(Interview with representatives of the two sessions) Yang Linhua, deputy to the National People's Congress: the dangers and opportunities of the medical system under the test of the epidemic situation
China News Service Taiyuan, May 12 Question: Yang Linhua, Deputy of the National People's Congress: The dangers and opportunities of the medical system under the test of the epidemic situation
Author Fan Lifang
A sudden new outbreak of pneumonia has given the Chinese medical system an all-round test. Medical staff may be retrograde in Wuhan, Hubei, or stand firm to fight the epidemic. Yang Linhua, deputy of the National People's Congress and director of the Department of Hematology of the Second Hospital of Shanxi Medical University, as one of the members, has always adhered to the front line and experienced everything: "Ten years of medical reform and ten years of road, we have achieved fruitful results. It still needs to be increased and the public health emergency system should be continuously optimized. "
Yang Linhua conducts daily rounds. Photo by Fan Lifang
The Department of Hematology of Yang Linhua ’s hospital did not interrupt the patient ’s treatment due to the epidemic. In addition to daily outpatient and ward round work, she will also go to the New Coronary Pneumonia Appointment Hospital in Taiyuan City for critical patient consultations, contact the Shanxi medical team supporting Wuhan, Hubei, and answer more than 100 rural doctors for irregular assistance on WeChat.
As a doctor with 37 years of front-line work experience, Yang Linhua is most concerned about the health of the people. After the fight against the epidemic, he also saw the "danger" and "opportunity" in the medical field.
The first is the shortage of public health and preventive medicine professionals and licensed physicians. According to public information, at the end of 2018, the number of practicing physicians per 1,000 population in China was 2.59, and some developed countries have exceeded 4. In terms of structure, the gap between urban and rural areas is still relatively large, and the distribution of specialties is uneven. Doctors are recognized as "late maturity" occupations, and the training period is relatively long, and it is necessary to highlight the prospectiveness of planning.
"Especially in the face of epidemics or emergencies, for example, our hospital's respiratory critically ill medical staff, in addition to supporting Wuhan, participating in the hospital's patient treatment, but also supporting the fraternal units in our province." Yang Linhua said, the education department also noticed this Problem, the enrollment scale of graduate students of Shanxi Medical University will be appropriately expanded this year, and medical talents will be trained and reserved in advance.
Due to the new coronary pneumonia epidemic, many medical institutions cannot perform normal diagnosis and treatment, which objectively makes patients who need regular dialysis and tumor chemotherapy have to suspend treatment. "This also highlights our shortcomings in dealing with emergencies." Yang Linhua suggested that in the future when encountering major events such as public health emergencies, natural disasters, etc., you can consider using more concentrated areas, such as the stadium of the University City, large classrooms and Student dormitory and other empty or idle places are subject to emergency temporary requisition for reconstruction, building emergency wards, or storing various emergency materials.
As the health "gatekeeper" of the grassroots, the role of rural doctors is indispensable. In 2019, Yang Linhua established a rural doctor education and training base in Shijiyao Village, Wuzhi Township, Changzhi, Taihang Mountains. During the epidemic, because of the abnormal operation of most medical institutions, the people's medical treatment became a problem. "We established a WeChat communication group with more than 100 local village doctors to help local people solve many very practical medical treatment problems."
In the fight against the epidemic, the role of the Internet is obvious to all. As early as 2012, Shanxi Province relied on the Second Hospital of Shanxi Medical University to establish a remote consultation center, which connects four-level medical institutions in provinces, cities, counties, and towns, and connects with famous hospitals, famous departments, and famous doctors outside the province. During the epidemic, the hospital conducted remote consultations for many patients at the grass-roots level to solve the problem of not being able to go to higher-level hospitals during special periods; it also conducted remote consultations with counterpart hospitals in Tianmen, Xiantao and Qianjiang, Hubei, for difficult and critical patients The treatment came up with ideas and solutions.
Yang Linhua conducts daily rounds. Photo by Fan Lifang
Yang Linhua said that at present, most of the second-level hospitals across the country have established remote consultation centers, and the technology is also very mature, but the utilization rate in some places is not very high. How to recognize each other, etc. "
Yang Linhua suggested that the National Health and Health Commission should improve telemedicine-related policies, mechanisms and standards, and really play a role in the diagnosis and treatment of the same case by multiple consultations, remote locations and across time and space. And the county medical reform and development must do a good job of docking with the "three antennas" of the top three hospitals, specialist alliances and telemedicine. " (Finish)