Guizhou Daily
Guizhou Daily contemporary media reporter Xie Chaozheng Wang Xing Zhou Yang
On September 28, at the Weining Autonomous County Health Center, Obstetrician and Gynecologist Xie Jin skillfully showed the expectant mothers who came to the obstetric examination to show the b ultrasound map and listen to the fetal heart. "Now expectant mothers come to the hospital on time for examination." Xie Jin said.
Xie Jin is the head of the obstetrics and gynecology department of the health center, who has been practicing for 22 years and has witnessed the changes in the health center. "What impressed me the most was the change in the medical record book three times." Xie Jin said.
"In 1998, I graduated from school and came to the Town Health Center, which did not have a decent outpatient room, let alone a delivery room, and in an emergency, I also completed the delivery in the warehouse." Xie Jin said the rudimentary conditions increased the risk to patients. At that time, the medical record was particularly simple, that is, a paper treatment card, which simply recorded the medication.
"The medical record is simple, and the doctor's treatment aids are even simpler, that is, the 'old three': stethoscope, sphygmomanometer, and thermometer." Xie Jin said that the lack of medical equipment can easily lead to inaccurate diagnosis.
"Later, the medical conditions gradually improved, the health center built a new inpatient building, added black and white B ultrasound machine, X-ray machine and other equipment, with manual laboratory, the diagnosis rate and cure rate continue to increase." Xie Jin said. The medical conditions are getting better and better, and more and more villagers are coming to the health center to see a doctor, which makes Xie Jin happy at the same time, but also a little "troubled". "A standardized medical record book was produced, and the symptoms, signs, and examinations of the patients were recorded in detail during the outpatient clinic, and if the content to be recorded for hospitalization was more, it was all handwritten, and the workload was significantly increased."
As the medical management department has become more and more demanding for medical record books, it has become more and more standardized. "The thickness of the medical record book is also getting thicker, reaching more than 20 pages." Xie Jin said. "It takes more than 2 hours to write a general medical record, and more than 4 hours to write an obstetrics and gynecology medical record, and many times we see a doctor during the day and work overtime to write medical records at night."
"In 2015, with the continuous advancement of medical informatization, handwritten medical records were replaced by electronic medical records." Xie Jin introduced that it is much simpler to fill in the medical records at this time, we can observe the patient's condition at any time, fill in the electronic medical records at any time, more standardized and more accurate.
While implementing medical informatization, the investment in medical facilities in the health center has also been increasing, and it has been equipped with color ultrasound machines, dr machines, and fully automated laboratories. Patient records can also be uploaded to the experts of the Provincial People's Hospital through the telemedicine system, so that patients can enjoy high-quality medical services in the town. "Look at the experts of the Provincial People's Hospital to analyze the condition based on electronic medical records, and we also follow the learning to improve the diagnosis and treatment technology."
The medical record changes from thin to thick, and then becomes "thin", from the paper version to the electronic version is a microcosm of the continuous improvement of the level of rural medical and health care, and the town health center and the village clinic have become the "main force" of rural public health services. In recent years, Bijie City has vigorously invested manpower, material and financial resources, solidly grasped the organization and implementation, implemented the guarantee of village doctors, strengthened the management of village doctors, accelerated the completion of the shortcomings of grass-roots medical and health human resources and facilities and equipment, strengthened the capacity of grass-roots medical and health services, and continuously improved the capacity and level of grass-roots medical and health services.