China News Service, Xining, June 18, title: "Smart Medical Care" in Xining, Qinghai Province: Two-way Doctors and Patients, "Medical Consortium" and "Healthy Community"
Author Li Jun
On the 17th, the reporter met with Han Shengxiao, who lives in Dongxia Town, Datong County, Xining City, Qinghai Province. The 48-year-old recalled his acute myocardial infarction rescue experience last year and still had lingering fears.
"After the diagnosis, we ran from the county branch to the general hospital. The doctors of the general hospital and the branch hospital communicated and guided through the Internet. If the doctors did not cooperate well along the way, I would have died last year." Han Shengxiao said.
In November 2020, Han Shengxiao suddenly felt chest and back pain accompanied by sweating, which lasted for 3 hours. The pain has not been relieved.
He immediately went to the First Branch of Xining First Medical Group, located in Datong County, for treatment.
In an emergency, Han Shengxiao took an electrocardiogram immediately, and the electrocardiogram was immediately sent to the Chest Pain Center of the Group Headquarters in Xining.
After diagnosis by Wang Wu, a doctor from the Chest Pain Center of the General Hospital, Han Shengxiao was diagnosed with acute anterior myocardial infarction. He recommended immediate referral for PCI and transferred to the Chest Pain Center of the General Hospital for treatment.
After the patient arrived, the doctor performed coronary angiography and stent implantation for the patient as soon as possible, successfully saving Han Shengxiao's life.
"Datong is more than 30 kilometers away from Xining. From the diagnosis to the general hospital for treatment, the entire process only took more than 30 minutes. For patients with chest pain, time is life. Only the two-way running of patients and doctors can win more for patients. Hope of life." Wang Wu said.
The picture shows a patient consulting at the guidance desk.
Photo by Li Jun
In the Electrophysiological Remote Diagnosis Center of the General Hospital of Xining First Medical Group, four screens display the electrocardiograms of the third-level medical institutions in the counties and villages of the group. The director of the department Ma Caihong and the members of the department can timely report the diagnosis results based on the images and feed them back to each Primary health care institutions.
“I am here to receive more than one hundred electrocardiograms uploaded by various medical institutions of the group every day, and we will issue an accurate diagnosis report for each of them to provide diagnosis basis for accurate treatment of lower-level medical institutions.” Ma Caihong said.
In Qinghai, cardiovascular and cerebrovascular diseases occur frequently, as in the case of Han Shengxiao.
In order to promote the rapid diagnosis and timely treatment of patients with chest pain, the General Hospital of Xining First Medical Group established a "life rescue" green channel.
The chest pain center was established at the end of 2018, which effectively reduced the mortality and disability rate of patients with chest pain, and saved more lives of patients with chest pain.
"We have established a two-way referral department. Critically ill patients in the primary branch hospitals can be hospitalized as soon as they come to the general hospital. Before the patient arrives, the branch doctors will upload the patient's condition to the general hospital, and the general hospital doctors will consider the patient's situation. Arranging the beds in the relevant departments saves patients' time in queuing to go through the procedures." The deputy dean of the General Hospital of Xining First Medical Group introduced it.
The picture shows the medical staff instructing the public to use the self-service all-in-one machine.
Photo by Li Jun
In 2016, the group launched five major diagnostic centers, which can provide remote pathological diagnosis, remote imaging diagnosis, remote electrocardiogram diagnosis, remote ultrasound diagnosis, remote endoscopic diagnosis and other services to primary medical institutions in a timely manner. It has solved the problem of the shortage of examiners in primary medical institutions. , It has also improved the basic diagnosis service capabilities.
In the remote consultation center, the scene of the laparoscopic cholecystectomy at the People's Hospital of Datong County was played on the screen some time ago.
Zhao Hengwei, deputy dean of the General Hospital of Xining First Medical Group, said: “Through real-time remote monitoring, we guide the operation. Not only did the patient get timely diagnosis and treatment, but it also saved him a sum of money to go to the general hospital. Relying on Internet technology Means, we deliver advanced technology to primary medical institutions, train high-level doctors, promote the sinking of high-quality medical resources, and realize a new medical service model in the medical association that uses large to lead small, strong to weak, upper and lower linkages, and medical service collaboration. , So that patients in remote areas can enjoy the high-quality medical resource services of tertiary medical institutions at their doorsteps."
In 2016, Xining City took the lead in establishing a four-level close-integrated medical consortium of cities, counties, and villages with independent legal personality in the country.
In 2018, on the basis of the reform of the four-level close-integrated medical consortium, Xining built a medical group as the core, and incorporated the work of public health institutions such as disease prevention and control, maternal and child health care, and health education into the "health service community". A new high-quality and efficient integrated health service system consisting of "disease prevention, basic medical care, rehabilitation care, medical and nursing integration, health management, and health promotion" has been established.
"At present, we are reducing the incidence of infectious diseases and chronic diseases among residents from the source at the grassroots level, and improving the level of health services. We have explored a new path for the development of integrated medical and prevention under the closely integrated medical consortium, and let the'medical consortium' move towards The'Healthy Community' promotes the transformation from disease treatment as the center to people's health as the center." said Guo Wei, director of the Xining Municipal Health Commission.
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