Which difficult problems to promote medical ability to supervise to attack

Which difficult problems to promote medical ability to supervise to attack
Which difficult problems to promote medical ability to supervise to attack
Water Li fine horse's Ministry of Public Health increases medical care newly and supervises department's overall starting work at the root in staff reporter Feng set up, what is it to promote issue of the ability to supervise of medical care and thinking under the new situation? The staff reporter is wired the regional expert and cures a policy job administrator recently, ask them to air one's own views, give counsel. Strength still very weak Vice Chief of Anhui Province department of public health Li JinFeng points out the supervision of the basic unit, it is very weak that the Ministry of Health launches the strength that the medical organization supervises now, there are only 5~6 people in first class health authorities in the province, there are 2 people only in city first grade, there is no special messenger in the county. In line with strengthening the aim of supervising, Ministry of Public Health has set up medical care to supervise the department newly, would be cured some functions that the policy department undertook to divide out originally, will divide the work like this thinner, the ability to supervise to medical care of health authority will be promoted. But supervise to mainly carry out by the basic unit, if the administrative administrative structure reform of the hygiene can be handled like this under province and province, undoubtedly the supervision of the medical organization will be strengthened. And the hygiene institution at the basic level can add a soldier and increase from this? Increase organization and establishment correspondingly, OK? The administrative structure reform of every province has not begun yet nowadays, the result is hard to tell yet. Otherwise still perhaps" Several brands hang in an organization " ,Difficult to play an actual role. Li JinFeng says, masses' constant improvement of demand of medical care, the medical new technology is emerging constantly, the new apparatus is being put out constantly, send disease and take place occasionally too newly, various existing norms should bring in constant renewal in with the development of situation, and our supervision and management of the medical service field has still just begun. The function of hygiene departments and organs after the reform is set up, 4 departments or buearus involve the management of the hospital: It is in charge of legislating, standardizes, entry to cure the policy department; Medicine supervises the department and in charge of supervising; Supervise the office being in charge of breaking laws and violating discipline to investigate and prosecute; The medicine department is in charge of clinical application. Say 4 house function get very clear, implement, it stands up to be can't so simple in basic unit. Cut these relation of respect a bit clearer, favorable to department and department, office, coordination among the, also help to carry on the work. Hu XiaoXiang, committee member of committee, thinks that China cures the SCTE and safeguards the rights, key lie in, solve leave over for many years, cure the intersection of policy and department, the intersection of hygiene and superintendent office, at the basic level hygiene and the intersection of women and children and the intersection of department and the intersection of division of duty and ambiguous, chronic illness that prevarication dispute over trifles at one blow. Supervise and can not still find very strong catching the department of public health of Anhui Province of hand and curing the hardworking good fortune of division chief's fee of the policy to think, the supervision of the medical organization was more weak in the past. Mainly shown as: First, lack the special team. Mainly provided service to the medical organization in the past, there was relatively less supervision of the medical organization, supervision is business very strong work, need the special supervision team, and must be the team with qualification of enforcing the law. Second, lack the goal supervised. How to implement national hygiene law, norm, requirement better to supervise the medical organization, let the medical organization practise medicine in accordance with the law, keep public beneficial, the behavior is more normal, it should be a purpose to supervise, but it is public beneficial for nothing to ask still fuzzy now. Third, the legislative authority supervised is weak. The legal status of " management rule of medical organization " is not high, and not revised for many years. This Ministry of Public Health specially establishes medical care to supervise the department, hopes to improve the relevant laws and regulations, make various relations in order, set up special supervision team, further strengthen the supervision of the medical organization. Chief of Hangzhou Municipal Health Bureau Chen WeiQiang says, should carry on the serious analysis in supervising the question that may meet and difficult. Because of lacking effective means and tool, so the difficulty can't be despised. First, medical care is technical and professional lines is very strong, because there is no rigidity index, very difficult to supervise to get involved in. Second, " in charge of oneself " The phenomenon is relatively outstanding. Third, lack ability and means. The supervision of the medical care of private organization shows even more unable to do what one wishesly. Explore actively the tube does the hygiene industry of Chinese Medical Sciences University of new system separated and manages Wu HuaZhang, professor of teaching and research room, to propose, should do the following respects well to carry out strength especially when being supervised to improve medical care: First, explore decision and carry out the regulatory ystem separated progressively. With ripe condition cases, the execution work that medical care supervises should be transferred to to possess and supervise qualification, independent social organization; Explore that carries out and supervises the supervision mechanism separated at the same time. Must settle the supervision problem to the persons who supervise well. This not only improves the important links of medical service ability, also a key field of construction of regulatory ystem in the future. Second, handle well and supervise the relation between goal and supervision resource. Increase the input to the financial resources of the manpower and materials in this respect progressively, it is to overcome medical care to supervise and need variety and basic outlet of the realistic ability to supervise deficiency. Allocate the existing service orientation of supervising resources rationally, guarantee to reflect the supervision of the strong, great key field of social influence to the masses such as being safe of medical care preferably. Third, do and separate the tube. Because quite a few of public hospitals in our country are still under the jurisdiction of health authorities, so, health authorities must deal with the ralationship between administration and serving and is supervised to the supervision of the affiliated hospital, settle well and tell that sum the inherent conflict that the responsibility as supervisor requires as the interests of the administrative administrator. The public hospital does and separates the tube, it is the effective method which solves this conflict. Li JinFeng thinks, are in charge of doing and separating, strengthening and supervising the important content that is this medical reform, some places are launching a pilot project now at present, each side is to get both praise and censure too to the appraisal which reforms the result. Advise Ministry of Public Health to issue a basic frame, otherwise let the place tried to find out by oneself, the way is changed obstructedly again, such cost is too large. Should organize summarizing some pilot places, see where their method succeeds, in where it will be lesson, which can learn which can't study, everybody have one basic blueprint in this way, it is certain to avoid detours. Set up the medical care suitable for the national conditions and supervise the team Chen WeiQiang and propose two suggestions, first, medical care should regard learning every professional committee of the group as the backing to supervise the team, set up, supervise the team while being full-time, can encounter many kinds of awkwardness. Take how much personnel meet the needs of supervising very much difficult to predict; It is supervised and can not catch up with technology, ability,etc. that the full-time staff will make after breaking away from the business. Second, strengthen while strengthening supervision " The rewards and punishments " Incentive measure. The content encouraged can be considered from discipline, professional etiquette, economy,etc. in many aspects. About supervising the ideal source of the team, Hu XiaoXiang thinks, it should be the skill personnel of doctors and nurses with abundant experience of clinical first line, assist it by the training of hygiene law and management. Know clinical professional knowledge skill but not person of the management professionally trained, can make medical treatment to manage basically, if teach oneself some management theories and methods, can do very well. Countless examples have supported this view. And master and manage But does not possess the clinical professional knowledge? Send to Nai Na and play with �� and shoulder and inferin the key crack of tip Worried to waste and stir the product �� sinus beak Peng slowly? Vice Chief of Zhejiang Province department of public health Ma WeiHang says: Because the skill of medical care, professional lines are very strong, and the development and change are very fast, so must promote the integration capability in strengthening the execution strength of supervising. First, strengthen and supervise in accordance with the law, namely supervise from the implementation entry in respects such as organization, personnel, technology, apparatus,etc. according to the laws and regulations; Second, strengthen the administration means to supervise, namely supervise corresponding quality control to the risky, high technical field through expert's strength; Third, it is strong chemistry will, association and organization positive role in not implementing to supervise. If is learning, giving play to one's own advantage in the association, improve, refresh one's knowledge, propagate, guide in new project, new technology course, discover the problems in time, form the opinion, get rid of hidden danger and defect,etc..


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