To cure serious diseases and difficult diseases, you must go to a big hospital to be reliable?
In Ningxia, this "iron law" has been broken because of the "net": at present, whether it is experts in first-tier cities such as Beijing, Shanghai, Guangzhou, or famous doctors at the autonomous region level, they can "face-to-face" diagnosis and treatment for patients who seek medical treatment in various townships and even village clinics in Ningxia through a network line.
In recent years, Ningxia has focused on the problem of "urgent difficulties and anxieties" for the people to seek medical treatment, through scientific and technological empowerment, with the help of the Internet and big data, based on the consolidation of interconnection, deepening and expanding the application field, taking the lead in building a five-level telemedicine service system in the country, vigorously promoting the construction of the "Internet + medical health" demonstration area, promoting the sinking of high-quality medical resources, and making the "Internet + medical health" better benefit the masses.
(i)
Go back in time to 2017.
At the beginning of 2017, the autonomous region put forward a new goal in the "Government Work Report": to improve the level of medical care and health for the whole people, to continuously improve the ability to guarantee basic public health services and the level of equalization, and to achieve full coverage of remote consultation services in townships and townships.
Just one sentence, but a lot of words.
At that time, although the medical level in Ningxia had been greatly improved, most of the people, especially the vast number of farmers, still felt that it was "difficult to see a doctor".
Why is it so hard? "Inconvenient! far! Ma Tianfu, a farmer in Zhaike Township, Wonju District, Guyuan City, sighed, "If the disease is slightly more serious, the town health center will not be cured." To go to the big hospital in Guyuan City, one is a long distance, it takes an hour or two to drive; the other is that it is inconvenient for family members to eat and live, and the cost is too large. It often drags small diseases into major diseases. ”
How do you get experts to your doorstep? The most economical, effective and convenient way is to go online.
Build a remote diagnosis and treatment system in each township to promote the "hand-in-hand" between "large" hospitals and "small" hospitals, and at the end of 2017, Ningxia achieved full coverage of remote consultation in townships.
On this basis, Ningxia has carried out the declaration of the construction of the national "Internet + medical health" demonstration zone.
Step by step, step by step, step by step.
At the beginning of 2018, Ningxia put forward the goal of "efficiently using the remote consultation network of township health centers". In that year, Ningxia was approved for the construction of the country's first "Internet + medical health" demonstration zone.
The wings are plugged in.
What pain points should be relieved in Internet diagnosis and treatment? To make "Internet +" better help to find medical treatment, what blockages need to be opened?
Ningxia adheres to problem-oriented, goal-oriented and result-oriented. In 2019, the five-level telemedicine service system was basically completed; in 2020, the interconnection of medical information at the three levels of districts, cities and counties was further promoted, and the construction of the demonstration area showed initial results; in 2022, on the basis of consolidating the achievements of the "Internet + medical health" demonstration area, the "Government Work Report" put forward new goals: to improve the construction level of the "Internet + medical health" demonstration area, accelerate the construction of national regional medical centers and medical association medical communities, and promote the expansion and sinking of high-quality medical resources...
(ii)
10 years ago, Wang Pinghua, a villager in Baiya Village, Baiya Township, Xiji County, coughed repeatedly and went to the township health center to prescribe some medicine. Unexpectedly, this cough is intermittent for 10 years.
Today, 10 years later, Wang Pinghua, who is 70 years old, is admitted to the Xiji County People's Hospital. The doctor found that Wang Pinghua's condition was special and complicated. "We can ask experts from the autonomous region to govern." After communicating with the patients and their families, the county hospital submitted an application, and the experts of the Department of Respiratory and Critical Care Medicine at the autonomous region level conducted a remote consultation to determine the best treatment plan for the patient, and Wang Pinghua was successfully discharged after being cured.
Hu Guilong, a villager in Caotan Village, Pengyang County, did not come out of the village and cured the disease. He felt chest tightness and shortness of breath, in the village clinic, the experts of the Autonomous Region People's Hospital consulted through the telemedicine system, checked his chest x-ray and other information, quickly identified the cause for him, and guided the village doctor to prescribe the required drugs. After more than 1 month, Hu Guilong recovered. "It only cost more than 500 yuan before and after." If you go to the county to see, the road fare, food and accommodation are all money, at least 2,000 yuan. Tiger Guilong said.
Ningxia promotes the integration of big data and health care, and consolidates the foundation of interconnection and promotes health data governance in accordance with the "integration" ideas of "one network", "one code", "one library", "one platform" and "one medical group" in Ningxia.
Through the introduction of third-party Internet hospitals, the construction of various types of national expert consultation centers, the high-quality medical resources of Beijing, Shanghai and Guangzhou will be sunk to Ningxia; through online expert clinics, the high-quality resources of the top three hospitals in the region will be pooled to the counties and districts, so that serious diseases will not leave the county; through the construction of "online Internet clinics", the remote consultation of municipal and county-level doctors to grass-roots medical institutions can be realized, so that common diseases can be cured at the grass-roots level.
Ningxia also takes the telemedicine service system as the main line, builds a five-level telemedicine service system, and builds a service system such as "Internet + outpatient" and "Internet + diagnosis" in accordance with the principle of "personnel clouding, platform virtualization and mechanism marketization" to promote the sinking of high-quality resources.
Up to now, 67,000 physicians have been registered in Ningxia, nearly 3 million cases of various diagnoses have been completed, and 16,000 fetal heart rate monitoring has been carried out, initially forming a model of "grass-roots examination + superior diagnosis + regional mutual recognition". Especially during the epidemic prevention and control period, Ningxia has built an information platform such as remote conference, remote consultation, online free consultation, imaging free diagnosis platform, epidemic service platform, home isolation service platform, and epidemic information direct reporting system to help prevent and control the epidemic.
Let high-quality resources fly to the "cloud" and land on thousands of households. This is the charm of "Internet + medical health".
(iii)
Online consultation is booming and is just the beginning.
With the electronic health code as the core, speed up the service "speed". Implement the application of electronic health codes in the whole district, provide patients with pre-diagnosis, diagnosis and post-diagnosis full-process services, and effectively alleviate the problems of "medical troubles" and "complicated processes". With the electronic health code as the core, the application of "electronic health portrait" is carried out, and the whole chain and all-round "wisdom" medical services are used to provide an important channel for the health of each person to record a lifetime, serve a lifetime, and manage a lifetime.
Take new infrastructure and new technologies as a means to enrich the "depth" of services. Build an artificial intelligence auxiliary diagnosis and treatment system in the grass-roots medical institutions in the whole region to further improve the diagnosis and treatment service capabilities of medical personnel in grass-roots medical institutions; give full play to the advantages of new technologies such as wearable devices and artificial intelligence, and upload physical examination follow-up data in real time, which not only improves the efficiency of "only once" at the grass-roots level, but also strengthens the intelligent "grid" management of key groups such as hypertension and diabetes; actively explores the application of "brushing face for medical treatment", intelligent rounds, mobile medical care, intelligent pharmacies, etc., and further realizes the refined management of hospitals. Solve the problem of patients from the hospital entrance to the "last hundred meters" of the consultation room.
It took the lead in practicing the provincial cloud platform model in the country, and initially realized the interconnection and interconnection of information such as resident health file management, family doctor contract signing, telemedicine, child immunization planning, "120" emergency network integration, and comprehensive blood management.
"Internet + medical health" has reshaped the management and service model of medical treatment; the results of "Internet + medical health" have been truly enjoyed by the people.
There is no end to ensuring and improving people's livelihood, only a continuous new starting point. Entering a new journey, Ningxia will surely use the new achievements of the "Internet + medical health" demonstration area to better benefit the people.