Zhang Wenhong, member of the National Committee of the Chinese People's Political Consultative Conference, director of the National Medical Center for Infectious Diseases, and director of the Department of Infectious Diseases of Huashan Hospital affiliated to Fudan University, Xinhua News Agency Data map.
Respiratory tract infectious diseases in winter and spring affect the health of the people every year, especially for infants, adolescents and the elderly.
At the 2024 National People's Congress and the National People's Congress, Zhang Wenhong, member of the National Committee of the Chinese People's Political Consultative Conference, director of the National Medical Center for Infectious Diseases, and director of the Department of Infectious Diseases of Huashan Hospital affiliated to Fudan University, submitted a proposal on alleviating the problem of high incidence of respiratory infectious diseases in autumn, winter and spring, and exploring a new health management model integrating medical treatment and prevention of respiratory diseases.
In this proposal, Zhang Wenhong pointed out that the state attaches great importance to and continues to improve the capacity of primary medical and health services, but in order to truly fundamentally solve this problem, it is also necessary to continue to have breakthrough innovation in the integration mechanism of medical prevention, make full use of new technologies, empower the diagnosis and treatment capabilities of the grassroots level, improve the capacity of primary medical institutions, so that the people have a reliable primary medical system, and reduce the dilemma that large hospitals are overrun and people cannot receive timely treatment during the epidemic of infectious diseases.
In this regard, Zhang Wenhong put forward four suggestions:
The first is to comprehensively build the primary medical and health service capacity of medical and preventive integration.
In his view, it is necessary to carry out multi-dimensional organized training for the grassroots medical system, focus on the improvement of practical combat ability, and strengthen the full-cycle management of diseases. At the same time, it is necessary to cooperate with the Center for Disease Control and Prevention and higher-level medical institutions to pay attention to the comprehensiveness and integrity of disease management in the context of medical and prevention integration, especially for elderly patients with chronic respiratory diseases.
The second is to effectively improve the diagnosis technology and drugs of primary medical care**.
He believes that in winter and spring, the tertiary hospitals are overcrowded with respiratory tract infectious diseases, and the primary medical and health institutions are crowded. A large part of the factor is that the testing capacity of primary medical institutions is insufficient, and drugs are limited, and patients with mild symptoms of infection have to flock to large hospitals. Therefore, in addition to the training of primary medical and health service capabilities, it is also necessary to focus on improving diagnostic technology and drugs in an all-round way, "especially to avoid the dilemma that doctors have the ability but no effective drugs and no diagnostic methods, and the people cannot lose confidence in primary medical care." ”
The third is to improve the informatization of primary medical and health institutions and the construction of Internet medical care.
With the development of information technology, telemedicine technology, medical system diagnosis platform and community extension of drug distribution can realize the extension of the accurate diagnosis and treatment capabilities of large hospitals through community doctors and rural doctors.
At the same time, he also mentioned that it is necessary to innovate the one-stop service model of "Internet + medical care", realize the whole process management of "online consultation-home diagnosis-**prescription-medical insurance payment", and provide patients with acute respiratory infections and chronic respiratory diseases in the respiratory epidemic season with professional health services and health management "without leaving home".
Fourth, in some areas where conditions are ripe, it is recommended to take the lead in exploring a new health management model that integrates medical treatment and prevention of respiratory diseases.
Encourage local innovation management models, in areas where conditions are mature, especially in areas where the primary health system is relatively perfect, the integration of medical treatment and prevention is solid, and the informatization and Internet medical care are more developed, take the lead in building a new health management model with the primary medical system as the core, from screening, prevention, acute disease treatment, chronic disease discovery, community doctor contracting, informatization to open a new health management model for patients, standardize the management process of chronic respiratory diseases, strengthen early screening and early detection, and promote early diagnosis and early treatment. Improve the effectiveness of prevention and control. Zhang Wenhong wrote in the proposal.