The Pediatrics of 18 municipal hospitals can be transferred to hospitals in time for critically ill newborns in
cooperation with the Pediatrics Collaborative Development Center for 3 years. Critically ill newborns can be transported between hospitals within 1 hour. The "star drug" may cover 18 hospitals
Beijing News Graphics/Gao Junfu
With the shortage and unevenness of pediatric medical resources, the children are sick. Many parents choose to stay close and seek further distance and go straight to the pediatric specialist hospital. In recent years, 18 municipal hospitals with pediatrics in Beijing have jointly established the Pediatrics Collaborative Development Center of Beijing Hospital Management Center. 16 municipal tertiary hospitals have promoted the development of pediatrics with the help of Children’s Hospital and the First Children’s Hospital. With the specialization of pediatrics, "star drugs" can also be purchased across hospitals.
Beijing News "Pediatrics are difficult, pediatrics are difficult, and pediatrics do not make money. It is difficult to construct pediatrics in general hospitals. The shortage and unevenness of pediatric medical resources is a reality. We hope to promote coordinated construction so that children can flock to children’s hospitals and the first You can enjoy high-quality pediatric services nearby.” At the media communication meeting of the Pediatrics Collaborative Development Center of Beijing Medical Management Center yesterday morning, the director of the center Ni Xin introduced.
The reporter learned from the Beijing Medical Management Center that in order to promote the coordinated development of pediatrics in various hospitals, Beijing’s 18 municipal hospitals with pediatrics jointly established the Beijing Hospital Management Center Pediatrics Collaborative Development Center, led by Beijing Children’s Hospital affiliated to Capital Medical University The unit, the Children's Hospital affiliated to the Capital Institute of Pediatrics, as the joint lead unit, develops "in groups".
The center was established in 2017. Beijing Children's Hospital and the First Children's Hospital provide 16 other hospitals with convenient appointments, consultations, referrals, special inspections and other green channels for the diagnosis and treatment of intractable diseases. In addition, the two leading hospitals also provide comprehensive services such as physician training and scientific research cooperation, and strive to simultaneously improve the level of pediatric diagnosis and treatment, scientific research and talent training in each hospital, so as to achieve the comprehensive improvement of the comprehensive strength of pediatrics by scattered children in Beijing.
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Thousands of critically ill newborns have been transported
In 2020, the epidemic prevention and control situation in Beijing will be severe. A child with immune encephalitis was admitted to Tiantan Hospital. After routine treatment, his condition improved, but after 14 days of admission, he developed persistent high fever, accompanied by chills, and cough. Lung CT suggested right pneumonia. After the consultation, the child was transferred to the Department of Rheumatology and Immunology of Beijing Children's Hospital due to the complicated condition of the disease. The cerebrospinal fluid examination revealed Cryptococcus neoformans infection and was transferred to the Department of Infectious Diseases for treatment. After standard treatment, his condition improved and was discharged after 69 days.
The reporter learned that the Pediatrics Collaborative Development Center of Beijing Hospital Management Center has prepared a remote consultation center, a referral platform, and a newborn transfer platform. Patients can achieve efficient referrals and real-time transmission of diagnosis and treatment information between hospitals.
Regarding the transfer and treatment of critically ill newborns, the center has conducted transfer training and pre-transfer docking work to member units. As of June 2020, a total of 1,111 critically ill newborns have been transferred. The scope of services covers Beijing Maternity Hospital, Chaoyang Hospital, and Tongren Hospital Waiting for 10 units. In 2020, the Children's Hospital will cooperate with member units to achieve the successful transfer of critically ill newborns with a minimum gestational age of 23+5 weeks and a minimum weight of 550g.
Xie Xianghui, executive vice president of Shou'er Institute, introduced that this network was built to control newborn deaths. In the past three years, the number of critically ill newborns transferred from the First Children's Center has increased from 351 in 2017 to 626 in 2019. In order to shorten the transfer time, the hospital has guaranteed the ambulance, medical staff, and full-time driver, and the transfer can be completed within 1 hour.
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Many member hospitals fill the gap in pediatrics
In 2019, the director of pediatrics sent by the First Children’s Institute to Chaoyang Hospital carried out children’s bronchoscopy and lavage technology, filling the gap in this technology in Chaoyang Hospital, and at the same time training the pediatric medical staff of the hospital to learn and master routine operations, further improving The ability to diagnose and treat common childhood respiratory diseases has expanded the scope of services. Up to now, 21 cases of bronchoscopy in children have been completed.
Last September, a newborn with meconium aspiration syndrome became the first beneficiary of the technology. The child was born with hypoxemia. After treatment, he still has rapid breathing and mild three-concave signs. CT of the chest reveals large-scale consolidation of both lungs. Consider aspiration pneumonia. Excluding atelectasis, there may be fetuses in the lungs. Feces remained. After bronchoscopy lavage was successfully completed, the dyspnea was significantly improved.
In the past three years, with the assistance of the two lead hospitals, many member hospitals have filled in the medical gaps in disciplines, technology, and disease treatment.
For example, Beijing Tiantan Hospital completed the preparation of the neonatal ward, Tsinghua Chang Gung Memorial Hospital completed the preparation of the pediatric emergency department, Shijitan Hospital realized the improvement of children's tumor treatment capacity, Chaoyang Hospital realized the comprehensive upgrade of the diagnosis and treatment of pediatric respiratory and skin diseases, and Tongren Hospital gradually created a complete newborn Diagnosis and treatment platform.
Xie Xianghui introduced that in the future, he will continue to help member units improve the pediatrics department. For example, the hospital plans to help Chaoyang Hospital build pediatric surgery.
“Children in pediatric surgery are generally admitted to specialist hospitals, but common diseases such as appendicitis, intussusception, or combined malformations may also occur in general hospitals. Transporting these patients is a means, but for the children’s nearest diagnosis and treatment, while improving The ability of general hospitals to help them build their own professional strength is the longest choice." Xie Xianghui said.
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"Star drugs" can be purchased across hospitals
In the parent circle, the "star drugs" of the two children's hospitals are very well-known.
According to Pan Junhua, director of the Scientific Research and Education Division of the Beijing Hospital Management Center, the center will open up the inter-hospital procurement and supply exchange platform according to the needs of member units for children's specialty examination and treatment development, and actively promote the inter-hospital deployment and use of children's self-preparation to ensure clinical homogeneity Implementation of chemical diagnosis and treatment to meet the needs of patients for medical treatment.
The self-prepared chloral hydrate glue prepared by Beijing Children's Hospital was adjusted to Tsinghua Chang Gung Memorial Hospital to make up for the latter's oral sedative use and facilitate clinical examination operations.
In-hospital preparations such as "star medicine" Fule Cream, Shuangjin Liyan, Qingfei Huatan, etc. of the Children's Hospital of the Capital Institute of Pediatrics have achieved cross-hospital use in Chaoyang Hospital, making it convenient for children to get near diagnosis and treatment.
Xie Xianghui told reporters that the "star drug" has always been popular with parents, but because it is an in-hospital preparation, it cannot be sold on the market. At present, Chaoyang Hospital, Tongren Hospital, Beijing Obstetrics and Gynecology Hospital in the center can use "star drugs", and the scope will be further expanded in the future.
"We and the Children's Hospital have some well-known in-hospital preparations. In the future, we hope that all hospitals in the center can be opened up. In the future, we can even join community hospitals and even social institutions, so that parents can travel less and reduce the use of resources in tertiary hospitals. "Xie Xianghui said.
Beijing News reporter Dai Xuan