Summary of the work of the county health project office in 2019
Summary of the XX year work of the Health Viii Project Office of Xiushan Tujia and Miao Autonomous County
In XX, the county health viii project was under the leadership of the county party committee and the government. Under the specific guidance of the municipal project office, with the support of all levels and departments, the CPC Central Committee, the State Council, the municipal party committee and the municipal government were conscientiously implemented. The decision to strengthen rural health work and the decision of the county party committee and the government on the reform and development of rural health , in accordance with the arrangements for the project activities of the XX year, to improve the capacity of rural health services to ensure that the poor people receive basic medical care. The service is the goal, the management system reform of township hospitals is implemented, the integrated management of rural health organizations is initiated, the key health interventions and the medical assistance work for the destitute population are intensified, and various achievements have been made and the expected goals have been achieved.
I. Overall progress of the project work, substantial progress has been made to implement the new rural health policy, and the reform of the management system of township hospitals has been successfully completed to seriously implement the decision of the CPC Central Committee, the State Council, the Municipal Party Committee and the Municipal Government on Further Strengthening Rural Health Work. In October XX, the county party committee and government issued the "Decision on Rural Health Reform and Development", which clarified that the township health institutions are the institutions that have been allocated funds for differential funding, and the staff within the budget are budgeted by the county finance. In order to ensure the smooth implementation of the transfer work of township hospitals , the clean-up of the collective ownership of township hospitals was carried out, and the County People’s Bureau jointly issued the “Implementation Opinions on the Handling of Personnel in Township Health Centers and Related Issues”. The collective ownership and contract system personnel of the township hospitals were hired for the examination and examination, 46 people were required to go through the retirement procedures, and 176 people passed the examination and assessment, as the health unit of the county-level financial budget. The reform of the management system of township hospitals has stabilized the township health team and laid a good foundation for promoting the rapid development of the health industry in our county.
Implementing the reform of the health personnel system, strengthening the planning and development of human resources. First, according to the “Implementation Opinions on the Reform of the Personnel System of Health Institutions in Chongqing”, reforming the system of appointment and leadership, implementing the appointment system and target responsibility system of the township health center, Central Township The hospitals implement management measures such as setting up posts on demand, arranging people according to posts, and hiring all employees. The second is to formulate health manpower development plans and improve the quality of township health teams. In accordance with the staffing of the township hospitals issued by the county editorial board, combined with the status of the health human resources in our county, the township hospital staff supplement plan was formulated. It is planned to supplement the township hospital professionals in three years and gradually ease the township hospital personnel. Lack of conditions. The third is to strictly control the access of health personnel . According to the supplementary plan of the township town health personnel in our county, the county party committee and the government agreed to supplement 60 people. In order to standardize the channels for the health sector to enter the people, optimize the professional team of health professionals, according to the "Notice on Issues Related to New Personnel in the People's Government of Chongqing Municipality" and the Measures for the Employment of New Personnel in Health Units in Xiushan Tujia and Miao Autonomous County "The new recruits will be open to the public for public admission, to prevent non-professionals from entering. Currently, this work is being implemented.
Paying close attention to the medical assistance of the extremely poor population, the accessibility of health services to the extremely poor people has been significantly improved.
Improving the accessibility of basic health services to residents in poverty-stricken areas, especially the poor, is one of the main objectives of the design requirements of this project. In order to achieve the above objectives, we have taken some positive and effective measures and achieved good results. To a certain extent, it alleviates the phenomenon of poverty due to illness and returning to poverty due to illness. According to the guiding principles of the project and the unified deployment of the Municipal Project Office, the number of medical assistance targets, 10,924 households, 26,892 people, which accounted for 5% of the total agricultural population, was rectified in strict accordance with the principles of fairness, openness and fairness, ensuring that the truly poor people enjoy medical assistance. The publicity of medical assistance was intensified, and more than 50,000 copies of publicity materials were printed. The township hospitals publicized the medical assistance content on the wall and regularly announced the implementation of medical assistance, increasing the transparency and credibility of medical assistance. This year, 30 township medical aid recipients used medical aid, accounting for 93.8% of the total townships, and 681 medical aid recipients were certified to seek medical treatment, including: 515 hospitalizations, 33 exemptions, 33 pregnant women, and 133 outpatient clinics. The total medical expenses incurred totaled 301,400 yuan, and the project compensation was 148,000 yuan. The medical expenses for the public were 179,000 yuan. The medical assistance utilization rate of the extremely poor people was 2.53%, which was 1.04% higher than last year. The county rural medical assistance implementation plan was drafted, and the preliminary work of the medical assistance of the special poverty-stricken population and the rural medical assistance implemented by the civil affairs department was completed.
Highlight work priorities and gradually improve health service delivery systems
1. The integrated management of rural health organizations began to further improve the functions of rural health services. We developed the foundation for the successful management of rural health organizations in Yongdong Township, and formulated the “Integrated Management Plan for Rural Health Organizations ”, which was 15 times by the county government. The Standing Committee deliberated and agreed to implement it from January 1, XX. At the same time, it is clarified that the rural doctors who undertake the task of preventive health care should be subsidized no less than 50 yuan per person per month. And actively do all the preparatory work, adjust the village clinic according to the " health resources allocation standards", from the original 426 to 214, organize the village health personnel to participate in the practice registration training, exams, 210 people qualified, 115 people Exemption from trials and implementation of 8600 square meters of business space for village clinics , including 1,500 square meters of rural investment and 7,100 square meters of rural doctors, laying the foundation for the implementation of integrated management of rural health organizations next year. The introduction of the "Integrated Management Plan for Rural Health Organizations " was highly recognized by the leaders of the Chongqing Project Office and published in the grassroots health information in Chongqing.
2. The pilot work of health service quality evaluation was carried out smoothly. According to the unified arrangement of the Foreign Loan Office and the Municipal Project Office, the comprehensive evaluation of health services was continued in the Longchi Town Center Health Center and the Qingxichang Town Center Health Center. Further strengthen hospital management, conduct self-examination and self-assessment in strict accordance with the "Comprehensive Evaluation Index of Health Service Quality of Rural Township Health Centers ", and put forward reasonable suggestions for the problems existing in the implementation process, and provide for the development of health service evaluation indicators for rural township health centers . reference.
3. The clinical diagnosis and treatment service behavior is increasingly standardized to continue to implement the “Basic Drug Catalogue”, “Clinical Clinics” and “Review System” promulgated by the project. The township hospitals will standardize the basic drug list on the wall and openly accept public supervision. The use of drugs within the basic drug list is over 90%. Strictly follow the "Clinical Clinics and Practices" for the treatment of the public, and implement a three-level referral system from the village to the township to the township to the county for the patients who cannot be treated, thus reducing the burden on farmers and ensuring the medical safety of the people. There are 27 township health centers , 182 village clinics to implement basic drug use lists, 24 township health centers use standard clinical diagnosis and treatment standards, and 27 townships meet the hospital infection control requirements.
4. Reform and implementation of the health system According to the new rural health policy, reform the rural health management system, and exercise health management and supervision duties according to law. From August this year, the Meijiang Town Center Health Center with long-term operating losses and poor management will be able to implement The management method that people lead.
5. The training of township health personnel has been continuously strengthened to strengthen the continuing education of township health personnel . Through the selection and delivery of technical backbones for further study and training, the first-aid ability and service quality of township hospitals will be improved. According to statistics, 35 people were sent out for further study this year. Among them, 13 were trained at the municipal level, 22 were trained at the county level, 18 were held at the county level, 1138 were trained in township health , 209 were held in townships, and 3,628 were trained in rural health .
6. The implementation of key health interventions in the construction of standardized township hospitals in Zhonghe Town and Qingxichang Town is obviously in accordance with the guiding principles of the second phase of the project, and the county has chosen to plan for immunization and reproductive health. Kanghe neonatal care, hypertension prevention and school intestinal deworming four aspects. In order to do the above work, we take health education as a breakthrough point, improve the professional quality of township defense personnel as the entry point, and strengthen the management as the basis to ensure the normal development of the key health intervention work. The indicators of immunization, women and children are on the rise. The total vaccination rate of children's four seedlings was 91.43%, which was 0.44% higher than that of last year. The neonatal hepatitis B vaccination rate was 81.9%, which was 19.52% higher than that of XX. The maternal system management rate was 91.56%, up 2.4% from last year. The new birth rate was 86.71%, up 0.17% from last year, and the hospital delivery rate was 48.01%, up 4.4% from last year. The prevention of hypertension and the control of intestinal parasites in schools have also made substantial progress. The census of hypertension in the pilot villages of the pilot townships has been completed, and blood pressure has been measured free of charge for 98,000 patients over the age of 35 for the whole year. Hypertension patients have implemented card management. A total of 75,000 students aged 6-12 years old in the county were collectively dewormed, and the rate of parasitic infection dropped from 95.62% before the deworming to 21.62%.
Strengthen information management, and the guiding role of information will gradually play this year. We have focused on strengthening the construction of information teams and the establishment of information rooms. According to the quality of information workers in township hospitals , we have re-adjusted and enriched a group of young and business-oriented information personnel, held 2 training sessions for township information personnel, and trained 70 township information personnel to establish and improve township information accounts and information. Room, the establishment rate is 100%. The supervision and evaluation of the sanitation viii project was carried out. The implementation of the XX project was summarized and analyzed. Suggestions were put forward for the existing problems, which played a very important role in guiding the implementation of the project.
Strengthen the management of civil engineering projects and equipment, and formulate civil construction maintenance plans and equipment management systems, and conduct cost-benefit analysis on large equipment such as x-ray machines, b-ultrasounds, and electrocardiograms.
Strengthen project management, and implement all the objectives and tasks. First, we will closely integrate the project work with the daily health work, and work together to implement the management. The main leaders will personally grasp the work methods that the leaders specifically grasp and implement the responsibility for signing the targets at different levels. Book management measures. The second is to maintain the stability of the staff of the project office and enrich the county-level project experts to ensure that the technical guidance of the experts is implemented. The third is to strengthen project fund management, formulate the "Project Financial Management Measures", and accept the county audit bureau's audit of project funds, and there is no misappropriation or abuse. Fourth, the organization carried out two large-scale comprehensive supervision. County-level project officials and experts visited the township health centers from time to time to supervise 86 times, and corrected the problems in the project implementation process.
II. Problems in the implementation of the project The quality of health of township and village health workers is generally low, the structure is unreasonable, and the ability to provide health services is not high.
Township hospitals have a shortage of business premises and poor facilities. Although they have achieved a certain degree of improvement through project implementation, they still cannot meet the needs of the people for health services.
Because our county is a national poverty-stricken county, the county's finances are very tight. Although we have obtained certain matching funds from the aspects of civil affairs and poverty alleviation, the county-level matching funds still have a low rate, which has affected the overall promotion of the project to some extent.
The poorest people have financial difficulties and the level of utilization of health services is low.
The management system and operation mechanism of ordinary township hospitals have not been completely straightened out, which has brought certain influence to the implementation of the project.
Third, the focus of work in XX will further improve the planning and development of health human resources, and supplement the township health personnel .
Continue to implement the institutional reform of the township hospitals and the reform of the personnel system.
Rationalize the management system of the village health organization, comprehensively implement the management of rural integration, and improve the overall capacity of township and village health services.
Focus on strengthening the training of health personnel in townships and villages, and improve the technical level of health services.
Efforts will be made to implement key health interventions to improve the use of health services by vulnerable groups such as the elderly, women and children.
Actively strive for the pilot work of the new rural cooperative medical care.
Do everything possible to implement matching funds and promote project implementation.
December 20, 2004
In XX, the county health viii project was under the leadership of the county party committee and the government. Under the specific guidance of the municipal project office, with the support of all levels and departments, the CPC Central Committee, the State Council, the municipal party committee and the municipal government were conscientiously implemented. The decision to strengthen rural health work and the decision of the county party committee and the government on the reform and development of rural health , in accordance with the arrangements for the project activities of the XX year, to improve the capacity of rural health services to ensure that the poor people receive basic medical care. The service is the goal, the management system reform of township hospitals is implemented, the integrated management of rural health organizations is initiated, the key health interventions and the medical assistance work for the destitute population are intensified, and various achievements have been made and the expected goals have been achieved.
I. Overall progress of the project work, substantial progress has been made to implement the new rural health policy, and the reform of the management system of township hospitals has been successfully completed to seriously implement the decision of the CPC Central Committee, the State Council, the Municipal Party Committee and the Municipal Government on Further Strengthening Rural Health Work. In October XX, the county party committee and government issued the "Decision on Rural Health Reform and Development", which clarified that the township health institutions are the institutions that have been allocated funds for differential funding, and the staff within the budget are budgeted by the county finance. In order to ensure the smooth implementation of the transfer work of township hospitals , the clean-up of the collective ownership of township hospitals was carried out, and the County People’s Bureau jointly issued the “Implementation Opinions on the Handling of Personnel in Township Health Centers and Related Issues”. The collective ownership and contract system personnel of the township hospitals were hired for the examination and examination, 46 people were required to go through the retirement procedures, and 176 people passed the examination and assessment, as the health unit of the county-level financial budget. The reform of the management system of township hospitals has stabilized the township health team and laid a good foundation for promoting the rapid development of the health industry in our county.
Implementing the reform of the health personnel system, strengthening the planning and development of human resources. First, according to the “Implementation Opinions on the Reform of the Personnel System of Health Institutions in Chongqing”, reforming the system of appointment and leadership, implementing the appointment system and target responsibility system of the township health center, Central Township The hospitals implement management measures such as setting up posts on demand, arranging people according to posts, and hiring all employees. The second is to formulate health manpower development plans and improve the quality of township health teams. In accordance with the staffing of the township hospitals issued by the county editorial board, combined with the status of the health human resources in our county, the township hospital staff supplement plan was formulated. It is planned to supplement the township hospital professionals in three years and gradually ease the township hospital personnel. Lack of conditions. The third is to strictly control the access of health personnel . According to the supplementary plan of the township town health personnel in our county, the county party committee and the government agreed to supplement 60 people. In order to standardize the channels for the health sector to enter the people, optimize the professional team of health professionals, according to the "Notice on Issues Related to New Personnel in the People's Government of Chongqing Municipality" and the Measures for the Employment of New Personnel in Health Units in Xiushan Tujia and Miao Autonomous County "The new recruits will be open to the public for public admission, to prevent non-professionals from entering. Currently, this work is being implemented.
Paying close attention to the medical assistance of the extremely poor population, the accessibility of health services to the extremely poor people has been significantly improved.
Improving the accessibility of basic health services to residents in poverty-stricken areas, especially the poor, is one of the main objectives of the design requirements of this project. In order to achieve the above objectives, we have taken some positive and effective measures and achieved good results. To a certain extent, it alleviates the phenomenon of poverty due to illness and returning to poverty due to illness. According to the guiding principles of the project and the unified deployment of the Municipal Project Office, the number of medical assistance targets, 10,924 households, 26,892 people, which accounted for 5% of the total agricultural population, was rectified in strict accordance with the principles of fairness, openness and fairness, ensuring that the truly poor people enjoy medical assistance. The publicity of medical assistance was intensified, and more than 50,000 copies of publicity materials were printed. The township hospitals publicized the medical assistance content on the wall and regularly announced the implementation of medical assistance, increasing the transparency and credibility of medical assistance. This year, 30 township medical aid recipients used medical aid, accounting for 93.8% of the total townships, and 681 medical aid recipients were certified to seek medical treatment, including: 515 hospitalizations, 33 exemptions, 33 pregnant women, and 133 outpatient clinics. The total medical expenses incurred totaled 301,400 yuan, and the project compensation was 148,000 yuan. The medical expenses for the public were 179,000 yuan. The medical assistance utilization rate of the extremely poor people was 2.53%, which was 1.04% higher than last year. The county rural medical assistance implementation plan was drafted, and the preliminary work of the medical assistance of the special poverty-stricken population and the rural medical assistance implemented by the civil affairs department was completed.
Highlight work priorities and gradually improve health service delivery systems
1. The integrated management of rural health organizations began to further improve the functions of rural health services. We developed the foundation for the successful management of rural health organizations in Yongdong Township, and formulated the “Integrated Management Plan for Rural Health Organizations ”, which was 15 times by the county government. The Standing Committee deliberated and agreed to implement it from January 1, XX. At the same time, it is clarified that the rural doctors who undertake the task of preventive health care should be subsidized no less than 50 yuan per person per month. And actively do all the preparatory work, adjust the village clinic according to the " health resources allocation standards", from the original 426 to 214, organize the village health personnel to participate in the practice registration training, exams, 210 people qualified, 115 people Exemption from trials and implementation of 8600 square meters of business space for village clinics , including 1,500 square meters of rural investment and 7,100 square meters of rural doctors, laying the foundation for the implementation of integrated management of rural health organizations next year. The introduction of the "Integrated Management Plan for Rural Health Organizations " was highly recognized by the leaders of the Chongqing Project Office and published in the grassroots health information in Chongqing.
2. The pilot work of health service quality evaluation was carried out smoothly. According to the unified arrangement of the Foreign Loan Office and the Municipal Project Office, the comprehensive evaluation of health services was continued in the Longchi Town Center Health Center and the Qingxichang Town Center Health Center. Further strengthen hospital management, conduct self-examination and self-assessment in strict accordance with the "Comprehensive Evaluation Index of Health Service Quality of Rural Township Health Centers ", and put forward reasonable suggestions for the problems existing in the implementation process, and provide for the development of health service evaluation indicators for rural township health centers . reference.
3. The clinical diagnosis and treatment service behavior is increasingly standardized to continue to implement the “Basic Drug Catalogue”, “Clinical Clinics” and “Review System” promulgated by the project. The township hospitals will standardize the basic drug list on the wall and openly accept public supervision. The use of drugs within the basic drug list is over 90%. Strictly follow the "Clinical Clinics and Practices" for the treatment of the public, and implement a three-level referral system from the village to the township to the township to the county for the patients who cannot be treated, thus reducing the burden on farmers and ensuring the medical safety of the people. There are 27 township health centers , 182 village clinics to implement basic drug use lists, 24 township health centers use standard clinical diagnosis and treatment standards, and 27 townships meet the hospital infection control requirements.
4. Reform and implementation of the health system According to the new rural health policy, reform the rural health management system, and exercise health management and supervision duties according to law. From August this year, the Meijiang Town Center Health Center with long-term operating losses and poor management will be able to implement The management method that people lead.
5. The training of township health personnel has been continuously strengthened to strengthen the continuing education of township health personnel . Through the selection and delivery of technical backbones for further study and training, the first-aid ability and service quality of township hospitals will be improved. According to statistics, 35 people were sent out for further study this year. Among them, 13 were trained at the municipal level, 22 were trained at the county level, 18 were held at the county level, 1138 were trained in township health , 209 were held in townships, and 3,628 were trained in rural health .
6. The implementation of key health interventions in the construction of standardized township hospitals in Zhonghe Town and Qingxichang Town is obviously in accordance with the guiding principles of the second phase of the project, and the county has chosen to plan for immunization and reproductive health. Kanghe neonatal care, hypertension prevention and school intestinal deworming four aspects. In order to do the above work, we take health education as a breakthrough point, improve the professional quality of township defense personnel as the entry point, and strengthen the management as the basis to ensure the normal development of the key health intervention work. The indicators of immunization, women and children are on the rise. The total vaccination rate of children's four seedlings was 91.43%, which was 0.44% higher than that of last year. The neonatal hepatitis B vaccination rate was 81.9%, which was 19.52% higher than that of XX. The maternal system management rate was 91.56%, up 2.4% from last year. The new birth rate was 86.71%, up 0.17% from last year, and the hospital delivery rate was 48.01%, up 4.4% from last year. The prevention of hypertension and the control of intestinal parasites in schools have also made substantial progress. The census of hypertension in the pilot villages of the pilot townships has been completed, and blood pressure has been measured free of charge for 98,000 patients over the age of 35 for the whole year. Hypertension patients have implemented card management. A total of 75,000 students aged 6-12 years old in the county were collectively dewormed, and the rate of parasitic infection dropped from 95.62% before the deworming to 21.62%.
Strengthen information management, and the guiding role of information will gradually play this year. We have focused on strengthening the construction of information teams and the establishment of information rooms. According to the quality of information workers in township hospitals , we have re-adjusted and enriched a group of young and business-oriented information personnel, held 2 training sessions for township information personnel, and trained 70 township information personnel to establish and improve township information accounts and information. Room, the establishment rate is 100%. The supervision and evaluation of the sanitation viii project was carried out. The implementation of the XX project was summarized and analyzed. Suggestions were put forward for the existing problems, which played a very important role in guiding the implementation of the project.
Strengthen the management of civil engineering projects and equipment, and formulate civil construction maintenance plans and equipment management systems, and conduct cost-benefit analysis on large equipment such as x-ray machines, b-ultrasounds, and electrocardiograms.
Strengthen project management, and implement all the objectives and tasks. First, we will closely integrate the project work with the daily health work, and work together to implement the management. The main leaders will personally grasp the work methods that the leaders specifically grasp and implement the responsibility for signing the targets at different levels. Book management measures. The second is to maintain the stability of the staff of the project office and enrich the county-level project experts to ensure that the technical guidance of the experts is implemented. The third is to strengthen project fund management, formulate the "Project Financial Management Measures", and accept the county audit bureau's audit of project funds, and there is no misappropriation or abuse. Fourth, the organization carried out two large-scale comprehensive supervision. County-level project officials and experts visited the township health centers from time to time to supervise 86 times, and corrected the problems in the project implementation process.
II. Problems in the implementation of the project The quality of health of township and village health workers is generally low, the structure is unreasonable, and the ability to provide health services is not high.
Township hospitals have a shortage of business premises and poor facilities. Although they have achieved a certain degree of improvement through project implementation, they still cannot meet the needs of the people for health services.
Because our county is a national poverty-stricken county, the county's finances are very tight. Although we have obtained certain matching funds from the aspects of civil affairs and poverty alleviation, the county-level matching funds still have a low rate, which has affected the overall promotion of the project to some extent.
The poorest people have financial difficulties and the level of utilization of health services is low.
The management system and operation mechanism of ordinary township hospitals have not been completely straightened out, which has brought certain influence to the implementation of the project.
Third, the focus of work in XX will further improve the planning and development of health human resources, and supplement the township health personnel .
Continue to implement the institutional reform of the township hospitals and the reform of the personnel system.
Rationalize the management system of the village health organization, comprehensively implement the management of rural integration, and improve the overall capacity of township and village health services.
Focus on strengthening the training of health personnel in townships and villages, and improve the technical level of health services.
Efforts will be made to implement key health interventions to improve the use of health services by vulnerable groups such as the elderly, women and children.
Actively strive for the pilot work of the new rural cooperative medical care.
Do everything possible to implement matching funds and promote project implementation.
December 20, 2004
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