What makes many domestic patients not far away from the United States for medical treatment?Dean Sun Daqiang concluded: homogeneous chemical and medical innovation capabilities

Physician News (reporter from Rong Media Huang Jing) "Where is the gap between the medical level of Chinese and Western?" Dean Sun Daqiang, the Tianjin Chest Hospital, often thinks about how to improve the hospital's diagnosis and treatment ability. Thinking.

During his inspection at the MD Anderson Cancer Center at the University of Texas, Dean Sun Daqiang met a Chinese businessman who cares for medical agencies as a profession to introduce Chinese patients to the United States for medical treatment. Dean Sun Daqiang asked his long -term questions: "You introduced people to the United States to seek medical treatment, so where is the best medical treatment in the United States than in China?" The Chinese businessman who made a living did not give an exact answer.

A few days later, Dean Sun Daqiang met a Chinese doctor who had left from Beijing Union Hospital to MD Anderson Cancer Center in the hospital. He asked his questions again. From his own experience, the doctor believed that there was no difference between Beijing Union Hospital and MD Anderson Cancer Center in the clinical diagnosis and treatment and personal ability.

So, what is the reason for many domestic patients to go to the United States for medical treatment? After dean of Sun Daqiang's in -depth study of the current situation of Chinese and Western medical care, the quality of medical treatment alone was attributed to two points: homogeneous medical and medical innovation capabilities. In his subsequent work, he has always been committed to the improvement of the two capabilities of the hospital.

Dean Sun Daqiang

Make up the shortcomings to build an integrated diagnosis and treatment platform

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This is like the theory of wooden barrels. The shortest wooden board determines the water volume of the wooden barrel. Beijing Union Hospital, as the top hospital in China, is no different from foreign medical levels, but does not represent the average level of Chinese medical care. In China, there is a large gap between the level of medical care between different regions and different hospitals. Even between different departments of the same area and the same hospital, there is a difference in medical level. In the United States, the medical quality of mainstream hospitals and hospitals in remote areas is not much different, and the relatively homogeneity of medical treatment has given patients with sufficient confidence in medical quality. The domestic medical level is uneven, which has led to many people who cannot enjoy the top medical services that have questioned the domestic medical level and the idea of ​​"the moon is a circle abroad".

Dean Sun Daqiang said that in the innovative research and development of medicines and drugs, the West is in a leading position, and we are running up most often. How do you compete with the runner with the world champion?

"What I can do now is to pull the diagnosis and treatment level of the same disease to the same level within the hospital, so that patients can enjoy high -quality medical care at Tianjin Chest Hospital. This is also my initial promotion of 'lung cancer diagnosis and treatment The original intention of the integration center 'construction. "As the president of the hospital, Dean Sun Daqiang made a lot of exploration in the realization of homogeneous diagnosis and treatment in the hospital. ") Early exploration practice.

Dean Sun Daqiang (1) During the operation

The chest tumor center has provided the optimal diagnosis and treatment plan for patients with the advantages of "strong combination" with the advantages of "strong combination" at the beginning of the Department of chest tumor centers. "If the center is regarded as a platform, then the Department of Respiratory Department, thoracic surgery, imaging department, and pathology department are four feet that supports the platform. Only the four families are stable and the level is equivalent to ensure its smooth operation. Stability, the heavy collapse. "Dean Sun Daqiang said that the four departments jointly supported the operation of the center and all played a pivotal role.

Introduction to chest tumor center

At the beginning of the results of the hospital, the hospital has benefited the double benefits of the hospital

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Before surgery, the surgeon will ask the image department to diagnose lung cancer and which installment belongs to? After surgery, internal medicine doctors will also discuss genetic typing with the pathology department and guide clinical medication. For those clinical issues that are difficult to choose, internal surgeons sit together, and provide objective evaluation and suggestions by the Department of Images and Pathology to jointly formulate the most suitable treatment plan for patients. After four years of effective operation of the chest tumor center, the results have begun to appear. The hospital not only doubles the number of surgery, but also improves the quality of medical treatment. It has achieved the original intention of allowing more patients to enjoy high -quality homogeneous medical treatment.

"If you want to be good, you must first benefit your instrument." In order to improve the detection rate of chest tumors and improve work efficiency, the hospital introduced the "artificial intelligence auxiliary lung diagnostic system". So far, the compliance rate of nodule benign and malignant diagnosis has reached 90%. The most tangled clinical is those patients who cannot be diagnosed. The center played an important decision at this time. After fully communicating through the Hospital's MDT team, a plan that was not a patient who was not a malignant lesion had a close observation plan to reduce the unnecessary surgical trauma of patients and avoided the occurrence of excessive medical incidents.

The establishment of the multidisciplinary collaborative platform has further enhanced the capabilities of the oncologists. Tianjin Chest Hospital started with respiratory disease, and the strength of the respiratory department topped the list in Tianjin. The hospital's oncologist has transformed from a respiratory doctor, and has a unique advantage of understanding and treatment of complications related to lung cancer. For drug applications when combined with severe lung complications, the resolution of various adverse reactions caused by anticancer drugs, an oncologist with a background of the respiratory department is more calm. Dean Sun Daqiang introduced that in recent years, in continuous communication with surgery, internal medicine doctors have gradually surgery, and have been treated with puncture and intervention under the escort of surgery and imaging, which improves the quality of survival of patients. For patients with local advanced stage, under the communication and judgment of various departments of the central department, the new auxiliary chemotherapy scheme was adopted, and surgery was performed after surgical indicators after the internal medicine treatment. After surgery, chemotherapy, targeted therapy, and the effects of treatment and treatment effects based on the guidance of the image of the image. This series of solutions really improve the survival time of patients with advanced lung cancer.

"In recent years, the influence of various departments in the hospital has been increasing in China. The number of clinical trials undertaken by 2021 alone is the sum of the previous 8 years." Dean Sun Daqiang believes that the improvement of the hospital's ability to accept drug clinical trials is to the hospital for the hospital Double recognition of clinical ability and scientific research strength.

Improve the overall medical level

Practice homogeneous medical exploration

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"Improve the overall medical level of the hospital, so that Chinese people believe in our medical system and are willing to stay in China." Under the leadership of Dean Sun Daqiang, the hospital's service connotation was extended repeatedly. At present, in addition to doing a good job of diagnosis and treatment in the hospital, the hospital has also opened up a health service center with physical examination as its core, such as the superior diseases of the hospital: coronary heart disease, chronic obstructive pulmonary disease, lung malignant tumor and other mortality rates ranked among the top five rankings. Diseases, make early screening and early treatment. After discharge, the hospital also created measures such as health follow -up and family doctors to continue to pay attention to patients. The integrated center of lung cancer therapy at the Tianjin Chemotic Hospital, starting from health screening, to follow -up after discharge, creating a full -chain service system for the disease, which greatly improved the 5 -year survival rate of patients with lung cancer.

In 2013, the Tianjin Chest Hospital took the lead in setting up a chest pain center platform. With the support of the municipal government and the leaders of the hospital, with the joint efforts of all parties of the hospital, the chest pain center was operating well. It is proud that the mortality rate of myocardial infarction in Tianjin ushered in the inflection point in 2015. Since then, as a leader, the hospital's cardiovascular experts have guided the construction of chest pain centers in other hospitals. The chest pain center of the Tianjin Chest Hospital has become a model of the National Chest Pain Center. The experts who were involved in the construction were so famous in China.

Chest tumor MDT expert consultation center

"Nothing can stay in words, but should be implemented down -to -earth." It is this spiritual spirit that allows the hospital to move forward steadily on the road of development, and Dean Sun Daqiang's development of the development of the integrated center of lung cancer diagnosis and treatment is also the future of the future. full of expectation. He said: "I hope to explore a model through the establishment of the center. This model can be used in the treatment of lung cancer, and it can also be used in the diagnosis and treatment of other diseases such as slow lung obstruction and coronary heart disease. For simplifying, reducing the physical effort of medical staff, and allowing doctors to improve the level of medical care, and becoming leaders of the industry, this will bring more benefits to the overall health of patients. "

Zhang Hong:

The image of the image is to be a qualified

"Outpost" Investigation sentinel

Multi -disciplines such as thoracic surgery, respiratory department, video department, pathology department and other disciplines together form the "chest tumor center" of the hospital to formulate the best diagnosis and treatment plan for patients with lung nodules. Professor Zhang Hong, director of the image department of the Tianjin Chest Hospital, said that the Department of Images should play the role of a investigating sentinel, and use high -end CT inspection equipment, artificial intelligence -assisted diagnostic system, video professional knowledge, etc. Let the patient understand and manage the lung nodules correctly.

Professor Zhang Hong

Sentinel work runs through the disease

"The imaging department must give full play to the role of his" outpost "." Professor Zhang Hong introduced that after the patient conducted a chest CT examination of the patient, the imaging doctor combined with the artificial intelligence auxiliary diagnostic system. The report, especially for the probability of the lung nodules, should be based on the use of artificial intelligence -assisted diagnosis, and the image research and judgment are carried out one by one to provide diagnosis information for clinicians' next diagnosis and treatment.

At the same time, the survey task of the imaging department runs through the entire process of lung cancer diagnosis and treatment, and regularly reviews patients and postoperative patients in the thoracic tumor centers, reviews the CT images Change of the lungs.

In the integrated diagnosis and treatment of the image department, the development of the integrated diagnosis and treatment center has the development of the image of the image. The level of diagnosis of diseases; on the other hand, rich diseases and clinical treatment information can further enhance the ability of image examination and image diagnosis.

The image of the image department has the strength to deal with various strict tests

In recent years, with the strong support of the leaders of the image of the image, it has made great progress and quality leaps from the aspects of hardware facilities, clinical work, scientific research teaching, and talent gradient construction, so that we have the ability to cope with the various tests in the clinic.

The hospital has introduced 3.0T magnetic resonance. The latest generation of dual -source CT and other high -end equipment upgrades and optimization departments PACS networks, enhance the level of informationization, improve the ability of cardiac disease image diagnosis, and expand clinical applications. The department hosted a number of project projects of the Municipal Science and Technology Commission and Health and Health Commission, and recruited a number of new employees with doctoral degrees, supplemented with fresh blood for the development of the department. In the unwanted upgrade iteration of the software and hardware, the imaging department has developed rapidly. In the aspect of the CT screening of the lung nodule, the auxiliary diagnosis of artificial intelligence, the CT examination of the coronary heart disease patient, the diagnosis level and the diagnosis level Tianjin is at a leading level.

The artificial intelligence auxiliary lung diagnostic system used by the hospital is based on a large amount of case data of patients with real world patients. Multi -disciplines conduct artificial intelligence in deep learning training. Constantly optimizing and upgrading has improved the system's recognition effect on small lung nodules, and continuously improves the accuracy of the benign and malignant diagnosis of pulmonary nodules.

With the improvement of people's health awareness, the screening of the sketch with the medical examination has greatly increased the probability of lung cancer in early detection. A major advantage of artificial intelligence auxiliary lung diagnostic system is "fast". Doctors spend an hour to study and judge the workload. It only takes a few minutes to complete, which greatly improves the work efficiency. Another important advantage is "full". The strength of the system is that in the ability to find tiny nodules, many small ct and nodules that ordinary CTs and the naked eye cannot be observed will have nothing to do. There are many sieved nodules and comprehensive, reducing the chance of missed diagnosis, but at the same time, it will also lead to excessive diagnosis and treatment. In this regard, Professor Zhang Hong's team regulated a set of processes: clinicians judged according to the number of nodules, size, and benign and malignant by the clinicians, and combined with other performance, clinical symptoms, medical history, and other auxiliary examination materials of the chest CT, comprehensive research and judgment. According to domestic and foreign expert consensus and guidelines on lung nodule management, targeted handling opinions on patients can avoid excessive diagnosis problems.

"The diagnostic system of artificial intelligence auxiliary lung nodule has improved work efficiency, reduced the leakage rate, and greatly improved the work efficiency of the department." Professor Zhang Hong reminded that although high -tech is good, it must be used reasonably to avoid excessive medical treatment. Essence

Professor Zhang Hong is confident in the development of the chest tumor center. He said that the center combined the excellent forces of various disciplines of the hospital to conduct a multi -disciplinary consultation for a certain disease. In the medical difficulties that hurt your feet and fight for each other, the patient will receive the effect of 1+1> 2, which is a major trend in the future of medical development.

Capture: Huang Jing

Edit: Huang Jing

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