The annual outpatient volume exceeds 60,000. The secret of the endocrinology department of this fourth -tier city is ...

Establish regional influence through the Internet diagnosis and treatment

Written article | Tian Wei

Source | "Medical Community" public account

The emergence of the new crown pneumonia in early 2020 changed the lives of everyone, especially the doctors in the center of the "storm". In order to fight against the epidemic, a group of doctors embarked on the "front line"; and the closure of the hospital clinic made the remaining doctors and their patients lost contact.

Regardless of whether it is active or passive acceptance, many people in the "left -behind doctors" finally chose Internet medical treatment and re -established contact with their own patients through the Internet. Ren Weidong -Director of the Department of Endocrinology, the First Affiliated Hospital of Hebei North College -one of them.

From "feeling particularly false", "I don't know how to do it", to now 28,718 people online, driving the offline annual outpatient volume exceeded 60,000. A benign growth path.

One day in July 2022, during the event of the "Entering the benchmarking department" of the Yinchuan Internet+Medical and Health Association Media Special Committee, Director Ren Weidong talked about the secret of business growth ...

Ren Weidong, Director of the Department of Endocrine, the First Affiliated Hospital of Hebei North College

Upload the inspection report, remotely give the plan,

Both doctors and patients benefit

At the beginning of 2020, due to the influence of the new crown epidemic, the first hospital affiliated to Hebei University in Zhangjiakou City, Hebei Province was closed. Almost all patients in the Department of Internal Dyxye need to review regularly. The patient was unable to go to the hospital for medical treatment. He contacted Ren Weidong through telephone, WeChat and other methods to ask him what to do. At the time of the exhibition, the hospital called for doctors to meet the patient's medical needs through online diagnosis and treatment channels.

"I felt particularly false at that time. I don't know how to do online diagnosis and treatment. Seeing that there are good doctors online on the People's Internet, I joined in and tried to provide consulting services for patients for free." Ren Weidong said. Beginning in February 2020, he and the doctors in the department have successively "touched the Internet." At first, it was only the free consultation activity of the platform. Later, everyone found that online diagnosis and treatment helped them solve the problem of re -consultation during the epidemic.

After the outpatient clinic, they continued to use Internet medical tools in their daily work. Everyone was surprised to find that online diagnosis and treatment with their remote advantages can solve more problems that cannot be solved offline.

For example, the patient's examination on the day of medical treatment may not be able to produce results on the same day. Lu Yuan's patients couldn't wait, and they had to rush home after the examination. And those patients who are waiting for the doctor to see the results have to live near the hospital for one night, which increases the economic burden.

The online consultation has solved these problems perfectly -patients who have completed the examination can go home directly. When the examination report comes out, the patient finds the report on the public account of the hospital and forward it to the doctor. And treatment plan; patients in foreign countries can even be checked in local hospitals when the retransmit is not used, and then take a check report to pass it to the doctor.

Patients with an online upload inspection report, doctors give diagnosis and treatment plan according to objective reports. This new process has greatly simplified the recurrence of the consultation, and the rate of reconstruction of patients in the department has been greatly improved. For endocrine doctors, patients with retraining are the key to their improvement: "Many diseases of endocrine are lifelong diseases. Patients need to continue to regulate drugs according to their physical conditions and seasonal factors. Accumulate experience and grow in experience. "

Good helper "medical record clip"

Another good helper is the "medical record" function.

In the past, the medical records were kept by the patient, and the situation of being lost and forgetting to bring abound. After the online consultation, whether the result is from the hospital or the outer hospital, Ren Weidong will record the results of each uploaded by the patient into a good doctor. The platform's "medical records" are easy to query, read and manage.

"'Hoster Doubles Creative' is equivalent to the establishment of a patient -centered medical case. When patients come to retract, we can quickly understand the patient's medical history through search," he said. "Once, a patient's medical record showed him I used to have lupus erythematosus, and I asked him if he reviewed it. As a result, the patient was particularly grateful because he had forgotten this. "

Generally speaking, patients do not know what the doctor has recorded on the medical records. However, Ren Weidong sometimes takes the initiative to let patients see, because the real record of the improvement process will increase the patient confidence.

Ren Weidong has a patient with hypothyroidism during pregnancy and needs to be checked every 4 weeks to promote thyroid hormone (TSH). Generally, TSH is controlled between 0.1-2.5, but the goal set by Ren Weidong is to keep between 1.0-1.5. When TSH was reviewed in the 6th week of the postpartum, in order to let her see the treatment results, Ren Weidong transferred her "medical records". At a glance, except for the first time, each TSH value was within the target range. The patient was very happy, and sent all the results of the armor to the pregnant woman's group, and the result of Ren Weidonglai a new "fan".

Ren Weidong spent a lot of time to record the medical records, and there is a deep intention behind it: the information of a two patients may not be much, but the massive medical records accumulated for a long time are for doctors. Bring a lot of help. He should lead by example to drive the doctors in the department to pay attention to medical records and experience the summary of experience. In this way, everyone's professional ability can be steadily improved.

Drive offline, offline support online

Online diagnosis and offline diagnosis and treatment are actually two things that complement each other. In 2019, the annual outpatient volume of Ren Weidong's endocrinology department was more than 40,000. After all the members' "touch the net" in February 2020, the annual outpatient volume not only decreased due to the new crown pneumonia, but exceeded 50,000. By 2021, this number reached 60,000.

In the first half of 2022, there were more than 30,000 outpatient diagnosis. According to Ren Weidong's estimation, the total number of outpatients in the department this year can be close to 65,000. "This shows that everyone was worried before that online diagnosis and treatment will lead to the actual situation where offline patients are reduced. It does not exist. Our offline diagnosis not only does not decrease, but continues to increase. "

The annual outpatient volume of the endocrinology department where Ren Weidong is located

On the other hand, Ren Weidong believes that the professional experience accumulated offline for a long time is a powerful foundation for online diagnosis and treatment.

In 1998, when he first arrived at the First Hospital of the Northern College of Hebei, the endocrinology department was a veritable "weak" department of the hospital. Because of the low income, in 2006, endocrine was stripped from the inner second department (digestion and endocrine) to become independent. At that time, Ren Weidong, who was still very qualified, was appointed as the director of the subject.

According to his memories, at the beginning, many doctors still held the idea of ​​"without digestion patients, and the Department of Endocrinology could not make money." In order to lead the department to return to the endocrine metabolism, Ren Weidong formulated a performance strategy: Every endocrine patient, the awarded performance was 60 yuan, and there was no bonus for other professional patients.

At that time, they only had three diseases of diabetes, hyperthyroidism, and hypothyroidism. In order to improve the technical level of the entire department, 7 doctors, including Ren Weidong, went to the Department of Endocrinology Department of Beijing Union Hospital for further studies, and the head nurse went to the China -Japan Friendship Hospital for further studies.

"I positioned the department as a learning team at that time. We need to learn from patients, learn from other doctors, and constantly explore in practice until they find their own survival routes. So the most important thing is to encourage everyone to develop their majors. "Ren Weidong said.

Since then, this team with a strong learning atmosphere has been "worshiped and learned arts", and it has carried out discipline construction little by little, seriously and seriously. In Ren Weidong's view, it is this kind of learning habit that supports the landing of Internet medical care in the department. "Opportunities will always be left to those who are prepared!"

Collective photo of the Department of Endocarmic Department of the First Affiliated Hospital of Hebei North College

Two upgrades of mission clinics

The mission clinic is a free outpatient clinic that the endocrinology department has always adhered to. A nurse is responsible for full -time, mainly for outpatient clinics and hospitalization patients. "This piece does not generate direct income, but after we find that patients can better understand the principles of the disease after receiving mission, the compliance is higher, and the treatment effect has changed significantly." Ren Weidong said.

"For example, patients often say that the medicine he takes in other hospitals is useless, and the medicines taken in our hospital are useful. In fact, the patient's time before taking the medicine was wrong, not taking it on time, or the injecting method of insulin injection. . After correction through the outpatient clinic, the effect of medication is naturally good. "

At the beginning, the missionary clinic notified the patient to the hospital to receive mission. It was found that all the retired local people came, and the possibility of young patients and Luyuan patients were very small. For this reason, on July 9, 2014, the WeChat public account just released the trial version not long after the trial version. 76,000 fans.

Through the public account, the department often releases the science popularization knowledge of related endocrinology diseases to attract patients to come to the doctor. However, there is a disadvantage of WeChat public account, that is, the content published covers all the diseases that can be visited by the department, but many patients are only interested in their own disease knowledge.

After the department launched the Internet diagnosis and treatment work, this question was solved -after answering the patient's consultation question, Ren Weidong used to "hand in hand" to send the science articles on this disease to the patient as a doctor's order to ask the patient to read and master. Most of these contents come from the accumulation of WeChat public account of the "One Affiliated Academy" WeChat public account for many years. Patients have a high compliance with this "doctor's order", improved the effect of mission, and naturally improved the treatment effect.

The outpatient clinic of the education was upgraded into an online mission, and it was combined with the Internet diagnosis and treatment.

The reply must not be less than 10 words

Ren Weidong has set a lot of rules for the online diagnosis of the department. The important requirement is that the reply must be more than 10 words. His explanation was: "Compare your heart, if you are a patient, there are only a few words in the other party's reply after asking questions. Without any explanation or explanation, you must think that the doctor is dealing with it."

Obviously, it is also from the doctor's reply. Patients receive "can" and "yes, your situation is not serious, please don't worry", you must be different when you feel. "

In the outpatient clinic, Ren Weidong often encounters patients with urgent or special situations. Earlier, there were too many outpatient patients. After seeing 50 people a day, they may have forgotten this patient. With the "follow -up follow -up" function of the online system, when the patient was diagnosed and treated, Ren Weidong clicked on "follow -up follow -up", which was equivalent to making a mark. When concentrated on the online consultation problem online at night, he can easily find these special patients, and when necessary, he will call to follow the progress of the follow -up condition.

Share performance and progress together

After the patient, if you want to retain the patient, you must rely on the efforts of the entire department. Ren Weidong's heart is very clear: the patient is the resource of the hospital, and the doctor must balance the relationship between the two, so that the department can get longer development. To this end, he implemented a shared performance mechanism in the endocrinology department.

For example, it is also a treatment of a patient with a reward of 100 yuan. Other subjects will reward all the 100 yuan to the doctor who treats patients. And the low -age doctors responsible for daily management patients.

When it comes to the impact of online diagnosis and treatment on the department, Ren Weidong believes that this new working model has a very positive role in promoting the atmosphere of shaping the interior of the department.

A frequent scene is that when patients are online, Ren Weidong may be busy with other tasks such as clinics, or inspection. At this time, the young doctors in the team will respond to the patient first, give them their own plans and the amount of medication to increase or decrease in the patient's diagnosis and treatment suggestions. Then, they will "@这 这" and wait for Ren Weidong to confirm.

"After I saw it, if the medicament was large or small, they could correct them, but there would be a time when I was not as accurate." Ren Weidong said carefully, "In short, everyone will accumulate diagnosis and treatment experience and mutual each other together. Learn, make progress together in the direction of creating the best endocrine department and doing the most professional endocrine doctor! "

If you are useful to patients, you can have opportunities for development

In the two years of launching online diagnosis and treatment, Ren Weidong and his department increased the popularity of the whole hospital with "their own strength" -the first hospitals affiliated to the northern hospital of North North College in 2021 The top ten in the list, except for the top ten outside the hospital, are well -known domestic hospitals such as Beijing Union Hospital and Shanghai Ruijin Hospital.

Part of the data of the department on the good doctor's online platform

In 2020, Ren Weidong was rated as the 9th place of the "Good Dr. List of the Year" endocrine specialty list. By 2021, he jumped into the first place, and the other doctor of the department Xu Yan ranked 6th.

被问起得知科室上榜消息后的第一反应，任卫东觉得“奇怪”，“我们哪有什么影响力？”随后，当他仔细查看决定排名的指标——服务量指数、服务深度指数、 Reply to timely and patient satisfaction -then said happily, "Well, these aspects, we do well!"

At the end of the sharing, Ren Weidong made a summary: "All my experiences are attributed to one point, which is also the creed I have always adhered to from the medical: doctors can create value only for patients. Patients think you are useful, you can develop Opportunity."

Source: Medical Community

Responsible editor: Zheng Huaju

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