—— Guangxi quanzhou county health system's activities of striving for excellence are diverse and effective.
With the theme of "implementing medical reform tasks, strengthening grass-roots organizations, improving medical ethics and improving service level", the health system in quanzhou county, Guangxi, classified and designed "eight striving carriers" to guide cadres and workers to strive for Excellence around improving the quality of health services, and set off an upsurge of comparing, learning, catching up and surpassing activities.
Strive to be excellent civil servants and promote the construction of cadres' style. All cadres are required to do "four stresses and four noes": not to be impetuous in learning, not to be lazy in politics, not to be confused in righteousness, not to be backward in dedication, to improve their work style and improve the quality of service. During the prevention and control of hand, foot and mouth disease, all the staff of the whole system took up their posts, built a three-level prevention and control network at county, township and village, and implemented a system of piecemeal responsibility and 24-hour duty. The focus of work has been shifted to towns and villages, and the monitoring gate has been moved forward to villages and villages, so as to carry out emergency investigation and observation, standardize drug disinfection, cut off the source of infection and transmission routes, and prevent the spread of epidemic diseases. Wang Zhongming, director of Fenghuang Township, took into account the fact that there were many lesbians in the institute, and provoked the burden of spraying germicides in the township. The shoulder-mounted hand sprayer ran around the township 185 natural villages for three months, and there was no confirmed case among 57,000 people in the township. Wang Zhongming lost weight due to fatigue 16 kg.
Strive to be an excellent manager and explore advanced management concepts. The first is to optimize the ranks of leading cadres. In the first half of the year, the county 18 township health centers were merged into local health centers, taking the lead in openly recruiting all 6 1 leadership positions in the newly merged health centers in the county and implementing competition for posts. Through computer operation, written composition test and impromptu speech, seven medical technicians were selected to work in the stock room of the county bureau. The second is to promote the rule of law. Carry out health laws and regulations knowledge contest activities, promote the hospitals to constantly explore advanced management concepts, clarify management ideas, form a scientific management model, and demand economic and social "double benefits" from scientific management. The third is to strengthen talent reserve and training. Formulate professional personnel training and reserve plans, openly recruit outstanding health talents for the autonomous region, and enrich the county's health strength. All kinds of training were held 6 1 time, and medical staff were trained 7 139 times.
Strive to be an excellent medical expert and master the frontier knowledge of medicine. Taking the opportunity of the competition on prevention and control of hand, foot and mouth disease, influenza A, AIDS and basic knowledge of traditional Chinese medicine, we will guide and encourage medical workers to study hard and set up projects to tackle key problems, and strive to be the "leading geese" to master cutting-edge medical knowledge, the "pillar" to practice clinical frontline, the "patron saint" to be trusted by patients and the "caring person" to be satisfied by the people. Chen Jiangming, director of the operating room of the County Maternal and Child Health Hospital, made great efforts to study anesthesia technology, and actively cooperated with superior hospitals to tackle key problems such as combined spinal-epidural anesthesia and surgical analgesia, which overcame the problems of unsatisfactory anesthesia effect during operation, poor muscle relaxation effect and postoperative incision pain, and greatly relieved the pain of patients. The number of hospital operations has increased from more than 200 cases per year to 1000 cases. For many years, there has been no medical accident and doctor-patient dispute, which has won widespread praise from patients and their families.
Strive to be the champion of nursing skills and develop superb business skills. Through training, further study and "passing, helping and bringing" and other ways, nurses are trained with good communication skills, excellent psychological quality and superb business skills. In July, in order to improve the comprehensive strength of nursing in the county, a nursing skill operation competition was held. Fifty-six athletes from 26 medical teams competed in three competitions, namely, single-handed cardiopulmonary resuscitation, closed intravenous infusion and oxygen cylinder oxygen therapy, and decided to be the champion of single nursing and all-round nursing in counties and towns. By organizing nursing competitions, a good nursing competitive atmosphere was created in the whole system, which prompted all nursing staff to study hard, forge ahead and grow rapidly, trained and trained a large number of nursing experts, and greatly improved the overall nursing level of the county.
Strive to be the leader of the discipline and promote the comprehensive upgrading of the discipline. Implement the strategy of rejuvenating medicine through science and education, carry out large-scale evaluation of medical prescriptions and medical records, guide medical staff to carry out medical research and clinical practice, and strive to train academic research leaders. County traditional Chinese medicine hospitals pay close attention to the construction of "special diseases" and "specialties" and expand the influence of disciplines. The county CDC has implemented the AIDS attack project and paid close attention to the construction of the AIDS prevention demonstration area. The county's AIDS prevention work is at the forefront of the autonomous region. Tang Gaofeng, director of pharmacy department of County Maternal and Child Health Hospital, actively studied medical knowledge while strengthening drug knowledge learning, passed the qualification examination of attending physician in dermatology and venereology, and became one of the few "double certificates" (pharmacy and practicing physician) doctors in the county. He was invited to give lectures in rural doctors' training classes for many times, and made a textbook "Safety of Clinical Use of Drugs", which was affirmed and welcomed by the students.
Strive to be a model of inspection technology and strengthen the awareness of inspection service. Carry out large-scale training in food, rabies antibody, iodized salt, fecal examination and surface antibody detection, and build an inspection team with rich theoretical knowledge, scientific and standardized operation and fast and accurate report. Organize the service activities of "sending love and health" to the countryside, carry out free B-ultrasound and electrocardiogram examination, carry out health examination for employees and migrant workers in public places in the county, carry out screening and basic prevention and treatment of chronic diseases including diabetes, hypertension, cardiovascular and cerebrovascular diseases, give away some therapeutic drugs for free, and establish public health records of chronic diseases. Fully publicize the knowledge of prevention and control of AIDS, tuberculosis, iodine deficiency disorders and hand-foot-mouth disease in combination with health days such as Tuberculosis Prevention Day, World No Tobacco Day, Planned Immunization Activity Day and Iodine Deficiency Prevention Day.
Strive to be a model of clean medical practice and consolidate good medical ethics. Strengthen the construction of professional ethics, standardize medical services and charging behaviors, and focus on controlling commercial bribery. All medicines and equipment in the county are purchased by online bidding. At the same time, implement the national essential drug system and screen the drug list according to the drug demand. Guide doctors to use basic drugs comprehensively from the mechanism. In addition, the implementation of internal management and external supervision. Announce drug prices, implement the cost list and cost inquiry system, and the county bureau discipline inspection team conducts irregular inspections on diagnosis, treatment and prescription. Set up report boxes and complaint telephones, and widely accept social supervision. As of August, the county has carried out 49,000 free health check-ups and 7,800 rehabilitation visits, helping1.9,000 patients to solve the problems of difficult and expensive medical treatment and realize "seeing a doctor clearly and easily".
Strive to be a model of health law enforcement and improve the ability of administration according to law. The first is to carry out purpose education and special study. Learn the Food Hygiene Law, the Medical Practitioners Law, the Regulations on the Administration of Medical Institutions and other health laws and regulations, improve the legal quality of law enforcement personnel, and establish an image of law enforcement that is administration according to law, fair and honest, and excellent in style. The second is to strengthen law enforcement supervision. Conduct a comprehensive health examination and health training for 527 catering service units, 39 middle school canteens and 623 employees in the county. Crack down on illegal medical practice, and ban 6 unlicensed medical clinics and 6 unlicensed herbalist clinics 1 family. The prevention and control system and measures for hand, foot and mouth disease in 2 health centers, 4 health centers and 2/kloc-0 rural clinics were not in place, and children under 6 years old with fever were treated illegally, and they were promptly given informed criticism in the county or stopped medical practice. (Zhao Yongjun, Jiang Xiaowei)