× × ---- located in the northeast of Baoji City, Shaanxi Province, belongs to the Weibei dry loess hills and gullies area, the county's total population of 88,700 people, plate area of 1,740 square kilometers, is the national poverty alleviation and development work focus on the county. The county **** has all kinds of health institutions 135, including 18 Chinese medicine institutions, village health room 98; there are all levels of various types of professional and technical personnel 296 people, including 71 Chinese medicine personnel, Chinese medicine personnel in the senior title 5, intermediate title 24 people. in September 2003, at all levels of government and the higher level of the competent authorities of the health of the care and attention of the county was identified as the Shaanxi Province, rural Chinese medicine work up to the standard county Construction unit, to speed up the rapid development of the county's economy, health and other social undertakings injected a strong vitality. The county party committee, the county government attaches great importance to the overall arrangement, carefully organized to ensure the smooth implementation of the project, now the first phase of the work of a brief summary report is as follows:
First, publicity and mobilization, raise awareness, improve the organizational structure
Received the Shaanxian Chinese medicine hair (2003) No. 24, "on the determination of the first batch of Shaanxi Province, the rural Chinese medicine work standard county construction units Chinese medicine work standard county construction unit notice", my county county party committee, the county government leadership attaches great importance to the timely convening of a mobilization meeting, the creation of a comprehensive arrangement for the deployment of the work, the townships and departments are required to fully understand the creation of rural Chinese medicine work standard county of the significance of the reality of the impetus to division of labor, cooperation, and joint efforts to attack, and improve the project to strengthen the infrastructure of Chinese medicine institutions, and continue to improve the service Function. At the same time, the establishment of the county governor in charge as the leader, health, finance, development planning, construction, audit, human labor bureau and other departments responsible for members of the leading group of rural Chinese medicine work, the leading group office located in the Department of Health, the Office of the Director of the Deputy Secretary for Health concurrently, responsible for handling day-to-day affairs. In accordance with the "construction standards and evaluation rules", the leading group office of the county's current situation of traditional Chinese medicine medical institutions for a period of one month of research and demonstration, repeated brewing, the development and introduction of the "LinYouXian create rural Chinese medicine work up to the standard of the county implementation plan", by the county party committee through the standing committee, issued to the relevant departments, level by level, solidified the responsibility, a clear task, the creation of the work of the smooth implementation of the provision of a strong organizational guarantee!
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Two, through the project-driven strategy, the full completion of the objectives and tasks
(a) the county Chinese medicine career has made great progress and development:
1, give full play to the county Chinese medicine hospital in rural Chinese medicine business in the leading role, drive the development of the county Chinese medicine business. County-level Chinese medicine hospital is the leading work of rural Chinese medicine, but also the main force for the smooth implementation of the project. I county hospital of traditional Chinese medicine since its inception in the early eighties, relying on its own characteristics of traditional Chinese medicine, hard work, hard work, from scratch, from small to large, gradual development, especially in recent years in the business of the development of faster, fully embodies the Chinese medicine in the prevention of disease and treatment of disease in the important role of the number of hospitalized people is increasing, the original hospitalization department of only 416m2 is far from being able to meet the needs of the normal business. In order to change the predicament faced by the hospital, the county will be hospital inpatient building construction project as a rural Chinese medicine work standard county and the county government leaders to grasp one of the key construction projects. The project will be put into use will greatly improve the hospital hospitalization conditions, poor infrastructure backward status quo, so that the general public see the development of Chinese medicine in the county's hope. County Hospital leadership team closely united, a drum, and the county health bureau leaders to run into the city with the province, and actively strive for funds for inpatient hospitalization and other preparatory work during the project, often sleep and eat, especially in the face of the lack of funds and the hospital place the double difficulty of the small, the county health bureau of the main leaders to coordinate personally, reported to the county many times, the county government leaders in charge of coordinating the solution of the hospital's land problems. In handling other formalities, the County Development Planning Bureau, the Construction Bureau and other departments also all the way to the green light, so that the design for the three-story brick structure, an area of 1,947m2, a total cost of 1,173,000 yuan of hospitalization project on March 1 this year, the main project has passed the acceptance inspection. During the construction period, the Bureau, the hospital leadership actively run into the province, the city, raise funds, has to fight for provincial and municipal funds 410,000 yuan, the hospital raised 300,000 yuan, 500,000 yuan of employee capital, to ensure the smooth implementation of the project. It is expected to be completed and put into use in September. After the delivery of the inpatient building, will make the beds from the original 40 increased to 100, so that the clinical departments set up to achieve standardization, for the people of the county to prevent and treat the disease provides a good environment for recuperation. In March this year, the hospital invested 105,000 yuan to purchase a hemoglobin counter and Chinese medicine decoction machine each one, to provide a full range of medical services for patients.
2, strengthen the infrastructure construction, strengthen the service connotation. First, according to the characteristics of the mountain masses, in the construction of the business to determine the "people-oriented, highlighting the characteristics of the hospital, hospital specialties, with the section of the hospital," the development of ideas, the development of business focus on the construction of specialized specialties. County Hospital of Traditional Chinese Medicine in the county enjoys a certain reputation within the acupuncture and rehabilitation specialties, rapid business development in recent years, played a characteristic role in driving the hospital also implemented the department of human, financial and material tilt policy. In July last year to send the department of discipline leader to tianjin hospital of traditional Chinese medicine for half a year of further study, the use of brain-awakening method of treatment of stroke and sequelae, with the row of bloodletting therapy treatment of various causes of facial paralysis, with herbal fumigation treatment of a variety of osteoarthritic pathology, clinical effect is remarkable, not only shorten the course of the disease, but also reduce the burden of patients, by the masses of the trust and praise, the number of patients rose significantly, only eight treatment beds a day, the number of people with a high level of treatment, the number of patients with a high level of treatment, the number of patients with a high level of treatment. Only eight treatment beds daily outpatient capacity of up to 60 people, a few years is every day overtime. The hospital also for the Department of lumbar traction beds, cervical traction beds and more than ten pieces of physical therapy equipment, to create conditions for its development and growth, laid the foundation. In May this year, the county hospital of traditional Chinese medicine and the addition of traditional Chinese medicine dermatology, is now gradually configure equipment, strengthen the business force, in order to play to the advantage of attracting patients, is expected to the end of next year will be developed to the size of the specialty. The second is to take "please come in, send out" approach, and constantly strengthen the construction of talent. The county health bureau also specially formulated "--- health technicians three-year training plan", required within three years of the county all young and middle-aged Chinese medicine personnel in the county hospitals above all rotating training once. 2003 October, the county health bureau to hire the shaanxi academy of traditional Chinese medicine professors and the county famous old Chinese medicine practitioners, held a three-month Chinese medicine in the training of staff to improve the class, they use the clinic, checkups, case discussions, lectures and other forms, to the county, county, county, county, county, county, county, county, county, county, county, county, county and county. They utilized outpatient clinics, checkups, case discussions, knowledge lectures and other forms to provide business training to 32 Chinese medicine personnel from counties, townships and social offices in the county. Through the training, the participants' ability to apply basic knowledge of Chinese medicine has been greatly improved, such as Cui Mu Center Health Center ---, Ge Tou Temple Center Health Center ---, Changfeng Center Health Center ---, and several other young doctors, soon opened up in their respective workplaces to become the hospital's `backbone of the business, and promoted to the township health center management positions, which drove a large number of Chinese medicine talents to stand out, for the The development of the county's traditional Chinese medicine career has injected new vitality. The county hospital of traditional Chinese medicine adhere to the plan to send both moral and talented, promising personnel to the provincial and municipal hospitals for further training. Last year, two people were sent to Tianjin, Hunan and other major hospitals for further training, two people in the provincial and municipal hospitals for further training, at the same time, the county hospital of traditional Chinese medicine has also formulated the "Talent Training Management Measures", to encourage employees to participate in various forms of academic education. On the incentive policy: go out for further training personnel full salary, and give a certain amount of living subsidies; on-the-job learning, reimbursement of tuition according to academic qualifications. At present, 90% of the young workers to participate in correspondence, e-learning, self-testing and other on-the-job learning, a strong learning atmosphere has been quietly formed in the county Chinese medicine personnel. in September 2003, the county hospital of traditional Chinese medicine, two young Chinese medicine personnel were admitted to the Shaanxi College of Traditional Chinese Medicine and Chengdu University of Traditional Chinese Medicine master's degree. In accordance with the Health Bureau arrangements, the county two hospitals have plans for grass-roots hospitals on behalf of the training of various types of Chinese medicine professionals and technicians, organizing the famous old Chinese medicine practitioners to visit the countryside clinics, business guidance to improve the grass-roots hospitals of traditional Chinese medicine diagnosis and treatment of the level of technology. August last year to June this year **** for the grass-roots teaching of Chinese medicine personnel 22 people, rural clinics, business guidance *** counted 16 times, so that the grass-roots Chinese medicine personnel's business skills have made great progress.
3, sound working system, strengthen hospital management. In order to strengthen internal management, we have formulated the "--- Chinese medicine work assessment rules", refined the business work, issued task indicators, set up a second and third level assessment leading group, the hospitals of Chinese medicine work at any time assessment, assessment results and the month's benefit salary hook, the implementation of this approach, fully mobilized the work of the staff work conscientiousness and enthusiasm, so that all the work is gradually stepped into an institutionalized, standardized track The implementation of this approach has fully mobilized the staff to work consciously and actively, so that the work gradually on the track of institutionalization and standardization, and achieved good social and economic benefits. The first half of this year, the county's Chinese medicine outpatient visits amounted to 59,000, of which 436 emergency, 673 hospitalized, 90% of the bed utilization rate, the rescue success rate of 100%, outpatient, inpatient Chinese medicine treatment rate of 80% and 75%, respectively.
4, conscientiously implement the municipal party committee, the municipal government "on further strengthening the rural health work of the decision" spirit, and constantly strengthen the rural health work. First, strengthen the infrastructure construction, investment of 150,000 yuan for the Mulberry Plateau Health Center built an outpatient clinic, and strive for funds 300,000 yuan of Changfeng, Hexi, wine room health center repair and renovation, part of the health center of the dangerous house repaired, configure the equipment 12 pieces of equipment valued at 460,000 yuan. Second, further deepen the township health center reform. In accordance with the principles and ideas of "keep the institution, keep the function, put the operation, put the medical system, strengthen the preventive health care", and actively implement the state-owned private, leasing, contracting and other forms of reform, revitalization of health resources, and enhance the vitality of development. This year, the implementation of health centers in Liangshe by the county hospital trusteeship of Chinese medicine, Cheng Mingyao, heaven two poor efficiency of the implementation of health centers by the president of the contracting pilot, and gradually accelerate the pace of development of health centers. Third, strengthened the county township health centers in the construction of Chinese medicine. For the uneven distribution of Chinese medicine personnel in the county, individual township health centers Chinese medicine section paralyzed the status quo, the layout and structure of the county's professional and technical personnel of traditional Chinese medicine nurses to carry out a reasonable adjustment, so that the county's 16 township health centers are set up qualified Chinese medicine, 9 township health centers built Chinese medicine acupuncture physiotherapy room, through the adjustment of the functions of the township health centers, optimize the structure of the personnel, so that traditional Chinese medicine in the majority of rural areas Give full play to its unique advantages.
5, conscientiously implement the "rural doctors practice management regulations", adhere to a village a, further standardize the practice of village health institutions. First, combined with the medical institutions for the new medical practice license work, the county's 98 village health office of the rural medical personnel carried out a unified training and assessment, so that they are familiar with health laws and regulations, updated knowledge of Chinese and Western medicine and disease prevention. Secondly, by strengthening the qualification access of the personnel, 84.25% of the rural doctors have reached the level of secondary school or above. Third, in accordance with the spirit of Bao Shi Fa (2003) No. 24 document to encourage and support the village health office of traditional Chinese medicine personnel to participate in the planting of Chinese herbs, and actively utilize the local herbal resources, self-planting, self-picked, self-use of Chinese herbs for the general public to cure, according to the statistics of the village doctors in the 21 planted 183 acres of medicinal herbs. The fourth is to strengthen the management of the village health office, standardize the rules and regulations, standardize the prescription, outpatient log, drug management, infectious disease reporting and other relevant medical instruments, so that the quality of service improved significantly, to ensure the safety of medical care.
(2) make full use of the resource advantages, vigorously develop the production of traditional Chinese medicine.
1, the development of the production of Chinese medicinal herbs as the county's industrial structure adjustment, to achieve one of the development strategy of farmers to increase income. The county party committee of the fourteenth session of the Fourth Plenary Committee and the county of the fourteenth session of the second session of the People's Congress, the county of the Chinese herbal medicine planting identified as one of the key projects for farmers to increase income. Adopting the order production method of company + base + farmers, guiding the masses to develop suitable Chinese herbal medicines such as Chaihu, Scutellaria baicalensis and Panax quinquefolium. Strictly in accordance with the GAP standard, vigorously promote standardized planting, improve the quality of herb production. This year, Changfeng Township, Su Jia Village, one hundred acres of orange root, Mulberry Plateau Township, Feng Plateau Village and Tuqiao Village, two hundred acres of scutellaria demonstration sites, played a demonstration role in promoting the county's Chinese herbal medicine planting on a large scale. According to statistics: at present, there are 10 townships in the county to build more than 100 acres of demonstration garden 20, 2960 farmers planted Chinese herbs, an area of 12,800 acres.
2, the county drug testing center in the full play of drug supervision, management functions, on the basis of active participation in the rural Chinese medicine standard county to create activities. First, the establishment of a modernization of Chinese medicine technology consulting services, rural villages for the county farmers planting Chinese herbal medicine to provide technical guidance, the introduction of good seeds. Secondly, through investment, invested 10 million yuan to build the Renshou Chinese herbal medicine tablet processing base, is expected to be put into production at the end of September, the annual processing output of 10 million tons, will realize the production, processing, sales of one-stop service.
Three, there are problems:
1, the county hospital inpatient building project funding gap. Inpatient building delivery of internal office facilities configuration costs are expected to be 500,000 yuan, 500,000 yuan of employee fund-raising,*** there is a funding gap of 1 million yuan currently can not be implemented. Due to the county economy is very poor, the county financial inability to solve the problem, I implore the province, the city to give support.
2, Chinese medicine personnel further study, continuing education can not adapt to the new situation. Although the province in recent years on the rural Chinese medicine professional and technical personnel to study a supportive policy to subsidize a certain amount of training tuition, but the township health hospitals to implement the staff efficiency salary, training personnel wages are difficult to implement, resulting in the construction of Chinese medicine talent echelon difficulties.
3, township health centers, village health center infrastructure is simple, difficult to adapt to the current health care market and the public medical requirements.
Fourth, strengthen measures to improve the program, and strive to reach the standard early
In accordance with the "implementation of the program", the county of traditional Chinese medicine to reach the standard of the county construction work has now entered the second phase, in order to reach the standard on schedule, the next two phases of the work is prepared to continue to work from the following aspects:
July 2004 to December 2004
1, go all out to grasp the Chinese medicine hospital inpatient building under construction. Ensure that input is the key to the creation of a good job, so the county health bureau will continue to strive to the higher levels, and actively implement the city and county matching funds, coordinated to solve the Chinese medicine hospital inpatient building project construction funding gap, to ensure that the project was handed over on time in September.
2, continue to grasp the Chinese medicine talent training. To conscientiously implement the spirit of the National Talent Work Conference, vigorously strengthen the cultivation of Chinese medicine talents, and comprehensively enhance the overall quality of the Chinese medicine team. First, according to the actual development of the county's Chinese medicine career, selected topics, held a special lecture on Chinese medicine, the organization of famous old Chinese medicine through a variety of ways to carry out clinical experience in Chinese medicine knowledge training, give full play to the role of "pass, help, bring". Secondly, according to the needs of their respective business development, Chinese medicine personnel are systematically selected and sent to higher-level Chinese medicine hospitals for further study every year, and on-the-job academic education is encouraged. Third, to gradually cultivate a number of responsibility, career-oriented excellent Chinese medicine managers.
3, continue to pay attention to the construction of Chinese medicine specialties and diseases and Chinese medicine institutions within the construction. First, the county hospital to increase the publicity of Chinese medicine dermatology, improve the level of business, so that it is on schedule to achieve the scale of the specialty. The second is to strengthen the construction of the emergency department of the county's traditional Chinese medicine institutions, especially the county hospital of traditional Chinese medicine to actively strive for projects to strengthen the emergency service capacity of traditional Chinese medicine. Third, the county hospital of traditional Chinese medicine to select and send nursing staff to participate in the overall care training courses, inpatient building delivery and use of the nursing department as soon as possible to carry out the overall care work.
4, strengthen the township health centers and village health room standardized management, strengthen infrastructure construction, improve the medical environment, to provide convenient, safe medical environment.
In accordance with the acceptance criteria, improve the internal information, check for gaps, first by the county leading group of rural Chinese medicine work simulation acceptance, in the improvement of the improvement at the same time, please the provincial and municipal inspection and acceptance.
The creation of this project is an important task for the health work of the county in the next two years. We will work in the future, as in the past, invigorate the spirit of real work, to overcome the difficulties, the successful completion of the various goals and tasks, for the comprehensive and rapid development of the cause of traditional Chinese medicine in the county and work hard.