副区长在药物制度实施会发言

　 副区长在药物制度实施会发言同志们:根据中央、省、市《关于深化医药卫生体制改革的实施意见》及其配套文件要求，我区认真把握政策重点要点，积极落实各项工作措施，稳步推进基本药物制度实施，目前各项准备工作进展有序。一、前阶段主要工作(一)高度重视，切实加强组织领导。一是成立相关机构。我区高度重视基本药物制度实施工作，成立了以分管区长为组长，由区卫生计生局、发改经贸局、财政局、人力资源局、药监分局、监察局等部门组成的基层医疗机构基本药物制度实施工作领导小组，统筹组织和协调基本药物制度的实施工作。区卫生计生局成立了以主要负责人为组长的基本药物药事管理领导小组和工作小组，明确职责，落实具体工作任务。二是开展专题研究。区委、区政府主要领导先后多次听取基本药物制度实施准备工作情况汇报，并就基本药物制度实施工作提出明确要求。区政府先后组织召开了不同层面的座谈会，广泛听取各方意见。区卫生计生局也组织召开了全区医疗机构实施基本药物制度研讨会和基本药物实施工作预备会议，征求医疗机构对实施基本药物制度的建议。三是广泛开展调研。区政府分管领导多次带领区卫生计生局班子成员到有关基层医疗单位和社区卫生服务进行调研，听取基层意见建议。区医改办组织卫生、发改、财政、人力资源等部门负责人到吴兴、德清、安吉等地考察，学习借鉴兄弟县区的先进经验和做法。(二)结合实际，稳妥制定实施方案。一是做好经费测算。区财政局会同区卫生计生局对基层医疗卫生单位XX-XX年经常性收支进行了测算，掌握了基层医疗卫生机构的运行状况，为落实补助政策提供了依据。二是完善实施方案。在反复测算、调研的基础上，通过学习交流，拓宽思路，积极探索符合实际的医改模式，我们对《区基本药物制度实施方案》与《实施细则》进行了反复研究、不断完善，进一步明确了实施基本药物制度的实施范围、实施内容、实施步骤和保障措施，力争在全区实现地域及人群全覆盖。三是加大政策引导。为更好地推进基本药物制度实施，我区调整了XX年区新型农村合作医疗政策，将基本药物全部纳入《新型农村合作医疗报销药物目录》，对XX新农合门诊基本药物与普通药物的报销比例进行调整，并拉开距离，普通药物门诊报销比例由XX年的25%上升到XX年的30%，基本药物门诊报销比例由XX年的30%提升到XX年的50%。使基本药物的报销比例明显高于普通药物，加大了使用基本药物的政策优势。(三)整体推进，完善各项准备工作。一是制定人员编制和绩效工资方案。目前，区基层医疗卫生单位绩效工资实施方案已经区政府常务会议和区委常委会研究通过。各级医院及社区卫生服务中心机构设置和人员编制核定方案已经完成，近期即将出台，为基本药物实施后的财政补偿方案提供依据。二是做好基本药物目录遴选工作。在借鉴兄弟县区医改工作做法的基础上，结合我区实际，经充分调研，制订了《区基层医疗机构基本药物目录遴选工作办法》，建立区基本药物目录遴选工作小组，并由区卫生计生局负责组建基本药物目录遴选专家库，确定具体实施目录。目前，区基本药物目录遴选小组对各医疗机构报送的基本药物目录，按药品品规将各医疗机构报送的所有生产厂家都进行汇总，形成一个待遴选的大目录，拟在本周进行基本药物目录遴选。三是开展业务知识培训。对各实施基本药物制度的基层各医疗单位开展《国家基本药物处方集》和《国家基本药物临床应用指南》集中培训，同时对包括临床、社区责任医生在内所有医务人员进行了全员培训，增强执行基本药物制度的自觉性。二、下一步工作打算(一)出台实施方案。近期《区基本药物制度实施方案》将提交区政府常务会议和区委常委会研究讨论，3月25日前在所有政府举办的社区卫生服务中心（乡镇卫生院）、城乡社区卫生服务站，全面实施基本药物制度。实施内容主要包括四个方面：一是配备和使用基本药物。二是基本药物实行零差率销售。三是网上集中采购。四是统一集中配送。五是统一组织结算。实施步骤共分三个阶段：一是过渡阶段。从开始实施之日起六个月内，只使用国家基本药物目录药品、省增补的非基本药物目录药品和现有库存药品。二是完善阶段。过渡期结束至12月底，只使用国家基本药物目录药品、省增补的非基本药物目录药品、由区确定的50种药品和过渡期间允许使用的其他药品，不得使用库存药品。三是全面实施阶段。全区所有政府举办的基层医疗机构全部实施基本药物制度的时间、实施要求及相关政策按国家、省有关政策规定执行。(二)加强宣传引导。一是将编印的万区基药政策宣传单份及时下发到每家每户的同时，提高群众知晓率，引导群众正确使用基本药物，强化社会监督。二是针对药品价格、药品质量等群众关心的热点进行有重点的宣传。三是在各医疗单位门诊大厅醒目位置设置宣传牌，对常用药品目录、价格、基本医疗收费标准等通过制作板块、显示屏滚动等形式进行宣传。四是在各社区卫生服务站、村部（社区）宣传栏内张贴宣传画，让广大群众和医务工作者充分认识建立国家基本药物制度的重要意义，加深对建立基本药物制度的理解。(三)强化监督管理。一是制定绩效考核办法。落实基层医疗事业单位和公共卫生事业单位实施绩效工资政策，实行能进能出的人员聘用制，建立建立以服务质量、服务数量和群众满意度为核心的考核机制，合理拉开医务人员的收入分配档次，调动基层医疗卫生人员积极性。二是完善财务管理制度。区财务结算中心将成立区卫生财务结算中心，对全区各医疗机构财务进行收支两条线管理，进一步加强对各医疗单位财务监管，规范医疗单位的工资、公用经费、建设经费等资金使用。三是加强制度实施监管。组建专业队伍，对基本药物制度实施情况进行监测和评估，及时总结和交流经验。围绕门诊人次、住院人次、转诊率、均次费用、药占比和群众满意度等指标，及时发现实施过程中产生的新情况新问题，协调各方，努力使基本药物制度平稳实施，防范重大问题发生。city Municipal Party Central work, and strive to improve the decision-making ability, comprehensive coordination ability, writing ability, supervision ability, logistics ability, innovation ability, continuously consolidate and maintain the education on Party members'advancement activities and enhance awareness of the Communist Youth League education achievements, and vigorously promote the construction of civilization advanced units, units and staff home building activities, balanced, focused, pragmatic, innovation, high standard, high quality, high level, high efficiency to complete various tasks throughout the year.First, pay close attention to research information, efforts to improve decision-making servicesIn accordance with the "information reflect the information, promote the work of information leading work" requirements, adhere to grasp the team construction, mechanism construction and quantitative assessment, give full play to the assistant role of leadership, actively promote the innovation of research information development, and vigorously promote the research work of information to mention upgrading, efforts to improve the ability and level of decision-making.(a) adhere to the decision in the first place. To make the decision service as the focus of the work, participate in the point, and in the key place, in order to promote the democratization of decision-making, scientific advice. Based on the city's youth career "11th Five-Year" good bureau and the Communist Youth League work across the development, focus on the implementation of Scientific Outlook on Development theory and practice subject adolescents and youth work process of building a socialist harmonious society, pay close attention to the global, strategic, forward-looking major problems, grasp the overall situation, pay attention to plan and implement the specific tasks assigned by the leadership from the overall situation, think ahead on major issues concerning the overall situation, in-depth Study, grasp the dynamic, put forward suggestions, reflect in time.(two) adhere to the investigation. As an important way to firmly grasp the important link of scientific and democratic decision-making, focus on key leadership concern, concern and hot points of youth practice work, adhere to the practice to investigate and research, fully and accurately grasp the actual situation, for the leadership decision-making comes from practice, practical to provide first-hand information. To enhance the initiative, according to municipal Party committee leadership activities, week activities, in the "research" make great efforts to provide more targeted for leadership, predictability and effectiveness of comments and suggestions.(three) adhere to the information planning as an important means of expanding. The sources of information, through the network, the media and other channels, increase integration efforts the work of the Communist Youth League and youth information dynamic information resources, increase the information planning efforts to refine the Communist Youth League, and give full play to the role of information reference, to improve the quality of information as a fundamental, outstanding information work sensitivity and timeliness, timely, accurately, comprehensively reflect the municipal Party committee, municipal government, the Central Committee of the implementation of a major deployment, leadership attention, hot and difficult issues of concern to the masses and some important emergencies, timely provide all kinds of deep and valuable component of the following information. Continue to deepen the information research and information feedback system, information report system, information reporting system, information delivery system and information notification system, and constantly improve the information work of the assessment, incentive mechanism, improve the long-term mechanism to improve the information work of sustainable development.Two, pay close attention to contact and communication, efforts to improve the ability of comprehensive coordinationGive full play to a contact, pivotal role, coordination of the parties in accordance with the standard, efficient, high quality principles, firmly establish the principle of service, and effectively improve the level of policy theory, grasp the method of coordinating work, conscientiously do service leadership, service and Service Corps cadres.(a) do to actively carry out coordination. Upstream municipal Party committee, municipal government work report, and the central mission to understand, grasp the key ideas and working organs, targeted focus on reporting the work of mission, to focus on the city's superior league, major activities, attention, support and help.(two) do parallel coordination. To strengthen the contact and communication with the municipal departments, actively seek for the work of care, support, optimize the external environment. To strengthen the group work of the Communist Youth League and other provinces and cities, to grasp the work around the dynamic, active learning around the work experience, the effective integration of resources within the group, and the Communist Youth League career development.(three) earnestly grassroots coordination. Further increase communication efforts, strengthen the organizations at various levels to guide the work of the office and communication, to ensure the situation, reported lower levels of strength, and strive to the grassroots, inspired by the basic spirit of innovation, the formation of good ability of the league office work.Three, pay close attention to the quality of official documents, efforts to improve the ability to deal with textAdhere to high standards, strict requirements, careful attention to the drafting of the draft work, strict document drafting, audit clearance, proof reading and quality control, and strive to improve the ability to deal with the text, and the overall work of the service center.(a) earnestly. To further establish the draft document presentation system research, adhere to the practice, especially the drafting of important days and months multiplying, concentrating on the presentation of the research, understand the situation the situation, fully understand the intention of the leadership, to ensure the output, quality, and constantly improve the quality of manuscript. A manuscript quality appraisal system, the implementation of quantitative assessment, each quarter the comparison of office draft manuscript quality. Establish a reward system to reward the outstanding manuscript selection out, the wrong investigated persons responsible for the major errors.(two) strict master document quality. Strengthening document quality awareness, efforts in the drafting of documents, audit checks, printed all aspects of efforts, strict policy documents audit, content, format and procedures, adhere to the upper and lower check, and check before and after the check, ensure the document style format in the understanding of leadership intentions in place, ideas in the language in place, and strive to improve the quality of various documents.(three) a comprehensive specification document operation. To further standardize the document transfer procedures, emphasizing the precision in document processing, in strict accordance with the operating procedures document sign, registration, approval, distribution, handling, repaying, filing, ensure the document processing standard, accurate, and efficient. Especially to strict dispatch, strict audit document content. Strictly implement the document procedures step by step Shenqian, strict and unified file format, to ensure the normative document. Further the implementation of electronic document processing mode, the full implementation of OA office system, efforts to improve the work efficiency.Four, pay close attention to the work of supervision, efforts to improve the executive abilityThe city's major issues and focus on the overall work of the Communist Youth League to carry out supervision and inspection, insist on the idea, the handling of the key, efforts to promote the implementation of decisions, to ensure that government decrees.(a) on the center of focus on supervision. In accordance with the "grasp the overall situation, focused, practical, quantitative refinement" principle, conscientiously fulfill the supervision function, focusing on the important deployment, major decisions of the party will, secretary's office, department heads meeting agreed matters assigned by the leadership group, the book down and do the important matters and the regiment the key work to focus on supervision, to ensure that the inspection item piece is an echo, everything in the bag, to promote the work carried out smoothly.(two) grasp the key special supervision. According to different periods of work needs, focus on leadership, social concern, hot and difficult problem of youth reflects the implementation of regular and dynamic supervision of special work assigned by the leadership of the special work of tracking supervision, regularly held the Department responsible for the regular inspection work carried out inspection stage. Check or the implementation of the work, to the work of the special supervision and implementation.(three) innovative ways to promote the supervision. To further improve the effectiveness of supervision and inspection work, really play a role in promoting the implementation work. To further improve and perfect the supervision report system, inspection notification system, regularly carry out random checks of the supervision matters, to highlight the effectiveness of the inspection work, to effectively promote the work carried out.Five, pay close attention to daily management, efforts to improve logistical support capacityAccording to "do great things, do small things, start from the details; General requirements from the overall situation", pay close attention to daily management, enhance the foresight and initiative work, do the work of early preparation, program cost fine plan, artful arrangement, high quality services.(a) further strengthen the authority of hardware construction. Combined with the "three hit" work, to further promote the party organ culture construction, and actively carry out party building advanced units, units of civilization, to create the homes of the workers, further standardize internal office conditions, perfect decoration authorities canteen, strengthening the Office building management, further improve the authority office environment.(two) to further strengthen the organization system construction. The implementation of the municipal Party committee of various rules and regulations, in accordance with the norms of management, efficient principle, perfect all kinds of meetings, document processing, logistics system, perfect a set of scientific and reasonable comprehensive coverage, the rules of the system. To strengthen the day-to-day management work, continuously enhance the rigor and the scientific management, according to the requirements of task decomposition, refinement of quantitative indicators, realize the work determination, work process standardization, work system, to promote the daily work efficient and orderly operation.(three) to further strengthen the fine financial management authority. Hold on to open source, to further increase funding for efforts, multi-channel for funding, strengthen the overall financial institutions. The authorities adhere to grasp the throttle, vehicle maintenance, major conference activities, network maintenance and other major expenditure to implement the budget control at the beginning of the year, authorities to strictly implement the financial management system, do a good job the pre final accounts, financial institutions, financial analysis and financial statements related. Adhere to the financial reporting system, improve the efficiency in the use of assets, and the Communist Youth League work continued to develop.(four) to further strengthen security work earnestly. Confidentiality of confidential confidential documents, strict implementation of the management system, security system, focus on the secret of the computer and network security management, strict management measures. Actively carry out regular security education, provided security awareness high cadres of workers, to prevent the loss occurred leak phenomenon. To strengthen the archives management work, conscientiously implement the archives, seal management system, actively carry out the relevant documents, materials, letters and pictures materials collection, registration and filing. The strict safety responsibility system, strictly holidays and night security duty system, strengthen the major work Moving safety work, to ensure safe and orderly.(five) to further strengthen the daily service work. To firmly establish the "rules as standard" point of view, whether do the text, do, act, or on duty, reception, security in strict accordance with the rules, according to the procedures, to ensure standardized operation. Take care of cadres of workers life, seriously deal with the party to do things for the project for the masses and actively improve the cadres of workers welfare. Strict management of vehicles, official vehicles. To ensure the implementation of office smile service system and first asked the first joint service system, the implementation of service complaints system, ensure the quality of service continues to increase.Six, pay close attention to team building, focus on improving the ability to open up innovationIn accordance with the "build a first-class team, with first-class team, a first-class performance, tree class image," the overall requirements, and vigorously strengthen the construction of cadres and workers, and promote the healthy growth of cadres and workers and all-round development.(a) establish the right work ethic. Firmly establish the concept of office work, have a brilliant future, strengthen the sense of innovation, enhance innovation and courage, to free from old ideas, actively respond to the development requirements of the new situation, actively adapt to the new leadership strictly from the high requirements, innovation and breakthrough, promote office work the steps in innovation.(two) to strengthen the ideological and political construction. Continue to consolidate communist education on Party members'advancement activities and enhance awareness of the Communist Youth League education achievements, serious ideological and political work of office staff, carry out the "dedication in the post work, first-class theme contest activities, and guide the cadres and workers to firmly establish a correct outlook on life. And values, the firm high political consciousness, firm political position, strict political discipline, strengthen the cadres and workers of political awareness, overall awareness, sense of service, efforts to form a diligent, efficient, innovative,Rigorous working atmosphere.(three) to carry out the policy theory of learning. To improve the office of cadres and workers pay close attention to the quality of training and learning, strengthen business knowledge and comprehensive knowledge, constantly optimize the knowledge structure, improve the overall quality of the level of proficiency and more than one post to the "Office of the cadres and workers to deal with specific issues. Adhere to the new period of the focus group the overall work, in-depth analysis and exploration of the functions of the office development and the direction of development, and strive to improve the overall awareness and service level of the office of cadres and workers. There are plans, steps to arrange the staff to participate in the exchange of learning and testing exercise, and strengthen the office of the Communist Youth League, and other provinces and cities Level office of the office of business exchanges, and strive to form a strong learning atmosphere.(four) to strengthen the team building. Stick with the system of management, strict implementation of the work system, strictly regulate the work procedures; adhere to the training of people with business, the cadres and workers more responsibility, more to provide the stage, to help with, strengthen staff training; adhere to unite people with feelings, really care about the work, learning and life style; adhere to infect people, guide the cadres and workers of self-discipline, dedication, unity, pragmatic, hard-working and carry forward the spirit of selfless dedication, a successful career in the extraordinary position; adhere to work drive, office team members adhere to lead, take the lead To be, learning, solidarity, pragmatic and incorruptible example.Attachment 2:XX municipal Party committee of the Communist Youth League work points,With Deng Xiaoping theory and the important thought of "Three Represents" as guidance, comprehensively implement the Scientific Outlook on Development, the implementation of the party's eight plenary session of the two session of the fifth Plenary Session of the 16th CPC Central Committee, municipal Party committee, the Central Committee of Communist Youth League in the fourth Plenary Session of the 15th CPC Central Committee, XX two session of the five Committee in accordance with the spirit of "leapfrog development, requirements of first-class" people-oriented and service innovation. Means to promote the work, regulate the procedure of management, enhance the quality of image work philosophy, adhere to the service of the work of the center, serve the development of the career of the Communist Youth League, the informatization construction of service agencies, organizations to develop XX, "11th Five-Year" youth career development planning, to further deepen the Communist Youth League The theoretical research, the full implementation of the "Knowledge Youth Information Digital XX League" construction project in XX city and popularization of engineering, unity and cohesion of youth work theory research and information technology team of young talents, and vigorously promote the 2006 year key project implementation work, and strive to achieve the XX chapters of theoretical research and the level of informatization construction on a new level.,Make a plan to develop XX City, "11th Five-Year" youth career development plan, for the implementation of the name of the city government.To promote the two projects. To vigorously promote the popularization of knowledge youth information XX city project, and strive to improve the informatization level of teenagers; vigorously promote the "digital XX League" construction project, make full use of information technology services and promote the work of the Communist Youth League.The construction of three platforms. To improve the efficiency, rich content, give full play to the Communist Youth League <XX magazine, the construction of the Communist Youth League work guidance and communication platform; expand the function, enhance interaction, give full play to the XX youth electronic community website, the construction of information network and participate in the youth service platform; integration of resources, focus on services, the establishment of XX city informatization of young talents Association, give full play to the XX Youth Research Institute and XX Information Association of young talents, and Research on construction of information talent and cohesion platform.,(a) scientific planning, meticulous organization, earnestly XX youth development "11th Five-Year" planning work. In accordance with the scientific, effective, open and operational principles, combined with the actual development of adolescent XX, XX junior career scientific judgment of future development trend, focusing on Ideological Education for youth, youth employment and entrepreneurship, Youth Science and technology innovation, adolescents' learning, youth culture and entertainment, exchanges and cooperation,

　city Municipal Party Central work, and strive to improve the decision-making ability, comprehensive coordination ability, writing ability, supervision ability, logistics ability, innovation ability, continuously consolidate and maintain the education on Party members'advancement activities and enhance awareness of the Communist Youth League education achievements, and vigorously promote the construction of civilization advanced units, units and staff home building activities, balanced, focused, pragmatic, innovation, high standard, high quality, high level, high efficiency to complete various tasks throughout the year.First, pay close attention to research information, efforts to improve decision-making servicesIn accordance with the "information reflect the information, promote the work of information leading work" requirements, adhere to grasp the team construction, mechanism construction and quantitative assessment, give full play to the assistant role of leadership, actively promote the innovation of research information development, and vigorously promote the research work of information to mention upgrading, efforts to improve the ability and level of decision-making.(a) adhere to the decision in the first place. To make the decision service as the focus of the work, participate in the point, and in the key place, in order to promote the democratization of decision-making, scientific advice. Based on the city's youth career "11th Five-Year" good bureau and the Communist Youth League work across the development, focus on the implementation of Scientific Outlook on Development theory and practice subject adolescents and youth work process of building a socialist harmonious society, pay close attention to the global, strategic, forward-looking major problems, grasp the overall situation, pay attention to plan and implement the specific tasks assigned by the leadership from the overall situation, think ahead on major issues concerning the overall situation, in-depth Study, grasp the dynamic, put forward suggestions, reflect in time.(two) adhere to the investigation. As an important way to firmly grasp the important link of scientific and democratic decision-making, focus on key leadership concern, concern and hot points of youth practice work, adhere to the practice to investigate and research, fully and accurately grasp the actual situation, for the leadership decision-making comes from practice, practical to provide first-hand information. To enhance the initiative, according to municipal Party committee leadership activities, week activities, in the "research" make great efforts to provide more targeted for leadership, predictability and effectiveness of comments and suggestions.(three) adhere to the information planning as an important means of expanding. The sources of information, through the network, the media and other channels, increase integration efforts the work of the Communist Youth League and youth information dynamic information resources, increase the information planning efforts to refine the Communist Youth League, and give full play to the role of information reference, to improve the quality of information as a fundamental, outstanding information work sensitivity and timeliness, timely, accurately, comprehensively reflect the municipal Party committee, municipal government, the Central Committee of the implementation of a major deployment, leadership attention, hot and difficult issues of concern to the masses and some important emergencies, timely provide all kinds of deep and valuable component of the following information. Continue to deepen the information research and information feedback system, information report system, information reporting system, information delivery system and information notification system, and constantly improve the information work of the assessment, incentive mechanism, improve the long-term mechanism to improve the information work of sustainable development.Two, pay close attention to contact and communication, efforts to improve the ability of comprehensive coordinationGive full play to a contact, pivotal role, coordination of the parties in accordance with the standard, efficient, high quality principles, firmly establish the principle of service, and effectively improve the level of policy theory, grasp the method of coordinating work, conscientiously do service leadership, service and Service Corps cadres.(a) do to actively carry out coordination. Upstream municipal Party committee, municipal government work report, and the central mission to understand, grasp the key ideas and working organs, targeted focus on reporting the work of mission, to focus on the city's superior league, major activities, attention, support and help.(two) do parallel coordination. To strengthen the contact and communication with the municipal departments, actively seek for the work of care, support, optimize the external environment. To strengthen the group work of the Communist Youth League and other provinces and cities, to grasp the work around the dynamic, active learning around the work experience, the effective integration of resources within the group, and the Communist Youth League career development.(three) earnestly grassroots coordination. Further increase communication efforts, strengthen the organizations at various levels to guide the work of the office and communication, to ensure the situation, reported lower levels of strength, and strive to the grassroots, inspired by the basic spirit of innovation, the formation of good ability of the league office work.Three, pay close attention to the quality of official documents, efforts to improve the ability to deal with textAdhere to high standards, strict requirements, careful attention to the drafting of the draft work, strict document drafting, audit clearance, proof reading and quality control, and strive to improve the ability to deal with the text, and the overall work of the service center.(a) earnestly. To further establish the draft document presentation system research, adhere to the practice, especially the drafting of important days and months multiplying, concentrating on the presentation of the research, understand the situation the situation, fully understand the intention of the leadership, to ensure the output, quality, and constantly improve the quality of manuscript. A manuscript quality appraisal system, the implementation of quantitative assessment, each quarter the comparison of office draft manuscript quality. Establish a reward system to reward the outstanding manuscript selection out, the wrong investigated persons responsible for the major errors.(two) strict master document quality. Strengthening document quality awareness, efforts in the drafting of documents, audit checks, printed all aspects of efforts, strict policy documents audit, content, format and procedures, adhere to the upper and lower check, and check before and after the check, ensure the document style format in the understanding of leadership intentions in place, ideas in the language in place, and strive to improve the quality of various documents.(three) a comprehensive specification document operation. To further standardize the d