District Health Bureau Health Work Summary

Since the beginning of this year, under the leadership of the district committee and the district government, under the guidance and support of the Municipal Health Bureau, the district’s health work has earnestly implemented the important thinking of the "Three Represents" and the 17th National Congress of the Communist Party of China and the national, provincial and municipal health work. The spirit of the conference is based on the principle of "administration by law, innovation, clean and efficient, diligent and good for the people". With the "first-class speed, first-class goal, first-class effectiveness" as the standard, we will unite and lead the health system to the cadres and workers, work together and seek truth. Be pragmatic and carry forward the three spirits of "first spirit, spirit of exploration, and spirit of sorrow", aiming at the first-class level of the city, the whole province and even the whole country, highlighting the key features of the work, "focusing on the highlights", highlighting the work, and strengthening the leadership and strengthening measures. Grasping hard work, all health work is progressing steadily.

I. The key tasks have been steadily advanced

The quality and level of community health services have been further enhanced. First, attach great importance to community health services. At the beginning of the year, the district government convened a mobilization meeting for the community health service promotion year activities in the district, and comprehensively arranged the task of improving the quality of community health services, focusing on the construction of “star” community health service stations. The district government issued a report. “Implementation Opinions on Conducting Community Health Service Quality Improvement Years” and “Taishan District “Star” Community Health Service Station Standards”, especially after the district committee and district government will upgrade the community health service level into this year’s practical project. The District Health Bureau attached great importance to the research and formulation of the “Implementation Plan for Implementing the Practical Projects of the District Committees and Districts for the People to Improve the Level of Community Health Services”, implementing the responsibility system for the members of the Bureau, and scheduling the progress of the work on a weekly basis. Difficulties and problems. Two meetings of community health work on-site observation and scheduling meetings were held to promote and promote the smooth development of practical construction projects. The second is to enhance the quality of community health services. 1 The level of construction of community health service institutions has been improved. Since the beginning of this year, it has invested 18.3 million yuan to build and upgrade the community health service institutions. At present, there are 5 community health service centers and 64 community health service stations in the district, and 13 community health service stations have been awarded “five-star community health service stations”. The "provincial first-class" standard with complete functions, complete facilities and standardized services. 2 The health service benefit rate and coverage rate of community residents have further improved. Community residents' health checkups, health surveys and follow-up services were carried out. 3 The community health assistant system was fully implemented. At present, all community health assistants in the district have all been trained and put up their posts, formulated the duties of community health assistants, improved the evaluation criteria, and played a very good role in promoting the quality of community health services. 4 Strengthened personnel training. The whole district's general medical training class was held in the fifth phase, and a community TCM appropriate technical training course was held. The experts of the large hospitals conducted theoretical knowledge and practical skills training for the community health workers in the district. 5 “Health Education into the Community” and “Great Hospitals Enter the Community” are implemented. Organize a health education publicity group composed of experts in medical, prevention, health care, health education, etc., and conduct health education lectures in 31 communities. Organized 41 large hospital experts to community health service institutions to carry out more than 3,300 consultations and health consultation activities, which were well received by community residents. 6 Full implementation of “information management” of community health services. A computer network management system with a community health service center as the network center and a community health service station as the terminal was established, and a live meeting of “ Health Information Management” was held.

Since the beginning of this year, Vice Minister of the Ministry of Health, Director of the State Administration of Traditional Chinese Medicine Wang Guoqiang, Deputy Director Wu Gang, Deputy Director of Community Health Division of Maternal and Child Health and Community Health Division Liu Liqun, Vice Governor Wang Suilian, Director of Health , Bao Wenhui, Deputy Director Qiu Bingyu, deputy director of the Provincial Department of Finance, Feng Fengying, director of the Provincial Administration of Traditional Chinese Medicine, Yu Shufang, mayor Li Hongfeng, and deputy mayor Xu Enhu and other leaders visited the district to inspect the community health service and gave full affirmation and high evaluation.

New rural cooperative medical care runs healthily. Starting from consolidating and improving the “provincial new rural cooperative medical work advanced area”, we continued to strengthen management and strive to improve service quality, and actively launched a new round of pilot projects for new rural cooperative medical care. First, do a good job in the new rural cooperative medical care and services. Various measures were taken to further standardize the fixed-point medical institutions at all levels to comprehensively improve the medical services for the participating personnel, revised the new rural cooperative compensation program, and increased the proportion of reimbursement. Free health checkups for participating farmers were carried out throughout the district. In 2019, a total of 74,262 health check-ups were provided to farmers. The second is to strengthen supervision of designated medical institutions. The research and formulation of the "Regulations on Strengthening the Management of New Rural Cooperatives", the district's new rural cooperative medical office regularly conducts supervision and inspection of designated medical institutions from time to time, and manages the dynamic management of selected inferior medical institutions in designated medical institutions, and implements the final elimination. In October, after inspection, a designated medical institution was cancelled in a village health clinic in Qiujiadian Town. The third is to fully implement the information computer network management. We will raise funds from various sources to comprehensively promote the construction and management of medical and health information microcomputers in the grassroots medical institutions throughout the region, and integrate drug management, cooperative medical care, community health services and medical institution management into the supervision and supervision of computer networks. All village health centers and community health service stations install management software, set up regional networks by street and town, set up information network centers in community health service centers and health centers, be responsible for information supervision and aggregation, and cooperate with district new rural cooperatives. Manage network connections. The patient medication is automatically reviewed and reimbursed by the microcomputer, and the information is uploaded to the new rural cooperative management office for review and monitoring from time to time, preventing the occurrence of the phenomenon of the new rural cooperative fund, and effectively managing the farmers' life-saving money.

In 2019, the coverage rate of the new rural cooperative medical administrative villages remained at 100%, and the number of participating farmers was 143,400. The participation rate reached 98.5%, and the total medical expenses were reimbursed for 9,535,100 yuan.

Rural health work is regulated. First, the integrated management of rural health institutions is further regulated. In the whole district, the integrated management and standardization activities were carried out in depth. According to the overall work requirements of “projectization, indexing, and responsibility”, the bureau leaders were responsible for the insurance system. Each bureau leader Baobao was in a town, weekly. The progress of research, supervision, and inspection work at the grassroots level is scheduled once a week, and problems are resolved in time. A new round of rural doctor competition was launched in the whole district, and the staff structure was more reasonable. A group of talented, talented and capable people was enriched to the health team, and the quality and management level of the integrated management of the whole district were further standardized. Second, the progress in the reform of the grassroots health institutions has accelerated. Actively carry out the activities of “star” health clinics , and formulated and issued the “Stars” Health Standards in Taishan District. In 2019, the accumulated investment was 2.566 million yuan, 12 new village health centers were built, and 10 village health centers were rebuilt. The relocation of the Qiujiadian Center Health Center has been completed and put into use. The two town health centers have reached the standardization construction standards of the hospitals , and the public medical environment has been significantly improved. The third is the centralized operation of pharmaceutical equipment for healthy operation. In the whole district, the unified procurement and supply system for pharmaceutical devices will be implemented. The centralized price comparison procurement will be carried out for all primary medical units in the district, and the center of the hospital will be distributed to the health center with zero price increase. The drug price reduction rate is over 26%. In 2019, the centralized procurement of pharmaceutical equipment was 12.589 million yuan, an increase of 6% over last year.

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District Health Bureau summary of health work related articles:
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Disease prevention and control and health surveillance have been strengthened. First, focusing on the implementation of the Law on the Prevention and Control of Infectious Diseases, we have focused on the prevention and treatment of infectious diseases with a focus on SARS, influenza, human avian influenza, cholera, viral hepatitis, epidemic hemorrhagic fever, tuberculosis, and AIDS prevention. Better achieved the "one guarantee" mission goal. In mid-March and late April, our district successfully provided observation sites for the city and the province's tuberculosis prevention and treatment work conference, which was well received by the leaders and representatives. In March, the Provincial Health Department awarded the “Clinical Tuberculosis Prevention and Control Demonstration County” medal for the district, and the District Health Bureau was awarded the “First Prize for Tuberculosis Prevention and Control Work in the City”. The District CDC was rated as “the advanced collective of tuberculosis prevention and treatment work in the province”. Second, vigorously implement the sinking of health supervision. The district government issued the "Opinions on Further Strengthening Grassroots Public Health Work", and set up health supervision offices in the three streets of Taiqian, Shanggao and Xujialou, and the two towns of Provincial Zhuang and Qiujiadian. Ten health supervisors and 108 village health supervision assistants and 63 community health assistants were appointed to establish a public health management and service network covering the community and administrative villages in the district. On May 29th, the city's health supervision force sinking work site will be held in our district. Vice Mayor Xu Enhu attended the meeting. More than 50 representatives from all counties and cities in the city attended the meeting. The third is to actively carry out earthquake relief efforts in Sichuan. After the devastating earthquake in Sichuan, 14 health supervisors in our district have rushed to the front line to actively participate in earthquake relief work. They are not afraid of sacrifice, fear of danger, continuous fighting, and dedication. Two comrades have joined the party in the first line of earthquake relief. Eight comrades were commended by the state, province and city.

The Chinese medicine industry has made new developments. The promotion of appropriate technology for TCM and TCM was included in the overall plan for health work, and the normative archives such as the “Implementation Opinions on Further Strengthening TCM Work” and the “Notice on Promoting the Application of 50 TCM Suitable Techniques” were issued. It has invested more than 4 million yuan to expand and renovate the ward building of the Second Hospital of Traditional Chinese Medicine, newly set up a special bed for Chinese medicine, replace the new advanced medical facilities and equipment, and renovate a new preparation center, physical examination center, outpatient infusion observation center and catering service center. Optimized and beautified the medical environment at the same time. Featuring the appropriate technology promotion and rehabilitation physiotherapy of traditional Chinese medicine, the company invested more than 5 million yuan to build a disease-free center in the former site of the original Taishan District Health and Epidemic Prevention Station, and launched a pilot program of “Traditional Chinese Medicine Treatment” in 10 community health service stations. On January 21, 2019, the Center for Treatment of Diseases and Diseases was identified by the State Administration of Traditional Chinese Medicine as “the first batch of pilot units for the prevention and treatment of untreated diseases in the country”. On April 12, the Deputy Minister of the Ministry of Health and the State Administration of Traditional Chinese Medicine Accompanied by deputy governor Wang Shunlian and the Director of Health , Bao Wenhui, Director Wang Guoqiang inspected the work of the Center for Treatment of Untreated Diseases in the Second Hospital of Chinese Medicine.

The construction of industry style has been further strengthened. First, in accordance with the overall arrangement and deployment of the district committees and district governments, the district's health system has carried out in-depth "conversion of ideological and style discussion activities", "why to join the party, what to do in the position, what kind of concentrated education activities to leave after leaving", " A series of activities such as “learning activities to district courts, urban tax bureaus”, “enhancing work style construction, promoting social harmony theme education activities”, “striving for services, innovation, contending institutions and industry activities”. The second is to further establish and improve a long-term mechanism for managing commercial bribery. The third is to carry out the warmth activities of the Red Ten Society "warm to send thousands of families, fraternity in Qilu", visit 100 families of poor families, and issue XX0 yuan for condolences; jointly organized the "Caring for the Poor Children's Love Assistance" with Sunshine Beibei Children's Products Store Activities, distributed more than 5,000 yuan worth of condolences to 15 hospitalized poor children. The fourth is to carry out face-to-face democratic evaluation of the political and wind activities in the district's health system, and has held four face-to-face democratic evaluations of the political style, from the health director, the main person in charge of the district medical and health units, and the community health services in various towns. The director of the center went to the station manager of each community health service station, and then went to the stage to report on his duties. The deputies to the NPC deputies, CPPCC members, and cadres of the society as the judges greatly promoted the strengthening and improvement of the overall industry style of the health system in the district. In the democratic appraisal of the region's democratic activities held at the end of December 2019, the District Health Bureau achieved the fifth place in the economic and social management category, and the District Health Supervision Bureau ranked first in the administrative law enforcement category. The fifth is to strengthen the health publicity and reporting work. Make full use of the website of the Taishan District Health Bureau to publish the relevant archives, announcements and notices of the Health Bureau on the website in a timely manner, greatly improving the work efficiency; actively writing health news articles, timely reporting the health news of the Health Bureau and various units, and actively promoting each The unit has good experience and good practices. Since the beginning of this year, more than 200 press manuscripts have been published in the newspapers and periodicals of the Public Daily, Qilu Evening News, Shandong Health , Taian Daily, and Taian TV.

Second, the main difficulties and problems

First, the pace of development of the health industry is lagging behind. In the face of fierce competition in the medical market, hospitals are under increasing pressure to survive and develop. The quality and level of medical services can not meet the needs of the people's people well; the shortage of medical talents and the problem of backward technology are more prominent; the size of public medical institutions in Zhihe Township is limited, the houses are outdated, the equipment technology is backward, and individual villages and communities There is no collective health station, it is difficult to take up public health duties, and some of the remote and backward rural health houses are dilapidated and facilities are backward. This requires us to accelerate improvements in technology, talent, services and environmental conditions to meet the growing health care needs of the general public.

Second, community health funding is still insufficient. At present, the shortage of funds for community health service institutions is very common, and the lack of funds plagues the development of community health services. Community health service projects such as prevention, health care, health education, rehabilitation, and family planning technical guidance are all public welfare and economically inefficient jobs, and the space for profit is relatively small. Although the district finance, offices, and community neighborhood committees provide support for the infrastructure of community health service stations, there are still some gaps compared to the actual need for community health funding.

Third, there is a shortage of health professionals. The mechanism for introducing talents is not live, and the policies are not favorable. It is difficult for real talents to be included in the compilation and cashing, which leads to the difficulty in introducing health talents, especially high-level health and technical personnel, and the shortage of professional and technical personnel. Township hospitals have basically no arrangements in recent years. Assign undergraduate graduates. District Health Bureau summary of health work related articles:
The town created a national health town work summary of the disease control center plague monitoring work summary
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Summary of the work of creating a health village in 2019
2009--2010 school year first semester health work summary Shangdun small health work summary Red Eagle national small health work summary

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Fourth, the construction of key specialties for Chinese medicine needs to be further strengthened. The comprehensive development and application level of TCM comprehensive services and TCM needs to be further improved.

Fifth, the task of disease prevention and control is getting heavier. With the improvement of people's living standards and health awareness, party committees, governments, and the general public at all levels pay more attention to disease prevention and control, work requirements are getting higher and higher, disease prevention and control tasks are getting heavier, and work pressure is getting bigger and bigger. .

Sixth, the situation facing the health supervision and law enforcement work is very serious. The food hygiene and safety situation is not optimistic. Most small and medium-sized catering units have poor sanitary conditions, incomplete disinfection facilities, and disinfection measures are not implemented. Unlicensed business still exists. Foodborne illness and food poisoning remain prominent public health issues. Occupational health hazards still exist, and prevention and control work is very difficult.

Third, work ideas, priorities and measures in 2019

The general 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, community health and rural 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 .

Focus on the health and people's livelihood projects. As a top priority for the health sector, the health and people's livelihood projects involving the vital interests of the broad masses of the people are placed in a very prominent position. Implement the goal management of health and people's livelihood projects, strengthen supervision, clarify responsibilities, tier and be responsible, implement tasks, and ensure the completion of the three major health and livelihood projects of urban community health service system and rural health service system, new rural cooperative medical care coverage, and major disease medical treatment.

Continuously promote the construction of urban community health service system. We will conscientiously implement the work of promoting urban community health service system to build key provincial-level cities, and actively carry out “community health service innovation and promotion activities” in community health planning, financing and compensation mechanisms, operational mechanisms, performance appraisal, talent attraction, and service models. Focus on breakthroughs and innovations. Further increase the infrastructure construction, talent team building, service capacity building and system construction of community health service institutions, and establish a new financial community health service center and Guangshengquan community health service center during the year. Continue to carry out the establishment of star community health service stations, and the number of five-star community health service stations reached 30 during the year. Implementation of the "central management station" integrated management model and health education into the community, chronic disease prevention into the community, maternal and child health into the community, disabled people into the community, planning for childbirth guidance into the community, information technology into the community of "six into the community" Service mode. Conduct free physical examinations for community residents, and the rate of examination for the elderly over 60 years old reaches 95%. Establish and improve the internal financial revenue and expenditure management system, and carry out pilot projects for the management of revenue and expenditure. Vigorously carry out "experts into the community", " health functions into the community" and "Chinese medicine into the community" activities. During the year, it was established as a state-level advanced community health service area for Chinese medicine.

Continuously improve the new rural cooperative medical care system. Consolidate and improve the pilot results of the new-level rural cooperative medical care at the provincial level, further improve the cooperative medical service system and management norms, strengthen the supervision and management of the use of funds, comprehensively implement the management of the new rural cooperative information computer network, and promote the unified drug price system and the single disease limit price. The fee regulations will continuously improve the public's satisfaction with the new rural cooperative medical care. The coverage rate of the new rural cooperative medical agricultural population is 99.8%.

Strengthen disease prevention and control work. Improve the disease prevention and control system and emergency response mechanism for public health emergencies, strengthen 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, and implement “The fifth round of the second phase of the Global Fund for Floating Population Tuberculosis Prevention and Control Project”. We will do a good job in the construction of vaccination clinics and the construction of an epidemic information network system, improve early warning and forecasting capabilities, and effectively control the spread and spread of epidemics.

Promote the construction of a public health system. Deepen the reform of the health supervision system, continuously improve the health law enforcement operation mechanism and guarantee mechanism; strengthen the construction of the rural health supervision system, take the lead in implementing the health supervision force in the province and the whole city, sink to the town, go to the countryside, improve the rural health supervision network, strengthen the rural areas. Health supervision and law enforcement work; strengthen supervision and monitoring laboratory equipment, further improve the ability to deal with public health emergencies; comprehensively strengthen public health and health industry supervision, establish a long-term food hygiene supervision mechanism; strengthen health promotion and education; Health , occupational health , school 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 a three-level medical and health service network based on district-level hospitals, a health institution in the town and a village clinic , and gradually improve the management and operation mechanism of health institutions in the towns, and comprehensively promote the health institutions in the towns and The village clinics were standardized and standardized, and the village health center was strengthened. During the year, the provincial township health center was renovated and expanded, and 28 new village health centers were planned. Vigorously launched the activities of the establishment of star-level health centers , and the number of five-star health clinics reached 15 during the year. Continue to carry out unified procurement and supply of primary-level drugs, and concentrate on procurement and supply of 100%. Improve the integrated management of health services in towns and villages, and further improve the overall level of rural health services.

Further strengthen maternal and child health work. Full implementation of pre-marital health care, pre-pregnancy and pregnancy health care and infant health care system “three-stage health care” to improve maternal and child health coverage, further reduce the incidence of birth defects and maternal, infant and child mortality, and improve the health care of women and children.

Strengthen the work of Chinese medicine and science and technology. We will conscientiously do a good job in the "National Level Prevention and Prevention Health Care Service Pilot Project", vigorously strengthen the connotation construction and service capacity building of the disease-free center, and actively carry out "Chinese medicine treatment for disease-free community activities." Actively set up the Taishan District Chinese Medicine Prevention and Health Care Hospital, and launched the “First Community Traditional Chinese Medicine Prevention and Health Care Construction Project” in the province during the year. 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. 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 work of science and technology in the whole district. During the year, it will become a “model ward for nursing services in the city”.

Strengthen the construction of the health industry. Continue to carry out in-depth development of "service, innovation, and contending" industry activities; establish industry models, actively carry out the "good doctors of the people", "top ten medical workers" and other commendation activities, with advanced models to drive the transformation of the industry-wide style; In-depth development of commercial bribery work; maintaining the title of "municipal civilized organs", ranking in the forefront.