Grassroots inspection + superior diagnosis + result sharing
Let the masses enjoy high-quality medical services "close".
□Reporter Tao Dengxiao, Jing Dongbo, Wentu
At 4 p.m. on April 10, in the Jiezhou Town Health Center in Salt Lake District, physician Bao Yuan prepared for ward rounds as usual. During the rounds, she brought a new piece of equipment - a remote mobile round trolley.
This equipment is simple in structure and easy to operate, equipped with a camera and a display. "Don't underestimate this cart, through it, even in the countryside, patients can consult with experts at the Salt Lake District People's Hospital in real time. Bao Yuan said.
According to Bao Yuan, although the symptoms of the patient who was to be consulted that day were alleviated after being admitted to the hospital for treatment, there were still doubts about diagnosis and follow-up treatment.
Therefore, she proposed a consultation to the Salt Lake District People's Hospital, and the consulting doctor could analyze the patient's condition through the telemedicine system on the trolley, communicate through remote video, and finally give a scientific diagnosis and treatment plan based on the actual situation.
Walking into the ward, Bao Yuan skillfully turned on the power of the trolley, logged in to the community health service system of the Salt Lake District Medical Group, and sent an invitation to Ji Gaili, deputy chief physician of the Respiratory and Critical Care Department of the Salt Lake District People's Hospital. After a while, Dr. Ji's avatar appeared on the display.
"Director Ji, let me talk about this patient's situation first. 86 years old, lethargic at the time of admission, with chronic obstructive pulmonary disease for many years, recurrent cough and sputum production...... After treatment, all aspects are improving. I would like to communicate with you, what needs to be improved in diagnosis, and what is the next step in treatment?" Bao Yuan introduced the specific situation of the patient through the camera.
"Based on what you said and the information in the systemic case, it is possible to make a clinical diagnosis of type II respiratory failure and pulmonary encephalopathy. Ji Gaili replied, "According to the results of the test and the current clinical situation, the patient's antibiotics can be suspended, and the phlegm will continue to be retained." You can use some artificial assistance measures to help people improve their lung function. I'll teach you a 'little trick', use a cup with 400ml of saline, and let the patient use a straw to practice blowing bubbles to promote carbon dioxide excretion......"
Ji Gaili shared the vision of Bao Yuan through a small trolley, communicated with the patient's family in real time without barriers, and "visited" the bedside without space limitations, checked the patient's status, asked about the medical history, "cloud" physical examination, and carefully read the patient's chest X-ray, and gave guidance on diagnosis and treatment.
"The remote consultation service is to provide the patient's electronic medical records, examination results and other diagnosis and treatment information to doctors and experts in higher-level hospitals through advanced 5G technology, providing a comprehensive reference for consultation and greatly improving the efficiency of diagnosis and treatment. Yao Xiaona, deputy director of the medical department of the Salt Lake District People's Hospital, said that this service can not only diagnose diseases for patients in villages and towns, but also remotely carry out remote training for medical services for medical staff in township health centers and community health service centers, and improve medical technology and service capabilities at the grassroots level.
After the consultation, Bao Yuan adjusted the treatment plan in time according to the guidance of Ji Gaili.
"My father is old and doesn't want him to toss back and forth, so just now the experts from the Salt Lake District People's Hospital also conducted a systematic consultation, which is very convenient. The patient's daughter, Ms. Zong, said.
After viewing the first patient, Bao Yuan collected an ECG for another patient using a remote resting ECG system and uploaded it to the Salt Lake Medical Group in real time, and the medical group experts gave the diagnosis after a short time.
Bao Yuan said: "There are also many inspection items that cannot be done by the township health center, and we collect the samples and send them to the Salt Lake District People's Hospital by special car, and the hospital will upload the test results directly to the system." We only need to log in to the system and check the inspection results. ”
In addition to the information system platform, there is also a special WeChat group for reminders or exchanges, in case of emergency, you can also directly call the department director or help the doctor's phone, will be dealt with in a timely manner.
"For some common diseases, they can basically be treated on the spot, so that the people can see and cure the disease at the 'doorstep' and get the greatest benefits. Bao Yuan said that this has effectively improved the service capacity and technical level of grassroots medical units, shortened the distance for ordinary people to seek medical treatment, and largely solved the problem of difficult and expensive medical treatment for the masses.
Since the beginning of the year, Salt Lake District Medical Group has relied on new digital infrastructure to build 5G smart hospitals, drive great health with new quality productivity, build an overall platform for county-level medical community informatization and a "smart medical assistant" system for village doctors, equip 31 remote mobile ward rounds trolleys for Salt Lake District People's Hospital, township health centers and community health service centers, and equip 233 administrative village clinics with 298 5G public health tablets.
presently
The medical group has realized the interconnection of remote ambulance, ECG, imaging, ultrasound, consultation, ward rounds, and public health at the district, township, and village levels, realized the sharing of medical resources in the region, and formed a new service model of "grassroots examination, superior diagnosis, and result sharing", which has improved the service capacity of the grassroots level, so that the masses can enjoy more equitable and accessible, systematic and continuous health services nearby.