Health work summary for 2019 and health work plan for 2019

In 2019, under the direct leadership and high attention of the municipal party committee and the municipal government, the city's health work closely focused on the objectives and tasks of the health work proposed in the "Government Work Report", focusing on the prevention and treatment of hand, foot and mouth disease, highlighting the health and people's livelihood projects, and actively Promote six key health work and promote steady and sustainable development of health work in the city.

First, the main achievements of health work in 2019

Go all out to do a good job in prevention and treatment of hand, foot and mouth disease.

Since the death of hand, foot and mouth disease in our city on March 27th, the municipal party committee and the municipal government have attached great importance to it. We have taken the prevention and treatment of foot and mouth disease as a top priority, under the correct leadership of the municipal party committee and the municipal government, in the country, Under the guidance of the provincial health department expert group, we will go all out, prevent and control according to law, scientific prevention and control, and group prevention and control, and promote the effective, orderly and effective development of prevention and control work. As of August 30, a total of 8641 cases of hand, foot and mouth disease were reported in the city, 23 cases died, and 8858 cases were cured. The discovery rate and cure rate were significantly improved, the incidence rate and mortality rate were significantly reduced, critical cases were significantly reduced, and the treatment capacity was significantly improved. Positive progress and remarkable results have been achieved in the prevention and control work. First, focus on improving the rate of treatment and go all out to rescue the treatment. The implementation of the "six packs" responsibility system for the city's 578,000 children under the age of 5, based on early detection, reducing the critical rate; insisting on the advancement of the border, focusing on the downward shift, stratified treatment, based on early diagnosis, ensuring the treatment rate; strengthening all levels The medical treatment team training, the city organized city, county, township level 20 medical staff business knowledge training, the number of trainees reached 6,548 person-times, the Ministry of Health experts held a training course for pediatrics and infectious medicine medical staff at the county level and above. The number of trainees reached 530. The county-level organization of hand, foot and mouth disease technical training was 2,200 person-times in county and township medical institutions, and 1XX person-times in rural areas. The technical level of diagnosis and treatment was improved, leaving a “medical team that did not leave”; Comprehensively integrate medical resources, set up a "green channel" for pediatric fever in designated hospitals at or above the county level, and treat patients with foot and mouth disease free of charge, based on early treatment to reduce the mortality rate. The second is to vigorously carry out the patriotic health campaign around reducing the incidence rate. Adhere to the "one-handed rescue and treatment, one-handed prevention", in the rural areas to focus on "three clear and one kill", the city focus on the "five clear and one kill" activities, in-depth development of the city's patriotic health campaign; highlight key population, key places Focus on prevention work, focus on controlling the source of infection, and blocking the route of disease transmission. The third is to raise the awareness rate and strengthen the publicity and education of disease knowledge. Handle foot and mouth disease prevention knowledge engraved 5000 copies of vcd discs, transmitted 80,000 pieces of mobile phone information, edited 500,000 copies of "Infants and Children's Intestinal Infectious Diseases Prevention and Control Points", and issued a "letter of patients with foot and mouth disease and their families" 60 Millions of copies, "a letter to the city's migrant workers", 1.5 million copies, through various forms, multiple channels, publicized to thousands of households, promoted to every family of children under the age of five. In order to increase publicity, the news media has published more than 1,100 news cases and received more than 120 domestic and foreign media reporters, focusing on eliminating the panic of the people and improving the people's awareness of prevention and disease prevention. The fourth is to improve the overall protection in all aspects. Strengthen organizational leadership, give full play to the core role of the national expert group, the prevention team's work guidance and medical treatment; the Municipal Health Bureau urgently set up 2,900 hand, foot and mouth disease beds in 12 designated hospitals in the city, and deployed 139 first-aid equipment to eliminate hands and feet. The cost of treatment for children with mouth disease is 15.8 million yuan; the government has increased investment, and all levels of finance have invested nearly 100 million yuan in prevention and treatment; strengthening prevention and control work to ensure that all measures for prevention and treatment of hand, foot and mouth disease are implemented. After more than three months of hard work throughout the city, we achieved a staged victory in the prevention and treatment of hand, foot and mouth disease.

Highlight four health and livelihood projects

First, we must pay special attention to the new rural cooperative medical care project. The municipal party committee and the municipal government have established the new rural cooperative medical care system as one of the 18 people's livelihood projects. They attach great importance to it, carefully organize and vigorously promote it, and gradually establish a new type of rural cooperative medical security system with government leadership, peasant participation, multi-party financing, and efficient operation. . The goal of comprehensively covering rural residents in rural cooperative medical care in 2019 was achieved. The number of farmers participating in the project reached 6.953 million, the participation rate was 84.4%, an increase of 6.7 percentage points over the previous year, and the amount of funds raised was 695 million yuan. Up to now, 509,182 people have been compensated, and the compensation amount is 350.33 million yuan. At present, Yinzhou District, Yinan County and Development Zone have completed the second fundraising task, and the second fundraising has been completed in Luquan District and Jieshou City by 65% ​​and 78%. The implementation of the new rural cooperative medical system has further improved the conditions for farmers to seek medical treatment, rationalized the relationship between doctors and patients, improved the rate of medical treatment for the people, reduced the burden on patients, and strengthened the relationship between the party and the masses, effectively alleviating the people's lack of disease and poverty due to illness. The problem of returning to poverty due to illness.

The second is to highlight the rural health service system and build a livelihood project. Since the beginning of this year, the Municipal Health Bureau has always focused on the construction of the rural health service system as a key task. The bureau party group has implemented a system of responsibility for slashing and liaison and a system for liaison officers. It implements a weekly inspection of the people's livelihood project, and a dispatching system for January 1 Speed ​​up the progress of the project. In the year of XX, 31 township health center construction projects have been completed, 13 are under construction, and 2 are under construction; 163 standardized health room construction projects have been planned, 93 have been built, 63 are under construction, and 7 are replaced. . The construction projects of 27 township hospitals planned in 2019 were completed, 3 were built, and 4 were not built. The planned 4XX village clinic construction project was completed and 70 were built and 337 were built. All localities are making progress and strive to complete the work as scheduled.

The third is to highlight the construction of urban community health service system. Up to now, the number of community health service institutions in the city has reached 75, accounting for 83% of the 90 target tasks in the year. The population covered by Xiangyang City has reached more than 80%, and the population of 5 counties and urban areas has reached more than 50%. In order to promote the standardization of community health service organizations, 32 community health service organizations have completed the task of standardization construction. Currently, 26 are being created, and 85 community general practitioners and 95 community nurses are tasked at the same time. By the end of September, the provincial level had allocated 5.11 million yuan, the city and county supporting 7.46 million yuan, and the actual funds allocated 6.906 million yuan. The community health "six-in-one" service function was gradually improved.

The fourth is to focus on the medical treatment of major infectious diseases and the AIDS patients' assistance to the people's livelihood. We will conscientiously implement the "Implementation Plan for the Medical Treatment of HIV-infected Persons and Patients in Fuyang City" and continue to do a good job in medical treatment and life-saving work for HIV-infected patients, patients and AIDS orphans, and special AIDS patients. By the end of September, the provincial level allocated 9.28 million yuan, the city and county supporting 3.333 million yuan, and the actual allocation of 12.329 million yuan. The treatment of major infectious diseases such as AIDS, tuberculosis and human avian influenza has entered the track of standardized management and implementation in our city, and patients can receive timely and effective treatment in all designated medical institutions. By the end of September, 1,336 AIDS patients were actually treated, and 2.75 million yuan was spent on treatment. The actual treatment of 776 tuberculosis patients, the implementation of the rescue fund of 490,000 yuan, at the same time the city's hand, foot and mouth disease children, "problem milk powder" infant screening treatment funds will be free.

Actively promote six key health work

First, actively promote the public health system and capacity building. Further strengthen the four major systems of disease prevention, health supervision, medical treatment and emergency rescue, improve emergency plans, improve emergency teams, implement emergency equipment, carry out emergency drills, timely carry out emergency public health emergency response work, and realize the city's epidemic situation information. Online direct reporting has improved the ability to highlight and respond to public health emergencies.

The second is to actively promote disease prevention and control. Seriously carried out epidemic, measles, hemorrhagic fever, rabies

Diseases, cholera and other intestinal infectious diseases, surveillance of key respiratory infections, active search and supervision and inspection; carried out iodized salt monitoring and iodine deficiency disease monitoring; strengthened malaria prevention and treatment, completed the routine program immunization task.

The third is to actively promote health law enforcement. Focus on the city's special rectification actions against illegal medical practice and illegal medical advertisements. A total of 3,881 health law enforcement personnel were dispatched, 1267 medical institutions at various levels were inspected, 696 illegal medical institutions were investigated, 477 illegal medical practices were banned, and 572 administrative penalties were imposed. Focus on the city's food hygiene , occupational health , drinking water hygiene , school health law enforcement inspection work, do a good job in the city's "two sessions" and food safety guarantees during major festivals and major events, organize special education for food hygiene and infectious diseases in China's small schools Check and complete the linkage work of the “Guardian Action” in the province. The city dispatched 4,498 vehicles for health law enforcement, 23,478 health law enforcement personnel, and supervised 12,612 households. 975 cases of health violations were filed, 692 cases were closed, the settlement rate was 70.97%, and the penalty amount was 1,165.8 million yuan. The certificate applied for 2,667 volumes, and the on-site examination qualified for the issuance of 2,494 health permits and 9369 health check-ups. Focus on the city's health food special rectification work. In August, under the unified command of the municipal government, the health departments at all levels strengthened leadership, established organizations, further integrated law enforcement forces, improved the working mechanism of health law enforcement liaisons, dispatched working mechanisms on a weekly basis, and joint law enforcement mechanisms to follow the health food market. With the help of guidance, standardized improvement, and legal operation requirements, the health food special concentrated rectification activities were carried out in depth, and a total of 1749 health food production and operation units were investigated, including 1,436 health permits and 358 unlicensed, and a total of false identifications were investigated. 135 kinds of unqualified health foods, such as curative effect and food counterfeit drugs, were filed for 61 cases and fined 77,000 yuan. Through centralized rectification and legal propaganda, the production and operation of health foods gradually became standardized. Focus on the city's pork quality and safety special rectification work, since September, the city's health supervision and law enforcement personnel to take the responsibility of slashing the responsibility to the people, focus on manpower, concentrated time on the city's 3,890 collective canteens, catering industry to pull the net The investigation was carried out, and cases of sick and dead pork flowing into catering units and collective canteens were not detected. At the same time, monitoring and reporting of epidemic situation were strengthened, and active prevention and control measures were taken to control the occurrence of epidemics of animal epidemic diseases.

The fourth is to actively promote maternal and child health care. Focusing on the core of "One Law, Two Outlines", managing and standardizing maternal and child health care technical services according to law; strengthening the promotion of maternal and child health laws and regulations; organizing maternal and child health care work under rural areas, lower factories, lower communities, and schools, conducting maternal death reviews and establishing Maternal first aid "green channel", free maternity pregnancy, free of charge, organize "three network monitoring" work quality control survey and neonatal disease screening work, continue to implement the AIDS mother-to-child transmission blocking project and the establishment of the baby care center .

The fifth is to actively promote medical and health services. Adhere to the implementation of the institutional, personnel, and equipment access system in accordance with the law, continue to carry out in-depth hospital management activities and the establishment of "Ping An Hospital" activities, further improve medical quality, improve service attitudes, strengthen medical safety, and provide quality services. Full implementation of the open system of hospital affairs, clinical rational drug use monitoring and evaluation system, outpatient cost inquiry and hospitalization fee one-day list system, clinical medical examination, mutual recognition system of test results, single disease maximum price system; carefully organize drug and consumables concentration Bidding and procurement, actively carry out Huimin medical services and 1600 poverty-relieving cataract patients; effectively increase the special efforts of public health , carefully organize democratic appraisal of hospitals; continue to carry out special campaigns for commercial bribery in the field of pharmaceutical purchases and sales, strict Investigate and deal with unhealthy practices such as chaos inspection, indiscriminate use of drugs, receipt of red envelopes, kickbacks, and poor medical service attitudes, comprehensively regulate practice behaviors, and further optimize the medical treatment environment. Vigorously promote the development of private medical institutions. Further carry out health to the countryside, health support for agriculture, health and poverty alleviation, the top three hospitals support the county-level hospitals, the secondary hospitals support 20 township health centers , continue to implement the youth health volunteers poverty alleviation relay plan, and do a good job of medical experts , aid Tibet. Actively do a good job in "problem milk powder" infant screening and medical treatment. Since mid-September, the Municipal Health Bureau has launched an emergency plan for public health emergencies, urgently integrates the city's health resources, and implements grading screening for "problem milk powder" infants. Investigate, stratified treatment, timely establishment of "problem milk powder" infant screening and treatment "green channel" in 166 township hospitals and 13 designated hospitals, and set up "problem milk powder" market inspection team and medical expert technical guidance The team will carry out in-depth supervision and medical treatment technical guidance, and do a good job in screening, treating and treating the "problem milk powder" infants in the city with high quality, fast, effective and safe medical services. Up to now, the city has screened 195,030 infants who have “problem milk powder” and has confirmed 1437 infants with urinary calculus containing melamine formula, 280 hospitalized children, and 227 cumulative hospitalizations. For example, medical institutions have advanced medical expenses of more than 15 million yuan.

Sixth, actively promote the work of voluntary blood donation. We will conscientiously implement the "Blood Donation Law" and the "two methods and two norms" of the Ministry of Health , focusing on strengthening the supervision of blood collection and blood supply and blood quality management. The blood station in the city center successfully achieved the national “is0900 quality management system certification” and “two specifications” construction and acceptance. Continue to promote the blood donation publicity activities. Up to now, more than 19,000 people in the city have participated in voluntary blood donation, with a blood donation of 760,000 ml, ensuring the clinical blood use, ensuring blood quality and blood safety for the people. For the second consecutive year, Fuyang City was awarded the title of National Advanced Blood Donation Blood Donation.
In 2019, the city's health work further implemented the policy of developing Chinese medicine, and actively launched the “Traditional Chinese Medicine – China Tour” Xiangyang Station; it strengthened the construction of health talents, key disciplines, and health science and technology, strengthened medical education, and improved teaching standards. And other aspects have achieved remarkable results.

Second, the difficulties and problems faced

First, insufficient investment in health funds. The policies of the party and the state for investing in health work are not implemented, and the financial investment in health work is low. The extent of the city's fiscal investment in health has been ranked in the lower rankings of 17 cities in the province for many years. The financial subsidy standard for hospitals has not changed for more than 20 years.

Second, the progress in the construction of the rural health service system for the entire citizenship project is uneven. Due to the influence of rising prices and other factors, the construction progress of rural and village medical institutions in Linquan County is slow. The breadth and depth of the new rural cooperative medical policy promotion in the city is not enough. The regulatory capacity of the agency is not commensurate with the heavy management tasks, and the new rural cooperative medical system needs to be further improved.

Third, the task of major disease prevention and treatment is heavy. Due to the large population base, large population movement, poor urban and rural sanitary conditions, and other factors, the situation of major infectious diseases, endemic diseases, occupational diseases, and chronic non-communicable diseases is severe. AIDS patients account for more than 50% of the province, and the task of prevention and control is arduous.

Fourth, the level of health law enforcement is low. Health supervision and monitoring facilities are backward, professional and technical personnel are in short supply, management capacity is low, public health emergencies occur frequently, and health law enforcement cannot meet the needs of emergency and disposal of public health emergencies.

Fifth, there is a shortage of health professionals. Due to the backward economy of our city, the mechanism for introducing talents is not live, the policies are not favorable, and the real talents are difficult to enter.

The compilation and redemption of wages has made it difficult to introduce health professionals, especially high-level health and technical personnel, and there is a serious shortage of professional and technical personnel. There are basically no undergraduate graduates in township health centers .

Sixth, the construction of health practices still needs to be strengthened. There is still a weak link in medical ethics education, and the problem of poor quality of medical services still exists. It is still a long way to go to solve the problem of people seeing a doctor and seeing a doctor.

Third, the 2019 health work target task

The overall idea is: with the spirit of the 17th National Congress of the Communist Party of China and the spirit of the Third Plenary Session of the 17th Central Committee, comprehensively implement the scientific development concept, take the people's livelihood project as a breakthrough, vigorously strengthen public health, rural health and community health , highlight major disease prevention, and promote Chinese medicine. Career development and technology development strategies, improve the quality of medical services, strengthen the construction of medical ethics, and promote comprehensive, coordinated and sustainable development of health .

Advance planning, early preparation, and adequately handle the prevention and treatment of hand, foot and mouth disease. At present, although the province has withdrawn the ii-level repercussion of hand, foot and mouth disease prevention and control, we must fully understand the long-term, arduous and complex nature of the prevention and control of hand, foot and mouth disease epidemic, and earnestly do not relax, do not paralyze, and insist that it has been summarized. The successful prevention and control experience, closely monitor the epidemic situation before the popular season, improve the reporting system, analyze the situation of the epidemic in a timely manner, adhere to early warning and forecast, in-depth publicity of disease prevention knowledge, and make timely preparations.

Focus on the health and people's livelihood projects. Adhere to the health and vitality project involving the vital interests of the broad masses of the people as the top priority of the health department, and put it in a very prominent position. Implementing the goal management of health and people's livelihood projects, clarifying responsibilities, grading and responsible, implementing tasks, strengthening safeguard measures, strengthening supervision and guidance, and completing the full coverage of new rural cooperative medical care, rural health service system and community health service system, and major disease medical care. Rescuing and living for the three major health and people's livelihood projects.

Strengthen the prevention and treatment of major diseases. We will improve the prevention and control system for major diseases and the emergency response mechanism for public health emergencies, strengthen the prevention, control and monitoring of infectious diseases, endemic diseases, occupational diseases and chronic diseases that seriously threaten the health of the people; further implement prevention and control measures for major diseases such as AIDS and tuberculosis; Strengthen the prevention and control of bird flu in spring and the surveillance of diseases such as JE and ECM; highlight the prevention and control of intestinal infectious diseases in summer and autumn with cholera as the focus. We will do a good job in preventing the construction of outpatient clinics and the construction of an epidemic information network system, improve the ability of early warning and forecasting, and effectively control the epidemic and spread of epidemics.

Continue to promote the construction of the public health system. Continue to deepen the reform of the health supervision system, continuously improve the health law enforcement operation mechanism and guarantee mechanism; initiate the pilot construction of the rural health supervision system, do a good job in building rural health supervision networks, strengthen rural health supervision and law enforcement work; strengthen supervision and monitoring laboratory equipment, and further improve Respond to the ability to deal with public health emergencies; comprehensively strengthen public health and sanitation supervision, establish a long-term food hygiene supervision mechanism; strengthen health promotion and education; carry out patriotic health campaigns; vigorously promote environmental sanitation, food hygiene , occupational health , School health and migrant workers' health work. Continue to carry out in-depth activities to combat illegal medical treatment.

Practically strengthen rural health work. Accelerate the establishment and improvement of rural tertiary health care service network based on county-level hospitals, township health centers as the backbone and village clinics , vigorously strengthen the construction of county-level medical institutions, and gradually improve the management and operation mechanism of township hospitals . We will promote the standardization and standardization of township health centers and village clinics , conscientiously organize and implement the “Rural Health Work Year Activities” and the pilot work of integrated management of rural health services to further improve the overall level of rural health services.

Strongly promote the blood donation work. We will earnestly carry out the "Blood Quality Safety Year" campaign, effectively protect blood safety, strengthen the infrastructure and basic management of blood collection and supply institutions, start the construction of a new business building in the blood bank of the city center, and continue to consolidate the achievements of the advanced cities of blood donation in the country.

Further strengthen maternal and child health work. Continue to vigorously promote the “reduction” project, the training program for neonatal asphyxia resuscitation, the “three network monitoring” project, and the implementation of the AIDS mother-infant block project. We will focus on strengthening grassroots maternal and child health work, comprehensively improve maternal and child health coverage, expand screening for neonatal diseases, improve pre-marital medical examination, and strengthen birth defect interventions to further reduce the incidence of birth defects and maternal and infant deaths. rate.

Continue to promote urban health system reform. In accordance with the principle of open government affairs and separation of management and management, we will conscientiously implement the localization of medical and health institutions and supervision of the whole industry, and form a health management system with clear functions, clear positioning, comprehensive coordination, and unified powers and responsibilities; strengthen regional health planning, make full use of and best Deploying existing medical and health resources, adjusting the optimal structure and layout; promoting the reform of the management system of public hospitals, starting from the promotion of public welfare of public hospitals and effective government supervision, actively exploring the separation of political affairs and managing various forms of separation; Social funds shall establish non-profit medical institutions in accordance with the law, support qualified personnel to open according to law, facilitate the public to seek medical treatment, and form a medical system with diversified investment entities and diversified investment methods; strengthen the supervision of public health institutions' medical and health services and quality supervision according to law. improve the standards and quality of health services evaluation system, standardized management system and workflow, and improve the quality of healthcare services monitoring network; deepen the reform of medical institutions operating mechanism, establish and improve the hospital corporate governance structure, the formation of decision-making, implementation, supervision and checks and balances, Responsibility, incentives, constraints, competition, and dynamic mechanisms; continue to promote the reform of the personnel system of medical institutions, improve the distribution incentive mechanism, implement the employment system and post management system, strictly manage the total wages, and implement the service quality and job workload. The main comprehensive performance appraisal and post performance salary system effectively mobilize the enthusiasm of medical staff. Further strengthen the construction of medical ethics, attach importance to humanistic literacy training and professional quality education for medical personnel, optimize the practice environment for medical staff, build a harmonious relationship between doctors and patients, and focus on solving the problem of "difficult medical treatment and expensive medical treatment" for the people.

Practically strengthen the work of Chinese medicine and science and technology. We will continue to promote the strategy of “famous doctors, famous doctors, famous hospitals” and Chinese medicine “into the countryside and into the community”, and vigorously strengthen the construction of Chinese medicine talents, the connotation construction of Chinese medicine institutions and the construction of specialist diseases. We will comprehensively popularize the general secondary school education and continuing medical education for rural health personnel , accelerate the training of academic and technical leaders, promote the construction of key disciplines, accelerate the promotion and application of appropriate health technologies, and vigorously promote the city's science and technology.