Summary report on public health work in 2019

Summary report on public health work in 2019

A work plan is a pre-arrangement and plan for work for a certain period of time. A work plan needs to be formulated during work. Come check it out with me.

In 2019, under the careful guidance of the health authorities of Guangdong Province and Maoming City, and under the strong leadership of the Gaozhou Municipal Party Committee and Municipal Government, our city's health work closely followed the main line of building a "healthy Gaozhou" to implement health benefits. Taking the public policy as the starting point, taking the deepening of the reform of the medical and health system as an opportunity, we are determined to reform and innovate, pay close attention to the implementation of work, and advance various key health tasks in an orderly manner.

1. Main measures and highlights

(1) Strengthen party building guidance and comprehensively strengthen party building. We must insist on putting Party building first in health work, and use Party building as a guide to comprehensively promote the high-quality development of our city's health undertakings. The first is to continuously improve the construction of grassroots party organizations at all levels. In the first half of the year, our bureau elected members of the bureau party committee and established the bureau party committee office to focus on the daily work of party building throughout the system and implement the party building work throughout the system. Our bureau has built and improved the Party Building Cultural Center and created a party branch activity position with the characteristics of the health industry. The Municipal People's Hospital has been identified as the provincial demonstration site for cultivating the first batch of party-building work in public hospitals across the province. It implements the president's responsibility system under the leadership of the party committee and comprehensively strengthens the hospital's party-building work. The second is to actively carry out the theme education of "Don't forget the original intention, keep the mission in mind" and promote the creation of model institutions. Combined with the key tasks of "Healthy China" and "Creating a Strong Provincial Healthy City", guided by the party's political construction, and in accordance with the deployment requirements of the theme education implementation plan, provincial expert Qi Yutai was invited to write "Don't forget the original intention, keep the mission in mind, and use the ideological Guided by the establishment of the Party Culture and the Institute, we created a special report on the "Four Haves" Project, focusing on the four aspects of study and education, investigation and research, inspection of problems, and rectification and implementation. We highlighted problems in 8 aspects, strengthened the implementation of rectification, and made thematic education Achieve real results. With the goal of building a model department that is political, fair, professional, and has a good work style, we have formulated an implementation plan for model agency creation activities, educate and guide party members and cadres to actively participate in the creation activities, and promote the model agency creation activities to be practical. Grab it and go deeper. The third is to strictly implement the intra-party system and seriously carry out intra-party organizational life. Strictly study in accordance with the study plan issued by the Municipal Working Committee, hold party member meetings every quarter, hold branch committee and party group meetings every month, and give good party classes to ensure the quality of study. In conjunction with the July 1st Party Building Day and theme education, we actively organized party members to visit the new rural construction in Datangdu Village, the clean government construction site in Pengcun, the archives exhibition of party history and revolutionary history, key health projects under construction, targeted poverty alleviation, and weekly cleaning Various themed party day activities such as one-hour, delivering medicines and medicines to rural areas. The fourth is to do a good job in ideological work. On the one hand, we should put ideology in a prominent position, combine the implementation of the rectification and rectification of the issues reported by the 12th Inspection Team of the Provincial Party Committee, clarify the division of labor among the team, carry out ideological education and training plans, effectively improve the political literacy of cadres and workers, and firmly establish the "Four Consciousnesses". , Firmly "Four Confidences", and resolutely achieve "Two Maintenances". On the other hand, we must effectively implement the practice of civilization in the new era, further strengthen the ability to monitor and respond to online public opinion in the main battlefield of the Internet, strengthen positive publicity on the Internet, and spread positive energy. The medical and health volunteer service team of the New Era Civilized Practice Center is regularly organized to carry out activities. Especially during the period of dengue fever prevention and control, Vice Mayor Li Yafeng chaired several city-wide dengue fever prevention and control work meetings to analyze the epidemic situation faced by the city, unify research and deployment, and provide timely ideological guidance to the masses, firmly grasping the ideological direction. Fifth, we will continue to strongly support the work of the "First Secretary" in the linked villages. Comrade Lin Pinquan, chief of the information and statistics section of the bureau, has been appointed as the first secretary of the Dalian Village branch in Sishui Town. Under the circumstances that our bureau's funds are not loose, it supports the renovation and construction of Dalian Village in Sishui Town. The party-mass service center has a fund of 50,000. Yuan, which effectively improved the service environment for the villagers, made it easier for the people to do things, and was well received by the villagers.

(2) Strengthen regional health planning and establishment, and steadily improve the "hard power" of medical services. First, steadily promote the upgrade and construction projects of county-level public hospitals and central health centers. The overall relocation project of the Municipal Second People's Hospital and the upgrading and construction project of Shigu Town Central Health Center's traditional Chinese medicine medical technology building were opened on September 26, 2019. The outpatient and inpatient complex building and the psychiatric inpatient building of the Shigu Town Central Health Center upgrade construction project have completed the capping of the main structure in September 2009 and are undergoing renovation. The Municipal People's Hospital Hyperbaric Oxygen Building Construction Project has completed the main capping on August 3, 2009, and the water and electricity installation has been basically completed. It is expected to be put into use in June 2020. The overall relocation project of Gaozhou Maternal and Child Health Hospital has been capped on October 5, 2009. Changpo Branch of Municipal People's Hospital has completed the main construction of floors 1-5. The second is to comprehensively complete the standardized construction of village-level health centers. In 2019, all towns (subdistricts), with the full cooperation of all grassroots health units, completed the standardized construction of the remaining 252 village health stations and uniformly equipped them with necessary diagnostic and treatment equipment. Third, our city has invested 11 million yuan this year to plan and build county-level telemedicine centers and traditional Chinese medicine diagnosis and treatment centers in advance. At present, the telemedicine center built by the Municipal People's Hospital has been completed and put into use. It can cover all town health centers and nearly a hundred village health stations, realizing the exchange of medical records, examinations, imaging, etc. within the medical consortium, and cooperating with "Village Medical Communication". Through the WeChat group, people can enjoy expert health services from tertiary hospitals in towns and villages. Fourth, in order to improve the functions of our city’s chronic disease institutions, promote the upgrading and renovation of chronic disease stations, strengthen the construction of hardware facilities of chronic disease stations, and enhance our city’s chronic disease diagnosis and treatment service capabilities, our bureau has put the overall relocation of the city’s chronic disease prevention and treatment stations on the agenda to speed up the Promote the overall relocation and construction of the chronic disease station.

At present, our city has 2 tertiary hospitals, 3 secondary hospitals (Maternal and Child Health Hospital, Municipal Second People's Hospital, Municipal People's Hospital Changpo Branch), 31 primary health centers (including 5 community health service centers), 438 public and standardized village health stations. After all the upgrade construction projects are put into use, the Shigu Town Central Health Center will have the strength of a second-level hospital. The three-level medical network of counties, towns and villages will be further improved. With the addition of modern information technology, our city will truly realize that serious diseases will not leave the county. With the goal of keeping minor illnesses within the village and common illnesses within the town, we provide higher-quality and more convenient basic medical and health services to the grassroots.

(3) Promote the in-depth development of medical system reform, establish and improve a modern hospital management system, and enhance the soft power of medical and health services. First, actively promote the establishment and improvement of modern hospital management systems and strengthen party building in public hospitals. All municipal hospitals have been upgraded to party committees, and the president's responsibility system under the leadership of the hospital's party committee has been implemented. As a pilot hospital, the Municipal People's Hospital completed the hospital charter in April 2019. At present, to promote the pilot experience, the Municipal Hospital of Traditional Chinese Medicine has completed the preliminary drafting of charters, and other hospitals will soon start the work of formulating charters. The second is to completely cancel the markup on medical consumables, implement payment according to the disease type, and adjust the price of medical services. Starting from October 0, 2009, our city will completely cancel the markup on medical consumables and implement zero-price sales. At the same time, the prices of some medical services will be adjusted and included in the scope of medical insurance reimbursement according to regulations. According to statistics, in 2019, all medical institutions in the city implemented zero-margin sales of pharmaceuticals and consumables, reducing the cost of pharmaceuticals and medical consumables by approximately 200 million yuan. The third is to explore and establish various medical alliances and medical organizations. With the city's two top tertiary hospitals as the leading units, a county medical team was established. Among them, the Municipal People's Hospital, Changpo Town Central Health Center, 62 village health stations and other medical institutions have formed a close medical integration to realize the unified informationization of personnel, financial and material assessment. The Municipal Hospital of Traditional Chinese Medicine forms a close medical system with 1 secondary hospitals, 3 community health service centers and 35 village health stations. Encourage the masses to seek first-time diagnosis at the grassroots level, and implement two-way referrals within the medical system, so that the grassroots masses can enjoy expert services from top-level hospitals at their doorsteps. At the same time, full coverage of the medical consortium of primary health centers will be achieved. Municipal hospitals will provide assistance to 11 primary health centers according to the "4322" plan. The Chest Pain Center Specialty Alliance, led by the Municipal People's Hospital, and the Traditional Chinese Medicine Specialty Alliance, led by the Municipal Hospital of Traditional Chinese Medicine, have been completed. The fourth is to strengthen the construction of talent teams. In 2019, our city's health system introduced 18 high-level talents (including 1 doctors and 17 masters), and recruited 226 people throughout the year (including on-site recruitment by universities) 110 people, open recruitment 116 people), signed employment agreements with 46 order-oriented rural medical students, completed the recruitment of 62 general practitioners in the city for special positions and 5? 100 experts at the grassroots level? Plan (including 2 from the Second People's Hospital and 3 from Shigu Town Central Health Center, the Third People's Hospital) and 15 obstetricians and 4 pediatricians for job transfer training tasks. The fifth is to strengthen the construction of traditional Chinese medicine services. There are 500 medical institutions in the city that can carry out traditional Chinese medicine business (including 2 tertiary hospitals, 2 second-level hospitals, 26 town health centers, 5 community health service centers, 438 village health stations, and 2 traditional Chinese medicine private hospitals) (including 25 TCM clinics), accounting for 95.14% of the total number of medical institutions in the city. All town health centers and community health service centers can carry out 15 or more appropriate technologies for traditional Chinese medicine in 6 categories, and are equipped with more than 300 kinds of traditional Chinese medicine pieces and more than 100 kinds of proprietary Chinese medicines. More than 95% of village health stations carry out 4 categories and more than 6 traditional Chinese medicine appropriate technologies, 76% of village health stations are equipped with more than 100 kinds of traditional Chinese medicine pieces, and other village health stations are equipped with more than 50 kinds of proprietary Chinese medicines. In 2019, it is estimated that the city's grassroots medical institutions will provide TCM services to 763,256 people, accounting for 32.1% of the total outpatient volume, an increase of 1.6% over the same period last year; appropriate TCM technical services will be provided to 163,769 people, 253176 items, an increase of 9.3%. Sixth, further standardize medical service behavior. In 2019, our city actively promoted the implementation of the ambulatory surgery work plan and the reimbursement system for ambulatory surgery, promoted clinical pathways, strengthened the management of referrals and hospital referrals in the city, and reformed medical insurance payment and a series of measures. All medical and health units in our city effectively implemented The number of hospitalization days for patients has been reduced, hospital bed turnover has been accelerated, hospital bed utilization has been increased, unreasonable growth in medical expenses has been controlled, and the medical expenses of the masses have been reduced, and the unreasonable increase in medical expenses in our city and the hospitalization rate within the county have been effectively controlled, highlighting our city's Public hospitals are charitable. At present, more than 500 day surgeries have been carried out in our city, and the proportion of clinical pathways maintained at more than 40%. In the first half of 2019, our city’s county hospitalization rate reached 95.7%, a year-on-year increase of 0.5%, continuing to maintain the province’s No. 1 hospitalization rate. one. Seventh, ensuring clinical blood use. Vigorously carry out publicity on voluntary blood donation, incorporate the task of recruiting voluntary blood donors into the high-quality development assessment indicators of each town (street) and each unit, strengthen clinical blood management, and ensure the safety of clinical blood use.

In 2019, our city continued to promote the creation of a strong health city, actively increasing the number of practicing doctors, nurses and other technical talents in the city, and key indicators such as the hospitalization rate within the county, the proportion of outpatient visits in towns and villages, and the proportion of inpatients in health centers. Maintain the forefront of the province, implement the transformation from disease treatment to health, and achieve progress from a strong health city to a strong health city.

(4) Solidly advance disease prevention and control work and improve medical and health emergency response capabilities. The first is to increase the prevention and control of infectious diseases. In 2019, there were no major infectious disease outbreaks such as human infection with H7N9 avian influenza, SARS, cholera, and pneumonia of unknown origin in our city. The prevention and control of key infectious diseases such as human infection with H7N9 avian influenza, hand, foot, and mouth disease, and rabies achieved remarkable results. In 2019, the vaccination rate of various vaccines including BCG, hepatitis B vaccine, polio vaccine, diphtheria-tetanus pertussis vaccine, measles vaccine and other vaccines in our city's immunization program has remained stable at over 95%. In 2019, 525 pulmonary tuberculosis patients were registered for treatment in our city, and 517 pulmonary tuberculosis patients were successfully treated, with a successful treatment rate of 98.5%. The incidences of AIDS, sexually transmitted diseases, and leprosy have been effectively controlled in our city, and the incidence rates are all at a low level. In particular, the incidence and prevalence of leprosy have reached the level of basic elimination in the past two decades. The second is to solidly carry out basic public health service projects. The city has established 332 family doctor contract service teams, with 533,035 people signing up for the whole population, with a signing rate of 38.47%, and 305,427 people signing up for key groups, with a signing rate of 71.4% for key groups. The city's resident health record creation rate reaches 90% (has met the national, provincial, and municipal requirements of 75%), the standardized electronic filing rate is 88.84% (has met the national, provincial, and municipal requirements of 75%), and the dynamic usage rate is 49.53% ; A total of 40,865 people have been registered for standardized management of hypertension in the city, with a standardized management rate of 68.52% (which has reached 60% of national, provincial and municipal requirements). The number of people with diabetes under standardized management is 11916, and the standardized management rate reaches 60.49% (which has reached the national, provincial and municipal requirements of 60%). A total of 7,848 patients with severe mental disorders were managed, with a detection rate of 5.66% and a standardized management rate of 91.48% (which has met national, provincial and municipal requirements). The third is to carry out maternal and child health care seriously. From 1 to 11 months in 2019, the city conducted three-disease testing on 18661 pregnant women, with an AIDS testing rate of 99.98%; a syphilis testing rate of 99.98%, and a standard treatment rate of 100 pregnant women with syphilis. %; the hepatitis B detection rate was 99.98%, and the newborn hepatitis B immune globulin injection rate was 99.75%; 11768 people were screened for Down syndrome, and the task completion rate was 109.04%; 9928 people were screened for prenatal structural malformation ultrasound, The task completion rate was 91.99%; 18714 people were screened for neonatal diseases, and the task completion rate was 99.62%; 18708 people were screened for newborn hearing, and the task completion rate was 99.58%. The number of cervical cancer screenings for rural women was 49,075, with a task completion rate of 100.52%; the number of rural women screened for breast cancer was 49,075, and the task completion rate was 100.52%. The above two screening indicators exceeded the target assigned by the province. The number of pre-pregnancy health check-ups reached 15944, and the target population coverage rate was 122.65%. The fourth is to do a solid job in health emergency response and improve the early warning and emergency response mechanism. We have always regarded the prevention and treatment of public health emergencies as the main work functions and key tasks, implemented the unified dispatch of the 120 command center, re-revised the city's emergency plan for public health emergencies, and initially established The professional and professional emergency rescue team actively cooperates with the Municipal Emergency Bureau to formulate quarterly analysis and prevention countermeasures for public health emergencies. At the same time, all subordinate units are urged to implement health emergency work and reserve technical strength for health emergency. As of October 30, 2009, our city has set up 14 food safety monitoring points in urban areas and 13 towns, and has selected nine major categories of food to carry out comprehensive monitoring throughout the city, completing 510 samples were tested.

(5) Scientific planning and outstanding achievements in creating a sanitary city. The first is to carry out in-depth patriotic health campaigns. "Double entrepreneurship" is a key task of the municipal party committee and government in 2019. Our bureau actively takes the lead in creating a provincial sanitary city, continues to promote urban and rural environmental sanitation and cleanliness, and strengthens the prevention and control of vector organisms. At present, the density of "four pests" in our city has been controlled within the scope of sanitary city standards, and the penetration rate of tap water in rural areas and the penetration rate of harmless sanitary toilets in rural areas has reached more than 90%. The second is to actively implement the tasks of creating health in the health system. Our bureau has established the Municipal Health System Innovation and Health Office. Through outings for study tours, inviting experts for training and on-site guidance, the bureau’s dual creation staff have continuously improved their business capabilities and provided supervision and guidance for the “mass entrepreneurship and innovation” work of municipal medical units. Each unit implemented the feedback issues one by one and achieved remarkable results. The sanitation work of our city's medical and health units is advancing steadily, and the work of sanitation demonstration sites has been basically completed; the renovation of public toilets is expected to be completed by the end of this year.

(6) Strengthen publicity and effectively implement Healthy Gaozhou. First, health knowledge publicity and education have achieved remarkable results. During the "5.29 Family Planning Association Member Activity Day" and the "2019 Mother's Day and Happiness Project Aid to Poor Mothers Activity Day" publicity month activities, 150,000 copies (copies) of promotional materials and 230 contraceptives were distributed to the masses for free. Together, we provided free medical diagnosis and treatment to 220 people, and received more than 500 consultations from the people on site. In the spiritual civilization construction of the province's health and health system organized by the Guangdong Provincial Ministry of Health, Lin Wanli, a doctor from our Municipal People's Hospital, was awarded the "Guangdong Good Doctor Nomination Award", our bureau's "Doctor's Character", and the Municipal People's Hospital's "For "Ai Choice" was awarded the award-winning micro film "For People's Health". For the "Silver Age Wellbeing" Respect for the Elderly activity organized in Maoming City, Gaozhou City Health Bureau won the Maoming City "Silver Age Wellbeing Action" Caring Breakthrough Award, "Silver Age Wellbeing Action" Excellence Award, and "Silver Age Wellbeing Action" Outstanding Organization Award ; Comrade Cen Hongyan of the Municipal People's Hospital participated in the Gaozhou "People Talk About Things Around Us" event and won second place; the Municipal People's Hospital and the Municipal Hospital of Traditional Chinese Medicine participated in the city's second "Integrity Folk Song" Challenge Competition and won the "Gold Medal" and "Bronze Medal" respectively; In the organization to participate in the health education skills competition organized by the Maoming Municipal Health Bureau, our city’s team won the second place; in the Maoming City “Good Doctor” selection event, 5 doctors in our city won the title of “Maoming Good Doctor”, and 4 Won the Good Doctor Nomination Award. The second is to actively carry out population monitoring and early warning work in our city. Organize the implementation of family planning policies and establish and improve a special family support system for family planning. 14 people were provided with special assistance for the disabled and 74 people were provided with special assistance for the deceased. The third is to actively implement policies to deal with aging, carry out pilot projects for integrating medical care and nursing care, and develop the elderly care industry. Support the Shouxing Nursing Home in Genzi Town and the Qifu Nursing Home in Panzhou Street to develop into nursing homes integrating medical care and nursing care respectively; support the Dunsuo Community in Baoguang Street and the Maopo Village Committee in Genzi Town to launch village-level pilot projects integrating medical care and nursing care. The fourth is to solidly promote health education and health promotion work. In 2019, our bureau organized city health school experts and professors to conduct 340 health knowledge lectures (times) in various towns (streets) villages (communities), and 8 health literacy tours (times). The city established a provincial smoke-free unit 432. In the health literacy monitoring of Maoming City, the health literacy monitoring indicators of the six monitoring points in our city (Panzhou Street, Shanmei Street, Hehua Town, Yuntan Town, Caojiang Town, and Shenzhen Town) are above 20%. The preliminary review of part of the information for the creation of the Provincial Health Promotion City has been completed. It is planned to be submitted to Maoming for preliminary review in early 2020, and Maoming will be submitted to the province for final review.

(7) Strengthen safety management and do a solid job in petitioning to maintain stability and crack down on crime and evil. In 2019, our bureau has effectively enhanced the sense of urgency and responsibility for production safety, petitions and stability maintenance, and the work of cracking down on gangs and eradicating evil. It has distributed more than 30,000 copies of promotional materials on combating gangs and eradicating evil, and hung 78 banners on major roads and prominent locations in various units in the city. width. A series of special actions have been carried out in the city's health system to prevent risks, ensure safety, and celebrate the 100th Day of Daqing. We insist on highlighting key points and focus on management of key projects under construction and medical-patient disputes within the health system. , further strengthened the supervision and guidance of the safety production work of each subordinate unit, addressed both the symptoms and root causes, and improved the ability of each subordinate unit to prevent risks. The petition system is strictly implemented, a reporting box is set up, a reporting hotline is made public, and information channels are smoothed. For petition cases, every case is settled and everything is answered. In 2019, our bureau *** received 151 letters, 16 visitors, and 39 phone calls, all of which were settled, with a case closure rate of 100%. Regarding the evil forces, we insist that "the evil must be eradicated and the duty of eradicating evil must be fulfilled." It provides a harmonious and stable social environment for our city's health care system, and makes our due contribution to the security of major festivals such as the National Two Sessions and National Day.

(8) Deeply promote the construction of party style and clean government, strengthen the construction of work style of institutions, and rectify medical ethics and style. First, conscientiously implement the main responsibilities and supervisory responsibilities for building a clean and honest government. According to the changes in the number of members of the bureau team, timely adjust and improve the leading group for party conduct, clean government construction and anti-corruption work, clarify the responsibilities of the team, and improve the unified leadership of the bureau party group, the leaders of each branch to focus on *** management, and the discipline inspection team to coordinate and supervise The list of main responsibilities and supervisory responsibilities for the construction of party style and clean government was issued and implemented. The second is to conscientiously implement the power list system of the top leaders of the Gaozhou Municipal Health Bureau. Ensure that the authority of the bureau leader is neither offside nor absent, and standardize the power boundaries between the bureau leader and deputy members. At the same time, the party organizations of each unit under the bureau are required to formulate a list of powers of the top leaders of the unit based on actual conditions, and conscientiously implement it in their work. The third is to strengthen the work style of the institution and rectify medical ethics and style. In accordance with the requirements of the theme education activity of "Don't forget your original intention, keep your mission in mind", members of the bureau team led relevant business unit personnel to conduct special surveys in some town health centers and municipal medical units in late October to further strengthen the city's health system. The construction of institutional style and establishing a new trend in the health industry provide a strong guarantee for the high-quality development of the city's medical and health undertakings. In response to the problems existing in the system's medical ethics and medical practices, the bureau's party group held special meetings to study and held multiple promotion meetings for special activities to strengthen the construction of medical ethics and medical ethics and rectify unhealthy practices in the industry, reaffirming the "nine inaccuracies" and the eight central policies of the central government in the medical and health industry. Regulations and other regulations, the "Implementation Plan for the Special Action to Rectify Medical Ethics and Practice in the Gaozhou City Health System" was issued.

(9) Strengthen government affairs to facilitate the people. First, actively participate in the construction of digital government? Guangdong provincial affairs? platform. Up to now, our bureau has launched more than 90 government service items and 89 items can be handled online. Among them, there are 70 items with zero running times, 21 items with the most one run, and the most one run rate reaches 100%. The number of applications that can be processed online reached 97.8%. In 2019, the window accepted 1587 items, and the completion rate reached 100%. The second is to strengthen civilized law enforcement. In 2019, there were 95 cases of collecting social support fees in the city, and a total of 2.035 million yuan in social support fees were collected. The Municipal Health Supervision Office conducted supervision and inspections on 1138 medical institutions and 563 other types of units in the city in accordance with laws and regulations, issued more than 1950 health supervision opinions, and the supervision coverage rate reached more than 90%, and proposed various There were 386 rectification opinions and 268 health licenses were promised. This year, 133 medical cases were filed and punished, and 1 "two illegal" cases were handled, with a fine of about 643,000 yuan.

(10) With precise efforts, health poverty alleviation work is steadily advancing. The first is to do a good job in linking poverty alleviation work. From 2016 to 2019, our bureau provided targeted poverty alleviation to the Xitian and Xilang Village Committees of Caojiang Town, and targeted poverty alleviation households in the two villages with 111 households with 221 people. As of February 30, 2009, all 88 households' dilapidated house renovation tasks have been completed, and 08 households with 213 people have reached the poverty alleviation standard; 44 households (per capita) in Xitian and Xilang villages have been organized 14700 yuan) participated in seven centralized asset income projects led by the Caojiang Town Government, totaling 2.447 million yuan, and received an average dividend of 1100 yuan per year. The second is to do a good job in medical assistance and cooperation between Guangdong and Guangxi. In accordance with the document requirements of the "Implementation Plan for Medical and Health Cooperation Work in Shanglin County, Gaozhou City" and the "Notice on Doing a Good Job in Medical Assistance with Shanglin County, Guangxi", the leaders of our bureau went to Shanglin County, Guangxi for medical exchanges many times in 2019 Through collaborative work, the seventh batch of medical experts were dispatched to Shanglin County to carry out on-site counterpart assistance (for a period of three months). The third is to conscientiously do a good job in "one-stop" settlement work. At present, all designated medical units in our city have fully completed the transformation of the one-stop settlement interface, realizing one-stop settlement for designated medical assistance in the city.

2. Problems

(1) The reform of the medical and health care system has entered the deep water zone of reform. It has reached a critical period of hard work. It involves many departments and has deep interests, making further advancement more difficult.

(2) Due to differences in data from the civil affairs, poverty alleviation, and social security departments, our city has achieved one-stop settlement of designated medical assistance in the city, but medical institutions are still affected by data differences.

(3) Our city is located in an economically backward and remote area, so it is difficult to introduce and retain talents.

3. Health work plan for 2020

(1) Effectively strengthen party building and further promote the construction of party style and clean government and anti-corruption work. Effectively strengthen the core leadership role of the bureau's party group in the city's health system, use the party group to lead the work of the entire system, use party building work to lead and run through the entire business work process, and completely eliminate the "two skins" phenomenon; in accordance with the party's need to manage the party and strictly govern In accordance with the requirements of the Party, we must strictly implement the Eight Provisions of the Central Committee and other disciplinary regulations, conscientiously implement the "one post, two responsibilities" responsibility list, and do a solid job in anti-corruption and building integrity; we must do a good job in practicing civilization in the new era, and continue to firmly grasp the consciousness In the form direction, further strengthen the ability to monitor and respond to online public opinions in the main battlefield of the Internet; continue to in-depth work on style construction, always tighten the strings of political discipline and political rules, combine the implementation of inspection and rectification work, and use greater efforts to promote all levels The inspection team inspects the rectification and implementation of inspection problems, strengthens supervision and inspection of the implementation of work style and discipline regulations, starts from the areas where the people are most dissatisfied, starts from the things that the people most expect, continues to in-depth promote the "Four Styles" rectification, and effectively Solve the problems that harm the vital interests of the people and fail to serve the people well, and further improve and improve the normalization and long-term mechanism of the work style.

(2) Efforts should be made to improve primary medical and health service capabilities. First, continue to solidly advance the construction of medical and health projects. Continue to implement the key work arrangements of the Municipal Party Committee and the Municipal Government in 2020, and promote the overall relocation of the Maternal and Child Health Hospital, the upgrade and construction of the Shigu Town Central Health Center, and the upgrade and construction of the Changpo Branch of the Municipal People's Hospital. The second is to effectively do a good job in talent introduction and reserve work. Implement the talent reserve plan for medical and health institutions, actively recruit and introduce talents, increase the training, training and introduction of medical and health talents, conscientiously implement various policies and measures, and encourage talents to take root at the grassroots level. Continue to implement intellectual support for health talents and continuously improve health service capabilities in areas with weak primary medical technology. The third is to strengthen county medical and health resource planning and promote the sinking of high-quality medical resources. Implement the medical and health service capacity building and improvement project, and strive to solve the problem of uneven allocation of medical and health resources and weak grassroots medical and health service capabilities. Comprehensively promote the construction of medical consortia and family doctor contract services, establish and improve the points system for medical technicians from tertiary hospitals to regularly visit grassroots hospitals, and improve the ability of grassroots medical and health institutions to diagnose and treat common diseases, frequently-occurring diseases and chronic diseases. Strongly encourage social forces to establish medical institutions.

(3) Efforts should be made to deepen the reform of the medical and health system. The first is to optimize the allocation of medical and health resources. Integrate and develop advantageous resources, vigorously support the development and growth of the Municipal People's Hospital and the Municipal Hospital of Traditional Chinese Medicine, and build a regional medical center with certain influence in western Guangdong and even the entire province. The second is to innovate the medical system construction model. Actively explore and promote various forms of medical alliances such as medical groups, hospital groups, specialty alliances, and remote medical assistance networks to improve the overall performance of the service system; carry out the construction of a regional national health information management platform, and establish and improve information *** sharing, interconnection, and a trinity of major disease prevention and control mechanisms and service networks of professional public health institutions, general and specialist hospitals, and primary medical and health institutions; establish and improve clear goals and responsibilities among medical and health institutions at different levels and types Establish and improve the hierarchical diagnosis and treatment system, improve the hierarchical diagnosis and treatment service system, operation mechanism and incentive mechanism, and form a reasonable system of "first diagnosis at the grassroots level, two-way referral, linkage between upper and lower levels, and separate treatment of acute and chronic diseases". Medical order: comprehensively implement clinical path management, standardize diagnosis and treatment behaviors, optimize diagnosis and treatment processes, and enhance patients' sense of gain from medical treatment. The third is to speed up the establishment and improvement of a modern hospital management system. In accordance with the principles of separation of political affairs, separation of management and operations, streamlining administration and delegating power, and improving efficiency, accelerate the establishment of operating mechanisms and decision-making, implementation, and supervision to maintain public welfare, mobilize enthusiasm, and ensure sustainability, and coordinate, check and balance, and promote each other. governance mechanism.

(4) Efforts should be made to promote the construction of a strong city with traditional Chinese medicine. First, accelerate the merger work. According to the actual situation of our city, we will promote the integration of the Municipal Hospital of Traditional Chinese Medicine and the Municipal Second People's Hospital to strengthen and expand the cause of traditional Chinese medicine in our city. The second is to improve the service capabilities of traditional Chinese medicine. Implement the clinical advantage cultivation project of traditional Chinese medicine and create a group of famous traditional Chinese medicine doctors, famous departments, and famous hospitals. Vigorously develop non-drug therapies of traditional Chinese medicine and develop rehabilitation services with traditional Chinese medicine characteristics. Promote appropriate technologies of traditional Chinese medicine in a wider scope with greater intensity. The third is to promote the inheritance and innovation of traditional Chinese medicine. Implement traditional Chinese medicine inheritance and innovation projects, explore folk diagnosis and treatment techniques and prescriptions with local characteristics, and promote the inheritance and development of traditional Chinese medicine culture.

(5) Efforts will be made to promote the creation of provincial health cities and provincial health promotion counties and cities. The first is to do a good job in the management of patriotic health organizations. Actively carry out activities to select urban sanitary streets, sanitary communities and health units. The second is to carry out health education and health promotion work and actively create provincial health promotion counties. The third is to do a good job in sanitation management in key places. Promote the governance of urban "five small" industries. The fourth is to do a good job in public health and medical service management. Strengthen the comprehensive prevention and control of chronic diseases, strive to increase the vaccination rate of school-age children, and strengthen the management of severe mental illness. The fifth is to carry out prevention and control of vector organisms. Pay close attention to the remediation of vector breeding areas and do a good job in the prevention and control of dengue fever. Pay close attention to the improvement of city appearance and environmental sanitation to eliminate the hidden dangers of vector organism breeding.