A community health center in Yuhang. Zhang Yuhuan photo
In the past, the county hospital equipment is more backward, grass-roots hospitals diagnostic level varies, hospitals and hospitals are weak linkage, dealing with the above events can be said to be stretched, the people preferred urban hospitals. Now, thanks to the reform of the county medical **** body, "the big disease is not out of the county, the small disease is not out of the township" has been the norm for the people of Yuhang.
A hospital comprehensive service center in Yuhang. Zhang Yuhuan photo
More than a decade of foresight Explore the integration of health care system
In 2018, Zhejiang Province comprehensively paved the way for the reform of the county medical **** body as a new breakthrough to make up for the short board of grassroots health care service capacity. Yuhang District in just three months that is to realize five medical **** body award, 20 branches all listed, medical **** body reform progress and strength are in the forefront of Zhejiang.
In fact, as early as the concept of medical **** body has not yet appeared in Zhejiang, the removal of the city of Yuhang District opened the integration of health care service system to explore. 2001, Yuhang attempted to implement the regional health resources on demand adjustment in some of the towns and streets of the population is more centralized, that is, by a county-level hospital fully managed several branches and health service stations.
Such as by the Linping Center Health Center upgraded into the Yuhang five hospitals, directly under the jurisdiction of four community health service centers, 18 community health service stations, such an institutional adjustment from the current point of view is also "ahead of its time".
"No one has ever had the experience of a county hospital governing a grassroots hospital before, and it's the most complicated to unify and deploy the staff." The then Secretary of the Party Committee of Yuhang five hospitals, Wu Yuping said, "So we decided to internal staff all through, external recruitment are issued a unified announcement, training treatment is exactly the same, where people are not enough to help each other on loan."
On this basis Yuhang five hospitals to establish a district, town and village three vertical management system. With the reform, Yuhang proposed a comprehensive construction of "a line through, covering the whole region, service continuity" integrated health care system.
"Today, the General Hospital is not only unified management personnel performance, up and down the information is also all open. The people want to do a high-end examination that only the general hospital can do, after paying in the grassroots hospital can be directly through the appointment to the general hospital to do the examination. The health insurance reimbursement ratio of the grassroots is higher, which is undoubtedly a great benefit." Yuhang five hospital president Wang Zejun said.
Lu Yonglin Lu, director of Yuhang District Health Bureau, introduced that through the overall coordination of the general hospital to grasp the branch hospitals of people, money and materials, the implementation of the compensation mechanism reform and accurate performance management, Yuhang in the medical **** body members to build up **** the same interests between the real realization of hierarchical diagnosis and treatment and health care reform goals.
A hospital in Yuhang in front of the appointment registration machine. Zhang Yuhuan photo
"physical merger" to form a "chemical reaction"
After completing the integration of the health care system, how to improve the quality of health care throughout the county is the key to reform.
In December last year, the Yuhang District Difficult Disease Diagnosis and Treatment Center settled in Yuhang First Hospital, more than 80 nationally renowned specialists from the north, Guangzhou and other places to diagnose and treat difficult diseases through regular visits and other forms.
"This is the era of medical consortium, a typical model of improving medical quality through 'expert sinking'." Yuan Hong, the hospital's president, said, "How to make our doctors also become experts is the goal of medical **** body construction."
Xu Xiaoping, deputy chief physician of the hospital's anus and intestines department, experienced this y. Under the guidance of experts from the Second Hospital Affiliated to Zhejiang University School of Medicine, he is now proficient in laparoscopic surgery, "Last year, we only did about a hundred cases of intestinal cancer surgery a year, and now there are 4-5 surgeries every week, and more than 94% of the surgeries are used to laparoscopy."
When the big disease is difficult to have a "solution", the small disease on the slow disease can better reflect the people's sense of access.
"Guofang ah, help me look at this medical checklist, how a series of 'arrows' it!" In Yuhang District, Nanyuan Street Community Health Service Center Xinfeng service station in front of the clinic, often surrounded by a circle of moncler outlet online. "The arrow upwards means that it is over the limit, but the overage is not much and not considered serious. Usually more exercise, do not be too nervous." Here worked for nearly ten years of family doctor service team leader Zhou Guofang is a general practitioner, often targeted to patients to answer questions and solve problems, in the eyes of the people is the advantage of the big hospitals can not be compared.
At present, Yuhang has 4.16 general practitioners per 10,000 people (calculated according to the household population), which is nearly three times the number of general practitioners per 10,000 people in the country.
Not only that, this year, Yuhang also took the lead in the domestic online "face medical", through the real name authentication can use face recognition technology to realize the booking of registration, inspection and testing of the whole process of medical treatment.
"Few counties have spontaneously explored healthcare reform for more than a decade." For Yuhang's medical **** body reform road, Zhejiang Provincial Health Commission inspector Ma Weihang evaluation, in the overall promotion process, can see Yuhang on the one hand to promote the speed, on the other hand, has its own innovative significance, such as the "face to the doctor," and so on to the people to bring great convenience.
Yuhang proposed that by 2022, the grass-roots consultation rate of more than 65%, the county consultation rate of more than 90%.
From the physical merger of the medical service system to the formation of a chemical reaction to improve medical capacity, Yuhang in the exploration of the people's sense of access to health continues to increase, but also for other areas of the road to health care reform to provide a reference significance that can be drawn on. (End)