Nrog rau normalization thiab institutionalization ntawm lub teb chaws centralized procurement ntawm cov tshuaj thiab kev kho mob consumables, lub teb chaws thiab lub zos centralized procurement ntawm kev kho mob consumables tau tsis tu ncua tshawb nrhiav thiab txhawb, cov kev cai hauv nruab nrab ntawm kev yuav khoom tau optimized, Scope ntawm centralized procurement tau nthuav dav ntxiv, thiab tus nqi ntawm cov khoom tau poob qis heev.Tib lub sijhawm, cov khoom siv kho mob kev lag luam ecology kuj tseem txhim kho.
Peb yuav ua hauj lwm hnyav los normalize kev sib sau ua ke mining
Thaum Lub Rau Hli 2021, Lub Tsev Haujlwm Saib Xyuas Kev Kho Mob Hauv Tebchaws thiab lwm yim lub chaw haujlwm sib koom ua ke tau tshaj tawm Cov Lus Qhia Txog Kev Muag Khoom Nruab Nrab thiab Kev Siv Cov Khoom Siv Khomob uas muaj nuj nqis los ntawm Lub Xeev.Txij thaum ntawd los, ntau cov ntaub ntawv txhawb nqa tau raug tsim thiab muab tawm, uas tso tawm cov qauv tshiab thiab cov lus qhia tshiab rau kev muab khoom nruab nrab ntawm cov khoom siv kho mob muaj txiaj ntsig zoo hauv ntau.
Nyob rau lub kaum hli ntuj ntawm tib lub xyoo, Pawg Thawj Coj rau Deepening the Reform of the Medical and Health System of the State Council tau tshaj tawm txoj kev xav txog kev sib sib zog nqus kev hloov kho ntawm kev kho mob thiab kev noj qab haus huv system los ntawm kev sib sib zog nqus nrov kev paub ntawm Sanming nroog ntawm Fujian xeev, uas tau qhia tias txhua lub xeev thiab cov koom haum sib koom ua ke tau txhawb nqa los ua lossis koom nrog hauv kev muab cov tshuaj thiab cov khoom siv hauv nruab nrab tsawg kawg ib xyoos ib zaug.
Thaum Lub Ib Hlis Ntuj xyoo no, Lub Rooj Sib Tham Thawj Coj ntawm Lub Xeev Pawg Saib Xyuas tau txiav txim siab kom normalize thiab txhim kho lub hauv paus ntawm kev yuav khoom ntawm cov khoom siv kho mob uas muaj txiaj ntsig zoo hauv cov khoom loj kom txo qis cov nqi tshuaj thiab ua kom muaj kev nthuav dav ntxiv.Tsoom fwv hauv zos raug txhawb kom ua tiav lub xeev lossis cov koom haum sib koom ua ke hauv lub xeev, thiab ua kom muaj kev sib koom ua ke ntawm cov khoom siv orthopedic, balloons tshuaj, kho hniav thiab lwm yam khoom ntawm pej xeem kev txhawj xeeb ntawm lub teb chaws thiab lub xeev raws.Tom qab ntawd, Lub Xeev Pawg Saib Xyuas txoj cai niaj hnub piav qhia txog cov txheej txheem no tau piav qhia.Ntawm qhov kev qhia luv luv, Chen Jinfu, tus thawj coj ntawm National Medical Insurance Administration tau hais tias thaum kawg ntawm 2022, ntau dua 350 hom tshuaj thiab ntau dua 5 cov khoom siv kho mob muaj txiaj ntsig zoo yuav raug them rau hauv txhua lub xeev (teb chaws thiab nroog) dhau los. cov koom haum hauv teb chaws thiab cov koom haum hauv xeev.
Thaum lub Cuaj Hlis 2021, qhov thib ob ntawm lub xeev-kev sau cov khoom siv kho mob muaj txiaj ntsig zoo rau kev sib koom ua ke yuav raug tsim tawm.Raws li lub hauv paus ntsiab lus ntawm "ib yam khoom, ib txoj cai", qhov kev sib koom ua ke no tau ua tiav kev tshawb nrhiav tshiab hauv txoj kev qhia txog qhov ntau, kev pom zoo kom muaj nuj nqis, xaiv cov cai, cov cai hnyav, cov kev pabcuam thiab lwm yam.Raws li National Medical Insurance Administration, tag nrho ntawm 48 lub tuam txhab tau koom nrog qhov kev sib tw no, ntawm 44 cov tsev neeg raug xaiv, nrog tus nqi sib tw ntawm 92 feem pua thiab tus nqi nruab nrab ntawm 82 feem pua.
Nyob rau tib lub sijhawm, cov tub ceev xwm hauv nroog kuj tseem ua haujlwm ua haujlwm tsav.Raws li kev txheeb cais, txij Lub Ib Hlis 2021 txog Lub Ob Hlis 28 xyoo no, 389 cov phiaj xwm sib sau ua ke ntawm cov khoom siv kho mob (nrog rau cov tshuaj reagents) tau siv thoob tebchaws, suav nrog 4 lub phiaj xwm hauv tebchaws, 231 lub xeev cov haujlwm, 145 cov phiaj xwm hauv nroog thiab 9 lwm cov haujlwm.Tag nrho ntawm 113 txoj haujlwm tshiab (suav nrog cov khoom siv kho mob 88 cov haujlwm tshwj xeeb, reagents 7 cov haujlwm tshwj xeeb, cov khoom siv kho mob + reagents 18 cov haujlwm tshwj xeeb), suav nrog 3 cov haujlwm hauv tebchaws, 67 lub xeev cov haujlwm, 38 cov haujlwm hauv nroog, 5 lwm cov haujlwm.
Nws tuaj yeem pom tau tias 2021 tsis yog tsuas yog lub xyoo ntawm kev txhim kho txoj cai thiab tsim cov txheej txheem rau kev muab khoom nruab nrab ntawm cov khoom siv kho mob, tab sis kuj yog xyoo ntawm kev siv cov cai thiab cov txheej txheem.
Qhov ntau yam ntawm ntau yam tau nthuav dav ntxiv
Hauv xyoo 2021, 24 cov khoom siv kho mob ntxiv tau sau ntau ntxiv, suav nrog 18 cov khoom siv kho mob muaj txiaj ntsig zoo thiab 6 cov khoom siv kho mob qis.Los ntawm qhov kev pom ntawm lub teb chaws sau ntau yam, coronary stent, dag sib koom ua ke thiab lwm yam tau ua tiav kev pabcuam thoob tebchaws;Los ntawm qhov kev xav ntawm lub xeev ntau yam, coronary dilatation balloon, iOL, cardiac pacemaker, stapler, coronary qhia hlau, indwelling koob, ultrasonic riam taub hau thiab thiaj li nyob rau tau them ntau lub xeev.
Hauv xyoo 2021, qee lub xeev, xws li Anhui thiab Henan, tau tshawb nrhiav qhov chaw nruab nrab ntawm cov khoom siv tshuaj ntsuam xyuas cov tshuaj reagents hauv ntau.Shandong thiab Jiangxi tau suav nrog cov tshuaj ntsuam xyuas cov tshuaj reagents hauv thaj tsam ntawm lub network.Nws yog tsim nyog hais tias Anhui xeev tau xaiv cov tshuaj chemiluminescence reagents, ntu kev lag luam loj hauv kev tiv thaiv kab mob, txhawm rau ua cov khoom lag luam hauv nruab nrab nrog tag nrho 145 cov khoom hauv 23 pawg ntawm 5 pawg.Ntawm lawv, 88 cov khoom lag luam ntawm 13 lub tuam txhab raug xaiv, thiab tus nqi nruab nrab ntawm cov khoom lag luam poob qis los ntawm 47.02%.Tsis tas li ntawd, Guangdong thiab 11 lwm lub xeev tau ua kev koom tes nrog kev yuav khoom tshiab Coronavirus (2019-NCOV) cov tshuaj tiv thaiv.Ntawm lawv, tus nqi nruab nrab ntawm nucleic acid nrhiav kom tau reagents, nucleic acid ceev nrhiav reagents, IgM / IgG antibody detection reagents, tag nrho cov anti-detection reagents thiab antigen detection reagents poob li ntawm 37%, 34.8%, 41%, 29% thiab 44 %, feem.Txij thaum ntawd los, ntau tshaj 10 lub xeev tau pib sib txuas tus nqi.
Nws yog qhov tsim nyog hais tias txawm hais tias qhov chaw nruab nrab ntawm cov khoom siv kho mob thiab cov tshuaj reagents tau ua ntau zaus hauv ntau lub xeev, tus naj npawb ntawm ntau yam koom nrog tseem tsis txaus piv nrog cov kev xav tau kho mob.Raws li cov kev cai ntawm "thib kaum plaub tsib xyoos Plan rau Universal Medical Security" uas tau muab los ntawm Lub Chaw Haujlwm Saib Xyuas Kev Ruaj Ntseg Hauv Lub Xeev, lub teb chaws thiab lub xeev cov khoom siv kho mob muaj txiaj ntsig zoo yuav tsum tau nce ntxiv rau yav tom ntej.
Alliance nrhiav tau los ua ntau yam
Xyoo 2021, lub koom haum sib koom ua ke hauv lub xeev yuav tsim 18 qhov kev yuav khoom, suav nrog 31 lub xeev (cov cheeb tsam tswj hwm thiab nroog) thiab Xinjiang Production thiab Construction Corps.Ntawm lawv, qhov loj dua beijing-Tianjin-Hebei "3+N" alliance (nrog coob tus tswv cuab, 23), 13 lub xeev coj los ntawm Inner Mongolia Autonomous Region, 12 lub xeev coj los ntawm Henan thiab Jiangsu xeev, 9 lub xeev coj los ntawm Jiangxi Xeev;Tsis tas li ntawd, tseem muaj Chongqing-Guiyun-Henan Alliance, Shandong jin-Hebei-Henan Alliance, Chongqing-Guiqiong Alliance, Zhejiang-Hubei Alliance thiab Yangtze River Delta Alliance.
Los ntawm qhov kev xav ntawm cov xeev kev koom tes hauv kev sib koom ua ke hauv lub xeev, Guizhou xeev yuav koom nrog cov koom haum coob tshaj plaws hauv xyoo 2021, mus txog 9. Shanxi Xeev thiab Chongqing ua raws li 8 lub koom haum koom nrog.Ningxia Hui Autonomous Region thiab Henan Xeev ob leeg muaj 7 pawg koom ua ke.
Tsis tas li ntawd, kev sib koom ua ke sib koom ua ke kuj tau ua tiav zoo.Xyoo 2021, yuav muaj 18 qhov kev sib koom ua ke hauv nroog, feem ntau hauv Jiangsu, Shanxi, Hunan, Guangdong, Henan, Liaoning thiab lwm lub xeev.Dab tsi yog qhov tseem ceeb yog tias daim ntawv hla kev koom tes ntawm lub xeev thiab nroog tau tshwm sim thawj zaug: Lub Kaum Ib Hlis 2021, Huangshan City ntawm Anhui Xeev tau koom nrog 16 thaj chaw coj los ntawm Guangdong Province los ua haujlwm hauv nruab nrab ntawm kev yuav khoom ntawm ultrasonic cutter taub hau.
Nws tuaj yeem kwv yees tias, tau tsav los ntawm cov cai, cov kev sib koom ua ke hauv zos yuav muaj ntau txoj hauv kev yuav khoom thiab ntau yam yuav raug xaiv hauv 2022, uas yog ib qho kev xav tsis thoob thiab tseem ceeb.
Ib txwm siv mining yuav hloov kev lag luam ecology
Tam sim no, cov khoom siv hauv nruab nrab ntawm cov khoom siv kho mob maj mam nkag mus rau lub sijhawm hnyav: lub teb chaws npaj cov khoom nruab nrab ntawm cov khoom siv kho mob uas muaj txiaj ntsig zoo nrog cov tshuaj kho mob loj thiab tus nqi siab;Hauv lub xeev, qee cov khoom siv kho mob siab thiab qis qis yuav tsum tau yuav ntau heev.Prefecture-theem kev yuav khoom yog tsuas yog rau ntau yam uas tsis yog lub teb chaws thiab lub xeev cov phiaj xwm sib sau ua ke.Peb tog ua lawv lub luag haujlwm thiab ua cov khoom siv kho mob hnyav los ntawm ntau qib.Tus kws sau ntawv ntseeg tias qhov tob tob ntawm kev siv tshuaj kho mob siv cov khoom siv hauv Suav teb yuav txhawb nqa kev txhim kho txuas ntxiv ntawm kev lag luam ecology, thiab yuav muaj cov hauv qab no txoj kev loj hlob.
Ua ntej, raws li lub hom phiaj tseem ceeb ntawm Tuam Tshoj txoj kev kho mob kev kho mob nyob rau theem tam sim no tseem yog txo tus nqi thiab tswj cov nqi, kev yuav khoom hauv nruab nrab tau dhau los ua qhov tseem ceeb pib thiab kev ua tiav.Kev sib txuas ntawm qhov ntau thiab tus nqi thiab kev sib koom ua ke ntawm kev nrhiav neeg ua haujlwm thiab kev yuav khoom yuav dhau los ua tus yam ntxwv tseem ceeb ntawm kev siv khoom siv kho mob hnyav, thiab kev pabcuam hauv cheeb tsam thiab ntau yam yuav nthuav dav ntxiv.
Qhov thib ob, kev sib koom ua lag luam tau dhau los ua cov kev taw qhia ntawm kev txhawb nqa txoj cai thiab cov txheej txheem ntawm kev sib koom ua ke hauv lub tebchaws tau tsim.Lub peev txheej ntawm kev sib koom ua ke ntawm kev sib koom ua ke hauv lub xeev yuav txuas ntxiv nthuav dav thiab maj mam mloog zoo, thiab yuav txhim kho ntxiv mus rau kev tsim qauv.Tsis tas li ntawd, ua ib qho tseem ceeb ntxiv rau daim ntawv ntawm kev sib sau ua ke, kev sib koom ua ke ntawm lub nroog sib koom ua ke kuj tseem yuav txhawb nqa tsis tu ncua.
Thib peb, cov khoom siv kho mob yuav raug sau los ntawm stratification, batch thiab kev faib tawm, thiab cov kev soj ntsuam ntxaws ntxiv yuav raug tsim.Kev nkag mus rau lub network yuav dhau los ua ib qho tseem ceeb ntxiv rau kev sib sau ua ke, kom ntau yam khoom siv kho mob tuaj yeem yuav los ntawm lub platform.
Plaub, cov kev cai ntawm kev sib sau ua ke yuav raug txhim kho tas li txhawm rau txhim kho kev lag luam kev cia siab, qib nqi thiab kev thov kho mob.Txhim khu kev siv rau kev siv, qhia txog kev xaiv kho mob, hwm cov qauv kev lag luam, txhim kho kev koom tes ntawm cov tuam txhab thiab cov tsev kho mob, xyuas kom cov khoom zoo thiab cov khoom siv, escort siv cov khoom.
Thib tsib, kev xaiv tus nqi qis thiab kev sib txuas ntawm tus nqi yuav dhau los ua ib qho tseem ceeb ntawm kev sau cov khoom siv kho mob.Qhov no yuav pab ua kom huv huv qhov chaw ua haujlwm ntawm cov khoom siv kho mob, ua kom nrawm hloov pauv ntawm cov khoom siv kho mob hauv tsev, txhim kho cov qauv kev lag luam tam sim no, thiab txhawb kev txhim kho cov khoom siv kho mob hauv tsev tshiab hauv kev lag luam kev noj qab haus huv.
Thib rau, cov txiaj ntsig kev ntsuam xyuas credit yuav dhau los ua tus qauv tseem ceeb rau cov tuam txhab kho mob cov khoom lag luam koom nrog hauv kev sib sau ua ke thiab cov tsev kho mob xaiv cov khoom.Tsis tas li ntawd, kev cog lus rau tus kheej, kev yeem tshaj tawm qhov system, cov ntaub ntawv txheeb xyuas qhov system, hierarchical rau txim, kev kho credit yuav txuas ntxiv tsim thiab txhim kho.
Thib tsib, kev sib sau ua ke ntawm cov khoom siv kho mob yuav txuas ntxiv txhawb kev sib koom ua ke nrog kev siv "sib npaug" ntawm cov nyiaj pov hwm kho mob, kev hloov kho cov ntawv pov hwm kho mob ntawm cov khoom siv kho mob, kev hloov kho cov txheej txheem them nqi kho mob, thiab hloov kho cov nqi kho mob.Nws ntseeg tau tias nyob rau hauv kev sib koom tes, kev txwv thiab kev tsav tsheb ntawm cov cai, kev txaus siab ntawm cov tsev kho mob koom nrog kev yuav khoom yuav txuas ntxiv txhim kho, thiab lawv tus cwj pwm kev yuav khoom kuj tseem yuav hloov.
Thib yim, kev yuav khoom siv kho mob hnyav yuav txhawb nqa kev tsim kho ntawm kev lag luam tus qauv, ua kom muaj kev lag luam ntau ntxiv, txhim kho kev lag luam ecology, thiab ua qauv kev cai muag khoom.
(Source: Medical Network)
Post lub sij hawm: Lub Xya hli ntuj-11-2022