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1、附件22015年自治区中医民族医重点专病建设项目申报书申请专病名称:申请专病类别:中医□维吾尔医□哈萨克医□蒙医□申请单位名称:(盖章)单位负责人:项目负责人:单位通讯地址:单位邮政编码:电话:单位传真:电子邮件:自治区中医民族医药管理局二○一五年四月he"governingforthepeople","Nomattertheinterestsofthemasses"conceptunderstandingisnotinplace.Thespecificworktreatswiththedeployme
2、nt,afewleadingcadrescomplainthatworkistoocomplicated,toomuchresponsibility,thepressureistoolarge,toomuchemphasisonthedifficultyofthework.Forexample,noncoalmine13一、医院基本信息医院名称医院类别医院等次地址邮政编码联系电话传真电话医院实际开放床位数医院业务用房建筑面积m2医院在岗人数人,其中卫生技术人员数人,占总人数的%法定代表人联系电话(办):
3、(手机):申报专病负责人电子邮箱联系电话(办):(手机):二、专病基础条件(一)专病所在科室整体实力简介(500字左右,可作为附件附后):he"governingforthepeople","Nomattertheinterestsofthemasses"conceptunderstandingisnotinplace.Thespecificworktreatswiththedeployment,afewleadingcadrescomplainthatworkistoocomplicated,toom
4、uchresponsibility,thepressureistoolarge,toomuchemphasisonthedifficultyofthework.Forexample,noncoalmine13(二)与申报专病诊疗服务相关科室整体实力的说明(500字左右,可作为附件附后)(三)近3年医院对专病经费投入情况年度投入金额(万元)主要用途2012年2013年2014年合计he"governingforthepeople","Nomattertheinterestsofthemasses"conc
5、eptunderstandingisnotinplace.Thespecificworktreatswiththedeployment,afewleadingcadrescomplainthatworkistoocomplicated,toomuchresponsibility,thepressureistoolarge,toomuchemphasisonthedifficultyofthework.Forexample,noncoalmine13(四)专病中医民族医诊疗设备仪器设备名称型号规格生产厂家
6、购买日期金额(万元)运行状况(五)专病诊疗服务辅助诊疗设备仪器设备名称型号规格生产厂家购买日期金额(万元)使用情况he"governingforthepeople","Nomattertheinterestsofthemasses"conceptunderstandingisnotinplace.Thespecificworktreatswiththedeployment,afewleadingcadrescomplainthatworkistoocomplicated,toomuchresponsib
7、ility,thepressureistoolarge,toomuchemphasisonthedifficultyofthework.Forexample,noncoalmine13(六)专病中医民族医诊疗方案(至少包括特色疗法、诊疗设备、适宜技术、中(维)成药、现代技术、收费项目等内容,可作为附件附后。)he"governingforthepeople","Nomattertheinterestsofthemasses"conceptunderstandingisnotinplace.Thespec
8、ificworktreatswiththedeployment,afewleadingcadrescomplainthatworkistoocomplicated,toomuchresponsibility,thepressureistoolarge,toomuchemphasisonthedifficultyofthework.Forexample,noncoalmine13三、中医民族医专病医疗技术队伍专病所在科室负责人姓名性别出生年月