医疗卫生监管现况与革新

　 医疗卫生监管现况与革新

　1医疗机构公共卫生管理改革的作用

　　1.1医疗机构是最早发现传染病患者的场所之一

　　患者就诊,首先选择医疗机构,而不是疾病控制中心。因此,医疗机构医务人员发现传染病患者的意识,重点流行传染病的诊断知识的掌握程度,传染病预检分诊机构的设置,医疗机构内部对疑似传染病患者的转诊、会诊机制的建立,是及时发现传染病患者的关键所在和根本保证[1]。

　　1.2医疗机构在控制急性传染病方面显得非常关键

　　对发现的急性传染病患者及其密切接触者在就诊现场隔离控制和观察,是防止急性传染病疫情进一步扩散的关键。医疗机构作为病人及陪同人员的积聚场所,在传染病控制工作中也显得尤为重要,SARS流行充分证明了这一点。特别要指出的是,急性传染病患者密切接触者中的已处于潜伏期的感染者,有可能成为新的传染源。而这一点也很容易被医疗机构和相关人员所忽视。另外,门、急诊就医场所的条件,特别是观察室、输液室的通风状况,也是可能造成急性呼吸道传染病院内传播的重要因素。

　　1.3医疗机构是疾病控制信息的重要来源

　　我国《传染病防治法》规定,医疗机构作为法定传染病的法定报告机构之一,必须积极做好传染病疫情信息的报告工作。实践证明,绝大部分的疫情信息都来自医疗机构。因此,医疗机构疫情报告工作的质量将直接影响疾病控制工作的效果与水平。

　　1.4医疗机构为健康教育及活动提供场所患者患病之时,是最容易接受疾病防治知识、改变不良行为习惯、树立健康生活方式的最佳时机。因此,以医疗机构为阵地,开展健康教育和健康促进活动,会取得事半功倍的效果。

　　1.5医疗机构是慢性疾病干预的重要基地

　　社区卫生服务机构作为最贴近群众的基层医疗机构,是开展慢性病干预工作的主要阵地。通过有计划地对亚健康人群和慢性病患者实施相关生活行为和习惯的干预,是减少慢性病发病、延缓病情发展和减少伤残乃至过早死亡的重要措施[2]。

　　2公共医疗机构卫生管理现状与存在的问题

　　2.1公共医疗机构卫生管理现状

　　近年来,我国政府更加重视公共医疗卫生事业的建设,逐渐加大了对医疗卫生领域的投入。截至2016年底,国家财政已投入30亿元用于实施农村乡镇卫生院基础设施建设工程;新型农村合作医疗试点在我国31个省、自治区、直辖市的部分县、市的顺利开展,使我国农村卫生工作得到了切实的加强;全国以各级疾病控制中心基本建设为主的疾病预防控制体系建设总投入达到了105亿元;全国以传染病院、医疗急救中心为主的突发公共卫生事件医疗救治体系建设项目总投入达到了1亿元,以中西部为主的卫生监督机构能力建设项目总投入达到了8亿元;社区卫生服务机构正在加紧建设,全国已有社区卫生服务中心超过了2万个;由于公共医疗卫生在国民经济中的地位得到不断提升,全国各地的卫生人力资源数量都有很大的提高,高、中等医学院校在为卫生行业输出人才的方面发挥着重要作用[3]。

　　医疗机构是公共卫生体系的重要组成部分,其数量多、分布广,是公共卫生事件发现、报告的前沿阵地,医疗机构对突发公共卫生事件的敏感性,对事件的发生、发展起着关键作用。医疗机构是各类传染病患者汇集的主要场所,容易造成医源性感染,加强医疗机构传染病的预防与控制,对控制传染病传播,具有至关重要的作用。医疗机构是疾病预防和救治的重要力量,因此,要做好公共卫生管理工作,提高我国疾病控制工作的整体水平,必须最大限度地发挥医疗机构的作用。但是就当前来说,我国医疗机构公共卫生管理工作仍然还很薄弱、滞后,不能有效地为公众的健康发挥作用,不能适应当前医疗卫生改革的形势和任务的要求。现就医疗机构公共卫生管理工作中存在问题及对策探讨如下。

　　2.1公共医疗机构公共卫生管理中存在的问题

　　2.2.1对医疗机构的作用认识不清

　　医疗机构是疾病预防控制体系的重要组成部分,但在卫生系统特别是在卫生行政部门,由于一些行政管理人员对医疗机构在疾病控制工作中的重要地位和作用认识不清,因而工作不力,工作缺乏主动性。

　　2.2.2医疗机构中疾病控制措施落实不到位

　　①及时检出传染病患者的运作机制不健全。目前,大部分医疗机构中的传染病患者的检出,仅仅依靠医生个人的意识和技能,传染病患者的发现尚处于偶然状态,还未建立规范的工作机制。

　　②医务人员的重点传染病防控知识全员培训。还不落实医务人员的重点传染病防控知识全员培训还不落实。缺乏知识、技能,培训面不广,自然会导致检出率低和漏诊的可能。

　　③医疗机构内的急性传染病现场控制措施不落实许多传染病的扩散是由于患者的密切接触者未被及时控制所引起的。而现在许多医疗机构仍只注意管理隔离患者,而对患者的密切接触者不采取控制措施。

　　④对疾病防控知识宣传不够许多医生只注重疾病的诊疗知识,而不重视防控知识,甚至对自身的生活习惯和行为也不注意。调查资料表明,我国男医生的吸烟比例仍很高,约为56.8%。这些都与医疗机构的管理以及培训教育不足有很大关系。

　　2.2.3医疗与疾病控制机构之间缺乏有效的联系与协调长期以来,我国医疗救治体系与疾病控制体系各自独立发展,两个体系之间存在严重的脱节,缺乏有效地联系与协作。一方面,医疗机构对传染病及各类公共卫生事件的发现、报告和院内感染管理还缺乏足够的重视,在预防控制措施和力度上与现实要求还存在较大的差距。另一方面,疾病控制机构对医疗机构的公共卫生工作也缺乏有效的业务指导。虽然新修订的《传染病防治法》中已明确规定了疾病控制机构在这方面的职责和任务,但目前的情况是许多疾病控制机构还未有效地开展这项工作。实践证明,只有临床医学和公共卫生有机结合建立起两者的相互理解与沟通,形成有效的协调与合作机制,才能提高我国公共卫生的整体水平。

　　2.2.4医疗与预防之间缺乏交叉学科的理论研究我国一直沿袭前苏联教育模式,建立了一套过分强调专业能力培养的教育模式。公共卫生与临床专业人员的培养均自成体系,形成了公共卫生与临床医学之间越来越大的裂痕,致使临床医师不太了解也不很重视公共卫生,而公共卫生医师则只重视预防而不太了解疾病的诊治。多年来,一些有识之士提出要“弥合裂痕”,从观念和教育体制上进行改革,使临床医护人员具有公共卫生意识和具备必需的预防医学的知识和技能,使公共卫生医师掌握一定的临床医学知识,实现疾病预防与诊治的有机结合。

　　目前,我国在医疗预防交叉学科理论研究方面,还没有专门的机构去研究这些问题,更没有形成教材和相应的机制及规范,亟待在今后的实践中逐步建立和完善。

　　2.3公共医疗公共卫生管理改革的途径

　　2.3.1明确医疗机构的公共卫生责任医疗机构的公共卫生管理问题是一个长期存在并被忽视或轻视的问题,政府需要不断地发挥行政职能,通过政策、法规、规范、标准等方式,明确医疗机构的公共卫生责任,规范机构和个人的行为,以提高公共卫生的整体水平。政府应尽快将医疗机构纳入公共卫生工作体系进行管理,充分发挥其在公共卫生工作中的重要作用。

　　2.3.2加强学术交流目前我国医疗机构的公共卫生管理还缺乏完整的知识体系,需要在实践的过程中,不断对各类医疗机构开展公共卫生管理的经验进行总结。定期开展公共卫生及相关专题的学术讲座和学术交流活动,学习和借鉴国外医疗机构公共卫生管理的成功经验,逐步建立和形成我国医疗机构公共卫生管理的理论体系。

　　2.3.3通过培训提高医务人员的公共卫生知识水平对卫生行政部门和医疗机构的领导和管理工作人员开展公共卫生知识培训,对临床一线的医务人员要开展重点传染病防控知识的全员培训。在医疗机构中传播公共卫生的政策法规和专业知识、技能,树立医务人员的公共卫生观念,提高他们的预防医学知识水平,为医务人员主动承担公共卫生责任打下基础。

　　2.3.4构建医疗与疾病控制机构间的信息沟通医疗机构和疾病控制机构要建立起密切的协调和沟通机制,促进双方的信息交流,制定出双方密切合作的疾病控制工作计划、运行机制和应对突发公共卫生事件相关预案,定期检查工作进展情况并开展演练。

　　2.3.5发挥非政府组织的作用非政府组织,在社会动员、公众参与以及预防医学知识的普及上,在某些具体管理技术的研究上能够发挥出独特的优势。因此,要充分发挥他们在普及卫生科普知识方面的作用,利用广播、影视、报刊、互联网、手册等多种形式对社会公众广泛开展公共卫生知识的宣传教育,指导群众以科学的行为和方式对待公共卫生问题。

　　2.3.6构建现代公共卫生和临床医学融和的教育模式开展促进临床医学与预防医学相互融合的理论研究,在总结我国医学人才培养的经验和教训的基础上,学习各国先进的经验,建立起符合中国国情的医学人才培养模式,弥合临床医学和公共卫生之间的裂痕。

　　2.3.7建立监督执法与行政许可沟通机制卫生监督机构作为卫生行政部门行政执法的执行机构,在医疗卫生监督执法过程中加强与卫生局医疗机构许可部门的协调与沟通,是提高医疗卫生监督执法效能的有效措施。卫生监督机构可以按照“办法”的要求,建立监督与许可的信息共享、相互沟通机制,卫生行政部门及时将原许可和新许可的医疗机构名单通报给卫生监督机构,为监督机构及时建立监督档案和实施卫生监督提供信息;卫生监督机构及时将各医疗机构的记分情况列入监督档案,并定期将直管医疗机构违法行医查处的情况报告给市卫生局行政许可的相关处室,供其在日常管理、年度校验中参考。通过有效的互动沟通机制,形成卫生监督与行政许可部门的管理合力,增强了对医疗机构监管的力度。

　County economic work conference leadership speech:The main task of the twenty-six session of the six plenary meeting of the county the county economic work conference this time, by the party's eighteen and eighteen Third Plenary Session of the spirit as a guide, carry out and implement the central and provincial economic work conference on rural work conference and the three session of the seven plenary session of the party to expand the spirit of the meeting, the total summary of last year the work, analysis of the current situation, the deployment of this work, further strengthening the development of consensus, to mobilize the whole county county, deepening reform and innovation, to work against poverty, accelerate the transformation of leapfrog, promote scientific development, struggling to write a new harmonious beautiful mountains and show a prosperous civilization to build a new building. The following chapter * *, according to the county Discussion of the views of the Standing Committee, I focus on four aspects of the problem:* * * years, the county to seriously implement the central decision-making arrangements and real, in accordance with the "high position, as a typical tree, catch catch up with speed for a breakthrough, five in one overall grasp to raise human resources to promote overall leap", firmly grasp for the project, investment, industry, structural adjustment, Emegumi Mio, promote harmony, agency the county economy presents the social development to catch up, are balanced development, promote the overall, a good momentum of sustained rise.According to Article 11 priority, economic construction full speed. Focusing on the development of this priority service, set up the market idea is constantly refined, can the implementation of major projects, efforts to expand the investment, vigorously develop the non-public economy, to ensure the continuous healthy and rapid development of the county economy, investment in fixed assets investment, industrial added value. Fiscal income, per capita net income of farmers and other major economic indicators maintained two digit growth. According to the "3341" project engineering, proved reserves pre project 4744, * * 4, for central heating in the west, the South Cave Temple landscape Avenue, oil oil road lifting column ten key counties Project smoothly, investment projects to promote the transformation of the pull, supporting further highlights the role; to promote in Honghe oilfield Mton construction, careful implementation of natural fiber cotton industry a reconstruction and expansion of the two phase, Huarun home ceramics, ceramics, Zhengda feed class three, class 44 full load keep the production, operation and sales booming, the cotton industry has become the city after the coal transport and one employment value-added industry; Xiping railway through infiltration through operations, Jing Road opened to traffic vehicles, further highlights the * * traffic hub; Longyuan red fruit trade company successfully introduced, for the first time now * * fruit Direct export; is a production company 300 thousand tons of feed production line, Yurun Group * * broiler breeding district built colonization production, forming a "" company + farmers "model of development, in promoting the transition to farming aquaculture has taken a solid pace; vegetable industry focus management promotion and marketing docking. Rui Jing River area, vegetable mould scale continues to expand, Wang Rui Feng, and other heavy key towns" village village layout, sudden breakthrough "strong momentum; Yudu Kang family, Wang twenty shop center village construction into the industry, ecological, cultural, tourism and other factors, the tour group construction community management, Set a benchmark for the new rural construction, the construction of new rural county in the two end of the pilot beam to keep the innovation and enhance the momentum.To accelerate the reform and innovation, political construction steadily. The reform and innovation as the core of the heart, coagulation unite together in political construction, to create a good environment for the county's development. Constantly improve the working mechanism, support people's congresses, governments, CPPCC Standing Committee work, to further improve and perfect the sub division of responsibility, the full implementation of the county led the pack leader catch the township, contact departments, corporate responsibility system; established a comprehensive assessment of the five one "approach, the implementation of Rural Township, Department of secretary of the party organization work the honesty and democratic appraisal system, encourage encourage creative work for the Department of Township, village cadres, and constantly improve the performance assessing and Industry Development Linked incentive mechanism, the formation of winds are strong enough, good momentum and seek common development; communication mechanism and establishment of provinces and cities, "double" units, actively seek the support of docking project, the implementation of funds, with the country, the province, has injected new impetus to realize synchronous well-off. To strengthen the grassroots base,, take the two push an election "and" direct push elections ", complete the general village" two committees ", earnestly carry out the development of village level financial clean-up, to fully implement the party, government and village affairs, expand the people's right to know, participation and supervision rights; in-depth implementation of the four on two open" the work of law, and constantly improve the base By election procedure, public consultation and accountability mechanism, promote the masses in industry development, community governance, realize self management, public affairs and public welfare undertakings in the development of self service. To promote the reform of key areas of heavy water, and comprehensively promote the city comprehensive law enforcement, business, food and drug supervision system reform, reasonable the adjustment of discipline discipline inspection and supervision, procuratorate organs, quality inspection departments, strengthen the integration of industry and commerce, service functions, improve administrative efficiency; further promote reform into the right system of rural financial reform and development of collective forest, rural development and further enhance the vitality.Focus on financial integration and development of cultural construction, accelerate the pace of fast. Seize the province's heritage of Chinese civilization, Chuang Chuang District building, Dayun Temple unearthed cultural relics and Buddhist relics "Millennium" such as opportunity, efforts to promote cultural tourism integration development. Efforts to enhance the level of planning, and employ high quality planning and design units, the county cultural tourism development planning < > and < > the overall planning of the cloud temple, reported the provincial culture to enhance the coordination of regulation to promote the leading group approved in the province, the city within the province, forming a "west of Dunhuang, East * *" consensus, for my county with rich historical and cultural resources to promote the economic structure turn around, The development of the way to find a starting point. And constantly improve the implementation of the system of scenic spots, water conservation and construction of Tian exhibition hall construction, built the South Cave Temple before a square and landscape Avenue, meticulously made jade Kang Jia Wang Cun, twenty shop ecological tourism demonstration village, Wu Huan Martyrs Memorial Hall preparatory work disabilities progress smoothly and, to further improve the system of tourism attractions. Strengthen the protection of cultural relics, the temple unearthed cultural relics protection such as the focus, to carry out a full survey of cultural relics, registration, maintenance and other work, find out the county cultural relics protection and the status quo. Continue to strengthen publicity and promotion, in order to Buddha seselj "Millennium now "As an opportunity to successfully held the inauguration cum Dayun Temple Buddha relic Lian in deep mining method; mother of Queen Mother of the west culture, held the fifth cross strait Coast West Queen female culture seminar by Chinese intangible cultural heritage center initiative, the West Queen's birthday was established as the Chinese mother's day, I determine the county as the" international mother queen mother of the west culture the research base in Beijing; the success of the Gansu Buddhist Culture Research Seminar * *, established Chinese and international Fobao Holy Buddha relic research center position, CCTV and Macao and so on a number of media for the depth, resulting in extensive influence at home and abroad, visibility and influence * * * culture brand The sound is further improved.Efforts to improve the people's livelihood and social construction fruitful. Adhere to the people-oriented, pay more attention to social construction, efforts to improve the people's livelihood security barrier level. Careful measures do Huimin practical, "double", agricultural loans, and poverty alleviation development province in the practical handling of solid and effective, especially Jing Hebei road construction, the implementation of the county the 521 thread road reconstruction project, to solve the problems of the masses along the way group years of difficulties and problems, to speed up the development of the country along along conditions. Promote the overall development of social undertakings, adhere to the priority of education development, construction completion of recruit students * * 4, 13 kindergartens expansion and expansion is completed and put into use, 45 schools of food Hall fully completed, a substantial increase in the number of on-line books over the entrance general; all the full implementation of the rural health service "ten full coverage", the county food and drug supervision system for continuous improvement; regarded attaches great importance to the work of family planning, the national population and family planning interests to guide policy system construction demonstration county through the provincial inspection;; multi expansion the coverage of social security, technology, radio and television undertakings developed. Continue to deepen the "double" action, in accordance with the "village is linked industry, household income is linked to help" ideas, deepening the "not rich first help, together with the well-off society" theme of practical activities, to build a market wide wide Base platform, connection with the farmers, new farmers' professional cooperative economic organization with 121, capital cooperatives 10, first rich guide staff and poverty benefit object to establish the node mechanism, for rich people to fulfill their social responsibilities, to realize their own value to build a platform for poor farmers to get rich extension expand the ways find the starting point, for all levels of cadres to carry out work. To strengthen social governance, to construct the scientific governance pattern of society as the direction, to the township level and village level social service community management as the focus, product actively adapt to the economic structure, organizational form, the trend of diversified values Tie, and carry out the management of rural "three movement", "five independent, three cooperation" for action and "a study of three visits three" the main theme of practical activities, promoting social comprehensive governance, in-depth investigation and handling of the spear of contradictions and disputes, to crack down on illegal crime, the social stability and development to optimize the environment.Adhere to the comprehensive combination of governance, improve the level of ecological civilization. Ecological construction mode of innovation, to continue to expand the ecological effect, and strive to build the ecological brand, the construction of ecological civilization step pace significantly accelerated. Forestry development efforts of the increase, to control the key areas of green and heavy key River Basin as the focus, carefully implement the whole basin destroy, surface mountain ecological restoration, forest road facilities and villages Tuen green, complete ecological afforestation, mu, ecological barrier function is growing. The environment restoration by Ti Tianjian to accelerate the pace of construction, small watershed management, the governance and the construction of high standard basic farmland for heavy emphasis, additional land acres, national water Soil conservation ecological civilization County created by the provincial approval; in energy development and pollution of heavy industrial enterprises focus on emission reduction as the focus, pay close attention to the implementation of environmental protection measures, environmental quality improved significantly. The effectiveness of county county village of environmental governance, vigorously implement the "five force change three construction and reconstruction to carry out comprehensive renovation, village environment comprehensive improvement of the rural environment, dirty, chaotic, and poor problem in some key areas to be solved.Outstanding pioneer leader, continue to strengthen party building. The main building and development of the theme on the buckle, positive innovation carrier, and strive to build the brand, and the scientific level of Party Construction in a step by step improvement. To strengthen ideological and political construction, organization of Party members and cadres to seriously study and implement the party's general secretary of the Third Plenary Session of the eighteen and Xi Jinping series of important speech, enhance ideological and political quality of cadres and Party members at all levels of ability to lead the development of; extensive "China country dream" publicity and education, and actively promote the "harmony", "Ten Star" filial piety "of mass spiritual civilization creation and evaluation, public citizen morals and socialist core The construction of value system. The whole heart constantly strengthen comprehensively strengthen the building of grassroots organizations, to force "five hundred points" building integrated joint demonstration project, carefully build the "Jing water pioneer" brand building, earnestly carry out the exhibition "home hand in hand to build well-off dream" theme activities, and constantly improve the working mechanism of township town Party committee the base, the grass-roots party construction work was significantly improved;; set up in Germany for the first to have both ability and political integrity, and attention to conduct, advocate hard work, outstanding performance, recognized by the masses "selection guide, on the part of the Township Town, the Department team has been adjusted, so that a number of pragmatic style, outstanding performance. The masses of the public That cadres be reused;; the full implementation of village cadres remuneration growth mechanism, hiring 150 student village cadres, selected 54 outstanding young cadres to serve the village, 15 outstanding college-graduate village official in Shandong Weifang square, study tours, stimulate the work of cadres working force. Continuing to strengthen cadre style construction, the full implementation of the central "eight regulations" and the relevant provisions of province, city to beg, carry out the "effectiveness storm" actions, streamline meeting documents, reduce public official reception, strictly control three funds charges, and resolutely put an end to waste waste, actively carry out the clean room, clean car and normative appraisal standards commend Other special activities, work style continued to improve. Must strengthen clean government, strict accountability, honest government, political party cadres standards, leading leading cadres a pair of responsibility and the political conversation system, education, system, supervision and punishment as the main content of the punishment and prevention system to establish an effective, long-term mechanism of anti-corruption corruption tends to improve, to accelerate the development of the creation of a good environment.The scientific study situation, is the premise and basis of doing all the work. The thorough analysis of the situation, we feel deeply felt, at present, my county is in advance in the crucial period of reform, the transition across the reversal period, the critical period of accelerated development period, even in the golden period of economic development period, superposition the policy of opportunity, the release period after hair advantage, pressure and hope coexist, opportunities and challenges coexist. Can seize the opportunity, meet the challenge, while avoiding disadvantages, to smooth profits, to complete our duties, given the history, is a major issue to be in-depth thinking of the entire County. We should not only in Gu Qing review summary Wake up the understanding of their own difficulties and problems in the development existence, and clarify the opportunities and challenges in the macro situation, but also in the future in the development of law and to grasp and accurately judge the characteristics of order stage, actively adapt to the change trend, firmly establish the "feel, hardship, seize the opportunity to tackle, firm speed up the development of" faith, struggling to write beautiful beautiful chapter. The spectrum of a prosperous civilization and harmonious construction of the new policeHow to recognize the hardship, is to ask questions, identify the crux of the self pressure. The ancients said: "calamity, died of happiness". Facing the new situation of development, we should not only summarize the experience and results, more important is to find out the questions, recognize the gap. For many years, through the tireless efforts of the whole county my county, the economic and social development has made remarkable achievements, but in accordance with the requirements of the new situation and measure, the total economic output is small, the development, open development level is low, the crux of the problem, some of the problems restricting the development has not been fundamentally solved. One is the depth of the development of industrial agriculture is insufficient. Pass. Through exploration and practice, the team and the county cadres and the masses, and the three leading industry begun to regulate livestock scale, benefit initially apparent. But universally exist imperfect market mechanism problem, is still in the standardization of production, market operation, the initial industrialization stage. The fruit industry to expand the amount of quality and efficiency brand is facing many challenges, because in the affected area of cultivated land constraints, the scale of the surface does not have the advantage, we must strengthen management, improve the efficiency of the efforts in depth development, cultivating cluster composition articles, or in a passive situation in the region will be competitive. The animal husbandry industry still to support the project, large pile planting, Small cell model, the total size of small, large fluctuations in the market, the overall efficiency is not high. The government funded the construction of vegetable industry shed, not fully play the role of the masses of the main problems are still very prominent, narrow coverage, low, benefit. By the industry, due to location, influence, historical factors. The industrial economy is small, benefit benefit low, investment and industrial economy main index only rely on the Red River oilfield, natural fiber cotton industry and other enterprises, industrial "short board", "short legs" in the short term is difficult to be solved. It is the third industry, since ancient times is that the west is * * the gateway to Changan City, known as a drought in Eastern Gansu Wharf reputation, section third has the advantage of industry development potential. In recent years, richly endowed by nature of development practice, although Pingding Xiping railway, high-speed, west east gas pipeline and other projects have been completed, but only just play channel role, role of logistics industry development of the * * * pull action is not obvious, not due to the birth of the logistics industry system, but not very good will * * regional advantages into economic advantage. The two is the construction of urbanization is a heavy task. The county is an important joint to promote the development of county urban-rural integration and "leading". In recent years, our development in the county has done a lot of work, but because of by soilhave significant differences. Following table for Germany investigation of different traffic complete traffic (person-km) of emissions and energy consumption. On the premise

　County economic work conference leadership speech:The main task of the twenty-six session of the six plenary meeting of the county the county economic work conference this time, by the party's eighteen and eighteen Third Plenary Session of the spirit as a guide, carry out and implement the central and provincial economic work conference on rural work conference and the three session of the seven plenary session of the party to expand the spirit of the meeting, the total summary of last year the work, analysis of the current situation, the deployment of this work, further strengthening the development of consensus, to mobilize the whole county county, deepening reform and innovation, to work against poverty, accelerate the transformation of leapfrog, promote scientific development, struggling to write a new harmonious beautiful mountains and show a prosperous civilization to build a new building. The following chapter * *, according to the county Discussion of the views of the Standing Committee, I focus on four aspects of the problem:* * * years, the county to seriously implement the central decision-making arrangements and real, in accordance with the "high position, as a typical tree, catch catch up with speed for a breakthrough, five in one overall grasp to raise human resources to promote overall leap", firmly grasp for the project, investment, industry, structural adjustment, Emegumi Mio, promote harmony, agency the county economy presents the social development to catch up, are balanced development, promote the overall, a good momentum of sustained rise.According to Article 11 priority, economic construction full speed. Focusing on the development of this priority service, set up the market idea is constantly refined, can the implementation of major projects, efforts to expand the investment, vigorously develop the non-public economy, to ensure the continuous healthy and rapid development of the county economy, investment in fixed assets investment, industrial added value. Fiscal income, per capita net income of farmers and other major economic indicators maintained two digit growth. According to the "3341" project engineering, proved reserves pre project 4744, * * 4, for central heating in the west, the South Cave Temple landscape Avenue, oil oil road lifting column ten key counties Project smoothly, investment projects to promote the transformation of the pull, supporting further highlights the role; to promote in Honghe oilfield Mton construction, careful implementation of natural fiber cotton industry a reconstruction and expansion of the two phase, Huarun home ceramics, ceramics, Zhengda feed class three, class 44 full load keep the production, operation and sales booming, the cotton industry has become the city after the coal transport and one employment value-added industry; Xiping railway through infiltration through operations, Jing Road opened to traffic vehicles, further highlights the * * traffic hub; Longyuan red fruit trade company successfully introduced, for the first time now * * fruit Direct export; is a production company 300 thousand tons of feed production line, Yurun Group * * broiler breeding district built colonization production, forming a "" company + farmers "model of development, in promoting the transition to farming aquaculture has taken a solid pace; vegetable industry focus management promotion and marketing docking. Rui Jing River area, vegetable mould scale continues to expand, Wang Rui Feng, and other heavy key towns" village village layout, sudden breakthrough "strong momentum; Yudu Kang family, Wang twenty shop center village construction into the industry, ecological, cultural, tourism and other factors, the tour group construction community management, Set a benchmark for the new rural construction, the construction of new rural county in the two end of the pilot beam to keep the innovation and enhance the momentum.To accelerate the reform and innovation, political construction steadily. The reform and innovation as the core of the heart, coagulation unite together in political construction, to create a good environment for the county's development. Constantly improve the working mechanism, support people's congresses, governments, CPPCC Standing Committee work, to further improve and perfect the sub division of responsibility, the full implementation of the county led the pack leader catch the township, contact departments, corporate responsibility system; establis