Perspective on the abortion incident of pregnant women in Xi'an, under the epidemic situation, what kind of social responsibility does private hospitals assume?

In Xi'an, under the tense situation of the epidemic, pregnant women caused miscarriages due to failure to seek medical treatment in time, which has aroused widespread concern.

The Shaanxi Provincial and Xi'an Municipal Health Commission organized experts to investigate the matter, determined that it was a liability accident, and dealt with the relevant responsible persons: Fan Yu, general manager of Xi'an High-tech Hospital, would be suspended, and the relevant responsible persons of the outpatient department and medical department would be dismissed.

Xi'an High-tech Hospital is one of the hospitals under the umbrella of international medicine listed companies, and is the first social tertiary hospital in China. According to the official website of International Medicine, Xi'an High-tech Hospital has an annual outpatient volume of nearly 800,000 visits, an annual hospitalization of 38,000 times, and an annual operation of 19,000 times.

Image source: Figureworm Creative

"Wartime" should not distinguish between public and private

In the face of hot discussions on the Internet, international medical insiders have also expressed their views. Guo Shuzhong, president of the Plastic Surgery Hospital of Xi'an International Medical Center Hospital, said on Weibo, "The ownership of the hospital is not important, what matters is how you treat your patients."

In fact, since the beginning of the epidemic, such debates have been endless. A social medical practitioner who did not want to disclose his identity said that the incident of Xi'an High-tech Hospital was determined by the Health Commission and it is not convenient to talk about it at present. But in any case, social medical institutions and practitioners have never shirked their social responsibilities, whether before the epidemic or during the epidemic.

Yan Nina of the Non-public Medical Association of Longgang District, Shenzhen, has been busy working for many days. "Today (January 11) Shenzhen reported 4 more cases of positive COVID-19 infection. I've been working until 2 a.m. the day before yesterday, took a little break, and got busy again at 4 a.m.," she told the health community.

Yan Nina and her colleagues are organizing medical staff from non-public medical institutions in Longgang District to participate in epidemic prevention and control. "We organize and register medical staff who have experience, and those who have no experience in fighting the epidemic also need training, such as wearing and taking off protective clothing."

In the three epidemic ups and downs in Longgang District, "the first time we invested more than 100 people, the second time more than 20 people, and this time we have more than 200 people participating and standing by." Yan Nina told the health community that even if it is not needed, someone must be available at any time when needed.

Guo Shuzhong also said that since the outbreak of the epidemic, the hospitals under Xi'an International Medical Group have selected 9 batches of medical teams and 511 medical staff to participate in the diagnosis and treatment of designated hospitals for new crown pneumonia; 107 batches of nucleic acid sampling teams and 6918 medical personnel were dispatched to complete more than four million (4200420) nucleic acid sampling. "These cold numbers are our truest temperature." Guo Shuzhong hopes: Under every epidemic, we will no longer be hurt.

It is understood that the medical staff of non-public medical institutions in Longgang District, Shenzhen are organized by non-public associations, and uniformly deployed by the Health and Health Bureau of Longgang District of Shenzhen Municipality, and put into epidemic prevention and control.

After the epidemic on December 13, the Dalang district of Dongguan City was shut down in a large area under the epidemic situation, and only a few designated medical institutions were retained as designated hospitals for non-NEW crown pneumonia patients in medium- and high-risk areas, during which the medical needs of the masses were solved in an orderly manner under the coordination of the local health department and the cooperation of various medical institutions.

According to the health community, since the outbreak of the epidemic in December, 163 outpatient clinics, clinics and health clinics have been temporarily closed in the jurisdiction of Dalang, Dongguan, Guangdong, and the medical needs of more than 800,000 residents in the town must also be met.

The Dongguan Prevention and Control Command dispatched medical treatment teams to Dalang and Dongguan Chang'an Hospital, and designated the Ninth People's Hospital, Dalang Hospital and chang'an Hospital, a private medical institution, to serve as designated hospitals for non-COVID-19 patients in medium- and high-risk areas.

According to statistics, from December 13, 2021 to January 3, 2022, Chang'an Hospital, as a non-public medical treatment, received a total of 890 patients, 638 trips, and 443 hospitalizations, including 289 people in the sealing and control area, 114 hemodialysis patients, 64 pregnant women, and 1 tumor chemotherapy.

"Facing the front line, what are the public hospitals or private hospitals when fighting?" A social medical practitioner in Xi'an told the health community.

Social medicine is indispensable

On January 11, the Information Office of the State Council held a press conference to introduce the 14th Five-Year Plan for Public Service (hereinafter referred to as the "Plan") and answer reporters' questions.

According to the combing, the content of the "Plan" is related to social medical services, expanding the supply of inclusive non-basic public services, encouraging and supporting social forces to focus on strengthening the supply of inclusive normative services in the fields of old-age care and medical care; and providing inclusive non-basic public services with affordable prices and guaranteed quality to the broad masses of the people (Chapter IV).

Improve the quality and efficiency of medical and health services, encourage the development of professional hospital management groups, enrich health tourism products with high-end medical treatment, rehabilitation and recuperation, and leisure and wellness as the core, enrich commercial health insurance products, and vigorously develop medical liability insurance, medical accident insurance and other practice insurance (Chapter 5, Section 1). Construct a diversified supply pattern of public services, encourage the participation of social forces, and support the development of social organizations (Chapter 6, Section 2).

Whether it is the positioning of social medical services or its indispensable, it is a clichéd problem. According to the information on the official website, Xi'an High-tech Hospital is a joint-stock general hospital integrating medical treatment, teaching, scientific research, prevention and health care. As a private hospital, positioning is a supplement to public hospitals, whether it is the development of specialties, rehabilitation or consumer medical treatment, it is the main battlefield of private medical treatment, and as a comprehensive hospital, it is originally a public hospital.

In addition to some state-owned medical groups with deep roots and deep roots, most of the comprehensive medical groups are regional, such as Huainan Oriental Hospital Group and Xi'an International Medicine.

Such an important regional medical force, whether in peacetime or in special periods, needs to undertake the medical needs of the people under the leadership of the local competent authorities.

Under the epidemic situation in Dongguan since December, Guan Lishan, head of the Traditional Chinese Medicine Department of Dongguan Municipal Health Bureau, has personally served as the leader of the medical treatment team. She pointed out that according to the calculation of 840,000 people, the number of doctors and nurses per 1,000 population in Dalang Town is lower than the proportion of the allocation. Dalang Hospital, the only secondary hospital in Dalang's jurisdiction, has implemented control and suspension, and the social health center has closed all sites for nucleic acid testing, making it difficult to ensure daily diagnosis and treatment services.

From the perspective of the city's medical resources, Chang'an Hospital borders Dalang, which is convenient for Dalang residents to seek medical treatment, so Chang'an Hospital is in danger. At the same time, the Dongguan Municipal Health Bureau quickly deployed and dispatched 158 medical experts, 20 drivers, 1 administrative staff and 14 negative pressure ambulances to 3 designated hospitals to enrich the medical treatment force in Dalang District. At the same time, the medical treatment team sent 2 colleagues to the Dalang epidemic site headquarters to set up a special medical treatment class to do a good job in the medical treatment of the epidemic in Dalang.

"The hospital has been open for more than ten years, and this is the first time that the doors in all four directions have been opened." Han Linxiao, executive director of Chang'an Hospital, said that the hospital only opened the south gate before, and this time in order to prevent and control needs, according to the overall planning of the experts stationed, the hospital pattern has been completely changed, fever clinics, inpatient departments, medical staff in and out... There is a strict distinction between the different doors.

Under the effective management and scheduling, from the local health authorities to the public and private medical systems, concerted efforts, whether it is the pregnant women in the pot, the newborn small life or the patients who enter the ICU due to cerebral hemorrhage, they have received timely and effective medical services.

Obviously, some work needs to be front-ended, and it is not something that private hospitals can do independently.

On the afternoon of January 7, Xi'an Held a Press Conference on the Prevention and Control of the New Crown Pneumonia Epidemic, at which the deputy director of the Health Commission apologized to the people of the city. "Although we have gone all out, we still have not considered it thoroughly, failed to provide adequate medical security services, and failed to deal with the contradiction between epidemic prevention and control and the needs of the masses to see a doctor, and we are deeply guilty and apologize to the people of the city."

At the same time, on January 6, Xi'an City issued the "Notice on Further Clarifying the Medical Treatment Process for All Kinds of Personnel", which stipulates that all kinds of medical institutions shall not use the 48-hour negative nucleic acid test certificate as a restriction on medical treatment, transfer of patients and reception; nor can they prevaricate or refuse to treat patients for any reason.

The damage has been done, but there is some work, and it would be nice if it could have been done early.

Sources | the health community

The author | a treasure