Summary of the special treatment work of the city health system in the first half of the year

In the first half of this year, under the guidance of the municipal party committee and the municipal government commission, the supervision bureau, the correction office and the health department of the autonomous region, the special treatment of the city's health system was guided by Deng Xiaoping Theory and the important thinking of the "Three Represents". We will conscientiously implement the Third Plenary Session of the Central Commission for Discipline Inspection, the Fifth Plenary Session of the Autonomous Region Commission for Discipline Inspection and the spirit of the State Council, the Autonomous People's Government's Clean Government Work Conference and the National Health Work Conference, strengthen the construction of medical ethics, reduce the burden of medical expenses for the people, and earnestly safeguard the interests of the people. According to the deployment requirements of the Ministry of Health of the People's Republic of China and the Health Department of the Autonomous Region, the SIPO has carried out special treatments such as "red envelopes", "drug rebates", "providing commissions" and unreasonable charges in the purchase, sale and medical services of the whole city. The current special work on rectification of the city is summarized as follows:
First, the main achievements and practices earnestly implement the spirit of the conference on the construction of the health system in the district.
On April 20th, after the forum on the construction of the health system in the district, in order to implement the spirit of the symposium, on April 30th, the bureau held the deputy leadership of the subordinate medical and health units and the comrades meeting of the health bureau at home. Wang Zhonghui, the head of the discipline inspection team, conveyed the instructions given by Premier Wen Jiabao to the health work and the spirit of the speech by the Vice Minister of the Ministry of Health on the construction of the work style and the eight industry disciplines formulated by the Ministry of Health. At the same time, he also studied and implemented the "Guangxi Health System to carry out the implementation plan of the special treatment of unhealthy winds in the purchase and sale of medical products and medical services" and the deputy director of the Department of Health Wei Bo at the symposium, and carried out the health system of the city in the previous stage. The "10,000 people comment on medical ethics" activities will be notified. Director He Yi of the Municipal Health Bureau made a speech at the meeting and made specific arrangements for the special treatment of rectification. After the meeting, the bureau will also implement the "Guangxi Health System to carry out the implementation of the special treatment of unhealthy winds in medicine purchase and sale and medical services. The implementation of the implementation of the implementation of the county health bureaus and municipal medical units in the form of archives.
Treating both the symptoms and the root causes, the punches are attacked, and the health industry is not correct.
With the reform of the market economic system, the issue of economic efficiency has become a social issue. It is beyond reproach to improve economic efficiency with proper means. However, it is an act that cannot be allowed by national laws. There are also very few people in the health system who have sprouted the idea of ​​making money and making fun by relying on the evil path of the Tuen Mun. They have made a name for themselves, increased the fees, accepted the family's family banquet, demanded money, and some people used the work. Take kickbacks, bills, bribes, etc. This kind of hurricane evil has seriously eroded the skin of the health team, ruined the high reputation of the white angels, and affected the image and prestige of the party and the government among the people. In order to effectively stop this unhealthy trend, fundamentally manage the hot and difficult issues reflected by the people and form a good medical ethics. First of all, we must start from the construction of professional ethics, and carry out the activities of “10,000 people appraising medical ethics” in the health system of the city, and combine the activities of “Medical evaluation of medical ethics” with the special management of the Ministry of Health and Health. Get up, deploy together, check and implement together. The "Millions of Opinions on Medical Ethics" campaign we carried out consists of two aspects: correcting the unhealthy trend of the health industry; improving service quality and improving service attitudes.
1. Layering mobilization to further unify the thinking of medical staff in the city. On the evening of March 5 this year, the Municipal Health Bureau held a mobilization meeting for the city's health system "Millions of people appraising medical ethics" in the auditorium of the municipal party committee. The main leaders of the two districts and two districts health bureaus and the main leaders of the municipal medical units participated in the mobilization meeting. A total of 670 people with medical workers. After the meeting, the county health bureaus and the municipal medical and health units also convened a mobilization meeting for the "Millions of medical ethics" campaign, and established according to the "Implementation Plan for the Implementation of the "Medical Appreciation of Medical Ethics" Activities by the Municipal Health Bureau. Leading group, set up an office, responsible for the daily activities, the party and government "first-hand" personally grasp, take the overall responsibility, in charge of the leadership specific, to sign the responsibility at the level, level one level, implement at all levels, form a combination of blocks The division of labor is clear, the task is to the department, and the responsibility is to the personal work network. The main targets and contents of the "Medical Appreciation of Medical Ethics" activities are: 78 people from the city, county and township level, and more than 6,000 medical workers, and 10,000 copies of the evaluation form were issued to the society. The evaluation is divided into seven levels: the representatives of the cadres and workers of the party and government organs; the personnel of health and scientific research institutions; the personnel of cultural and public organizations; the representatives of the officers and soldiers of the resident troops; the staff of townships, streets and communities; the representatives of the cadres and workers of enterprises; the representatives of the citizens; Outpatients, according to the characteristics of different categories, put forward different requirements, take different assessment indicators, and carry out different guidance. The content covers five aspects: overall awareness, public concept, honest practice, service quality and service attitude. Appreciation and thorough material awards are given to outstanding units in the evaluation as advanced typical study propaganda; for units that are ranked lower or scored below 60 points, except for those who cannot participate in the selection of advanced units in the current year, members of the leadership team cannot be named for the year. In addition to the excellent grades, the leading group also needs to write special reports and rectification measures to the higher level, and accept the assessment. The unqualified ones should adjust the main leadership positions. According to the deployment and implementation plan of the Municipal Health Bureau, the county health bureaus and medical units carefully organize and implement, mobilize at different levels, organize medical personnel to conduct extensive discussions in a timely manner, and through careful study and discussion, the majority of medical health workers in the city's health system. It further improved the understanding of the importance of conducting 10,000-person medical ethics campaigns, and unified thoughts and actions into the eight industry disciplines of the Ministry of Health and the deployment of the special affairs of the Health Department.
2. Solemnly commit to accept social supervision. The medical and health units at all levels have improved their ideological understanding and eliminated various ideological concerns by strengthening the “Guangxi Health System to carry out the implementation plan for the special treatment of unhealthy winds in the purchase and sale of medical products and medical services” and the eight industry disciplines formulated by the Ministry of Health. Confidence, courage, and consciously accept social supervision. On May 14th, 460 medical personnel from the first city of the city jointly issued a “4,300 medical unit and township hospitals to the city and county medical institutions after the initiative of “protecting medical sacredness without medical treatment”. A number of medical workers responded positively and made a solemn commitment to the society. They signed their names on the bright red banners and took the initiative to accept public supervision.
3. Carry out activities in various forms. In order to make the "Millions of Appreciation of Medical Ethics" activities, the medical units have carried out activities in various ways. The Second Hospital of the City carried out the theme of "Creating New Advantages and Enhancing Competitiveness" in conjunction with the "Men's Evaluation of Medical Ethics" campaign, and selected "Top Ten Doctors, Top Ten Nurses, Top Ten Workers" and "Nine Ones" Image engineering and other activities, namely: giving the patient or family a kind smile, a greeting of concern, a bunch of bright flowers, a cup of fragrant hot tea, a contact card, a sincere blessing, a follow-up call A propaganda list for the construction of a style of work, a clear-cut unit, and other eagerness to create excellent activities, leading the medical ethics activities to a deeper level. In order to find outstanding problems, the Municipal Hospital of Traditional Chinese Medicine issued questionnaires to the society and patients, solicited opinions extensively, and fed back the results of the survey and existing problems to the relevant departments, and formulated corrective measures for the departments and individuals with problems, and rectified within a time limit. The Municipal Health Center directly surveys the patient and accompanying person to conduct service behaviors of medical personnel once a month. The city's first hospital also established the dean's request for medical ethics and hospitality reception day, issued a booklet entitled " Medical and Medical Standards", and hanged and rectified the health discipline in the outpatient ward. Through various activities, the majority of medical and health workers have continuously improved their service awareness and consciously resisted the erosion of money worship, individualism, and small groupism.
4. Establish a system to standardize and regulate service behavior. All medical units formulate and improve various rules and regulations such as medical ethics assessment, rewards and punishments, etc. for the weak links, such as establishing the "one post and two responsibilities" system of the president, the service commitment system of the department, the patient first responsibility system, and the two-way commitment system for doctors and patients. Drug price inquiry system, medical service price publicity system, professional ethics education and assessment system, honest medical practice system, drug procurement management system, etc., and conscientiously implement, create a good internal environment, make civilized medicine, clean and self-discipline, care for patients, win the trust Yu Min has become the code of conduct for all medical staff.
5. Strengthen supervision and inspection to enhance the effectiveness of the evaluation activities. In order to enhance the implementation of the program of medical evaluation of medical ethics, since the launch of the activity, the SIPO has organized relevant personnel to go deep into the medical units to supervise and inspect, to help the relevant units to self-examine and correct themselves, and to identify outstanding problems. Put forward rectification measures and carry out "five investigations and five observations": one to check the consciousness, to see whether it has established the purpose of serving the people's health and the patient-centered service consciousness; the second to check the duties, to see whether they are devoted to their duties, and to be dedicated to their work; Check the style of work, see whether the service behavior meets the requirements, and whether the people are satisfied; four systems to check whether the various rules and regulations are sound and whether they are in place; and five disciplines to see whether there are violations of the eight industry disciplines proposed by the Ministry of Health. Through the self-examination and the reflection of the patient's people, the discovery together, the investigation and punishment, the criticism of the criticism, the rectification of the rectification, the serious handling of the serious treatment according to the relevant provisions. Never give up, and be kind and soft. For example, a doctor from the People's Hospital of XX County took the patient home for treatment in violation of the regulations, and received more than 100 yuan of treatment fee from the patient. According to the investigation, the hospital leader made a fine of 500 yuan for the doctor, and deducted 2 months from the 2,800 yuan. In the hospital, the police made a thorough review and played a warning role for the medical staff in the hospital. Since the launch of the evaluation activities, the hospital has a total of more than 70 medical staff returned red envelopes totaling more than 11,000 yuan, the hospital leadership will return the red envelopes to patients. A doctor from the Department of Stomatology of the First People's Hospital of the city ​​was on duty and deported on duty. In violation of the relevant regulations of the hospital, the hospital made a decision on the treatment. In addition to the criticism in the hospital, he was also given a post for 2 months.
During the period of waiting for the job, only basic salary will be paid, no other subsidies will be issued, and it will be instructed to make a profound review in the department. Some villagers in Longtan Village, Jiulong Town, Qinnan District, had conflicts with the staff of the Qinlu Highway toll station. One villager was injured and was sent to the town hospital for treatment. At the time of admission, Qinlu Highway Co., Ltd. first paid for the treatment. At the time of checkout, the hospital made a name for itself and overcharged 250 yuan. After the Chennan District Health Bureau reflected the company's report, it immediately organized relevant personnel to conduct an in-depth investigation. After verification, the director of the Jiulong Health Center was seriously dealt with. After returning the overcharged fees to Qinlu Highway Co., Ltd. and apologizing to the door, we also wrote a profound written review, which was criticized in the health system of Quanqinnan District, and suggested that the organization departments exchange their use.
We have achieved good results by carrying out the "Millions of Appreciation of Medical Ethics" campaign. First, civilized practice, caring for patients has become a common practice. According to statistics, from January to June this year, the city's health system has done a total of 5,116 good patients, donated 42,000 yuan to 52 poor patients, and reduced medical expenses by 614,000 yuan for difficult patients. The second is to consciously resist all kinds of unhealthy trends in the health industry. According to statistics, in the first half of this year, the city's health system medical staff refused to accept 1750 person-times of "red envelopes", the amount of 45,000 yuan; refused to accept the physical discount of 31,000 yuan, and declined 970 banquets. Third, the satisfaction rate of the people in various medical units has continuously increased. Since the launch of the activities, the service attitudes of various medical units have continued to improve, the industry's unhealthy trends have improved significantly, and the level of medical technology has been continuously improved. It has been well received by people and patients from all walks of life. According to statistics, in the first half of this year, the city's medical units received a total of 194 letters of commendation, 95 banners, and 32 mirrors. According to the questionnaire survey, the overall satisfaction rate of the people reached 95.3%, which was a little higher than that before the activities were carried out. percentage point. Fourth, the health care bases in coastal areas have gradually formed. The good medical ethics has won the universal recognition of the people, and the patients around the coast have come to seek medical treatment, which has promoted the comprehensive development of the city's health undertakings. According to statistics, in the first six months of this year, the outpatients, inpatients and business income of medical units in the city increased by different degrees compared with the same period of last year, and some increased greatly. The proportion of pharmaceutical income to business income decreased. For example, the number of patients admitted to the XX County People's Hospital in the first half of this year reached 8,581, a year-on-year increase of 43.5%, and the business income was 27.1 million yuan, an increase of 7.62 million yuan, an increase of 39%.
The proportion of pharmaceutical income to business income has dropped from 37% last year to 27%, which fundamentally eliminates the need to open large prescriptions and abuse drugs; it increases the burden of patients' unhealthy. The experience and practice of the 10,000-person evaluation of medical ethics activities carried out by our bureau have received attention and praise from all walks of life. CCTV Channel 12, Supervision Department Supervision Network, Guangxi Daily, ** Daily, TV Station and other news media have reported and exchanged experiences at this year's city work conference.
Actively promote the centralized bidding and procurement system for drugs, and control the unhealthy trend in the purchase and sale of drugs from the source.
We have further expanded the scope and variety of centralized drug bidding; the winning drugs and prices were announced to the public in a timely manner, and the drug bidding behavior was regulated. The bidding for drugs has been successfully carried out 6 times. The number of participating bidders has been expanded from several to more than ten. The number of purchased products has been expanded from dozens to more than 2,000. The amount of bidding has increased from several million yuan to several tens of millions of yuan. Less than 10% increased to over 90%. In January of this year, the city held the sixth round of the city's medical institutions centralized drug bidding and procurement of the bidding drug purchase and sales contract signing ceremony, the city's 17 medical units bidding, bidding for 2,576 kinds of drugs, the amount of more than 50 million yuan, to benefit patients 20%, procurement The amount reached 92.3%. And seriously investigated the violations of the Pubei County Chinese Medicine Hospital at the drug bidding signing ceremony to refuse to sign a contract with the winning bidder. In addition to instructing the president of the hospital to make a profound written review and sign the contract with the winning bidder, the city's health system was notified and criticized. At the same time, in order to carry out intensive bidding and procurement of drugs, the Municipal Health Bureau and the supervision

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