In the post-epidemic era, the construction of the rehabilitation medicine department of the county hospital has quietly changed

The outbreak of the new crown pneumonia epidemic has brought a major impact and impact on the construction and development of county-level public hospitals, and the Department of Rehabilitation Medicine has also faced considerable challenges
.
With the overall improvement of the domestic epidemic prevention and control situation, the new crown pneumonia epidemic has entered the post-epidemic era, that is, the normalized prevention and control stage
.
However, since the spread of the epidemic abroad has not been effectively curbed, and domestic cluster cases have also occurred, the risk of infection still exists, and even the virus will coexist with humans for a long time
.
In the post-epidemic era, the rehabilitation medicine department of county-level public hospitals urgently needs to strengthen refined management, improve the quality and efficiency of the department, speed up the connotation construction, improve the ability of severe rehabilitation diagnosis and treatment, create special specialties and advantageous disciplines, and play a combination of peace and war.
?, to further improve the level of rehabilitation medical care
.
Reflections on the Rehabilitation Medicine Department of County-level Public Hospitals by the COVID-19 Epidemic The total increase in expenditure and revenue reduction caused by China's fiscal year in 2020 will be between 1.
2 trillion and 1.
7 trillion yuan, superimposed by the follow-up impact of the 2019 tax and fee reduction policy.
In 2020, the national fiscal revenue will decrease by about 1.
8 trillion to 2.
3 trillion yuan
.
From the perspective of the county-level government, the direct impact of the epidemic on the government's fiscal revenue is prominent in the financial operation as "reducing revenue and increasing expenditure", and the pressure on the balance of fiscal revenue and expenditure is increasing, which will inevitably affect the payment of the county-level basic medical insurance fund.
It will have a certain impact, and the investment in county-level hospitals will be relatively limited, which is not conducive to the improvement of the hospital's hardware and severe rehabilitation diagnosis and treatment capabilities
.
Hospital revenue declined year-on-year According to the survey data from Guangzhou Ailibi, 94.
1% of hospitals experienced a year-on-year decline in cash flow during the epidemic, and 76.
6% of them fell by more than 20%
.
The outbreak of the epidemic has also had a great impact on the survival and development of county-level hospitals.
The utilization rate of beds and the number of outpatient visits have both decreased, resulting in a volatile reduction in hospital business and a gradual decline in revenue compared to the same period.

.
Among them, in 2020, the business income of the Rehabilitation Medicine Department of the First People's Hospital of Chun'an County, Zhejiang Province accounted for only 2/3 of the normal year in the same period
.
The operation pressure of county-level hospitals has doubled, and the cost of investment in medical equipment, including rehabilitation medicine, recruitment of professional talents, and advanced studies, has been reduced to varying degrees
.
Rehabilitation treatment process tends to be complicated.
Taking the First People's Hospital of Chun'an County, Zhejiang Province as an example, before the epidemic, the Department of Rehabilitation Medicine focused more on convenience and efficiency in the design of the rehabilitation treatment process
.
The prevention of nosocomial infection has become the primary task under the epidemic situation.
The department has requirements for the protection of doctors and patients and the environment (rehabilitation clinic/ward), the admission system for admission to the rehabilitation ward, the rehabilitation diagnosis and treatment of inpatients during hospitalization, and the rehabilitation treatment referral consultation system, etc.
The adjustment has entered a new stage, and safety elements such as setting up buffer wards, regular nucleic acid testing, disinfection of rehabilitation equipment, and self-protection have been further strengthened
.
The medical needs of the public need to be met urgently.
Due to the impact of the new crown pneumonia epidemic, the medical needs of some people have been suppressed, especially for those suffering from stroke, head injury, spinal cord injury, fracture and disturbance of consciousness, who need long-term rehabilitation and have rigid needs.
Special groups of patients with chronic diseases
.
How should the development of the rehabilitation medicine department of county-level public hospitals change in the post-epidemic era? The epidemic will change
.
All walks of life need to digest the impact of the epidemic and prepare for a protracted battle, and the construction and development of rehabilitation medicine departments in county-level hospitals is no exception
.
Take the initiative to take the initiative to help promote the development of the Rehabilitation Medicine Department.
The director and branch secretary should be the first to demonstrate, enter the front line of admission, take the lead in going deep into rural communities, mobilize the enthusiasm of colleagues in the department and improve work efficiency, and fully communicate with relevant functional departments of the hospital and coordinate solutions.
Difficult problems in the clinical rehabilitation process help promote the construction and development of rehabilitation medicine
.
Improve quality and efficiency, and ensure the supply of rehabilitation medical care In the post-epidemic era, for the rehabilitation medicine department of county-level public hospitals, it is not only necessary to overcome the epidemic, but also to win the more arduous development battle after the epidemic.

.
On the premise of ensuring the safety of the hospital sense, referring to the relevant requirements of the establishment of a grade hospital and the quality control inspection of a specialist, to provide patients with a reasonable and convenient admission and rehabilitation process, reduce unnecessary inspections, shorten the waiting time of patients for treatment, and increase the number of hospital beds.
Turnover rate, so that the limited medical resources can be used reasonably and effectively
.
In addition, departments should explore and innovate related incentive policies, fully mobilize the enthusiasm of medical staff, improve online follow-up and rehabilitation guidance, and combine them with offline rehabilitation treatment services
.
Increase income and reduce expenditure, promote sustainable development With the help of the hospital, actively seek the understanding and support of the medical insurance department, and increase the proportion of medical insurance fund payment for recovered patients; establish a communication and docking mechanism with the County Disabled Persons' Federation and the Veteran Cadre Bureau, and strive for the inclination of the capital investment policy; comply with laws and regulations Accept donations of funds or equipment from various social organizations
.
In the post-epidemic era, it is even more necessary to enhance cost awareness, further strengthen the concept of “saving expenditures are also revenue-generating”, seek benefits from costs, and reduce unnecessary expenditures
.
Guarantee the treatment of staff in the department and improve work enthusiasm In the post-epidemic era, refer to the core medical performance reward mechanism of the hospital to guide the enthusiasm of staff in the department, and focus on the assessment of the absolute value of workload in the secondary performance distribution, and reduce the impact on work efficiency (average The assessment of indicators such as hospitalization days, etc.
, and financial indicators (income and costs, etc.
)
.
To build characteristic specialties and advantageous disciplines as the rehabilitation medicine department of county-level public hospitals, we should make use of the technical strength of the rehabilitation medicine department of provincial and municipal general hospitals to expand and strengthen clinical core technologies, encourage the development of new technologies and new businesses, and improve the ability of medical science and technology innovation, etc.
Further develop specialty specialties, create advantageous disciplines, strive to make major breakthroughs in key diseases and key technical fields, strengthen connotation construction, and continuously improve the level of severe rehabilitation
.
Strengthen publicity and raise public awareness of disease recovery In the post-epidemic era, many patients are still reluctant to go to the hospital for rehabilitation training
.
While strengthening the management of nosocomial infection control, the department should strengthen positive publicity and scientifically guide the public to understand and prevent diseases, and implement the rehabilitation institutions of each community health service center (town and township health center) in the county medical community to further extend community rehabilitation and home rehabilitation and other measures to facilitate and benefit the people
.
Guide them to establish a correct concept of disease rehabilitation, improve their daily living ability as soon as possible, and reduce the burden on the family and society
.