CPPCC member Zhu Tongyu: It is urgent to increase investment in the construction of the national public health system, calling for attention to the brain drain of the public health system at the national level

Since the announcement of the first new case of pneumonia infection in China on December 31, Zhu Tongyu, member of the CPPCC National Committee, deputy chairman of the Shanghai Committee of the National League of Democrats, and director of Shanghai Public Health Clinical Center affiliated to Fudan University, has maintained In the "epidemic" state of war. The Shanghai Public Health Center where he is located is the only hospital in Shanghai to receive confirmed cases of new coronary pneumonia. As of 24:00 on March 28th, a total of 339 confirmed cases were confirmed locally in Shanghai, and 153 cases were imported abroad.

The public health center is an important part of the entire Shanghai public health system. It has been "retreating behind the scenes" for many years after the SARS epidemic, but at a critical time assumed the important role of "standing out" in the face of sudden infectious diseases.

In this new crown pneumonia epidemic, the Shanghai Public Health Center, a public health fortress that has been almost "reborn", performed well. Beginning in January, new confirmed cases continued to appear in Shanghai, and all confirmed adult cases were sent to public health centers. This hospital provides a one-person, one-strategy treatment model, and a multidisciplinary team of experts develops appropriate treatment plans based on the different conditions of the patient.

However, what many people don't know is that the Shanghai Public Health Center, like other domestic public health centers and infectious disease hospitals, has encountered the huge dilemma of brain drain. In 2015, Zhu Tongyu, then deputy director of Zhongshan Hospital affiliated to Fudan University and director of the Shanghai Key Laboratory of Organ Transplantation, came to Shanghai Public Health Center. At the time, the number one issue he faced was brain drain.

"Insufficient funding, unable to support professional talents, and relatively weak scientific research." He calculated that the basic treatment of doctors in urban hospitals is 1.5 times that of Shanghai Public Health Center doctors, and that of public health center doctors ranks among the city's public hospitals. the last one. The treatment of public health personnel contrasts sharply with the important work they undertake in the prevention and treatment of major diseases.

At the two national conferences, Zhu Tongyu spoke on behalf of the public health system on many occasions, calling on the national level to pay attention to the problem of brain drain in the public health system. To a certain extent, the loss of personnel in the public health system directly affects the ability of public health centers to undertake emergency tasks during wartime.

In 2015, newly appointed Zhu Tongyu and the hospital management team jointly decided to tighten the waistband, introduce high-end talents, and expand scientific research. In recent years, the Shanghai Public Health Center has introduced well-known experts and scholars each year to engage in scientific research without any increase in administrative staff.

Today, the ratio of scientific research personnel and clinical medical personnel in this hospital has reached the level of 1: 1.5, which is currently the medical institution with the highest proportion of scientific research personnel in the country. The number of doctors here has increased from 99 to 4 years ago; the number of nurses has increased from 300 to 500.

However, the success of the Shanghai Public Health Center does not represent the improvement of the national public health system. The reporters of the China Youth Daily and China Youth Daily learned that in the reform of public health centers and infectious disease hospitals in China, most of them have become "public welfare class" public institutions, and they have been included in the full financial allocation, but this allocation Not enough. Many infectious disease hospitals have to provide general health services to support public health services, and their core functions, that is, the basic functions of public health, will suffer from "relative inadequacy and insufficient support". Some infectious disease specialist hospitals have experienced a comprehensive phenomenon, and some infectious disease hospitals even have obstetric departments.

As a member of the National Committee of the Chinese People's Political Consultative Conference, Zhu Tongyu focused more on some general issues, such as how to prevent and control the hospital's sense of public health center, lack of money in the public health system, and low status.

He has organized a professional team to detect more than 2,000 "risk points" that may cause infections in medical staff, such as faucets, shoe covers, and handrails for hospital beds, forming a scientific guidance system for hospital sense prevention and control. The Shanghai Public Health Center also developed an antiviral spray for wards in the early stages of the epidemic to protect the safety of medical staff and promoted this approach nationwide.

Regarding the investment of funds, he pointed out that on the one hand, the state should increase long-term and stable investment in the public health system; on the other hand, local public health departments should also find ways to "rotate" in addition to financial investment. "Introducing good doctors and scientific researchers, good doctors will come, and patients will also come; good scientific research can support the development of the hospital, transform the results, and make the hospital an institution driven by scientific research." He said, Shanghai Public Health Center At present, more than 20% of the funding comes from financial input, and the remaining funding comes from the increase in the amount of medical consultation and the income from the transformation of scientific research results. "But from the perspective of population, the country needs at least 50,000 professional public health beds, but the current beds are not fully equipped." .

"The construction of the public health system is based on the consideration of the country's 100-year plan. Now that it has been built, it can help a country cope with a major infectious disease that can occur once in a century." Zhu Tongyu said that a robust public health system should be a permanent one. A fortress of security, not a "slab house" for temporary construction due to a disease.

China Youth Daily · China Youth Daily reporter Wang Yijie Source: China Youth Daily