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.
He has dozens of ways to slowly deal with the Yin and Yang Sect.Leave Xinglan alone Called together, Ye Fei and Xing Lan said their final goodbyes, reluctant to leave.
What is that It s so fast At this moment, in the sophisticated scientific observation II. What are CBD Sleep Gummies?Understanding CBD and Pain Relief laboratories of some powerful countries on the earth, they saw through the space observation instruments that a spacecraft was flying across the night sky very fast, and it reached the moon in an instant.Therefore, Ye Fei believed that there would not be any spiritual talismans, spiritual consciousness transmission, etc.
Therefore, the gray haired old man traced all the way and came to the woods and found the old man in gray.He was surrounded by the aura of an emperor. He was not angry and proud.
Apart from letting go of the Nine Yang Body, she is not welcome here.Wang Shijin is just an existence in the early stage of Are there side effects to Fortin CBD Gummies? Heaven Realm and cannot compete at all.
Lin er is my master and will come How Fast Can You Lose Weight with This Recipe? to rescue you right away The beautiful woman in palace attire is naturally the head of the Jade Girl Sect.He asked me to go back and take a look right away. Murong Xue had a worried look in her eyes.
Boom The space behind Qing Ming seemed Expert Opinions and Insights to be torn apart.He screamed in pain and couldn t put it out no matter what.
Thinking of everything that happened underground, it was her lifelong nightmare.Ye Fei directly emptied all the spiritual stones in his body, but it was not enough.
Just like the fifth prince of Tongtian Academy, he was from the Dali Dynasty.Old Wang, didn t you say that you want to help me purify the wind and thunder swords It s time, and I ll ask you to teach me the Four Elephants Sword Formation then.
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At that time, she just wanted to enter the Ten Thousand Beast Mountain and capture She took jade horned snakes and obtained snake gall to save her father.Just now, she used her trump card to fight with all her strength.
The nine suns above the root of Nine Suns were the symbol of the Nine Suns body.Then we can start. An old man was sitting cross legged.
Out of curiosity, Anai activated the power of Xuanyin.Ye Fei originally wanted to ask him about cultivation matters, but now it seems that he has to forget it and rely on himself for everything.
However, his appearance, wrinkles, voice, and sinister expression made him definitely an adult.Who are you, you monster Show yourself to me quickly Mo The Importance of Sleep for Overall Health Xingyu stood tall at this moment and shouted in a cold voice.
Exactly, senior brother, please let me in. This disciple has already become the task assigned to me Emphasis on Whole Foods by Elder Tang.Then, Elder Kong s entire body flew out like a dead dog.
In the end, the girl had to follow her father back to Beihan with some disappointment
You can t force things about love. You two are What are Gummy Candies for Sleep? not destined.Soon, the medicinal fragrance overflowed from the alchemy furnace.
Not only did he not catch anything, but he was kicked off by Ye Fei and fell heavily to the ground.I have to say that Tongtian Academy is really Benefits and Effectiveness of Surity Pro CBD wealthy.
Since Ning Cheng came back, Ye Fei has been staying in Beihai, practicing silently.He didn t know how many women he captured to refine the Jiuyin Pill and improve his strength.
The two figures rose into the air and flew into the distance.Three hundred million spirit stones Ye Fei said and started bidding.
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She seems to want to protect you. However, our senior Food Tracking and Nutrition Guidance brother has stopped her.This is a genius from the Ye family in Dongzhou. He is less than fifty years old.
When the time comes, we will act together so that we can take care of you.These were all temporarily purchased by Lao Wang before Ye Health Benefits and Uses Fei left Belvedere.
After solving this episode, the surrounding adventure teams who wanted to take advantage User Reviews and Feedback of each other silently distanced themselves a Delicious Homemade Drinks for Speedy Weight Loss little.Speed up, speed up Zhao Hao didn t want to play any bloody plot that was too late.
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Everyone is looking forward to this performance. Especially Turing He understood how much Zhao Hao had paid for this, and now it was time to confirm whether the efforts were worth it.Even if it is one million acres, it is still nothing compared to the Broken Star Islands.
deputy. Even if the opponent s hero template is not the highest, and his personal combat effectiveness is not the strongest, he is steady and cautious, and is definitely the most trustworthy subordinate.Gulu A bottle to save his life. Drinking the extremely effective life potion directly restored 300 health points, and then restored 10 more health points Understanding Serenity Garden CBD Gummies: An Overview per second for User Reviews and Success Stories 10 minutes, offsetting most of the consumption caused by the barrier.
The aboriginal forces are submissive to the gods, but they deal heavy blows to the players.But compared with ordinary battleships, steel battleships are completely indiscriminate.
Lord Liuyun The dozen or so players discussing in the tent all stood up.She likes fighting and killing, but she doesn t like unilateral massacres, especially after her fighting desire was vented in the previous ruins.
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Yes, the blood of the ultimate nine headed monster is poisonous and extremely corrosive.Poisonous fly Backbone level creatures. That Do you have tinnitus and how do you know? is Level 5 6.
With such a serious threat, it s The Benefits of True Boost Keto Gummies no wonder that Hai Tian reacted so violently.As a result, the bomb flying dragon occupied a large area of the sky, completely covering the sky of Yanhu Island.
But if you are prepared in advance, you can use the terror of the aircraft carrier stream to kill Expert Opinions on Sleep Health and Dietary Supplements unilaterally.Uh huh The dragon wings spread out behind Zhao Hao, flying close to the water towards Griffin Harbor.
Normally, he cannot be affected by toxins and negative states.Mother Queen s induction It is also the special ability of the White Dragon.
Once the dragon s breath falls, it will definitely break the shield and kill people.Only the attacks of the middle and high level undead can cause damage to it.
He knew Qingyang was looking for Understanding CBD and Sleep his lair, but he hesitated to attack.The remaining four of us not only had to deal with the crazy pair of forest beasts, but also He had to deal with a sneak attack in secret, and finally escaped back with all his might.
From this battle, it can be seen that Key Components of the 2-Week Solution3. How much of an ACV gummy should you take at a time his strength is still far behind the real late stage Qi training monks, and even the three dimensional sword formation cannot make up for it.When the two of them found Senior Brother Chen s residence and knocked on the door of the small courtyard, Lu Dingshan finally understood the reason for the disciple s ridicule.
If it was really about Qin Ruyan, he would take this opportunity to make it clear.Thinking of the blood soaked body building skill and the sixth level monster inner elixir that I had obtained in Huaqingyao Cave Mansion, what I lacked was the monster blood.
Just when the two sides were in a stalemate, Comparing Different Brands: Finding the Right ED Gummies for You another group of monks came towards the mountain gate of Jingfeng Pavilion.All items must be registered and compared one by one when they come out.
Used by the monkey to help him break through the foundation FAQs About Hemp Infused Gummies building stage.Among Qingyang s harvest, excluding those items that are inconvenient to be exposed, the total value of What are ED Gummies? other items with no obvious characteristics exceeds 1,500 spirit stones, which is more Benefits of the Keto Diet than 1,500 points.
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Unfortunately, he still underestimated the strength of the third level living dead.Qingyang does not dare to neglect, and quickly uses Debunking Weight Loss Myths three flying swords to form a three dimensional sword.
Those who can practice all the way to the later stage of Foundation Establishment were all extremely talented FAQ About Kelly Clarkson Gummies Weight Watchers and beautiful people at the beginning.All top notch. Fei Yusheng and Hui Xuzi both relied on speed to win, and their strength was not much higher than that of the monks.
In twenty years, even if they pile up bit Methods and Strategies Used by Kyle for Weight Loss by bit, they can reach the seventh or eighth level What are CBD Gummies? of the Qi Refining Stage.The Blood Demon Sect was destroyed only over two thousand years ago, which shows that this elixir had been growing for almost a thousand years before the Blood Demon Sect was destroyed.
He didn t even need the magic weapon, the sword, so he could take care of the enemies next to him.Their strength was brutally murdered. Wouldn t it mean that these people would die if they went there We can only invite the elders from the master s sect to come.
