Summary of Health Work of the Health Bureau in 2019

Since 2019, under the strong leadership of the district committee and district management committee, under the careful guidance of the Municipal Health Bureau, the health work in our district has thoroughly implemented the scientific development concept and the spirit of the 17th Party Congress, and adhered to the people-oriented principle and focused on "scientific development." The goal of ensuring growth and serving the people's livelihood and ensuring stability is to focus on improving the health of the people and ensuring sound and rapid economic and social development. We will continue to improve the public health service system and medical service system, and increase major diseases and public health emergencies. The prevention and control efforts, strengthening medical and health supervision, deepening the reform of the health system, and achieving remarkable results in various health work have made efforts to continuously improve the health of the people in the region. The health work of the whole district will be reported as follows:

First, aiming at raising the level of farmers' benefits, and paying close attention to the new rural cooperative medical care.

This year, we aim to improve the farmers' benefit level, fully implement the government's spirit of subsidies of 80 yuan per capita for the new rural cooperative medical insurance and urban residents, and carry out the new rural cooperative medical care work in a more in-depth manner, and implement the party's policy of benefiting the people. Guide and mobilize farmers from all walks of life to participate in the new rural cooperative medical care. The agricultural population of our district is 48,010, and the number of participants is 44,268. The participation rate is 92.21%, and the total fund is 4,426,800 yuan. Up to now, there have been 2,580 peasants participating in the new rural cooperative medical policy compensation, with a total compensation of 331,240 yuan, accounting for 74.8% of the total annual funds, and 5.8% of the benefits of the new rural cooperative farmers, with a benefit of 40%.

The implementation of the new rural cooperative medical system in our district has achieved remarkable results through three years of implementation, stable operation, standardized operation, fund security and public satisfaction. The specific practice is:

1. Increase publicity and reach the hearts of the people. We have adopted various forms to widely publicize the policy of new rural cooperative medical care. We have produced cooperative medical publicity advertisements in each township, village and community, and printed more than 40,000 cooperative medical publicity materials, which are timely in the cooperative medical publicity column every quarter. Announce the expenditure of the cooperative medical fund in the quarter, publicize the information on the reimbursement amount, guide the farmers to interpret the policy, and voluntarily participate in cooperative medical care.

2. Scientifically increase the proportion of compensation. In June this year, the "Notice on Improving the Compensation for New Rural Cooperative Medical Treatment in Our District" was issued to comprehensively improve the compensation and treatment of our district, and implemented a second compensation for families with poor families.

3. Supervision and supervision are timely and effective. Intensify supervision of the designated hospitals in the district and implement responsibility to the people. Promote the connection between the rural cooperative network and the hospital's internal network, and strictly control the use of external medicines and medical treatment items in the cooperative medical catalogue. Seriously investigate and deal with violations of discipline and discipline, control the average hospitalization expenses, and minimize the burden of farmers' medical expenses.

4. Improve the service level of the handling agencies. Further improve the management methods for personnel in the cooperative medical management station, and exert its supervisory and restrictive role on the hospital. Strengthen fund management, implement the reimbursement publicity system, and improve the transparency of work. Continue to promote the construction of cooperative medical information, relying on the district-level management platform, to achieve discharge and report in the District People's Hospital and District Blood Prevention Hospital.

Second, promote the construction of community health infrastructure and improve the function of community health services.

Community health service is the direction of urban health reform and development, and it is also a major event that affects the vital interests of the people. This year, our district Tianwen Community Health Service Center was successfully included in the national debt construction project with the strong support of the provincial and municipal health authorities. The district committee and the district government attached great importance to the community health construction work, increased investment, and purchased the original. The old building of Yanfang Hospital was rebuilt and expanded. Construction began on July 8, 2019, and completed on October 18, lasting 100 days. At present, the central land use area is 5,100 square meters, and the building construction area is 1,824 square meters, with a total investment of more than 2.7 million. yuan. The completion of the community health service center will greatly improve the medical environment for residents in the community, provide convenience for the community residents to see a doctor, and can do small illnesses without going out of the country.

After the completion of the Tianwen Community Health Service Center, based on the inadequacies of the inspection and assessment, we carefully compared the “Basic Standards for Community Health Service Organizations” and the “Assessment Standards of Community Health Service Organizations” to supplement the gaps and gradually improve the community health services. The center performs the functions of “six in one” such as prevention, medical care, health care, health education, rehabilitation, and technical guidance for family planning. At present, the work of Tianwen Community Health Service Center is being carried out in an orderly manner. The establishment of resident health records, health education, program immunization, infectious disease prevention, child health care, maternal health care, elderly health care, chronic disease management, and heavy 9 types of national basic public health services such as the management of patients with sexual mental illness. This year, more than 40,000 community residents have established health records, standardized management of 3,320 hypertensive patients and 799 diabetic patients in the community, held 13 health education lectures, and provided free consultation to community residents for 4,170 person-times. And began to gradually implement the basic drug system, 100 kinds of essential drugs to achieve zero-margin sales, up to now, the total sales of basic drugs reached 29,077 yuan, the profit amount of 7,861 yuan.

Third, adhere to the strategic approach of prevention, disease prevention and control have achieved remarkable results.

1. Epidemic report management. This year, we have strengthened the management of epidemic information and assigned special personnel to be responsible for the direct reporting of online epidemics. Frequently proactively search for epidemics and report them on time according to legal procedures. This year, all kinds of statements of our center were reported in time according to the requirements, and there was no such phenomenon of leakage, embarrassment or late reporting. At the same time, all towns and villages in our district have also achieved direct reporting of the epidemic network, with a direct reporting rate of 100%. Due to the timely collection of the epidemic, our center has truly achieved early detection, early isolation and early treatment for infected patients in our district, effectively preventing the spread of infectious diseases in our district.

2. Prevention and treatment of key infectious diseases. First, increase the intensity of AIDS and STD prevention and treatment. 1 Health education work has been further strengthened. It is clear that the special person is responsible for the health education of AIDS and sexually transmitted diseases, and has found out the basics of hotels and entertainment venues in our district, and targeted the employees of these places to carry out AIDS and sexually transmitted diseases prevention and treatment; 2 Introducing talents and perfecting the initial screening of AIDS Laboratory functions, serious AIDS screening work. This year, a total of 16 blood samples were tested, and no HIV-positive patients were found. 3 Serious consultation work was carried out to open AIDS counseling work. This year, 29 volunteer counselors were received. 4 high-risk population intervention. This year, a total of 10 high-risk groups were intervened, and a total of 53 high-risk groups were screened. More than 360 copies of promotional materials were distributed. The second is to improve modern tuberculosis control strategies. From January to November, a total of 253 suspected tuberculosis cases were received, 371 person-times were examined free of charge, 371 people were filmed free of charge, and 18 times were supervised. Direct visits were made to 39 patients who were undergoing treatment for tuberculosis. A total of 45 patients with tuberculosis received full-scale chemotherapy during the year. 8 patients with tuberculosis were cured, and 2 patients with tuberculosis who completed the treatment.

4. Strengthen the screening of neonatal diseases. This year, a total of three inspections and guidance were given to the Department of Obstetrics and Gynecology of the People's Hospital of the District. The key point is to urge the Department of Obstetrics and Gynecology of the People's Hospital of the District to further improve the screening of neonatal diseases and the registration of maternity delivery rooms in our district. Through supervision, the screening of neonatal diseases and the registration of maternity laboratories in our district have made significant progress. This year, a total of 326 cases of neonatal disease screening were conducted, with a screening rate of 84%.

5. Actively cooperate and do a good job in planning and childbirth. In June of this year, we combined the project to fight against the "two non-" actions, took special rectification activities in the pharmaceutical market in our district, conducted a detailed investigation of the medical units and individual clinics in the district, and regularly supervised them, thus effectively controlling me. District medical units illegally identify the sex of the fetus, selectively terminate the pregnancy and illegally perform the illegal activities such as birth control. At the same time, we also strengthen the management of family planning and childbirth, and sign the responsibility at all levels, strictly prohibiting medical units, maternal and child health institutions, and individual medical personnel from illegally performing various types of surgery and issuing false certificates. The occurrence of family planning activities has effectively ensured that the planning and childbirth work in our district has reached the standard smoothly.

6. Focus on improving the quality of medical services. Conduct hospital management year activities.

Quyuan People's Hospital is the only general hospital in our district. This year, we continue to carry out in-depth hospital management activities and the establishment of “Ping An Hospital”, with the aim of “to improve medical quality and service level in an all-round way”, and to focus on “quality, safety, service and cost” through “patient-centered” With quality as the core, we will strengthen management, further improve medical quality, improve service attitude, strengthen medical safety, and provide quality services.

1. Pay close attention to medical quality to ensure medical safety. First, the system of quality control management, inspection, analysis and notification of hospitals was formulated, and inspection standards and monitoring measures were clarified. In conjunction with the hospital management year activities and the hospital's actual conditions, 24 related systems have been formulated. The second is to seriously implement the responsibility system and accountability system. The hospitals sign the medical quality and medical safety responsibility, clarify the job responsibilities of each position, and link the medical quality assessment with individual evaluation and reward. The third is to strengthen medical safety management. The hospital established the Medical Quality Complaint Office and formulated relevant measures to strengthen the prevention and treatment of medical safety. The fourth is to strengthen the management of reasonable inspection and rational use of drugs. The "Handbook of Rational Use of Antimicrobial Drugs" and the "List of Medical Expenses for Single Diseases" have been formulated. The hospitals conduct random inspections of prescriptions and medical records on a regular basis or irregularly, and promptly notify the abusers of abuse of antibiotics.

2. Strengthen the basic skills of medical personnel and improve the level of medical technology. In the year, 12 business knowledge lectures were organized, and doctors, nurses, and medical technicians were organized to participate in various examinations for more than ten times. The business level of medical staff was continuously improved and a good learning atmosphere was formed. Three comrades were selected to go to Xiangya Affiliated Hospital, Provincial People's Hospital, Provincial Cancer Hospital for further study of internal medicine, electrocardiogram, b-ultrasound, and pathological section, which laid the foundation for the development of the hospital.

3, people-oriented optimization services to clean up the rules and regulations. First, the "10 points of work" was formulated, and the operational norms and civilized service terms were clarified. Optimized the treatment process, simplified the service link, and facilitated the patient's medical treatment. The second is to organize all medical staff to carry out the "medical staff medical standards and implementation methods". With the theme of "Strengthening medical ethics education and establishing a good hospital image", a special lecture was held. Since the launch of the Hospital Management Year, a number of good people who refused to receive red packets have emerged. This year, the hospital received a total of 3 letters of thanks and 5 banners.

Seventh, strive for excellence, and further improve the work of Aiwei and Honghui in the process of consolidation and improvement.

1. Comprehensively promote health education. Health education is the basic work of patriotic health and one of the important contents of civic quality education. Since the beginning of this year, we have organized the twentieth patriotic health month series activities in the whole district, and held 7 health education lectures on environmental remediation, prevention and treatment, mental health, preventive health care, diet and nutrition, etc. Six publicity columns were set up, 18 publicity banners were hoisted, and 5,000 copies of publicity materials were distributed, in addition to more than 200 drugs.

2. Vigorously carry out the activities of the four evils in the spring. On the one hand, according to the law of the growth and decline of the four evils, from June to October, the organization mobilized the masses to actively carry out the patriotic health campaign, eliminate the four harmful habitats, and prevent and reduce the spread of vector diseases. On the other hand, scientific prevention and control, rational use of drugs, reduce the density of four. On July 4th, a training class for responsible personnel of “How to administer medicines and kill rats” was held in Yingtian Town, and 5 boxes of rodenticide “Bromide” were distributed. This year, the whole district launched unified 2 rodent control and 2 mosquito killings. According to the area cdc monitoring, the density of the rat, the density of the cockroach, the density of the fly, and the density of the mosquitoes were significantly lower than before the extinction.

3. Vigorously carry out comprehensive improvement of rural environmental sanitation. Since the beginning of this year, we have fully played the role of the departmental functions, actively organized and coordinated the members of the Aiwei Association, cooperated with each other, and shouldered their responsibilities, and constantly implemented various long-term management systems. The first is to create a civilized and healthy rural activity as a starting point, combined with the "cleaning action of rural homes" to organize the comprehensive improvement of rural environment. After extensively mobilizing the broad masses of people to actively participate in the cleaning of the front and back of the house, the patriotic health activities of controlling the chaos, chaos, garbage, chaos, and chaos, and the "five chaos" of livestock and poultry run, fundamentally change the rural dirty The chaos, the face of the poor. Second, through media intervention, the focus is on environmental sanitation along the road, along the street, and the environmental health issues that the people reflect. Supervise all relevant responsible units to carry out rectification. The third is to do a special supervision and inspection work. Cooperate with the district city management office and other relevant units to supervise and promote the special comprehensive rectification of the phenomenon of chaos, construction, traffic, and chaos.

4. Steadily promote the work of rural toilet reform. The rural toilet reform project is a major event in the patriotic health movement in our district. To this end, the leading group of “Rural Improvement Work in Rural Areas” in our district adhered to the theme of “drinking sanitary water, putting on sanitary latrines, living in a hygienic environment”, and carrying out propaganda work in an effective, comprehensive and multi-level manner. More than 1,000 copies of publicity brochures and leaflets for rural toilets were printed and sent to farmers. Fenghuang Township is the key township for the toilet reform work in our district. According to the actual situation of Fenghuang Township, we follow the principle of “easy first, then difficult, step by step”, according to the professional toilet construction team to enter the village, do a demonstration toilet, and then take the point to face , comprehensive promotion of construction. A total of 100 households in Henggang Village have been completed to complete the task, and 100% of the tasks have been completed.

5. Promote unpaid blood donation work. In order to ensure the full supply of medical blood and ensure the health and safety of the people's people, according to the relevant provisions of the "People's Republic of China Blood Donation Law" and the unified arrangement of the Yueyang Municipal People's Government, on September 18th, the Bureau launched the blood station in Yueyang City Center. An unpaid blood donation activity, 231 blood donations free of charge, the total amount of blood donation reached 92,400 ml.

Eighth, with the study and practice activities as the carrier, in the harmony for the people to promote the wind construction.

1. Pay attention to the characteristics of health and keep learning throughout the activity. Since in-depth study and practice of the Scientific Outlook on Development, we have carried out the "Science on Development Views", "Mao Zedong and Deng Xiaoping XX on Scientific Development" and "Scientific Development" in the system-wide party members and cadres according to the relevant requirements of the District Party Committee and District Learning Practice Office. The study of theoretical knowledge such as the excerpts of important expositions, and the establishment of a quarterly night class of party members, inviting experts and scholars to counsel, and central group learning, etc., to create a strong learning atmosphere in the whole system, and strive to use the scientific theory to arm the mind and improve The ability to solve practical problems.

2. Promote party affairs, openness of hospitals and station affairs, and promote the building of party style and clean government. Standardize and institutionalize work. Launching the Sunshine Project in an all-round way - standardizing the actions of the authorities and further promoting the construction of public service organizations. Regularly disclose drug purchases, financial revenues and expenditures, evaluation of first-class evaluations, etc., and accept employee supervision. Focus on the disclosure of medical service items, charging standards, drugs and consumables prices to prevent arbitrary charges. We improved the reception and reception day system, and investigated and handled 10 letters and visits throughout the year, receiving one visit, and the closing rate reached 100%.

3. Establish a long-term mechanism for managing commercial bribery. Standardize the procurement of engineering, equipment and pharmaceuticals, reduce the price of medicines, equipment and consumables, and carefully follow the national policy to reduce the price through bidding and purchase, so that patients can really benefit; further improve the centralized procurement of medicines, and achieve Bidding to the variety, to the price, to solve the problem of different drug prices at different times and without suppliers. Expand the scope of bidding medical institutions, and include all district-wide cooperative medical hospitals in the scope of joint drug bidding.

4. Further strengthen the construction of medical ethics. We require medical personnel to effectively protect the health rights of the people and strengthen communication with the people. At the same time, we will communicate with complaint channels, improve the mechanism for handling medical disputes, promptly resolve disputes between doctors and patients, guide patients to respect medicine, respect doctors, and consciously maintain medical service order, and strive to form a good situation that promotes harmony for everyone and harmonious environment for everyone to share. . Strengthen discipline inspection and inspection, seriously investigate and punish medical institutions and medical personnel for receiving kickbacks in drug purchase and use, and accepting patients' money and materials in medical service activities, and further purify the health system industry. In the questionnaire survey, the satisfaction rate of the people reached 98%.

9. Coordinating and coordinating, doing a good job in party building and safety comprehensive management.

1. Strengthen party building work. The "Assessment Rules for Party Building Work in 2019" was formulated, and 5 new party members were established throughout the year. In conjunction with the study of the scientific development concept, the district's medical and health units will be organized to conduct clinics in rural areas. Free consultation for 213 people and the distribution of medicines worth about 1,200 yuan.

2. Actively carry out disaster relief work. In the May 12 Wenchuan Earthquake, the trade unions actively organized poverty alleviation and relief work, raised funds and materials, raised a total of 43,850 yuan, and party members and members paid special party fees and special group fees of 12,540 yuan.

3. Promote medical safety comprehensive treatment with honest service. Our bureau insists on "patient-centered" and continues to carry out the "three satisfactions" and "five-one" activities with honest service as the main content. Through the selection and publicity of honest hospitals, honest departments, honest individuals, medical staff see patients For a friend, the heart thinks for the patient, the feeling is for the patient, the blessing is made by the patient, the deficiencies are discovered from the medical practice, the advanced experience is widely used, the medical system is perfected at the right time, and the medical staff earnestly implements the “ten must” and “ten” The content of "quasi-", extensively carry out the propaganda and education activities of "promoting the spirit of Bethune, and being a benevolent worker", educating medical personnel to carry forward the spirit of Bethune, serving the patients wholeheartedly, and truly creating a white angel image, and the meticulous care has produced a strong affinity. The integrity service atmosphere highlights the more ideal medical environment, and there is no medical incident in the whole district.

X. Difficulties and problems faced

1. The implementation of supporting policies for health care development is difficult and difficult to coordinate. Mainly in the health supervision and disease prevention and control institutions infrastructure and necessary equipment investment is not enough, did not meet the relevant standards of the higher level; the government to buy community public health services funding needs to increase, and to provide residents with convenience, high quality, low price There is still a gap in the requirements for medical services; the financial subsidies of primary health care units need to be further increased to change the poor situation in which the hospital's development funds are maintained by their own medical business income.

2. Staffing of township hospitals . In the XX year system reform in our district, each township only retained 3 health specialists. Due to frequent changes in health and technical personnel in recent years, only 9 health professionals have been left, and the township health specialists are in contact with district-level and village-level links. With the reduction of specialized personnel, various health work has been carried out. Quite difficult. Therefore, the staffing of the township hospitals in our district has yet to be actively pursued.

3. Equipment for township hospitals is added. The basics of township hospitals in our district are poor. It can be said to be “one poor and two whites”. The equipment is seriously inadequate. There is only one b-supercomputer for the planning of childbearing work. Therefore, while the township hospitals in our district are carrying out the reconstruction of houses, it is urgent to add some essential basic equipment to facilitate the development of the grassroots health centers .

4. There is a shortage of health professionals. Due to the backwardness of the economy in our region, 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. High-quality health management personnel, public health professionals, and doctors, nurses, medicines, and technicians who are able to stand alone are in short supply.

5. With the continuous improvement of the new rural cooperative medical system, the establishment of urban residents' medical insurance and the increase of health checkup tasks, the medical services of all units have increased, but the development of new businesses and new technologies has lagged behind, and the service level and quality have improved slowly. .

6. Compared with advanced regions, there is still a big gap in the quality and level of health development in our district. The existence of medical and health services is not compatible with the people's growing health needs, the allocation of medical and health resources between urban and rural areas is unreasonable, the development of rural health is lagging behind, and the development of medical units is insufficient.