Fox Doctor Cover ｜ Raider or fights for power?The "Internet Scripture" of the Third and Fourth Line Hospital

Produced | Sohu Health

Author | Zhanda

Edit | Yuan Yue

Online consultation, "cloud" purchase medicine ... Since 2020, due to the influence of the epidemic and control, many patients have begun to try cloud diagnosis and treatment.

The application of 5G technology also means that Internet medical treatment has entered a channel for high -speed development. Remote consultation breaks space restrictions and further promote the averageization of medical resources.

In this Internet medical fanatic torrent, it is insufficient than the top four -tier city hospitals.

According to the statistics of the "New Youth and New Doctor Internet Doctor Insights", for doctors from the third -tier and second -tier cities, patients with consultation and consultation in regions below the fourth tier account for 52.3%.

A department of four -tier cities around Beijing tried to take this opportunity to "grab" the patients in Beijing.

Take advantage of the trend

The first hospital affiliated to Hebei North College is located next to the Qingshui River in Zhangjiakou City, Hebei Province. It is located at Jixi, Jin, and Mongolia. It is only a 3 -hour drive from the capital Beijing.

When Wei Dong first came to the hospital in 1998, the endocrine and digestive department belonged to the second department. It was not until 2006 that the Department of Endocrinology obtained its own bed and began to set up settlement performance with the digestive department. At that time, the endocrinology department did not make money compared to the digestive department, only to detect blood sugar revenue.

In the "separate room" of the Department of Gastroenterology, Ren Weidong was also officially appointed as the director of the endocrine of the First Affiliated Hospital of Hebei Northern College. There were four doctors in the team. It was not easy to survive and develop.

"In the Department of Endocrinology, hormones should be high and high, and the low will be low. By the leadership of it, the survival of the fittest." Under the leadership of Ren Weidong, the endocrinology department is adhering to this concept and follows the trend.

First, Ren Weidong defines his team as a learning team. Ren Weidong always remembers the admonition of the famous doctor Yue Meizhong to the young doctor- "It is difficult to be a doctor without constant difficulty, and any knowledge should be diligent and lasting." Therefore, he brought the team more than research and creation, respecting learning, constantly learning from patients, learning from practice, and improving medical skills.

The second is to develop professionalism. Someone once asked Ren Weidong: "Why don't you make more money for patients who do not rescue the digestive department?" In Ren Weidong's view, the diagnosis and treatment of endocrine metabolic diseases is the characteristic of the endocrinology department of the first hospital affiliated to the northern college of Hebei. He stipulated that patients with endocrine diseases were given corresponding performance rewards for doctors, but they did not reward patients with a penny for patients with other majors.

Finally, it is to follow the trend, keep up with the pace of the development of the times. Today, the Department of Endocrinology of the First Affiliated Hospital of Hebei North College has general outpatient clinics, expert clinics, growth and development, endocrine, hypertension, osteoporosis, thyroid and other special disease clinics, as well as a declaration classroom.

Although the mission does not have any income, Ren Weidong discovered that after the patient accepts the mission, it has a better understanding of the disease. This is very conducive to improving the patient's cooperation with doctors and the compliance of medication, and even significantly improves the treatment effect.

In order to solve the problem of many patients who did not have the time to come to the hospital to listen to missionary classes, in 2014, the Department of Endocrinology registered a WeChat public account to overcome space and time obstacles through the Internet.

In 2011, the state launched a hierarchical diagnosis and treatment policy. Patients with common diseases such as diabetes, hypertension, and chronic diseases should be gradually diverted to grass -roots hospitals.

After the diabetic patients are gradually lost, how should the endocrine department developed by Hebei Northern College, mainly diabetic diagnosis and treatment? Ren Weidong decided to develop the sub -major, and arranged a deputy chief physician to look at sub -majors such as high blood pressure, short growth and development, precocious puberty, and osteoporosis.

"In order to allow more patients to understand our sub -major and what we can do, we will constantly send science science knowledge." This measure of Ren Weidong helped the endocrine department to turn crisis. So far, 76,000 fans have accumulated by WeChat public account In 2021, the diagnosis of endocrine department was as high as 60,000.

Collective "online"

In February 2020, because the hospital was still closed because of the epidemic, the doctors in Ren Weidong and the department had to start trying to see the patient on the Internet.

But it was not considered that this time it was forced to "online" to become a new opportunity for the development of the endocrinology department of the First Affiliated Hospital of Hebei Northern College.

Before accessing the Internet medical treatment, Ren Weidong has always faced several troubles that need to be solved in clinical practice:

First, endocrine diseases are lifelong diseases. Doctors also need to accumulate experience through patients, so the retransmit is particularly important.

Secondly, Zhangjia's mouth is wide and sparse. It is often not possible to return that day on the same day. Many patients are inconvenient to see a doctor.

Third, the patient does not know enough about the disease. If a certain indicator is high, even if there is no major incident, the patient will be afraid and worry about whether he will have any serious illness.

Fourth, after the outpatient volume becomes larger, the conventional outpatient time is not enough. However, it takes a large labor cost of the hospital to open an outpatient clinic or night clinic.

Fifth, the medical record is difficult to record, and the patient's medical records are often lost, which is not conducive to doctors to understand the patient's past medical history.

After Ren Weidong began to use Internet medical care, these problems were either or less relieved, especially the function of the medical records was very practical. It can be systematically recorded by the patient's information, and it is also very convenient to query.

One time Ren Weidong asked the patient: "Did you go to review lupus erythematosus?" The patient was shocked after hearing: "Doctor, I forgot this matter, you still remember."

On the other hand, the accumulation of medical records is also a kind of wealth for doctors.

In the future, Ren Weidong plans to make the medical records of the outpatient clinic more detailed, and to refine the collected medical records, such as what is the healing rate of hyperthyroidism? How much can the maternal compliance rate be reached? Ren Weidong thinks that you can use these data to do some real world research. After the opening of Internet medical services, doctors can also help patients in advance to be accurate. For example, a patient who wants to see the thyroid nodules, the doctor can tell him to see the general outpatient clinic; the patient who is a test can ask him to go to the general outpatient clinic to the examination form; the patient who sees the results let him go to the expert clinic; Doctors can also refer each other based on the patient's condition. After accurate diversion, patients have higher efficiency of seeing a doctor, and each major has benefited.

Ren Weidong even thought: "In the past, our main service was the patients in Ji, Jin, and Mongolia. Can we go to Beijing to" grab "two patients?"

This is considering that many Zhangjiakou people work in Beijing, but medical insurance is in Zhangjiakou. After Zhangjiakou's hospital opened Internet medical care, many patients could pass the examination in Beijing, and passed the results of the examination from the online clinic. The doctor in Zhangjiakou saw the doctor and enjoyed Zhangjiakou's medical insurance policy.

Before the department's access to the Internet medical care, doctors are worried that after seeing a doctor on the Internet, patients will not come to the hospital to see a doctor. And real data tells everyone: That's not the case.

In 2019, the outpatient volume of the Department of Endocrinology, the First Affiliated Hospital of Hebei North College was less than 50,000, nearly 50,000 in 2020, 60,000 in 2021, and more than 65,000 people in 2022.

It can be seen that the outpatient volume has not decreased, but it continues to increase.

While Internet hospitals provide patients with more adequate consultation time, they will also occupy more private time for doctors. In addition, it is difficult for Internet hospitals to promote it in grass -roots hospitals and township health hospitals. But Ren Weidong said: "Although Internet medical treatment is not perfect, I still look forward to its future." He looks forward to in the future, Internet hospitals can provide more assistive functions, such as hospital location navigation, nearby accommodation recommendations, parking lots Navigation, etc., provide patients with higher use value.

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