Ministry of Health and the Municipal Health Bureau, the medical market in the whole district will be rectified to combat illegal medical practice, and the industry and commerce and drug supervision departments will clean up and crack down on illegal medical advertisements, rectify order, purify the medical market, and safeguard the legitimate rights and interests of the people. The medical quality supervision work has been deepened, the preventive measures for medical accidents have been improved, and the accident handling has been more rigorous and standardized.

Pay close attention to the system safety production management to ensure that the entire production is foolproof.

Adhering to the principle of safety first and prevention, we have carried out various forms of safety activities in the health system, conducting fire safety inspections, safety knowledge training and fire drills. Conduct practical drills on evacuation, disaster relief, medical rescue, etc. Implementing the post responsibility system, and signing the responsibility statement for the safety production target with the legal representatives of more than 40 medical institutions in the central, municipal, district, military, and civil affairs offices within the jurisdiction, on holidays such as May 1 and 11 Check the safety work plan and various safety facilities of all units to ensure that all production work is safe.

Third, the reform of the health system has been actively promoted, laying a solid foundation for further in-depth work.

The reform of the medical system of the system unit has been further advanced.

The Health Bureau actively coordinated with relevant departments on issues such as social insurance, retirees management and funding for employees of institutions, paving the way for reform. Held a seminar on medical and health system reform, and contacted with experienced medical management companies to conduct research on the actual situation of systemic medical institutions. Organizational system units study and inspect the experience of the system reform hospital, and create a reform atmosphere. In order to speed up development and coordinate with the new zoning adjustment, the Health Bureau actively studied the adjustment of regional health resources under the premise of the lowest cost, the shortest time and the best effect. Through integration, revitalizing resources, rationalizing the mechanism, and accelerating the development of district medical institutions.

The transformation of government functions and the continuous improvement of administrative examination and approval capabilities.

Focusing on the implementation of the Administrative License Law of the People's Republic of China, clearing administrative examination and approval items and adjusting work procedures. The public health examination and approval agency and online examination and approval were carried out. The Medical and Administrative Examination and Approval Service Office officially opened the office, perfecting and standardizing the handling of administrative licensing projects such as medical institutions, medical personnel and maternal and child health care. Eleven of the relevant work systems for the implementation of the Administrative Licensing Law by the District Health Bureau were formulated. All the administrative permit materials standards were published in the Economic Service Hall, and the Citizens Regulations Archives Free Request Column was established. The efficiency of government administrative examination and approval has been continuously improved to facilitate the handling of enterprises and the public and create a good market environment.

Fourth, rectification and construction, system spiritual civilization and construction of the wind in depth.

In the whole year, the Ministry of Health implemented the "Opinions on Strengthening the Work Style Construction of the Health Industry" and the deployment of city and district clean government rectification work, strengthened the construction of medical ethics, improved the level of medical services, and provided civilized and high-quality services to the people. We have carried out special treatments to correct unhealthy practices such as receiving red packets, drug rebates, billing commissions, and arbitrary charges in the field of medical services, and promoting the healthy development of medical and health services. A rectification work meeting was held in the jurisdiction to publicly commit to standardizing medical behaviors, hiring social supervisors, and intensifying supervision over the medical team and the health law enforcement team. Establish and improve the supervision mechanism and incentive mechanism to promote the long-term effective development of the system-wide spiritual civilization and industry style.

5. The main tasks were successfully completed.

From January to October, a total of 19,572 unpaid blood donations were organized. The blood donation on the streets has kept the number one in the city for many years. In the front of the zoo, the sixth street blood collection point in our district was added. The scientific and educational work achieved new breakthroughs. The Fuxing Hospital “Clinical Surgery Clinical Application for Basic Research” project won the National Science and Technology Progress Award, and the first district-level unit of the city was awarded this honor. He consciously accepted the evaluation and guidance of the District People's Congress on the implementation of the "People's Republic of China on the Prevention and Control of Infectious Diseases" and the "Regulations on the Handling of Medical Accidents".

In the year of 20*, the work of the Health Bureau was strongly supported by the district committee and district government, the attention of the CPPCC and the cooperation of various committees and bureaus, and the street system. In the good atmosphere of public health construction in the whole society, construction and Substantial progress has been made in the reform work, and many problems have been effectively resolved. The next few problems that need to be solved are as follows: the retirees of the district hospitals are burdened and need to solve the problem of their personnel management funds, so as to reduce the burden on the hospitals in the adjustment of health resources and promote reform; the employees of the district medical and health institutions The issue of social security has not been resolved and has become a bottleneck hindering the reform of the medical system; urban construction and reconstruction involve the relocation of the grassroots hospitals in the district, and the problem of relocation is urgently needed to be resolved.

Working ideas in 2005

In 2005, we will continue to implement the important thinking of the "Three Represents", adhere to the scientific concept of development, focus on building and promoting development, and focus on accelerating the work of the health system in the construction of "one mechanism, four systems" and upgrading the * area. The level of public health services promotes the new development of health in the district.

First, the work ideas:

Make full use of the advantages of regional resources, implement the “three integrations, two improvements, one transformation” concept of health resource adjustment and reform, integrate the resources of regional medical institutions, and strive for the lowest cost, the shortest time, and the best effect of the reform plan. The construction of "one mechanism and four systems" has been continuously improved.

Second, the main work objectives and work measures:

Strengthen the construction of public health systems, integrate health resources, and set up district preventive health centers. Completion of preparations for the establishment, function and operation mechanism of the new organization. Establish an emergency command center for public health emergencies in the * district, improve the construction of the emergency command system, and establish a permanent organization for information collection and analysis and emergency state command.

Complete the renovation and renovation of the public health building, and strive to enter the new address office in the first half of the year.

Actively promote the integration and adjustment of district medical institutions.

The district medical institutions will be positioned in the development of specialist and community health services, combined with the urban transformation of the * districts, rational adjustment of regional health resources, and improve resource utilization efficiency. Continue to carry out the infrastructure work of the Second Hospital and carry out the reconstruction and reconstruction of Erlong Road Hospital, Fengsheng Hospital and Dewai Hospital. The task of reforming and rebuilding the health system in 2005 was quite arduous, but it was also a good opportunity for medical institutions to complement each other's strengths. We will do a good job in the preliminary research and demonstration, make the resource adjustment scientific and reasonable, and cooperate with the new regional adjustment to meet the basic medical needs of residents in different neighborhoods.

Complete the adjustment and adjustment of the health supervision organization that adapts to the new division and put it into operation.

On the basis of the new administrative division of our district, we will realize the regional management of health supervision and law enforcement. It is planned to station a health supervision and law enforcement station in each of the seven streets in the district, and learn from the dispatch mode of industry and commerce and public security departments. The new system will form a classification and management. And the comprehensive law enforcement management model, forming a network system for health supervision and law enforcement covering the whole district, saving health supervision resources and strengthening health supervision and management.

The community health service model was adjusted, and the community health service center was gradually separated from the hospital. According to the new district, the existing center was adjusted to seven. Strengthen the construction of traditional Chinese medicine community and expand the coverage of community health service sites with characteristics of Chinese medicine.

Deepen the reform of the system of medical institutions in the district.

Realize the transformation of the operating mechanism of the district's medical and health institutions. Established the District Health Reform Leading Group, headed by the head of the district, the Development and Reform Commission, the State Administration of Taxation, the Finance Bureau, the Personnel Bureau, the Labor and Social Security Bureau and the Health Bureau as the member units to jointly study and coordinate the public health construction and health system. Relevant issues of reform.

Complete the municipal government's prevention and health care work indicators and the tasks assigned by the district government.