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.
With their keen Taoist minds, they thought carefully for a while and finally solved the knot.After the First World War, cause and effect became clear.
At this time, the weather suddenly accelerated, and she could vaguely see two qi, one yin and one How to Drink Apple Cider Vinegar for Weight Loss Results yang, rising one after another.But in the past year, this trend has suddenly changed.
This person s name is Ye Tuo, and he is a monk from the Qing Wei Sect in the Yin Sect.Almost every time when the person s figure is half faded, the other party s divine will has already caught up with him again.
Why are Yinghuo and Haoyue different The reason why Nature’s Truth Apple Cider Vinegar Gummies: The All-Natural, Delicious Way to Lose Weight Fast Mi Daozun was in a trance was because after leaving the realm and watching the battle from a distance, Gui Wu was like a god, majestic and majestic, and his appearance was simply incredible.Is this relying on the benefits of Taoism Although the basic state of this body is not as good as the other two righteous bodies, the only aspect of knowledge and seeing that is related to the path is implicitly connected with the righteous body.
When the four formations are combined, it is possible for him to advance into a realm that does not actually exist , just like the esoteric principles in the deduction of metaphysics.If this is the case, although Ziwei World s achievements are not perfect, the advantages of resolving the threat of continuing to move forward after ascension always outweigh the disadvantages.
One fight after another, the speed at which the chess pieces fall.The reason is to understand the reality of retreat and use retreat to advance.
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Long Yunyou was unwilling to accept it and punched out the opportunity.There is an existence similar to the Yue Heng Sect s four continents and six seas barrier.
Because the Shinto method was originally the main method for breaking through rocks.With sharp edges and corners, and a rather strange and stubborn air, he is exactly Wu Xuanxi of the Xuanwu clan.
After a long period of investigation, he has determined that Fei Nan, the leader of the Tianmu Department who has been revived for decades, is most likely such a person.Du Minglun smiled and said It s a mistake to make a mistake again and again.
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Four or five years is not a long time, but it is not a short time.It takes several seconds to accumulate power to cast Endgame Atomic Breath , which is why he sent Shark Tank Australia Keto: How It Differs from the U.S. Version a message to Harrov and others to help attract attention.
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There was a little hesitation on Monroe s face. He was always wary of this colleague.Lin En thought for a while and felt that there were two reasons why he was immune to the poison of faith.
The remaining food reserves can probably last for about three or four months.force. The straight line distance between the City of Fire Oil and the Holy City is only 300 kilometers.
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Soon, tens of thousands of bishops gathered in the Tower of the Sky, waiting in panic for the Pope s explanation.The magic power and energy consumed by the legendary promotion ceremony is also an astronomical figure.
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Aurora suspected that these people s beliefs may not be pious enough, but even through brainwashing, they couldn t get so many devout believers in a short period of time.The existence Unveiling the Efficacy of CBD Gummies for ED: User Experiences and Reviews of a speed limit in space and the principle of constant speed of light is indeed very strange.
She naturally knew the Thunder Technique. It was a very dangerous and powerful magic.He has received several awards for his outstanding work ability.
For example, when he told the details of the war just now, he was half truth, half false, and even had obvious mistakes.Countless troubles came one after another, which can only be described as harsh, but Dave shouldered them one by one.
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However, just thirty years ago, when the weapon development reached the most critical moment, a major accident occurred, which directly caused a A very important scientific research planet was completely wiped out, and a large number of cutting edge scientific researchers inside also died.According to the regulations of the parliament, I cannot participate in discussions and votes on the acquisition of all honorary awards to avoid internal operations.
Compared to the almost instantaneous Blade of Time and Space , as well as the extremely fast Electromagnetic Railgun and Laser Slash , the speed of this Rune Lock is obviously much slower, but precisely because of its slowness, He was not affected by the self destruction impact of the two saints.Do we have enough food reserves Linn turned to the congressman in charge of food production and asked this most important question.
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Each of his one hundred and ninety one brains is capable of independent thinking.This was normal. Lang Cai s powerful state no longer relied on the training room.
If Li Yuanba reaches the realm of great monks, the gravity field of Ten Thousand Swords Peak alone will cause most of the great monks to be greatly decelerated or even completely suppressed.If the Sword Intention Chongxiao Pavilion is really like the Yuqing Sect and sends the strongest sword cultivator, there will be no such thing as the Great Monk Wang He.
This time Yuqing Sect not only trapped him, a peak thunder cultivator, but also trapped a half step master.They can only wait until this time Unveiling the Price Tag: How Much Does Weight Loss Surgery Cost? to preach the Buddha s message to finish, and then investigate what happened.
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Although Li Shiming did not have any contractual relationship with Xi soil , he could still sense Xi soil s emotions through his control over Bansheng Cave Heaven.His mind moved slightly, and the five mid stage golden corpses disappeared from where they were.
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Those who can do this in Zhongzhou Continent are the superpowers of Zhongzhou Continent.The person who spoke was Yin Zhen from Zhongzhou Trading Company.
Combined with the formation capabilities of Li Shiming on the body, the analysis and computing capabilities of IBMz15, and the data collected on the steps, it is very possible to re research a formation.Our city will be closed at the time of one stick of incense.
The qualifications and talents of monks, especially some monks whose qualifications and talents are already extremely high, are almost impossible to improve their qualifications and talents.The Baidi Sect approached the Great Monk Mao Jing and proposed that the Fuliu Sect give up the Great Monk Luo Pei.
You thought about the impact on your junior brother first The senior sister nodded and praised, and Do CBD Gummies Work for ED? Unpacking the Efficacy and Evidence then said Just wait here, do you want me to forcefully break the formation Isn t it possible As she spoke, the senior sister also sent out a spell to enter the Sword Holding Peak and waited in the void.
They all understand that after losing the core of Dongtian, Dongtian is in chaos, which is the time for them to fish in troubled waters.This was too evil and had too much impact on the great monk Wang He, so it was naturally not a good thing for him.
After Li Yuanba sensed that the golden corpse in the middle stage was being attacked and at the same time sensed the aura of the horse head creature in the late fourth grade hell, he stopped restoring the energy in his body, and then took out a fourth grade high level elixir to restore energy.When the other great monk saw this, he couldn t help but shake his head.
Kang Yuan, you stay here, all formations are activated, and I will go over to rescue.Fellow Daoist Li, you came so quickly Senior Brother Liu Ziyun came to Li Shiming and said with a wry smile.
As a spiritual beast, the spiritual pet is particularly suitable for fighting against the spiritual beasts in the sea.Without any hesitation, his figure rose into the air, and with Xing Yijian, he turned into a sword light and shot towards the boundary mountain pass
As soon as he approached the boundary mountain pass, he sensed Jiang Pu s aura.
There are eleven super power monks arriving this time, and they are also led by two great monks.They all knew that Li Yuanba could not sustain such an attack for a long time.
But getting the blueprints also means that you have the hope of getting rid of the nine major camps, and you can unlock the golden lock and walk away the dragon.And at this time, there are not only dragon hunters in the Blood Spear camp, but also a large number of outsiders.
Several people around him who were originally chatting with each other about endorsement and collaboration wisely left and gave up the chat space to the two of them.Although he was said to have a very high status in the guild, in reality his identity was controlled.
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In this case, it is indeed impossible to be attacked by the opponent.boom 3 With a crashing sound like Mars hitting the Earth.
Zhao Hao, who was about to spread his demon wings to pursue him, saw Keto Excel Gummies: Excelling in Weight Management this and gave up the idea of pursuing him.To describe it in real world terms, it s like crazy criticism of beauties , and I don t know how many LSP s XP I ve earned.
Mia The opponent has already established a foothold in the cemetery camp.Mo Lin s defection has nothing to do with Zhao Hao.
Zhao Hao smashed out the Death Sky again, covering one third of the Blackmang camp.It seems that you have guessed my identity But I was able to come here with the help of her body and the fact that this is the underworld Do you agree to the deal I mentioned The other party continued with a somewhat familiar voice to Zhao Hao.
If they really think they can do it, so can you. In the past, in battles, I was cut down like a weed.Although the physical attributes of the arms have been greatly weakened, they have also been strengthened a lot.
The terrifying and suffocating pressure made the adventurers understand that the opponent had no intention of letting them go, so the only way to go was to fight.Without this thing, it would be easy for the enemy to infiltrate them.
Don t worry, our allies this time are very powerful Zhao Hao said meaningfully.When making deals with the undead, it s best not to beat around the bush.
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Now it s at least 500 gold coins per ton, which is still less than half.There was a strong wind, and I suddenly felt strange.
Beep There are countless things on the expanded exchange interface.It is our turn to stand guard at this moment. If you don t do it, you will be dealt with by military law.
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