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68 years of wind and rain, health accompanied by happiness and longevity 丨 Overview of the high-quality development of medical and health undertakings in Langtang County

In 1954, Langtang established the first medical institution in history, the Langtang Health Center, ending the current situation that farmers and herdsmen have no money for medical treatment, and there is no money for doctors and no money.

In 1959, the health center was expanded to the county people's hospital;

In 1972, the county health and epidemic prevention station was established;

In 1977, the county maternal and child health care station was established...

Since the establishment of the first health center for 68 years, Langtang County has started from the two aspects of "software" and "hardware", improved the standardization of health institutions, improved the diagnosis and treatment environment, comprehensively improved the medical service capacity, so that the masses can effectively enjoy the quality and resources of high-quality medical services.

The ability to improve the quality of services and medical security has been steadily improved

Health is the most basic well-being of people's livelihood. Since ancient times, it has been people's simple wish to rely on life and cure the sick.

From April 6th to 7th, the Health Bureau of Langtang County organized relevant personnel to visit Maoxian Medical Group for study

Under the brilliant illumination of the party's ethnic policy and after more than 60 years of arduous struggle, the health and medical undertakings in Langtang County have made great progress. From the establishment of the county can only carry out general disease prevention and simple "debridement", it has developed to a series of advanced departments such as a hundred-level operating room, an intensive care unit, and a neonatology department, and can perform craniotomy, bone and joint replacement and other high-tech surgeries. From the beginning of 1 tent, 4 or 5 medical personnel, it has grown to 65 medical institutions in the county. 4 county-level medical and health institutions have been established, including 2 second-class first-class hospitals: county hospitals, county Tibetan hospitals, and 2 second-level B-class health institutions: county cd-control centers and county women's planning centers; 12 township (town) health centers, 1 community health service center, and 48 village clinics. There are more than 300 beds in the county, and 390 people are on the job in the health care system, including 294 health technicians and 96 township health centers, and each health technician serves an area of 20.08 square kilometers.

Since 2012, when the Provincial Health Commission designated to help Langtang County, the Provincial Health Commission has provided advice for Langtang, introduced internal and external contacts, matchmaking, and 10 years of dedicated assistance, with a long time span, fixed-point help, and good results, and truly become an "accelerator" for The economic and social development and rural revitalization of Langtang. The Provincial Health commission has always invested 69.633 million yuan in various types of funds directly around the people's livelihood, helping Langtang County to build a new county people's hospital regional medical and health center, a county women's planning center business building, a county CDC office building, and a reconstruction of the county people's hospital outpatient medical technology building, and a new area of 20,000 square meters, which has greatly improved the level of health infrastructure in the county.

Accelerate the process of medical reform, under the direct care of the Provincial Health Commission, in March 2021 Mianyang 404 Hospital officially managed the county people's hospital, after the trusteeship work was launched, improved the county people's hospital management system, formulated the county hospital reform plan and development plan, formulated the professional talent training plan and the advantageous specialty construction plan, actively promoted the development of new technologies and new projects, so that the county people's hospital medical service capacity has been greatly improved, and the 2021 county hospital medical staff title examination has achieved the best results in the past years. Hosting has been very effective.

Innovative Langtang development model, careful guidance of the Provincial and Prefecture Health Commission, combined with the actual situation of the county, for the county to clarify the "three-level co-construction (provincial-state- county), five-level linkage (provincial-state-county), three-medical coordination and "5G + telemedicine" system" development model, clarified the three aspects of 9 key tasks, depicted a grand blueprint, formulated a construction drawing, and refined the operational map.

Carrying forward the humanitarian spirit, the Provincial Health Commission has always carried forward selfless love, and has organized more than 18 times more than 240 experts from provincial medical institutions such as provincial hospitals and provincial maternal and child health hospitals to carry out free medical inspections, physical examinations, cataract surgeries, etc. in Langtang, carried out free diagnosis and treatment of more than 2,600 people, more than 60,000 free physical examinations, and 450 cases of cataract restoration surgery.

Accelerate the cultivation of talent team, Langtang lack of projects, lack of funds, but more lack of new ideas, new thinking, new technologies, the Provincial Health and Health Commission to find the focus of the point, the talent pairing as an important content, to receive county medical personnel free training, and select experienced, strong teaching ability of medical personnel to carry out "one-on-one" help, training more than 40,000 professional and technical personnel. In particular, 35 outstanding cadres have been dispatched, striving to be participants in accelerating the construction of Langtang, devotees of building a harmonious Langtang, leading the training of a large number of local grass-roots cadres, medical and health backbones, and creating a cadre team that cannot be taken away. What is particularly commendable is that the various groups of support forces headed by Comrades Gu Xi and others have worked all fronts in Langtang and effectively promoted the implementation of all kinds of work in designated assistance.

Promote social harmony and stability, with the deepening of the help work, the life of the masses is getting better and better, the people's hearts have returned, the people's hearts have warmed up, the confidence and pursuit of a better life have become more and more intense, the enthusiasm for unity and unity to rush forward has become more and more sufficient, the society has become more and more harmonious and stable, and the overall social situation in Langtang has remained stable for 8 consecutive years since 2013, and successfully created a provincial-level national unity and progress demonstration county in 2018.

Reform and integration of the masses to obtain medical access to climb

All along, the county party committee and county government of Langtang County have always regarded the promotion of medical and health undertakings as an important starting point for rural revitalization and people's livelihood, and as an unshirkable mission and responsibility, and have been included in the important agenda. A leading group for improving medical and health service capabilities in Langtang County, with the secretary and the county chief as the two leaders, has been established, and a work leadership system has been established in which the leading leaders take the lead and the responsible departments specifically grasp the work, forming an efficient working mechanism with division of labor, responsibility implementation, and rapid advancement of projects.

By comparing the medical reform model in Tibet-related areas, combined with the problems of the county's large medical and health service radius and the service system being "small and weak", Langtang County carefully analyzed, scientifically planned, repeatedly solicited the opinions of the provincial and state health commissions, and successively held many leading group meetings, forming the "Action Plan for Improving medical and health service capabilities in Langtang County", clarifying the "1+2+N" development pattern, and making every effort to improve the ability of medical and health services. Comprehensively start the high-quality development of medical and health care, actively declare 5 annual projects with funds of 121 million yuan, and declare 25 "14th Five-Year Plan" projects with funds of 546.6 million yuan. It has been clarified that the comprehensive building of the inpatient department of the county people's hospital has been reconstructed and expanded, and the procedures related to the acquisition of 3 mu of land in the county grain and oil reserve center are being handled.

68 years of wind and rain, health accompanied by happiness and longevity 丨 Overview of the high-quality development of medical and health undertakings in Langtang County

The Yangtang County Health and Health Bureau held the third meeting of the Bureau Party Committee in 2022 to arrange the deployment of related work

Accelerating the construction of a medical and health service system with reasonable regional layout, optimized resource structure and complete service functions is the path choice for achieving the sustainable development of medical and health services. Langtang County has paid close attention to the construction of major projects, strived to improve the grass-roots health service system, accelerated the construction of medical consortiums, comprehensively optimized the optimal allocation of medical and health resources, and significantly improved the medical conditions of the people.

Integrate county-level medical and health resources. Promote the intensification and specialization of county medical resources, and establish a "1+2+N" compact county medical community model (county people's hospital + Shangzhai, Nanmuda medical and health sub-center + Puxi Township Yili Village, Siyuewu Village, Zhongyangtang Town BukangMuda Village, Shangduko Township Yuto Village, Nanmuda Town Asma Village, Shanglangtang Township Chaka Village). Integrate the functions of county people's hospitals, county Tibetan hospitals, and county women's planning centers, realize the sharing of medical and health resources and information, classify the operation, dislocation development, and complementary development of medical institutions, and improve the quality of medical treatment for farmers and herdsmen. The county people's hospital and the county Tibetan hospital have reached the "second-class" hard standard, the county women's planning center has reached the "second-class" hard standard, and the county CDC has successfully created the "second-class" CDC to form a compact county medical community that operates effectively.

Develop "Internet + medical health" services. With the county people's hospital as the leader, build and improve the information platform and business application system within the county, gradually build an integrated platform for the county hospital information system that can meet the county's hierarchical diagnosis and treatment, carry out the application of the electronic medical record system, and build a medical and health intelligent service system within the county. With the township health center as the hub and the village clinic as the basis, the county, township and village information resources are integrated, and a business collaborative service system integrating medical and prevention and county integration is built. Realize electronic health card "scan code medical treatment", "5G + remote diagnosis and treatment", and carry out remote consultation, remote imaging diagnosis, remote training and other applications. By 2025, build a remote application system of data sharing and interconnection at the provincial, state, county, township and village levels, realize the hierarchical diagnosis and treatment mode of the medical community at the grass-roots level, two-way referral, acute and slow treatment, and upper and lower linkage, effectively solve the problem of the people's difficulty in seeing a doctor and the cost of seeing a doctor, continuously enhance the people's sense of health and happiness, and improve the health level of the whole people.

Strengthen and do excellent county people's hospital. Focus on the county people's hospital to achieve the hard "second-class" hospital capacity standard goals, make up for the shortcomings of the strong and weak points, and vigorously improve the county people's hospital medical service capacity. The first is to build a comprehensive building of about 8,000 square meters of inpatient department according to the "second-class" standard, equipped with facilities and equipment, and set up functional departments such as inpatient departments, emergency centers, infectious disease areas, fever clinics and sub-specialties. The second is to cooperate more deeply with the Provincial People's Hospital, the Provincial Cancer Hospital, the Provincial Maternal and Child Health Hospital, the Provincial Third People's Hospital, the Provincial Center for Disease Control and Prevention, etc., and take advantage of the opportunity to form a provincial-level medical consortium. The third is to continue to deepen the relationship between Zhejiang tertiary public hospitals, Mianyang 404 hospitals and county people's hospitals, and continuously improve the comprehensive service capabilities of Langtang County People's Hospital. The fourth is to improve the configuration of hospital hardware facilities and equipment, so that the hardware facilities and equipment of the county people's hospital fully meet the standards.

Give play to the characteristics of Chinese and Tibetan medicine. Give full play to the unique advantages of Chinese and Tibetan medicine in disease prevention, treatment, rehabilitation, and treatment of diseases, do a better and stronger specialty of Tibetan medicine, acupuncture, tuina and stomach disease, gynecology, large osteoarthritis and other existing specialties of Chinese and Tibetan medicine, strengthen the cultivation of weak specialties such as bone injuries and geriatrics, give full play to the role of Chinese and Tibetan medicine in "prevention before illness, prevention of both diseases, prevention and recovery after illness", and build a base for the integration of Chinese and Tibetan medicine and health care.

Build county and township inspection centers. Improve the automation level of grass-roots medical and health inspection equipment, set up inspection centers in shangzhai and nanmuda 2 medical sub-center health centers, and adopt the model of "sampling in local hospitals and test results issued by higher-level hospitals" to increase the trust of farmers and herdsmen in the test results, so that information and data can run more and farmers and herdsmen can run less.

Strengthen the construction of health personnel. Vigorously implement the county's strategy of strengthening the county with talents, absorb and introduce talents through multiple channels, and cultivate talents by themselves, forming a county-wide health talent team with appropriate allocation, optimized personnel structure, excellent comprehensive quality, and sound discipline echelons. Formulate a mechanism for the introduction of health personnel. Accelerate recruitment, ensure the full operation of medical institutions, actively introduce outstanding health talents and intelligence, and carry out the training of undergraduate students in urgently needed majors. Actively implement talent cultivation projects. Through "passing on the help" and "inviting in and sending out", we will focus on cultivating discipline leaders and carrying out the construction of advantageous disciplines. Integrate grassroots health talent resources. On the basis of the construction of two medical sub-centers in Shangzhai and Nanmuda, the medical sub-centers are responsible for the medical tasks of the area, and the remaining township health centers are mainly responsible for the public health service tasks of the precinct, and the medical personnel of the township health centers are transferred to the medical sub-centers, and the township health centers leave behind medical personnel who are sufficient to undertake basic medical care, public health services, and maternal and child health care.

In the new era and new starting point, Langtang County will continue to take Xi Jinping Thought on Socialism with Chinese Characteristics for a New Era as the guide, fully implement the party's health work policy, not forget the original intention, keep in mind the mission, conform to the new era, show new responsibilities, highlight new deeds, and continuously meet the people's beautiful yearning for a healthy life.

·Publicity Section of State Health Commission·