On the afternoon of 18 October, Pang Ying, secretary of the party group and director of the Health Commission of Baoding City, Hebei Province, and fifteen other people, accompanied by Du Jianzhi, member of the party group of the Jinzhong Municipal Health Commission, full-time vice president of the Municipal Family Planning Association, and director of the Municipal Medical Reform Office, visited the Shouyang County Medical Group to visit and inspect the county-wide medical and health integration reform work.
At the symposium held in the group conference room, Du Jianzhi introduced the reform of medical and health integration in Jinzhong City and County to the inspection team of the Baoding Municipal Health Commission. Wang Hailan, director of the county health bureau, briefed the inspection team on the reform of county-level medical and health integration in Shouyang County. Zhao Guangming, secretary of the party committee and president of Shouyang County Medical Group, introduced the integration reform of Shouyang County Medical Group to the inspection team in detail.
The inspection team watched the Shouyang County Medical Group Medical Reform Documentary "Great Doctor Jingcheng Fuze Shouchuan". The documentary details the great achievements made by Shouyang County Medical Group in the construction of the county's medical system in recent years, the establishment of the 120 emergency dispatching command center as the base, the integration of urban and rural linkage between air and ground, and the 15-minute rescue and treatment circle to become the most dynamic county-level emergency treatment system in Sanjin; the "six unification" management system, which condenses, optimizes and activates the medical resources of the whole county; and implements double sinking and two upgrades, so that the people can enjoy homogeneous medical services.
Since its formal establishment in December 2017, under the guidance of the Provincial and Municipal Health Commission, under the strong leadership of the Shouyang County Party Committee and the county government, and under the unity and leadership of the Party Committee of the Group, Shouyang County Medical Group has adhered to the leadership of party building, fully promoted the reform of county-level medical and health integration, successfully completed the integration of 2 county-level hospitals, 21 township health centers and 1 community health service center in terms of organizational structure, realized the "six unified" management of the group's administration, personnel, funds, performance, and pharmaceutical equipment, and revitalized the county's medical resources It has implemented the "five unifications" of drug procurement, achieved the same county, the same drug, the same quality, and the same price, and realized the integrated management of medical institutions in the county.
The effect of "double sinking, two improvement" is remarkable. On the one hand, the Group has introduced more than 80 experts from tertiary hospitals inside and outside the province to train and guide the Group's business, and has established cooperative relations with more than ten well-known domestic tertiary hospitals such as Peking Union Medical College Hospital, Beijing 301 Hospital, Jishuitan Hospital, Fuwai, Beijing Medical University, Capital Hospital, Cancer Hospital of Chinese Academy of Sciences, Guang'anmen Hospital, Bethune International Peace Hospital, etc., and provided regular technical support in the form of expert lectures, outpatient clinics and surgeries, which has promoted the continuous improvement of the medical technology of the Group's county-level hospitals. At the same time, 15 county-level hospital experts were dispatched as honorary presidents of 15 township health centers; 8 deputy chief physicians or above, local influential discipline leaders were selected to set up famous doctor workstations in townships and towns; more than 170 doctors and 49 nurses were sent to the health centers on a regular basis to carry out technical assistance, which greatly increased the outpatient, hospitalization and surgery volume of the health center. Through the "double sinking", the hierarchical diagnosis and treatment system has been improved, and the medical service capacity of the group has been greatly improved, and some operations that can only be performed by the top three hospitals in the past, such as cerebral aneurysm clipping, cerebral convex meningioma resection, lu brain trauma hematoma removal, vertebral body plasty, partial liver lobe resection and other dozens of third- and fourth-level surgeries account for more than 40%. The satisfaction of the masses has increased significantly. The experts of provincial hospitals and top three hospitals at the "doorstep" have made the local people feel unprecedented convenience and benefits.
Severe care has achieved a breakthrough of "zero". The Group has established a "four-in-one" emergency system of pre-hospital emergency, hospital emergency, intensive care and interventional treatment, and established the Department of Critical Care Medicine of the Group People's Hospital. Since the establishment of the Department of Critical Care Medicine, a total of 739 critically ill patients have been treated, and the rescue success rate has reached more than 96%. In April 2021, the Group's Chest Pain Center passed the national acceptance, becoming the first chest pain center at the county level in Jinzhong City to pass the national certification, carrying out more than 1,302 cases of interventional surgery, with a success rate of 100%, which promoted the rapid improvement of the emergency and critical care capacity of county-level hospitals.
Successfully created a "15-minute treatment circle". In order to ensure that emergency patients receive effective treatment at the first time, the group has established a 120 emergency command center, within the county's 2100 square kilometers, established 13 emergency stations equipped with 120 ambulances, no matter where the people in the county call for help, the 120 command center can direct the nearest emergency station to rescue or transport critically ill patients in time. The "15-minute rescue circle" has won rescue time for critically ill patients and effectively protected the lives and health of the masses.
Regional medical centers have been operated one after another, and mobile smart hospitals have helped grassroots public health to improve quality. The Group's Chest Pain, Eye Disease, Rehabilitation, Stomatology, Obstetrics and Gynecology, Oncology, Trauma and Stroke Centres were put into operation, enhancing the Group's medical treatment capabilities. The first smart mobile hospital in the province with an investment of 11 million yuan in 11 micro-doctor cloud patrol vehicles is active in villages, communities, factories and mines, and schools, opening up the last 100 meters of home contracted doctors' door-to-door service, and is called "the hospital at the doorstep and the doctor on kangtou" by the people. The TOWNSHIP HEALTH CENTER HIS MANAGEMENT SYSTEM, FAMILY DOCTOR CONTRACT SYSTEM, HEALTH RECORD MANAGEMENT SYSTEM AND TELEMEDICINE SERVICE SYSTEM HAVE BEEN PUT INTO OPERATION. Radiology, ultrasound, electrocardiogram and other examination sites are uploaded to the Group's remote imaging medical diagnosis center, which greatly improves the medical treatment capacity of grass-roots health centers.
The cause of traditional Chinese medicine has developed rapidly. The county hospital of traditional Chinese medicine won the titles of "National Advanced Unit of Rural Traditional Chinese Medicine Work", "National Top 500 Unit of Traditional Chinese Medicine Construction", and "National Humanistic Love Hospital". The county traditional Chinese medicine hospital has established a "national famous old Chinese medicine workstation" headed by professor Lin Lan, a national-level famous old Chinese medicine doctor; established a "national grassroots famous chinese medicine inheritance studio" for Li Chengye, a provincial famous chinese medicine doctor; every week, 6 famous old Chinese medicine doctors in provinces, cities and counties regularly visit famous doctors in famous medical halls and traditional Chinese medicine special diagnosis and treatment areas; 6 township health centers in the county have set up traditional Chinese medicine halls, and 9 township health centers have successfully established traditional Chinese medicine special health centers; and non-drug diagnosis and treatment of traditional Chinese medicine has covered all clinical departments and wards of traditional Chinese medicine hospitals, and 48 special services of traditional Chinese medicine have been carried out The Group's 157 family doctor contract teams are equipped with TCM practitioners who can provide Traditional Chinese medicine services.
Consolidate the advantages of the group and build a solid defense line for epidemic prevention and control. In terms of condensing the joint force of grass-roots epidemic prevention and control, Shouyang County Medical Group has given full play to the institutional advantages of "six unifications" management, unified arrangements for prevention and control, unified leadership of business, unified training of personnel, unified allocation of resources, unified supply of drugs, and unified admission and treatment of patients, so as to achieve strong organization, good coordination, orderly triage, degree of isolation, and effective prevention and control. In terms of giving full play to the advantages of medical and prevention integration and building a solid health defense line for epidemic prevention and control at the grass-roots level, we should give full play to the advantages of integrated organizations, start with the first-level response at the first time, and start from the three aspects of controlling the source of infection, cutting off the transmission route, and protecting susceptible people, so as to form a "three lines of defense" for the grass-roots level to stop the epidemic. The first line of defense, with rural doctors and doctors from community health service centers as the main body, isolates returnees from key areas of the epidemic at home, regularly monitors body temperature, and follows up by telephone; the second line of defense takes township health centers and community health centers as the main body, sets up pre-examination triage stations to check fever patients and patients with close contact history; the third line of defense, with the county people's hospital as the main body, has established a leading group for epidemic prevention and control medical treatment, an expert group, an in-hospital infection control group, and a public health group. Establish a medical treatment team, set up infectious disease areas, implement 24-hour outpatient clinics, and make every effort to prevent and control the epidemic.
Since its establishment more than four years ago, Shouyang County Medical Group has forged ahead, continued to move forward, insisted on grasping the quality and expansion of county-level medical institutions on the one hand, and consolidating the network of township-level medical institutions on the other hand, and built a new pattern of medical and health services in the county from horizontal to border and vertical to cover urban and rural areas, and has created a county medical reform road that the people trust, employee happiness, peer respect, government satisfaction, can be copied and promoted, and has become the "vanguard and leading geese" of the first square of county medical reform in Shanxi Province.
After a warm exchange and discussion with the leaders of the Municipal Health Commission and the leaders of the party and government groups of the group, the inspection team went to the Group People's Hospital, the Group Traditional Chinese Medicine Hospital, and the Heishui Village Clinic of Pingtou Town of the Group for field visits. In the exchange with the medical staff, the inspection team deeply felt the medical staff's affirmation of the group's medical reform work. The inspection team expressed its appreciation for Shouyang Medical Group's deepening of the county-level medical and health integration reform work, and said that it should learn from the medical reform experience of Shouyang Medical Group and promote the in-depth development of local medical reform work.
[Edit: Bing Yi]