Year-end summary of health work of the Health Bureau in 2019

Under the correct leadership of the county party committee and the government, under the correct guidance and care of the higher-level health administrative department, the county health work insists on taking the opportunity of studying and practicing the scientific development concept as an opportunity to comprehensively promote the healthy development of the health industry. In the past year, through the joint efforts of the cadres and workers of the health system, the county's various health work has achieved certain results. The work is summarized as follows:
I. Achievements in work and achievements in work
1. The government's growth in investment in health has increased. In XX, the county party committee and county people's government attached great importance to health work, and the government's investment in health care increased compared with the same period of last year.
2. Preliminary results have been achieved in the construction of health infrastructure. In order to seize the opportunity of the country to expand domestic demand projects, strengthen infrastructure construction and improve the service environment. Since December XX, the project has been built for the inpatient building of Qingshuijiang, Greasy Foot, and Defective Health Center. The construction area is 1900 square meters, the total investment is 2.22 million yuan, the actual construction area is 3074 square meters, and the total investment is 331.386 million yuan. Among them: the central subsidy is 2.06 million yuan, the provincial level is 160,000 yuan, and the self-raised fund is 1,093,680 yuan. Part of the funds for the central subsidy are in place, and the local supporting parts are not yet in place. At present, the main project of the construction project of Qingshuijiang and Greasy Foot Center Health Center has been completed, and it has entered the stage of completion acceptance; the construction project of the inpatient building of the Deaf Center Health Center started construction on September 28, and it is expected to be completed and put into use by the end of December. At the same time, it also completed the construction of equipment for the construction of 13 township health centers, distributed 179 medical equipments, with a total investment of 1,750,400 yuan; the village clinic distributed the basic medical facilities with a value of 372,300 yuan, which is expected to be completed at the end of 12 Equipment support for a village clinic.
3. The efforts of Chinese medicine have been further increased. The county people's government attaches great importance to the work of Chinese medicine, and has set up a team leader in charge of the deputy magistrate in time. The main leaders of the health bureau are deputy heads, finance, development, economic commerce, science and technology, agriculture, forestry, investment, food and drug supervision, industry and commerce, The leading leaders of banks and hospitals are members of the Chinese Medicine Working Group. Intensify support for the development of Chinese medicine, and the county people's government in XX has included Chinese medicine work in the budget.
4. The new rural cooperative medical work is working well.
We will strengthen the management of new rural cooperative medical care and solidly promote the steady implementation of the Huimin project. In XX, the county had a total agricultural population of 431,807, and 362,325 people participated in the new rural cooperative medical care, with a participation rate of 83.91. The total amount of participation should be raised to 36.325 million yuan. Among them: the participation of farmers in the individual payment of 7,246,500 yuan, the central and provincial subsidies of 28.986 million yuan. At present, the central and provincial subsidy funds have reached 25,326,800 yuan, plus the farmers' individual contributions of 7,246,500 yuan, a total of 32,609,300 yuan has been received, and the central subsidy fund has not yet reached 3,632,200 yuan. From January to October of XX, the county enjoyed a total of 603,662 person-times of compensation for new rural cooperative medical care, 29,293 hospitalizations, and 574,398 outpatient compensation, with a participation benefit rate of 168.18. The total compensation amount of the county is 3,561,700 yuan, of which: the hospitalization compensation amount is 2,256,250 yuan, the per capita hospitalization compensation is 0.077 million yuan, the hospitalization benefit rate is 8.09, the hospitalization compensation accounts for 63.3 of the total compensation amount; the outpatient compensation amount is 1,30,792,200 yuan, and the outpatient benefit rate is 158.53. The total amount of outpatient compensation accounted for 36.70 of the total compensation amount of the county. The fund utilization rate reached 98.05.
5. The drug distribution system has been further consolidated and improved. Consolidate the work of “medical unified bidding and procurement, unified distribution” of medical institutions. In accordance with the “Zhong County Drugs Unified Distribution Implementation Plan”, “×× County New Rural Cooperative Medical Center Medical Center Unified Drug Distribution Management Assessment Standards” and “×× County New Rural Cooperative Medical Organizations The designated medical institutions combined with the actual on-time submission of the drug procurement approval form, and after the approval of the County Drug Purchasing Center, they were fed back to the three winning bidders on time for drug procurement and distribution. From January to October, the county approved a total of 41,720 sub-species in the standard, 7380 sub-species outside the standard, and distributed drug funds of 20,989,300 yuan. Strengthen the efforts of unified distribution of drugs in designated medical institutions, standardize the unified drug access channels, reduce drug prices, and reduce the economic burden of the people. The overall drug prices in the county have been significantly reduced, laying a solid foundation for the relief of rural people's difficult medical treatment and expensive medical treatment.
6. The "Blood Donation Law" and the "Implementation Opinions" of Yunnan Province and the "Implementation Measures" of Wenshan Prefecture have been further implemented. Conscientiously implement the "Blood Donation Law" and the "Implementation Opinions" of Yunnan Province and the "Implementation Measures" of Wenshan Prefecture to ensure the safety of blood use. From January to November, the county completed a total of 278,450 ml of blood donation, accounting for 79.56 of the annual task. All medical and health units have used blood reasonably and safely in accordance with the "Implementation Opinions" and "Implementation Measures", and no blood accidents have occurred together. On April 19th, 21 qualified medical technicians including internal medicine, pediatrics, gynecology, skin and traditional Chinese medicine of the county's medical and health units were organized. The villagers' committee of Wenba Township was carried out to conduct medical inspections. 37 patients, consulted 361 people, measured blood pressure 113 people, exhibited 44 posters, distributed 3,180 kinds of publicity materials, and received more than 6,000 people.
7. Community health services are being carried out in an orderly manner. Our county has introduced the implementation measures for the development of urban community health services to the higher authorities for approval, and will be implemented after approval. At the same time, the county level has been subsidized by the community public health service subsidy of 3 yuan per capita. The Jinping Town Health Center is responsible for organizing the implementation of community health service work. At present, the family health record has been established and improved, and various tasks are being carried out in an orderly manner.
8. The supervision of medical institutions has been further strengthened. Carefully organize the study of medical laws and regulations and law-enforcement of medical institutions, strengthen the management of marks, comprehensively enhance the legal awareness of medical personnel, and ensure medical safety. From January to October, no medical incidents occurred. At the same time, in accordance with relevant health laws and regulations, increase the intensity of health supervision and law enforcement, and actively carry out activities to crack down on illegal medical practice and rectify medical market order. The first is to strengthen daily supervision. A total of more than 1,350 households in food, public places, schools, drinking water, radiation, and occupational health were supervised. The second is to strictly implement the “six categories” food market access system. By the end of October, the implementation rate of the “six categories” food market access system for catering units, 37 schools, kindergartens and hospital canteens reached 100. Third, continue to increase efforts to crack down on illegal medical practice. A total of 17 individual medical institutions were inspected and examined, and 3 households were closed down on their own, 3 households were renamed, 5 households were rectified within a time limit, and 1 non-health technician was found to be punished with a fine of 500 yuan. With the close cooperation of the township assistant health supervisors, the medical market inspections were intensified, 14 unlicensed inlays were banned, illegal medical practitioners were seized and one case was investigated and investigated, and the fine was 1XX yuan. The fourth is to further improve the quality of administrative licensing. By the end of September, a total of 788 administrative examinations were handled, including 634 food hygiene permits and 154 public health permits, and 1663 health checkups were urged. The number of applications for nurse registration for renewal of nurses was 304, and the nurses registered for the first time. There were 29 registered medical practitioners, including 3 change of practice locations, 2 lost and 2 first registrations. 704 medical practice certificates were issued. 19 copies of the Physician Qualification Certificate were issued.
9. Scientifically deal with public health emergencies. Strictly follow the requirements of the Ministry of Health's "Management Measures for Public Health Incidents and Infectious Diseases Surveillance Information Reporting" and the "National Disaster Prevention and Prevention and Health Reporting Management Regulations", and do a good job in public health emergencies. From January to November, a total of 22 public health incidents were handled, with 108 deaths and 5 deaths, of which 16 were food poisoning incidents and 6 were infectious disease epidemics. 3 cases were reported for public health emergencies, including 1 case of Zhang Chaoying, a village in Pingzhai Township, and 1 death; 1 case of food poisoning and 3 deaths in the white mushroom Chen Jinkui of Shupi Township; There were 1 case of a H1N1 flu epidemic in the village. All were given timely and effective disposal, effectively controlling the spread of the epidemic.
10. The prevention and treatment of key infectious diseases such as plague, cholera and tuberculosis have been further strengthened. The county reported 941 cases of legal infectious diseases from January to October, with an incidence rate of 203.66/100,000, an increase of 10.19 compared with the same period of last year. Completed 386 squirrels, accounting for 85.78 of the number of tasks, 113 identification and culture, and 94 positive blood tests, all of which were negative; 8 specimens of diarrhea patients collected from 6 fixed cholera surveillance sites in urban areas, sewage monitoring 85 The results were all negative; no afp cases were found in 19 polio epidemic reporting points and sentinel hospital monitoring. Increase the intensity of tuberculosis prevention and control, 1445 cases of newly diagnosed patients, 744 cases should be investigated, and 744 cases were investigated. Completed 238 patient management projects. Increase the intensity of program immunization work, with the village as the unit of cold chain operation for 9 rounds, the reported inoculation rate: BCG 90.25, polio vaccine 97.92, Baibai broken 98.54, measles vaccine 99.59, B liver vaccine 90.25, JE vaccine 97.66 %, a group of meningococcal vaccine 96.04%. Newly built and rebuilt 3,644 people. Seriously carried out the work of eradicating rodents in spring and autumn, organized 73,620 villagers' committees in 12 townships and towns in the county, prepared and placed 36,889.24 kilograms of bait, used 28 kilograms of Dagong, and carried out 332,600 square meters of extinct for 3,832 households in 18 epidemics. The results of Shuanglongying, Xindian, Greasy Feet and Badaoshao were monitored before and after extinction. The results were as follows: the indoor rat density was 1.67, the outdoor was 4.67, and the indoor rat density was 1.11 and the outdoor was 0.87. The 蚤 index is 0.044, and after the extinction is 0.007.
11. Maternal and child health work has achieved remarkable results. From January to October, the hospital delivery rate was 79.52. Compared with the same period of last year, the hospital delivery rate increased by 17.68; the maternal death rate was 5 cases, the mortality rate was 77.28/100,000; there was no neonatal tetanus death, and the infant died in 63 cases. It was 7.74‰; 70 children died under the age of 5, the mortality rate was 10.82‰; 3,930 poor mothers were rescued, and the rescue fund was 1,206,507 yuan. Taking the implementation of the new rural cooperative medical system as an opportunity, the county's work on women's disease screening, health education and free hospitalization and childbirth were carried out in depth, which further promoted the development of maternal and child health work in the county, and achieved remarkable results in social and economic benefits.
12. Seriously carry out the prevention and treatment of leprosy. The prevention and treatment of leprosy adhered to the principle of propaganda and joint chemotherapy, and found that patients were the focus and increased the prevention and treatment of leprosy. From January to October, 18 patients with leprosy were found, all of them were given timely chemotherapy, and the regular medication rate was Up to 100, 69 cases of sexually transmitted diseases were collected and reported. Among them, 7 were hiv positive, 23 were gonorrhea, 24 were condyloma acuminata, 28 were nongonococcal urethritis, 4 were genital herpes, and 1 was soft chancre. Organized the township health center epidemic prevention part-time staff and rural doctors to train leprosy prevention and control knowledge 2 times a total of 370 people.
13. The patriotic health movement and the work of changing water and sanitation have progressed steadily. Vigorously carry out the patriotic health campaign. On June 9, the county party committee and the government attached great importance to the organization of XX0 people from the municipal and county-level government organs, enterprises and institutions, cadres and workers, and peasants to carry out patriotic health campaigns, dispatching 18 vehicles of different sizes and removing 200 garbage vehicles. More than tons, clear 16 corners of sanitary corners. 625 seats for toilets issued by the province and the state are under implementation, and 489 have been completed, and the rest of the work is being carried out in an orderly manner.
14. The training of rural medical and health personnel has been further strengthened. From January to October of XX, a total of 42 medical and health personnel from county and townships were selected to study in the province, state and county, and 175 people participated in provincial, state and county business training. Among them, townships were sent to county level for 30 people. Participated in 56 provincial and county-related business trainings; county-level elections were sent to provincial and state-level training for 14 people, and provincial and state-level business trainers were 119. 150 people participated in continuing medical education. 320 rural video training for rural doctors. Arrange for the county-level medical and health institutions to support 12 township health centers. Organized a deputy high of 3 people, recruited a practicing physician to work in a hospital. By adopting various forms such as academic education, qualification examination, promotion of professional titles, clinical training, establishment and improvement of talent training system, middle-level cadre management talent pool, and talent mobility mechanism, the technical level and service capacity of township hospitals have become obvious. Raising, the total business income reached 9.38 million yuan, an increase of 63.13 compared with the same period of the previous year; the county hospital business income totaled 3,438.78 million yuan, an increase of 40.30 over the same period of the previous year; the total income of the Chinese medicine hospital was 3,815,500 yuan, compared with The year-on-year growth was 32.17; the total income of the Maternal and Child Health Hospital business was 2,699,700 yuan, an increase of 244.89 over the same period of the previous year.
15. The construction of spiritual civilization and medical ethics education and industry style construction have been further improved. From January to October, in order to strengthen the spiritual civilization construction of the health system, we actively adopted various forms such as training, concentrated learning, and self-study to strengthen the education of professional ethics, professional discipline, and professional standards for medical and health technicians. Service concept, change service model, improve service process, improve service attitude, optimize service environment, improve service quality, promote humanities service, and comprehensively promote the construction of spiritual civilization in the industry. In XX, the “Zhan County Health System Five-Five Plan and Plan Implementation Plan”, “Health System Service Commitment System, First-question Responsibility System, Time-limited System” and “×× County Health Work Reward and Punishment Implementation Measures” were formulated. And issued to all medical and health units to implement, push the openness of administrative affairs, and further standardize the work behavior of cadres and workers in the health system. At the same time, in order to improve work efficiency, the Leading Group for Learning and Practicing the Scientific Outlook on Development was established in a timely manner, and the study and practice were carefully organized. The townships and towns were investigated in depth, the leadership teams of the two health centers were adjusted, and some members of the health school team were enriched. It laid a solid foundation for the development of township hospitals. In order to further promote administration according to law and guarantee the legitimate rights and interests of administrative law enforcement, the County Health Bureau held the hearing of health administrative punishment for the first time. The county government legal office and the county disciplinary committee leaders personally guided and gradually standardized the administrative punishment hearing program according to law. In the in-depth study and practice of the scientific development concept, the XX County Health Bureau, in accordance with the unified deployment of the county party committee, under the leadership and guidance of the county party committee learning practice activity leading group and the leading group office and the study guidance group, combined with the actual, carefully organized, strict In accordance with the requirements of the various requirements of each of the three stages, the work of learning and practice activities will be solidly promoted. A mobilization meeting was held, and the organization concentrated on 9 times and 43 hours of study, collected 146 articles of party members and cadres, suspended 3 propaganda labels, published 2 posters, and submitted 22 study briefings. In-depth research was carried out 10 times at the grassroots level, 19 opinions and suggestions were collected, 2 research reports and case studies were formed, and 5 research reports and case analysis of county medical and health units were collected. Conducted solicitation of opinions 2 times, the leadership team special democratic life meeting 1 time, organization life meeting 1 time, retired personnel symposium 1 time, issued more than 200 questionnaires, set up a request for suggestion box, announced complaints and reports, extensive Solicit opinions and suggestions from the party members and cadres of the system and the community.
16. Actively develop Red Cross members and volunteers. In XX, the county editorial board has already placed a separate file of the XX Red Cross Society, but the personnel, funds and office locations have not yet been implemented. In XX, the county has developed 1,200 Red Cross members and 50 Red Cross volunteers.
17. Actively carry out Red Cross, ambulance and other work. On April 28th, in order to strengthen on-the-spot ambulance knowledge training and improve people's self-protection awareness and self-help and mutual rescue ability, the County Red Cross sent two qualified experts to 55 people from Yunnan Wenshan Power XX Branch. Days of on-the-spot ambulance knowledge training has achieved good results.
18. Increase efforts in AIDS prevention and control to curb the spread and spread of AIDS. From January to October, the company organized personnel to go to the streets to carry out 244 publicity, distributed 128,654 propaganda materials, benefited 231,680 people, and launched 57,849 households. It carried out 1,543 TV publicity and 112 publicity. The training of anti-AIDS knowledge was carried out 35 times, and 2,595 trainers were trained. Voluntary testing was carried out in 466 people, accounting for 93.2 of the 500 people, and 40 positive, with a positive rate of 8.58. Among them: 56 people were tested by drug users, 9 were positive, the positive rate was 16.07; 30 people were tested by sexually transmitted diseases, 1 was positive; 71 were female sex workers, 0 were positive; 309 were detected by others, 30 were positive, positive The rate is 9.7. 5459 pregnant women were tested, accounting for 109.18 of the 5,000 patients, and 10 were positive, with a positive rate of 0.18. 1638 people were registered for marriage registration, accounting for 102.38 of the 1,600 tasks, and there was no positive. 172,804 condoms were issued, of which 3,268 were star-rated hotels, 3,268 were used, 855 were placed in entertainment venues, 520 were used, and 109,360 were distributed to the childbearing age. In the outreach service, 2898 condoms were distributed to drug users, 2,370 were infected and family, and 84,260 were female sex workers. The methadone community maintenance treatment clinic provides effective maintenance treatment and health education for the recipients. The current number of enrolled patients is 146, the number of maintenance treatments is 73, 73 are lost, the loss rate is 50, and methadone 1096186 ml is used. Actively carry out anti-viral treatment work. By the end of September, a total of 103 people had been enrolled in the treatment, and 86 people were currently being treated, 15 were killed, and 2 were withdrawn. To strengthen the screening of maternal AIDS screening, a total of 5459 pregnant women were screened, 10 cases of hiv-positive were detected, and 9 cases were blocked by mother-infant.
work experience
1. The county party committee, the government and the health administrative department attach great importance to various health work and strengthen leadership over various health work, which is the key to effectively promoting the development of health care.
2. Establishing and improving the health work mechanism, formulating and improving relevant health work systems, clarifying responsibilities, and implementing measures in place are necessary conditions for carrying out various health work.
3. Strengthening the construction of health emergency teams and material reserves, and continuously improving health emergency response capabilities are the material basis for ensuring timely and effective disposal of various public health emergencies.
4. Strengthening communication and collaboration with departments is the foundation for doing a good job in various health work.
5. Doing a good job in propaganda and education of various health work is a prerequisite for promoting the orderly development of all kinds of work, and also a vehicle for demonstrating the achievements of the work.
Second, the existing difficulties and problems First, the shortage of health professional and technical personnel, the total amount is insufficient. According to the “Notice on Printing and Distributing the Health Resource Allocation Standards of Yunnan Province” by Yunji Society XX1199, the county should have 1,199 health technicians, 845 people, 806 employees, 354 people, and 393 staff. With a low level of education and a low level of business, it is difficult to meet the growing demand for medical services and AIDS prevention services for the people. Second, the county and township joint management offices are purely institutions, with no funding sources, imperfect systems, difficulties in promotion and promotion of staff, and the heavy workload, which has caused some staff members to be unstable and affected the development of the new rural cooperative medical system. Third, AIDS prevention and control, lack of publicity funds, and insufficient coordination of departments have made it difficult to fully implement AIDS prevention and control work. Fourth, work funds, special funds, and project funds could not be put in place in time, resulting in the failure to carry out the work smoothly. Fifth, the disease prevention and control work needs to be further strengthened, and the incidence of infectious diseases remains high. Sixth, the Red 10th Committee Although the county editorial board has placed a single file, the organization and personnel have not yet been implemented, which makes the work of the Red Cross Society difficult to carry out, and the task of blood donation is arduous.
Third, XX years of work ideas, main tasks, measures and recommendations
The overall requirements for health work in the county in XX year are: comprehensively implement the spirit of the party's xx, xx, 3rd, 4th and CCP plenary sessions and the statewide health work conference, thoroughly implement the scientific development concept, strengthen infrastructure construction, and consolidate and improve the new type. The rural cooperative medical system will strengthen the supervision of food safety and quality, co-ordinate all kinds of health work, and constantly create a new situation in health work.
We will thoroughly implement the party's xx spirit and work hard to promote the reform of the medical and health system. In accordance with the provincial and state work arrangements, we will conscientiously implement various measures, actively promote nine national basic public health service projects, and implement health reforms such as the six major public health programs.
Strengthen the construction of grassroots medical and health service system and further improve the new rural cooperative medical care system. Accelerate the construction of county-level rural three-level medical and health service institutions and community health service institutions to achieve comprehensive coverage of grassroots medical and health service networks. Grasping the favorable opportunity for the country to expand domestic demand, strengthen infrastructure construction, and vigorously improve people's livelihood, strive for increased government input, further strengthen the implementation of urban regional health planning and standardization of county hospitals, and give full play to the leading rural three-level medical and health service network of county hospitals. effect. Transform the operational mechanism and service model of grassroots medical and health service institutions, and promote the integration of rural health service management. Consolidate and improve the new rural cooperative medical care system, and strengthen the supervision and management of the new rural cooperative medical system with the focus on improving the management system, ensuring the safety of the fund, standardizing medical behavior, and improving the level of public benefit. Explore the establishment of a reasonable growth fundraising mechanism and gradually improve the level of new rural cooperative security. Strengthen the supervision of the new rural cooperative fund and designated medical institutions, rationally control the medical service charges, standardize the new rural cooperative medical compensation plan, increase the utilization rate of the new rural cooperative fund and participate in the farmers' benefit level.
Do a good job in health emergency work to ensure basic public health service standards. Practically strengthen health emergency work. Improve the health emergency materials reserve mechanism. Improve the monitoring and early warning and information reporting system. Standardize health emergency drills and continuously improve the overall level of health emergency work. Further improve the prevention and treatment of major infectious diseases such as AIDS and tuberculosis. Effectively implement the "four free and one care" policy, improve the accessibility and standardization of anti-viral treatment, and mobilize and guide social forces to participate in prevention and control work. Strengthen the prevention and treatment of tuberculosis, improve the discovery rate and cure rate of tuberculosis patients, and ensure the quality of modern tuberculosis control strategies. Continue to strengthen the prevention, control, management and supervision of key infectious diseases such as cholera, influenza, rabies, hand, foot and mouth disease. Implement rescue measures for leprosy patients, promote leprosy control policies and knowledge, and eliminate discrimination and prejudice. Accelerate the construction of rural toilets and rural drinking water sanitation safety projects, carry out urban and rural environmental sanitation remediation actions, and further promote the extensive and in-depth development of the Patriotic Health Campaign. Strengthen the capacity building and information system construction of disease prevention and control institutions. We will implement the rural maternity hospital delivery subsidy policy, effectively improve the hospital delivery rate, continue to do a “reduction” project, improve rural maternal health care services, and further reduce maternal mortality and infant mortality.
Coordinate and coordinate the development of various tasks. Strengthen the construction of the health talent team. Strengthen the training of grassroots health management cadres and the construction of community health talents, disease control talents and health supervision talents. Further strengthen the construction of information systems for health emergency, health supervision, medical service supervision, and new rural cooperative management, and timely and accurately grasp various health statistics. Standardize the publicity of health affairs, improve the mechanism, and actively accept social supervision. In-depth development of commercial bribery in the field of drug purchase and sale, and the establishment of a long-term mechanism to control commercial bribery. Strengthen medical ethics education and resolutely correct the unhealthy trend of the health industry.