In recent years, our county has been based on deepening the reform of the medical and health system and promoting the construction of a healthy Yilong, fully drawing on the experience and practices of the reform pioneer areas inside and outside the province, exploring the path of Yilong medical reform according to local conditions, vigorously exploring and promoting the construction of a close county-level medical community, establishing Yilong County General Hospital, and striving to build a high-quality and efficient county-level integrated medical and health service system, and making every effort to improve the quality and technical level of medical and health services, so that the masses can obtain more fair and accessible, systematic and continuous medical and health services nearby. Medical and health services throughout the life cycle to promote the high-quality development of medical and health undertakings at the county level.
Recently, the reporter saw in the medical center of the county general hospital that in the blue and white outpatient building, patients were treated in an orderly manner, medical staff performed their duties, and the entire hospital was running in an orderly manner. Prior to this, due to objective factors such as cramped area of some hospitals, crowded wards, tight parking spaces, and backward software and hardware facilities and equipment, there were many shortcomings in the development of the county's medical and health undertakings, resulting in a low sense of medical experience and a weak sense of gain for the masses. Therefore, it is imperative to explore the establishment of a medical system with resource integration, discipline subdivision, concentration of advantages and intensive development.
Peng Yu, deputy director of the County Health Bureau
There are three aspects of the reform background, one is that our facilities and equipment are duplicated and wasted, and our talents are also scattered in multiple hospitals, coupled with our external siphon and internal disorderly competition, it can be said that we have not only studied and judged the policy, but also focused on the county conditions of Yilong, implemented a close county-level medical community, and established Yilong County General Hospital.
The newly established county general hospital has a medical center area, a traditional Chinese medicine hospital area, a women's and children's hospital area, a Jincheng hospital area, and a Ma'an hospital area. Relying on the county people's hospital, the general hospital is deeply integrated with the county traditional Chinese medicine hospital, the county maternal and child health hospital, the county second people's hospital and primary medical and health institutions. To maintain the public welfare nature, basic functions, personnel identity, unit nature, legal personality, etc. of public medical institutions, the general hospital implements the president responsibility system under the leadership of the party committee, and the four county-level medical institutions are directly affiliated hospitals and township health centers are branch hospitals, so as to turn all public medical institutions in the county into a community of the same value.
Peng Yu, deputy director of the County Health Bureau
The reform path is mainly embodied in the "four modernizations, four strong, four new", "four modernizations" refers to the flattening of the institutional setting, the centralization of diagnosis and treatment services, the homogenization of business management, and the intensification of discipline layout, the "four strong" refers to the strong county, strong support, strong grassroots, and strong traditional Chinese medicine, and the "four new" is the innovation of staffing, medical insurance payment reform, financial investment, and talent team construction.
The county general hospital has set up ten management centers to implement flat management of hospitals and branches, realize the unified allocation of talents, equipment, beds and other resources, reduce operating costs, and improve the efficiency of medical resources. At the same time, the General Hospital insisted on strengthening discipline construction, improving service quality, and sinking high-quality resources, and the average cost of outpatient and inpatient visits decreased year-on-year.
Peng Yu, deputy director of the County Health Bureau
At present, through the operation of several months, the initial results have appeared, especially the reduction of operating costs and the enhancement of comprehensive strength.
Up to now, the county general hospital has relied on the remote imaging center and remote ECG center to realize "grassroots examination and county-level diagnosis", and carried out 7,521 person-times and 3,730 person-times of remote imaging and remote ECG diagnosis, so that the masses can enjoy county-level high-quality medical services at their doorsteps, and reduce other expenses such as transportation, accommodation and other expenses by more than 100 yuan.