Deepen the reform of public hospitals and promote the improvement of the medical service capabilities of primary hospitals

Medical Network News, June 10th.
With the deepening of China’s medical and health system reforms and the continuous advancement of the hierarchical diagnosis and treatment system, township medical institutions have undertaken the task of receiving medical treatments for a large number of rural populations.
At present, high-quality medical resources are mainly distributed in first, second and third-tier cities.
As far as the population is concerned, more manpower and time costs need to be invested in medical treatment, and the capacity building of township hospitals also urgently needs to be strengthened
.
In response to the national health care reform "strong grassroots" policy call, national health Health Management Institute under the National Health Committee of Hospital Health Committee of Medical Administration Authority Instructions, Hui cause support, five years continued to carry out a "set sail in the county" - County-level public hospital hospital management and clinical key specialty capacity building project
.
Recently, the "County Is Sailing" (the 28th) hospital management training class and a model hospital on-site observation meeting for continuous improvement of modern hospital management was held in Wenchang, Hainan, to conduct research and discussion on the high-quality development of primary hospitals and mass procurement .

.
Strong discipline and promote management to promote health care resources sinkingin June 2018, the CPC Central Committee issued "on the strengthening of public hospitals work of party building" (the "Opinion"), clearly the public hospital of director of party committee, Responsibility system, with the party committee leading the hospital's work, and the dean in charge of the hospital's administrative work
.
This is a major measure taken by the country to establish a modern hospital management system and deepen the reform of public hospitals
.
As a top three public hospital in Zhejiang Province, in recent years, Zhejiang People’s Hospital has focused on the construction goals of "advanced technology, pooling of talents , leading by science and education, excellent management, and first-class service", through strengthening disciplines, fine technology, educating talents, excellent services, and promoting management.
A series of innovative measures to continuously promote the popularization and construction of primary medical resources
.
Jin Ge, deputy secretary of the Party Committee and Secretary of the Disciplinary Committee of Zhejiang Provincial People’s Hospital, stated that Zhejiang Provincial People’s Hospital, as the first benchmark hospital in the province to sink high-quality medical resources, promotes the construction of a medical consortium centered on "Zhejiang People’s Medical", and high-quality resources are accurate.
Sinking, precise assistance, and striving to explore a trusteeship method that has the characteristics of Zhejiang People’s Medicine, fits the actual situation of the General Hospital, and meets the needs of the branch hospitals.
Five county-level and district-level hospitals have been fully hosted in the province.
The trusteeship has achieved remarkable results.
The trusteeship model has become a provincial The model of “dual sinking and two upgrading” of medical resources of first-class hospitals generally presents a win-win situation of “hospitals gain development, the masses benefit from benefits, and the government gains the support of the people”
.
Talking about how to promote the sinking of urban medical resources and improve the capacity of medical and health services in the county, Jin Ge believes that improving the capacity of medical and health services in the county and the satisfaction of the masses are important contents of hospital construction
.
In this regard, Zhejiang Provincial People’s Hospital has appointed an excellent management team to focus on hosting weak disciplines in county-level hospitals, and establish a coordinated discipline development system through the precise connection of disciplines, so that the hosting hospital enters the fast lane of discipline development, and “promote high-quality medical resources to be connected up and down.
Realizing that grassroots people can not leave the county to enjoy high-quality medical resources
.
For this reason, every year at least hundreds of experts from Zhejiang Provincial People’s Hospital sink to various assistance hospitals, and each branch has at least 20 provincial people’s hospitals sinking each year.
Experts sit for consultations all the year round
.
" It is understood that Zhejiang Provincial People's Hospital has developed talent sinking with the characteristics of "many, strong, solid, and long"
.
The number of sinking experts is large, strong, practical and long
.
Among the experts dispatched, more than 90% have titles of associate chief physician or above, and adopt the "teacher-to-apprentice" tutor system model, one-to-one technical transfer, and the branch medical technology has achieved leapfrog development
.
At the same time, according to the needs of the hosting hospital, the chief physician specially hired experts will be arranged to flexibly sink to meet the needs of the grassroots hospitals for famous medical experts
.
  　　Promoting Construction with assessment and reform to improve the level of development of primary health care   　　Public hospitals are the mainstay of China's medical service system.
Among them, county-level hospitals serve more than 900 million people, accounting for more than 70% of the country's total residents.
Improving the comprehensive service capabilities of county-level hospitals is the basis for comprehensively ensuring the health of the people
.
In the past, the Wenchang People's Hospital in Hainan Province was relatively backward in medical technology.
Many critically ill patients could only be transferred to the top three hospitals in Haikou for treatment.
This not only increased the burden on patients, but also greatly restricted the development of the hospital
.
In 2015, Wenchang People’s Hospital with improved hardware conditions was officially listed as Tongji Wenchang Hospital, and was entrusted to be managed by Tongji Hospital affiliated to Huazhong University of Science and Technology.
Wenchang People’s Hospital’s "new identity", experts from Tongji Hospital brought advanced medical technology, Accelerate the development of medical standards in Wenchang area
.
Li Pei, president of Wenchang People's Hospital and Tongji Wenchang Hospital, said that Tongji Hospital has given us a lot of help in terms of talent and discipline construction
.
Up to now, Tongji Hospital has 33 experts stationed in Tongji Wenchang Hospital, assisting in 16 disciplines.
We have also successively introduced 1 doctor and 14 masters, and sent more than 140 key personnel to study.
Secondly, we have More than 130 new technologies and new businesses have been developed in 17 provincial-level key disciplines
.
In addition, the hospital has gradually condensed some characteristic projects through its own research and learning.
At present, interventional therapy is the main direction and minimally invasive treatment is used as a means to gradually improve medical service capabilities
.
Wenchang City is located in the northeast of Hainan Province, close to the provincial capital Haikou, and belongs to the hospitals surrounding the provincial capital
.
Li Pei said that due to the special geographic location, patients with chronic diseases in Wenchang surrounding areas often choose to go to higher-level hospitals or Haikou hospitals for treatment.
Therefore, nearly 60% of the inpatients in Tongji Wenchang Hospital come from the emergency department.
The emergency response level of the hospital has brought certain pressure and challenges
.
According to Li Pei, in recent years, Tongji Wenchang Hospital has made every effort to build a "one-hour emergency network", striving to cover the entire area of ​​Wenchang City.
After a period of construction, we currently have not only set up emergency points in the center of Wenchang, but also in the north and south.
Corresponding first aid stations have been established to build three centers for chest pain, stroke, and trauma to provide patients with a full range of first aid protection
.
It is understood that the "County is set sail" project is led by the National Health Commission Medical Management Institute.
Through the organization and development of high-quality hospital management training projects, the quality of county-level hospital management, service, technology and other work is comprehensively improved, and the establishment of high-quality and high-efficiency The medical and health service system
.
Up to now, the project has covered 1,800 counties, 2,500 county-level hospitals, more than 7,400 county-level key physicians, and remotely trained more than 30,000 grassroots medical staff, carried out quality improvement counseling in 33 hospitals in key areas, and published 5 books.
Adapt to the clinical and management textbooks of county-level hospitals
.
The "County Is Sailing" project has effectively improved the management, technical and service capabilities of county-level medical institutions in China, and promoted the long-term development of county-level public hospitals
.