Speech at the third meeting of the Eighth Committee of the CPPCC Zhangjiajie City
Member Li Forest made a speech on behalf of the Zhangjiajie City Committee of the Peasants' and Workers' Party.
In recent years, the city's tourist attractions medical emergency system has been initially established, the main scenic spots have 9 medical emergency points, 7 emergency cooperative hospitals;There are 6 licensed physicians, 12 medical technicians, 6 other medical technicians, and 9 ambulances equipped with on-board first-aid equipment. Since 2021, 7,143 first-aid tourists have been implemented in major tourist attractions in our city. However, compared with the economic and social development and the growing demand for medical emergency services from domestic and foreign tourists, there are still some shortcomings, which are highlighted in four aspects:
First, the medical emergency system and mechanism of scenic spots need to be improved. There is a phenomenon of imperfect system and lack of management. The city has not set up a special scenic medical emergency leading group, the main body of management is absent, and there is no introduction of medical emergency management measures, emergency rescue plans and emergency medical rescue plans for tourist attractions. The medical emergency institutions in the scenic area are not included in the unified management of the medical and health system. The emergency institutions in the state-run scenic spots are only nominally subordinate to the community health service centers, and the private scenic spots are independently recruited and managed, and the national policy support is difficult to cover, which is reflected in the lack of general practitioner settings, grassroots project capital investment, professional and technical personnel recruitment, title promotion, training, etc.
Second, the digital construction of medical emergency in scenic spots is lagging behind. There is a lack of information and a lack of platforms. The information network for tourists' first aid positioning and help has not been established, and the tripartite information exchange between the outside of the hospital, the hospital and the command center is not smooth. There is no medical emergency "120" special service in the scenic spot, there is no unified acceptance and command platform, and the medical emergency point in the scenic spot and the municipal general hospital lack an information digital platform for interchanging the condition of emergency patients.
Third, the investment in medical emergency in scenic spots is insufficient. There is a phenomenon of low treatment of personnel and inadequate hardware facilities. Taking the medical staff of the ambulance station in Wulingyuan Scenic Area as an example, the annual income is about 360,000 yuan per person, it is difficult to hire qualified medical personnel, and it is difficult to retain talents. Of the 12 medical personnel originally recruited, in addition to 2 old doctors who quit over age, only 3 medical personnel in ** Park and Huangshizhai remained, and the rest resigned in less than a year, and there was a serious shortage of personnel at the ambulance station in the scenic spot. In accordance with the requirements of "three-room separation", the medical ambulance station in the scenic spot needs to be equipped with a diagnosis room, a first-class room, a disposal room, and a pharmacy, with a business room area of 40 square meters, and needs to be equipped with more than 10 kinds of first-aid equipment such as first-aid kits and stretchers.
Fourth, the popularization of first aid knowledge and skills in scenic spots needs to be strengthened. There is a gap in the popularization of first aid knowledge and skills in scenic spots, and the training of tourism practitioners in emergency rescue is insufficient. In addition to the 5A-level scenic spots that pay more attention to the popularization of first-aid knowledge and skills, and hold relevant training and drills many times a year, the first-aid awareness and quality of employees in 3A and 4A scenic spots need to be improved urgently. At present, the city's tourism practitioners systematically carry out emergency rescue training, non-professional ambulance training subjects are diverse, lack of authoritative identification, and there is no legal basis for non-professional first aid exemption, resulting in the front-line personnel often lack scientific and effective response to sudden accidents on the way to travel.
To do this, we recommend:
1. Improve the long-term system and mechanism of medical emergency work in scenic spots. The first is to set up a leading group for medical emergency in scenic spots. Establish a joint conference system for medical emergency work in scenic spots, formulate management methods, plans, emergency plans and procedures for medical emergency in tourist attractions in Zhangjiajie City, implement the responsibilities of relevant departments, clarify the obligations of relevant personnel, standardize emergency operation procedures, and promote the standardization of medical emergency in scenic spots. The second is to clarify the main body of management. The staff of the medical ambulance station in the scenic spot will be included in the unified management of the health system, provide equal channels for promotion of professional titles and opportunities for further training, and use the medical emergency points in tourist attractions as the grassroots temporary posts and support points for clinicians in municipal and district and county medical institutions to promote their professional titles. The third is to explore and improve the medical emergency mechanism of tourist attractions. We will continue to focus on professional medical first aid, supplemented by non-professional ambulance personnel, and link the public security, fire protection, and scenic tourism practitioners to participate in the coordination model of scenic tourism first aid, and strive to improve the four-level emergency network of self-rescue and mutual rescue, non-professional rescue, professional first aid at first aid stations, and professional first aid for evacuation, so as to achieve the goal of high-quality treatment with rapid response, timely treatment, and safe transport. Fourth, promote and improve the "tourism doctor" model. The city, county (district) health commission is responsible for taking the lead, with the cooperation of the scenic spot, formulating a medical emergency plan for the key time, key road sections and holidays and peak days of the scenic spot, and the medical institution shall appoint medical personnel in accordance with the regulations and be in place.
2. Accelerate the digital construction of medical emergency in scenic spots. The first is to establish a sound medical emergency information service system. The construction of the municipal "120" emergency command center, promote the city's "four in one", the formation of the scenic spot "120" call for help - the city "120" center to receive the police - the scenic spot alarm platform (scenic spot management department) - scenic medical emergency points and related departments - on-site rescue - timely referral mode, will be more conducive to information communication and the first time to obtain the synchronous joint rescue of multiple departments. The second is to explore the "5G tourism medical emergency" model. A 5G first-aid backpack is put into the first-aid point in the scenic spot for individual rescue in the complex terrain of the scenic spot. Based on 5G communication technology, it integrates 5G tablet computers, vital signs detection terminals and other devices to realize the inspection and upload of various vital sign data such as ECG and pulse. The platform is connected to the remote consultation system, and for patients with difficult diseases, medical staff can synchronize the patient's situation to the expert side in the form of high-definition ** through 5G PAD, and the expert can provide treatment guidance remotely.
3. Increase investment in emergency medical treatment through multiple channels. The first is to increase investment. The medical staff of the scenic medical first aid station will be included in the unified management of the surrounding towns or community health centers to improve the rescue capacity. The second is to strive for the support of social forces, the Provincial Red Cross Society, the Beijing Public Welfare Association donated 4 and 12 AEDs to Wulingyuan respectively, and will continue to strive for donations and support from all walks of life for medical emergencies in the scenic spot in the future.
Fourth, comprehensively popularize the knowledge and skills of first aid, and train non-professional ambulances. The first is to take the special groups of people in the scenic spot, such as public security officers, comprehensive management team members, security guards, tour guides, etc., as the key training objects, and through continuous strengthening of training, the scenic spot has a large number of voluntary non-professional ambulance teams to play its on-site rescue role. The second is to carry out the "first witness action of on-site ambulance" first aid knowledge and skills popularization training, through strict assessment, issued the training certificate of Hunan Provincial Emergency Medical Rescue Training Center, and obtained legal qualifications.