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.
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Every monk who could be accepted as a disciple by Jindan was a person with amazing talents.Fortunately, Li Shiming used his consciousness to operate in the computer room space.
It seemed that many monks liked to write practice notes.Take out the identity jade disk. If you have any questions about the formation in the future, you can ask me through the identity jade disk.
According to memory, several medicinal materials in this prescription are very precious, and even using the connections in Fuzhong will take a lot of time.As the owner, his father Li Lean Valley Keto Achieving A Leaner 2knp Physique With Keto Supplements Wenyuan does not live here, so it is reasonable for him to live in the main room.
After several days of traveling, they reached the depths of the area of 100,000 mountain spirit beasts.Only by breaking through the imprisonment can people s thoughts leave the body and form spiritual thoughts.
He drives the crow s wings Flying upward, while releasing spiritual En John Goodman Shows Dqr8y1ur Off Pound Weight Loss After Transformation Eg thoughts, always pay attention to the situation above.For the monks who are in the middle stage of foundation building, it seems that another monk from the Senluo Sect has taken over the task and arrived.
The number of characters and the scale will inevitably It will be far better than back then.Therefore, it cost a lot of money to make up for the troubles he would suffer from using this method.
This time
although my performance has reached about 30 , it may not hurt you.But even she couldn t see Yulion s posture clearly.
There seems to be a contradiction between the two. Now after dismantling it in actual combat, it is finally clear her final blow was certainly not within Wu Kuai s reach but Wu Guo also had the ability to prevent this blow from happening.As Qin Menglin spoke, Huang Xiyin s sword intention flowed, and his eyes and Mo Tianqing In Acv Gummies The Trending Secret To Weight Loss Or Just Qb2vqgc A Fad contrast, there seems to be an inexplicable interaction between positive and negative.
Whether it s a demon clan, a demon, or a local sect.Standing in the palace, Gui Wujiu revealed his true form and gently struck the bronze bell.
Gui Wujiu smiled and said We won t go that far. Qin Menglin said You are confident.Xi Lerong had already calculated clearly that although he was En Keto Luxe Shark Lf1j4 Tank Tsvg not to blame, he would not intervene but if Jiang Minyi Ozempic Weight Z6ngu6v7 Loss Real Results In was in danger of being harmed, he would definitely not stand idly by.
But I have my own soul bead attached to it, and the compatibility is even higher.Regardless of friends or foes, almost everyone regarded him as a figure who would surpass all the sages even The ancestors of the nine sects have returned to the realm, and their words may not necessarily be of any use.
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Such a subtle sense can only be vaguely achieved by repeatedly competing with top masters of different schools in a short period of time.No matter in terms of scale, but also in terms of skillful operation and thoroughness, it is the best among the seven formations.
Jing Ke was secretly excited. After about half an hour of pondering, he had fully grasped the principle of blaming off the blame and leaving opportunity behind.Gui Wujiu s thoughts moved slightly and he said Yuan Zun s words make sense.
Because this girl has no magic power at all To her, the vomit just now was no different from the tortoise boxing used by children fighting with both hands and feet.Immediately, the words floated into the air one by one, formed into a string, merged into Jiang Minyi s palm, and disappeared completely.
Whether it s leisure chess or friendship, this treasure is placed here let s see if there is any bottom up impact on the Taoism of the local world.But Gui Wujia believes that this possibility is extremely low.
The rest of the great monks who were Key Differences Apple Cider Vinegar Gummies Vs Lmwm32t5l Liquid For Summer not in Zhongzhou Continent expressed their agreement.Monk. Therefore, after the mid stage Nascent Soul monks of Cangqiong Trading Company were attacked, they immediately thought of support and thought of the Nascent Soul monks among the passengers.
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Then we won t fight Li Shiming agreed, putting away the Heaven Strike Hammer.This time the attack was regarded as a quarrel with Li Yuanba in the Hell Cave.
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This made the illusory figure of the Angry Eye King Kong almost solidify, like a solid body, roaring towards the sky.Coupled with the help of the drone satellite system in the sky, he still maintained the information advantage.
It happens to be restrained by my Invisible Yuan Magnetic magical power.This is a good idea. There is a lot of grudge between Li Shizhen and Zhongzhou Commercial Bank.
1 nanometer and 1 nanometer for his usual operations in the computer Where To Buy Apple Keto 1fkztmd2 Gummies In Australia room space.Even if there is a trace of something wrong, IBMz15 will immediately inform him.
These are usually not seen and are usually used to deal with the great monks who betray the forces.He discovered it when Brother Hu and several other monks approached, so he prepared to end the practice in advance.
Such thoughts made him immediately feel that his fight was just, at least for Zhongzhou Trading Company.I think the origins of these inherited techniques are unclear, so they are placed here.
He looked at the space where he stood. This should be a hall built by an ancient force.No matter how careful they are, they cannot prevent accidents 100.
This was different from the information coming from the Intelligence Department of Wuliang Sect.Not only that, his spirit has also been greatly strengthened.
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In the Xia Kingdom area, the opponent was the leader of the barrier Slim Keto Shark Tank The Secret To Shedding Pounds Iq0c camp, but after leaving the novice zone, the opponent s barrier camp where players from various countries competed was at most a first line guild.The remaining 10 magic points were just a trump card.
Even without the power of the dragon, it How T5sksu Kevin James Achieved Weight Loss In His Secrets made the big eared monsters who were rushing forward feel bad, and they all raised their heads.But no matter how they resisted, they were all ruthlessly crushed in the face of the Storm Legion with full firepower.
After all, their rank and size are here. Still pressing forward under the protection of the three abominations, all the stone men in his path were killed.The best of the best players This is the evaluation of the eight top seed players by Hero World players.
Claw strikes, headbutts, tail sweeps The standard dragon three link attack will cause injuries and death upon collision.It didn t take long for the properties to change. Bone Hound Level 3 undead, level 33.
The opponent who is suppressed by abilities related to flame and light will find an opportunity to take the things away later.As the number of ghosts in the sky increased, they began to gain the upper Shark Tanks Answer By2kk0x To Belly Fat Innovative Solutions Revealed hand.
Qin An, how many banknotes did we bring with us when we went out There are no more banknotes.Especially in terms of defense, when the opponent s minions attack the white bones as hard as fine steel, they may only be able to scrape off a layer of bone powder.
After saying hello, they sat down and the King of War patted him on the shoulder.If we can t defeat the Abyss Lord, winning is useless.
A flash of despair flashed in Shan Jin s eyes. after an hour The belated players from Lijian Kingdom finally arrived, but what they saw was the ruins of Chuxue Lake.It even triggered several instant death effects, causing the ripples of soul harvesting to overlap each other.
Bang, bang Skeleton soldiers emerged from the player s corpse, and the scene was extremely horrifying.5000 S Top Myths And Facts Truths And Lies K7cs About Belly Fat Loss units of Centaur leader, 2000 units of combat dwarves, 540 units of phantom archers, 145 units of silver pegasus, 390 units of shadow swordsmen, 26 units of deadwood guards, 6 units of unicorns.
all have a lot of room for growth. So she just has that potential, but she s still far from getting there.They were all defeated As for the dozen paladins, they were also obeying Raphael s command at this time, and they didn t know how they did it.
