The basic hospitals are very difficult, "super hospitals" are crowded, and "number one is hard to find"... Speaking of difficult, difficult, and expensive medical treatments, in many places it actually means "super hospitals" are difficult, difficult, and expensive to see.
So, is there a cure for this stubborn disease?
Yes, it is to empower the grassroots and leverage smart medical care.
1
"Super hospital" expansion and registration difficulties coexist
The difficulty in seeing a doctor in my country is mainly concentrated in the difficulty of registering in large hospitals and the difficulty in seeing a doctor in the tertiary hospitals. This reflects the imperfect hierarchical diagnosis and treatment in my country, and is also the result of unreasonable allocation of medical resources.
The person in charge of a large public hospital in Hunan said that many patients’ chronic diseases and common diseases can be solved in primary medical institutions, but they do not trust primary medical institutions and are used to crowding into large hospitals for treatment, which has aggravated the difficulty of registering in large hospitals.
As a result, grass-roots doctors have fewer opportunities for medical practice, their medical skills cannot be improved, and the level of diagnosis and treatment in grass-roots medical institutions has stagnated.
Experts also pointed out that due to the inadequate diagnosis and treatment capabilities of primary medical institutions and the imperfect family doctor system, some chronically ill patients who could perform health management in primary medical institutions have long occupied the outpatient clinics of large hospitals, which aggravated the problems of difficult registration and medical treatment in large hospitals. .
According to the investigation conducted by the reporter of Ban Yue Tan, some large hospitals have over-expanded and become "super hospitals" due to interest considerations. They have a siphon effect in four aspects, including medical resources, excellent medical personnel, patients, and medical expenses, resulting in "medical insurance funds going upwards." The situation of "primary-level patients turning upwards" has undermined the rational allocation of medical resources and weakened the diagnosis and treatment capabilities of primary-level medical institutions.
2
One trick: empower the grassroots and curb the siphon
With the in-depth advancement of the medical reform, the construction of the medical consortium has been promoted across the country, and the three-medicine linkage has achieved certain results.
Experts suggest that tiered diagnosis and treatment should be improved, and primary medical institutions should be actively empowered.
—— Deepen the construction of medical consortium, improve the capacity of primary diagnosis and treatment, and ensure that the masses can enjoy high-quality medical services at home.
Wang Dongbo, Dean of Changsha Maternity and Child Health Hospital of Hunan Province, believes that the cooperation mechanism between the top three hospitals and primary medical institutions can be improved. Through the assistance and guidance of large hospitals to primary medical institutions, the service capabilities of primary medical institutions can be enhanced, and common diseases and chronic diseases can be improved. It can be solved in primary medical institutions.
——Beware of "super hospitals" siphoning grassroots talents and patients, and appropriately curb the blind expansion of large public hospitals.
Professor Zhang Hongbing of Union Medical College said that only by appropriately curbing the expansion speed of “super hospitals” and creating a “harmonious medical ecosystem” led by large hospitals and radiating the grassroots level, can the hierarchical diagnosis and treatment system be truly implemented.
-Guide and improve graded diagnosis and treatment through medical insurance and other means.
Some doctors interviewed urged that patients should be triaged according to their own condition when seeking medical treatment.
At the same time, it is necessary to cultivate the habit of rational medical treatment by the masses, improve the system for the first diagnosis of common diseases and common diseases, and guide the masses to seek medical treatment scientifically and rationally.
—— Starting from the medical needs of the masses, empower primary hospitals.
Chen Hongjun, director of the Primary Health Department of the Hunan Provincial Health Commission, believes that primary medical institutions need to integrate public health services with medical care to increase the public's trust in primary medical institutions.
In addition, we can vigorously develop key specialties and specialty specialties, and proceed from the medical needs of the masses to promote the supply-side reform of primary medical services.
3
Two measures: it is imperative to take advantage of smart medical care
Currently, medical institutions everywhere are vigorously promoting new forms of online medical treatment, whether it is appointment appointments, follow-up visits, or distribution of medicines, which brings convenience to patients.
Zhang Guogang, Dean of the Third Xiangya Hospital of Central South University, said that with the advent of the 5G era, the Internet has given new strategic value to the development of the medical industry.
Public hospitals should rely on "Internet + medical health" to create "Internet smart mobile hospitals" around the people.
However, the exploration in this field also requires the linkage of medical institutions at all levels and the protection of institutional mechanisms such as medical insurance and medicine.
Smart medical care changes the way people seek medical care, and vigorous development of smart medical care requires special attention to the medical needs of the elderly.
Zhang Hongbing suggested that when designing registration software, medical institutions should be as friendly to the elderly as possible. The font design of the related interface can be larger, the operation can be more convenient, and family accounts can be established. Operation payment.
Source: "Ban Yue Tan" Issue 8, 2021
Original title: ""Super Hospital" Siphon?
Two tricks can be broken
Half a month to talk about reporters: Su Xiaozhou, a handsome talent