Luhuo group medical assistance to improve the county s medical service capacity

Mondo Health Updated on 2024-02-01

Luhuo County People's Hospital.

Chuanguan News Ganzi Observation Zhang Ying.

The number of hospitalizations in the county increased by 10 compared to 202230% and 635 surgeries were carried out, an increase of 146 from 258 in 202212%, promote the construction of the "five centers", outpatient, inpatient, and employee patient satisfaction reached 92 points, 96 points, and 88 points, respectively, an increase of 2 points, 3 points, and 3 points compared with 2022.

At the beginning of 2024, Luhuo County People's Hospital handed over such a "bright" report card. With the joint efforts of experts from Chengdu Second People's Hospital, Chengdu Anorectal Specialized Hospital, Chengdu First Orthopedic Hospital and local medical staff, Luhuo County People's Hospital has improved its ability to provide medical treatment, public health services, and talent teams, so that people can enjoy diagnosis and treatment services similar to those in Chengdu without leaving the county.

To improve the effectiveness of medical assistance, we must first improve and implement various systems.

Since the implementation of the medical "group" assistance work in June 2022, 5 medical experts from the Second People's Hospital of Chengdu have been working in Luhuo County People's Hospital covering surgery, emergency department, ** department, anorectal department, internal medicine and other departments.

Zhou Zhengyang, the leader of the counterpart support "group" medical team of Chengdu Second People's Hospital, is the president of Luhuo County People's Hospital. After Zhou Zhengyang took office, he conscientiously implemented the dean's responsibility system, and established and improved six hospital management systems, including medical quality, human resources, financial assets, performance appraisal, talent training, logistics services, and informatization.

By improving the 18 core systems of medical quality and safety, such as the first physician responsibility system, the first-class physician rounds system, and the difficult case discussion system, we have carried out a comprehensive evaluation and reasonable rectification in terms of standardizing medical behaviors, improving medical quality, and ensuring medical safety, and scientifically standardized the medical level of Luhuo County People's Hospital. Zhou Zhengyang said, "Combined with the actual work of the hospital, the medical team has formulated a work plan for group assistance, revised the rules and regulations such as the meeting system, work discipline, and further study and training, and the work has been steadily advanced with obvious results." ”

The process of resource integration is not achieved overnight, and it must first be "supported" in hardware.

Compared with provincial and municipal hospitals, Luhuo County has extremely scarce medical resources, and problems such as weak medical staff ability and imperfect hardware facilities seriously restrict the development of local medical undertakings. Zhou Zhengyang said frankly.

In 2022, we will actively prepare for the construction of the ENT Department and successfully open it, build a new remote consultation center in 2022, and steadily promote the construction and trial operation of specialized outpatient clinics such as chronic disease management centers, emergency departments, and obstetrics and gynecology in 2023. Zhou Zhengyang briefed reporters.

Members of the medical team and local doctors are performing surgeries.

It is worth mentioning that, on the basis of the original West China Chronic Disease Management Center in the pediatric building, the hospital and the Yuhuan Hospital of Traditional Chinese Medicine in Zhejiang Province jointly built a national standardized metabolic disease management center, and at the same time integrated the West China chronic disease management project and the health examination center project construction to implement the standardized management of chronic diseases such as hypertension and diabetes, and took a solid step for the overall level of medical services in Luhuo County to reach a new level.

Through the training of medical staff in the emergency department on the differential diagnosis, emergency treatment, anticoagulation and thrombolysis of 'chest pain', I participated in the organization and establishment of the 'chest pain' team, signed a referral agreement with the Chest Pain Center of Chengdu Second People's Hospital, and established a referral green channel to ensure timely diagnosis and treatment of patients in the later stage. Li Yumi, the attending doctor of the Second People's Emergency Department of Chengdu and the deputy director of the Emergency Department of Luhuo County People's Hospital, said.

At the same time, Luhuo County People's Hospital has also signed an upward transfer agreement with five surrounding primary health centers to achieve "primary diagnosis, direct referral, acute and slow treatment, and upper and lower linkage", and actively promote the construction of chest pain centers, stroke centers, trauma centers, critical maternal treatment centers, critical children and neonatal treatment centers, so as to provide a strong guarantee for the health of the people in the county.

Master leads apprentice", leaving a team that "can't be taken away".

Now I can independently complete the diagnosis and treatment of common diseases in the emergency department, and can be proficient in cardiopulmonary resuscitation, electrical defibrillation, balloon mask assisted ventilation, trauma hemostasis, bandaging, and transportation techniques. In addition, it can also independently complete the initial diagnosis and treatment of some common diseases in the emergency department, such as multiple trauma, acute abdominal pain, acute chest pain, etc. Luo Rong Deng is really one of Li Yumi's apprentices, "I admire the teacher's professional knowledge and practical skills. ”

Helping medical team members carry out daily training for local doctors.

According to reports, through the establishment of a talent assistance mechanism, the medical team relies on the comprehensive resource advantages of the help hospital, and carries out "passing, helping, leading, teaching" and "hematopoietic" assistance in the form of "inviting in", "going out" and "mentoring and apprenticeship", and formulates a mentor-apprentice pairing mechanism, and since 2022, it has successively signed a "mentoring and apprenticeship" agreement with 36 local talents, and formulated a personalized training plan.

It is better to teach people to fish than to teach them to fish, and it is one of the key goals of the medical team to help the medical team to leave behind the technology, cultivate the ability of local doctors, and let local doctors grow rapidly and take charge of themselves.

Up to now, the medical team has carried out 16 in-hospital business training lectures, 150 in-department trainings, participated in 142 discussions of difficult cases, initiated more than 300 telemedicine consultations, carried out 90 inpatient surgeries, participated in the management of 1,835 inpatients, and trained 2,886 medical personnel in county hospitals.

Facing the future, the medical team believes that there will be more and more cases in Luhuo County to treat serious illnesses and minor illnesses without leaving the township.

*Provided by respondents.

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