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醫院義診范文1
9月21日,為落實中央“不忘初心、牢記使命”主題教育和脫貧攻堅決策部署,慶祝第二屆中國農民豐收節。按照縣衛健局安排,我院在西湖公園廣場舉辦了“服務百姓健康行動”大型義診活動。
由副院長崔同躍帶隊,醫務科、護理部、藥學部、宣傳科、老年病科6名醫護技人員,攜帶心電圖檢測儀、血糖檢測儀,圍繞“守初心、解難題、助扶貧、慶豐收”主題,免費為就診群眾量血壓、測血糖,了解病情、詳細查體、制定診治方案,并耐心細致地就老百姓咨詢的健康疾病問題進行講解,對日常保健、常見病、多發病的預防進行指導,幫助其掌握基本的健康保健知識,開展了歷時一上午義診活動。
9月23日,醫院行政黨支部由副院長秦龍洲、支部書記孫富強帶隊,組成10人義診團隊到東徐社區開展“服務百姓健康行動”大型義診活動。為社區群眾免費測量血壓、血糖、心電圖,開展常見病、慢性病的咨詢、診斷,普及醫學常識和健康知識,受到了一致好評。
醫院義診范文2
黃潔夫----全國政協常委、原衛生部副部長黃潔夫接受了記者專訪,他認為社會辦醫是深化公立醫院改革的關鍵。
讓窮人能夠看得上病
黃潔夫去年開始擔任全國政協教科文衛體委員會副主任,文衛體委近年赴六個省市進行醫改調研發現,城市大醫院門庭若市,門診量超萬人的醫院數目大大增加,“老說‘小病在社區,大病去醫院’,可老百姓哪知道什么算小病啊,多數人得了病要么就不看醫生,要么往大醫院跑,不相信社區醫院能看好病,一些基層醫院又沒有高質量的醫生下去,靠單純‘收支兩條線’,難以調動醫務人員積極性。甚至好的人才都往大醫院跑,導致不少縣醫院人才危機,這種情況在西部地區更為嚴重?!?/p>
黃潔夫說,面對紛繁復雜的醫藥利益博弈,通過調整醫療服務價格,政府財政補貼等措施并不能破除“以藥養醫”的頑疾,近些年醫院又出現了以“檢查費用”補醫、“過度醫療”等問題。與此同時,公立醫院資源配置極不合理,東西部之間、城鄉之間的差別很大。
另一方面,黃潔夫認為我國醫院當前面臨的另一大問題就是缺乏公益性。
針對以上現實,黃潔夫認為三中全會決議指明了方面:“鼓勵社會辦醫,優先支持舉辦非營利性醫療機構,社會資金可直接投向資源稀缺及滿足多元化需求服務領域,多種形式參與公立醫院改制重組”。
“這樣可以讓一部分公立醫院變成真正的公立醫院,由政府全包起來,為老百姓提供基本的醫療衛生服務,同時公平公正,特別是窮人能夠看得上病,救得了命,這就是真正公立醫院。同時令一部分醫院到市場上去,市場配置起決定性的作用”。
允許醫生“多點行醫”
“必須要允許醫生多點行醫”。黃潔夫認為,通過市場配置發展公益性社會醫療,就一定要解決人才資源進入民營醫療機構的問題?!搬t生要從單位人變成社會人,變成自由流動,醫改才能成功?!?/p>
醫院義診范文3
老醫生先出埸說;千年人參能大補,虎骨鹿茸可強身,再加上枸杞子泡白酒,哈哈!真美。不過你每次可別喝太多了喲。老夫我今年八十八啦,人一老了,就想積德行善,這不,如今醫療站進社區,我也湊熱鬧在旁邊開了個義診所,免費診病開藥方,也算是給父老兄弟姐妹和百姓做點貢獻吧。
一中年病者上埸說;我叫潘伍兵(盼無病)人家都叫我病秧子,每年去醫院看病花了不少錢,身體還是不行,聽說社區新成立一個義診所,免費看病還給出方子,真不錯,我去看看。
中年走到老者面前說;是您老開的義診所吧,我今天到您這來看病。
老者;好啊,你哪里不舒服,說出來,根據病情我再給你開方子。
中年;是胃病,一旦發作,腹部就疼痛,經常吃不好飯,折騰的我也沒人形。
老者;藥房有很多種治胃的藥,可選適合你的病癥來服用,什么胃必治,胃貼靈,等都可治療和緩解疼痛。
中年;這些年我看病錢都已用盡,留下點生活費,哪還有錢買藥和看病,行行好,您老給出個省錢的方子,還能緩解我的病情,只要讓我胃不痛就行。
老年;那我就給你開個方子吧,你叫什么名?
中年;潘伍兵。
老者;什么?盼五丙,還胡六條呢!就你這條件還玩麻將,且不說你經濟條件不允許,身體也抗不住瞎折騰。
中年;您老誤會了,我要說也說不清,我給你寫出來,你老就知道叫啥名。
老者;(看了紙上的字后)說;啊,是這名,父母怎么給你起這個名啊?
中年;我自降生,身體就軟弱,父母擔心,盼望我長大后身體健康,就取了個與字意同音的(盼無病)的名,沒辦法,老天爺也不可憐我,到現在還是一身病。
老者;是夠命苦的,行啦,我開方子吧;用紅皮雞蛋殼二十個,放在瓦片上加火焙干,之后把它研成細末,用紅糖水服用,每次飯前服一小勺,一日一次,服完為止。即可見功效。此方非常珍貴,同時對補鈣和軟骨病都有很好的療效。
中年;我還有高血壓病,血壓一上來,頭暈眼花,站不穩,立不定。
老者;這個處方我給你開的是;海帶二兩到三兩,用開水泡成海帶湯,泡二日后,每天晨起空腹喝一杯,連服數日即可,海帶能快速恢復血壓正常。再有一個方法,就是;把燒好的開水放入小蘇打2——3勺泡腳20——30分鐘,降壓效果也非常明顯。
中年;這可太好了,你老有這么高的醫術,到哪都能掙高薪,怎么還在這里白忙活?
老者;我 的退休養老金夠花了,掙那么多錢干嗎!我生是潔身來,去時凈身走,用自已一技之長,為大家造點福吧。
中年;您老家中還有什么人哪?
老者;我家世代單傳,以前有個兒子,二十歲當兵,復員回來后,就到消防隊工作,還沒等成家,在一次救火中,為了保護國家財產和其他人的生命安全,就獻身啦,老伴急火攻心,不久也離開人世,我現在就一個人,在社區敬老院養老,安度晚年吧。
中年;那你怎么不再找個老伴?一個人多孤單啊!
老者;這么多年都過去了,還找啥老伴,就一個人現在也挺好,自已吃飽,全家不餓,行動自由,沒人干涉,不缺吃,不缺喝,想到哪去沒人管,賽過活神仙哪!
中年;您老真是心胸寬廣,兒子為公殉職,那政府不管嗎?
老者;政府多次關懷我,咱哪能給政府添麻煩,現在不也是很好嗎!
中年;您老思想境界就是高,我向您學習,向您致敬!
老者;怎么,方子已經開完啦,你咋還不走?
中年;不好意思,我還有一個難言之隱的毛病,沒跟您說。
老者;做為醫生從不諱忌,你有什么難言之隱,說吧。
中年;因我居住條件不好,屋內潮濕,得了瘙癢之癥,能不能再開個方子?
老者;我以為是什么大病,你這病也屬于一種炎癥,你回家后,用白礬研成細末,溶入米醋之中,洗滌患處,很快止癢消除炎癥。
中年;今天到您這來看病,真是來對了。到現在還不知您的姓名,請問,您老怎么稱呼?
老年;我姓高,字明一,以后要有什么事,盡管來找我。
中年;高名醫,好,這個名字好,高,就是高大,字名醫又是您的本行,不愧是有知識,有學問,我得好好和周圍朋友宣傳宣傳。
老年;你理解錯啦,明字,是天明的明,明了事非的明,明暗的明,不能叫做名醫的名,你的明白?
中年;哈伊!我的明白。
老年;一是,一二三的一,一心一意的一,一心為公的一,專心一致的一,一心不可二用的一,不能叫做名醫的醫,明白?
中年;哈伊!小的明白。
老年;好啦!別再說笑啦,要不過一會兒,咱們都要變成日本人了。
中年;不管怎么說,我今天到您這來,收益非淺,以后我會想法報答您。
老年;不用啦,給人治病是我的天職,免費治病開方,就是想多積點陰德,甘心情愿,也不需要什么報答,只要人人健康,無有疾病痛苦,都能為咱們國家建設多做貢獻,我就心滿意足了。也算我沒白來到這個世界上一回吧。
中年;您老身體這么好,精神喚發,活一百五十歲也沒問題!
老者;自古以來誰無死?你說我能活一百五十歲,那不成老怪物啦!能活一百歲就知足了。
中年;那可太少啦,象您這樣的心善對待人,一定會有好報的。
老者;順天意吧,閻王爺讓你三更死,就決活不到五更天,生死輪回,任何人也逃不出這個規律,人哪,在有生之年,能為他人做一些有益的事情,上不愧天,下不愧地,世間不愧于人民,這才是我們的本份哪。
中年;經您老這么一開導,我也有些懂啦,一個人無論在世上活多長時間,都要珍惜生命,為人類美好事業,貢獻出自已的全部,我一定在您的精心調理下,自已重振信心,擺脫這個病秧子,也早日為國家四化建設貢獻力量。
老者;好哇!戰勝疾病也要有信心,我誠摯的盼望你早日康復身體,讓我們共同為國家的壯麗事業,邁開大步前進吧!
中年;高醫生,你聽,社區廣播站正播放《讓世界到處充滿陽光》的歌曲聲!
醫院義診范文4
社會實踐可以為社會貢獻力量的同時增強自己的實踐經驗。經人介紹,我來到了江蘇省射陽縣中醫院進行為期半個月的門診導醫社會實踐活動。江蘇省射陽縣中醫院是一所集醫療、預防保健、計劃生育、科研、教學、急救和社會服務為一體的現代化綜合性醫院。我從小在中醫院附近長大,對醫院的科室分布、就診流程等有一定的了解,并且在護士姐姐的指導下,我們很快的就熟悉了導醫的服務流程及一些注意事項。
導醫是患者對醫院的第一印象,其言行舉止、服務態度和工作表現直接影響患者對醫院的總體評價。導醫的職能有:迎賓、禮儀、咨詢、導診、分診。導醫要以“天使般的微笑,空姐般的規范化服務、賓館式的服務熱情,用精湛的專業知識和技術”,全程的為患者服務。導醫的宗旨是以病人為中心,以真情換理解,以微笑亮窗口,以服務贏聲譽。起初對于這些專業知識我還不是很熟悉,但是我還是決定用心學習爭取把這些都做到。
導醫簡介
導醫服務就是引導患者到相關科室就醫的服務。一般情況下,患者對醫院的科室分布、就診流程、診療特色、及醫生的專業特長等并不了解,有些疾病需要把握看病時機,甚至掛號,預約專家等,以及需要準備哪些資料、合適的診療時間,實際上,造成看病難的因素盡管很多,但很多時候是由于患者本身對看病程序缺乏了解造成的,而專業的診前咨詢和指導,可以讓各位患者少走彎路。
導醫代表著醫院的整體形象。導醫的形象、氣質、服務、言語、行為很重要,導醫的服務好與壞,直接關系到患者及其家屬來院就診產生第一印象的好與壞,所以導醫的形象至關重要,她們的形象就是醫院最直接的宣傳。
導醫的宗旨
以病人為中心,以真情換理解,以微笑亮窗口,以服務贏聲譽。
導醫的目標
熱情、溫馨、親切、周到
服務重要性
導醫代表著醫院的整體形象。導醫的形象、氣質、服務、言語、行為很重要,導醫的服務好與壞,直接關系到患者及其家屬來院就診產生第一印象的好與壞,所以導醫的形象至關重要,她們的形象就是醫院最直接的宣傳。
常用交談用語
問好類:歡迎、歡迎您、您早、早上(中午、晚上)好。
道歉類:請您稍候、讓您久等了、對不起、實在對不起、抱歉、實在抱歉、請不要著急、慢慢說,有事我會盡力幫助您的。
接待類:請問,有什么需要幫助嗎?請到這來、您哪里不舒服、我馬上就過來,讓您久等了。
引領類:請跟我來、這邊請、請向左拐,向右拐。
道別類:不用客氣、這是我應該做的,請您按時服藥、有疑問隨時和我們聯系,請您按時來復診、慢走、祝您健康、祝您早日康復!
常用的稱呼用語:
一般稱呼:先生、小姐、女士、同志、師傅、老大爺、阿婆、老伯、阿姨、小朋友。 特殊稱呼:首長、經理、主任~~
導醫的基本職責
熱情迎候病人,遇有行為不便的老人、重病人以及殘疾人,要主動攙扶就診,同時關照其它部門給予照顧和幫助。
詢問病人掛號情況,做好初、復診病人的登記工作。
為不識字或看不清字的病人填寫病歷封面,指導就診。
按照病人分診點,把病人引導到專家就診處。如不能及時就診,出現排隊現象,關照病人,請稍候。
關注專家就診情況,隨時依次叫號,引導病人就診。
應掌握大量的專業知識和醫院各科的信息,盡可能解答病人提出的問題。在病人向我們提出要求時,導醫要全神貫注地傾聽,盡量滿足病人的要求,盡力去幫助每一個病人。有問必答,百問不厭,使病人滿意而歸。導示病人就診、檢查、取藥路線。
保持大廳工作秩序,衛生整潔,及時為病人提供方便。
導醫臺要備有飲用水和一次性水杯,供病人使用。
要奉獻愛心、語言規范、態度和藹,釋疑解難,舉止端莊,行動快捷。
作為最前沿的服務人員,在任何情況下都不能急躁,更不能沖病人、諷刺、挖苦和譏笑病人。即使是由于病人態度不當引起或是我們有理,也不得與病人爭辯,更不允許舉止魯莽、語言粗俗,或耍脾氣。
我認為,作為導醫最重要的還是做到正確分診,分診依據:患者要求,簡單問診。做到分診合理,分科準確。這就要求我們知道每個醫生的專業特長,疾病對口。剛開始接觸這個工作的時候,我們通常會忙得手忙腳亂而且還不一定能夠做好。在那有一定工作經驗的護士姐姐了解了我們的難處后就讓我們做另外那些相對簡單的工作,例如:主動接待一些殘疾、高齡、身體虛弱的患者,優先安排檢查、治療;將分診后的病人帶到相應的就診科室;對行動不便的患者主動上前攙扶;經常巡視大廳,免費為病人提供開水及一次性水杯。我們除了負責保持導醫臺周邊的衛生整潔外,還應該保持走廊、大廳的衛生和飲用水的更換及水杯的供應。如某處的衛生出現贓污的情況,應及時通知保潔員。最重要的還是接待患者時要積極主動,熱情大方,有問必答,耐心解釋患者提出的各種問題。
體會總是源于實踐,在中醫院當導醫,算是再一次涉獵醫院的經歷吧!期間,我見識到了什么是看病難,什么是看病貴。心里頗多感受,首先,就親身經歷而言,對中醫院的看病難問題說明。一方面,中醫院是一所集科研、醫療和教學為一體的綜合性的二級甲等醫院,這就要求它統籌兼顧,各個重點難免會產生沖突。舉個例子來說,在此次導醫工作期間,聽一位看病老奶奶說,她千辛萬苦從外地趕來就是要掛某某醫生的號,可是他的掛號卻在排隊,由于事先不知道醫院的掛號體系,她又不得不先預約后,改天再來??墒堑却牟皇谴酸t生,卻是換了另外一名醫生,這讓她心里很不痛快,想進診室問個明白,“可惡”的護士小姐不讓進,對她解釋說,醫生要教學生上課,暫時有另外一名醫生代勞。醫生不來她也沒辦法,只好勉強同意。事情就是這樣,在學生和病人之間往往難以抉擇,所以往往會顧此失彼。另一方面,病人也是導致此類事情經常發生的重要原因。盲目的迷信老人專家,一級專家。大家伙同時去搶一級專家的號,怎么會不增加醫生和醫院的工作負擔呢?還有就是,病人本身對信息把握不夠,對醫院各種體系的不了解,也是導致此類時間的重要原因。當然,要解決這些矛盾,還需要醫院、社會以及媒體等各方的幫助。、這就是我在這次導醫工作中的感悟和認識,當然導醫所獲的認識肯定是片面的、不全面的,我還需要更多的時間和實踐去了解和認識這個社會。
醫院義診范文5
【關鍵詞】鄉鎮醫院感染;現患率;調查
【中圖分類號】R181 【文獻標識碼】A 【文章編號】1004-7484(2013)05-0508-02
感染的現患率調查是指在特定時間內對某一特定的人群的感染分布狀況進行調查,從而了解醫院感染發生與影響因素的關系,同時也可通過調查進行比較找出鄉鎮醫院存在的問題。對我院2011年全年臨床科室進行了醫院感染現患率調查,現將調查結果進行統計分析,報告如下。
1 資料與方法
1.1 對象 2011年全年所有臨床科室的住院病歷1571份,包括出院、轉科、死亡的患者。
1.2 方法 臨床醫師報告和醫院感染科人員對出院病歷進行回顧性調查相結合,填寫統一的醫院感染病例報告卡及醫院感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染登記表,進行匯總、統計、分析。
1.3 診斷標準 按衛生部2001年頒布的《醫院感染診斷標準》判斷是否為醫院感染。
1.4 統計學處理 應用spss 11.5軟件進行統計分析,計數資料采用χ2檢驗,P
2 結果
2.1 醫院感染現患率 2011年全年住院患者共1571例, 其中,男889例、女682例,年齡最小5個月,最大86歲。發生醫院感染137例,感染率為8.72%。醫院感染現患率高低的科室依次為呼吸內科、兒科、外科、消化內科、婦產科,現患率分別為11.24%(48/427)、9.47%(39/412)、7.27%(21/289)、7.03%(18/256)、5.88%(11/187)。
2.2 感染部位分布 發生感染部位主要是呼吸道86例(62.77%);傷口22例(16.06%);泌尿道10例(7.30%);消化道8例(5.84%);婦產科7例(5.11%);其他4例(2.92%)。
2.3 抗菌藥物使用率本次調查1571例,有892例使用抗菌藥物,抗菌藥物使用率為56.78%,其中治療性使用抗菌藥物633例(70.96%);預防性使用抗菌藥物259例(29.04%);抗菌藥物以一聯用藥較多562例(63.00%);二聯用藥255例(28.59%);三聯用藥75例(8.41%)。
3 討論
3.1 醫院感染發生狀況 全年的監測資料匯總分析表明我院年醫院感染率為8.72%,高于文獻報道[1]。發生醫院感染率高低的科室依次是呼吸內科、兒科、泌尿科、消化內科、婦產科。呼吸內科是我院醫院感染率最高的科室,分析其增原因可能是呼吸道感染是鄉村最常見的感染性疾病,而急病后多數患者就診晚且病情較重有關。而兒科疾病所占比例居第二位,符合鄉村疾病譜的發病規律。
3.2 全院抗菌藥物的應用中,多數為一聯用藥,一聯、二聯、三聯藥物使用率分別為63.00%、28.59%和8.41%。其中二聯、三聯用藥比例較高,分析其原因可能與醫師對抗菌藥物使用的適應證掌握過寬,還有對抗菌藥物應用知識貧乏以及經驗用藥有關,值得今后重視。
3.3 醫院感染的危險因素 通過本次調查資料分析表明我院醫院感染的最主要因素是濫用抗生素[2]。衛生部要求醫院抗菌藥物使用率
3.4 控制醫院感染對策 鄉鎮醫院由于技術相對落后、實驗設備缺乏、醫療條件差等原因,感染控制成為醫院工作薄弱環節。因此在今后的醫院感染管理工作中,需做到:(1)建立和完善醫院感染管理制度,使感染管理工作有章可循,促進各項工作順利落實。(2)加強對醫師抗感染藥物合理應用知識培訓并定期考核,落實抗感染藥物應用制度,提高使用抗感染藥物的水平。同時,宜采用多種手段提高病原學檢查率,按照病原學檢查結果,促進抗感染藥物使用的合理性使用。(3)進一步加強消毒、滅菌、隔離及規范醫護人員的無菌操作,使醫院感染管理工作更加規范化、科學化。
總之,加強抗菌藥物合理使用,健全制度,管理到位和強化培訓等多方面措施,是有效地預防與控制醫院感染的關鍵。
參考文獻:
[1] 徐秀華,吳安華,易霞云,等.臨床醫院感染學[M].第2版.長沙:湖南科學技術出版社,2005:1.61.
[2] 張曉云.醫院感染管理中的主要矛盾與化解策略[J].中華醫院感染學雜志,2011,21(12):2534-2535.
醫院義診范文6
一、總體要求
以科學發展觀統領全局,以“服務好、質量好、醫德好,群眾滿意”為目標,以科室人員高素質、服務高質量、管理高效率為主線,強化教育培訓,實施各類主題實踐活動,促進全院的文明素質、服務能力和作風建設水平再提高、再跨越,實現我院全年工作任務與目標提供有力保障。
二、工作目標
“三好一滿意”既是對衛生行業自身的工作要求,也是對每一位醫療衛生工作者的基本要求,又是本次活動開展需要達到的目標。
(一)服務好:改進服務態度,改善群眾看病就醫的感受,優化服務流程,方便群眾看病就醫;實行公開透明服務,保障群眾看病就醫的知情權;加強醫患溝通構建和諧醫患關系。
(二)質量好:認真抓好醫療質量安全各項制度落實,增強醫療質量安全責任意識;嚴格規范診療服務行為,推進合理治療、合理用藥、合理檢查;大力推進臨床路徑,促進醫療質量科學管理;加強醫療技術和設備臨床應用管理保證醫療質量安全和患者權益。
(三)醫德好:加大醫德醫風教育力度;加強制度建設,健全完善醫德制度規范;堅決查處醫藥購銷和醫療服務中的不正之風嚴肅行業紀律。改進作風,依法行醫,真情服務,廉潔自律,務實高效,認真兌現社會服務承諾,為社會、為患者提供優質、高效、便捷的服務。
(四)群眾滿意。落實便民利民措施;認真做好患者滿意度調查;全面開展民主評議醫德醫風讓社會滿意。實現各部門、各科室形象有新改善,患者感受有新變化,社會、患者滿意度有較大幅度提高。
三、活動內容:
(一)改善服務態度,優化服務流程,不斷提升服務水平,努力做到“服務好”
“服務好”是醫療衛生工作宗旨和作風的體現。醫療服務要堅持以人為本,牢固樹立“病人第一、質量第一、服務第一”的理念,切實增強服務意識,改善服務態度,改進服務模式,優化服務流程,提升服務水平,努力為患者提供全程優質溫馨服務。
1、優化服務流程,方便群眾看病就醫。要重點抓好掛號、收費、藥房、門診等窗口,從制訂方便群眾就醫的業務流程、符合病人需求的工作制度入手,設立住院處歸口住院病人管理,優化服務流程,改善服務設施,美化服務環境,方便病人就醫,縮短病人等候時間。
2、實行公開透明服務,保障群眾看病就醫知情權。加強醫院信息化建設,通過多種途徑和渠道為群眾提供科室布局、科室特色、專家信息和出診時間、診療流程等醫療服務信息,方便群眾就醫選擇。定期向社會公開醫藥費用信息,努力提高收費公開透明度,使群眾看病就醫明白消費。
3、改進服務態度,改善群眾看病就醫感受。要繼續堅持“以病人為中心”的服務理念,把用心溫馨優質服務貫穿于醫療服務的全過程。要創建“人民滿意窗口”,改善窗口服務,努力做到服務態度良好,積極倡導服務文明用語,堅決杜絕服務禁語,杜絕生、冷、硬、頂、推現象。醫務工作者要切實增強人文關懷意識,大力倡導人性化服務,處處體現人文關懷,努力提供溫情的服務,提高服務技巧和效用。
4、加強醫患溝通,構建和諧醫患關系。充分尊重和維護患者的知情權、選擇權,多與病人進行一些感情溝通,體恤患者的痛苦,同情患者的困難,尊重患者的想法,打消患者的顧慮,努力讓患者獲得身心的健康,真正做到尊重病人、關愛病人,為患者提供溫馨、細心、愛心、耐心的服務。暢通投訴渠道,認真落實醫療投訴處理辦法,實行首訴負責制,建立和完善醫患溝通制度,及時受理和處理病人投訴,定期收集病人對醫院服務中的意見,及時改進。
(二)加強質量管理,規范診療行為,持續改進醫療質量,努力做到“質量好”
1、嚴格規范診療服務行為,推進合理治療、合理用藥、合理檢查。嚴格執行《處方管理辦法》、按藥品通用名開具處方制度和處方點評、處方公示制度,堅持醫院藥品用量動態監測和超常預警制度、抗菌藥物分級管理制度,加強對藥品使用的管理和監督,嚴格規范醫生處方行為,促進合理治療、合理用藥。4、加強醫療技術和設備臨床應用管理,保證醫療質量安全和患者權益。醫務人員要牢固樹立正確的人生觀和價值觀,樹立質量第一的意識,把主要精力放在學習業務、鉆研技術上,對技術精益求精,要“人人講學習、個個比技術、積極搞科研”,爭當提高醫療技術的排頭兵,爭當精心治療疾病、刻苦鉆研醫術、忠實為人民群眾服務的好醫生。
2、認真抓好醫療質量安全各項制度落實,增強醫療質量安全責任意識。以醫療質量為核心,切實加強醫院內部管理和基礎醫療質量管理,繼續強化臨床??颇芰ㄔO和醫務人員“三基三嚴”培訓,注重質量檢查和考核,狠抓醫療服務過程中重點環節、重點區域、重點人員管理,持續改進醫療質量。要嚴格執行各項診療、護理技術規范和常規,切實在實際的診療和護理行為中加以落實,發揮其應有的作用。
(三)加強醫德醫風教育,大力弘揚高尚醫德,嚴肅行業紀律,努力做到“醫德好”
1、加強制度建設,健全完善醫德制度規范。建立醫療衛生機構從業人員行為準則,明確醫、藥、護、技各類從業人員行為規范。要繼續認真抓好醫德考評制度的落實,進一步細化工作指標和考核標準,促進醫德考評標準更加科學、程序更加規范、方式更加有效、結果更加真實、真正建立起對醫務人員有效的激勵和約束機制。
2、繼續加大醫德醫風教育力度。要堅持以正面教育為主,通過多種形式,深入開展宗旨意識、職業道德和紀律法制教育,警示教育,利用身邊事、身邊人以案說法、以案說紀。
3、堅決查處醫藥購銷和醫療服務中的不正之風案件,嚴肅行業紀律。要進一步深化治理醫藥購銷領域商業賄賂工作。
(四)深入開展行風評議,積極主動接受社會監督,努力做到“群眾滿意”
“群眾滿意”是醫療衛生工作的出發點和落腳點,是衡量我們工作的最終標準,也是我們開展“三好一滿意”活動的初衷和目的。
1、認真做好患者滿意度調查,贏得患者滿意。在“三好一滿意”活動中,要廣泛組織開展患者滿意度調查,真實全面反映患者意見和建議;調查對象要全面,通過對出院病人電話回訪、對住院和門診病人現場調查,關注患者感受,聽取患者意見;盡可能地使調查客觀、真實;調查結果運用上,要注重患者意見,重視調查結果,積極落實整改,切實促進醫療質量和服務水平的提高,贏得患者滿意。
2、落實便民利民惠民措施。首先針對群眾在看病就醫中反映的一些突出問題,落實便民利民惠民措施,讓群眾能感受到醫院發展帶來的實效,為群眾提供安全、有效、價廉、便捷的醫療服務。
要通過“三好一滿意”活動,凝聚人心、振奮精神,提升服務水平,提高醫療質量,保障醫療安全,改進醫德醫風,促使各方面的工作在原有基礎上有新的提高,把醫院的各項工作推向新階段。
四、實施步驟
第一階段(月30日-月31日):宣傳動員階段。開展宣傳啟動工作,讓全院廣大干部職工了解三好一滿意”活動的重要意義和目的,充分調動廣大干部職工的積極性、參與性和創造性,努力營造各級重視、全員參與的濃厚宣傳氛圍。