Vì sao công tác mua sắm và bảo trì thiết bị y tế lại khó khăn ?
Hiện nay, nhiều trưởng phòng quản lý bảo trì vật tư, trang thiết bị y tế của nhiều bệnh viện ở TPHCM mang tâm trạng lo lắng, hoang mang với công việc “rất nhạy cảm” được giao.
Trong Chương trình “Lắng nghe và trao đổi với nhân viên y tế” của Sở Y tế TPHCM chiều ngày 9/6, lãnh đạo sở đã gặp gỡ các nhân viên chuyên trách trong công tác mua sắm bảo trì vật tư, trang thiết bị y tế của các bệnh viện công lập trên địa bàn.
Qua trao đổi, Sở Y tế nhận định, một trạng thái tâm lý phổ biến nhất hiện nay của các trưởng phòng vật tư, trang thiết bị y tế ở các bệnh viện là lo lắng, thậm chí hoang mang với công việc được giao.
Các cán bộ phụ trách cung ứng vật tư y tế, mua sắm và bảo trì các trang thiết bị đều đứng giữa 2 yêu cầu chính đáng nhưng luôn đối nghịch nhau. Một mặt, phải lắng nghe và đáp ứng yêu cầu chuyên môn về việc có những vật tư, thiết bị y tế tốt nhất cho công tác chẩn đoán, điều trị và chăm sóc bệnh nhân. Nhưng mặt khác, phải tuân thủ yêu cầu của ban giám đốc bệnh viện, phải giải trình với các đoàn kiểm toán, thanh tra về xây dựng giá dự toán khi đấu thầu mua sắm, bảo trì để đảm bảo giá mua phải là giá thấp nhất.
Theo Sở Y tế, hành lang pháp lý, cụ thể là các thông tư hướng dẫn cho công tác này chưa thật sự đáp ứng các tình huống đa dạng, các yêu cầu từ thực tiễn. Do đó, tất cả cán bộ y tế chuyên trách hoạt động mua sắm, cung ứng, bảo trì trang thiết bị, vật tư y tế đều mong muốn sớm có những quy định pháp lý mới, giống như lĩnh vực mua sắm thuốc.
Trưởng phòng quản lý vật tư, trang thiết bị y tế của một bệnh viện chia sẻ, bản thân là bác sĩ, nếu được chọn vẫn thích làm chuyên môn hơn là công việc hiện tại. Nhưng vì trách nhiệm, chấp hành phân công của đơn vị nên bác sĩ này cùng các đồng nghiệp phải cố gắng hết sức làm sao để đúng quy định.
“Công việc hiện rất áp lực, đòi hỏi tôi phải đầu tư nhiều thời gian, kiểm tra, thẩm định hồ sơ thật kỹ… Mặc dù đã nghiên cứu kỹ, kiểm tra kỹ, nhưng thật sự tôi luôn lo lắng sợ sai mà không biết vì các hướng dẫn chưa bao phủ hết các tình huống trong thực tế…” – vị bác sĩ nói.
Sau khi lắng nghe tâm tư của các y bác sĩ, Sở Y tế TPHCM cho biết trong thời gian tới sẽ triển khai thực hiện các giải pháp nhằm tiếp tục đồng hành, tiếp sức cho các cơ sở y tế công lập tham gia công tác mua sắm và bảo trì các thiết bị, vật tư y tế.
Cụ thể, Sở sẽ tiếp tục kiến nghị Bộ Y tế và các Bộ, Ngành liên quan sớm ban hành các văn bản hướng dẫn chi tiết, cụ thể về quy trình xây dựng danh mục, cách lập dự toán, xây dựng cấu hình… để tạo hành lang pháp lý vững chắc, hạn chế tình trạng sai phạm trong công tác đấu thầu, mua sắm.
Sở cũng tham mưu trình UBND TPHCM đề án thành lập Trung tâm mua sắm tập trung. Trong đó, danh mục hàng hóa mua sắm tập trung thực hiện theo lộ trình thời gian vừa để hoàn thiện cơ chế về bảo trì thiết bị và mua sắm mới vừa đảm bảo không làm gián đoạn cung ứng thuốc, trang thiết bị, vật tư y tế phục vụ công tác khám, chữa bệnh.
Song song đó, Sở Y tế cũng xây dựng cơ cấu nhân lực với trình độ chuyên môn vừa đáp ứng nhu cầu chuyên môn, vừa đáp ứng yêu cầu tuân thủ các quy định pháp luật. Tăng cường công tác đào tạo, bồi dưỡng các kiến thức liên quan đến công tác đấu thầu, bảo dưỡng, mua sắm tại các cơ sở y tế công lập.
It seemed that the guy was loyal enough and didn t talk about damaging the reincarnation monument.There are nine cities in the entire Cangshan Mountain from outside to inside.
Young Master s craftsmanship is good, the powder is fine, and the technique is very good.When they wanted to resist, it was already too late.
The poor ghost said, Master Bones, do you need me to accompany you Su Ye smiled and said, Aren t you looking at the stalls Everyone is wandering around the bone pit now.Su Ye now regrets why he didn t bring the national treasure over.
Therefore, preparations must be made before the black sand and dust storms come.I have one body. There seems to be nothing wrong with the Spare Ribs Demon called Ghost King Bone.
Does the Liang Guo Guild also want one Shopkeeper Rong had almost guessed what Su Ye was going to do.However, Zhao Wuji was only a hundred years old, the youngest among the nine city lords, and had a bright future.
Okay, I understand. Chen Yuling agreed and went out I ll come find you later.Su Ye smiled bitterly and said to Yuan Dongsheng, I m really not a pirate.
The seafood in the Sea of 100 Yuan is not much different from the wild world.This is just a merchant ship, and Su Ye can t ask for too much.
First, the gang of bandits died suddenly after being imprisoned in Queryongtang.Chen Xian hesitated for a moment and said, Actually, it s not that important whether you Cape Ann Cannabis Sleep Gummies: Natural Sleep Enhancement
can compose poetry.
Su Ye, get the medicine Manager Huang took the list and said, It s only been half a month.Three times, no success Su Ye knew that this matter was actually difficult, because it was a bit like creating a prescription.
In the current situation, it is naturally impossible for a group of ordinary jailers to deal with Su Ye.Therefore, Su Ye didn t gain much in terms of spiritual materials.
Stop Su Ye gasped and quickly stopped. Huahua, how many times have I told you, you can t just pounce on me anymore, I m afraid of death Nowadays, the national treasure is still so cute, but when he stands up, he is almost as tall as Su Ye s neck.Su is satisfied, will these things be sent to Bailu Academy as well No, you wrap them up for me and I ll just take them with me
Su Ye waved his hand and said Send the others to the public studio of Bailu Academy.
Give me three days, I will help you do it. You can do it.They could also be demons and monsters, as those guys also have humanoid forms
At this moment
As if she heard Su Ye s shout, the woman opened her eyes faintly.
After holding it between his fingers and shaking it, the talisman started to burn.Look at my pen drawing a dragon and a snake The brush drew in the air, and soon a black snake was drawn.
There are only nine songs, including Nuwa Mending Tian on Birthday.In the wild world, the value of gold and silver is not high.
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is a card face This is the card The only not so good thing was that Su Ye occasionally couldn t tell whether he was walking the national treasure or the national treasure was walking him.In the world of the Prison of the Undead, the most valuable things to Su Ye were elixirs and spiritual materials.
It s still quite lively with the bustle. After entering the city, Su Ye did not go back to his cabin directly, but went to Lingbao Medicine Hall.After all, even if the elixir is made, it cannot be swallowed.
At the moment, it s not that the goods are not good, but that there is no goods at all.This means everyone can brainstorm ideas. To put it simply, although anyone can give one person a poem, but in fact, the same academy has never sent several people to climb the stairs.
Li Yuanba was startled, and then he understood somewhat.Therefore, despite the fact that Li Yuanba s Four Characters and One Sword actually took a very short time to practice, it already met the prerequisites for using the flying sword s secret method of transferring objects.
After all these years, he has completely integrated with his original body, including the fusion of soul and body.But he didn t know that the drone satellite system monitoring this area in the sky was specially spotted when he flew towards the medium sized sect on the left.
Each flying sword carries sword intent. These sword intents may be strong or weak.The headquarters of Discover the Best iHerb CBD Gummies for Relaxation, Pain, and Sleep
Yuxiang Trading Company occupies the largest area on the peninsula, and he quickly approached the formation of Yuxiang Trading Company.
The lifespan of the early Nascent Soul is one thousand years, and the lifespan of the middle Nascent Soul can be increased by 500 years.He gave up his severely injured body. Although it was a difficult road to rebuild the Nascent Soul, it was better than staying here and waiting to die.
At this time, it was Patriarch Ren Xun who maintained the form of the Nascent Soul.He saw a black rune appear on the mustard seed ring.
The Nascent Soul Dharma shook suddenly, and Ancestor Ren Xun felt that his life was in danger.Master, how are you He caught Elder Jian s body as he fell to the ground and shouted a little helplessly.
You also need to have opportunities for promotion. No one can tell how to obtain this promotion opportunity, and you need to understand it yourself.Although the Silver Corpse General s sword intention was not the same as his, it was enough to mislead Lai Li in a short period of time.
His spiritual consciousness grabbed the Lightning Protection Jade Token on the ground, felt the aura on the Tri Leaf CBD Gummies: Benefits, Reviews, and Expert Opinions
Lightning Protection Jade Token , and at the same time cast a method to recognize the owner.The three late stage Golden Core monks were obviously Shushan Sect monks.
Patriarch scolded me for not knowing how to do things and asked me to send the Fire Phoenix Cauldron.The body of the corpse flows into it. If Li Shiming had not controlled Li Yuanba to practice the Evil Corpse Spirit Record , perhaps the cold energy flowing into Li Yuanba s corpse refining body would have transformed his body extremely slowly, because the inflow itself was extremely slow.
Fellow Daoist Wei, how did you know that I was in seclusion Li Yuanba couldn t help but was stunned.The flying sword magic weapon has reached the limit of its power.
Master Li, I would like to ask you to help me refine the elixir As soon as the exchange between Lu Heng and Li Shiming stopped, many Yuanying monks from the sect who had been waiting aside shouted in unison.He could only guess that his realm should exceed that of a great monk.
Ancestor Weng Zhao who came before was a Nascent Soul monk who had mastered the magical power of attack.The computer room itself was not big, so he put some things that needed to be cleaned into the mustard ring that was used as a warehouse.
If he knew it, he would take back the Taichu Tripod even if he broke his promise.Inside was the formation design and a map of the sect thousands of miles away.
This is still a fourth grade top level weapon. The quality of the Tribulation Flying Sword is so high that the sky thunder cannot destroy it.What greeted them was a flying sword. Especially when Li Yuanba heard Yun Xiao s instructions, he mobilized thousands of flying swords and achieved the most spectacular results.
He saw that the relationship between the Yuan Ying ancestors did not seem to be divided into good and evil.The efficacy of a fourth grade high grade elixir is several times that of the fourth grade medium and low level elixir
Considering how precious the fourth grade elixir is, the gap between them is so huge.
Because his master Jian Laozu was coming to the stronghold, he needed to go out to greet him.Li Shiming restrained his mind. This Ningying Pill was indeed very practical for him and extremely valuable, but thinking of Zuo Ancestor s intention, he wanted to see if he could get something more.
Although monks have many magic weapons, they usually focus on specific offensive and defensive magic weapons.The three Nascent Soul cultivators had a look of horror on their faces, and they looked around.
The quality of the mountain body of Ten Thousand Swords Peak was too low, and most of it was made of materials lower than the third grade.
It s almost done, try to contact the trading house Jin Kai felt it and ordered Ren Xun.The fourth grade formation flag is not something that the Yuan Ying ancestor can use.
His master Jian Wuwei relied entirely on his own insights to reach the Nascent Soul stage.His body shook involuntarily, and this movement made the leader of the early Yuan Ying monks even more happy.
The average number of tillers per plant is 60, and the comprehensive yield of a single layer cultivation frame is 0.According to the characteristics of the Extreme Yang Spiritual Fire, the summed up experience is his own alchemy experience.
You said there is a fourth grade spiritual spring in your cave Master Jiang Hong s voice couldn t help but become louder, and he confirmed with some disbelief.Even monks in the foundation building stage would not be a problem if they did not eat or drink for three days.
The situation of the ceremonial boat was revealed. Not bad, One Breath Ten Thousand Miles is very practical, but the Incarnation Palace is a pure toy Brother Hu commented.The adult resources that satisfy me can be used as a reward for refining pills many times Li Shiming took this opportunity to express his request for reward.
There are ten Nascent Soul Ancestors in all directions.In the Eastern Qi Continent, Li Shiming received a semi finished fourth grade top level bow magic weapon from Xin Jingyun.
On the contrary, the allied monks who knew each other somewhat and had no competitive relationship made the great elders feel more at ease.At this time, Li Shiming s telepathy was revealed and entered the mind of Elder Sun Ao.
Especially for the Yu Qing Lei Code , there is only a slight gap to reach the Great Elder level.This was the action of the sword ancestor. The Sword Ancestor does not need to consume anything to kill this kind of silver corpse, and does not need to retain it.
Without the opportunity to take action, how can one have more combat experience.There is no difficulty this time Feng Lanxin came to Li Shiming and said proudly to Li Shiming through voice transmission.
If he hadn t wanted to resolve the battle early, he wouldn t have let the four fourth level puppets attack at the same time.This does not mean that the invisible elemental magnetism has weak magical powers.
Every monk who has lived through tribulations understands this truth, but it is not easy to actually do it.The reason for this was because he couldn t even move his body.
Countless runes flashed on the ring of fire. This was his secret method of saving life.Once Yin Shilan has some insights, she can immediately advance to the Golden Core Stage.
It is still possible if the elixir is placed in third grade or lower elixirs, because the refining time of third grade elixirs is only a few hours at most, and it is still possible for the alchemy master to make no errors in a few hours.
This Calling friends, recruiting people for the team, and even some teams with three or five people left simply merged with teams they knew well.She smiled proudly and made a move with her jade hand.
The scene I saw every time was different. The first time I was transported to a nursery and picked many rare spiritual herbs in the world.The more injustices he suffers, the more injustice he will suffer.
I don t dare to do it anymore. We re fishing Ahem, Grandpa Yu doesn t know, the little one Blue Cross Blue Shield Coverage for Weight Loss Surgery: The Best Options Before Christmas Eve
is actually fishing for a tortoise Recently, golden turtles have flooded the river, and the turtle shells can be used as medicine, so they are very valuable.I know that what it says cannot be fully believed and can only be used as a reference.
Take it Ye Linghan s star like eyes revealed a look of determination He clenched the palm of his hand, and the palm of his hand also clenched the Heavenly Tribulation Thunder Dragon, intending to subdue this dragon.The Demon Sealing Wasteland Tomb is well deserved How many corpses of sea The Benefits and Effectiveness of Male Enhancement Gummy Bears for Improved Sexual Health (EwCwU)
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East China Sea Monster Clan regards Minghai as the place of return to ruins, the Demon Saint Palace is their altar, and this Demon Sealing Wasteland Tomb is Their graves are in ruins Just as Sikou Tingyan sighed, Ye Ling s pupils flashed invisibly, he suddenly stopped, blocked the golden toad lantern in front of everyone, and lowered his voice Quietly Gray mist A dark shadow How Strong is 10 mg CBD Gummy: A Comprehensive Analysis (tlTYk)
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comes out Ye Ling groaned for a long time, and finally made up his mind Forget it, the Poison Corpse Puppet still needs to be refined, at least it can be sold at a good price Otherwise, it will be a waste of such good materials and quality, he We can t get the storage bag, isn t it a waste of time for us Yes My Lord is wise Yu Qing hurriedly flattered his master, Best CBD Gummies to Sleep Near Me - Buy CBD Edibles Online
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the back of the giant whale, pretending to be calm and staring at Tantai coldly.We brothers and sisters belong to the Qiuyuan Villa of the Zhuo family s distant branch, so it is expected that they will be left out.
Say readx Three ninth level swordfish Monster, one is dead, one is injured, and one is unable to move in the water polo
u. visit the latest chapter. I just love reading The old catfish demon, together with the ice butterfly and the blue and black fish demon, killed the swordfish demon who was struggling to escape in the seaweed.
The junior brothers and sisters of the Dongyang Sect agreed with a loud voice, obviously obeying this senior brother s words.They acted without scruples and pursued speed blindly, but they attracted the demon general at the bottom of the pool.
Wang Shiyuan finally breathed a sigh of relief and pointed to the northwest of Haizang Cave Old Catfish Demon, there are few people here, let s go from here readx Not long after Ye Ling and the others left, Hai Another group of monks came in from the entrance of the Tibetan Cave, and the leader was Tang Xiong, the leader of Nansheng Sect of Fengqiao Town At this time, Ye Ling, The Best Brand of Keto Acv Gummies: Unlocking the Power of a Healthy Lifestyle with Ripped Results K
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powerful, with rough skin and thick flesh, and extremely strong defense.When he looked back, he couldn t bear to look directly at him and cursed You re really worthless Pretending to be blind , I sighed in my heart This guy is definitely not a kind person.
She sighed quietly and finally turned around and left to reunite with her sisters.Qu Rou questioned Hmph, what you said sounds nice Last night at Zuihua Manor, I met your cousin Su Wan.
I just gave up my family business and enlisted in the army.Feng Cailing saw that Ye Ling was deep in thought and didn t say a word.
I don t even bother to pick them. Ye Ling shook his head No Look carefully, these orchid grasses, Many rhizomes are broken, and they have obviously been picked by others, and judging from the traces, they must have been picked for less than two hours This means Sleep with Benefits Bedtime Gummies: A Comprehensive Guide to Better Rest (Zirwq)
that someone has been here and left not long ago As soon as Ye Ling said this, Mr.
Their whole bodies turned into purple flame energy, and they merged into the blood transforming smoke pots in mid air No The Flying Smoke Pot has absorbed the energy and blood of so many people.They were surprised, but they did not dare to go forward and ask deeply.
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at any time.Even the ancestors of the Nine Immortal Sects recruited Ye Ling and released all kinds of things.
Although they teleported into the Demon Tomb at almost the same time as Zhou Mingzhao, their luck was a bit worse.M
Si Kou Tingyan saw Chen Guirong open the pill bottle and pour out a few dark red pills.
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he would not Dare to do anything wrong in Qingzhu City, but he lost face in front of everyone, which made him very angry, and he said stubbornly Humph Isn t it just an agarwood cauldron with a slight poison repelling effect I don t think so, young master It s rare As soon as he said this, he reminded the Lord of Qingzhu City Oh You want a pill with high poison resistance I still have it, I guarantee your satisfaction, wait for the next one Young Master Canglang revealed his face Joyful Yeah That s great.
It s a great honor for you Following Zhao Behind the sect master was Elder Xuanqing.There is really no guarantee of victory. grasp. M
But the Poison Girl of the Sky Toad Tribe is still unwilling to give in.
