The "doctor" at the door of the house
The issue of medical treatment has always been the most concerned thing for everyone, and the medical level of some township hospitals sometimes cannot meet people's needs for medical treatment, and patients can only travel long distances to county, city, or even provincial hospitals to see a doctor. In order to change this situation, not long ago, the National Health Commission, the Central Planning Office and other 10 departments jointly issued the "Guiding Opinions on Comprehensively Promoting the Construction of a Compact County Medical and Health Community", requiring that by the end of 2025, more than 90% of counties and cities will basically build a close county medical community. So what is a close-knit county-level medical community, and how to build it?
Uncle Sun, who lives in Chenjiazhuang Village, Wangxizhang Town, Zhao County, Shijiazhuang City, has been bothering him with an old cough. I heard that experts from Zhao County People's Hospital came to the door of the house today, and he came to the town health center early in the morning.
Just a few minutes after the consultation and filming, Uncle Sun completed the examination under the guidance of the doctor.
Zhang Yuwei, Director of the Medical Community Imaging Center of Zhao County People's Hospital in Shijiazhuang City: In this film, both lungs are heavily textured and there are two nodules.
Huang Liqin, member of the Party Committee and vice president of Zhao County People's Hospital of Shijiazhuang City: Your situation is the same as what I predicted just now, and it is considered COPD.
County hospital experts sit for consultation, remote imaging diagnosis, real-time ECG report and return image, county hospital experts 24 hours online consultation, the fee is charged by the township hospital, with the advancement of the close medical community, patients can enjoy these services in the township hospital. It is understood that in the medical community, all diagnostic equipment is connected to the county health information platform, which realizes the interconnection and interconnection of county and township data and the mutual recognition of inspection and inspection results, and truly achieves more data and less errands for the masses.
Uncle Sun, a villager from Chenjiazhuang Village, Wangxizhang Town, Zhao County, Shijiazhuang City: It is more than 20 miles from Chenjiazhuang to the county hospital, and now there is no need to run there.
In the past, there was no coordination mechanism between the upper and lower level hospitals, and the referral was not smooth, and if the township hospitals could not see them, they had to let the patients go to the big hospitals by themselves, but with the advancement of the close-knit medical community, this situation has been improved. People not only have fewer detours for examinations, but also more convenient for hospitalization.
Villager of Chenjiazhuang Village, Wangxizhang Town, Zhao County, Shijiazhuang City: My blood pressure is higher than before, with 150mmHg-160mmHg, and my legs are swollen.
Su Xiaolei, Director of the Health Center of Wang Xizhang Town, Zhao County, Shijiazhuang City: Judging from the test results, it should be considered kidney disease, and your situation cannot be handled here.
After being contacted by the doctor, the health center quickly sent a car to Gao Damiang to a higher-level hospital. The construction of the medical community has made the allocation of medical resources more reasonable, in addition to upward referral, if Gao Da Niang meets the discharge criteria after subsequent evaluation, she will be transferred back to the town health center. Grassroots hospitals see common diseases and frequent diseases, and large hospitals see urgent, difficult, and serious diseases, which promotes the smooth implementation of two-way referral and hierarchical diagnosis and treatment.
Improving the professional level of township medical staff is an important problem to be solved in the promotion of a close-knit medical community. It is understood that in each township health service institution in Zhao County, Shijiazhuang, there are fixed two days a week to welcome doctors from county hospitals with different specialties. These doctors not only need to sit in for consultation, but also carry out ward rounds and technical assistance, so as to enhance the ability to diagnose and standardize the treatment of weak specialty diseases. It has allowed the general public to enjoy the benefits and convenience, and the service capacity of grassroots hospitals has been greatly improved.
Su Xiaolei, President of Wangxizhang Town Health Center, Zhao County, Shijiazhuang City: Since the health center joined the Zhao County Medical Community, the medical community has equipped us with a biochemical analyzer, updated color ultrasound, remote ECG automatic biochemistry, etc., all equipment has realized the interconnection with the superior hospital, and the medical community has carried out regular training to greatly improve the diagnosis and treatment capacity of the health center.
Wang Peng, Secretary of the Party Leadership Group of Zhao County Health Bureau, Shijiazhuang City: We take county-level strength, township activity, village-level stability, upper and lower linkage, and information communication as the goal of medical reform, and build a close-knit county-level medical community with Zhao County People's Hospital as the leading hospital and 11 township health centers as member units, and since the beginning of this year, the county-level medical community imaging center and ECG center have diagnosed 216 and 313 person-times respectively in township health centers, and 143 medical experts have sunk to the grassroots level, and the outpatient volume and inpatients of primary medical and health institutions have increased significantly.
At present, 140 counties (cities, districts) in the province have set up 203 close county medical communities, realizing full coverage of counties (including county-level cities and municipal districts in need), and the follow-up will further improve the external governance and internal operation mechanism of the close county medical community, promote the four sinking of personnel, technology, service and management, and strive to improve the ability of primary medical and health services, so that more common and frequent diseases can be solved in the county, so that the people can see the disease at home. (Wang Ran, Zhao Peidong report)
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