The medical staff of the Shenzhen-Macao Branch of the Medical Community extended the service radius and went to the homes of villagers in the mountains along the mountain road to carry out door-to-door physical examinations. Photo by Peng Shen.
The full flow of talents and technology in the county promotes the improvement of medical services;We will make every effort to promote the construction of informatization and empower the quality and upgrading of grassroots medical and health institutionsThe "medical alliance - medical community" resonates at the same frequency, allowing the grassroots people to share the achievements of the construction of the regional medical highland......Since August 2019, Nanao County was included in the first batch of pilot counties of the country's close-knit medical community, this island, which was once "difficult to see a doctor" and "annoying to see a doctor", is now undergoing gratifying changes.
Since 2023, our hospital has focused on the 'Millions and Millions Project', continued to optimize the allocation of medical resources, accelerated the completion of the shortcomings of island medical services, and met the needs of island residents for medical treatment at their doorsteps. Zhang Suwei, president of the General Hospital of Nanao County Medical Community, introduced that in accordance with the assessment requirements of the national medical community, the 11 assessment indicators of the construction of the Nanao County Medical Community have reached A, which has reached the standard of a compact county medical community.
Written by: Peng Shen.
The county's "one game of chess" promotes the sinking of resources to the grassroots.
Nanao County is the only island county in Guangdong Province, with a permanent population of 6With 460,000 people, it is the least populated county in the province. In the past, the medical institutions on the island were in a state of high operating costs and low business volume for a long time, and the service supply shrank year by year, and the public reacted strongly. In 2017, Nanao County and Shantou Central Hospital carried out trusteeship cooperation, and the County People's Hospital became a medical alliance of Shantou Central HospitalIn 2019, Nanao County implemented the reform of the close-knit medical community and established the Nanao County Medical Community, with the "six unifications" of the close-knit medical community as the general starting point, and implemented vertical integration of the county's medical institutions from the three dimensions of organization, professionalism and service.
What is the "six unifications"?That is, unified personnel management, financial management, material allocation, medical business quality management, health service management, and resource information exchange and sharing. Under the idea of "a game of chess" to coordinate the county's medical resources, let talents and technology and other resources fully flow in the general hospital and branch hospitals, promote the sinking of high-quality medical resources to the grassroots level, and let residents enjoy high-quality diagnosis and treatment services "near".
Rheumatologists from the county hospital visited Yunao on Wednesday, and residents who need to see a doctor can make an appointment. Jiang Jiaxin, president of the Yunao Branch of the Nanao County Medical Community, will post the information of the medical community experts sinking Yunao to the circle of friends from time to time. According to reports, from Monday to Friday, the backbone doctors of the nephrology, cardiovascular, pediatrics, general medicine, surgery and other departments of the General Hospital of the Medical Community went to the joint outpatient clinic of the Yunao Branch in turn, including many expert doctors from Shantou Central Hospital stationed in South Australia. The service window took the initiative to move downward, so that the local people in Yunao did not have to go to the distant road of the county more than 10 kilometers away, and directly saw experts at the "doorstep".
Jiang Jiaxin introduced that the expert doctors of the General Hospital went down to the grassroots branches, bringing high-quality diagnosis and treatment services to the masses, and also helping the discipline construction of the grassroots branches through teaching rounds and other methods. Over the past year, the pilot exploration of joint outpatient clinics has realized the homogeneous management of counties and towns, continuously promoted the implementation of hierarchical diagnosis and treatment, and further improved the medical model of "minor diseases in the community, major diseases in the hospital, and ** back to the community".
Information integration boosts the quality and upgrading of services.
The villages in Nanao County are relatively scattered. In the past, the basic medical capacity of township health centers and grassroots village health stations in the county was relatively weak, and the level of health management of residents was low. How can we improve the capacity of primary health care?The Nanao County Medical Community solves the problem with information integration.
Nanao County Medical Community and Shantou Academy of Medical Sciences cooperated to build an "Internet Hospital", covering the information system of the general hospital to the medical institutions of the whole island, adopting the method of "connecting the branches with special lines and connecting the village stations wirelessly", configuring the information equipment for the 3 grassroots branches and 30 village health stations in the medical community, and exploring the extension of medical insurance payment business to the village health stations, of which 4 have been piloted. At the same time, the training of village doctors should be strengthened, relevant performance plans should be formulated, and the enthusiasm of village doctors should be mobilized to actively use the information platform to do a good job in filing and contracting, chronic disease management, and primary diagnosis and treatment of common diseases.
In 2023, the people of Nanao County will also increase their support for the informatization construction of the medical community, list the informatization construction of the medical community as one of the ten practical matters of people's livelihood, and invest 4 million yuan to improve the construction of the information integration platform for interconnection within the medical community. At present, the medical community has realized the sharing of internal clinical diagnosis and treatment data, basic medical services and public health service data, established a real-time data display system within the medical community, and realized the analysis, supervision and evaluation of various businesses within the county-level medical community.
Chen Zunyang, a member of the medical alliance team of Shantou Central Hospital and assistant to the president of the medical community, said that the expert doctors from the central hospital to South Australia have issued agreement prescription templates for chronic diseases such as hypertension and diabetes. Enabled by information integration, the village doctors of the village health station can prescribe chronic diseases to the villagers in the information system in a "menu-style" manner according to the indications of chronic diseases, so that the villagers can enjoy the homogeneous diagnosis and treatment services of experts from provincial high-level hospitals.
Link a net to run out of emergency acceleration.
The South Australian model of "medical alliance and medical community" resonating at the same frequency is also continuously promoting the development of the discipline of medical community. In 2023, the Nanao County Medical Community will seize the opportunity of the hospital's precise counterpart assistance and the trusteeship of Shantou Central Hospital, rely on the outstanding medical talents of the central hospital, strengthen the work of local medical staff in Nanao, and improve the overall medical service capacity of the hospital.
This year, the Nanao County Medical Community comprehensively analyzed the structural characteristics of the county's diseases, and coordinated with Shantou Central Hospital to send additional technical backbones such as cardiology, general medicine, gastroenterology, and neurology to the general hospital to help the construction of various specialties of the hospital and the development of new diagnosis and treatment technologies, and improve the diagnosis and treatment of common diseases, frequent diseases, and geriatric diseases in the county. Guide the masses to receive medical treatment at different levels, and seek medical treatment in a reasonable and orderly manner, so that patients with related diseases can enjoy the professional medical level of provincial high-level hospitals without leaving the island, and strive to achieve the goal of "no serious illness out of the county".
He Weiyuan, director of the emergency department of the General Hospital of the Medical Community, introduced that in February 2023, the medical community staged a tense relay: under the linkage of Shantou Central Hospital and the General Hospital of the Medical Community, the chest pain treatment unit of Yunao Branch Hospital urgently dissolved thrombolysis for a patient with sudden chest pain, realizing the breakthrough of "zero" intravenous thrombolysis for acute myocardial infarction directly in the health center in Chaoshan area, and then quickly transferring the patient to Shantou Central Hospital for surgery. With the full cooperation of the "Shantou Central Hospital Medical Alliance-Nanao County Medical Community-Township Health Center" hierarchical diagnosis and treatment green channel, the patient was successfully discharged and returned to his hometown after 5 days of hospitalization.
He introduced that this is one of the achievements of the medical community in promoting the construction of chest pain centers. Combined with the characteristics of many foreign tourists in Nanao County, the medical community launched the construction of a chest pain center in November last year, and is committed to allowing chest pain patients to receive timely treatment during the treatment window. After continuous improvement of the process and continuous improvement, in June 2023, the hospital successfully passed the review of the Guangdong Provincial Chest Pain Center, and the medical treatment level of chest pain patients reached a new level, providing a more solid medical guarantee for the people on the island.
Front-line practice. Flexible setting of outpatient departments.
Islanders see a doctor "on their doorstep".
There is a local elderly man in Qingao who often gets motion sickness, and used to need to take more than 10 kilometers to the county to see a doctor, but now we go directly to the village health station for consultation, and the elderly no longer have to endure the discomfort of driving back and forth. When Dr. Cai Ruitao talked about the experience of seeing a doctor in Shenqingao, he happily introduced the story of improving the local people's sense of access to medical treatment.
Cai Ruitao, the attending physician of the TCM Internal Medicine Department of Shantou Central Hospital stationed in Nanao, now regularly visits the TCM outpatient clinic in Liudu Village, Qingao, every week, and enjoys doing so.
Qing'ao is well-known as the "Oriental Hawaii" Qing'ao Bay, where the bay is like a crescent moon and the sea is like a flat lake. During the peak tourist season, it is often crowded with pedestrians, and many tourists enjoy a summer in this natural beach. This is the easternmost point of Nanao Island, 11 kilometers away from the county seat in the west, and there are only more than 2,000 permanent islanders in the area.
Due to its remote location and limited number of people served, in 2021, the original Qingao Health Center was merged into the Shenao Health Center, and there is only one village health station to meet the needs of the people for daily "minor diseases". Villagers have often had to travel long distances to get better medical services. The demand for medical treatment brought about by the surge of tourists in the peak tourist season is also testing the local medical service capacity.
In November this year, in order to further extend the radius of primary medical services and make up for the shortcomings of medical services on the island, the Nanao County Medical Community set up a traditional Chinese medicine outpatient department in the Liudu Village Health Station in Qingao, and assigned three doctors to take turns to sink to Qingao for consultation, including Cai Ruitao and other doctors stationed in Shantou Central Hospital, so that local villagers and tourists can see doctors from provincial high-level hospitals nearby.
According to the relevant person in charge of the Nanao County Medical Community, considering the sharp increase in medical demand during the tourism season, the medical community also plans to configure a medical emergency security point on the basis of the traditional Chinese medicine outpatient department before the arrival of the tourism season next year, focusing on drowning, tourism trauma, etc., and assigning emergency general practitioners to Qingao to provide better medical protection for tourists. "In the case of the shortage of medical resources of the medical community, according to the medical needs of the masses in different seasons, doctors from different departments are flexibly selected, and resources are fully mobilized to give local residents and tourists a more solid 'medical' support. The person in charge said.