Focus on the problem to promote the "point -up rectification", so that the masses will save money and save time and effort -unblocked the two -way referral channels

□ Meizhou Daily reporter Fu Meixiang

The problem of "difficult to see a doctor" in remote areas and special groups, and establishing a patrol mechanism to serve the masses is one of the "point -up rectification" projects. Among them, "the two -way referral channels of grass -roots patients are not smooth enough" are the focus of the project's rectification.

I have a serious illness. It is a choice for many people to find experts at higher -level hospitals, but for remote areas and special groups, it takes more time and money to go to higher hospitals to see a doctor. For minor illnesses or recovery, in primary medical institutions, they are more money and effort. How to unblock the two -way referral channels so that patients can "get up and go" and better realize "minor illnesses at the grassroots level, major illnesses to hospitals, recovery back to the grassroots"?

Under the supervision and promotion of the Municipal Commission for Discipline Inspection, the Municipal Health and Health Commission aims at the crux of the disease and focuses on building a two -way referral information platform. By creating measures such as medical communities and joint wards, the masses can also enjoy high -quality high -quality hospitals at their doorsteps at their doorsteps. Serve. The goal is that by the end of this year, the application coverage rate of the two -way referring to the grass -roots medical institution is 100%, which promotes the formation of business linkages, complementary advantages, and continuous management of disease diagnosis and treatment between superior medical institutions and grass -roots medical institutions.

On September 1, the organizational staff of the Municipal Health and Health Commission went to the Xitianwei Town Health Center to check the development of the two -way referral. In the combined ward, many patients are doing rehabilitation training.

Mr. Fang, a villager in Donghu Village, Xitianwei Town, was sent to the Affiliated Hospital of Putian College due to sudden cerebral hemorrhage. After the rescue, he was not in danger of life, but he left sequelae such as hemiplegia and needed rehabilitation. "The bed turns in the large hospital, far away from home, high cost, and a low proportion of medical insurance reimbursement. It costs about five or six thousand yuan a month after reimbursement. For us, the burden is very heavy." Mr. Fang's father said.

In response to the concerns of the masses, the Affiliated Hospital of Putian College established a joint ward with Xitianwei Town Health Center, planned and constructed 40 beds, and transferred the appropriate rehabilitation patients to here. For retrial, it is convenient for grass -roots patients to treat nearby, solve "rehabilitation difficulties", but also promote high -quality medical resources to sink to the grassroots level. Putian College Affiliated Hospital has been stationed at a doctor and one therapist for a long time, and the integrated management of medical quality and safety homogeneity is implemented. The masses can enjoy the homogeneity of the three medical experts at their doorstep, and there is no need to wait, and the proportion of medical insurance reimbursement is also high.

Lin Fuchun, Dean of Xitianwei Town Health Center, told reporters that whether it is personnel or equipment, the allocation of the combined ward is in line with large hospitals. They also opened a two -way referral green passage, established an emergency referral mechanism, and timely illustrate the condition. The patients with changes were transferred to the Affiliated Hospital of Putian College. Compared with the three hospitals, the combined ward not only has a low charging standard, but also has a high reimbursement ratio. A rehabilitation patient spends about 10,000 yuan per month in a combined ward, with a reimbursement ratio of 90%, and it is more than 1,000 yuan at your own expense. If in the three hospitals, the average monthly costs about 15,000 yuan, the reimbursement ratio is 60%, and it will need to pay 56,000 yuan at its own expense. Through referral, recovering in the combined ward, which reduces a great burden on remote areas and special groups.

Recently, Ms. Chen, a patient from Xianyou County, enjoys the same medical services at the higher -level hospital in grassroots towns and feels the convenience of medical treatment at the door. She suffered from uremia and had three hemodialysis treatment a week. In the past, she had to go to the county general hospital to make an appointment for diagnosis and treatment. Ms. Chen said that her family also needed to accompany her. Now there is a hemodialysis ward at the grassroots level. It is closer to home. You can also come over by yourself, which is more convenient.

Ms. Chen's convenience benefits from the innovative medical service community of Xianyou County. Xianyou County Medical Community is the responsibility, sharing of interests, and complementary advantages of the county level and below of all public hospitals in Xianyou County. "Transformation is easy to turn difficult", so that ordinary people can really run less legs and optimistic about illness.

According to Chen Zhimin, the president of the Linan Branch of Xianyou County General Hospital, the county general hospital has been stationed in a team of experts for a long time, including chief physicians, attending physicians, and head nurse. For patients, at the grassroots level, they can enjoy the treatment and services of hospitals at or above the county level.

"'Combined ward', medical community is an effective way to unblock the two -way referral channels of patients with grass -roots levels. Third -level hospitals and grass -roots medical institutions have established a good communication and collaboration mechanism, making the longitudinal linkage of medical services smoother, and the burden of medical treatment has been reduced. "Li Sanzhang, a second -level investigator of the Municipal Health and Health Committee, said that at present, the city has established 8 joint wards to cover all counties and districts, and promote the construction of specialty specialtors of" one hospital, one product, one product, one product ", and effectively alleviate the masses'" difficult to see a doctor, expensive medical treatment " question.

The reporter learned that the procedures for the transfer of the procedures between the higher -level medical institutions and the grass -roots medical institutions and the poor information communication have caused the two -way referral channels to be unobstructed.

In the next step, the Municipal Health and Health Commission will closely grasp the problem "cattle nose", urge the medical institution to simplify the process to continue to increase the two -way referral, expand the remote consultation service model, upgrade the reserved appointment registration platform, and strengthen the application of the two -way referral platform. The application coverage of the two -way referring platform for grassroots medical institutions reaches 100%.

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