News samples
The military's "Internet hospital" has gone to the grassroots level
Wang Liqun, reporter of the People's Liberation Army Daily, Chen Xiaojing, correspondent Yang Zijiang
- The Internet hospital runs online.
Open the WeChat official account of the Eastern Theater General Hospital and enter your ID number...... Wang Meng, a soldier of a brigade of the Eastern Theater Army, typed in the name of the drug and the delivery address according to the follow-up prescription prescribed by the hospital experts, waited for the doctor's review, and quickly completed the online prescription.
"Follow-up examinations, prescriptions, and running to hospitals" is a common phenomenon for grassroots officers and men who seek medical treatment in system hospitals. Wang Meng's unit is stationed in a remote area, and he suffers from chronic diseases, so he has to go to the hospital for re-examination every once in a while, and each time a single trip takes a whole day.
Internet consultation effectively solves the problem of medical treatment. Last year, the Joint Logistics Support Force launched an "Internet hospital" pilot project at the Eastern Theater General Hospital, drawing on local technical experience, developing an Internet consultation platform for the military, and setting up an online consultation platform for doctors, so that officers and men can prescribe medicine "without running away" and place orders online, and the required medicines will be delivered directly to the barracks by local logistics.
Allowing officers and soldiers to enjoy the "one-click" online service of prescribing medicine is the original intention of the hospital to build an "Internet hospital". On many occasions, they have connected with military and local experts, set up a "white list" for officers and men of the system units to receive medical treatment online, and on the basis of ensuring information security, they have upgraded the database of "Internet hospitals" to facilitate online medical treatment for officers and soldiers. "One-stop" distribution is also an important function of Internet hospitals. To this end, they signed agreements with local logistics companies to distribute medicines to officers and soldiers free of charge, subject to the army's secrecy regulations.
The hospital also made use of the Internet platform to sort out the health data of officers and men who had been re-examined, and set up a training injury prevention file and an early health assessment system to accurately ensure the health of officers and men.
As a special expert of the Internet hospital, Wang Fangyu, director of the Department of Gastroenterology, has a lot of follow-up patients every week, and now he has much more convenient communication with grassroots patients through online follow-up consultations and graphic consultations.
In this military hospital, there are still many "online experts" like Wang Fangyu, and Internet consultation is becoming a new model for them to serve the grassroots. An online diagnosis certificate, an offline drug express delivery, "linked" is the doctor and the patient, "connected" is the supply and demand ends, and the distance between the heart is narrowed.
"Seeing a doctor without running away is really convenient." Up to now, the hospital has provided online drug purchase services for 13 kinds of self-made preparations for the officers and soldiers of the system troops, received more than 56,000 patients, and delivered more than 200 orders of drugs per day.
According to the leaders of the hospital, in the next step, they will learn from the pilot experience, rely on the video diagnosis and treatment system, upgrade the "Internet hospital" function, and realize online diagnosis and treatment and remote consultation; Improve the quality and efficiency of services, realize smart medical care through data co-ordination, and accurately grasp the health data of officers and soldiers, so that soldiers can enjoy high-quality medical resources and services without leaving the camp.
"Online" exam papers for the service of the soldiers
Wang Liqun, People's Liberation Army Daily reporter, Chen Xiaojing, Kang Zizhan, Xiang Liming
Medical team members conduct simulated surgery training in the field hospital. Photo by Wang Weidong
"It's getting more and more convenient to see a doctor!" This is the feeling of some grassroots officers and soldiers after the "Internet Hospital" of the Eastern Theater General Hospital was launched.
Xiao Liu, a soldier of a coastal defense brigade, tapped the screen of his mobile phone with his fingertips, and even if he was on the front line of coastal defense, he could initiate a follow-up consultation with the experts of the Eastern Theater General Hospital online; Xiao Wang, a soldier of a certain army unit of the Eastern Theater Army, can also receive medicines prescribed online from the General Hospital of the Eastern Theater when he is stationed at the training site......
"The new technology provides new capabilities and solutions for medical services, so that officers and soldiers can enjoy high-quality medical resources while they are on the front line of military training." The leader of the General Hospital of the Eastern Theater said that the continuous emergence of new technologies, the vigorous trend of online diagnosis and treatment, and the need for support for service wins have put forward new requirements for the transformation of the health service model, and how to further realize the expansion and extension of the efficiency of medical resources and services has just begun.
What are the pain points of officers and soldiers who seek medical treatment to be solved? What other blocking points need to be opened for the service guarantee of the war? These questions urge them to answer the exam paper of serving the soldiers in a state of "online" at all times.
From offline to online, what it means
When I met Lu Boring, director of the respiratory department of the hospital, he was conducting online follow-up visits to patients through his mobile phone.
The soldier who communicated with Lu Boring Feng came to the hospital for respiratory diseases some time ago, and the effect of medication was not satisfactory recently, and for more than 20 days before and after, Lv Boring Feng helped him adjust the medicine several times and track the changes in his condition, and his condition has stabilized.
"The garrisons of officers and soldiers are often relatively remote, and it is very inconvenient to have patients go back and forth to the hospital, and it also increases the burden on the grassroots level." Lu Boring Feng said: Serving the soldiers is an "online" examination paper, which tests their "online" status at all times.
"There are as many pain points as there are offline, and there are as many topics as there are online to serve the soldiers." The leaders of the hospital said that compared with ordinary local patients, the wounded and sick of the military have a more urgent need for online diagnosis and treatment, and they are not only inconvenient to see a doctor in a remote area, but also often have to take on tasks such as going out for training and drills.
"The more remote and busier it is, the more we need this 'net'." Xiao Liu, an officer of a certain air force unit in the Eastern Theater, said that in the past, it took a whole day to take a car from the station to the hospital. Nowadays, online follow-up and drug purchase are simple and fast, which saves him and his comrades-in-arms a lot of trouble.
Officers and men need to run fewer errands and see a doctor more conveniently, the mode of medical treatment for officers and men is being updated, and the work mode of doctors is also quietly changing.
In between outpatient clinics and surgeries, on the way to business trips, and after work, Ma Chiyuan, director of the hospital's neurosurgery department, has become accustomed to an ever-faster pace. As a neurosurgeon, Ma Chiyuan often has to perform major surgeries, ranging from a few hours to more than a dozen hours, so he cherishes this opportunity to communicate with each other, "There are hours for outpatient clinics in hospitals, and military doctors have to be 'online' 24 hours a day to serve soldiers." This fragmented approach allows me to make better use of my time and fully serve patients in need. ”
When you click on a doctor's homepage, you will see patient comments such as "quick reception, easy-to-understand reply" and "the doctor is very patient and very grateful". Doctors use fragmented time to reply to patients, which has now become the daily work of doctors in the Eastern Theater General Hospital.
In order to reduce the waiting time of patients, the hospital has also carried out pilot work of real-time consultation, and added "virtual outpatient clinics" to the schedule. This effort has increased the supply of medical care, allowing more officers and soldiers with urgent needs to receive a timely response.
"After the 'Internet Hospital' was launched, it not only provided convenience for officers and soldiers, but also brought more thinking to our hospital administrators." Sun Lin, director of the hospital's military wounded and sick management department, said that whether online or offline, the ultimate test is the state and quality of service for soldiers.
"Online" is a state and a philosophy
"Whether offline or online, the most important thing is to keep the officers and soldiers in mind, so that the service of the soldiers is always 'online'." This is a sentence that Dai Zhuo, a nurse in the burn and plastic surgery department of the Eastern Theater General Hospital, often hangs on his lips. In her view, the work of nurses is ordinary but not simple, sticking to the forefront of serving the wounded at the grassroots level, and they are also the "producers" of high-quality services.
"The Internet has brought medical staff and patients closer to each other, and we need to bring them as close as possible to each other." Hospital leaders believe that the satisfaction of officers and men is a measuring stick, which on the one hand considers the service efficiency of medical staff, and on the other hand, it is also a joint force to shorten the distance between the hospital and the troops, and between the doctors and the officers and soldiers.
A year ago, Xiao Wang, a soldier of a certain unit, was injured during training, and when he was rushed to the hospital, he suffered extensive burns all over his body and was in a coma. After being rescued by a team of experts, Xiao Wang was admitted to the ICU ward.
Burn nursing is different from other departments in that it requires 24-hour presence to clean the wound and replenish fluids, and there are strict nursing regulations for patients to eat and drink. Dai Zhuo and the department's nursing team took turns to guard Xiao Wang for 7 days and nights until he was out of danger.
After half a year of rehabilitation, Xiao Wang was successfully discharged from the hospital. When he returned to the army, he wrote letters of thanks to the hospital many times, and specially customized two pennants to express his sincere gratitude, one for the medical staff of the army's wounded and sick management department and burn department.
According to the data, as of the end of April this year, the satisfaction of the Eastern Theater General Hospital with the service of soldiers continued to rise.
The hospital's leaders said that behind the satisfaction is the "online" degree of medical workers' service to the soldiers. The hospital insists on making good use of the "baton" of the performance evaluation system, and has issued clear regulations to take patient satisfaction, especially the satisfaction of officers and soldiers, as an important indicator in the performance evaluation of medical staff.
Whether it is the establishment of an Internet medical platform or the introduction of a performance evaluation system, the consistent concept is to deliver high-quality medical services to the "last mile".
Focusing on "online" services, the hospital has built 9 outpatient departments to continuously extend high-quality resources to the front line. According to the leaders of the hospital, the "stationing" is not only to send medical equipment and technology to the front end, but also to send the temperature of serving the soldiers to the officers and men.
The second stationed outpatient department is located in the barracks of a certain air force unit in the Eastern Theater. The pilots of this unit have participated in high-altitude flight training all year round, and the high-pressure and low-temperature environment has caused pharyngeal discomfort, and the consumption of medicines such as the golden throat and throat treasure is relatively large, and the hospital has quickly deployed medical resources to provide relevant medicines for the officers and men, so as to meet the needs of the officers and men to the greatest extent.
"'Online' is a state and a philosophy." The leaders of the academy firmly believe that as long as they do everything well in serving the soldiers, their satisfaction will be closer to the needs of the officers and men.
"Online" calls for the improvement of capabilities, but also calls for mechanism innovation
Every Friday at 7 a.m., the conference room of the hospital's intensive care medicine department is full, where medical staff conduct "online seminars" with well-known military and local experts.
"Only by standing at the pinnacle of technology can we build a service grid." According to the person in charge of the Department of Critical Care Medicine, such an online seminar is called a "specialty alliance" by hospital colleagues, and at present, more than 100 military and local hospitals have responded to the critical care medicine specialty alliance led by him.
"Through online means, we can effectively connect with other medical resources to achieve complementary advantages and win-win cooperation." Today, the institute has established more than 10 specialty alliances, and experts actively carry out research with local scientific research institutes and universities, promote interdisciplinary interaction, improve disciplinary and technical capabilities, and make research results more focused on the needs of the troops.
"The times are changing, the industry is accelerating, and we must also accelerate the pace of capacity upgrading." The responsible person said that for military medical workers, "online" is not only that personnel can be dispatched at any time, but also that their ability should resonate with the needs of combat effectiveness service support.
To meet the needs of officers and soldiers, it is even more necessary to serve combat effectiveness. In recent years, the hospital has continuously improved the contribution rate of service to war, aimed at the construction of war-oriented hospitals, strengthened the construction of departments related to the treatment of the wounded and sick, and comprehensively improved the hospital's ability to prepare for war. The science and education department of the hospital focuses on scientific research for warfare, highlights the key technologies and difficulties in the treatment of war wounds, and develops new equipment such as mobile life support systems and field blood storage cabins, so as to continuously give birth to new quality health and logistics support capabilities.
During the interview, experts told reporters that in recent years, the hospital has 10 scientific research and innovation teams that focus on the battlefield and are born for war. This number has been accompanied by the increasing awareness of the battlefield and the ability of medical personnel to provide emergency treatment.
Last year, the hospital officially put into use a war trauma treatment center, which is the first batch of war trauma treatment centers operated independently by the joint logistics support force. "Usually it's the emergency surgery team; In wartime, it is a war wound treatment module. The person in charge of the war trauma treatment center told reporters that since the promulgation of a series of regulations on the hospital's war-oriented warfare, the "baton" of scientific research and innovation and military training and preparation for war has been erected in the minds of medical personnel.
"It's a doctor, and it's a warrior." In one year, the team of the War Trauma Treatment Center has completed the rescue of 6 critically injured and participated in many military-civilian joint exercises and joint training tasks, and the ability of "rapid switching of peacetime and wartime modules" has been tempered and tempered.
"Online" calls for the same frequency of capabilities, and also calls for the innovation of mechanisms.
One initiative after another to pave the "grid" of medical resources; Batches of medical staff have woven a "grid" of service for the army with sincerity. Technology Grid, Talent Grid, Service Grid...... Through "point-to-point" assistance, roving diagnosis and treatment, remote teaching and other measures, the hospital has opened up the mechanism hub again and again, extending high-quality services to the grassroots corners.
"Strive to transform the advantages of disciplines into hard power to ensure victory." Four years ago, the hospital's heat stroke treatment center was officially launched, and now they are focusing on the training of grassroots health personnel. Last year, relying on the pilot project of the "1,000 Technology Promotion Activities" of the Joint Logistics Support Force, they carried out training for grassroots health sergeants for the system troops. Up to now, hundreds of health sergeants have been trained to provide fresh blood for the improvement of grassroots health service capabilities.
At the end of last year, the two treatment centers also set up expert committees to open up a "green channel" for the treatment of seriously ill patients and organize multidisciplinary consultations to ensure the "priority" of medical treatment for military personnel and their families.
"You can only let the bed wait for the soldiers, and you must not let the soldiers wait for the hospital bed." Liu Zhihong, academician of the Chinese Academy of Sciences and director of the Department of Nephrology, told reporters that in order to facilitate the treatment of severe military patients, the nephrology department of the key discipline of the hospital has opened a dialysis area for soldiers, reserved dialysis beds for soldiers, and opened military wards; Establish a "four-stage integrated" treatment system for heat stroke, from pre-hospital first aid, in-hospital treatment to post-rehabilitation, and improve the treatment network of service troops.
"Online" is both a temporal and spatial dimension
On the way to the clinic, Yang Zhizhou, a doctor at the hospital, met a "familiar stranger".
Xiao Zhang, a soldier serving in a certain navy unit in the Eastern Theater, once consulted Yang Zhizhou through the "Internet Hospital." Although he had never met, through the early online communication, Yang Zhizhou knew a lot about Xiao Zhang's condition. At the inspection site, Yang Zhizhou further examined Xiao Zhang's body and put forward suggestions for the next step of rehabilitation treatment.
"After all, a person lacks skills, and no matter how many times he patrols, he can't run through every unit. However, the Internet has shortened the distance between us and the officers and soldiers, and with the help of network cables, we can bring superior medical resources to the places where they are most needed. At the end of the round, Yang Zhizhou was deeply touched.
"'Online' is both a temporal and spatial dimension, and it is the direction of our continuous efforts to break the boundaries of time and space to serve the soldiers to the greatest extent." The leaders of the hospital recounted such a treatment experience.
Xiao Pan, a soldier of a certain unit, was injured in the abdomen and was in critical condition, and after expert consultation, Xiao Pan had to be transferred to Nanjing in the shortest possible time to carry out the operation under the guidance of well-known experts from the mainland.
From the troop station to Nanjing, the distance is more than 2,000 kilometers. If the best time for treatment is missed, there is no hope of survival. The General Hospital of the Eastern Theater immediately set up a green treatment channel, and all departments and links worked backwards by minutes to ensure that the wounded were transported as quickly as possible. Doctors from hepatobiliary surgery, gastrointestinal surgery, anesthesiology, blood transfusion, intensive care medicine, etc., quickly assembled and were ready to start this "life defense battle" at any time.
Time flies. Xiao Pan took a plane and transferred to an ambulance, and went straight to the Eastern Theater General Hospital. In the operating room, after a full 8 hours of surgery, the inflection point of successful treatment was finally ushered in.
This successful treatment experience left the leaders of the hospital with more to think about: in the future battlefield, the number of critically ill wounded and sick will increase several times, how to use advanced technology to smooth the time and space distance between medical staff and the wounded and sick?
In the remote consultation center of the hospital, the reporter saw such a set of remote consultation system, which can realize remote consultation, case image data sharing, recording and broadcasting training and other remote consultation applications, opening up the "last mile" of serving grassroots patients and doctors.
From "online" to "on-the-spot", the concept behind it has been consistent: "We will study what the troops need and what the officers and soldiers need." The leaders of the hospital said that when the officers and soldiers need it, let a group of people far away in the same space to communicate and collaborate, and truly realize the replication and extension of superior medical resources without leaving home, which is the inevitable direction of the future hospital technology upgrading and evolution.
"Solving the demand is the direction, solving the demand is the goal, and it is the starting point and method." The leaders of the hospital said that only by keeping their hearts on the officers and men at all times can they integrate the needs and expectations of the officers and men with medical services, and can they successfully answer this "online" examination paper for serving the soldiers.
Sharp viewpoint
Comprehensively improve the quality and efficiency of health services
■Wu Bao Biography
During his inspection of the Army Medical University, President Xi stressed the need to strengthen the construction of various aspects of health and logistics support, effectively serve the combat effectiveness of the troops, and serve the physical and mental health of officers and soldiers. As an important health support force, military hospitals shoulder the important mission of ensuring the health of officers and soldiers in peacetime and ensuring victory in wartime. Since the 18th National Congress of the Communist Party of China, our army's health and logistics support has continuously introduced new systems and new measures to serve soldiers and wars, and continue to form a new pattern of multi-dimensional and all-round support. As a military hospital, it should always think about what the officers and soldiers think and what the troops are anxious about, and constantly optimize the methods and methods of medical treatment. Make full use of various modern support platforms, build a fast and efficient medical security network, build a regional integrated support model, accelerate the informatization and intelligent diagnosis and treatment, ensure that officers and soldiers share medical resources in all areas at all times, and truly implement various medical security measures around the clock. Aiming at the needs of future wars and improving the battlefield rescue and treatment capability with high standards is a hard task and a hard requirement for the construction of health and logistics support. Military hospitals should take the initiative to meet the support needs of the mission troops, and embed all elements of the entire process of medical treatment forces into joint operations and joint training. We should truly ensure that officers and men can provide support for what they need and train hard for what they need on the battlefield, and work together to promote the innovation and development of treatment concepts, treatment technologies, and treatment equipment in the modern war environment, and constantly temper their ability to deal with emergencies and emergencies. The vast number of medical workers in the military should keep a close eye on the frontiers of medical science and technology, bravely scale the peak of military medicine, assiduously sharpen their true skills to meet the needs of future wars, and train themselves well in carrying out diversified military tasks. Contribute all your strength and wisdom to prepare for war, and strive to be the "guard guard" in the new era.
▲Published on May 16, the 5th edition of the People's Liberation Army Daily
来源丨解放军报、学习军团(en:xuexijuntuan)
Producer丨Ou Can, Hou Dawei, Editor丨Liu Jianwei, Yan Shan, Qian Zongyang, Editor丨Han Jie