In xxxx, under the guidance of Deng Xiaoping Theory and Theory of Three Represents, the health work in xxxx district conscientiously implemented the spirit of the Fourth Plenary Session of the xx Central Committee of the Communist Party of China and the Ninth Plenary Session of the xx Central Committee of the Communist Party of China, took the opportunity of studying and practicing Scientific Outlook on Development, and vigorously promoted the reform of the medical and health system in accordance with the requirements of the national and Shanghai medical reform programs, around the success of the World Expo, and in accordance with the main line of regional development of "deep urbanization and comprehensive structural adjustment" in xxxx district. Adhere to the government's leadership, do a good job in health planning, accelerate the introduction of high-quality medical resources, persist in deepening reform and mechanism innovation, rationally optimize resource allocation, effectively combine public welfare goals with diversified needs, and strive to promote the construction of regional medical and health service systems to continuously meet the growing medical and health service needs of the people.
I. Completion of major business indicators
The whole region completed 9,753,900 outpatient and emergency visits, up by15.07% year-on-year; 78,988 people were discharged, up 2.07% year-on-year; Operating 242 10 times, with a year-on-year increase of 7.90%; The total business income was 65.438+95.6 million yuan, a year-on-year increase of 654.38+04.98%. The average life expectancy is 82.3 1 year, the maternal mortality rate is 10.08/65438+ million, the infant mortality rate is 2.59‰, and the incidence of infectious diseases is 148.0/65438+ million, which is controlled at a low level.
Second, the key work was fully launched.
(a) to complete the security tasks of the World Expo.
"Successful, Wonderful and Unforgettable" xxxx Shanghai World Expo lasted for six months. In order to do a good job in Expo security, in March this year, our bureau set up a leading group for the health and security work of the xxxx Expo, headed by Director Xu Su, to strengthen the organization and leadership of the Expo security work in the whole region, and set up the Fifth Municipal Hospital and the xxxx District Central Hospital as designated hospitals for medical assistance during the Expo to implement various health and security tasks and measures.
Monitoring of infectious diseases was completed during the World Expo. During the Expo, there were no reports of Class A infectious diseases in the whole region, including Class B infectious diseases 10, Class C infectious diseases 1390 and Class C infectious diseases 3,979, with a total incidence of 2 16.26/65438+ 10,000. Vaccination of influenza A (H 1N 1) and seasonal influenza, the key population of the Expo security work, was fully completed, with 27,9241person-time. In the management of patients with severe mental illness, we have implemented the "three cleanups" (clear base, clear condition and clear destination) and "three realizations" (treatment implementation, control implementation and rehabilitation implementation). During the Expo, a total of 765,438+065,438+08 patients were managed, the clue investigation and risk assessment of patients with severe mental illness were completed, the reporting system was implemented, and the management of patients with severe mental illness was comprehensively strengthened. On April 6th, our bureau set up the medical service point of Pujiang Expo Security Base, and Pujiang Community Health Service Center sent general practitioners to provide medical and health services and infectious disease management for Expo security personnel. During the Expo, * * * completed 7504 medical services and successfully completed the task. The Bureau's Health Supervision Office inspected public places such as central air conditioning and ventilation systems, scored 58 open swimming places quantitatively, scored 495 tobacco control units for special law enforcement inspection, and supervised and inspected 129 1 household's centralized water supply, secondary water supply, ready-made water sale, quality water supply and wading products, thus ensuring the health and safety of drinking water during the World Expo.
In order to ensure the safe production of the health system in the whole region during the World Expo, our bureau has formulated the relevant systems of self-examination and self-correction of safety production and fire safety, and carried out self-examination of safety production and fire safety on a regular basis, so as to patrol key parts and leave no dead ends in the investigation. During the World Expo, no safety accidents occurred in all units of the health system in our district. In order to do a good job in maintaining social stability during the World Expo, the whole region successfully resolved 64 medical disputes, timely resolved the contradiction between doctors and patients, eliminated unstable factors, and successfully resolved 4 major cases accumulated over the years. During the Expo, there were no major stalking and disturbing visits caused by the contradiction between doctors and patients.
(two) to start the preparation of health "Twelfth Five Year Plan"
Guided by Deng Xiaoping Theory and Theory of Three Represents, we will implement the Opinions on Deepening the Reform of the Medical and Health System (Zhong Fa [XXXX] No.6) issued by the Central Committee of the State Council, proceed from regional reality, learn from advanced experience at home and abroad, adhere to the people-oriented principle, adhere to the public welfare of medical and health undertakings, take safeguarding people's health as the purpose, and take everyone's access to basic medical and health services as the fundamental starting point and foothold. Driven by mechanism innovation and scientific and technological progress, we will promote the comprehensive, coordinated and sustainable development of xxxx's health undertakings, ensure basic medical and health services for all residents, meet multi-level medical and health needs, and continuously improve the health level of residents. The "Twelfth Five-Year Plan" adheres to five principles, namely, deepening the reform of system and mechanism, persisting in technical and management innovation, persisting in science and technology as the primary productive force, persisting in the combination of government-led and market-oriented development, realizing the new leap-forward development of health undertakings in xxxx District, and forming a health service framework system that embodies the characteristics of xxxx, represents the level of Shanghai and is at the forefront of national health reform. By 20 15, a medical and health service system in line with the actual situation in the region will be basically established, basic public health services will continue to be popularized, and breakthroughs will be made in the pilot reform of public hospitals, forming a standardized drug supply guarantee system, a scientific management system and operation mechanism of medical and health institutions, an information-based full-course health management system, and a diversified medical management pattern, so that everyone can gradually enjoy basic medical and health services, strive to meet multi-level and diversified medical and health needs, and further improve people's health level.
Third, deepen the reform of the medical and health system and mechanism
Under the framework of the overall goal of national and Shanghai medical reform, regional medical reform will be launched, focusing on ensuring basic medical and health services for residents and developing modern medical service industry, strengthening the construction of public health system, medical service system, medical security system and drug supply security system, and improving the main health indicators of residents. Shanghai Municipal Health Bureau and our bureau signed the xxxx annual responsibility letter for deepening the reform of medical and health system, and our bureau focused on deepening the reform of medical and health system, and completed 38 reform tasks in five aspects as determined in the responsibility letter on schedule.
(1) The reform of public hospitals has achieved remarkable results.
This year, the xxxx district government signed an agreement with Fudan University and Jiaotong University to jointly build a district school, and started the third round of district school construction. Through the construction of district schools, medical colleges and universities have further strengthened their support for the Fifth Hospital and the Central Hospital in medical services, personnel training, hospital management and so on. This year, the Fifth Hospital of the City and the Central Hospital of xxxx District actively promoted the connotation construction of hospitals and carried out the establishment of grade evaluation of tertiary hospitals in accordance with the requirements of Shanghai Grade III General Hospital Evaluation Standard. At present, the Fifth Hospital of the City has passed the preliminary examination and is in the publicity stage.
According to the assessment requirements of "Guiding Principles for Risk Management Assessment and Reward Issuance for Directors of Business Departments of Secondary Comprehensive Medical Institutions in xxxx District", we will further strengthen the risk management assessment for 78 department directors of three secondary medical institutions in xxxx District, standardize the medical behavior of medical staff, and strengthen the sense of responsibility of department directors.
(2) Accelerate the construction of high-quality medical resources.
Jen Jinan College affiliated to Shanghai Jiaotong University School of Medicine has completed the foundation pile project; The Xxxx district government signed a contract with the Eye, Otolaryngology Hospital affiliated to Fudan University in May 438+065438+10. The feasibility study report on the branch construction of the Eye, Otolaryngology Hospital has been approved by the Ministry of Health, and the regulatory detailed planning has been completed. In order to speed up the development of modern service industry in xxxx District and meet the needs of Shanghai's economic development and internationalization, Xinhongqiao International Medical Center, which is located in high-end medical care and international tourism medical care, has completed the bidding for urban design of the project, completed the feasibility study report of the project, completed the detailed planning of the project and completed the bidding for the design of the public security center.
(3) Continuously promote the reform of drug management.
On the basis of informatization, actively promote the reform of drug circulation and use management, apply modern informatization and logistics technology to build a drug supply chain system, implement drug inventory custody, supplier automatic replenishment, establish a bank credit settlement system, reasonably share the cost of drug supply chain, effectively reduce the cost of drug supply and reduce the burden on hospitals. Drug revenue in the region was 874 million yuan, up 7.35% year-on-year, and the proportion of drugs in business income was 46.85%, down 2.95 percentage points year-on-year. The Implementation Opinions on the Supervision of Clinical Rational Drug Use in Medical Institutions in xxxx District was formulated, which strengthened the supervision of rational drug use by clinicians, initially established the clinical supervision software of rational drug use, and the whole region has initially formed a supervision network, using information platform data to carry out supervision and evaluation of rational drug use, and improved the level of clinical rational drug use in medical institutions.
(4) Continue to promote the reform of medical emergency management in xxxx District.
Change the regional medical emergency station into the regional medical emergency center. Further promote the separation of medical first aid and medical escort, seamless connection between pre-hospital first aid and in-hospital treatment, gradually promote the reform of the integrated operation mode of emergency doctors in secondary hospitals, accelerate the construction of regional emergency doctors' talent team, and further improve the level of regional medical first aid. The medical emergency center in xxxx District has established a two-stage training mechanism for pre-hospital emergency personnel with the Fifth Hospital, the Central District Hospital and the emergency department of Wujing Hospital. * * * 24 emergency doctors participated in intensive training, which improved the pre-hospital emergency service capacity of the whole region.
(5) Continuously deepen community and rural health services.
Multi-channel training of community general practitioners, this year, 25 general practitioners trained in our city have come to work in our community health service center, and 3 15 general practitioners are registered in clinical categories in the whole region. Formulated and implemented the detailed rules for the general practitioner assessment in the community health service center of xxxx District, effectively implemented the system management of community general practitioners, and assessed 5 1 person. Establish a comprehensive community team consultant system. On the basis of successfully piloting the community team consultant system in Zhuanqiao Community Health Service Center, the whole region hired 44 team consultants to share high-quality talent resources inside and outside the region, further enhance the community team service ability and speed up the training of general practitioners.
Strengthen the connotation construction of community health service. Continue to promote the responsibility system for health management of community residents, do a good job in the maintenance and management of health records, and improve the accessibility of community health services. This year, 80 149 registered residents in the whole region signed new contracts, bringing the total number of registered residents to 935,470. The number of new visas for floating population is 9743 1 piece, and the total number of visas is 42 1.446. Actively promote the prevention and health management of chronic diseases such as hypertension and diabetes in the whole region. Community management of hypertensive patients 14.9 1 10,000 people, standardized management rate of 92.05%, follow-up of 836,700 people, blood pressure control rate of 77.5 1%. 43,479 diabetic patients were managed, the standardized management rate was 86.99%, and 237,900 people were followed up, and the blood sugar control rate was 69.28%. Continue to deepen the early detection of lung cancer, liver cancer, gastric cancer, colorectal cancer, breast cancer, cervical cancer and other "six cancers" and the management of high-risk groups. The community health questionnaire for "six cancers" screening was 46969 1 copy, and 5362 people were initially screened positive. The card-building rate of high-risk groups was 94.07%, and the standardized management rate was 88.8%. 420 cases of "six cancers" were diagnosed by screening, with early 130 cases, and the early detection rate was 30.95%. Rehabilitation services were provided to 4436 people, 43637 people and 3 18 people. 89 153 registered elderly people over 60 years old were provided with free health check-ups, of which 77,474 were sick, with a prevalence rate of 86.90%. Pujiang Community Health Service Center carried out patrol car activities in the community, serving 722 people. Carry out the management of students' health records, reflect the combination of medical education and establish an information platform for students' health management covering primary and secondary schools and kindergartens. According to the characteristics of children, the management of common and frequently-occurring diseases, physical health monitoring, health education and infectious disease management of children will be included in the information management platform, and early intervention of diseases from children will be explored. In order to promote the new model of home-based care for the aged, Jiangchuan Community Health Service Center and Shanghai Jianzhong Health Management Consulting Co., Ltd. * * * jointly established the "Shanghai Jiangchuan Jianzhong Nursing Station" to jointly carry out home-based care for the aged.
Further strengthen the interaction mode of healthy residents in the community. We will continue the regional and comprehensive health record service system with xxxx Health Network as the platform and residents' electronic health record (eHR) as the core, and realize "residents' interaction" health services such as health record browsing, EHR inquiry, drug tracing inquiry, MUSE and PACS picture inquiry, online appointment, online consultation, online health education and online evaluation. 12 community self-help health hut provided residents with104700 self-inspection services and 207700 testing items, which improved residents' awareness of actively participating in self-health management. On June 1 this year, the children's health self-examination hut was opened, and 784 children have carried out self-examination to find children with abnormal indicators in time, so that these children can get early and timely diagnosis and intervention opportunities.
Continue to accelerate the construction of community informatization. Develop community health management BI, quality management BI and administrative management BI systems, and apply wireless 3G network technology to expand community health services. With the close cooperation of the project research of Shanghai Shenkang Company, the interconnection of diagnosis and treatment information with tertiary hospitals in the city was completed. At present, more than 80% information exchange has been realized, the eHR of secondary and tertiary hospitals has been integrated, and the health card and medical insurance card have been unified. The EMR of resident electronic medical records has entered the eHR platform. Carry out clinical referral and diagnosis (consultation) between regional medical centers and communities, and build a two-way health service and a full-course medical care network platform between regional medical centers and community health service institutions with patient service as the link. 756 rounds were made in community and regional medical centers. After discharge, 565,438+02 patients were followed up, 35,975 patients were referred, 65,438 patients were consulted by PACS, and 28,665,438 patients were consulted by MUSE. Realize the intensification of regional health resources and improve the overall level of regional health services. Vaccination online booking and implementation of e-commerce, online booking vaccination 54589 people, booking rate 10.3 1%, online payment of 8 136 people, payment rate of 4.93%.
Improve the construction of rural health service system. Based on rural health integration and rural health service informatization, this paper explores the establishment of rural health service standards in xxxx District. On the basis of public health service projects, improve the efficiency of rural public health services, with 524,600 outpatient visits in village clinics, floating population1261person-times, reducing the registration fee by 25,222 yuan, and reducing the "zero difference rate" of essential drugs by 5 19400.
To improve the rural cooperative medical system, according to the service tenet of "high efficiency, honesty, benefiting the people and benefiting the people", the new rural cooperative medical system in our district has effectively promoted the healthy development of various systems, and the safe and efficient operation of the new rural cooperative medical system fund has ensured the real implementation of the new rural cooperative medical system. In xxxx, the total number of people actually participating in the cooperative medical system in the whole region reached 86,000, with the participation rate of 1 1.69%, raising 70,027,600 yuan, with the per capita participation rate of 8 14.25438+0 yuan, and the participation rate of poor people reached 100%. Outpatient compensation1234,400 person-times, with compensation payment of 48,663,800 yuan; The hospitalization compensation was 305 1 person-time, and the compensation was 1.6655 million yuan; Out-patient compensation for serious illness was 3 10 person-time, and the compensation payment was1029,300 yuan; Hospitalization for serious illness lightened the burden 174 person-times, paying 449,500 yuan. Complete the entry, exit and exit of MH-DRGs cases, and add some points and extra fees. Continue to promote the real-time settlement of designated hospitals and village clinics for cooperative medical care, and improve the convenience of cooperative medical care.
Fourth, all work has been solidly promoted.
(1) Continuously improve regional medical planning.
The reconstruction and expansion project of outpatient and emergency department of Shanghai Fifth People's Hospital has been completed and put into use, and the second phase of the project has completed the adjustment and design scheme. The expansion project of emergency comprehensive building and underground parking garage in the central hospital of the district is under construction. The first phase of the reconstruction and expansion project of Wujing Hospital has been completed and put into use, and the second phase has been completed. The acceptance of high-quality structure in the acquisition area of Longbai Community Health Service Center project will be put into use soon. The new project of Pujiang Xincheng Community Health Service Center has been approved by the project construction book, and the preliminary procedures such as land transfer are being handled. The renovation and expansion project of Maqiao Community Health Service Center was completed and put into use. The out-patient department of Meilong Community Health Service Center was rebuilt and put into use. The ward of Huacao Community Health Service Center has been transformed, covering wireless broadband (WIFI) and promoting wireless rounds. The civil design scheme of the new hospital construction project of Hongqiao Community Health Service Center has been determined. Complete the reception and handover of the supporting houses of Hong Xin Community Health Service Center, complete the house decoration design scheme, and prepare the decoration budget and start-up budget. Start community health service into the enterprise, Jiangchuan Community Health Service Center and Shanghai Steam Turbine Factory Co., Ltd. jointly built a steam turbine community health service station, which was unveiled in June. The outpatient clinic of methadone continuous treatment in District Mental Health Center opened in August, and the number of methadone continuous treatment increased to 50.
(2) continue to promote the construction of talents, majors and disciplines.
This year, the urology department of Shanghai Fifth People's Hospital, a key medical college in Shanghai, passed the acceptance test successfully. The new round of medical professional (project) construction project approved at the end of xxxx has entered the construction cycle (three years), and the 12 construction project is progressing smoothly; The training of discipline leaders of health system in 25 districts established in the same period is also progressing smoothly. Xxxx all medical and health units in the whole region have obtained scientific research projects 1, municipal projects 1 1, and 43 district projects. He wrote 364 papers, including 233 published by national journals and 4 1 paper published by provincial journals; Scientific and technological achievements are registered at the municipal level 1 and at the district level14; Won xxxx district 14 scientific and technological achievement award. "Sino-Dutch Cooperation Shanghai Primary Medical Project" and "Sino-British Community Health Service Cooperation Management Project" have been highly praised by experts from China and the Netherlands. This year, two batches of 45 community medical backbones were selected to study and train abroad to improve the service awareness and health management level of community medical staff. In xxxx, community medical staff participated in 3 municipal projects, 1 1 district projects, published 39 papers, set up 2 characteristic specialties in community health service centers, and 5 community discipline leaders, which promoted the development of professional and technical personnel in a younger and more compound direction. Shanghai Daopei Hospital has continuously strengthened the discipline construction of hematology. Through the evaluation of the first batch of superior disciplines in Shanghai's social medical institutions, 59 cases of hematopoietic stem cell bone marrow transplantation have been completed this year, and 164 cases have been completed since the hospital was established.
(three) to further promote the construction of Chinese medicine service system
Vigorously promote the work of Chinese medicine. Cooperate with Shanghai University of Traditional Chinese Medicine to build a district hospital of traditional Chinese medicine, and the number of prescriptions of traditional Chinese medicine reached 832 19, accounting for 60.09% of the total outpatient prescriptions; The prescription of Chinese herbal pieces reached 30,588, accounting for 22.09% of the total prescription. Carry out 42 non-drug diagnosis and treatment technologies of traditional Chinese medicine. The construction of key disciplines and talent teams such as anorectal Chinese medicine, Chinese medicine digestion, Chinese medicine bone injury, Chinese medicine tumor, and Chinese medicine senile diseases has been steadily advanced. The Department of Traditional Chinese Medicine in the Fifth Hospital of the City has built a demonstration department of traditional Chinese medicine in Shanghai General Hospital, and the district central hospital has applied for the standardization construction of traditional Chinese medicine in Shanghai General Hospital. Continue to improve the Chinese medicine service network, start the construction of Chinese medicine demonstration areas, promote the introduction of appropriate Chinese medicine technology into the community, and provide basic appropriate Chinese medicine medical and health services for community residents. Of the 0/2 community health service centers in the whole region/KLOC-2, 2 have become demonstration units of community Chinese medicine services, 6 have become standard units, and 4 have continued to be built as standard construction units.
Launch the third round of "Three-year Action Plan for the Construction of Public Health System in xxxx District"
There are 42 public health equalization projects in the whole region. Accelerate the construction of public health emergency system, continue to deepen the construction of schools in the district, and further enhance the emergency response capability of public health emergencies.
15 funds for the renovation of the fever clinic (screening room) have been secured. At present, eight fever clinics, including the Fifth Hospital of the City, have completed the construction and equipment configuration; Five capital constructions, including Qibao Community Health Service Center, have been completed, 1 is under construction, and 1 has completed the site selection and design scheme. Continue to do a good job in monitoring key infectious diseases. 638 influenza-like cases were sampled in the hospital of influenza surveillance point, and 15892 cases were detected from cholera diarrhea patients and 6545 cases were detected from bacillary dysentery. Continue to strengthen the prevention and treatment of sexually transmitted diseases and AIDS. 79 156 HIV tests were completed for15 subjects, and 5 1 case was initially screened positive. District CDC received 407 cases of voluntary counseling and testing clinic, 348 cases were tested, and 6 cases were initially screened for HIV antibody positive/kloc-0. 2268 households were intervened in public places with 20,803 person-times, 258,000 condoms were distributed and 45,600 publicity materials were distributed. Strictly prevent and strictly control the outbreak of tuberculosis. 36,320 people were screened for key populations such as floating population, students and elderly people over 60 years old. Carry out the "Eleventh Five-Year Plan" major scientific and technological project "Study on Treatment of Recurrent Tuberculosis and Early Warning Model of Tuberculosis", and carry out the fifth national tuberculosis epidemiological survey 1532 people. Continue to do a good job in the global fund floating population project and register 200 new smear positive patients. * * * A total of 2,769 outpatients with pulmonary tuberculosis were exempted in the whole region, with an amount of1180,700 yuan. In the whole year, the "Five Vaccines" vaccination was completed 140 1664 person-times, and the immunization through train was launched, serving 480 people in floating population gathering places and replanting 14405 people. The intensified immunization of measles vaccine prescribed by the state has been fully completed. The number of people vaccinated was 20 1242, and the vaccination rate was 99. 1 1%.
Strengthen maternal and child health care. The pre-marital medical examination rate was 43.42%, the health care coverage rate of registered pregnant women was 1.000%, the systematic management rate of registered pregnant women was 97.82%, and the maternal mortality rate in the whole region was 1.85 million +0.80/ 1 10,000. The health care coverage rate of floating pregnant women was 99.04%, the systematic management rate of floating pregnant women was 94. 13%, and 8658 cases of floating pregnant women were delivered in the "special delivery point for poor pregnant women with floating population", with zero death. The perinatal mortality rate is 2.59‰, the registered mortality rate of children under 5 years old is 2.47‰, and the registered infant mortality rate is 2.45438+0 ‰. We implemented national basic public health service projects, carried out hospitalization subsidies for rural pregnant women and folic acid supplementation projects for rural pregnant women, and distributed folic acid to 4305 people. Established the District Maternal and Child Health Hospital in cooperation with the Pediatric Hospital affiliated to Fudan University, and conducted routine screening for high-risk children 107 1 times, 129 1 person-time. Suspected children were referred to the pediatric hospital for treatment and received corresponding intervention. 52538 people were screened for gynecological diseases, 1, 8 1, 70 people, and the prevalence rate was 34.58%. Establish and improve the "emergency plan for critically ill pregnant women" and procedures in maternity hospitals to ensure that the "green channel" for critically ill pregnant women's assistance is unimpeded; Establish a system of expert discussion and comment on maternal rescue cases. In the whole region, * * critical pregnant women were rescued 14 cases, the rescue success rate was 100%, and 3 cases were standardized for referral.
Continue to carry out oral health examination and dental caries filling for students. There are 43,620 inspectors in 88 schools, and the general cure rate of students is 100%. There were 84,709 dental caries and 48,580 dental caries, with a filling rate of 57.3%. 26,480 electronic records of students' oral health were established in the whole region, with a filing rate of 30.09%.
Comprehensively strengthen health supervision. Continue to do a good job in infectious disease supervision, medical waste management, disinfection products use, occupational health monitoring, high-quality water supply, smoking ban in public places, diagnosis and treatment of sexually transmitted diseases, practice in medical institutions, medical activities in non-medical institutions and other work closely related to people's health. The implementation permit was 252 1, the health supervision visited the house 14928, the administrative penalty was 1 153, and the fine was 2.548 million yuan. Carry out "big linkage" law enforcement, make full use of the superior mechanism of "group defense and group control" of the big linkage platform in xxxx District, and take "joint rectification" as the starting point, dispatch 365,438 law enforcement personnel and 784 vehicles, and ban 383 unlicensed medical practice places, including 189 people, with a fine of 1.48 million. Carry out judicial transfer 1 1 person-time, and receive 299 pieces of unlicensed medical information from the district-school linkage platform. The timely investigation rate was 100%, and 280 cases were closed, with a closing rate of 93.6%.
(five) to promote the construction of healthy urban areas and blood donation.
Focusing on the theme of "Healthy Expo, Healthy Shanghai", we will strengthen supervision and coordination, further improve the points system to consolidate the management measures of national health areas, strengthen inspection and notification, publicize, launch and organize mass environmental cleaning activities with activities such as "Everyone Hands-on Clean Home" and "15 Clean Day" as carriers, and actively carry out various patriotic health protection work. Take the "five people" and other healthy citizens' actions as the carrier, the citizens' health self-management group as the platform, and focus on the implementation of the "Regulations on Smoking Control in Public Places in Shanghai", widely publicize and launch in depth to promote the improvement of citizens' health literacy and promote the construction of healthy urban areas. Establish xxxx District Health Management Association, play the role of non-governmental organizations, guide residents to actively participate in health management and health promotion, and innovate the health management model of community residents. Two teams of health education expert lecturers and community lecturers were established, and the selection activities of key volunteers (community lecturers) in xxxx District were carried out. Throughout the year, the District Health Management Association organized more than 50 health knowledge trainings for community citizens' health self-management groups.
Launch the third round of "Three-year Action Plan for Creating a Free Blood Donation Area in xxxx District". Further strengthen the construction of unpaid blood donation teams, set up 500 emergency blood donors for the World Expo, and do a good job in ensuring the emergency use of blood for the World Expo. This year, SSBC Club held more than 20 publicity activities on various voluntary services, with a total of 1672 person-times, 15 19 working days. The project of "donating blood to heal the wounded and rescue the dying, acting according to the will, acting according to the will" participated in the first activity of "Youth Affecting Society" in this city. The project of "Love the Family with Sleeves" won the "Social Contribution Award" for the propaganda and ideological work in xxxx District. Whole blood was collected from 32,043 people, and platelets were collected 1.658 processing units, with a year-on-year increase of 27.44%, and the blood donation rate was 1.000%. Our district won the honor of "National Advanced City (District) for Free Blood Donation" for the third time.
(6) Continue to strengthen hospital management.
Continue to promote the "Hospital Management Year" and "Medical Quality Miles" activities. Constantly improve the hospital management evaluation system, explore JCI certification, and enhance the connotation construction of the hospital. Continue to strengthen the construction of Guiding Principles for Clinical Application of Antibacterials, Guiding Opinions on Invasive Operation and Operation Classification Management of Medical Institutions in xxxx District, Scoring Management of Medical Personnel's Practice Behavior and Real-time Monitoring System of Medical Safety in xxxx District, establish electronic files of doctors' standardized behaviors and comprehensive index evaluation system of clinicians' medication, and standardize medical behaviors. There were 20 medical institutions of all levels and types, with 70 bad practice scores, and 3 medical staff in public medical institutions scored bad practice scores in violation of clinical diagnosis and treatment norms, with 303 administrative penalties and a fine of 2 1 10000 yuan.
Deepen the reform of personnel system in medical and health institutions. We will fully implement the reform of performance pay system in public institutions, refine the detailed rules of performance appraisal, improve the scientificity of performance appraisal, and fully mobilize the enthusiasm of medical staff. Continue to promote hospital logistics management. Improve the evaluation index system of hospital energy consumption, strengthen the accounting and control of hospital logistics costs, implement energy conservation and emission reduction, and effectively reduce hospital costs. Establish an evaluation mechanism of integrated logistics management points system, explore a new model of hospital logistics management, and continuously improve the new level of hospital logistics service.
(7) Promoting health work in an all-round way.
Twenty-four opinions and proposals of the "two sessions" were implemented, and the tasks of supervising the work of the district committees and governments, creating conservation-oriented organs and other public goals were fully completed. Throughout the year, * * * health bureaus and health units at all levels received leaders at all levels who came to our district to carry out health reform, community health information construction and other guidance work, as well as 550 batches of visits from all over the country and all districts and counties in this city, with more than 9,000 person-times. On July 1 1, Minister Zhu Chen of the Ministry of Health visited Gumei Community Health Service Center and spoke highly of the comprehensive reform of community health service with information construction as the core in our district. We will carry out counterpart assistance in Dujiangyan and Zepu County in Kashgar, Xinjiang, and provide training in hospital management, clinical diagnosis and treatment, and community service for medical staff in Puyang Town Health Center in Dujiangyan. The Fifth Hospital of the City has established friendly hospitals with Zepu County People's Hospital, Gumei Community Health Service Center and 8 township hospitals in Zepu County to carry out long-term assistance. The goal and task of "Three-year Action Plan for Promoting the Archives Management of Health System in xxxx District to the Municipal Advanced Level" have been fully completed, and the archives management of all units in the bureau system has reached the standard of "Shanghai Municipal Advanced Archives Management of Science and Technology Institutions". 507 medical staff were organized to participate in the special test of public servants' Putonghua proficiency, and Chinese chanting activities with the theme of "Wonderful Expo, Inheriting Culture" were carried out in the health system of xxxx District. Xxxx classic reading contest. From June to February, 5438, the language and writing work carried out by the health system in the whole region successfully passed the evaluation of the Shanghai Language and Writing Work Committee.
The existing problems and working ideas of verb (verb) 20 1 1
After a year's efforts, the development of health undertakings in our district has achieved remarkable results, the medical and health service system and community health service model have been improved day by day, and the hospital management ability and public health work have been continuously strengthened. However, there are still many problems to be improved in the work, such as the obvious lack of carrying capacity of regional medical and health resources, the prominent contradiction between supply and demand of medical and health care, the structural contradiction in the allocation of medical resources has not been fundamentally alleviated, and high-quality resources and rural health resources are still insufficient; The scientific management mechanism of medical institutions needs to be continuously established and improved; Health administrative functions should be further transformed; The efficiency and quality of public health services need to be continuously improved; The overall quantity and quality of medical scientific research need to be further improved.
In 20 13, under the guidance of Scientific Outlook on Development, we will continue to comprehensively formulate and implement the Twelfth Five-Year Plan for health care, implement the new medical reform plan in Shanghai, vigorously promote the reform of medical and health system and mechanism, integrate the Internet of Things and cloud computing to enhance the informatization construction of medical and health services, improve the informatization efficiency of health management and health services, continue to improve regional health planning, accelerate the comprehensive reform of community health services, improve the construction of rural cooperative medical system, and expand the overall medical institutions.