Chinanews.com, Beijing, October 25th (Ma Shuaisha) Provincial city doctors visit the "door", video consultation, remote B-ultrasound, cardless medical treatment, online payment... These are the results of the deepening of the medical reform in Huzhou, Zhejiang in recent years. New scene.
Recently, the reporter followed the National Health Commission to Huzhou, Zhejiang, to interview and investigate the local conditions to learn and promote the experience of Sanming's medical reform.
How to optimize the distribution of medical resources through the construction of the urban medical consortium and county medical community in Huzhou City, and how to use digitalization to leverage the "maximum run once" reform and other topics have attracted much attention.
Specialist outpatient clinics grow from nothing to strong
In the past, grassroots health centers lacked technical capabilities, and local people did not trust the technical level of health centers, and went to counties and even provincial cities for treatment, which inevitably increased the burden of medical care for the people.
In order to solve the problems of the limited scope and capacity of the overall medical services of the primary health centers, Huzhou City has taken various measures to improve the level of primary medical services.
In March 2019, Huzhou City launched the construction of an urban medical consortium, and the Balidian Town Health Center in Wuxing District, Huzhou City was incorporated into the unified management of the Medical and Healthcare Group of the First People's Hospital of Huzhou City.
In order to facilitate the residents of the jurisdiction to seek medical treatment, the health center relies on the technical advantages of the general hospital to increase the rehabilitation department, otolaryngology, cardiology, stomatology, dermatology and other specialized outpatient clinics.
In an interview with the media, Ye Qing, director of the Balidian Town Health Center in Wuxing District, Huzhou City, introduced the newly added rehabilitation department.
He said that emergency and critical illnesses are treated in the general hospital. After the patients are stable, they are transferred to the health center for rehabilitation. This is more economical and convenient for the people. In addition, there will also be regular doctors in the general hospital, which can be enjoyed by the people. Homogeneous medical services.
With the increase and strengthening of specialized outpatient clinics in health centers, the rate of consultation at the grassroots level has also increased.
Data show that in 2020, the rate of consultation at the grassroots level and county level in Huzhou will reach 73.1% and 90.5%, respectively.
Talent "blood transfusion" and "hematopoiesis"
In order for the public to enjoy higher-quality medical services "at the doorstep", while the specialist outpatient clinics continue to improve, it is also necessary to build a good medical talent team.
Adhering to high-quality sharing is one of the characteristics of Zhejiang’s experience in the medical reform of Sanming. Doctors from higher-level hospitals regularly visit member units to provide homogenized diagnosis and treatment services. The development of mentor assistance is also an important measure of Huzhou's medical reform.
According to statistics, in 2020 alone, provincial hospitals sent a total of 6,789 sinking experts to Anji County, Huzhou City, to carry out 45 new technologies and new projects. Some operations that had to be carried out in provincial and municipal hospitals in the past can now also be carried out in the county. In-house development, the county-level consultation rate reached 90.21%.
In addition, the “lack of doctors” in the most basic-level village health service stations is one of the pain points in the development of medical and health undertakings. To improve the level of basic-level medical services, it is not only necessary to play the role of “blood transfusion” by experts from the General Hospital, but also to strengthen the basic-level “health services”. Hematopoietic" ability.
Faced with the phenomenon that local grassroots talents cannot be introduced or retained, Anji County, Huzhou City has launched training for Chinese medicine practitioners, linked to the rural general practitioner qualification examination policy, and carried out targeted training for the village.
Pan Suxu, who is currently intern with a teacher at the Tianhuangping Town Health Center in Anji County, is the first batch of students in this project.
She has completed the theoretical study of Zhejiang University of Traditional Chinese Medicine and obtained the "Traditional Medicine Master's Certificate". After the internship is over, she will go to the local Henglu Community Health Service Station after passing the examination of the rural general practitioner assistant physician.
"The working place is in our village, close to home, which is convenient for taking care of parents. On the other hand, enrolling students in the village and staying firmly can solve the problem of the lack of doctors in the health station. The elders in the village watched us grow up. It is easier for us to have a sense of trust and identification, and it is more convenient for work to be carried out." Pan Suxu said.
Digital empowerment "seeing a doctor"
Strengthening digital empowerment is another characteristic and advantage of deepening the medical reform in Zhejiang Province.
As a lively practice place of Sanming's experience in Zhejiang, Huzhou City has reshaped the medical treatment process in recent years, innovated the implementation of "after-medical payment", and reduced patient payment queues by 26.631 million times; built a city-wide "image cloud" and saved a total of 330 million film costs for patients Yuan; Build a "cloud pharmacy" to realize "prescription circulation throughout the city and global sharing of medicines".
"The promotion of cloud pharmacy allows chronic patients who need to dispense medicines repeatedly for a long time to realize cloud consultation, prescription, and medical insurance settlement at home, and patients can also choose the dispensing location by themselves." Qiu Sheng, deputy dean of Huzhou Central Hospital, said through The catalogue of the cloud pharmacy system is integrated and updated, and the primary health centers can also prescribe drugs that are only available in general hospitals, eliminating the trouble of repeated rushing and queuing for doctors.
Digital reforms lead to "seeing a doctor" not only in the "maximum one run" for the payment of medicines, but also in remote consultations.
When the reporter followed the interview and research team to the People's Hospital of Anji County, Huzhou City, the doctors of the hospital were cooperating with doctors from the local Tianzihu District and the First Hospital of Zhejiang University to conduct remote consultations at the provincial, county and township levels.
"In the remote consultation, if the expert thinks that the patient needs to be transferred, we can directly handle the transfer procedure for the patient through the hierarchical diagnosis and treatment system." said Liu Hanzhou, chief of the medical department of Anji County People's Hospital, "similar to postoperative rehabilitation and chronic disease management. For situations that require continuous follow-up, in the past, patients may have to go to a higher-level hospital in person, but now they can be resolved through remote consultation."
With the continuous deepening of medical reform, the sinking of expert resources, and the construction of smart medical care, people in Huzhou have become more convenient and efficient to see a doctor. The patient-centered concept and humanistic care are continuously being integrated into all aspects of Huzhou's learning and promotion of Sanming's medical reform experience.
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