(ii) the mechanism to solve the population problem is not sound. Townships (streets) family planning concepts can not adapt to the new situation and new requirements, still focusing on the work of social support levies and population control, without focusing on the coordinated development of population and society, the environment, the economy, and did not focus on solving the problem of uncoordinated sex ratio of the population, the management of the floating population is difficult, the quality of the birth of the population is low, the population is aging and so on. The comprehensive coordination mechanism is not sound, and the integrated coordination mechanism between public security, civil affairs, industry and commerce, and other departments and the Health and Welfare Bureau is not sound. The high sex ratio of the population, mobile population management difficult to put in place and other problems are more prominent in the region.
(3) Team building needs to be strengthened. Health care personnel team construction is slow, in the past two years the primary health care unit health professional and technical personnel resigned nearly 50 people, the grass-roots health professional and technical personnel can not stay, can not come in the problem objectively exists, restricting the development of health and family planning cause of the region. Rural doctors are generally older, fewer and fewer young village doctors, resulting in a shortage of youth, some villages (especially backward villages) without rural doctors. Rural doctors learn medicine from teachers, medical technology level is generally not high, it is difficult to meet the demand for public services.
(4) the total amount of medical resources is insufficient. Area per capita number of beds 2.9 ‰, per capita number of licensed physicians 1.5 ‰, per capita number of licensed nurses 1.0 ‰, from the provincial Twelfth Five-Year Plan requirements of the minimum standard, that is, the number of beds per capita 4.3 ‰, per capita number of licensed physicians 1.7 ‰, per capita number of nurses 1.2 ‰ have a certain gap.
Thinking about the proposal:
For the above problems, combined with the current health care work, the following recommendations.
(A) around the main line of medical reform, deepen the reform of the medical and health system. Continue to fully implement the basic drugs "zero-differential rate" sales system, explore the implementation of integrated management of rural areas and the construction of the "medical association", in-depth implementation of graded diagnosis and treatment of two-way referral system, and continue to explore and improve the comprehensive reform of the county-level public hospitals related to financial inputs, Talent protection, performance allocation mechanism.
(2) Improve the service system, promote the construction of health and family planning projects. Accelerate the construction of Guang'an District Health and Family Planning Complex, township health center reconstruction and expansion projects and village health room projects, and continuously improve the three-tier medical and health service network with district-level medical institutions as the leader, township health centers as the backbone, and village health rooms as the foundation.
(3) Strengthen health services, improve the quality of medical and health services. Do a good job of monitoring and forecasting epidemics, and improve the emergency response mechanism for public *** events and the construction of the "120" platform. Adhere to the core system of medical quality and safety, strict implementation of quality assessment rewards and punishments to ensure medical safety.
(4) Compacting the foundation of work, and constantly strengthen the construction of talent. Increase directed training, on-the-job training, recruitment and introduction efforts, increase the training of general practitioners, and actively strive for more flexible employment policies, and constantly optimize the structure of the medical talent team. Improve the talent management and assessment mechanism, improve the distribution mechanism of medical institutions, and fully mobilize the enthusiasm of employees. Effectively strengthen the construction of industry style, seriously investigate and deal with billing, taking bribes and accepting bribes, to form a clean industry style.
(E) pay close attention to administration in accordance with the law, and strictly implement the laws and policies. Increase the capacity building of health and family planning law enforcement team, integration of health and family planning administrative law enforcement functions, strengthen family planning administrative law enforcement, standardize the birth order. Strengthen the supervision of health law enforcement, seriously investigate and deal with violations of the law, standardize the practice of law, and reduce disputes between doctors and patients.
(6) Strengthening medical protection and improving the working mechanism of the New Rural Cooperative. Further explore the new rural cooperative task decomposition mechanism, and in conjunction with the health planning system institutional reform, enrich the district new rural cooperative office staff. Strengthening the regulatory measures for the NAC, exploring the reform of evaluation and regulatory methods, and enhancing regulatory objectivity. Increase the publicity of the new rural cooperative, combined with medical reform integrated management and other methods to improve the hierarchical diagnosis and treatment system.
The reform of the medical and health system is a complicated systematic project, as long as we reasonably and effectively integrate the administrative impetus of the family planning department and the health sector's technical support, correctly and rationally integrate the use of resources, equipment and personnel, we can better release the "dividends" of benefiting the people to better serve the people, and realize the "integration, enhancement, and double". "Integration, enhancement, win-win, benefit the people" of the main tasks and work objectives.