Focus on Guilin Medical Reform: Lingui: Differential development helps township health centers to improve quality and efficiency

■ Focus on Guilin Medical Reform (10)

(Original title) Lin Gui: Should find the positioning according to local conditions

Differential development helps township health centers to improve quality and efficiency

As a medical institution at the door of the people's house, the township and sanitary home should have solved medical treatment problems for local patients to avoid them from running for a doctor. However, due to the weak medical service capabilities and the similar services provided, many township patients have not recognized the health hospital. Even if they live near the hospital, they still tend to go to county or municipal hospitals. see a doctor.

In order to change such a situation, Lin Gui District explored a new path of differentiated and characteristic development of township health centers during the construction of medical communities. Starting from the actual situation of towns and villages, the district has clarified the development direction of the hospital. Through differential development, the resource allocation is optimized, the effectiveness of the medical resources and the satisfaction of the masses, and forming a unique medical service system in Lingui District.

Based on the local reality, the focus is on the direction of focusing on development

When it comes to township health centers, many people will have the impression of "insufficient service capabilities" and "lack of level of treatment", and the people's recognition of the health centers is generally not too high.

In August 2019, Lingui District was officially selected as a pilot county for the construction of a national medical community. In order to better promote the construction of the community of medical communities in Lingui District, in 2021, the district proposed the concept of "according to the characteristics of township health centers and the implementation of differentiated development according to local conditions." An important measure in construction.

"In the past, the health center was in line, and the diseased diseases were basically the same, and the regional diagnosis and treatment services lacked overall planning and functional positioning." Xie Fusheng, director of the Department of Medical Community Office of Lintu District, told reporters that the health center did not have a clear development direction and positioning. It is easy to cause disorderly competition between the hospitals.

He said that the hospital should know what kind of treatment the patient needs, and provide corresponding services in a targeted manner, optimize resource allocation, and convert passive services into active services. Therefore, began to explore the differentiated development of the health center last year. Lintui District began to explore the path of differentiated development of the hospital. The Health Center of the Central Health Center of Wuzong Township, the Central Health Center of Liutang Town, and the Health Center of Liangjiang Town were first listed as the pilot development of differentiated development.

According to reports, the differentiated positioning of each health center is determined according to the actual needs of local patients, existing advantages, etc., and combined with the big data of the entire district to determine. Specifically, the Central Health Center of Wutong Town is located on the edge of National Highway 321. There are many patients with trauma such as car accidents. There are many patients with back pain and joint pain, so there are more chronic patients, so focusing on traditional Chinese medicine and slow disease management; the center of the center of Liangjiang Town is a health hospital with the largest radiation range of patients in Quangui. There are more than 100,000 people with a large demand for medical care, so the main development direction is based on establishing a general medical training base.

Multiple measures to enhance service capabilities and enhance patients' sense of gain

After determining the direction of differentiated development, Lingui's various health centers also actively adopted a variety of methods to implement this measure, try their best to improve their service capabilities, and improve patients with medical treatment.

A few days ago, the reporter met with Sister Huang, who was treated with acpermitis due to acute appendicitis with peritonal inflammation. "I'm from Wan Tian. I really decided to come to the hospital a few days ago. I thought it would be more than an hour to go to the county -level hospital or municipal hospital. It may be difficult to hold on. The Central Health Center of Wutong Town. "After the operation, Sister Huang was gradually recovering. In her opinion, the improvement of service capabilities in the hospital has indeed brought great convenience to patients.

Zhan Yufei, the dean of the hospital, introduced that in April last year, the hospital improved the level of emergency treatment in front of the medical staff through training and expert teaching. "In the past, most medical staff's first aid skills were not skilled, but now everyone can independently do tracheal intubation, electrocomposomy, etc., and can be proficient in using ventilator and other equipment, which is more conducive to the rescue of patients."

He said that in order to further improve the emergency treatment capacity of the hospital, the hospital set up emergency departments, and regularly carried out various first -aid training such as trauma patient transfer methods, and also purchased various first -aid equipment such as electric hemostatic bands. At the same time, the cure unit of chest pain was established, which increased the understanding and attention of medical staff on the symptoms of chest pain, minimizing the missed diagnosis as much as possible, and increasing the success rate of treatment.

"In terms of surgery, we have also made a lot of effort." Zhan Yufei said that after the original operating room was renovated and re -purchased the surgical equipment and equipment. In September last year, the hospital re -launched surgery. "We have not performed surgery in the last 10 years, the talents have gradually lost, the operating room is deserted, and the trust of patients has gradually decreased. But in fact, a large part of the patients usually need to perform surgery. The situation can only be referred to the patient after simplicity, which is not conducive to their treatment. "

He told reporters that after determining surgery as an important development direction of the hospital, the Second Affiliated Hospital of Guilin Medical College also sent experts to the hospital for business guidance. At present, the surgeon in the central health center of Wuzong Town has been able to carry out one independently. The second -level surgery allows patients to receive treatment at the doorstep, which greatly saves the time of treatment and reduces the cost of surgery.

The center of the Liutang Town Central Health Center, which is mainly developed by the appropriate technology of traditional Chinese medicine, has also been recognized by local patients. A few days ago, the reporter saw in the hospital that many patients in various departmental clinics were seeing a doctor.

"The majority of physical labor in the townships, there are many patients with back pain and joint pain." Qin Zhouli, dean of the Central Health Center of Liutang Town, said that these symptoms of western medicine can only be treated with symptomatic treatment, but the cure is not cured, but Chinese medicine can be treated, but Chinese medicine can It has unique advantages in these pain and chronic diseases. "And traditional Chinese medicine treatment is also more convenient, and it costs low. Nowadays, there are many patients in the Department of Traditional Chinese Medicine." He introduced that after taking Chinese medicine technology as the main development direction, he has improved talent training and improved hardware facilities to improve. The level of service of the Chinese Medicine Department. "In addition to the sinking guidance and lectures of the Second Affiliated Hospital of Traditional Chinese Medicine, we also sent personnel to the Three Hospital in the city to study the appropriate technology of traditional Chinese medicine, and also recruited two professional and technical personnel of Chinese medicine." Qin Zhouli said that now the health hospital The service capacity of traditional Chinese medicine is significantly enhanced. It can carry out more than 10 suitable technologies such as small needles, acupuncture, electro -needle, cupping, acupoints, moxibustion, thunderous moxibustion, and ultrasonic drugs.

Take differentiated development roads to build a hospital that ordinary people are satisfied with

After more than a year of exploration practice, the "differentiated development" model of Lingui District Health Center has achieved certain results.

Zhan Yufei introduced that since April last year, the number of outpatient clinics of the central hospital of Wuzong Town increased by 15,000, the number of hospitalization patients increased by nearly 3 times, and the number of patients with upward transfer increased by 4 times. Also improved significantly.

"Now we can carry out 35 primary and secondary operations such as superficial mass resection, body surface foreign body removal, and abscess discharge surgery. With the development of surgery, the original ward is almost idle. The patients that the hospital cannot receive will be transferred to the higher -level hospital, which is more conducive to the development of hierarchical diagnosis and treatment. "Zhan Yufei said that thanks to the construction of medical communities, the current health hospital also relies on the pathological diagnosis of the second affiliated hospital of the Guilin Medical College The center and disinfection supply center conducts pathological testing and surgical equipment disinfection of ionized tissue to further improve the quality of medical services.

Qin Zhouli also said that with the promotion of new traditional Chinese medicine technology and new projects, some patients who could only go to higher -level hospitals before can now be treated nearby. Patients who were able to go to private clinics before were willing to come to the hospital. "From January to August this year, the number of outpatient clinics in the Department of Traditional Chinese Medicine was higher than the same period last year, and it also exceeded the number of 2020 years.

The differentiated development of the hospital not only allows patients to enjoy high -quality medical services at their doorsteps, but also drives the improvement of medical staff's skills and enhances the cohesion of the hospital.

Zheng Liping, a traditional Chinese medicine doctor of the Central Health Center of Liutang Town, told reporters that although she had aware of some Chinese medicine technology, she was rarely used in the consultation process. "In the past, I only had a good grasp of conventional Chinese medicine therapy such as acupuncture and moxibustion, but through training and going out for further studies, now I also learned technologies such as thunderous moxibustion, umbilical therapy, and fire dragon moxibustion."

Li Wenzhong, a surgeon of Wutong Town Central Health Center, said that after re -launching surgery, he had greatly improved his business capabilities after being guided and led by experts. "Pick back the technology that has been‘ throwed ’for 10 years, and our skills in front of the hospital have also improved. I can bring better diagnosis and treatment services to patients. I am also very happy."

The reporter learned that since this year, Lingui's three medical institutions have been divided into the scope of differentiated development in Linui District Maternal and Child Health Hospital, Lingui Town Health Center, and Sitang Town Health Center.

"Now the demand for postpartum rehabilitation is large, and the three -child policy is introduced. Therefore, the Maternal and Child Health Hospital of Lingui District takes postpartum rehabilitation as the main development direction; although there are many people in the location of Lingui Town Health Center, due to the large population in the same area, there is the second in the same area. The 3rd Hospital of Affiliated Hospital, the main development direction of the auxiliary discipline of special services such as traditional Chinese medicine rehabilitation, and the Sitang Town Health Center takes public health and clinical combination as the main development model in the future. "Xie Fusheng said.

Xie Fusheng said that through differentiated development, it can allow ordinary people to obtain better medical services and reduce the cost of medical treatment. At the same time, it also helps to avoid the vicious competition between various hospitals and improve the service enthusiasm of the health center. In the next step, Lingui District will continue to expand the pilot scope of differentiated development. After exploration through the pilot hospitals, a copyable and promoted model will be formed to better "realize 'healthy Linggui', improve residents 'health, and the health of residents' health Outstanding "target service. (Reporter Tang Yanyun)

■ Medical Reform Pioneer Talk

Zhan Yufei, Dean of the Central Health Center of Wutong Town:

Differential development is an important way for the development of township health centers

One of the important purpose of medical reform is to form a "first -level consultation, two -way referral, rapid division of treatment, and linkage". Among them, the "first clinic of the grassroots" is the most critical link.

As a member of the Health Center of Wutong Town, Lingui District, I felt that in order to improve the first diagnosis rate of the grassroots, we must first improve the service capacity of the health center. With the support of the leaders of the medical and health community of Lingui District, we broke the rainbow suction model adopted by most medical consortia in the past, and improved the medical service capabilities of the health center as the focus of the work. According to the actual situation of the hospital, we have established and developed surgery, emergency department, and emergency department. Oral department, chest pain treatment unit, etc., the leading hospitals sent experts to help precise assistance, which greatly improved the service capacity of the township health centers.

After more than a year of operation, the outpatient volume of the hospital, the number of inpatient patients, and the amount of surgery have increased, and the satisfaction of the masses and employees has also increased significantly, which has initially formed a benign medical order. I know that there is still a long way to go to the stability of this order, and I feel that I should shoulders a significant responsibility. In the future, I will continue to work hard not to forget the original intention of "helping the masses", keep in mind the mission of "saving the wounded", and move forward. Qin Zhouli, Dean of the Central Health Center of Liutang Town:

Promoting Chinese medicine suitable technology improves the service capabilities of the health center

Strengthening grass -roots health services and better meet the people's demand for medical and health is a goal of the construction of medical communities. And vigorously promoting the appropriate technology of traditional Chinese medicine will help improve the service capabilities of the hospital.

The appropriate technology of traditional Chinese medicine has the characteristics of wide indications, low medical costs, and easy promotion and application, and is popular with the masses. Through the development of new traditional Chinese medicine and new projects, more medical personnel are encouraged to explore and innovate, drive the development of medical technology in the whole hospital, improve the overall service capabilities of the hospital, and also facilitate the masses to seek medical treatment, reduce medical expenses, and let the masses look close to it nearby. It is necessary to get sick and see well, and the cohesion of the health center is significantly enhanced.

In the next step, we will continue to increase the learning and promotion of the appropriate technology of traditional Chinese medicine, especially in the promotion and application of traditional Chinese medicine pediatrics, women's health care, postpartum rehabilitation and other aspects, and increase talent training to allow patients to experience the safety of traditional Chinese medicine treatment. Effectively, make the development of traditional Chinese medicine wider and farther, and allow traditional Chinese medicine technology to better serve the health of the general public. (Reporter Tang Yanyun)

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