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.
Du Heng finished checking the pulse on both arms, and then looked at the patient s tongue, Tell me the order in which you receive other treatments.Why are you thinking about Unlock Your Potential: Top Male Enhancement Pills for Enhanced Performance coming back today I won t be on duty this week.
In this part, there are still many people whom Du Heng doesn t know Boost Your Confidence: How Blue Vibe CBD Gummies for ED Can Offer a Fresh Solution and has never met, but judging from the situation, they should also be from the village near the health center.Although it is the highest floor of the outpatient department, the space is definitely large enough.
Yes. Yes, has Dr. Yu examined you Hearing what Du Heng said, the patient relaxed a little, Yes, the blood pressure is 190.In the past, he had the same idea as Du Heng and understood that this area could not be allocated to a health center.
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Yu Haiting followed behind, but couldn t help but ask, Dean, is Yang Yuansheng okay now Du Heng shook his head, Where is this Just now when I was palpating and pressing Yang Yuansheng s liver area, he His complexion is still slightly painful, and there is a faint sensation in the two fingers horizontally under the ribs, which is slightly hard.
Du Heng breathed a sigh of relief. Judging from Wu Zhouzhou s current performance, he didn t know how many people he had deceived to reach this level of experience, but he could tell after a little thought.But when Du Heng heard these words, he felt uncomfortable.
The taste is slightly bitter and the smell is slightly fragrant.If it Ingredients and Benefits happens, it must be transferred to a higher level hospital.
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Don t go back. Stay at my house tonight and I ll figure it out with you.The man s eyes struggled a little. After a long time, his eyes became firm and he said, Thank you doctor, I will go to other hospitals to check.
Her father only said, Well done and then hung up in a hurry.If only Zhang Sister, I can just go with 500, but there is Teacher Zhao, my physical education teacher in middle school.
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The holy land of the demon race may even become the holy land of all races.It s just that the emphasis of these fragments is different, so the results of integration are also different.
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If I continue to procrastinate, the sacrifice will fail, and I will offend the god who is to be sacrificed.Heng Yuan said to the monks who looked over in the Zen room That s it for today.
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Meng Jingzhe continued If you are too Unlock the Power of CBD: Boosting Male Enhancement Naturally Near You far away from me, I don t worry.At that time, he still thought that the author was writing based on fantasy, but now he really faced the sound of dragons, but he felt that the author might have been here before he could write such a passage.
For a man, a woman who Unlocking Relief: The Benefits and Effects of CBD Blue Gummies for ED is willing to stand with you through thick and thin, why do you not love her And Ye Ji is the only woman who made me feel that I am the big master in the feudal era.Daoist Jin Lian laughed and said, What does the promise of the supervisor have to do with the poor Taoist priest When the country is in ruins and the family is in ruins, personal reputation is nothing.
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Half a quarter of an hour later, a rabbit and a sword stood in front of a broken stream.After taking over the Three Kingdoms, Dafeng will completely solve the problem of money and food, and the arrangement of Mahayana Buddhists can also be put on the agenda.
m. The patient nodded, but he didn t understand what Du Heng was talking about.Why don t you think about it The woman sobbed and said, What did I do I m not doing this for their own good, but for my father s good You still say that I think you just need to be Unleashing the Power of Nature: A Review of Biolyfe CBD Gummies for ED dealt with.
Zhang Sumei was so troubled that she had no choice but to take Du Yi there, and she also wanted to see what the curtains Wang Shuqiu bought looked like.Even during a certain period of time in Europe, a barber was equivalent to a doctor, as long as you could bleed.
I advise you, ignore my dad, otherwise you will suffer.Du Heng looked at Yang Yuansheng and said, You can rest, remember to drink medicine on time, if you need any help, or need it, If you need anything, just ask our nurse and she will help you.
Looking at the girl s happy face, she must have done well in the exam.Du Heng sighed, he didn t want it, he didn t want anything.
First time meeting. Yu Haiting answered Du Heng s question with a sad face.They demand rescue. In fact, there is a best way now, that is, when the patient becomes critically ill, they slow down a little, just a little bit.
But you There What Are Male Enhancement Pills? s no need to talk to uncle, the old man promised to lend me some.Du to my office. Whatever the doctor wants, you can find it.
They can achieve what they want. No one will be able to discover it then, and there will be no blame.Who are you going to ask for explanation Du Heng knew which patient Lu Zhongjiang was talking about, and sighed silently and said, When farmers in our area receive medical treatment, the health center will transfer it to the district hospital if it cannot see it.
No wonder he could play the role of the eldest brother among them.Perhaps as a woman, Wang Shuqiu is more delicate and will pay attention to this aspect.
Du Heng turned his head and glanced at Wu Shengnan.Is this person a patient High pressure physique But no matter how high pressure it is, the 200 160 value is no joke.
But she didn t care about this, she just watched the doctors and nurses busy anxiously, Doctor, my daughter has to take an exam later, can she do it The doctor didn t care about the girl s mother s questions, he was still busy treating the girl.
The children who come here today must be taking the college entrance examination.
How old am I, and I also have a bachelor s degree. I can just squeeze my junior doctors.Being careful is a sign of respect for people as individuals.
He was fully prepared for the required procedures and documents, and did not go through the process just because of their relationship.Doctor Du and Shengnan know each other well Not so well.
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Huang Di smiled wryly and said Fellow Daoist, don t worry, this seal is still stable now, and nothing major will happen in a short time, but it might not happen in the future.He felt that he was locked by the golden light giant sword, and he The Rise of Gummies for ED: A Review of the Best Options couldn t escape no matter what.
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The other Nine Heavens Stellar Wind Crystal is more precious, which contains fragments of the law of wind, which is invaluable to monks with wind attributes, and the imprint of the law of wind on the treasure wheel of time and space will be more complete.Xu Yang sensed that it was Wudi and Luohu.He The Science Behind CBD and Libido quickly advanced to the field and landed in front of Wudi, Luohu and others.
There is a teleportation array, which leads directly to the core secret place of Shuiyue Cave.However, many of the golden sword worms were still severely injured and unable to continue fighting.
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After three months of purification, these demonized monks are about to wake up and regain consciousness.Trapped Baicao and Yunyan, and then attacked Heisha Overcoming Anxiety with Blue Gummies CBD with all his strength.
From here, white bones can be seen everywhere, including the bones of wild beasts.The small world integrated the previous time law, and the time flying magic power and time barrier were intact, and it was easy to speed up time.
Wanzai Kongqing is a rare treasure of heaven, material and earth.Consciousness Sea got rid of the shackles and her soul returned to freedom.
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A group of Nascent Soul cultivators were overjoyed, and quickly took back the released zhenyuan, and quickly came to form a large formation behind a few Huashen Daoist.He and Dahuang Sirius rescued Wang Lin, and then the two sides confronted each other.
Xu Yang walked around and found that the trading market was still there, and it was unexpectedly lively.Both the fifth grade red lotus and Fantian seal were integrated into the Dutian Banner and the Yin Yang Demon Diagram.
It won t be long before I can truly rank alongside the Tianjian sect.After a soft bang, the stars and arrows and the Nirvana Demonic Qi died together.
He almost broke the Black Tortoise Shield.One must know that the Black Tortoise Shield is a middle grade defense treasure, and he found it with great difficulty.Seeing that the big hole was healing rapidly, Xu Yang didn t dare to neglect, and quickly dodged into it, and the two of Wang Lin did the same.
They are all masters in casual cultivation, and they are at the peak of Nascent Soul, and they have a very high prestige in casual cultivation.