The Masses Have a "Medical Dependence" for Medical Treatment Changsha Municipal Public Hospitals have established 79 medical associations

Changsha Evening News on December 12 (all-media reporter Yang Yunlong correspondent Yang Fang) "went to Changsha University Hospital for surgery, my family has no one to take care of, but also worried about the cost, so it has been dragging." Unexpectedly, the doctors at the Fourth City Hospital let me have surgery at the doorstep of my home, recovered well, and saved a lot of money. On the 12th, Ren Daddy, a resident of Jinggang Town, Wangcheng District, said that the construction of the medical federation has brought tangible benefits to the grass-roots masses. Recently, in the Jinggang Central Health Center in Wangcheng District, the expert team led by Professor Hu Guohuang, vice president of changsha fourth hospital and director of general surgery, successfully performed surgery for Ren Daddy. Two-way referral, expert and famous doctors community sitting, emergency emergency alliance, special disease alliance... Changsha municipal public hospitals have established 79 medical associations, allowing the people to enjoy high-quality medical services at their doorstep, and also promoting the improvement of grass-roots medical service capabilities.

Resource sinking

The masses see famous doctors at the doorstep of their homes

In September last year, the Jinghuapu Workstation and Qiaokou Workstation of the Urology Department of the Fourth Hospital of Changsha City were officially unveiled, and Chen Tao, director and chief physician of the Department of Urology, led the experts of the Famous Doctor Studio to "pass on the help" to the two famous doctor workstations for many times. In the past year, the surgical volume of Qiaokou Town Health Center increased by 600% year-on-year, and the business volume of Jinghuapu Health Center increased by more than 20% year-on-year.

In recent years, the Fourth Hospital of Changsha City has given full play to the advantages of party building and leading the medical federation, with a hospital leader as the commander, a functional department coordination, and two clinical departments responsible for guiding and helping a community health service center or township health center, establishing a variety of communication modes such as business training, surgical teaching, and lectures, and regularly conducting business rounds, inquiring about medical history, and discussing diagnosis and treatment plans in the medical federation units, while improving the ability of grass-roots medical services, so that the masses can enjoy the quality services of experts in the top three hospitals at the doorstep of their homes.

At present, the hospital has established 22 close-knit medical associations and 48 loose medical associations, and has established friendly cooperative relations with nearly 100 units, covering Changsha Dahexi. The hospital has sent nearly 30 medical and nursing professionals to the close-knit medical federation unit to assist grass-roots medical institutions to carry out 120 public health activities such as health science popularization and free medical examination; strengthen the training and guidance of grass-roots medical personnel, and experts take the initiative to "go down" to round the room and train and guide more than 520 times; open special outpatient clinics such as hypertension, diabetes, surgery, orthopedics, pediatrics, obstetrics and gynecology in grass-roots medical institutions, and experts regularly sit in grass-roots medical institutions for more than 600 times.

Up and down

Creating a referral "highway" for patients

Recently, Ms. Dai felt bloating, dizziness and nausea, and was sent by her family to the Wangcheng District Tea Pavilion Central Health Center for treatment. From receiving the referral call to registration, hospitalization, surgery, it only took 1 hour, and what she did not expect was that she enjoyed expert services. At that time, it was just in time for the obstetrics and gynecology experts of the Third Hospital of Changsha city stationed in the Tea Pavilion Central Health Center to sit in for consultation. After the emergency treatment, the experts opened a green channel for her and immediately referred her to the Third Hospital of Changsha City for hospitalization. In recent years, the construction of the medical consortium of the Third Hospital of Changsha has made simultaneous efforts in the integration of pre-hospital emergency treatment, the construction of medical service capacity and level in the hospital, and the post-hospital health management, and has established a two-way referral base with community health service centers such as Yunan Street in Tianxin District to create a "highway" for patients to refer and seek treatment.

Changsha Traditional Chinese Medicine Hospital (Changsha Eighth Hospital) actively explores the construction of the medical association, and carries out a series of regional cooperation of the medical federation such as "specialty alliance", "two-way referral" and "famous doctor studio into the grass-roots level", so that the masses can "see the disease and see the disease well" at the doorstep of the family. During the "13th Five-Year Plan" period, the hospital sent 901 full-time experts with a total of 9775 days of service; supported the construction of 78 grass-roots specialties, carried out 34 new technologies and projects, more than 570 remote consultations, more than 1100 online technical guidance; more than 4600 two-way referrals and more than 1250 patients. Wu Xiaoning, vice president of the hospital, suggested that the grid layout management of the medical association, support the implementation of pilots according to local conditions, create more replicable and generalizable practical experience, promote the development of the medical federation in a close direction; make full use of the "Internet + medical" means, increase the overall planning and management of smart medical treatment, establish regional medical information centers, medical testing centers, and medical imaging centers, and implement mutual recognition of medical information in the medical federation in accordance with the principle of territoriality, unify information interface standards within the medical federation, and implement case information sharing.

Convenient for the people

Building a Seamless "Web of Life"

For patients with acute and critical illness, every minute and second is related to life and death, and it is particularly important to improve the emergency response level of primary medical institutions and smooth the channels for emergency treatment. On December 13, 2019, the Emergency Emergency Alliance of changsha fourth hospital came into being, the first batch of 24 medical federation units joined, and 29 "outpost emergency doctors" accepted the letter of appointment. Since then, a "web of life" that facilitates the people and benefits the people has been refined.

Thanks to this "web of life", Ms. Zhou of Yuelu District was lucky to escape the disaster. Not long ago, she tested herself at home for pregnancy, so she went to the community health service center for routine obstetric examination, preparing to do B ultrasound sudden severe pain in the lower abdomen, B ultrasound suggests a large amount of fluid in the abdominal cavity. The doctors of the community health service center immediately referred Ms. Zhou to the Fourth Hospital of Changsha City, at this time, Ms. Zhou's blood pressure was only 75/43 mm Hg, and she was unconscious. The Fourth Hospital of Changsha City opened a green channel to diagnose Ms. Zhou as an ectopic pregnancy rupture, hemorrhagic shock, and required emergency surgery. Gynecology, anesthesia surgery and other medical staff raced against the clock, went all out to "race" with the god of death, and successfully rescued Ms. Zhou. It is reported that after the establishment of the Emergency Emergency Alliance, the system standardized training and management of outpost emergency doctors was carried out, and a green channel for referral was opened, which realized the timely, efficient and integrated seamless linkage of the treatment of acute and critically ill patients.

Graded diagnosis and treatment

Promote the development of the medical association in the direction of compactness

Graded diagnosis and treatment is the "key play" of the new medical reform stage, and is an important measure to effectively reduce medical costs and alleviate "difficult and expensive medical treatment". As an important promoter of hierarchical diagnosis and treatment, the medical association has been entrusted with heavy responsibilities.

In June 2016, the construction of Changsha Medical Federation was officially launched. Municipal hospitals and primary medical institutions voluntarily choose and negotiate the establishment of medical associations according to geographical location, professional characteristics, their own conditions, development plans, etc. In recent years, Changsha has been responsible for the division of labor, division of labor, and classification to promote the construction of the medical federation. At present, Changsha municipal public hospitals have established 79 medical associations, through the full-time dispatch of doctors to grass-roots medical institutions, the establishment of inpatient joint wards, to help grass-roots medical institutions to improve service capabilities, to help grass-roots hospitals can see small diseases, see major diseases, can manage chronic diseases; through the establishment of two-way referral green channel, gradually formed a "small diseases in the community, major diseases to the hospital, rehabilitation back to the community" hierarchical diagnosis and treatment model.