Demystify a new trend of grass -roots health construction!The fourth "Basic Medical Association" meeting was full before

Author:Medical community Time:2022.09.18

"The construction of a grass -roots health system is not one -day, and there are many difficulties or limitations at the level of resources, talents, facilities. Therefore, it is especially important to communicate with each other at the grassroots level. Everyone provides such a platform. "

On September 17, the 2022 grass-roots health and innovation development conference and the fourth grassroots innovation case exhibition predecessor-grass-roots health practice tour was held in Shanghai. The Basic Medical Association was supported by the National Department of Health and Health of the National Health and Health Commission. This meeting was directed by the Health Development Research Center of the National Health and Health Commission. The director of the 33 community health service centers in Shanghai and the relevant leaders were invited to attend the meeting on the spot. Everyone focuses on the development of grass -roots health services, and starts learning and exchanges in the form of theme sharing and round table discussions. The content is rich and vivid, and the atmosphere at the scene is warm.

Liu Hongwei, executive vice president of the Shanghai Community Health Association, presided over the meeting. President Liu made her with the experience management experience of long -term grass -roots work. The language and concise concluding speech of Miao Lianzhu went through the entire meeting and gave the meeting a lot of highlights.

Chen Qirui, the founder and chairman of the "medical industry", Yu Fan, director of the modern marketing of Chinese medicine and general manager of modern marketing, delivered a speech for the conference.

Chen Qirui stated in his speech: "Grassroots health work directly faces the masses, is the first line of defense to meet the needs of people's health, and an important window for improving the people's sense of obtaining and satisfaction with the masses. It is to want to minimize the excellent cases in the process of minimizing, reporting, and promoting the reform of grass -roots reform. Through this method, we will be promoted to promote advanced members in this way. Promote sharing and progress. "

In his speech, Yu Fan said that, as the only pharmaceutical platform under the Sinopharm Group, the Chinese Medicine Hyundai has always been committed to R & D, production, and sales of domestic good medicines that Chinese people "can cure, afford, and buy". Medical institutions and good communities as the mission of enterprises. In the future, the Chinese Medicine Hyundai hopes to strengthen communication and cooperation with relevant government departments, corporate associations, and academic groups participating today to jointly participate in the work of chronic disease management, functional community construction, and smart medical cities.

Where is the grass -roots medical care?

Four experts bring cutting -edge sharing

Since it is a "basic medicine meeting", we must first ask big coffees to set up turtles first, pass the scriptures and send treasure. How do they think of the practice of grassroots hygiene at this stage, and what are the development directions of grassroots medical care? Let's listen together!

Speaking theme: Explore the construction of a tight medical consortium to build an efficient and high -quality integrated service system

Speaker: Researcher of the Health Development Research Center of Huang Erdan National Health and Health Commission

"The construction and integrated service system of the Medical Federation is the two starting points for the promotion of hierarchical diagnosis and treatment." In the sharing, Huang Erdan mentioned that "specific to the grassroots level is to form a division of labor and collaboration mechanism for county rural and rural health institutions in terms of management, services, responsibilities and interests, and build a people -oriented integrated county medical and health service complex."

He explained that the core of the medical community is that county -level hospitals and township health centers have launched a cooperation with interest mechanisms to promote resources and services on the one hand, and on the other hand, the hospital and grassroots are motivated and enhanced.

Comparing the comparison of close county communities and urban medical groups, Huang Erdan said that the purpose and method of the two are consistent, but the model selection in different environments and stages. The common connotation of residents' effective classification, continuity of medical and health services, and clarification of power is their common connotation. External governance, performance management, and information system construction are the three most important things.

Huang Erdan believes that building an efficient and high -quality integrated service system requires five steps: first, to clarify the target of the interests of hierarchical diagnosis and treatment; the other is to form a continuous and effective interest mechanism; the third is the innovative regional health governance system; the fourth is to make performance assessment play a role; Fifth, build a high -quality information system.

Speaking theme: Integrated community health service experience sharing

Speaker: Deputy Director of Chen Jiangen, Shanghai Jiading District Health and Health Committee

In the report, Director Chen Jiangen took the practice of Jiading District's practice in community sanitation as an example to report and communicate with your colleagues. Jiading District is committed to exploring integrated community health services based on the health coverage of the entire population. There are currently 13 community health service centers in the district, all of which have reached the national "high -quality service grassroots" recommendation standards.

In the process of building a integrated community health service, there are four highlights of Jiading District's practice: First, strengthen organizational leadership, promote the reform of community health services, and formulate a "1+4+1" social reform document in the jurisdiction. The second is to optimize the allocation of resources and improve the community health service network. Such as the "15 -minute community comprehensive service circle". The third is to actively explore innovation and build a new model of family doctor services. Build a new type of family doctor service model "3+X". The fourth is to attach importance to team building and comprehensively improve community health service capabilities. Focusing on the outstanding problems of the grass-roots sanitary talent teams, we explore the establishment of a grass-roots sanitary talent training model for "directional training-practical training-job inspiration".

At the meeting, Director Chen Jiangen also brought an innovative case sharing of the "Palm Kajia" home medicine service management center. The "Palm of the Palm" focuses on the reconstruction service process, the integration service model, and the construction of a support system. It is committed to creating a smart community health management service platform, and strives to empower the family doctors and enhance the sense of gain of residents. At present, the project is focusing on the statistics of privatization deployment and call centers. Speaking theme: Discussion on community medical service capabilities under the situation of medical reform

Speaker: Du Zhaohui Chairman of the Alliance Chairman of the Community Health Service Center of Shanghai Community Health Association

Du Zhaohui said that the quality of basic medical services is the service, and the second look at the person who provides medical services (general doctors), which is the two most critical factor.

The new era has given more responsibilities of general doctors. One is to provide basic medical care services, the other is to carry out the entire process, comprehensive responsible management, and the third is to solve the health problems at all levels of physiological, psychological, and society. Fourth It provides continuous, comprehensive, individualized, and contractual care. Fourth, it provides continuous community public health services under the prevention and control of the epidemic.

To implement the hierarchical diagnosis and treatment system, general doctors are facing huge challenges. Du Zhaohui takes the "full special combination" of diabetes in the community practice of classified diagnosis and treatment to explain how to do a good job of integrating the general medical and specialist guidance items. The general physician formulated a referral indicator with a specialist with a specialist and a specialist, and the two jointly formulated the classic, digital, digitalization, and the actual disease classification description of the community diagnosis and treatment.

Du Zhaohui also took the hierarchical diagnosis and treatment of the new crown epidemic as an example to explore how the comprehensive hospitals were connected with the community. He believes that comprehensive hospitals should focus on the treatment of severe illnesses and reduce cases, and strive to solve the stock; the task of community prevention and control is to cut off the transmission and control cases to try to reduce the increase.

Du Zhaohui proposed that in the situation of medical reform, if you want to improve the ability of community medical services, you must pay attention to the career development and incentives of doctors. The government's salary should focus on tilting and increase the signing service fee. In addition, the community should actively build talent training paths such as continuing education and elastic training in medical combination of medical combination, and continuously improve and expand the business skills and academic horizons of medical staff through various forms of arrangements.

"Pay attention to the internal incentive of the quality improvement mechanism." Du Zhaohui finally summarized the focus of comprehensively improving the quality of grassroots health and general medical services.

Speaking theme: Exploration of the implementation of the digitalization of the Shanghai community's sanitary digitalization

Speaker: Xu Sui China Health Information Society Health Medical Big Data Grass -roots Applied Professional Committee Director

Director Xu Zhi said that community health services played an important role in the national health service system, but currently there are still the following pain points in my country: one is difficult to control the quality of the contract, the other is that residents are single according to the sexual crowd, and the third is insufficient talent reserves of talents. Fourth, the career attributes have led to a weak incentive mechanism. Fifth, the informationization and big data are not aware of, and the sixth is that the function of social health services is unclear. Seventh, the development efficiency of the "technology+mechanism" drives community is relatively low.

Under many pain points, what is the future development direction of community health services? Director Xu Zhi believes that how government management functions is reflected in community health services is an important issue that community health will face next. In order to break the limitations of resources, community health services must shift from suppliers to demand thinking.

Digitalization has made a huge change in the way people know the world. Visual applications transform complex data into cognition, improve the efficiency of knowledge conversion, improve management efficiency, and achieve orderly management of business operations. In the era of "informatization+big data", what can the platform achieve for the community health service center?

Director Xu Zhi believes that the management platform can objectively reflect the development of the community health center work and bring "four changes" to community health: one is from administrative instruction management to standard -oriented management; It is a transition from traditional extensive management to refined management; fourth is the transformation from a single factor management to a comprehensive management of multiple elements.

How does the community docking advanced technologies and provide supporting professional services? Director Xu Zhi takes tumor management as an example to explore the management model of "Internet+Health". The current technology can be based on health problems, high -risk indicators management, and Internet tumor early detection models, providing patients with personalized and targeted comprehensive tumor prevention solutions.

Two round table forums

Discuss how to do a good job of grassroots hygiene work based on work practice

Another session of this meeting is a round table discussion. The two discussions themes focus on community health services. The heads of grass -roots medical units in various districts discuss the experience and thinking in the practice process, and many parties discuss the solution and ideas for reference.

The round table discussed the first session, focusing on the theme of "the combination of signing services with family doctors". In 2021, the Shanghai Health Commission launched a pilot of the "functional community" community health service pilot to promote the extension of community health service functions. With community hospitals as the core, radiating the surrounding residential communities, public places, and enterprises and institutions to promote the signing of family doctors. In the construction of functional communities, various community service centers have distinctive experience and deep experience.

This round table discussion was chaired by Zhang Tianzhang, deputy director of the grassroots health and health department of the Shanghai Municipal Health Commission, Wang Baoqing, president of the Shanghai Enterprise Health Care Association, Huang Lei, Director of Wuliqiao Street Community Health Service Center, Huangpu District Yi Chuntao, director of the Health Service Center, Director of the Health Service Center of Tianshan Road Street Community Health Service Center, Changning District, Ye Zheng, director of the Changfeng Community Health Service Center of Putuo District, and Yang Yonghua, director of the community health service center of Beiban Street, Hongkou District, participated in the theme discussion. The discussion topic of the round table discussion is "Reasonable use of medical insurance funds and the opening of community health service diagnosis and treatment projects". How to produce the most reasonable medical services with the most reasonable cost output, so that residents can see both good and illness, which is a topic full of challenging. The participants shared their actual combat experience and experience on the issue of "how to use the medical insurance fund more reasonably for community health services".

The discussion of this round table was chaired by Tao Qiongying, the vice chairman of the Shanghai Community Health Association Center. Song Huijiang, director of the center of the center, Wu Huanyun, director of the Health and Health Business Management Center of Jinshan District, and Cao Weiyi, director of the community health service center of Fengxian Nanqiao Street, participated in the theme discussion.

After a afternoon exchange and sharing, every participant at the scene benefited a lot. As the first guardian of the health of the people, how the grass -roots health institutions combine medical care and use their advantages to improve the level of medical services is a topic that will never be discussed. In the process of hard work at the grassroots level, the "medical community" will spare no effort to participate in it, helping grass -roots medical care towards a new height and a new journey.