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.
You all work so hard, you are so full of support every day.Speak The black cat shook the air and spit out words.
There are also a lot of typos, but I don t have time to correct them, so I can only post them first, and then let you tool people Catch bugs.Of course, this kind of thing is on the table, and it must be reprimanded.
Two Bah, Daoist has no eyes, why is the old emperor not dead yet Daoist has no eyes No.In a head to head confrontation on the battlefield, I will definitely lose.
He casually glanced at the officials on both sides, and frowned suddenly.The aunt said angrily.Brother is not like that. Xu Lingyue shook her mother s arm.Just as he was talking, Xu Qi an came out, jumped onto the driver s seat, opened the curtain and poked half of his head in It s almost noon, let s go to Guiyue Tower for dinner.
The door is just locked and there is no seal, which means that the elder brother committed a crime again.A friend, not an adult, but a friend Xu Qi an sat upright.
Chief Political Officer may not have such thoughts, but as the honor of a state, it is hard to say it out of face.Xu Qi an looked at Governor Zhang blankly.Governor Zhang explained The Qi Party is a party composed of people from Qi.
Xu Qi an swam over, followed by the light from the gossip plate, and saw a woman in white lying on the bottom of the well.But when he was in high position one day, he would have to pay to leave the mansion.
Tianzongmen know better than any scholar what it means to study things and gain knowledge.The task given to him by the supervisor is keep an eye on Xu Qi an.
He pressed his steps, tiptoed towards Li Yuchun s room, and then saw Song Tingfeng and Zhu Guangxiao who were also sneaking around the corner.Governor Zhang was refreshed, and the fatigue of The Jazz Jennings Effect: How Keto ACV Gummies Can Reshape Your Body staying up all night receded a lot.
No one spoke for a long time, as if they were thinking about the hidden truth behind this incident.The already devastated ground suddenly shook, condensing into a terrifying momentum.
Thousands of wizards heard it clearly, they first confirmed one thing, Xu Qi an really came for revenge, Because the great wizard has repeatedly offended him before.When Axi met the divine master, he was sitting under a pear tree drinking wine.
Ah, this.Meng Jingzhe paused, and said in amazement Do you also want to be famous From Li Fengfan s yin and yang value 2 Could it be that the master thinks that the disciple is not worthy Li Fengfan asked.With the help of this companion , Shenshu is enough to resolve the crisis at this moment.
The heaven and the earth establish a heart, and establish a life for the people for the sake of the sages, to inherit the knowledge, and for the eternal world.Axi said, What s the use of improving my cultivation Don t you want to live forever The He family questioned.
At this moment, Xu Qi an, who had lost his perception of the outside world, exploded under his feet, and voluntarily bumped into the Gu God above his head.The mother and daughter walked in the dark for an unknown amount of time, as if they had encountered some mechanism, the stone wall in front of them slowly opened, and the sunlight outside the stone wall made her Fueling Your Flat Belly: Can Overnight Oats Really Help with Weight Loss? unable to open her eyes for a long time.
If they can gather together again, it means that he has really fully controlled this method.Meng Jingzhe still couldn t believe that such a big boss would die so easily.
Because creation requires energy and time, and it is a high intensity creation such as web writing, which takes up a lot of time and brainpower.You will be sent to Tianqing Lake as a punishment.After three months of thinking about it.
The Yin Yang fish finally made a soft sound, and it was directly shattered into thousands of black and white auras.Meng Jingzhe slowly put a question mark on the top of his head, but soon asked again Is this marriage agreed by Chang Shenggu Chang Le s face froze for a moment, but soon he said loudly At that time, before my Yaozu elders went to propose marriage, something happened to Changsheng Valley, but once we propose marriage, then Changsheng Valley will definitely agree Meng Jingzhe had a complicated look on his face, looked at the silly boy in front of him, and said This is all your wishful thinking.
In this regard, I will practice more during the completion of this book, and strive to be reborn in the next book.He raised his head and looked at the divine master above, only to see that he was holding his chin with his hand and tilting his head to look down.
Unable to help themselves.Perhaps, Huang and Gu God have already rushed to Kyushu.Once angry, he can always hold back Meng Jingzhe for many days.
Even, because there are no traces of human activities, animals in the mountains go out more frequently, from small insects to large birds and beasts, enjoying the quiet time without humans.It s like that, God helped me.The masked man said with a smile.
A stream of green smoke rose from the mouth Embrace the Change: Your Guide to an Effective Perimenopause Diet Plan of the pot, like an eel with its tail caught, rushing left and right, but couldn t pull its tail out of the mouth of the pot.If not, then Jiaofangsi is very likely to be one of the hidden strongholds of the Yaozu.
Unexpectedly, when the carriage arrived at the gate of the inner city, the soldiers guarding the gate stopped him after inquiring about his identity.The children preferred the bed and the environment, and the aunt was afraid that the little girl would not sleep well at night and would have nightmares.
The Minister of Rites once said that cooperating with us is seeking skin from a tiger.It s not a person, it s a ghost.Caiwei said that ghosts can exist in the world for Feeling Stuck? How Metformin 500mg Can Help You Go the Extra Mile on Your Weight Loss Journey a long time, either because of the favor of the location, just like the female ghost at the bottom of my new house.
Is it because Yang Chuannan suddenly became arrogant Jiang Lvzhong nodded suddenly.The officer also wants to know why the beater repeatedly allows the gangster to commit the crime.
Fuck Xu Qi an s feet were rooted on the ground, his body was leaned back, and he was pushed closer to the other side, close to the abyss Ketone Confidence: How Shark Tank Propelled Keto F1 to Fame like palm that devoured people s lives.Strict inspection.After the incident, Song Changfu committed suicide in fear of crime.
Wei Yuan said.He was just about to say something to comfort the little Tonggong he valued, when he heard the other party calmly say, Wei Gong, I ve caught Zhou Chixiong.Wei while chatting about it, and said with a smile, someone actually said that the fragrant oiran in the capital is his good friend.
Sure enough, it is the kingly way to be both Beat the Heat: A Refreshing Lemon & Mint Apple Cider Vinegar Drink right and left, just like I am caught between Lin an and Huaiqing, I can please both sides, and I can flirt with both sides.The man spat a few sips and recovered quickly, but his face was pale, probably because he was frightened.
When the body of the white worm is burned, it will produce a colorless and odorless poison.Huh What should I do if I am sealed This is embarrassing me, Fat Tiger.
Xu Qi an was lying in the spacious and comfortable new house, looking at the beams above his head, and suddenly remembered something.We must find a way to spread the information and mobilize the troops in the guard.
Five Well, I didn t say it was bad.It s just that I passed the first grade in two months.She raised her head and stared at the rude Xu Qi an, wanting to hear what he would say.
Shang Aiqing, you are the Feeling Great: What is the Buzz About Active Life Keto 30-Day Review? Minister of the Ministry of Officials, what advice do you have Shangxian stepped out, and when he bowed his head, Yu Guang glanced at Wang Wenzhen, the first assistant, and saw that the latter shook his head imperceptibly, and said I am afraid, and there is no one to choose, please show me.
But a certain trip changed her life.In a secluded alley, traffickers forcibly took her away, and she was sent to a mansion in the capital.He sighed and entered the information Jiang Lvzhong is a fourth grade golden gong, and he is good at boxing.
But anyone who is curious , will ask questions, but if he doesn t answer, he s giving me a serious blow.Don t look at it Don t watch it, save yourself the pain.
Xu Qi Is the Secret to Weight Loss Hidden in Ice Spices? an was silent.He thought of another thing.Emperor Yuan Jing spent a lot of money in cultivating alchemy, and the money did not come from the household department, but was provided by his own small treasury.I just want to present a poem to Sun Shangshu and Li Shangshu.
Since my lord has this method, then the poor monk should change to a unique technique.
As the party being invaded, most of the time, they act as a counterattack and drive away the invaders.Too thick Gu God power will not only erode the natal Gu in the Gu Master s body, but also interfere with the Is the Hype Real? Exploring ACV Gummies for Weight Loss and Beyond Gu God s energy.
The clearer he is, the calmer he becomes.The infinity and majesty conveyed by the dragon s chant made Meng Jingzhe see another way of thinking.A little spiritual light slowly floated above their heads, and Is Liv Schmidt’s Weight Loss Method the Key to Melting Fat Fast? these spiritual lights gathered together and turned into a colorful key.
The evil god raised his hand, and another thunderbolt struck down.He voluntarily slammed into the black hole, and brought Xu Qi an, a flesh and blood monster comparable to a mountain, voluntarily slammed into the black hole with a diameter of over one hundred feet.
Meng Jingzhe s words seemed to be broken.He has never seen the Yin Yang Orb, nor has he felt its existence, but the man s performance at this time made him discover another way to use the Yin Yang Orb.Although she was her biological father, she would never forget the moment when her mother was killed.
Jing and Jianzun looked like little white rabbits at this time.Ye Shenglan shook her head and said This is my mother s only relic.
Daoist Jinlian and Li Miaozhen resisted the bell with the strength of Yangshen, but their brains burst Dizziness, nausea and vomiting.Huang s nostrils twitched a few times, as if he was sniffing the fragrance of peerless delicacies.
An unbelievable scene happened.The barren ground was cracked, and the army of walking corpses staggered here and there.There seemed to be more eagerness than sarcasm in the words.
Meng Jingzhe asked Will this medicine hurt Master Qishan Immortal shook his head and said As long as the treatment is timely, it will not cause too much damage.The battle in Leizhou was fierce, and it was barely delayed, and the overseas situation was even more dangerous.
Younger sister Xu Lingyin stared blankly at the red oranges by the door for viewing.Meng Jingzhe heard mixed feelings.Pixiu said again Although I am dead, I can still see her, she is suffering.
Meng Xiaotian smiled bleakly, and said to Meng Jingzhe I can t.Axi said, What s the use of improving my cultivation Don t you want to live forever The He family questioned.
Wei Yuan sat with no expression on his face, slowly turned his head, looked to the northeast, and did not move for a long time.Being pressed down by Pixiu like this, the hair on the top of its head became bald.
Xiaoyi, Xiaohu.Meng Jingzhe didn t expect to see these siblings here.Thinking of this, she glanced at her father quietly, and sure enough, Wang Shoufu stared deeply at Xu Erlang.
Lin an said hmm expressionlessly.The expressions of the other female relatives were as usual, they didn t know whether they accepted Ji Baiqing s explanation or pretended to accept it.The short fight just now was full of dangers, which made him smell the danger that he had not seen for a long time.
The palm print eunuch shook the whip in his hand.This time, he didn t whip it and scold him.On the mainland of Kyushu, the witch god broke through the seal.
How to show the saint in front of people, how to raise the sense of expectation, how to set up the character, how to arrange the rhythm, how to stand out, how to write daily, are actually methods.Ye Shenglan had a sore nose, but she still held back the sadness in her heart and said in a low voice When I was young, my uncle took me on a boat across Fengqi Lake.
After passing the door of the first diagnostic team, Professor Zhang stopped his strenuous steps.These two also have a deep relationship with Him, but the existence of the first generation Jianzheng has been fundamentally erased by the contemporary Jianzheng.
At that time, Taoist Master had already worked out a way to advance to the Dao of Heaven through groping again and again.He doesn t care about A Xi s past and present life, or the rise and fall of the gods.
