letou乐投

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jianshouchuxindilifenjin xizangzizhiquweishengjiankangshiyekuobuqianxing

访谈时间: 2018-12-09 10: 30

访谈嘉宾: 西藏自治区卫生健康委党组副书记、常务副主任 王寿碧

访谈简介: 各位网友大家好,这里是西藏自治区人民政府门户网站“政务访谈”,今天letou乐投邀请到了自治区卫生健康委党组副书记、常务副主任王寿碧为letou乐投介绍西藏民主改革以来卫生健康事业发展历程和取得的成果。letou乐投

主持人: 各位网友大家好,这里是西藏自治区人民政府门户网站“政务访谈”,今天letou乐投邀请到了自治区卫生健康委党组副书记、常务副主任王寿碧为letou乐投介绍西藏民主改革以来卫生健康事业发展历程和取得的成果, 你好,王主任。

jiabin: dajiahao!feichangrongxingnengcanjiabenqijiemu,zheiyeshiletouletoudiyicicanjiazheiyangdehuodong,xiwangtongguojintiandeletouletou,rangdajiajinyibulejie,jingguo60niandenuli,letouletouquweishengjiankangshiyefashenglefantianfudidebianhua,nenggougenghaodeweirenminjiankangbaojiahuhang。

zhuchiren: haode,wangzhuren,xizangminzhugaigeliushinianlai,letouletouquyiliaoweishengshiyeyoulezenyangdegaibian?

letou乐投jiabin: xizangminzhugaigeyiqian,jinlasa、rikazeyou3suoshebeijiqijianlou、guimohenxiaodeguanbanzangyijigouheshaoliangsirenzhensuo,congyerenyuanbuzu100ren,jiashangminjianzangyiyezhiyou400yuren,wujibingyufangkongzhizhongxin、fuyouweishengbaojiandengzhuanyegonggongweishengjigou,guangdarenminqunzhonghuanbingwufadedaojishiyizhi。

minzhugaigeyilai,zhongyangzhunianjiadaduixizangdeyuanzhulidu,chutaiyixiliefuchixizangfazhandeteshuzhengce,qudelishixingjinbu,fashenggejuxingbianhua。shangshiji60niandai、70niandai、80niandaixiangjijianlixianjiyiliaoweishengjigou、jibingyufangkongzhijigou,fuyoubaojianyuan(zhan)。90niandaishishinongmuquweishengshiyexiangweishengyuan、xianweishengzhan、xianfuyoubaojianyuan“sanxiang”letouletou,2000nianyilaizizhiquweishengjiandusuo、zizhiquxueyezhongxinzhengshijianli,fugaichengxiangdeyiliaoweishengletouletouwangluojibenjianli。jinnianlai,guojiahezizhiquzhunianjiadaduiweishengshiyedetourulidu,gaikuojianlezizhiqurenminyiyuan、zangyiyuan,xinjianlezizhiqudisanrenminyiyuan,fuchanertongyiyuanjibenwanchengletouletou,zizhiquyiyuanwanchengjikengkaiwa,shi、xian、xiang(zhen)yiliaoweishengjigougaikuojiangongchengjibenwancheng,suoyouxingzhengcunjunyoucunjiweishengshi,jibenshixianyicunliangyi。tongshi,haiweijicengyiliaojigoupeibeilenongmuquxunhuiyiliaoche、caisebchao、xguangji、duocanshujianhuyi、xianweijing、xindiantujidengyiliaoshebei,weishengyiliaojichusheshitiaojiandedaogaishan。

weishengjiankangcongyerenyuanduiwubuduanfazhanzhuangda,yanzhongweihairenminqunzhongjiankangdechuanranbinghedifangbingdedaoyouxiaokongzhi,funvertongjiankangshuipingxianzhutigao,yiliaoweishengjigoucong1965niande193gezengjiadao1548ge;chuangweicong1631zhangzengjiadao16787zhang;weishengrenyuanzongshucong2947renzengzhangdao24018ren。fugaichengxiangdezizhiqu、dishi、xian、xiang、cunwujiyiliaoletouletoutixizhubujiancheng,yiliaojiuzhiyingjiansheshidedaomingxianjiaqiang。minzhugaigechuqi,xiandaiyixuejibenkongbai,jingguo60niankuayueshifazhan,xingchenglezangxiyiweizhutideyiliaoletouletoutixi,guangdarenminqunzhonghuodelebianlidejiuyitiaojian,letouletouzhilianghejundenghuawentidedaoyoulijiejue。renjunqiwangshoumingcongminzhugaigeqiande35.5suitigaodao70.6sui,renkoucongminzhugaigeqianbuzu120wanren,zengjiadao343wanren。

letou乐投zhuchiren: zaishenhuayigaifangmian,youshenmezhiduxingdechuangxin?

jiabin: xizangfenjizhenliaozhiduletouletoushizhongjianchixinshidaiweishengjiankanggongzuofangzhen,zhelijiejuerenminqunzhong“kanbingnankanbinggui”wenti,nulishixian“jicengshouzhen、shangxiazhuanzhen、jimanfenzhi、shangxialiandong”mubiao。yishikaizhanduozhongxingshiyiliantiletouletou。quanqu12jiasanjiyiyuan(hanzangyiyuan)、37 jiaerjiyiyuancanyugezhongxingshideyiliantiletouletou。mozhugongkaxian、jiangzixian、chayuxianlieruguojiaxianyujinmixingyigongtiletouletoushidianxian。muqian,quanquxianyuneijiuzhenlvtigaodao82.21%。ershizuoshizuoxijiatingyishengqianyueletouletou。bajiatingyishengqianyueletouletouzuoweizhongyaozhuashou,buduanxihuaqianyueletouletouneihan,tigongchangjianbing、duofabingzhenzhi,heliyongyao,jiuyilujingzhidao,zhuanzhenyuyue、gonggongweishengdengletouletou,youxuyindaoqunzhonghelijiuyi。jiezhi2018niandi,quanqujiatingyishengqianyueletouletoulvda53.4%,zhongdianrenqunqianyueletouletoulvda68.22%。sanshizhidingbingzhongmuluqingdan。anzhao“dabingbuchuzizhiqu、zhongbingbuchudishi、xiaobingbuchuxianqu”mubiaoyaoqiu,yituoyiliaorencaizutuanshiyuanzangrenyuan、jishu、ziyuanyoushi,genjuletouletouqushiji,jiehegedijibingpu,tuidonggejiyiliaojigouzhidingfenjibingzhongqingdan,dingqidiaozhengbuchongbingzhongmulu,guifanshangxiazhuanzhenbiaozhun。muqian,yizhiding367zhong“dabing”、2208zhong“zhongbing”qingdan。sishichuangxinxunhuizhenliaomoshi。weitongchoudiaodongxian、xiang、cunjicengyiliaorenliziyuan,zhenduixizangshijihequnzhongjiankangxuqiu,jiejuejicengweishengrenyuanquefa、liliangfensandengwenti,jinnianqidongshishigaohaibapianyuanxiangcunjicengxunhuizhenliao。6yuezaichangdoushi、neiqushihealidiqude10gexian、96gexiangzhenweishengyuankaizhanxunhuizhenliaoshidian,jihua2020nianzaiquanqu692gexiangzhenshixianquanfugai。jiezhimuqian,quanqugongzujiantuandui46ge,kaizhanjicengxunhuizhenliao183ci,xunzhen10wanyurenci,kaizhanxuanchuanzixunhuodong269changci。wushijiaqiangduikoubangfu。17jiachengshiyiyuanduikoubangfu31jiagaohaibaxiangzhenweishengyuan。paichu94mingyiliaoweishengzhuanjiajinzhushouyuanxiangzhenweishengyuan,caiqu“chuan、bang、dai”xingshi,zhongdiancongjibenyiliaoletouletou、gonggongweishengletouletou、jibingfangkong、jiankangfupin、xuanchuanchangdao、jibenxinxitongjidengliudafangmiankaizhanbangfu。jiezhimuqian,yikaizhanxunzhen510yuci,menzhenjiedailiang9wanyurenci,buduantigaojicengyiliaoweishengletouletoushuiping,rangqunzhongzaijiamenkoujiukandeshangbing、kandehaobing。

zhuchiren: lingwai,letouletoulaitanyitanweishengyuanzangduiletouletouquweishengjiankangshiyedetuidongzuoyong。

letou乐投jiabin: weishengyuanzangyoulimibuleletouletouquweishengjiankanggongzuodeduanbanhebuzu,weituidongxizangjingjishehuiheweishengshiyefazhan,weihushehuijushiwending,zengjinminzutuanjiedengfangmianzuochulezhongyaogongxian。yishiduikouyuanzanggongzuozhashituijin。1973nian7yue,guowuyuanxiafawenjian,xiangxizangpaichuyiliaodui,bangzhuxizanggedikaizhanyiliao、keyan、jiaoxuegongzuo。1973nianzhi1983niande10nianjian,xianhoupaichu5pi、jin2000mingjinzangyiliaoduiyuan。2002nian5yue,disanciquanguoweishengyuanzanggongzuozuotanhuijueding,baweishengyuanzanggongzuozhengshinarudangzhengduikouyuanzhufanchou。muqian,quanguogongyou17gesheng(shi)、16geguoyoudaxingqiyehe12geguojiaweishengjiankangweizhishudanweichengdanduikouzhiyuanrenwu。ershi“1774”yiyuanyiliaorencaizutuanshiyuanzanggongzuoyouxiaokaizhan。2015nian6yue,zhongyangzuzhibu、yuanguojiaweishengjishengweiqidongshishiyiliaorencaizutuanshiyuanzang,xianhoucongbeijing、shanghai、anhui、guangdong、zhongqing、liaoning、shanxi7geduikouzhiyuanshengshi65jiayiyuanxuanpai842mingyisheng。4nianlai,yuanzangzhuanjiabangdai826geyiliaotuandui、2354mingbendiyiwurenyuan, xuanpaiyoupeiyangqianlidebendiyiwurenyuanhexinruzhiyishengdaoduikouzhiyuanyiyuangengangpeixun、jinxiuyewu。lasashidengliugeshirenminyiyuanchenggongchuangjian“sanjijiadeng”yiyuan,alidiqurenminyiyuanchenggongchuangjian“sanjiyideng”yiyuan。anzhao《guanyuyinfajiaqiangsanjiyiyuanduikoubangfupinkunxianxianjiyiyuangongzuofangandetongzhi》(guoweiyifa〔2016〕7hao)yaoqiu,86jiasanjiyiyuanduikoubangfuxizangzizhiqu74xian85jiayiliaojigou(han1suoshifuyoubaojianyuan、71suoxianrenminyiyuan、5suoxianzangyiyuan、1gexiangweishengyuan、1geshequweishengletouletouzhongxin、6gecunweishengshi)。sanshijijixiediao,quanlixiezhu“zutuanshi”xueyeyuanzanggongzuo。dangzhongyanggaoduzhongshixizangrenminjiankangshenghuo,2015nianyouguojiaweishengjiankangweizuzhishishixueye“zutuanshi”yuanzanggongzuo,mingqueduikouyuanzhushengfen、xueyeyueyuanzhuliang,duiletouletouquyiliaoweishengjishufazhanherenminqunzhongjiankangxuqiujinxingtuodibaozhang。

letou乐投zhuchiren: jiankangfupinshijinjinianlaobaixingguanzhuderedian,qingwangzhurenheletouletouliaoyiliaojiankangfupingongzuo?

jiabin: letouletouqujianchibajiankangfupinzuoweiguanjianzhanyilaizhua,shenrukaizhanjiankangfupin“sangeyipi”hesanniangongjianxingdong,zhelijiejuejibenyiliaoyoubaozhangtuchuwenti,nulishixianpinkunqunzhong“youdifangkanbing、youyishengkanbing、youyibaozhidubaozhangkanbing”demubiao。

zi2016nianyilai,xizangzizhiquweishengjiankangweiquanlizuohao“sangeyipi”gongzuo,quanqu“yinbingzhipin、yinbingfanpin”pinkunrenkoucong2016niande63394renxiajiangdaomuqiande7005ren,weixizanggexianshixiantuopingongjiangongxianleliliang。yishidabingjizhongjiuzhiyipi。jieheletouletouqujibingpu,kuodabingzhongzhi33zhong,mingquedingdianyiyuan、zhenliaofanganhefufeiyuanzeyijibaozhangzhengce。muqian,quanqulihuandabing3987ming,yijiuzhi3646ming,jiuzhilvda91.4%。ershimanbingqianyueletouletouyipi。tongguozhangqijianchi“sangeyipi”xingdongjihua,shixianle55621mingjiandanglika“yinbingzhipin、yinbingfanpin”pinkunrenkoubaituolepinkun,yinbingzhipinfanpinlvkongzhidao5.99%。wei4322minglihuanletouletouqu33zhongdabingjizhongjiuzhibingzhongdepinkunhuanzhetigongguifanhuajizhongzhiliao,weigaoxueya、tangniaobingdengmanbingdepinkunhuanzhetigongjibenjiuzhihejiatingyishengqianyueguanliletouletou,weizhongbinghuanzhetigongdoudibaozhang,tongshi,haishixianlexianyuneizhuyuan“xianzhenliao、houfufei”he“yizhanshi”jishijiesuan,mingxianjianqingpinkunhuanzheyiliaofeiyongfudan。sanshizhongbingdoudibaozhangyipi。duibunengyicizhiyu、yiliaofeiyongchixufashengqiejudadezhongtedajibing,tigongjibenyiliaobaozhang、dabingbaoxianheyiliaojiuzhudengbaozhangcuoshi。

zhuchiren: jinnianlai,letouletouqujibingyufangkongzhigongzuoqudelejudachengjiu,qingweiletouletoujieshaoyixiachuanranbing、difangbingfangzhixiangguanqingkuang?

jiabin: minzhugaigeqian,xizanggediweishengzhuangkuangjicha,changyouwenyiliuxing,yinwufanghujigou,chuanranbing、difangbingyanzhongweixiezheguangdarenminqunzhongdeshentijiankangheshengminganquan,henduorenyinbingzhican,shenzhibingsi。

letou乐投minzhugaigehou,quanqujianlile82gejibingyufangkongzhijigou,zhongdianjiaqiangduichuanranbinghedifangbingdepuchafangzhigongzuo。yixuekexuejishuxunmengfazhan,20shiji60niandaixiaomietianhua,80niandaizhongqikaishizaiquanqufanweineiduiertongjinxingkajiemiao、mazhendengyimiaodejiezhong,jiezhonglvda90%。2009nianshishikuodamianyiguihua,dui11zhongchuanranbingdeyufangshishilejihuamianyi。lianxu18nianwujisuihuizhiyanbinglibaogao;2010nianjibenxiaochudianquefabing;shuyi、jiehebingdengzhongdachuanranbingdedaoyouxiaokongzhi;dagujiebingheyinshuixingfuzhongduyichaoewancheng“shiyiwu”guojiazhongdiandifangbingfangzhiguihuamubiao;nvejixiaochugongzuojinnianchubutongguoguojiakaohezuyanshou。fadingbaogaochuanranbingfabinglvhesiwanglvcong1978niande3864.12/10wanhe6.65/10wanxiajiangdao2019niande378.53/10wanhe0.93/10wan。

2017nian,zizhiqudangwei、zhengfuzuochu“juebubabaochongbingdairu2020nianxiaokangshehui”dezhengzhongchengnuo,jianlidangweilingdao、zhengfuzhudao、bumenliandong、quanshehuigongtongcanyudebaochongbingzonghefangzhigongzuojizhi,jin11geyuedeshijianjiuwanchenglequanqurenkoudeshaichagongzuo。quedingqunei13jiadingdianyiyuan,yuliuchuangwei150zhang,yiliaofeiyongyouzhengfucaizhengshixingdoudibaozhang,“wuyuyue、wudenghou、lingzhifu”dikaizhanjiuzhigongzuo,leijikaizhanshoushuzhiliao5000duoli,fuheyaowuzhiliaobiaozhundehuanzhetongyimianfeifafangyaowu,shixianyingzhijinzhi。

2018nian6yue,quanmianqidongjiehebing、bingduxingganyan、fengshibing(guguanjiejibing)“sanbing”zonghefangzhigongzuo。zaishifenjiankudetiaojianxia,jinxingguangfanshenrudediaochayanjiu,leijiwanchengdui195.6wanrendeshaichajiancehefangzhiganyu,chaoewancheng“sanbing”zhongdianrenqunshaichagongzuo。

letou乐投zhuchiren:  funvertongjiankangdezhongyaoxingbuyaneryu, neimeletouletouqufunvertongzaiyiliaobaozhangfangmiancaiqulenaxiecuoshi?

jiabin: minzhugaigeqian,xizangfunvertongjiankangquanyidebudaobaozhang,quanquyunchanfusiwanglvda5000/10wan、yingersiwanglvda430‰。

1951nian,kaishizaixizangxuanchuanxinfajieshenghefuyouweishengzhishi,1953nian,jubanxinfajieshenghefunvbaojianzhishipeixunban,peixunlezangzujieshengyuan,60niandaichu,kaizhanduinongcunfunvteshushenglijieduanweishengzhuangkuangdediaocha。70zhi80niandaiyihou,zhubuzaimeigexiangpeibeilexiangcunyishenghejieshengyuan。jianli7di(shi)fuyoubaojianyuan,qidongshishifunvertong“wuqi”baojiandenggongzuo,zhuyuanfenmianlv1989nianwei2.9%,90niandai,zaituixingxinfajieshengdetongshi,dalitichangyunchanfuzhuyuanfenmian。

letou乐投jinruxinshiji,yinfa《xizangzizhiqurenminzhengfuguanyujiakuaituijinquanqufuyouweishenggongzuodeyijian》,fuyoujiankanggongzuozhubukuozhandaofugaifunvertongzhenggeshengmingzhouqidequanmianletouletou,chubuxingchenghunqian、yunqian、yunqi、chanhou、ertong5geshiqi“yitiaolong”letouletoulian,funvertongchangjianbing、duofabingdedaoyouxiaofangzhi。wanshanzhuyuanfenmianjianglibuzhuzhengce,xianhouzhidingchutai《xizangzizhiqu“jiangxiaoxiangmu”nongmuminyunchanfuzhuyuanfenmianjiuzhuguanlizanxingbanfa》he《cujinnongmuquyunchanfuzhuyuanfenmiangongzuozanxingbanfa》。zi2011nianqi,zizhiqucaizhengmeiniantouru1000yuwanyuanweinongmuquyunchanfugoumaiyunchanfuzhuyuanfenmianyiliaobaoxian,zhubutigaoyunchanfuzhuyuanfenmianbuzhu,tigaozhuyuanfenmianlv。2019nian5yuezhaokaiquanqufunv“liangai”fangzhigongzuoqidonghui,yinfa《xizangzizhiqufunv“liangai”fangzhigongzuofangan》,mingquegongzuoliucheng。jiezhimuqian,wanchengquanqushaichajin9wanrenci。gejiweishengjiankangbumenchongfenfahuiyiliaorencaizutuanyuanzangyoushi,xiediaoduikouzhiyuanshengshi(danwei),zaixuanpaiyuanzangyihurenyuanshizhongdianxiangfuchanke、erkeqingxie,jiangchanerkehexiangguanzhichengkeshiletouletouyunenglizuoweiduikouzhiyuanzhongdianlingyu,bangzhutishengquanqugaoweiyunchanfuhexinshengerweijizhongzhengjiuzhinengli,jiangdiyunchanfuheyingersiwanglv。

suizheletouletouqufuyoujiankangziyuanbuduanzengzhang,letouletoutixizhubujianquan,fuyoujiankanghexinzhibiaochixuxianghao,funvertongjiankangshuipingbuduantigao。quanquyunchanfusiwanglv、yingersiwanglvxiajiangdao2018niande56.52/10wan、11.59‰。zhuyuanfenmianlvtigaodao2018niande90.66%。

zhuchiren:zangyiyaoshiletouletoudechuantongyixue,qingwenletouletouzaizangyiyaoshiyezhenxingfangmianzuolenaxienuli? 

jiabin: zangyiyaoxueshizhonghuachuantongyixuedezhongyaozuchengbufen。guojiahezizhiqulilaigaoduzhongshizangyiyaoshiyedefazhan,zangyiyaowenhuadedaoyouxiaobaohuhechuancheng。gejizangyiyaojigouzuoweizangyiyaowenhuajicheng、chuangxin、zhanshihechuanbodezhongyaochangsuo,tongguoyouhuayiyuanhuanjing、jiaqiangxingxiangtixiletouletouyijishelizangyiyaowenhuaguandengduozhongxingshi,hongyanglexingyechuantongdezhiyedaode,tuijinlezangyiyaowenhualetouletou。zizhiquxianhouyu1986nian、1996nian、2014nianzhaokaiquanquzhenxingzangyiyaodahui,chutai《guanyujinyibujiaqiangzangyiyaogongzuodejueding》he《guanyujinyibufuchihecujinzangyiyaoshiyefazhandeyijian》,youlituijinzangyiyiliao、jiaoyu、keyanhechanyefazhan。yishizangyiyaoletouletoutixizhubuwanshan。shangshiji80niandai,xizangzizhiquzangyiyuanxianhou4cijinxinggaikuojian。jingguojishiniandefazhan,jiezhi2018niandi,quanqugonglizangyiyiliaojigoufazhandao43suo,qizhong,zizhiquji1suo,di(shi)ji6suo,xianji35suo,gaoxiaofushuzangyiyuan1suo。bingjianlile624gexiang(zhen)weishengyuan、shequweishengletouletouzhongxinzangyiguan,quanquzangyibingchuangshuda2412zhang,xiangzhenweishengyuanhecunweishengshizangyiyaoletouletoufugailvfenbiedadao89%he38%,zangyiyaojishurenyuanzongshuda3763ren。

letou乐投ershizangyiyaorencaipeiyangheduiwuletouletouchengxiaoxianzhu,zhenliaoshuipingdedaojiaqiang。60nianlai,quanquxiangjijianlilezizhiquzangyixuexiao、xizangdaxuekaishezangyixi,xizangzangyixueyuan,kaizhanzangyiyaoyixueliluntixi、zhenliaotixidengxitongjiaoxue。quanquzangyiyaogaojirencai、jishuguganhejicengshiyongxingrencaitiduijibenxingcheng。yichuantongweijichudezangyiyaochuanchengchuangxingongzuoquanmiankaizhan,teseyoushidedaochongfenfahui,zaiganbing、weichangjibing、pifubing、fukebingzhiliaofangmianqudetupo。sanshizangyiyaowenhualetouletoudedaojiaqiang。tianwenlisuandengguojiahezizhiqufeiwuzhiwenhuayichanxiangmuda37ge,2018nian6yue《sibuyidian》lieru“shijiejiyiyataidiquminglu”,dangnian11yue,zangyiyaoyufachenggonglierulianheguojiaokewenzuzhirenleifeiwuzhiwenhuayichandaibiaozuominglu。tongguojubanguojizangyiyaoxueshuhuiyi,canyuguoji“feiyijie”deng,tuidongzangyiyaoduiwailetouletouhezuo,zangyiyaoyingxiangjinyibukuoda。sishizangyaoshengchanmaixiangbiaozhunhuaguifanhuaheguimohua。zangyaoshengchanqiyecongshougongzuofangdaogongyehuashengchanzhubufazhanzhuangda,chanyetixijibenxingcheng。zangyaoshengchanqiyefazhandao17jia,juntongguoguojiagmprenzheng,congshizangyaoshengchanrenshuda1800duoren。yongyouzangyaoguoyaozhunzihao159gepinzhong、311ge,zhuyaoshengchanwanji、sanji、jiaonangji、kelijideng8zhongjixing。xingchengleganlu、qizhengdengzangyaochanyezhimingpinpai。

zhuchiren: feichangganxiewangzhurendexiangxijieshao,wangzhurencongshenhuayigai、weishengyuanzang、jiankangfupin、jibingkongzhi、funvertongyiliaobaozhang、zangyiyaozhenxingdengfangmianjieshaoleletouletouquweishengjiankangshiyefazhanlicheng,xizanggezurenmincongbulixiangbulitujiunengkanshangbing、kanhaobingdejudabianhuazhongqieshenganshoudaoxijinpingzongshujihedangzhongyangdeqinqieguanhuai,beiganshehuizhuyizhidudewubiyouyuexing,shixianyijiankangbaowending、cufazhan,yijiankanghuiminsheng、jurenxin。benqifangtandaozheilijiujieshule,zaiciganxiewangzhuren,ganxieguangdawangyou。





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letou乐投1

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