Self-inspection report on the quality of statistical data in health centers (Selected 5)
Time passes quickly, and the hard work has come to an end, looking back at the past this period of time, there are surprises, but also shortcomings, it is time to carefully write a self-inspection report. So do you know how to write a formal self-examination report? The following is my carefully organized self-inspection report on the quality of health hospital statistics (selected 5), for reference only, I hope to help you.
Health center statistical data quality self-inspection report 1
In order to improve the quality of medical services and technical service level of the hospital, according to the xx County People's Government Office, "on the implementation of the designated medical institutions service quality special inspection work notice" of the spirit of the document, our hospital against the "People's Government of the City of xx City on the issuance of the xx City of urban and rural residents of the basic medical insurance Interim Measures of the Notice" to conduct a Strict self-inspection and self-correction work. Now the self-check situation is reported as follows.
Self-examination of the basic situation
(a) organizational management
After receiving the notice requirements, our hospital immediately set up to the president of the leader, to the vice-president of the vice president as vice president, the director of each department as a member of the self-examination of the leading group, against the relevant standards, to find deficiencies, and actively rectify. Our hospital has always attached great importance to the work of medical insurance, the establishment of a special management team, sound management system, held many special meetings for research and deployment, and regular medical insurance training for physicians. Medical insurance work at the beginning of the year there is a plan to regularly summarize the work of medical insurance, analysis of the medical care of insured patients and the cost of the situation; attaches great importance to the higher leadership departments organized by the medical insurance meeting, to do not absent, not late, early departure, seriously treat the medical insurance bureau of the tasks assigned, and on time to submit the data, reports, on the settlement of medical expenses to ensure that the 15th of each month before the review.
Our hospital has implemented strict management of the "medical institution license", and has never altered, bought and sold, rented or transferred. The existing beds 24, the actual open beds 12; the existing staff 34 people, attending physician 2 people, assistant physician 4 people,
pharmacist 4 people, nurses 2 people, accountant 1 person. Our hospital has never been more than the scope of registration to carry out practice activities or illegal issuance of "medical certificates", belonging to the medical and nursing staff are licensed, and set up a monitoring column in the hall open to the public.
(B) diagnosis and treatment of medication
I regularly organize medical staff for business and professional ethics training, to be responsible for the patient, from the patient's point of view, not indiscriminate inspection, abuse of drugs, for the patient's condition, reasonable inspection and treatment, reasonable use of medication; the identity of the person to the clinic for a careful identification, to eliminate the phenomenon of fraudulent identity. We carefully verify the identity of patients and eliminate the phenomenon of impersonation; we mark the prices of medicines, diagnostic and therapeutic items and medical service facilities, and provide patients with a detailed list of expenses. The company has also been working on the development of a new product line for the first time in the world, which will be launched in the near future.
(C) entry and exit standards
First, the admission, strictly on the admission of personnel carefully identity verification, resolutely eliminate the phenomenon of impostor, hospitalization during the initiative to verify the existence of hospitalization phenomenon of hanging beds, to find one to stop one. Secondly, we make reasonable diagnosis and treatment plan according to the condition, fully consider for the patients, don't prolong or shorten the hospitalization time of the patients, don't decompose the number of services, don't decompose the charges, and discharge the medicines according to the prescribed dosage. The third is to seriously implement the diagnostic compliance rate in and out of the hospital.
(D) medical insurance medical records and prescription management
Since the establishment of our hospital, we have been advocating quality services, complete facilities, and convenient access to medical care for the insured; strict implementation of diagnosis and treatment and care routines, and conscientious implementation of the responsibility system of the first physician and the responsibility system, emphasizing the completeness of the medical record diagnostic records, and the doctor's prescriptions and medical records with a In terms of hospitalization of insured persons, firstly, it strictly implements the diagnosis and treatment routines and technical operation procedures, and conscientiously implements the responsibility system of the first physician, the system of physician's check-up, the shift handover system, the system of discussing difficult and critical medical records, the system of writing medical records, the system of consulting, and the system of grading surgical management. Improve the medical quality management control system. Secondly, all kinds of documents are filled out completely, clearly, truthfully and accurately, medical instructions and records of all examinations and charges are complete, clear and free of alteration, and the list of hospitalization charges is provided to patients, and the system of informing patients of voluntary items is conscientiously carried out so as to achieve the goal of no coercion. Thirdly, in strict accordance with the medical insurance standard, the personal burden of the cost is strictly controlled within 30%, and the cost of super medical insurance coverage is strictly controlled within 15%.
(E) special examination and treatment
In terms of special examination and treatment, the hospital requires doctors to make reasonable diagnostic and treatment plans for the different conditions of different patients, and if there is a need for special examination and treatment, they need to fill out the application form carefully, thoughtfully, truthfully and in strict accordance with the procedures. The company's products and services are available in a wide range of colors and sizes.
(6) The emergency and critical patients are promptly transferred to the next level of hospital.
(VII) Use of medicines
In the management and use of medicines, the first is the implementation of clear price labels for medicines, diagnostic and treatment items and charges for medical services and facilities and the provision of an itemized list of costs. Second, the strict implementation of the provisions of the scope of the drug directory does not expand or reduce the scope of use of drugs without authorization, the requirements of patients need to use drugs outside the directory, diagnostic and therapeutic items, to seek prior consent of the insured. Thirdly, the use of drugs that have been inspected by the drug supervision department is free of drug quality problems. Fourth, in strict accordance with the medical insurance drug costs accounted for the proportion of the total medical costs, resolutely to eliminate such incidents.
Through a series of heartfelt service, in the regular patient satisfaction survey, patient satisfaction has been more than 98%, the degree to achieve the goal of zero complaints from the participants.
We always adhere to the patient-centered, quality-centered, wholeheartedly for the patient service as a starting point, and strive to do the establishment of rules and regulations standardization, service concepts of humane, standardized quality of medical care, correcting the practice of consciously, and actively provide participants with high-quality, efficient, inexpensive medical care and warm medical environment, by the majority of the participants of the commendation, and received a good social and economic benefits. and economic benefits.
Deficiencies
First, due to insufficient funds, some medical equipment can not be updated in a timely manner, to a certain extent, affecting the in-depth development of related businesses, the lack of sustained development of vitality, the second is the staff tension, heavy workload, not many opportunities for further training in the higher level of medical institutions, the cycle of knowledge updating is long, to a certain extent, affecting the level of service to a higher level.
The direction of future efforts
I must take this self-examination as an opportunity, under the leadership of the higher business administration, and strive to implement the spirit of the 18th National Congress, strict compliance with the "People's Government of the City of xx on the issuance of xx City, urban and rural residents of the Interim Measures for Basic Medical Insurance Notice", to strengthen the management of the measures, optimize the quality of personnel, pragmatic and pioneering, and continue to improve the quality and technical service level, and to improve the quality of medical services, and the medical service level, and to enhance the quality of medical services. The quality of medical services and technical service level, to achieve good and fast healthy development of our hospital.
A basic management
Since the determination of our hospital as a designated hospital, the hospital set up to Zhu Yong president as the leader, Zhang Chuanying vice president as vice president, the director of each department as a member of the leadership group of the medical insurance management. Improved the management system. Organization of the hospital's medical staff to seriously study the medical insurance policy and organization of the assessment work. The assessment results are linked to the distribution of personal interests.
Two, medical instruments
For the medical insurance patients, we treat other patients like, objective, true, accurate, timely and complete writing of all medical instruments. The company's products and services are available in a wide range of colors and sizes, and are available in a wide range of shapes and sizes, and are available in a wide range of colors and sizes. Strictly in accordance with the provisions of the examination, so that the positive rate of large-scale medical equipment inspection program to reach more than 70%. The company's main goal is to provide the best possible service to its customers.
Three, rules and regulations
Our hospital to improve a series of rules and regulations, for the medical insurance patients required to show the medical certificate and ID card, carefully check, and strictly prevent impersonation. The company's website is a great source of information about the company's products and services, and the company's website is a great source of information. For patients who need to be referred, the director of the department will issue a referral certificate, which will then be signed by the president in charge before the referral. In the course of treatment, the system of first diagnosis and responsibility and the system of physician's room inspection are strictly implemented. Surgical patients are subject to a strict surgical approval system, which fully embodies the patient's/family's right to information and maximizes medical safety.
Fourth, the basic medical drug catalog
For the examination and treatment of patients who visit the clinic or are hospitalized, strictly in accordance with the provisions of the "Drug Catalog". Under the premise of clear diagnosis and adequate treatment, we try our best to apply small (within the stipulations) examinations, and try our best to apply Class A drugs. The stock of drugs in the pharmacy reaches more than 90% of the provisions of the catalog.
Fifth, the quality of medical services
Our hospital pays close attention to the quality of service, strict prevention of medical errors, according to the law, civilized practice of medicine. A variety of single disease quality control to meet the city and district standards. In the just-concluded regional medical quality inspection, our hospital again achieved the second best result in the region.
Sixth, medical cost control
Our hospital in strict accordance with the provincial, municipal and district price, health, finance and other departments jointly formulated the charge standard. Reasonable application of antibiotics and other drugs. Pay close attention to the connotation construction, improve service quality, shorten the average hospitalization days of patients. The average cost of hospitalization for patients with medical insurance is less than 1,000 yuan, of which the cost of medicines is less than 50%.
VII. Settlement of medical insurance fees
For the medical insurance patients are discharged from the hospital to provide a detailed list of costs. During hospitalization, patients or their families can access the treatment information and costs at any time in accordance with the relevant provisions. After the patient is discharged from the hospital, the relevant information will be transmitted to the health insurance office at any time.
Self-inspection report on the quality of statistical data in health centers3
County Health Bureau:
According to the overall deployment of the health administration in the year, based on the spirit of the party committee of Huating County Health Bureau No. 32 document, earnestly implement and enforce, in order to ensure that the effectiveness of the construction of the effectiveness of the Shenyu central health center to achieve results, the health center in strict accordance with the spirit of the effectiveness of the storm action, through the organization of the self-inspection seriously, is now a brief report on self-inspection is as follows.
First, there are major problems
1, there is a bias in ideological understanding. After careful study of the "effectiveness of the storm action" provincial, municipal and county key leaders speech, study the health bureau party committee on the "effectiveness of the storm action implementation plan", while holding the mobilization meeting of the effectiveness of the storm action, the health hospital staff responded positively, rice exists since the 1 think the work is good, Performance is good, there is no problem to self-correction. At the same time, I feel that although I have shortcomings, but the problem is not big, are minor problems, the "effectiveness of the storm action" sense of responsibility, sense of crisis awareness of one-sided, reflecting the "effectiveness of the storm action" awareness of the bias, the attitude is not correct.
2, lack of awareness of the spirit of innovation. And then the past six months, the basic work of the hospital in place, the staff of their jobs to do a good job, but for the greater good of the work done less, not very good for the leadership of the ideas, there are a lot of work are trying to do and do not dare to do, shrink, lack of decisiveness and boldness. Not for the actual situation, take the initiative to find a way out, think of ways to solve the problem, therefore, the work has not been a great success.
3, business knowledge is not deep. In the first six months of work, the public **** health services and medical work is relatively well done, but there are treating the work is sometimes not proactive, active, only satisfied with the completion of the tasks assigned by the higher authorities and leaders, in the work of the difficult problems encountered, often waiting for the leadership of the instructions, said step by step, did not do the work, do deep, do fine. Do not pay attention to the comprehensiveness of business knowledge, wait until the emergence of the problem and then try to solve it. In the work of the cumbersome, complex things, sometimes take the method of avoidance, that "the boat to the bridge naturally straight", not their own efforts to find countermeasures, but waiting for the way to their own appearance, the lack of a spirit of hard work and study.
Second, the main reason for the existence of the problem of profound analysis of the root causes of these problems and harm, from the subjective find the reason, summarized in the following aspects:
1, heavy affairs, light learning. From the objective always emphasize the busy work, heavy task, did not deal with the relationship between work and study, there are "work first, study second" of the wrong idea, resulting in their own theoretical level can not keep up with the development of the situation, did not do a good job of learning theory and transformation of their own subjective world combined. Political learning is not enough, shallow theoretical foundation, usually only satisfied with reading, read the newspaper, to participate in the centralized organization of the learning unit more, less self-study, the party's latest theory of the lack of systematic learning, especially on the "effectiveness of the storm action" of the important idea of the lack of deep understanding, not enough study, not enough contact with the practical, so that the theoretical knowledge of the understanding and practical The theory is decoupled from the guiding role of the theory, just for the sake of learning and learning, so that learning has become formalized, dogmatic, and therefore can not accurately grasp the situation.
2, the business level is not high, not enough research, did not realize that the level of business level of efficiency and quality of work plays a decisive role, the level of business in order to improve, we must need to study the business, and their own dependence on the business. And they have not yet had a set of learning business knowledge program, so sometimes in the work is relatively blind, lack of certain self-confidence, emphasis on verbal, light practice. The existence of style is not solid enough, the work is not deep enough, the lack of in-depth practice research.
3, the work method is simple, only resting on the surface, to do their share of things can be, dealing with things in a relatively simple way, no innovative spirit, the work style is not solid enough, do not make a deep analysis of the problem, thinking is not profound, and sometimes take the work as a burden, did not notice that the improvement of the work method will bring impetus to the work, satisfied with the status quo, and the goal is also set not high.
Self-examination report on the quality of health hospital statistics 4I hospital according to the creation of a class A health center related to the requirements of all aspects of the work of the hospital to carry out special rectification activities. Through the rectification activities carried out since, now the hospital rectification of the problems and rectification measures reported as follows:
First, the existence of 'problems:
(a). Problems in the quality of care
1. Problems in the outpatient department
According to the management requirements of the outpatient emergency and clinic departments, the emergency department of our hospital was not set up separately, and there is no fixed outpatient and emergency staff with strong business skills. Some of the medical staff are not able to skillfully master and apply some common first aid equipment, and are not skilled enough to master some basic first aid techniques. The cooperation between the departments is not close enough, and the collaboration between the departments is not enough.
Medical instruments are not standardized. Outpatient prescription writing is not standardized, the elements are incomplete, the dosage and usage are not detailed, the application of antibiotics is not standardized, there is irrational use of drugs. Inpatient case quality management is not in place, some medical staff case writing is not standardized, not timely. All kinds of records are not standardized, and the writing of records of conversation of emergency and critical patients, rescue records, records of discussion of difficult cases, and records of discussion of dead patients are not standardized, and the writing requirements are far from meeting the requirements of quality standardization of medical document writing. The registration of various outpatient logs is incomplete, discontinuous and incomplete. Some of the medical systems and core systems are incomplete and imperfect. To be with the further establishment, sound, the implementation of the relevant system of each department, especially the township hospitals continue to improve the core system of the implementation of the system is not in place, part of the system is not in line with the needs of the current stage of hospital management.
Problems in the Department of Nursing the nursing system is incomplete and imperfect. The previous nursing system is based on outpatient system management as a starting point for the establishment of up, since the inpatient building put into use, the original system has not been enough to adapt to the requirements of the current management, now need to be combined with the management of the inpatient department of the actual situation of the establishment of the relevant standard system.
Nursing management organization system is not complete. Not in accordance with the provisions of the Nursing Regulations system, the implementation of relevant nursing management, not the implementation of the target management responsibility system. Since the hospital inpatient department put into use since the nursing management department is not in accordance with the function and task of the township health center to establish a perfect nursing management system, the duties of each position is not clear, there is a mutual shirking of responsibilities in the work. Nursing human resource management is not complete, not combined with the actual establishment of the unit's nurse management system. There are no clear requirements for the qualification, technical ability and technical standards of nurses at all levels and in all categories, and they have failed to establish a sound mechanism for nurses' level and performance appraisal. According to the hospital nursing staffing standards, ward nurses and beds do not meet the required standards.
Nursing work assessment standard establishment is incomplete and imperfect. Regular assessment of nursing work is not timely, and is a mere formality. Not strictly in accordance with the "basic norms for case writing" writing nursing instruments, nursing instruments are not standardized, writing quality is not high. All kinds of registration is incomplete, such as disinfection records, detention records, emergency and critical patient rescue records, shift handover records.
The concept of sterile technology is not strong, and the operation still needs to be further improved. Failure to effectively establish the nursing skills operation norms and standards, part of the nursing staff skills operation is not standardized, the destruction of disposable items is not thorough, not standardized. Outpatient clinics, inpatient departments and other departments of poor hygiene, there is a hidden danger of cross-infection, quilt covers, bed sheets are old, glass is not clean, cleaning is not timely.
3. Problems in the work of the pharmacy
Pharmacy drug management system is not complete standardization, management has hidden problems. Drug management is not in place, expired drugs still exist.
The hospital is actually engaged in the work of drug dispensing personnel are non-pharmacy professional and technical personnel, by other professional and technical personnel engaged in pharmaceutical dispensing. On the relevant drug dispensing drug knowledge is not enough to understand, the prescription is not strict, there are unqualified prescription dispensing occurs. Part of the dispenser is not strong sense of responsibility, sometimes there is a mixing of the wrong drugs occur
(ii). Problems in the service attitude
The outpatient staff service attitude is not good, patients sometimes react, service attitude, service consciousness, poor service quality, medical services, there are cold, touch, hard, top and other problems, service attitude to be further improved.
Nursing staff service quality is not high, and fails to reflect the humanized service. Provide basic care and level of care measures are not in place, the care of hospitalized patients to stay in the primitive stage. Part of the medical staff medical service quality is not high, poor service attitude, patients reflect strongly. Some nurses are not responsible enough for their duties, and the implementation of the "Three Checks and Eight Rights" system is not in place, resulting in medical hazards. Nursing error reporting and management system is not in place, the patient's observation is not in place, the nurse is not able to take the initiative to report some nursing adverse events.
3. Pharmacy staff
Service attitude needs further improvement. Staff service awareness is poor, bad attitude, failed to establish a "patient-centered" pharmacy management service model. To the patient service language cold, poor attitude, there is a quarrel with the patient, the patient reacted strongly. Service attitude needs to be further improved.
(3). Cadres and workers work style, mental outlook problems
Part of the medical workers to get by, enterprising, sense of responsibility, initiative is not strong, need to further enhance the sense of responsibility for the work, a sense of urgency, a sense of crisis, to enhance the sense of service, to improve the way of service, improve the doctor-patient relationship, so that the masses of people on the style of health care institutions to significantly improve satisfaction. Some of the medical staff poor mental outlook, not wearing work clothes during the work period, do not wear a work permit, off duty, chatting, mental depression can not be able to work in a high state of health into the medical work.
(D). Environmental health problems
For a long time the health care system, there is a health unit unhygienic situation, through the hospital inspection of the floor of each department, the glass is generally dirty, messy, poor situation, desktop items piled up, littered, affecting the image of the health care unit.
Second, the rectification measures
1. To ensure the smooth progress of health rectification work, to meet the requirements of the rectification program, the establishment of health work for this rectification of the leading group, responsible for the rectification of the hospital to provide a strong leadership to protect the mechanism. Group leader Tang Xiaohong is fully responsible for the health hospital health rectification.
Member Xiao Jian is responsible for the health work of all relevant departments rectification. Yang Yongqiang is responsible for the medical team and pharmacy to carry out strict rectification and reported to the hospital office. Duan Suhua is responsible for obstetrics and gynecology and maternal and child health care work rectification
2. Strengthen the medical quality management, establish rules and regulations, pay close attention to the implementation, to prevent medical accidents.
(1) the establishment of a long-term mechanism for the rectification of health care system. By the health care reform activities leading group responsible for medical quality and medical safety management, the establishment of a regular organization of personnel on the health care work management monitoring system, the hospital weekly organization of the relevant sections of the medical work of the departments of the personnel to carry out special inspections, the inspection of the problems registered in the health care inspector table, immediately put forward corrective measures, the responsibility of the person, the deadline for rectification and organization of the relevant personnel to carry out Rectification check.
(2) establish and improve the relevant medical work management system. According to the requirements of the Health Bureau, the establishment of a sound system related to each department, especially the core system of continuous improvement of township hospitals, the establishment of a medical dispute prevention and disposal mechanism, timely and proper handling of medical disputes. The development of major medical safety events medical accident prevention plan and handling procedures, in accordance with the provisions of the report of major medical negligence and medical accidents, and effective prevention of accidental injuries caused by non-medical factors.
(3) the establishment of a sound supervision and assessment, reward and punishment system. The establishment of medical quality supervision and assessment system, the establishment and improvement of medical accidents, medical errors and medical quality analysis and deliberation meeting system, the quality of medical care and medical safety indicators, decomposition to the department and each person, the formation of medical safety everyone has a responsibility, there are indicators. In this hospital to establish a regular thematic study of health care and medical quality meeting system, in-depth discussion, analysis of health care health care work management problems. Problems in medical work and personal assessment linked.
(4) to strengthen the staff business skills training, improve the quality of medical services.
The improvement of hospital medical work is not separate from the strength of the efforts of all medical workers, so strengthen the comprehensive quality of medical workers in all aspects of training and improve the premise, for this reason, our hospital will strengthen the comprehensive quality of staff to improve the quality of business as a breakthrough. According to the health bureau training requirements this year to send one medical staff to higher hospitals for a year of off-site training and learning. Through training, master the operation of common clinical skills, to provide patients with reasonable, simple, satisfactory medical services. In order to prevent learning in form, combined with the health center performance reward and punishment system will learn the effect and application in the clinic into the performance of the salary assessment, truly reflecting the fair competition, more work more, less work less performance appraisal system.
3. Improve the comprehensive quality of medical personnel and strengthen the construction of medical ethics.
Further strengthen the ideological education of the staff, seriously study the code of ethics for medical workers, the use of weekly Monday political learning and daily morning meeting time to strengthen the moral quality of medical staff cultivation.
In response to the existence of some medical staff during the work of not wearing work clothes, not wearing a work permit, off duty, chatting, mental depression and other issues. Take strong measures to regulate the work behavior of medical staff, to ensure that the staff with a high working condition into the medical work.
In the service attitude rectification, to needle medical services in the existence of cold, touch, hard, top and other issues, grasp the "typical", to engage in the review, heavy processing, and put a brake on the undesirable trend, set up a patient-centered new wind and positive atmosphere. In all medical staff to carry out civilized etiquette training, from the action, language, posture, expression and other subtle aspects of intensive training, etiquette training scores as a prerequisite for the staff to compete for jobs, a strict examination, the full promotion of Putonghua, in the medical staff to carry out a solid "smile" service, "four hearts", "four hearts", "four hearts", "four hearts", "four hearts", "four hearts", "four hearts", "four hearts", "four hearts", "four hearts". The "four hearts" (love, patience, care, responsibility) education, as the core content of the medical staff ideological and business quality education and professional ethics education, learning and education surface to reach more than 100%. Efforts to wholeheartedly for the patient service, establish the image of white Tianshi.
Health hospital statistical data quality self-examination report 5To further standardize the practice of my hospital staff and medical services, to ensure that the general public's medical safety, medication safety, in accordance with the requirements of the county bureau of the spirit of the relevant documents, my hospital to carry out standardized service action, in order to implement this activity, to strengthen the management of hospitals, improve the quality of health care, to ensure that the safety of access to health care, improve medical service, I hospitals Decided to carry out the standardized service action in the whole hospital self-examination activities, is reported as follows:
1, through the health hospital medical aspects of the clinical departments and public **** health aspects of the standardized construction of the vaccination clinic as well as the environmental construction, and to further improve the township health center infrastructure construction, including departmental configuration, medical equipment equipment and the use of professional and technical personnel, such as the appointment of the post.
2, through the unified management of township health center people, talent and material, so that the health center of the unit and the subordinate jurisdiction of the village health room of the technical personnel deployment, qualification access, funding, asset management and business guidance and work coordination, public **** health, health care market supervision, etc., to rationalize the management system of township health centers.
3, completed the township health center personnel distribution system reform, in the implementation of the director of the tenure of the target responsibility system and improve the basis of the management system, the township health center section set up into the public **** health and medical two parts, clear township health centers to the public **** health service is the main focus of the center health center to be on the premise of this, and to further improve the level of medical technology, guidance around the general The function of the operational work of the health center. The establishment of a strict performance appraisal system, the allocation of personnel wages and the services they provide and labor contributions linked to improve the internal vitality of the township health center, stimulate the work of the majority of cadres and workers enthusiasm.
4, in the health center of the administrative and operational aspects of both the implementation of institutionalized management. Set the hospital leaders and department heads of the rank and file target tasks. The implementation of responsibility, rights and benefits of the combination of job responsibility system, the establishment of a sound system of medical care work, including the clinical departments, shift handover, standardized writing of medical documents, error and accident registration, disinfection and isolation, to prevent medical disputes, to eliminate the occurrence of medically liable accidents.
5, the establishment and management of health records, the establishment of health records in our hospital to the health office publicity, collection of information, coordination and arrangement of residents under the jurisdiction of the health center to complete the physical examination and filing entry management based on the way. However, in the establishment process, due to the age of the staff of the Lanchun Health Office, coordination, publicity work is not in place, the slow progress of the establishment of the file, some residents do not cooperate, resulting in a low rate of establishment of the file.
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