In order to conscientiously implement the state party Zhou Qiang secretary of the state health work "to solve the three problems, popularize a knowledge, and improve the three services" of the spirit of the instructions to strengthen the health system in a comprehensive manner. Style of construction, focus on solving the outstanding problems strongly reflected by the masses, the county health bureau decided to study, combined with the "efficiency storm" action being carried out in the county health system to focus on style rectification activities. The development of this implementation program.
One, the guiding ideology
The scientific concept of development as a guide, and conscientiously implement the spirit of the party's 18th National Congress and the state's "hold up a banner, focusing on a goal, around a unity, in-depth implementation of the five strategies to accelerate the construction of the three bases, the three economic belts, the two demonstration zones, and strive to build a prosperous economy, ethnic unity, religious harmony, social stability, ecologically beautiful, happy and beautiful. Stable, ecologically beautiful, happy and beautiful new **" the overall idea, adhere to the "health city" road, to correct the wind and discipline, improve efficiency, improve services, optimize the environment as the theme, to deepen the reform of the medical and health system as the main line, to medical ethics and medical style construction, "" One Satisfaction "activities. Three good and one satisfaction" activities as a platform, hierarchical, targeted to find and solve the existing problems, to achieve a further change in the style of cadres, the quality of service to further improve the development of the environment to further optimize the purpose of the gradual solution to the masses of difficult to see a doctor, the problem of expensive to see a doctor, and promote the development of health care to provide a strong and powerful style of guarantee.
Second, the scope of the rectification object
The style of rectification activities in the county's health care units to carry out a comprehensive, including the health system units of the leadership team and cadres and workers.
Three, the basic principles
Adhere to the combination of point and face to the public reflected the focus of the outstanding issues; adhere to the corrective action, to self-correction as a prerequisite; adhere to the whole chapter of the system to implement the system as a fundamental; adhere to the opening of the whole, to the satisfaction of the masses as the standard; adhere to the overall coordination, to promote the work for the purpose of.
Four, the target task
Based on the current situation of the cadres of the health system style, the rectification activities should focus on solving the following four aspects of the problem:
(a) to solve the problem of poor service attitude. Mainly: some staff have a weak concept of the masses, poor service consciousness, door is difficult to enter, people are difficult to find, difficult to see, difficult to do, treating the masses raw, cold, hard, push, part of the medical staff to treat patients lack of emotion, answer questions, diagnosis and treatment of patients are not patient, shirking, perfunctory, poor medical ethics, prescribing, indiscriminate inspection, indiscriminate fees, accepting, demanding medicine kickbacks, red packets, a serious impact on the image of the health system.
(ii) to solve the problem of weak hospital management. Many hospitals are busy with business work, emphasizing the objective reasons, ignoring the quality of medical management, lack of comprehensive arrangements and systematic research, three-level checkups in form, observation of the condition is not careful, diagnosis and treatment is not timely, death cases, difficult cases are not discussed in depth. Medical personnel have low medical standards, do not carry out diagnosis and treatment according to technical specifications, do not pay attention to the clinical manifestations of patients, rely too much on the results of auxiliary examinations, and the situation of irrational examinations, medications and treatments is serious, with big hidden dangers of medical safety.
(3) to solve the problem of poor medical environment. The vast majority of hospitals are not perfect measures for the convenience of the people, the guide service is a mere formality, the hospital "three long and one short" (registration, charging, medication time is long, short consultation time) phenomenon is serious; part of the hospital environment is dirty, chaotic, poor, unhygienic health units, patients use covers, sheets, pillowcase is dirty; wards, aisles, bathrooms garbage littered, not cleaned up in a timely manner. Littering, not cleaned up in time; public **** and office space indiscriminately parked cars, motorcycles and other means of transportation, affecting the hospital's appearance, but also bring inconvenience to the patients to seek medical treatment.
(D) to solve the problem of weak public health awareness. Mainly health education is not in-depth, publicity is not extensive, health education institutions at all levels of virtual, patriotic health campaign is not carried out regularly, the masses lack of general knowledge of health care, self-care awareness is poor, did not form a good habit of life, do not pay attention to the prevention of disease.
Centered around the solution to the existing outstanding problems, to focus on the following aspects of work:
(a) efforts to strengthen the style of education. Strengthen the education of professional ethics, "save lives and help the injured, loyal to their duties, love and dedication, pioneering, excellence, civilized practice of medicine" as the basic requirements of medical personnel, guiding cadres and workers to establish a lofty 'professional ideals, develop a good professional style, mastery of professional skills, to comply with the strict professional discipline, and constantly enhance work! The sense of responsibility and sense of mission are constantly enhanced. Strengthen positive typical education, cultivate and set up a number of advanced models, increase the publicity and recognition of advanced models with high medical ethics, excellent medical skills and dedication, and give full play to the role of role models in inspiring and demonstrating leadership. Strengthen the negative warning education, with the health care industry occurred in the major medical liability accidents and violations of health care management of the negative examples, targeted education and warn the majority of health care personnel, so as to learn from the lessons, alarm bells ringing. Seriously carry out the "five a" activities, namely: a monthly survey of public satisfaction, monthly organization of all medical staff to watch a warning education film, a monthly unit of internal medical ethics evaluation activities, quarterly administrative examination of the leading cadres of the health administrative department, quarterly hospital leaders and administrative personnel. "If I were a patient" simulated experience of medical activities.
(2) efforts to improve service attitude. Strengthen the sense of purpose, vigorously improve the service attitude. Strengthen doctor-patient communication, starting from the details, patients and their families concerned about the diagnosis, treatment, surgery, medication and other issues should be patiently explained, think differently, sympathize with the patient, fully respect, consciously safeguard the patient's right to know, the right to choose and the right to privacy and other legitimate rights and interests, and resolutely put an end to the "raw, cold, hard, top, push" and other undesirable phenomena, and take the initiative to improve the service. Take the initiative to improve service work, educate medical and health personnel to serve with a warm and amiable attitude, popularize civilized language and service etiquette among cadres and medical and health personnel, and truly respect, care for and comfort patients, fully embodying humanistic care. () Strictly implement the system to strengthen the construction of medical ethics. Seriously grasp the construction of long-term mechanism in the field of medicine purchase and sale, effectively implement the Ministry of Health's eight industry discipline provisions, strict medical technology access and management, the implementation of accountability of leading cadres, the establishment of a sound system of rewards and punishments, income distribution. We will conscientiously implement the evaluation system of medical ethics and medical style, further establish and improve the evaluation methods of medical ethics and medical style, set up evaluation files of medical ethics and medical style, and formulate specific evaluation rules, focusing on the evaluation of medical quality, service attitude, work discipline, fulfillment of duties, and clean practice of medicine, etc., and the evaluation results will be linked to the promotion of individual titles, bonuses and salaries, and the evaluation of excellence of medical personnel, so that medical ethics and medical style will become a hard indicator, and medical personnel will be prompted to effectively improve the quality of medical services. Medical personnel to effectively improve the quality of medical services. Adhere to the integrity of medical care, and increase the investigation and handling of cases of violations of law and discipline. Seriously investigating and dealing with behaviors that harm the interests of the public, such as asking for red packets, indiscriminate inspections, and writing large prescriptions. Often carry out supervision and inspection of the implementation of various systems, and broaden supervision channels and intensify supervision by means of satisfaction surveys, patient complaints, open and secret investigations, and hiring social supervisors of conduct. Comprehensively promote the integrity risk prevention and control work of public hospitals, focusing on decision-making, infrastructure, procurement, personnel, financial rights, etc., and effectively strengthen the supervision and monitoring of the exercise of public **** power; focusing on diagnosis and treatment, medication, inspection, charging and other behaviors, and constantly standardize the practice of medical staff. In-depth evaluation of behavior, improve the method, content and scope of patient satisfaction survey, and actively accept patient supervision.
(3) efforts to strengthen medical quality management. The county's medical and health units to further establish and improve the quality management organization, strictly regulate the behavior of diagnosis and treatment services, and effectively improve the level of medical services. Seriously implement the clinical path, "clinical technology operation standard", "prescription management approach" and other regulations and norms, adhere to the promotion of rational examination, rational use of medication, reasonable treatment, prompting medical personnel to treat the disease, and strive to solve the masses strongly reflected the "excessive medical" problem. It actively promotes clinical pathways and quality control of individual diseases, and controls unreasonable increases in medical costs. It has carried out the activity of "Medical Quality Miles" in depth, strictly enforced the standards of clinical technology, diagnosis and treatment, and ensured the full implementation of 22 core systems formulated by the Provincial Department of Health, such as the responsibility for the first diagnosis, three-level physician's examination, and the discussion of difficult cases, so as to provide patients with high-quality and safe medical services. Strictly regulate the practice behavior of medical personnel, and resolutely achieve the licensed practice of medicine in accordance with the law. Standardize the complaint handling system, improve the complaint acceptance, handling and feedback mechanism, timely acceptance and proper handling of patient complaints, and effectively strengthen communication with complainants to reduce the occurrence of doctor-patient disputes. The Bureau of Health shall strengthen the supervision of medical institutions, focusing on the quality of medical services, doctors' prescribing of medicines, billing and inspection, etc., and carry out regular supervision and inspection, and take appropriate ways to inform and publicize the inspection situation. CDC should focus on the implementation of internal management systems, further establish and improve the accountability system, standardize various work processes, in strict accordance with the "Infectious Disease Prevention and Control Law" and "planned immunization work ten management system" and other requirements, and effectively strengthen all types of infectious diseases and planned immunization statements of the audit report, and resolutely rectify the phenomenon of the actual work and the statistics of the phenomenon of the two skins. The Health Supervision Institute should strictly implement the administrative law enforcement responsibility system, and strive to solve the problem of non-standardized law enforcement, not in place. Emphasis on strengthening the team building, improve the level of business, enhance the awareness of administration according to law, and strive to do according to the law, law enforcement must be strict, the law must be investigated, and strictly prevent the emergence of law enforcement and law enforcement and unfair behavior.
(4) efforts to improve the medical service environment. The medical and health units should start from the convenience of the masses to seek medical treatment, adhere to the principle of convenience and benefit to the people, planned and focused measures to improve medical services, to achieve reasonable arrangements, warm service. County hospitals through the establishment of the guide desk, department distribution map, consultation flow charts, electronic screens, etc., to provide patients with the consultation process, department layout, service prices and other information, to further simplify the service process, reduce the medical links, to achieve the "one-stop" service. Dynamic mobilization of human resources, service windows and diagnosis and treatment departments to implement flexible working system, to ensure that the diagnosis and treatment of patients during the peak period. Optimize the medical environment, continuously improve the facilities and conditions of outpatient emergency and hospitalization, improve the signage system, and equip wheelchairs, trolleys, waiting chairs and other facilities according to the demand. To vigorously improve environmental health, resolutely put an end to dirty, messy, poor phenomenon, to provide patients with clean, comfortable, warm medical environment and convenient service measures.
(E) efforts to strengthen the popularization of health knowledge. In accordance with the requirements of the provincial department of "management agencies at the grass-roots level, CDC agencies into hospitals, health education into the family", vigorously carry out health knowledge education and popularization activities. Each medical institution publicizes health knowledge by distributing publicity materials, setting up health education bulletin boards, health lectures, visiting clinics, free consultations, and television networks. All hospitals (health centers) are required to set up health education rooms, equipped with video materials, and play health science education films to waiting patients and their families; establish targeted health education knowledge columns in hospital outpatient clinics and wards, and issue health prescriptions for special groups and individuals. All medical and health units are required to produce health culture walls to actively publicize health knowledge. Conditional institutions can also set up psychological counseling centers, health hotlines, health knowledge contests and other effective health education activities. Township health centers should conduct regular medical tours, organize competent medical teams to go deep into the countryside, and provide health education, health checkups, and consulting services for the rural masses, so as to help individuals and groups acquire knowledge of health care, set up correct health concepts, voluntarily adopt behaviors and lifestyles that are conducive to good health, and consciously avoid health risk factors. In the county seriously organize and carry out the "health promotion project", that is, from the county, townships and villages to organize physicians, in-depth grass-roots communities, units to hold health knowledge propaganda, lectures and discussions, mobilize the masses to participate in the dissemination of scientific knowledge of health to the general public, advocating a culture of health, and to create an atmosphere of participation in the health promotion activities of the whole society.
Five, implementation steps
The county health system style rectification activities are generally arranged for half a year, starting from December 201* to the end of May 201*. Divided into four stages.
(a) mobilization and deployment stage (December 20, 201* - 31 days). Held a county health system style rectification activities mobilization meeting, comprehensive deployment of rectification activities, unified ideological understanding. The medical and health units should be combined with their own actual implementation plan, specific arrangements for the deployment of good style rectification activities, and through columns, boards, briefings and posting slogans and other forms, actively publicize the significance of the style rectification activities and content, and effectively enhance the initiative and conscientiousness of the majority of cadres and workers to participate in the activities, and strive to create an atmosphere of importance to everyone, enthusiastic participation.
(2) analysis and inspection stage (January 1, 201* - February 28) Around the Ministry of Health, the Provincial Department of Health and the State Health Bureau to develop the "ten forbidden", "six understand, six prohibited" and other norms and requirements to seriously carry out self-checking, listening to a wide range of opinions, and actively analyze and rectify. First, widely solicit the views of the masses. Combined with the in-depth review of the work, through the convening of symposiums, individual interviews, telephone solicitation, the establishment of opinion boxes, the issuance of opinion sheets and other forms of extensive solicitation of opinions, and generalization and sorting. The second is to seriously find the analysis. Focus on "five checks": a health administrative organs and health care units and the style of work and the outstanding problems in the wind; two check the outstanding problems in the internal management of health care institutions; three check the outstanding problems in the service attitude of health care workers; four check the outstanding problems in the quality of medical institutions, five check the medical ethics of medical staff. The main leaders of each medical and health care unit should take the lead in the investigation of the outstanding problems in the service attitude of medical and health care workers. The main leaders of each medical and health care unit should take the lead in checking the problems and deficiencies of the unit, and put forward corrective opinions and implementation measures. Each medical and health personnel should seriously self-analyze and timely rectify according to the situation of personal self-examination and the comments of others. County Health Bureau and the medical and health units should be combined with the actual situation of their own, organized and convened by the social supervisors, higher competent units, the masses and patient representatives to participate in the Council, truthfully informed of the activities carried out to listen to a wide range of comments from all sides, to put forward the corrective measures, rectification and reform within a specified period of time.
(C) rectification and implementation stage (March 1, 201*-April 30,). In view of the problems and deficiencies identified in the activities, the development of practical rectification programs, clear rectification tasks and objectives, time frame requirements and specific responsibility, and rectification programs, rectification measures, rectification work progress and effectiveness, through the government, the hospital open bar and other forms of publicity to the public and cadres and workers, to accept social supervision. The easier to solve the problem, immediate rectification and implementation, can not be solved at once, we must actively create the conditions, make plans, adhere to the unremitting efforts, and gradually solve the problem.
(4) check and acceptance stage (May 1, 201* - May 31) The medical and health units should seriously summarize the main experience, practices, and results achieved in the activities. Combined with the problems identified and rectification measures, the establishment and improvement of the unit staff education, management, evaluation and other relevant systems, improve the style of supervision and discipline long-term mechanism.
Six, work requirements
(a) strengthen organizational leadership, timely arrangements for deployment. County Health Bureau, the medical and health units to effectively strengthen the leadership of the work of style rectification, to carry out good activities as a solution to the masses of difficult to see a doctor, the problem of expensive as well as to promote the work of this department is an important measure to grasp, the main leaders of the health administration at all levels, the main medical and health units for the department, the unit's style rectification of the first person responsible for the department, the unit's style rectification to the Department, the unit's style rectification to be seriously arranged, the Carefully organized and implemented, high standards, strict requirements to complete the various stages of the objectives and tasks, and resolutely avoid the form, go through the motions. To strengthen the style of rectification and business work closely integrated, to do the same arrangement, with the inspection, with the assessment, and strive to do both, both to promote, to ensure that the work is carried out to the letter. In order to strengthen the leadership of the system-wide style of rectification activities, the establishment of the county health bureau director as head of the leading group, and set up an office to further solidify the responsibility, refinement, quantification of the tasks and objectives, and seriously implement.
(2) Strengthen publicity and guidance to create an atmosphere of public opinion. To make full use of a variety of carriers, widely and y publicize the importance and necessity of style rectification activities. To effectively increase the publicity of the positive typical, naming and recognizing a number of "style pacesetter", give full play to the role of demonstration, shaping the "white angel" good shape.
(3) pay close attention to supervision and inspection, increase investigation and punishment. County health administrative departments will take the way of open and secret investigation and accept reports, and effectively increase the supervision and inspection of the style of rectification. After the rectification there are still violations of discipline units and individuals, to be seriously pursued, and will not be tolerated.
The county's medical and health units should be in accordance with the requirements of this implementation program, at the end of each stage of the work, in written form (with electronic version) to the county health bureau in a timely manner to report the stage of the work summary. Throughout the activities of the formation of a variety of text and pictures, audio and video information to be kept complete and intact.