In the district party committee, the district government attaches great importance to and under the correct leadership, in the district people's congress, the district political consultative conference of the strong supervision and strong support, in the city health bureau of the competent business guidance, the district health bureau and its district jurisdiction of the medical and health care units to seize the opportunity to work hard to deepen the reform of medical and health care system is the main line to improve the level of health care as a hand to the majority of the masses for the benefit of the final destination, according to the requirements of the higher authorities to implement the work tasks, the health work has made great progress. The higher authorities to implement the requirements of the work of the task, health work has made great progress.
First, the region's health work to complete
(a) to compete for the capital to run the project has been remarkable
In accordance with the national policy on encouraging social capital to enter the health care market, the District Health Bureau by many contacts, negotiations, argumentation and field visits, the success of the introduction of Hengyang Rendezvous ENT Hospital, Hengyang Zhongde Orthopaedic Hospital, Hengyang Huakang Hospital, Hengyang Jingcheng Skin Hospital stationed in our region's medical market, the above four private hospitals are investing more than ten million yuan, a total investment of 42.6 million yuan, is expected to be put into use next year. XX City Shunshan Hospital moved to the new site next to the Lixin Avenue, invested 8 million yuan to renovate the medical business area of 5,000 square meters, the hospital's new site is currently being renovated. Our health system to compete for funds to run the strength of the city's urban areas in the forefront.
(ii) project construction has been steadily advancing
Three township health centers and district health supervision construction projects have completed the bidding, the full start of construction, the central investment and provincial supporting ****4.15 million yuan has been in place. At present stay Eagle Ridge Township Center Health Center main body has been completed, renovation is nearing completion; YuMuShan Township Health Center civil construction part of the main body has been roofed; ChangHu Township Health Center and District Health Supervision joint project has begun construction. It is expected to invest more than 10 million yuan this year.
(C) key work is progressing well, the implementation of the people's policies
1, public **** equalization of health services. First, to strengthen the residents' health file foundation work, at present, our region of urban and rural residents of electronic health file standardization rate of more than 91%, respectively, the health file use of the update rate of more than 82%, respectively, more than the higher departments of the indicator requirements. Secondly, we have strengthened the screening and management of mental patients and chronic diseases such as hypertension and diabetes, established a system of "one card for one disease and one report", and carried out family follow-up visits according to the type of disease and its relevant regulations. Third, strengthen children's and maternal health care management, from October last year to October this year, the mortality rate of children under the age of 5 in our region is controlled at about 7.4 per thousand, the establishment and improvement of children and maternal system management, for maternal and child health care work in a scientific, standardized and orderly manner to lay a good foundation. Fourth, the number of beds per 1,000 people have greatly improved, this year, the health system in our region to tap the potential to enhance the level of service, so that the number of beds per 1,000 people in our region has increased substantially. District Health Bureau with the Municipal Health Bureau, according to the Municipal Health Bureau to provide data, the number of health care institutions in our region to serve the population of 237,162 people (including the Huaxin Development Zone population of 51,188 people), the number of health care institutions in our region 4,878 beds (including the number of beds situated in the Huaxin Development Zone health units), per 1,000 people with the number of beds for 20.6.
2, rural maternity hospital delivery subsidies. 2013 January to November, there have been more than 576 rural maternity in accordance with the "one-stop" subsidies to obtain subsidies, subsidies amounted to more than 500,000 yuan (including the agricultural subsidies), rural maternity benefits, hospital delivery of flat births has been basically realized free of charge.
3, efficiently carry out premarital medical examinations. In order to improve pre-marital health care awareness, has issued more than 4000 pre-marital health care notification card, by the village maternal and child health care workers, family planning specialists issued into the household, through vigorous publicity, and actively coordinate with the civil and family planning and other departments, from January to November to participate in the pre-marital medical examination of **** 1436 pairs, of which the number of people found to be sick 97 people have been carried out further examination and health guidance, recommended that their specialized treatment.
4, the implementation of the basic drug system went smoothly. Continue to consolidate the 3 township health centers and 5 community health service centers national basic drug system implementation, and last year, August 1 to promote the coverage of 34 village health room. 2012 August 6, the government executive meeting on the implementation of the basic drug system in the village health room in my district to determine the district level financial input of not less than 541,000 yuan per year, as of the end of August 2013, the financial special subsidies at all levels * * * ** counted 703,000 yuan, of which the district-level financial allocation of special subsidies 550,000 yuan; district financial subsidies 3 township health centers and 5 community health service centers 3 million yuan per year. As of the end of November this year, the region's grass-roots 3 township health centers and 5 community health service centers have accumulated a total of 8,796,000 yuan of procurement of medicines, sales of 8,735,000 yuan of basic medicines, and greatly alleviate the masses "difficult to see a doctor, see a doctor, expensive," the problem. The implementation of the national basic drug system in our region is at the forefront of the work of the four urban areas.
(D) role model driven to create a brand
Steamboat Street Community Health Service Center since last year to obtain the "National Model Community Health Service Center" and the Chinese Community Health Association training base honorary title, is now committed to building the Chinese Community Health Association training base in the province's demonstration of the brand, and constantly strengthen the internal construction and hardware facilities construction. Connotation construction and hardware facilities construction. At present, steam Xiang street community health service center is designated as the region's general practitioner transfer training internship base, is now organizing and carrying out the training base of the Chinese Health Association training public **** health service training; joint, red Xiang, Henggang three health service centers focus on strengthening the connotation of the construction, enhance the level of service, and strive to have the conditions to create a provincial or municipal demonstration unit next year, in order to enhance the overall level of service of the community centers in the region. The level of service has been well received by the general public.
(E) to strengthen the daily supervision of health supervision
District Health Bureau to do a good job on the district jurisdiction of the public **** place and the daily supervision of medical institutions. District jurisdiction of the public **** place of regular health supervision and inspection, so that the public **** place of medical examination rate of 100% of the employees, 100% of the licensed rate. The first half of the urban medical institutions conducted a comprehensive inspection, most of the medical and health institutions are in accordance with the "medical institutions practice permit" approved diagnosis and treatment subjects standardized practice, has issued 21 penalty instruments, fines in place 21, a total of 29,500 yuan, rectification in place 21. Our region has not found no "medical institutions practice permit" "black clinic".
(F) tighten the string of production safety
tightly around the "safety first, prevention-oriented" policy to carry out the work of medical safety, improve the rules and regulations, the establishment of sound technical specifications, operating procedures, quality standards, so that the medical and nursing activities can be based on the chapter, there are rules and regulations to follow, to prevent the occurrence of medical errors. The company has also established a number of safety inspections for each medical unit on a regular basis. Regularly conduct safety inspections of each medical unit to find out the weak points of safety work. From time to time, we conduct random checks on the quality of medical and nursing care, and adhere to the medical quality announcement system, medical and nursing care hierarchical management system and other important medical safety management systems. We rationally use antibiotics and standardize the disposal of medical waste. We have always insisted on taking work safety as a central priority, seeking benefits from safety, adhering to the system of regular inspections of work safety, and ensuring that medical personnel do not practice illegally or violate operating procedures. So far this year, the region's health units have not occurred a case of safety liability accidents, production safety situation is generally stable.
(VII) Comprehensive management of family planning solid progress
First, the implementation of hospital delivery identity registration system and monthly notification system. The hospitals were instructed to fully establish and improve the "real-time notification" system, and real-time notification of information on prenatal checkups and deliveries of more than 14 weeks of gestation was implemented. Second, the district health bureaus and family planning bureaus have jointly investigated and dealt with one typical case of "two illegal practices". Third, in strict accordance with the health sector family planning work "eight and one strict" content to grasp the implementation. And the birth control work into the health system year-end overall goal management assessment. This year, the provincial and municipal family planning work assessment results are remarkable, by the higher authorities highly affirmed and praised.
(H) "three major activities" work results
Participate in the "big visit, big research, big service" activities to achieve results. This year, visited the masses more than a thousand households, enterprises 2, to eliminate fire safety hazards a; with the big yuan head of the community committee together with more than 2,000 yuan in the Flying Dragon company outside the family area reinstalled a new sewer pipe; more than 3,000 yuan of funding to buy a number of noodles, quilts, cotton clothes and other supplies to the community love supermarkets; in the village of Xinshen held a "big visit, big research, big service "clinic activities, free of charge to the villagers issued drugs worth more than 40,000 yuan; for the village part of the villagers in the body of the phenomenon of the high incidence of stones, the working group of the village 7 wells free water sampling test, *** counting the water samples taken at 7 points, for the prevention and treatment of disease for the villagers to provide a scientific basis; in order to protect the villagers' health, the influenza risk group of farmers to carry out free injections of influenza vaccine*** counting 30 pcs. Visited the community and stationed in the village of 30 households in need of condolences, sent condolences 12,000 yuan; for the Danyuantou community households in need of Steam Xiang Street Community Health Service Center issued 10 free medical cards; for staying in the Yingling Township, Xinmin Village and the Danyuantou community of the three difficulties of the disabled households free to send three brand-new wheelchairs; Vice Mayor Luo Qiong, Steam Xiang Street, Director of the Community Health Service Center, Deng Hongjun, but also from their wallets, each pulled out 500 yuan to the two big Yuan head of the community's difficult disabled households, highly praised by the surrounding masses.
(IX) Infectious disease prevention and control.
First, to carry out supervision of infectious diseases, January-November 2013 **** writing supervision records 56, writing monthly analysis of infectious disease outbreaks 11, weekly analysis of 48; standardized fever, intestinal clinic construction, the jurisdiction of the general hospitals and health centers strictly in accordance with the "four special two" standard, standardized construction of fever, intestinal clinic. Construction of fever, intestinal clinic; do a good job of fever, diarrhea patients ` registration, screening, strictly "every diarrhea must be examined, every suspicion must be reported.
Second, the public **** health emergency response, 1, strengthened the public **** health emergency prevention and management, in accordance with the relevant spirit of the higher level, the formation of prevention and control of technical teams and epidemic control mobile team, equipped with disinfectant drugs, disinfectant equipment and protective supplies, so that once an emergency public **** health emergency can be dealt with in a timely and effective manner. 2, timely disposal of outbreaks, the joint this year, the streets of West Station Road Primary School in a case of an epidemic, the streets of West Station Road Primary School in a case of an epidemic. Street West Station Road Primary School, a mumps outbreak epidemic, October 30, Nanhua University Yumu campus suspected foodborne disease events, the District Health Bureau emergency response team rushed to the scene at the first time to carry out epidemiological investigations and outbreaks of disposal, the epidemic has been effectively controlled, there is no second-generation and serious cases. 3, to strengthen the construction of emergency response system efforts, this year the District Health Bureau emergency response team to participate in the region's emergency response drills Three times, constantly improve the emergency system construction and related systems, improve emergency response capabilities.
Third, to strengthen the management of epidemic reporting. 1-11 months of jurisdiction at all levels of medical institutions *** report of 2112 cases of infectious diseases, the jurisdiction of the medical units can better implementation of the infectious disease reporting and registration system, its reporting rate of 100%, the online reporting card in a timely manner rate of 100%, the completeness of the rate is 100%, the report accuracy rate of 99.4%.
Fourth is to carry out the work of planned immunization. 1, January-November *** carried out 11 cold chain operation, preventive vaccination shots *** reached 48,836 injections, the vaccination rate reached the higher level of the standard required; 2, this year in January to carry out the XX District measles vaccine checking and replenishment of the work of the whole region 2008-2012 children of school age and special populations checking and replenishment of the immunization work, ** ** ***. ** make-up vaccination 1395 times, has basically completed the task of replenishment. 3, to carry out program immunization-related disease outbreak monitoring, one is to carry out measles outbreak monitoring, detection of 286 cases of suspected measles, of which there are 10 cases of measles, are timely investigation and disposal of outbreaks; the second is to maintain the polio-free state, to carry out active monitoring of acute flaccid paralysis (afp), the implementation of the sentinel hospitals acute flaccid paralysis (afp) proactive search for the work of the sentinel hospitals. afp) active search work, at present no acute flaccid paralysis (afp) cases found. 4, the implementation of immunization planning supervision, the development of "XX district immunization planning work supervision program", comprehensively carry out the planned immunization vaccination rate survey, management of biological products, children's card, certificate and other items of work checks. This year, on behalf of XX City, I met the province's immunization planning work supervision, ranked second in the province.
Fifth, tuberculosis prevention and treatment. Up to now *** receive patients 236 people, and receive tuberculosis patients throughout the supervision of medication management, to ensure that the patient standardized treatment, on schedule to send sputum review, from the therapeutic effect, the initial treatment of smear two months, sputum negative rate of 99%, two months of re-treatment of smear two months, sputum negative rate of 95%, to complete the course of treatment of sputum negative rate of the patients are 99%, the therapeutic effect of a more satisfactory, by the tuberculosis patient The treatment results are more satisfactory and highly praised by the tuberculosis patients.
Six is to carry out the AIDS comprehensive prevention and treatment demonstration area project work. Strengthen the leadership, held a coordination meeting, the implementation of the work, since 2009 to carry out comprehensive prevention and treatment of AIDS demonstration area project work, the work is being carried out in an orderly manner, so that the leadership in place, investment in place, security in place, measures in place, solid work to carry out AIDS prevention work, to protect the people's health has played a positive role in promoting. At the end of the year will meet the AIDS prevention and treatment model district inspection and acceptance.
(10) with the development of "Sanxiang farmers health line" activities
According to the unified arrangements for the deployment of the District People's Congress, with the District Agricultural Office and other departments to carry out the "Sanxiang farmers health line" activities, according to the actual development of the implementation of the health system, the implementation of the program. To grasp the implementation of the "Hunan Provincial Patriotic Health Regulations"; combined with the World No Tobacco Day activities to do a good job of publicizing health knowledge and related laws and regulations, the grass-roots health units are to the World No Tobacco Day as an opportunity to *** production of promotional banners 10, anti-smoking signs more than 100, update the anti-smoking knowledge of the publicity column of 10, the issuance of publicity materials more than 3,000 copies.
(XI) solidly carry out the "service people's health action" large-scale clinic activities week
In order to make the work effective, the District Health Bureau asked the medical and health units to take a variety of forms of clinic activities to benefit the general public. First, on the morning of October 13th, the District Health Bureau, CDC, Health Supervision, Maternal and Child Health Hospital, Steamship Hospital, South China Hospital, Huaxin Hospital, XX Red Cross Tumor Care Volunteers, etc. in the Sun Plaza held a "people's health action" large-scale free clinic activities. ***More than 30 specialists and 10 volunteers were dispatched to provide consultation, preliminary screening, diagnosis and general treatment for common and chronic diseases, popularize medical knowledge and health knowledge, advocate healthy lifestyles, and guide the public to seek medical treatment in a scientific manner. The activity of more than 1,000 visits, free distribution of commonly used medicines, cooking oil, umbrellas and other value of tens of thousands of yuan, the distribution of common diseases, chronic diseases, AIDS prevention and treatment, and maternal and child health care promotional materials nearly two thousand copies, by the general public praise. City Health Bureau Zou Aimin and other leaders, the district government Luo Qiong, deputy mayor and other leaders to the scene to guide the work of the District Health Bureau, all team members, the relevant units in charge of the large-scale clinic activities. Second, the District People's Hospital, Yumushan Township Health Center for the local homes for the elderly to carry out free clinic activities. the morning of October 15, 2013, XX District People's Hospital, Yumushan Township Health Center in the local homes for the elderly to hold a "service to the people, the health of the action" free clinic activities, *** counting 15 medical workers to participate in the elderly homes for the elderly and the villagers Fifteen medical workers participated in the activity, providing services such as blood pressure and glucose measurements and chronic disease counseling for the elderly and villagers in the home. In this clinic activity, measuring blood pressure 196 people, blood sugar 196 people, 196 people, diagnosis, prescription 156 people, free distribution of drugs more than 6,000 yuan, this clinic activity has been the local villagers unanimously affirmed and welcome, not only lifted the villagers from the disease hidden, reduce their economic burden, but also strengthened the villagers' health awareness. Third, the District Maternal and Child Health Hospital, the township health centers, community health centers for the patients free registration fee, reduce the relevant fees, compilation and printing of specialized disease prevention and treatment of publicity materials, by the majority of patients welcome.
Second, the main problems and recommendations
(a) medical resources to be integrated. Due to historical reasons, the distribution of resources in our region's health care units is not balanced, some units of personnel burden, some units lack of talent, the entire health system is in urgent need of the introduction of talent difficulties, the district restructuring over the past decade, only opened an editorial, the introduction of 9 people, resulting in the aging of the health system personnel, structural imbalance. District CDC and District Health Supervision is currently on staff of only 15 people, to deal with the whole region disease prevention and control and health law enforcement daily supervision work, work difficulties can be seen. It is recommended that the government give support from the policy.
(ii) Policy inputs need to be improved. The implementation of the basic drug system and the implementation of performance pay, for example, the preliminary estimates, the region requires funding of about 20 million yuan, while the central and provincial and municipal policy inputs are currently only about 5 million yuan, accounting for only 25%; Changhu Health Center and the District Health Supervision of the joint project to build a new area of 5,000 square meters of national debt funds totaling only 2.3 million yuan, the degree of difficulty can be imagined; the current 34 village health center in the area only Zhenxing village village health room in 2010 to fight for national debt funds 30,000 yuan for the reconstruction and expansion, as the bottom of the network of village health room construction is seriously lagging behind. It is recommended that the government's financial increase in investment in health.
(C) rural doctors pension insurance issues to be clear. At present, the age structure of rural doctors in my district village health office aging phenomenon is more serious, how to solve their pension problems become the current work to carry out the urgent need to solve the problem. It is recommended that the higher authorities in accordance with the provincial government Xiang Zhengban Fa [2011] No. 75 document spirit, combined with the actual situation in my district, the village doctors into the urban workers pension insurance category, and give certain policy and financial support.
(d) The health insurance system is not balanced. At present, the city's five community health service center health insurance designated unit regulations can only provide outpatient medical care, chronic disease recovery, hospice care and other health insurance subsidy services. It is recommended that the relevant higher-level functional departments in the health insurance policy to the primary health care units to be tilted.
Three, the next step focus
1, continue to grasp the implementation of the national essential drugs system, to ensure that primary health care units to implement the basic drug system coverage rate of 100%, so that the people to share the fruits of health care reform.
2, the implementation of measures to ensure that the elderly over 65 years of age free medical examination, chronic disease management rate, the rate of update of residents' health records and other public health work to meet the full standard.
3, based on the spirit of the relevant documents at the higher level, and strive for the district financial support for health construction project funds.
4, strive for the district party committee, the district government's policy support, start the personnel system of primary health care institutions and wage system reform, complete the approved preparation work, strengthen the training of staff on board, while in the approved scope of the preparation of the introduction of urgently needed professional and technical personnel.
5, and the relevant departments to coordinate, on November 15 by the District Government Office and the District Citizen Blood Donation Committee led by the District Health Bureau and the District Red Cross is specifically responsible for the preparation of the organization of townships and streets, health care system units nearly a thousand people carried out in 2013 the annual group of free blood donation activities.
Four key ideas
1, grasp the service, people's livelihood is important. First, actively and steadily promote the reform of the medical and health system, to consolidate the 3 township health centers, 5 community health centers and 34 village health rooms focus on the implementation of the national system of basic medicines, standardize the rational use of medicines in the primary health care units, and investigate the purchase of medicines out of the network, to alleviate the masses of "expensive" hot spot problem, so that people Sharing the fruits of healthcare reform. The second is to focus on strengthening the public **** health work, the implementation of measures to achieve urban and rural public **** health equalization.
2, grasp the project, growing strength. First, continue to strengthen the work of the capital run, solid health infrastructure. The second is the early completion of the Hongxiang Street Community Health Service Center new project tasks.
3, grasp the connotation, enhance the level. Strive for the district party committee, the district government policy support, the introduction of urgently needed professional and technical personnel. Steam Xiang Street Community Health Service Center demonstration created as an example, to create the Chinese Community Health Association training base demonstration brand, and as an opportunity to comprehensively enhance the level of service of the region's medical institutions.
4, grasp the emergency, improve the system. Establish and improve the emergency response system and emergency response plan for public **** health emergencies, strengthen the monitoring of major infectious disease outbreaks and public **** health emergencies, preventive control and medical treatment, strengthen the district and township levels of specialized emergency response team training, to ensure that the cause of health care steady and healthy development.