Shanghai optimizes the "Administrative Licensing Management Measures for Public Place Hygiene" to be a good "shop assistant" and "goalkeeper"

Release time:Apr 16, 2024 17:42 PM

Public health management is a public service that is related to the health level of the people. Scientific and effective public health management helps to continuously protect and promote the health of the entire society. Recently, through in-depth listening to the specific demands and opinions of large chain stores, small and micro enterprises, industry associations, and grassroots management institutions, the research team of the Shanghai Municipal Health Commission conducted joint discussions based on on-site visits, promoting precise identification and targeted solutions to enterprise difficulties, and further improving the "reduction" law of license management reform. The administrative normative document "Shanghai Public Place Health Administrative Licensing Management Measures" has been officially issued.

In this "Management Measures", the Municipal Health Commission insists on strengthening detailed management with "embroidery" efforts, and further promotes the creation of a fair, transparent, and stable operating access environment for public health-related market entities. Cancel the four types of permits, and cancel the certification requirements for restaurants, chess and card rooms, small bookstores, shopping malls, and other places according to requirements or authorities; Simplify the four types of materials and no longer require health certificates, hearing opinions, loss statements, paper certificates, etc; Improve the four links and supplement specific requirements such as informing commitments, self inspection and training, information disclosure, and one code management; Optimize four services and strengthen guidance services in areas such as full online processing, electronic certification, license revocation, and subject qualification/material list.

Continuously promoting the improvement and optimization of the business environment: promoting development and ensuring safety

Public places are the most numerous and widely regulated objects in the field of public health. According to relevant laws and regulations, the health department issues certificates and manages public places such as beauty and hairdressing, accommodation, swimming, and bathing. Currently, there are more than 35000 licensed public places in the city, with an annual volume of approximately 13000 health permit applications. Therefore, in order to improve the management of public place health administrative licenses in this city, implement the requirements of the approval system reform, strengthen in-process and post event supervision, and further optimize the business environment related to public health in the city, in 2023, the Municipal Health Commission will focus on "conducting in-depth research on public place health license management, promoting the improvement and optimization of the business environment", and conduct in-depth thematic education research through survey questionnaires, expert consultations, special seminars, on-site visits, centralized discussions, individual interviews, and other methods. At present, the Municipal Health Commission is continuously optimizing and improving the permit management system. By canceling, compressing, and merging departmental internal processes, the city's public place hygiene permits have been accepted, reviewed, and decided on the spot, and the public health-related business environment continues to be optimized.

Shanghai optimizes the "Administrative Licensing Management Measures for Public Place Hygiene" to be a good "shop assistant" and "goalkeeper"

Be a good "shop assistant" and promote development comprehensively, while also being a good "goalkeeper" and making every effort to ensure safety. While promoting the optimization of licensing services and ensuring that they are properly managed in advance, we adhere to the principle of equal emphasis on streamlining administration, delegating power, and optimizing licensing through legal governance and effective supervision, and focus on strengthening measures to ensure that they are effectively managed during and after the process. The public health management issues are extensive, complex, and require high professional expertise. Through years of practice, the Municipal Health Commission continues to explore the regulatory model of elements in the field of public health, focusing on strengthening the systematic integration and implementation of various regulatory measures. Identify key risk points and regulatory difficulties that have a significant impact on public health and pose a high degree of social harm, continuously solidify full chain regulatory measures, improve public health risk monitoring, early warning, and disposal mechanisms, and comprehensively secure the bottom line of public health safety.

Equal emphasis on service and regulation: zero waiting, zero submission, and zero errands

In this themed education survey, in terms of implementing the "plus" method to assist enterprises in self-management, the Municipal Health Commission addressed the difficulties faced by small and micro enterprises, such as weak self-management ability and limited channels for knowledge acquisition. It emphasized both service and supervision, strengthened online services for health knowledge training and assessment of practitioners, and promoted enterprise self-discipline; In response to the demand from enterprises to increase their participation in social governance in health management, we will strengthen the standardization and standardization of health management, guide enterprises to actively disclose their health status, and encourage chain enterprises to create brand demonstration points and establish health management benchmarks.

It is reported that based on the credit system, the Municipal Health Commission took the lead in implementing the material disclosure commitment system for public place hygiene permits in 2012. In 2018, it took the lead in implementing the material plus partial on-site audit notification commitment system, and in 2021, it took the lead in implementing a comprehensive disclosure commitment system that includes both material and on-site audits. The relevant work experience has been replicated and promoted nationwide by the National Health Commission.

At the same time, as one of the earliest departments in the city to carry out the "double random and one public" pilot program, since 2017, the Municipal Health Commission has promoted the construction of a credit based, random sampling and key supervision mechanism for in-process and post supervision, achieving graded and classified supervision, effectively enhancing the accuracy and effectiveness of supervision. Establish the first national public health supervision technology service quality control center, strengthen quality control management in the field of technical services, and improve the quality of professional supervision; We have also adhered to the combination of supervision and guidance services, strengthened the rectification of health management issues, and effectively promoted the continuous improvement of the health management level of relevant market entities.

The Municipal Health Commission adheres to proactive self pressure and actively promotes information empowerment to compress the time limit for public place health approval, based on the 20 day provision of the Administrative Licensing Law. The processing time limit has been reduced to 15 days, 10 days, and 6 days, and starting from 2021, it will take the lead in completing all promised matters on the spot, effectively reducing the time cost of market entities opening; Continuously streamlining approval materials, ensuring that materials that can share data, verify online, or access electronic licenses do not need to be submitted. The paperless submission rate of materials reaches 100%, and the supplementary application for public place hygiene permits achieves "zero material submission", significantly improving the sense of gain for relevant enterprises in hygiene permit processing; We will continue to promote the intelligent reengineering of the application process, fully integrate various situations of public place hygiene permits into the "One Network" platform, promote the full process of online processing from consultation acceptance to result feedback, strengthen automatic guidance, material push, form pre filling, AI pre review, comparison and verification, and other intelligent assistance throughout the process, achieving zero hassle in "door-to-door" and "fingertip processing" of permit services.

Nine medical experts from Shanghai who helped the residents of Karamay in Xinjiang free clinic, spanning more than 4000 kilometers Father | Expert | Shanghai

At the arrival of the sixth "Chinese Doctor's Day", nine medical experts from Shanghai, including Renji Hospital affiliated to Shanghai Jiaotong University School of Medicine, Tongji Hospital affiliated to Tongji University, Eye, Ear, Nose and Throat Hospital affiliated to Fudan University, Shanghai Dermatology Hospital, and China Welfare Society International Peace Maternal and Child Health Care Center, including neurology, urology, otorhinolaryngology, ophthalmology, thyroid surgery, breast surgery, hematology, geriatrics, and dermatology, went to Karamay Central Hospital and Karamay Third People's Hospital to carry out free clinic activities. Among them, 6 experts are doctors dispatched by Tongji Hospital to aid Xinjiang, and 3 experts have traveled over 4000 kilometers to Ke to help local patients clarify their doubts. Urumqi residents drove over 400 kilometers with their father to a free clinic, where Patiguli underwent a small physical examination

Experts remind us to pay attention to these details. Nail beautification is too frequent and toenails are cut too much. Ten nail clinics open full moon surgery | nail bed | clinic

"Thank you Director Liu for helping me solve a big problem! I've been struggling with paronychia for two years. I had to pull out my toenails twice before, but they didn't grow well. I kept getting inflamed and my mentality was about to collapse. This time, the problem has finally been completely solved." In the outpatient consultation room of the Tenth People's Hospital of Shanghai, Miss Zhang expressed her sincere gratitude to Liu Guangpeng, the director of plastic surgery. At the beginning of 2021, Xiaozhang accidentally cut his toenails too deep, injuring the nail bed. Although he disinfected it with iodine at the first time, he didn't expect to become inflamed a few days later. His entire first toe was red, swollen, and painful, and he even limped while walking. External use of iodine is ineffective, oral antibiotics are ineffective, and the only option is to choose toenail removal that sounds very painful. I originally thought that pulling out my toenails would remove the old and replace the new, but I never expected that the newly grown toenails would always "burrow into the flesh", causing inflammation to recur,

Some family doctors have also opened a special clinic for diabetes... 60% of residents in this district of Shanghai are diagnosed and treated in Fengxian | residents | community

Fengxian is located in the remote suburbs, with limited medical resources. Community diagnosis and treatment have become the top priority for residents' health. How to build a good network base to serve the people? The reporter recently learned from the district health commission that based on the actual situation of the region, taking into account the size of the service population and the trend of population introduction, the district health commission is promoting the horizontal integration of community health resources. Residents are willing to "vote with their feet" to choose the community, and the solid foundation and warm service of community family doctors are indispensable. Data shows that there are currently 549 general practitioners in Fengxian District. Last year, the proportion of community diagnosis and treatment accounted for 49% of the total diagnosis and treatment in the district. In the first half of this year, the proportion of community diagnosis and treatment has increased to 60%. Wang Tao is a family doctor at the Xidu Community Health Service Center in Fengxian District who has been committed to the community for ten years and has signed contracts with more than 1900 community residents

In this regional medical center, patients make sachet masks to feel the warmth of home. The Dragon Boat Festival medical center | patients | sachets

Today is the traditional Dragon Boat Festival. As a regional medical center, Shibei Hospital of Jing'an District organized a special "love on the left and accompany on the right" activity to welcome the Dragon Boat Festival. The patients and their families wrapped Zongzi together to make sachets and feel the warmth of home. It is reported that the Elderly Rehabilitation Department of Shibei Hospital is a key discipline in Jing'an District, with 80% of hospitalized patients being over 70 years old, including those aged 90 or 100. During the meticulous treatment of the elderly, the Rehabilitation Department integrates family oriented services throughout, creating a humane "warm service" and building a harmonious doctor-patient relationship. Shu Jin, director of the Elderly Rehabilitation Department, said that with the arrival of the Dragon Boat Festival, medical staff have found that a small number of patients lack family companionship and their psychological and emotional needs cannot be met. The hospital's social work department and department medical staff work together to build a "heart to heart bridge" for doctor-patient interaction and two-way communication,

The annual throat preservation rate is nearly 80%, and Shanghai research was included in the International Annual Conference: Immunotherapy for locally advanced head and neck tumors | Patients | Local

At the recent 2023 Annual Meeting of the American Society of Clinical Oncology, research from Fudan University Affiliated Cancer Hospital was quite impressive: in the field of head and neck tumors, "induction chemotherapy combined with treprizumab can be used for laryngeal preservation treatment in patients with locally advanced laryngeal/hypopharyngeal cancer. The results of the Phase II clinical trial showed a one-year laryngeal preservation rate of 79.4%." The first author of this study, abbreviated as INSIGHT, is Professor Xiaomin Qu from Fudan University Affiliated Cancer Hospital, and the corresponding authors are Professor Yu Wang and Professor Xiayun He. It is reported that laryngeal cancer and hypopharyngeal cancer are one of the most common head and neck squamous cell carcinoma in China, with the incidence rate accounting for about 20% of head and neck squamous cell carcinoma. Due to the insidious symptoms of the disease, the patient was diagnosed later and had a poor prognosis. Previously, surgical resection was used to prolong survival. With the development of multidisciplinary comprehensive treatment, diagnosis and treatment

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