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.
The third floor is the headquarters, from where all orders are issued.It can only be said that because of him as the scroll king, the player s strength is much stronger than in the original history.
It can only be said that the situation in Burial Dune is extremely delicate.First, the route was found based on the memory of the reborn person.
Instant kill No matter how fast the archangel is, he has no room to dodge when faced with this kind of saturation shooting.It s not enough to make people sacrifice their lives, but they also have to work for you.
The undead lord is purchasing abominations on a large scale, thinking on his feet to prepare for trouble.Thank you, Commander Delin, for me He politely thanked the hero for helping and watched him leave.
That is to say, the archangel s dexterity is too high.As the other party joined the battle, Zhao Hao realized the importance of the other party.
When he subconsciously wanted to escape, he found that the only exit had been blocked by the opponent.It s no wonder that such a powerful temptation is so eye catching.
Crush them Zhao Hao pointed at the densely packed army of cavemen, dark dwarves, evil eyes, Medusas, fallen hunters, minotaurs, and manticores in front of them.In a barren land like Rannar, there are some good things, but what more is a bicycle Well, Zhao Hao attaches great importance to that market because his products can only be digested https://tannoorgrill.com/news/whats-cbd-gummies-a-comprehensive-guide-to-their-benefits-and-uses-faojy-ss4-x8qp/
there.
If I rescue your people, will they work for me Zhao Hao got straight to the point.The dark elves also need merchants to bring enough goods, especially weapons, equipment and food.
The first is 2,500 units of eighth level phantom shooters the total number of hundreds of units left behind to support the Wind Whisper meeting.A few minutes later, after being struck by a sword again, the God of Yellow Sand took the initiative to retreat to Archimonde with heavy injuries, then turned around and looked at a few people.
Summoning Homan out also gives the opponent a chance to recover and improve, but it doesn t mean just staring at the opponent all the time.He was a little dissatisfied that the situation had developed to this point.
Although it is a cult, it does not mean that it has no brains.Facts have proved that Zhao Hao s tactics are extremely good.
Every inch of space must serve attack, defense and other magic circles.This time, there were too many good things and the contribution points were not enough.
The reason is simple, she knows what is more important.He https://tannoorgrill.com/guides/en-unveiling-the-truth-about-apple-anaygd-cider-vinegar-and-weight-loss-a-2025-guide-fcuq/
is naturally full of fighting spirit. Kill Bai Hu, a fighting maniac, naturally had nothing to say and just rushed to the front.
Before his rebirth, he had only heard of the other party s name through the God Slaying Battle with the God of Yellow Sand.But when combined with Feida s talent, a qualitative change occurred.
This way the layout is complete. Master, are you okay https://tannoorgrill.com/tips/enhancing-male-performance-with-vigor-prime-male-enhancement-gummies-a-comprehensive-review-minry-1sfd-d6zu/
Zhao Hao had just returned to his body when he heard the concerned voice of his pet who was on guard at the side.That s it. Because his tactical roll was not random.
It is precisely because of the existence of the pale collar that they can plunder wildly without worrying about not being able to take it away.What is that It s so big Is it a ship Why can ships fly in the sky
Various voices came from the mouths of the cultists subconsciously.
However, the Broken Star Islands are at sea. If anyone dares to snatch them, the Storm will make them understand what it means to be a sea overlord.With no worries about the rear, the sailors can naturally control the ship normally.
The thin Qin An was accidentally overturned by the strong wind.
It seemed that there was more than one enemy attacking him.This Tian Shengcai family is a fat sheep that they finally got.
Xiancai Mrs. Xiancai was https://tannoorgrill.com/knowledge/slimcandy-keto-acv-gummies-review-does-it-i3lzj2q-really-work-0sqq/
extremely poisonous. He did not dare to let her get close to her, let alone test the poison with herself.He first dodged the attack of a puppet on the left, then took out a soft whip as thick as a https://tannoorgrill.com/topics/the-importance-of-adult-calcium-gummies-for-maintaining-strong-bones-and-ssqs3je8m-overall-health-hosae-7k7r/
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s arm, and swung it with a wave of his hand.
The fifth brother is at this price, what if the eldest brother, the second brother, the third brother and the fourth brother come It was sold to A Deep Dive into Washington’s Most Effective Way to Lose Belly Fat: Keto Pills for Weight Loss
the Qin family at a low price, but what if it met the Zhao family, the Qian family, the Sun family, and the Li family So this matter cannot be accommodated.
I didn t expect that you are asking for high prices and deliberately making things difficult.As long as you are more careful, it is possible to rescue Qin Ruyan.
Mr. Xu s tone was very calm, but Qingyang could hear the hatred contained in it, not only because he had snatched Huangji Harmony Peak CBD Gummies Reviews: Benefits, Safety, and Efficacy
Yanchensand, but also because he had repeatedly refused his solicitation, and even more because he had let him lose it.Qingyang looked at Elder Wusi and said, I understand everything my uncle said, but it is not a bad thing to be more prepared.
But his ambition has also greatly increased, and his ranking will at least rise slightly in the future, so The Menopause Diet: A 5-Day Plan to Lose Weight and Regain Balance
Qingfengdian and Elder Wusi cannot help but accept everyone s congratulations.Since The other sects haven t come yet, so they can only stay here in Tujiao City.
After seeing everyone, they exchanged a few pleasantries, and then Master Kangzhuang said, Brothers, my uncle has been waiting at my home for a long time.It is easy to suffer losses if you are careful. Looking back, we must think of a way to get a magic weapon or spiritual weapon for the Iron armed Monkey to use.
The distance between the two was only one foot. For a strong monk, such a close distance was like https://tannoorgrill.com/case-studies/en-queen-latifahs-remarkable-weight-ocm7i9g3i-loss-5-secrets-for-winter-2025-success-i79u/
standing face to face.The Yin Yang Slash is a unique spiritual weapon belonging to the Yin Yang Sect.
Your master is too lazy to deal with it. Master, can you, a little monk, take care of this Hearing https://tannoorgrill.com/knowledge/understanding-the-benefits-of-cbd-500-mg-d0hsjgnht-gummies-for-overall-well-being-5t1w/
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the tall monk was frightened and did not dare to say anything anymore.At the top of the steps, at the entrance to the second and third floors of the Geocentric Tower, Habit CBD Reviews: A Comprehensive Guide to CBD Products (wntkG)
there is also a hidden formation.
At this time, not only can he drive the magic weapon, but he can even drive the magic weapon to move the monk himself.Especially its four sharp claws and the two rows of fangs in its mouth are as strong as the magic tools used by monks.
I could only let them make the decision. At this point, Yu Mengmiao s face suddenly changed, a murderous aura filled https://tannoorgrill.com/trending/euphoria-64n4-green-cbd-gummies-reviews-a-comprehensive-guide-to-natural-wellness-1xsf/
the air, and he said coldly Now we are all in the late stage of Qi refining.As both foundation building pills, the Yangyuan Pill is much less difficult than the Foundation Best CBD Gummies for Male Enhancement Reviews: Top Products and Benefits
Building Pill.
After that, Qingyang learned a lesson and learned that when performing the breath condensing technique, he must maintain absolute composure, without any change in breath, without revealing any flaws.The situation of Qingyang and others was slightly better.
Except for the serious consumption of spiritual energy, other aspects were not affected, so the two of them rushed out quickly and violently, even faster than Qingyang before.I can exchange the medicine with you. Improving Sleep Quality with Candy Can Sleep Gummies: A Comprehensive Guide (TbYuB)
The refining of Foundation Establishment Pills is extremely troublesome.
Qingyang s legs were tightly stuck on the body of the red feathered eagle.Even through the restriction, Qingyang could feel the hot breath on the Earth Fire Sword.
When these two people join forces, their strength is greatly increased.He is at least the best among the foundation building alchemy masters, and he must be very knowledgeable in refining foundation building pills.
He agreed with everyone to separate their operations for half a month and only move within a radius of https://tannoorgrill.com/knowledge/understanding-the-efficacy-of-qjj0tr-makers-cbd-gummies-reviews-a-comprehensive-analysis-1a1l/
dozens of miles.to prevent the true essence shield from being broken and losing protection.
The Qi Gathering Pills are much better, but these two women are a bit stingy, and they only have a dozen in total.When it fell on the third level living dead, it was easily neutralized by the opponent.
The butter umbrella opened, but it was a pity that it was too late.No, someone stole the Huangji Yanchen Sand. Jiao Hong couldn t help but yell.
Junior Brother Qingyang, hold on first, https://tannoorgrill.com/updates/power-cbd-gummies-t8yum-ingredients-d9l4/
we will come over to help you right away.
Seeing this situation, Qingyang was immediately disappointed.Now in this situation, we must cooperate closely to defeat this golden elixir puppet.
It is now roughly distributed according to the original agreement between Qingyang and the other three parties.The golden elixir puppet only has the ability to attack, defend, react, and take action.
I understand everything, then what you call the great wealth What is it again Qingyang said.Spiritual grass has a strong bewildering effect on the souls of monks, especially ghost cultivators.
Qingyang s performance shocked everyone present. No one expected that the third arena match would be like this.Although it was a bit cruel to destroy the Lingfu Sect this time, the harvest was huge.
Compared with the sect s cultivation, it is still their own lives.Carry forward the Ten Kings Palace. Budai Ghost King said Senior Ghost King is worthy of being a powerful god in the past.
There were even the legendary gods and powers, but only the legendary ones.When the Qilin Thunder Wood burned to the end, Qingyang s divine thoughts took the jade bottle back.
Unless you have a certain level of strength, it is It is absolutely impossible to pass through the Red Smoke Valley smoothly.The key nodes are also inlaid with top quality spiritual stones, United Farms CBD Gummies - Natural Solution for Better Living
but the number https://tannoorgrill.com/support/Where-Can-I-7bgbjffa-Get-Keto-Blast-Gummies-Unlock-the-Secrets-to-a-Slender-You-with-the-Best-Keto-Gummies-o-6rt0/
is smaller, only nine
Including these nine top https://tannoorgrill.com/tips/en-exploring-the-weight-pbi3nxt-loss-drug-zepbound-your-guide-to-2025-christmas-slimming-h5e6/
grade spiritual stones, it is a total of ninety.
The auction will be held almost every other year. Every time Dozens of people competed for it, and at one time, sixteen thousand Hades Stones were auctioned.After all, puppets are dead objects, and all battles and reactions are artificially set, so they lack a certain degree of adaptability and can easily be found.
He just practiced Yin Yang Xuan Gong to disguise himself as a ghost cultivator.Even if the Nascent Soul cultivator travels alone, it will take at least four or five days.
Let alone the perfect Yuanying, even if you have the five elements It is impossible to have a complete Nascent Soul, but the spiritual roots can be made up through the day after https://tannoorgrill.com/features/opti-men-gummies-a-comprehensive-review-of-the-multivitamin-supplement-bpzpk-x62i-tfgs/
tomorrow.However, the Demon Spirit https://tannoorgrill.com/reviews/are-lemme-sleep-gummies-safe-a-comprehensive-review-klfsygj-omvuh-vemx/
Realm is the territory of demon cultivators after all.
The strength gap between the https://tannoorgrill.com/reviews/are-cbd-gummies-legal-in-florida-a-comprehensive-cfygtz-guide-a3gn/
two sides was too low.Seeing that Qingyang didn t speak for a long time after getting the storage bag, Yang Chengzu gritted his teeth and said, I have collected everything I can.
The most famous thing is his defense power. The monster s own defense is already strong, and the Black Armor Demon King s defense is even more frightening.A lot of preparation, not as hasty as other Jindan monks.
The speed of healing opened Qingyang s eyes. The iron eating beast is not far away, but Qingyang is restricted to a range of nearly a hundred feet, and does not dare to cross the thunder pool.Is this what you call the righteous way of the immortal sect Facing the Nascent Soul 6 Authoritative Healthy Recipes to Help Lose Weight in the USA
cultivator, Elder Wusi was under great pressure, but he knew that he could not show weakness at this time.
Thin, almost invisible black threads came out of his mouth and wrapped around his body bit by bit.The huge body is so Falling directly from a height of thousands of feet, how could the feeling be so good The iron armed monkey s situation was not much better.
It is said that there are nine transformation tribulations in total.he would at least have to spend a lot of extra time refining the elixir.
However, this lightning ferret was extremely smart and quickly found the weaknesses of the two of them.
The two of them greeted each other at the same time, Xu Chuan Chuan smiled.The master said so, so it was inevitable to https://tannoorgrill.com/updates/en-8-realistic-methods-for-can-i-lose-weight-t9w3jh-without-exercise-in-2025-70s7/
change his major in martial arts.
The drone then flew to the right side of the three peaks with the small bomb, and then controlled the drone to drop the small bomb.He took out thirty six formation Naturesleaf CBD Gummies: Benefits, Reviews, and Quality
flags and arranged them outside the yard.
So whenever he has free time, he will stand on the deck and enjoy the rare beauty.Otherwise, he would have wanted to send his clone into it to strengthen it.
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Prince Shun said calmly.Because as long as https://tannoorgrill.com/trending/en-6-easy-dinner-aupzs7oji-recipes-to-lose-weight-and-stay-satisfied-j1vm/
Purple Qi Comes from the East is interrupted once, the effect of Purple Qi from the East will be greatly weakened.
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curious Elder Su nodded in agreement without much hesitation.The target of the mission was the remnants of the Houtu Sect.
The disadvantage is that he lacks the training experience of his predecessors, which makes it more difficult for him to attack the golden elixir.Such a formation would be impossible for any formation master to set up in just a few hours, but he followed Li Yuanba Understanding the Potential Benefits of Pot Gummies for Weight Loss
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without stopping for a moment.
Now that he has the status of an intermediate formation mage, Yun s Trading Company can t do anything to him.Living at sea for many days made him miss the land extremely.
Then more small fish swam out from the depths. It was probably because the lighting that was thrown in at first scared the small fish away.But after careful consideration and IBMz15 s argument, through his contact with the Foundation Establishment monks and all the information https://tannoorgrill.com/media/young-living-cbd-gummies-pdce-fgxq/
about the Foundation Establishment monks that he had access to, he had certain standards for judging the strength of the Foundation Establishment monks.
Without this kind of research spirit, how could one become one of the few https://tannoorgrill.com/knowledge/en-daily-dla-exercises-to-lose-weight-6sbt/
intermediate formation masters in the sect and maintain a unique advantage among the intermediate formation masters.That was not an ordinary force. Although Elder Su was recovering from his injuries, his power in the sect was not weaker than Elder Ji.
The spiritual power in this mark is extremely strange, and it should be caused by some special secret method.This is the price of using a special secret method to forcefully enter the fake infant state, cutting off all hope for the future in exchange for this strength.
This method has the same effect as the Sunflower Collection to a certain extent.If something happens to Li Shiming, I will let that old guy from Baili be buried with him Elder Yin did not blame his fellow Are CBD Gummies Good for Prostate Health: A Comprehensive Review (kymjn)
elders, but said with an extremely unhappy expression.
After obtaining the Secret Technique of Concealment of Charming Souls , he began to comprehend this Secret Technique of Concealment of Charming Souls on the flying boat.Junior brother, the spirit plant is in the palace. I will take you there first.
Ren Fei er immediately pounced on him. His body stiffened.Li Shiming, who had already been seriously injured by forcing out a drop of blood essence, collapsed on the ground involuntarily.
You also need to regulate the spiritual power in your body.Returning to the level, he came to the mission pavilion.
With the cooperation of the two monks, they can advance and retreat with certainty.It consumes the same time but can only get half of the contribution points, which is really uneconomical.
