The hygiene presidents of villages and towns are puzzled

The hygiene presidents of villages and towns are puzzled
Henan Province must the intersection of water and the intersection of town and the intersection of commune hospital and left the intersection of Ying and I work in the medical organization at the basic level for a long time, it is puzzled to meet a lot of at work, want to talk about one's own idea on these questions. Will you please don't give " The basic medicine " 307 kinds of basic medicines which the purchase right country made by oneself, Henan Province increases by 200 kinds on this basis, amounts to 507 kinds. Because every situation of commune hospital at the basic level is various, the emphasis point of the business is not the same, " basic medicine " Can well meet real work's needs, especially the daily medicines such as obstetrical department, gynaecology, pediatrics, ophthalmology department of administration of some training, not in " basic medicine " Row,launch work of making, masses have many complaints. In addition the government can't put to sell medicines and subsidy fund in place in full amount in time to a difference rate, have dampened medical worker's working enthusiasm, even influenced the normal operation that the commune hospital worked. Propose, offer at the basic level medical organization account for medicine, sell 10% of total amount " The basic medicine " The purchase right by oneself, in order to meet some training administration's needs; Advise the government to sell and compensate a difference rate of medicine at the same time and other compensation should put in place in time. Could many several medicine provide and deliver Company each government of medical organization at the basic level, appoint to sign the supply agreement with 1~2 pharmaceuticalses, but more questions appear in the real work. Because of lacking the competition, these supply the company to serve uncompletely, seldom pretend to be some medicines varieties or specification profits in short supplily, require the medical organization to buy larger variety of its profit recommended, the hospital have to accept passively, because we have no right to choose. I think, concentrate on bidding and purchasing by province, and choose the pharmaceuticals with better prestige to provide and deliver, this kind of method is very good, but can expand medicine and provide and deliver the range of the company, the pharmaceuticals getting and provide and deliver right by the bid can have the right to provide and deliver, the ones that allow the medical organization at the basic level to announce in the province win a bid of the pharmaceuticals and purchasing arbitrarily " The basic medicine " ,So can promote the pharmaceuticals to improve the service, carry on fair play. All kinds of hospital function must be distinguished because the supporting policy of the medical reform is still not complete enough, especially " Change the place of examination bidirectionally " The system only stays on surface or on the paper, accept a large number of common diseases, frequently-occurring diseases, chronic patients for medical treatment in the large hospital. The country has clear localization on function of the large hospital, they should offer and take medical care of high-level training as the core, give consideration to preventing, health care, rehabilitation service and regional medical organization that undertook to study universities and colleges and scientific research task in corresponding higher medicine; It is medical treatment, preventing from, technique center that teaching combined with scientific research of province or the whole country, it is a high-level medical organization in the country. The reality is, the large hospital has contracted the business of a large number of commune hospitals at the basic level, but not done the good work that should do by oneself, academy is difficult to innovate to have, are not broken through technically, fall short of the reality with the position of the large hospital. I think, large hospital experts should take turns to work for basic unit regularly, and form the system, time is within the limit of 1-2 years. In order to prevent going through the motions, whether the expert's organizational affiliation can be thereupon transferred to the basic unit, could guarantee in this way this job is fulfilled, can let ordinary people enjoy the large hospital expert's medical care nearby, conveniently at the same time. The strength is unsuitable to make it rigidly uniform because the large hospital is overstaffed, " there are very few callers " in the hospital at the basic level Current situation. The government department thinks the strength of medical organization at the basic level should be controlled strictly, feet of 30~50 people. Just think, if most common diseases, chronic disease, minor operation can be solved in the basic unit, will so large hospital still be so crowded? Is the pitiably little authorized personnel of medical organization at the basic level enough? Besides, performance salary, seem to be fair and sensible, operate the difficulty, a word actually, equate with everybody eats from the same big pot. Cause and do and do samely, the personnel with high technical content and with low technical content are same, how to arouse enthusiasm? The president is like assigning disparity to draw too big, then he is before stepping down from the stage just not far, because the unit appeals for help to want a ticket to reject. At the basic level medical organization should according to need staff, should make it rigidly uniform personnel allocation according to regional actual conditions, and can really come in as well as get out, freedom flows. Should strengthen the proportion in the salary of performance, and make the comparatively simple, objective, easy to examine index to fix. Meeting, training a multitude of names to have more visitors or business than one can attend to at the study, training, meeting of a multitude of names in recent years, here near periods of period hold nearly 20 times meeting and train, such as gynaecology and obstetrics speciality " lowers and disappears training " Last four months, clinical skills training last four months, mother and baby the intersection of health care and certificate of quality train and examine(all professionals of gynaecology and obstetrics should participate in) Complete doctor's job-transfer training of health clinics in towns and townships, information appears in the newspaper and trains, accountant's financial staff training, train in managerial knowledge, train in file administration, worker's identity post skills training, medical reform meeting, stability meeting, tries to be the first to provide quality goods or brilliant and plans to train in immune knowledge at the meeting, study of central group of Party Committee, public healthing and various on-the-spot meetings, going out to investigate etc.. Such an activity has several characteristics, first, must participate in, second, time is long, third, flock together, fourth, charge, a medical organization at the basic level arranges so on these persons, how to launch work, what insistance on duty in 24 hours? Reduce the meeting, shorten the time of meeting, several meetings are amalgamated and held, speak little nonsense, empty verbiage. Whether could ask experts to go down to the grass-roots units to pass on experience in essential professional training, try hard to avoid centralizedly and shortening time. (old silk screen is put in order)

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