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医疗质量、医疗安全与人民群众的利益息息相关，也是医患关系的中心，医院管理的核心。提高医疗质量、确保医疗安全是一个不断提高、持续改进和完善的过程，需要建立强化管理的长效机制。转变服务理念，建立和完善管理的长效机制，持续改进医疗服务质量，从整体上提高我国医院的管理水平。在提高医疗服务水平、保障人民群众健康，维护人民群众利益等方面，取得更大的成效，为全面建设小康社会，构建社会主义和谐社会贡献更大的力量。加强医疗服务的规范与管理，提高医疗质量，确保医疗安全是医疗管理的核心内容和永恒主题，在总结了原来工作的基础上，医政司进一步提出“建立和完善国家医疗质量保证和持续改进体系”建设。加强辅诊质量控制 对医技科室，我们要求做到检查及时、操作规范、结果准确、报告质量高。医院制定了“辅诊质量评价标准”，定期、不定期对医技科室工作流程、操作规程、报告质量、室间质控、会诊制度进行检查，对仪器保养、医学计量进行抽查。建立临床专家信息反馈、会审制，组织年轻临床、医技科室医师互相轮转，以提高辅诊质量和鉴别诊断能力。除了对医院管理进行检查和监督，包括对市场、医疗机构和人员的检查和监督，以及对服务全过程的监控。对违法违规的行为，及时查处。发现问题，随时反馈到控制系统和准入系统，指导我们制定政策，修订有关的法律法规、部门规章。 译文 Medical quality and medical safety is closely related to the interests of the people, also is the center of the doctor-patient relationship, the core of hospital management.Raise health care's quality and ensure medical safety is a process of constantly improve, continuously improve and perfect, the need to build a long-standing mechanism to strengthen management.Change service concept, establish and perfect the management of long-term mechanism, improve medical service quality, improve the management level of hospital in our country as a whole. In improving medical service level, safeguard people's health, and protecting the interests of the people, etc., make greater achievements, for the comprehensive construction well-off society, building a harmonious socialist society contribute to greater strength.Strengthen and standardize the medical service management, raise health care's quality and ensure medical safety is the core content of medical management and the eternal theme, on the basis of the original work are summarized, the department further put forward \"set up and improve the national health care system of quality assurance and continuous improvement\".Strengthen the auxiliary diagnosis of medical quality control department, we check it in time, results of operation specification, accurate and high quality. Hospital has established \"the auxiliary diagnosis quality evaluation standard\", on a regular basis, not on a regular basis for medical department work process, operation procedures, reports, quality check, room between quality control and consultation system, spot check of instrument maintenance, medical measurement. Establishing clinical expert system of information feedback, came, organization young clinical, department of medical doctors turn to each other, in order to improve the quality of auxiliary diagnosis and differential diagnosis ability.In addition to the inspection on hospital management and supervision, including the market, medical institutions and personnel inspection and supervision, as well as to service the whole process of monitoring. Illegal behavior, investigation in a timely manner. Found the problem, feel free to feedback to the control system and access system, guide our policies, revised the relevant laws and regulations and departmental rules.
开心准新娘
Chinese medical destroyed by "political"Medical problems of any country in the world, is not like China is complex, the doctor-patient relationship, are not nervous like China, everyone views on health care, the more management problems, the reason is what?"Medical problems have been politicized" and the political focus is "medical ethics".If not be politicized, involving 1.3 billion people benefit health reform, the government should put the people free to see the doctor treatment, become "own money see a doctor", the commercialization of the common people rather than nobody accountable government, almost one-sided follow reporter called doctor devour their health benefits, and the reason is "decay" medical ethics. Which country in the world can be so beautiful?Political conflict is also a kind of thoughts and interests, once the introduction of "politics", view of the problem will also deviates from the objective and fair, both doctors inevitably become antagonistic against, it is difficult to reconcile.So countries in doctor-patient talkative quarrel, which can be saved each year september-a huge swing from 6% medical costs, become the largest beneficiaries of reform results can not "see a doctor expensive"? Many years no investment medical construction, can not "see a doctor difficult"?Political thinking influenced the people, the judgment of objective problems, makes people believe that health care (medical) metamorphic ideas are all doctors, so contradictory to transfer caused by the inadequate investment, doctor and patient rapidly.Political thinking makes people easy to extreme, like during the cultural revolution believes that "right" is to plot the counter-revolutionary, attitude toward a common medical problem, people are prone to rise to the problem of "medical ethics". An ordinary medical events, extremely easy jeremiahs to relationship.And major problems in the industry to him or accident, can be understood as "accidental" calmly, the prohibition of corruption can be understood as "individual" and a bright future; While on a handful of doctors medical errors as a group of "medical ethics decline," the doctor's red envelope rebate amount is small, but more hated.At this point though medical tube department has publicly declared health care to the society the cause of the failure: is "system problem", "investment", "resource allocation is not reasonable... Should be detailed to solve. Can be in the network has one remained stubbornly think that don't change the doctor medical ethics first, countries increase trillions of investment, establish how many hospitals will be "white". And the medical tube department is also confused always specialize in the medical ethics education, more firm the confidence of the people.Why so far? Only in this way medical contradiction can be able to transfer, can be accountability from the relevant departments, at the same time won the correct time, need not for processing, as long as medical ethics education can won a standing ovation!But the price is great, the doctor-patient relationship nervous, frequent medical alarm; To relieve the contradictions of an old for and create several new contradictions, the rust problem set; New reform also delayed, and the reform has to be "political thinking" to avoid residual wound like zongzi old medical system and the peripheral and not ill think of some way to prevention.The past education career and the medical industry today, also been journalists to politicized, teachers situation like today's doctor: attention, media report every day, the teacher always scolded, the root of all the education problems are also pointing to teachers "virtue". Real objective contradictions unimportant, to make "virtue education" problem more and more...Until one day, the media reporters released off the mouth of the education, to health care industry. So to return to the rational education industry, and earnestly execute specific contradictions and problems accumulated over the years, education industry was able to get better!(2) medical problems how to bring the "political" glasses?Medical problem can be politicized in China, health systems must have the responsibility to itself, and our country also has the profundity of "development" in the political movement. But Chinese media reporters, fanning the flames, take more indelible merit!This Chinese journalists don't admit, is unconvinced: "this is a plant, we have to report the news freedom! Citizens have rights to know medical truth!"These words are like American CNN is so defended. But they, when reporting on China news is always biased, a rumor. Everything they will pull on the "human rights", make the average Chinese social problems were "politicisation", let the do not know much about China's international reviled "there is no human rights", for China in the international community.While Chinese journalists reported for more than a decade in medical event, actually not clear reason, all things are to go to pull on "medical ethics", make common medical problems were "politicisation", let people do not know much about the medical industry in reviled "decay" medical ethics, doctors to stand on.Can such as CNN, "the Olympic torch relay" interference from China, that is the Chinese "goons and thugs"; And Chinese journalists can pretend to be "sample" and with "tea", to the hospital to check, several hospitals reported the results of urine analyzer: inflammation! Can they learned about - Chinese doctor inflammation of "medical ethics". For decades, such as these, too numerous to list.This is "DE inflammation" or "inflammation" medical ethics? This is approved for use, specially check urine instruments, like counterfeit detector, even if you press head test, it also said "this is counterfeit." Even on our instruments in U.S. hospitals, will be when the urine to test, definitely check out is tea.China's health care reform is "touch stone across the river", but the purpose is very clear - save money and ShuaiBaoFu. When "people free to see the doctor," into "pay", the commercialization of the simple principle of economics, people will inevitably increase burden. Especially when medical management confusion, the "SanLuan" and the "frequent accidents, people will inevitably accountability.Just meet, countless media reporters rushing, using the powerful public opinion tool, point to the doctor, all medical problem and focus elected to convince "medical ethics" is more shocking, immediately triggered social resonance, so doctors become the "scapegoat" health care reform.In the face of people angry accountability, the doctor knows but explain no one listen to; Relevant government departments chose silence; And health director although know is rooted in the "system" and "inadequate", as the direction of governance as a "medical ethics education," appeared to be confirmed that the reporter view is correct.So social force with the help of media, the medical problems and contradictions on to the doctor, formed a kind of natural artificial, with a pass on accountability "medical politics", the focus of political is the problem of "medical ethics".But, in fact, China's health problems and the root of the conflict is that: because of insufficient government investment, medical management department's governance, the accumulation and outbreak of a series of social problems.China's industry, agriculture, national defense and so on why progresses day by day, and the health care industry will be only the case? Because other industry always in the practical work hard, play show is not alone; Clearly know the causes of failure of reform for medical industry (system is inadequate,...) , but the work direction selected for "medical ethics education. Medical problems and contradictions have been piling up for more than a decade, has been conveniently overlooked, more won't go away...Today's medical problems have been political bound like a rice dumplings, the new health reform is more imminent, despite medical tube top urgent as hell, but lower has been accustomed to "taiji tuishou", outside with the doctor-patient conflicts, contradictions and problems, there is gossip... Medical problems without courage to cut gouge of rotting meat will be difficult to solve!中国医疗被毁于“政治化” 世界任何一个国家的医疗问题，都没象中国这样复杂，医患关系，都未象中国这样紧张，大家对医疗问题看法莫衷一是，越治理问题越多，原因到底出在哪？ “医疗问题已被政治化”了，而政治的焦点是“医德”。 如不是被政治化了，一次涉及13亿人利益的医改，政府要把百姓“免费看病”待遇，变成“自己掏腰包看病”的商品化，老百姓非但没人问责政府，几乎一边倒的跟着记者大骂医生侵吞了他们的医疗利益，原因是“医德沦丧”。世界哪个国家能做得这么漂亮？ 政治也是一种思想和利益上的对立，一旦引入“政治”，对问题的看法也将偏离客观公允，医患双方必然变得对立敌我，难以调和。 于是国家在医患喋喋不休的争吵中，每年都能节省了占GDP4-6%医疗费用，成为医改最大受益者，结果能不“看病贵”？多年没投资医疗建设，能不“看病难”？ 政治思维影响了百姓对客观问题的判断力，才使人坚信医疗问题都是医生思想（医德）变质的结果，于是因投入不足造成的矛盾得以转移,医患迅速对立。 政治化的思维使人容易偏激，就像文革时期相信“右派”思想都是要预谋反革命似的，百姓对一件普通医患态度问题，都容易上升到“医德问题”。一件普通的医疗事件，极易上纲上线到敌我关系。 而对他行业出现的重大问题或事故，都能被心平气和地理解为“偶然”，对屡禁不止的贪污腐败能被理解为“个别”和前途光明；而对少数医生的医疗差错则认定为群体的“医德沦丧”，医生的红包回扣数额虽小，却更令人痛恨。 此时尽管医管部门已经公开向社会宣布医改失败的原因：是“体制问题”，是“投入不足”、“资源配置不合理”……本该逐条去解决。可网络中至今有人仍固执的认为不先改变医生的医德，国家增加几万亿投入、建立多少医院都将是“喂了白狼”。而医管部门却也糊涂地始终专攻“医德教育”，更坚定了百姓的信心。 何以至此？只有这样医疗矛盾能得以转移，相关部门能免于被问责，同时赢得了改正的时间，不必对因处理，只要医德教育就能赢得满堂喝彩！ 但代价也是巨大的，医患关系紧张，医闹频发；不得不为缓解一个旧矛盾替而制造几个新矛盾，问题积重难返；新医改也因此耽搁了，且改革不得不避开被“政治思维”残绕的象粽子一样的旧医疗体制，在外围和防未病想办法。 过去的教育事业和今天的医疗行业一样，也被记者引向政治化过，教师处境就象今天的医生一样：社会关注，媒体天天爆料，教师总是挨骂，所有教育问题的根源也都直指教师的“师德”。实实在在的客观矛盾不被重视，越搞“师德教育”问题越多…… 直到有一天，媒体记者松开了紧咬教育的口，转向医疗行业。于是教育行业才得以重归理性，认认真真地、逐一处理多年来积攒的具体矛盾和问题，教育行业才得以好转！ (二)医疗问题如何带上了“政治”的眼镜？ 中国医疗问题之所以能被政治化，卫生系统自身肯定有责任，且我国也有在“政治运动中发展”的深厚底蕴。但中国媒体记者——煽风点火、指鹿为马的功劳更不可磨灭！ 这话中国的记者肯定不承认，更不服气：“这是栽赃，我们有报道新闻的自由啊！公民也有知道医疗真相的权利！” 这话好像美国的CNN也这么辩解过。可他们在报道中国新闻时，总是以偏概全，造谣生事。凡事他们都会往“人权”上扯，使中国普通的社会问题被“政治化”，让不太了解中国的国际社会唾骂“没有人权”，中国为此在国际社会上苦不堪言。 而中国的记者十几年来在报道医疗事件时，其实并不都清楚原因，凡事都要往“医德”上扯，使得普通的医疗问题也被“政治化”，让不太了解医疗行业的百姓中唾骂“医德沦丧”，医生为此也有口难辩。 比如CNN节目能从中国“奥运火炬传递”受干扰一事，得出中国人是“呆子和暴徒”；而中国记者能拿“茶水”冒充“尿样”，送到医院检查，几家医院的尿液分析仪报出结果：发炎！他们能从中得知——中国医生“医德发炎”了。十几年来，诸如此类，不胜枚举。 这是“记德发炎”还是“医德发炎”？这是国家批准使用，专门检查尿液的仪器，就象验钞机一样，你即使拿记者的脑袋试验，它也说“这是假币”。即使放到美国医院的仪器上，也会被当尿液来检测的，绝对检查不出是茶水。 中国医改虽是“摸着石头过河”，但目的却很清晰——省钱和甩包袱。当把“百姓免费看病”，变成“自己掏腰包”的商品化时，简单的经济学原理，老百姓的负担必然会加重。特别是那时医疗管理混乱，出现了“三乱”和“事故频发”时，百姓必然会问责。 恰逢此时，无数媒体记者蜂拥而上，利用强大的舆论工具，把所有医疗问题根源都指向医生，而焦点选为“医德”更具有震撼性的信服性，随即竟引发社会共鸣，于是医生成为医改的“替罪羊”。 面对百姓愤怒的问责，医生心里明白却解释没人听；有关政府部门选择了缄默不语；而卫生主管尽管知道根源在于“体制”和“投入不足”，竟把治理方向定为“医德教育”，似乎在证实记者观点的正确性。 于是社会借助媒体力量，把医疗问题和矛盾转嫁给了医生，自然形成了一种人为的、带有转嫁责任性的“医疗政治”，政治的焦点是“医德问题”。 但事实上，中国的医疗问题和矛盾的根源在于：因政府投入不足，医疗管理部门治理不当，引发的一系列社会问题的累积和爆发。 中国的工业、农业、国防等等为何能蒸蒸日上，而医疗行业会独扯后腿？因为其他行业始终都在努力务实地工作，光靠作秀是玩不来的；医疗行业明明知道医改失败的原因（是体制、投入不足......），但却把工作方向选定为“医德教育”。十几年来医疗问题和矛盾已堆积如山，却被视而不见，更不会自行消失...... 如今的医疗问题已被政治被捆绑得象个粽子，新医改更迫在眉睫，尽管医管高层急得要命，怎奈中下层已经习惯了“太极推手”，内有医患矛盾，以及问题矛盾重重，外有流言蜚语......医疗问题若没割腐剜肉的勇气将难以解决！
