关于民政办毕业论文

上半年，我办立足本职岗位，围绕县政府中心工作，继续以贯彻国务院《全面推进依法行政实施纲要》（以下简称《纲要》）为统领、以服务政府工作、服务社会为宗旨，按照上年度既定的工作思路，以推进依法行政、建设法治政府为目标，以健全工作制度、规范行政行为为载体，紧密结合本县法制工作实际，认真履行职责，为推进依法治县进程和加快建设社会主义法治政府，提高政府及各部门依法执政能力和执政水平开展了扎实的工作，现总结如下：

一、工作开展情况

（一）履行普法职能，继续深入宣传贯彻《行政复议法》、《行政复议法实施条例》。根据 五五普法工作的要求，于4月24日法制宣传日，与县监察局、人事局、司法局组织全县行政执法部门以上街开展法制宣传一条街等活动，我办重点宣传了《行政处罚法》、《行政处罚法实施条例》、《赔偿法》等公共法律、法规知识，为《行政处罚法实施条例》的正确施行奠定基础，也进一步提高了广大群众行政复议知识及法律意识。

同时，积极参加县依法治县办、县政法委组织的法制宣传,多渠道宣传《行政复议法》、《行政处罚法》，丰富了广大城乡群众的法律知识，为正确引导公民、法人和其他组织依法维护自身合法权益，通过行政复议和行政诉讼等合法渠道反映诉求，减少越级、违法上访、缠访，逐步形成与建设法治政府相适应的法治环境、社会氛围和《纲要》的正确、广泛施行奠定了群众基础。

（二）履行执法监督职能，认真进行执法监督。根据《贵州省行政执法过错责任追究办法》的规定，我办制定并下发了《黎平县行政执法考核办法》，量化了对县级行政执法部门的考核标准，使执法监督制度化、具体化并具有可操作性。上半年，继续与县人大法工委、县监察局对县国土局、县农业局（农业综合执法大队）、县建设局、县文广局（文化稽查队）等行政执法单位进行执法质量抽查，通过对制度建立、执法案卷等具体事项进行检查，被检查机关自《贵州省行政执法错案责任追究办法》实施以来，执法日趋规范，行政处罚适用法律、法规基本准确，程序合法，没有违反《办法》的现象。

（三）履行行政规范性文件审查、备案及行政合同审查职能。自我办xx年年制定下发规范性文件起草、审核与备案办法后，县政府及政府办公室和政府各部门起草的规范性文件印发前都能先进行法律审核。上半年共审查县政府办公室及部门送审规范性文件2 件，行政合同2份，并针对具体问题提出了相应意见。

（六）行政执法依据梳理工作。为规范行政执法行为、提升服务质量，我办克服人少事多的困难，经过近一年的清理，理清了县级行政执法部门的权力清单，并即将完成此项工作，然后向社会公示后编印给各行政执法部门。同时，行政审批事项清理工作也正在进行中。

（七）其他有关工作。一是认真做好日常来信来访接待工作，当好县政府及办公室的助手，半年共接待（含涉纠纷、涉法）上访群众23人次。对来访者，审慎地做好法律、法规、政策的引导、解释工作，为维护政策统一和农村社会稳定做出应有贡献。二是及时组织持到或超期《行政执法监督证》人员进行换证。三是对县政府领导交办的相关工作认真审查，及时提出相应法律意见。四是积极完成县政府办领导安排的全县消防工作检查等工作及县政府办公室安排的日常工作。

二、存在的问题

我办当前主要存在的问题仍与上年一样：一是人员少，还不能适应当前政府法制工作的需要。主要表现在：随着法制宣传的不断深入，行政复议案件增幅较大。行政复议、行政应诉工作压力较大。根据《纲要》建设法治政府、推进依法行政的工作要求，当前还有一些政府法制工作因人员少、被抽调时间长而不能正常开展，距省州法制工作要求还有较大差距。二是不能对乡镇政府进行行政执法工作指导、培训，乡镇政府的行政执法总体水平仍然不高，且发展不平衡，相当数量的纠纷还不能就地协调解决，法制工作服务农村、促进经济社会发展的职能还不能充分体现。三是因为监督、处罚机制不健全，规范性文件报送备案工作仍不能正常开展，急待进一步加强。四是法制信息、调研工作不能正常开展，还急需加强。

三、下步工作思路

针对前述具体问题，我办将继续以贯彻执行《纲要》为宗旨，以服务政府、服务人民为主线，按照如下思路开展工作：一是迅速组织全县行政机关公务人员学习《国务院关于加强市县政府依法行政工作的决定》，及时按要求抓好《决定》中各项具体要求的落实工作。二是定期向县政府领导汇报政府法制工作，争取更大支持，及早增编补员，增加办案力量，以缓解行政复议案件增多的压力；三是进一步加强规范性文件审查备案工作，为政府依法决策提供有效的法制保障；四是加大执法质量监督检查和培训力度，继续协调县人大法工委、县监察局、县人事局、县司法局组织开展依法行政检查和行政执法培训，并使之常规化，促进提高执法质量，从基层基础方面加强和推进全县依法行政工作，促进平衡发展。五是继续加大工作力度，大胆创新工作方式，按年初既定工作计划开展政府法制各项工作；六是克服困难，结合实际加强对行政执法、行政复议等工作的调查研究，为加快我县政府法制工作进程，推进依法行政工作作出有力贡献。

一、领导重视，责任落实

我局十分重视政协提案的办理工作，成立了由局长任组长、分管领导为副组长、各业务股室负责人为成员的提案办理工作领导小组，由局办公室牵头负责。结合各股室工作的具体情况和职责，我局对承办的8件政协提案进行了仔细梳理、分类整理。明确了工作任务、落实了责任领导、承办股室、制定了办理方案，落实专人具体负责综合协调、督办，确保了办理工作的如期完成。

二、深入调查、认真办理

在办理建议提案工作时，我们要求承办人员对每一份提案都必须上门向政协委员了解详细情况，探讨提案办理的最好办法，根据提案人的意见狠抓办理落实工作。我们深知调查研究是提高提案办理质量的重要环节，承办人员深入调查，积极收集、整理第一手资料，形成初步办理答复意见。并再次征求提案建议人意见，查漏补缺，充实、完善办理答复意见，提高了办理工作的针对性和实效性。

三、加强督促，定期检查

我局在政协提案办理过程中加强了督促检查，严把三关。即严把答复关，对提案答复实行股室负责人、分管副局长、局长三级审核，确保回复的准确性和规范性；严把进度关，对进度慢的股室，加强督促指导，及时通报进度；严把落实关，对办理难度大涉及多单位的热点、难点问题，坚持跟踪督办，保证每件提案落到实处。

四、加强沟通、耐心答复

在与代表和委员面复及交流过程中，耐心细致地宣传、解释有关政策、规定。同时，对能够解决的问题迅速给予解决，一时解决不了的列入规划，如殡仪馆搬迁工作，我局多次会同建设、国土部门进行选址，共商应对当前实际困难的有效措施，找准适宜我县地理、气候、环境、民意的最佳结合点，积极创造条件解决。如对自建房居民片区实行自治性小区化管理的建议，因居民小组是最基层的居民自治组织，目前还没有相关另外设立自建房居民小区的有关法律法规，取得了委员的理解和支持。

五、下一步打算

继续以积极的态度、严谨的作风、科学求实的精神办理落实委员提出的每一件建议和提案，认真执行按期办复、检查验收、跟踪落实、开门办案等制度，做到办理工作层层把关、操作有序。按照规范化、制度化、程序化的规定落实到位，争取尽快将两件b类转变为a类。

Improve the urban medical service system of China's CountermeasuresCommunity health service is to urbanization with Chinese characteristics with the health care system an important component of the. Community health services in community work as an important component of the various parts are actively promoting this work, and some have achieved good results. However, the construction of the current community health service there are still major problems to the following:First, the development of community awareness of the importance of health services is not in place. Community health services should be the basic medical insurance is a major commitment, and it can be a timely, convenient and economical way to provide insurance services, rational and effective use of medical insurance fund. Only do a good job of community building can be the most direct and convenient for the general population, a good, efficient service. However, some of the staff of local health services to develop community awareness of the importance of also not enough. Some think that hospitals, health centers, abundant resources, has been able to meet the need, and there is no need for further development of community health service organizations; Some think we should go with the flow development, it is not necessary to vigorously promote the development of awareness of less than urgency. In recognition of the bias, a number of local community health service lags behind the building of socio-economic development lags behind medical insurance and health, medicine circulation system reform, health services lags behind the demand for urban , the expansion of community health service functions are not in place. Community health service as a product of urbanization, the demand for its functions as the guide is based on the residents, for residents to provide preventive, medical, health, rehabilitation, health education, family planning, "Six in One" integrated health services. However, in actual operation, there is understanding in some areas of misunderstanding. Some believe that the community health services similar to the grass-roots hospitals, but is set by the district offices, for more than a brand; some believe that the community health services is only secondary and tertiary hospitals to district offices sent a number of branches. In the provision of services, and some believe that the main headache for the treatment of patients with influenza, vaccination for children, such as disease prevention. This function of community health services, one-sided understanding of the impact of a community health service institutions and functions of standardized construction brought into full , the community health care measures are not in place. The development of community health services, not only to keep up with the hardware construction, and the need for sound policies and measures. At present, the absence of a unified planning or planning is not scientific, in some areas of community health service agencies, hospitals or the streets from the hospital transfer form to send agencies, personnel, shortage of funds, facilities, backward, obsolete equipment; affected the normal work process. Not even a lot of community health services, development is very uneven. In terms of software development, taxation, prices and other preferential policies in place, two-way referral system is established, not covered by medical insurance institutions, the limited community health services, economic difficulties, the slow , inadequate personnel training mechanism. Community health service need is general practitioners, and the establishment of China's medical education system in general. At present, engaged in community health services, health care workers, mainly low-level specialist qualifications or other industries to switch from non-school medical staff, some staff had only received a small number of special education. Whether it is health care personnel or nursing staff, in terms of quantity and quality are far failed to meet the development needs of community health to address these problems:First, the practical importance of community health services building. The development of community health services, not only can effectively satisfy the growing urban demand for health services, but also conducive to urban health service system to adjust the structure, function and layout, to improve efficiency, reduce costs and at the same time, the stability of the urban basic medical insurance system operation, but also plays an important supporting role. Governments at all levels of development should be fully aware of the importance of community health services, a deep understanding of its meaning, the correct positioning of its functions will be integrated into the local economy and social development of the overall planning, overall planning. Community work as a civil affairs departments of the main functions of departments, should be actively in community health service agencies do a good job of layout and the allocation of resources and so on. Health, planning, finance, labor and social security, education and other relevant departments should work closely with their duties to develop and perfect the supporting policies and measures to promote community health service in the healthy and orderly , the law in a market economy, the community health service development plan. In the socialist market economy, the development of community health services, must follow the rules of market economy. Not only to foster the development of components, services, regardless of the concept under the new ownership, the government's macro-control, micro-enliven, encourage competition, the survival of the fittest. For the broad masses of people who can provide quality, convenient and affordable basic health services, whether public or private community-based WHO (primary health care institutions), should support and encourage its development. Of course, since as a community health service organizations, health authorities must accept the guidance of the business, the management of medical institutions in accordance with the relevant provisions to regulate them, including the establishment of examination and approval, staffing, technology standards, services, service content, service, service prices. And there is a charitable enterprise investment in the capacity of units or individuals may participate in this investment and services for the community so as to create conditions of , under the guidance of regional health planning, set up community health service organizations. Community health service organizations as the urban medical service system an important component of the approval and distribution in the set must be consistent with the principles of regional health planning. According to the characteristics of community health services, general offices to the streets to set the scope of community health service centers, community health service area is too large or inaccessible areas, could be considered appropriate to send additional community health service agencies (stations). Can also break the administrative divisions set up institutions by geographical region. In order to make full use of existing health resources around a specific operation, such as by way of open tender, the existing primary and secondary hospitals, hospitals in the streets, anti-Paul Hospital, enterprises and institutions such as hospitals and individual out-patient primary health care transformation of institutions, restructuring, formed by the conversion. Excess of the community, do not meet the health planning should be medical institutions merge, reorganize or shut down on its own for the new institutions to prevent redundant construction, blind , the establishment of "two-way referral system" and improve the medical insurance policy. To achieve the "minor illness in the community, serious split Hospital." First, the establishment of "two-way referral system." Community health service agencies in an emergency ambulance to be able to critically ill patients after the referral for the convenience. For this reason, two requirements all over the district general hospitals, Chinese medicine hospitals, specialist hospitals and community health services should establish a two-way referral relationship between the commitment of community health services, operational guidance, technical support, personnel training and referral, such as two-way . Second, community health services will be included in the scope of the basic medical insurance, the true realization of "one card in hand, large, medium and small medical institutions I can go." Community residents suffering from minor ailments such as headaches cold, there is no need to go to major hospitals, medical insurance card with the nearest access to basic medical , implement the principle of multi-funding to expand community health service organizations, funding sources. In the development of community health services, it is necessary to adhere to the principle of multi-financing to encourage investment in all aspects of community health services. In the government's preferential policies on a wide range of community health services to non-discriminatory organization. Community health services of public organizations, at present, local governments should be based on the actual situation and make full use of existing resources on the basis of appropriate arrangements should be community health service management information systems and public community health services and other aspects of equipment start-up funds and personnel training, health education, as well as funding for community health services for retirees health care costs and health , the establishment of mechanisms to protect personnel. Community health service organizations with medical care, prevention, health care and many other functions, to perform these functions requires a large amount of general medical and nursing staff. Around in the development of community health services, general medical and nursing staff should develop training programs to take full-time training and job training a combination of approaches, to increase training, and training community health workers to adapt to the needs of health workers. Provincial medical colleges and universities to set up base in medical education in general. The health sector to serve in accordance with the general eligibility criteria for health care workers, general practitioners do a good assessment of the work of technical positions. Community health service agencies in the talent selection, we should not stick to one pattern, breaking all geographical unit for all personnel attached to, such as household ownership of ideas, the implementation of an open recruitment, recruitment, there will be technical, there are substantial medical staff medical ethics to the community health service 完善我国城市医疗服务体系对策研究社区卫生服务是具有中国特色的城镇医疗服务体系的重要组成部分。社区卫生服务作为社区工作的重要组成部分，各地都在积极地推动此项工作，有的已取得较好的成绩。但当前社区卫生服务建设中还存在着以下方面的主要问题：第一，对发展社区卫生服务重要性的认识不到位。社区卫生服务应是基本医疗保险的主要承担者，它可以及时、方便、经济地为参保人员提供服务，合理有效地使用医疗保险基金。只有搞好社区建设，才能最直接地为广大民众提供便捷、良好、高效的服务。但一些地方的有关人员对发展社区卫生服务的重要性还认识不够。有的认为现在的医院、卫生院，资源比较雄厚，已能够满足需要了，没有必要再发展社区卫生服务组织；有的认为应顺其自然地发展，没有必要大力推动，认识不到其发展的紧迫性。由于认识上的偏差，一些地方的社区卫生服务建设滞后于社会经济的发展，滞后于医疗保险及卫生、药品流通体制的改革，滞后于城市居民卫生服务需求的发展。第二，社区卫生服务职能扩展不到位。社区卫生服务作为城市化的产物，其职能是以居民需求为导向，为城市居民提供预防、医疗、保健、康复、健康教育、计划生育技术"六位一体"的综合卫生服务。但在实际操作中，一些地方存在认识上的误区。有的认为，社区卫生服务机构类似于基层卫生院，只不过是按街道办事处设置、换一块牌子而已;有的认为，社区卫生服务机构只不过是二级、三级医院向各街道办事处派出一些分支机构等。在提供的服务上，有的认为，主要是为患者治疗头痛感冒、为小孩接种、防疫等病。这种对社区卫生服务职能的片面理解，影响了社区卫生服务机构的规范化建设和职能的充分发挥。第三，社区卫生服务的配套措施不到位。发展社区卫生服务，不仅需要硬件建设跟上，而且需要完善的配套政策和措施。目前由于没有统一的规划或规划不科学，一些地方的社区卫生服务机构，由原来的街道卫生院或医院的派出机构转制而成，人员不足，资金紧缺，设施落后，设备陈旧；影响了正常工作的开展。甚至很多社区没有卫生服务机构，发展很不平衡。在软件建设方面，税收、价格等优惠政策不到位，双向转诊制度未建立，未纳入医疗保险定点机构等，使得社区卫生服务业务受限、经济困难、发展缓慢。第四，人才培养机制不完善。社区卫生服务需要的是全科医师，而当前我国尚末建立全科医学教育体系。目前，从事社区卫生服务的医护人员，主要是学历层次较低的专科医生或其他行业转行而来的非学医人员，部分人员只接受过很少一些专门教育。无论是医疗保健人员，还是护理人员，在数量和质量上，都远未能满足发展社区卫生服务的需要。解决上述问题的对策：第一，切实重视社区卫生服务建设。发展社区卫生服务，不仅可以有效地满足城市居民日益增长的卫生服务需求，而且有利于调整城市卫生服务体系的结构、功能和布局，提高效率，降低成本，同时，对稳定城镇基本医疗保险制度的运行，也起着重要的支撑作用。各级政府应充分认识发展社区卫生服务的重要性，深刻理解其内涵，正确定位其职能，将其纳入当地经济和社会发展总体规划，统筹规划。民政部门作为社区工作的主要职能部门，应积极抓好社区卫生服务机构的布点及资源配置等工作。卫生、计划、财政、劳动保障、教育等有关部门，应密切配合，各负其责，制定和完善配套政策与措施，促进社区卫生服务健康、有序发展。第二，在市场经济法则下，谋划社区卫生服务发展。在社会主义市场经济条件下发展社区卫生服务，必须遵循市场经济法则。要树立发展不唯成份、服务不分隶属的全新所有制观念，在政府宏观调控下，搞活微观，鼓励竞争，优胜劣汰。凡是能够为广大群众提 供优质、便捷、价格合理的基本卫生服务，不论是公立的还是私立的的社区卫生组织(基层医疗机构)，都应支持鼓励其发展。当然，既然作为社区卫生服务组织，就必须接受卫生行政部门的业务指导，按医疗机构管理的有关规定予以规范，包括设置审批、人员配备、技 术标准规范、服务对象、服务内容、服务项目、服务价格等。有慈善事业心且有投资能力的单位或个人可以参与这方面的投资和服务，为社会、为居民创造服务条件。第三，在区域卫生规划指导下，设置社区卫生服务组织。社区卫生服务组织作为城市医疗卫生服务体系的重要组成部分，在设置审批和布局上必须符合区域卫生规划原则。根据社区卫生服务的特点，一般以街道办事处为范围设置社区卫生服务中心，在社区卫生服务区域过大或交通不便的区域，可考虑适当增设社区卫生服务派出机构(站)。也可以打破行政区划按地理区域设置机构。为了充分利用现有卫生资源，各地在具体操作中，可通过公开招标等方式，对现有的一、二级医院、街道卫生院、防保院、企事业单位医院及个体门诊部等基层医疗机构进行改造、改组，由其转制而成。对社区内多余的、不符合卫生规划的医疗机构要予以撤并、改组或自行关闭，对新增的机构要 防止重复建设，盲目发展。第四，建立 “双向转诊制度”，完善医疗保险政策。要实现“小病在社区，大病迸医院”。一是建立“双 向转诊制度”。社区卫生服务机构要能够在紧急救护后为危重病人提供转诊上的便利。为此，要求市辖区内所有二级以上综合医院、中医院、专科医院都要与社区卫生服务组织建立双向转诊关系，承担社区卫生服务的业务指导、技术支持、人才培养及双向转诊等任务。二是将社区卫生服务机构列入基本医疗保险定 点范围，真正实现“一卡在手，大、中、小医疗机构任我 走”。社区居民患头疼感冒等小病，没有必要去大医 院，凭医疗保险卡可以就近获得基本医疗服务。第五，贯彻多方筹资的原则，扩展社区卫生服务 组织的经费来源。在发展社区卫生服务中，要坚持多 方筹资的原则，鼓励社会各方面投资社区卫生服务。在政府出台的优惠政策上，各类社区卫生服务组织要一视同仁。对公立社区卫生服务组织而言，目前，各地政府要根据实际情况，在充分利用现有资源的基础上，应适当安排社区卫生服务管理信息系统及公立社区卫生服务机构设备更新等方面的启动经费和人才培养、健康教育经费以及社区卫生服务机构的离退休人员费用和卫生人员的医疗保险费。第六，建立人才保障机制。社区卫生服务组织具有医疗、预防、保健等多项职能，履行这些职能需要大量的全科医护人员。各地在发展社区卫生服务中，应制定全科医护人员培训计划，采取脱产培训和岗位培训相结合的办法，加大培训力度，培养尽快适应社区卫生工作需要的卫生工作人员。省属高等医学院校要建立全科医学教育基地。卫生部门要按照全科医护人员任职资格标准，做好全科医生技术职务评定工作。在社区卫生服务机构的人才选拔上，要不拘一格，打破地域所有、单位所有、人事隶属、户籍归属等观念，实行公开招考、招聘，将有技术、有医德的医护人员充实到社区卫生服务机.