Focus on Guilin's medical reform: Lipu, so that ordinary people can see well at their doorstep

(Original title) Lipu took the lead in forming a urban and rural physician rural physician medical association (11) in the district (11)

Promoting the level of high -quality development of grass -roots medical and health services allows ordinary people to "see the disease and see a good illness" in front of the house

Social medical treatment is an important form of the private economy in the medical field and an important part of the medical service system. In recent years, the state has attached great importance to the development of social medical treatment and has used it as one of the important tasks of implementing a healthy China strategy and deepening medical reform. The "Fourteenth Five -Year Planning of the National Economic and Social Development of the People's Republic of China and the Outline of the 2035 Far View Target" proposed that it is necessary to promote the sustainable and standardized development of social medical medicine and encourage experienced practitioners to open a clinic.

Among today's primary medical and health institutions, the number of clinics and village clinics is increasing, and the teams of urban and rural individual physicians and rural doctors are gradually increasing. Faced with such a situation, Li Pu, based on local reality, pioneered and innovated, took the lead in setting up the urban and rural doctors and rural physician medical associations in the region to integrate these two groups, and through business training, technical guidance and other forms, it was effective. The level of grass -roots medical services has been improved, so that ordinary people can "see the illness and see good illness" at their doorsteps.

Breaking the "grassroots" shortcomings to build grass -roots medical and health services "web bottom"

In recent years, my country's grass -roots medical institutions have continued to increase. With the rapid growth of social medical institutions, urban and rural individual doctors and rural doctors have become an important part of the grass -roots medical and health service system, which is of great significance for hierarchical diagnosis and treatment and meet the demand for people's medical and health services. For the people of many towns and villages, the individual clinics and village clinics at the door are the first choice for them to see a doctor.

According to Lu Baozhong, Dean of the People's Hospital of Lipu City, there are currently 130 villages and 96 samples in Lipu City, and 333 urban and rural individual physicians rural doctors, accounting for 58.8%of primary medical and health institutions. They provide diversified, market -oriented, personalized, and convenient medical and health services to the network of grids, and have made positive contributions to improving the health level of urban and rural residents. The medical team is weak as a whole, the quality of medical services is low, the overall social trust is not high, and the supervision is difficult to be in place.

"'Grass Principles' is not strong' is the main shortcoming restricting the high -quality development of the county medical community, and it is also the biggest constraint of building an integrated medical and health service system." He told reporters that if he wants to implement the hierarchical diagnosis and treatment system The huge team of individual doctors is organized and included in the construction of medical consortia. In January 2019, led by the Lipu People's Hospital, and the urban and rural individual clinics and the village toilet, the Lipu urban and rural individual physician rural physician medical association was established, and the 13th township toilet centers were established to build a county medical community. In the Guangxi District, the first "urban third -level hospital+county -level hospital+township health center+village clinics (individual clinics)" four -level medical consortium model, creating a co -construction, sharing, win -win high -quality medical and health care service system.

In Lu Baozhong's view, the establishment of the urban and rural doctors rural physician medical consortia association to integrate the most basic rural health centers and individual doctors to the medical consortium, which will help promote the reorganization of medical and health resources in the county, systematic reconstruction, mechanism reconstruction and mechanism reconstruction Service remake and achieve the upgrading of grass -roots service capabilities. The establishment of this association is beneficial to patients, individual physicians, rural doctors, and county hospitals.

"After the establishment of the association, create and build a good development platform for individual physicians and rural doctors. Experts from higher -level hospitals can better carry out business assistance and training on these two groups to improve their medical technology level. At the same time It is conducive to mobilizing their enthusiasm and building a grassroots medical and health service 'network bottom. "Lu Baozhong said that the establishment of urban and rural individual physicians and rural physician medical associations can also solve the problem of disconnection between grassroots medical and health institutions from higher -level hospitals, which is conducive to medical medicine The two -way referral between the courses has promoted the high -quality development of county -level hospitals.

Give full play to the role of healthy "doorkeeper" to make the masses see well at the "door of the house"

The reporter learned in the interview that many individual doctors and rural doctors are also very eager to improve their own medical technology level, and the establishment of the establishment of urban and rural doctors in urban and rural doctors in Lipu can provide them with this help.

"Individual physicians and rural doctors in urban and rural areas are self -made profit and loss. In order to survive and develop, they urgently need to find 'backing', hoping to have their own organizations, and they can get business assistance and technical guidance from higher -level hospital experts in real time, and continue to improve the improvement of higher -level hospitals. Medical service capabilities. "Yi Xiuying, Executive Deputy Dean of the People's Hospital of Lipu City, introduced that the establishment of the association and the fourth -level medical consortium broke the fragmentation The pattern of non -affiliated relationship has made the county medical and health institutions a orderly, overall collaborative, patient -centered whole.

She told reporters that carrying out business assistance and technical guidance among the duties of the urban and rural doctors of urban and rural doctors in Lipu City is a very important aspect of it. "Focusing on common disease diagnosis and treatment, chronic disease management, maternal and child health care, appropriate technology of traditional Chinese medicine, basic public health services and medical service management, we will organize experts to take special lectures, technical guidance, remote consultation and management consulting. Business assistance, free individual doctors and rural doctors go to Lipu People's Hospital for study. "Guo Wenhua, director of the Office of the Lipu Medical Union Association, told reporters that the regular meeting of the Medical Union Association will be held on the 20th of each month. "The regular meeting sometimes conveys and learns the spirit of related medical laws and regulations and the spirit of superior policy documents. Sometimes experts from higher hospitals such as Lipu Municipal People's Hospital will provide technical training and management guidance on individual physicians and rural doctors." Come to improve the medical service capabilities and management level of individual physicians and rural doctors, and can also effectively avoid the occurrence of violations of regulations and discipline.

Wei Yanqing, an individual physician of Lipu City, said that after the establishment of urban and rural individual physician rural physician medical associations, she joined the meeting as soon as possible. For her, the establishment of the association was like a "rainy".

She told reporters that she used to train once or twice a year, but because there is no special person organization, it is relatively troublesome to participate in training. With the establishment of the association, she can participate in training once a month, and medical technology is constantly improving. "In addition to technology, the association also preached medical policies, laws and regulations, and let me master more knowledge of medical practice."

The improvement of the technical level of individual doctors also facilitates the local people. Ms. Chen in Lipu City said that the process of seeing a doctor at the hospital is relatively cumbersome, and she will spend a long time for registration, queuing, and medicine. Therefore, she is more accustomed to going to the clinic. "My child is sick at the pediatric clinic near home. I trust these doctors' skills."

Multiple measures to carry out assistance to build a high -quality health service system

On the 21st, the reporter came to the clinic of Pan Heyan, the former president of the Rural Physician Medical Federation Association of Lipu Urban and Rural Physicians, where many patients were waiting in line. In his opinion, the establishment of the association gives individual doctors and rural doctors to have "home", and also allows everyone to rely in the process of medicine.

"Through training, our technical level has improved. We will also communicate with each other when we return to the clinic, which can also drive the improvement of nurses." Pan Heyan said that the urban and rural individual physician rural physician medical association was also included in Lipu The fourth -level medical consortium, which means that referral is more convenient.

He said that if he had previously encountered patients who could not be received, it would be difficult for the clinic to help patients contact the superior medical institution, and only let the patient go to other places for treatment. "After joining the medical consortium, we can refer to patients with dangerous and difficult illness, inability to clear the diagnosis and poor efficacy in time to continue the diagnosis and treatment of higher -level hospitals. Check the services such as inspection, preferential hospitalization, etc., and make the patient's "life closure '."

The reporter learned that with the development of business assistance, the level of diagnosis and treatment of individual doctors and rural doctors continued to increase, and the number of medical treatment in individual clinics and village clinics also increased.

Last Wednesday, in the Centers of Jinji Village, Dumo Town, the reporter saw Ms. Pan, a villager who was acupuncture. "I was paralyzed some time ago. After watching the people's hospital, follow -up treatment has been done in the village clinic. I usually have a small illness and pain. I also look for the village doctor. satisfying."

Village doctor Liu Mingxiu said that the establishment of the association has not helpful to himself, and his ability has improved. "In the past, township health centers would also train village doctors, but now the associations basically organize training every month. The training content is richer, the training opportunities are more, and the level of experts is higher."

According to Lu Baozhong, the number of members of the Rural Physician Medical Federation Association of Urban and Rural Physicians in Lipu City has developed from more than 90 people at the time of its establishment to 260 people today. Since its establishment, the association has organized a total of 32 training, and has participated in more than 8320. At the same time, the association has made positive efforts in coordinating the resolution of doctors and patients, resource sharing, etc.

"In recent years, the association has helped rural doctors and individual doctors to dispose of medical disputes more than 10 times." He said that the regional medical imaging center, medical inspection center, disinfection supply center and other resource allocation centers established by the Lipu People's Hospital. It is also shared with individual doctors and rural doctors to provide technical support platforms for grassroots medical and health institutions.

For more than three years, Lepu Urban and Rural Physicians Rural Physician Medical Union Association has achieved certain results in building a hierarchical diagnosis and treatment platform and improving grassroots service capabilities.

Qiu Yun, Secretary of the Party Committee of the People's Hospital of Lipu City, said that the creation of urban and rural individual physician rural physician medical associations, realized the full coverage of the county, township, and village hierarchical diagnosis and treatment network, providing technical support for urban and rural individual physicians and rural doctors. The medical service capabilities and medical quality of grass -roots medical and health institutions will help the construction of high -quality and efficient integrated medical and health service systems. The Lipu Urban and Rural Physician Rural Physician Medical Federation Association was awarded the executive director unit by the Rural Health Association of the Guangxi Zhuang Autonomous Region in May 2020, and was commended by the Chinese Rural Health Association as an advanced unit of 2021-2022 in 2022.

"In the next step, we plan to include all individual physicians and rural doctors into the association. It will also comprehensively promote the construction of close medical communities in our city, build a high -quality and high -efficiency integrated medical and health service system in Lipu City, and gradually explore a compliance with a compliance The actual and mass needs of the grass -roots level, a new road to the construction of a integrated medical and health service system with Lipu characteristics, and overall improvement of Lipu's medical and health service capabilities and the health level of residents. "Lu Baozhong said. ■ Medical Reform Pioneer Talk ——

Lu Baozhong, Dean of the People's Hospital of Lipu City:

It is not only the concept that implements the graded diagnosis and treatment

In order to open up the "last mile" of Huimin Medical Medical Federation, Lipu City and Rural Physician Medical Federation Association came into being. The implementation of hierarchical diagnosis and treatment is not only the concept, but also the improvement of grass -roots medical service capabilities. If you want to implement the hierarchical diagnosis and treatment system, you must both “county -level hospitals” and “county medical care”. You must organize this huge rural doctor and individual doctor “White Angel” team and include the construction of medical consortia.

The urban and rural doctors in Lipu have made positive contributions to solving the common diseases, multiple onset, and chronic diseases of the surrounding people, but at the same time, there are many problems. We integrate this group into the medical federation and the establishment of associations, which is conducive to promoting the integration of social medical treatment into the "medical consortium", and also helps strengthen policy promotion, business assistance, personnel training, management consulting, two -way referrals and inspections Supervise and strengthen the standardized management of individual doctors.

The urban and rural individual physician rural physician Medical Federation Association provides a good development platform. Everyone is actively active, and the medical federation can actively solve various problems and difficulties in time. The integration and coordinated development of hospitals and individual physician rural physicians can not only continuously improve the ability of grassroots medical services and promote the construction of a hierarchical diagnosis and treatment system, but also effectively enhance the people's sense of medical treatment and happiness.

Pan Heyan, the former president of the Rural Physician Medical Federation Association of Lipu Urban and Rural Physicians:

Effectively improve the medical level of individual physicians

Since the establishment of the Medical Federation Association for more than 3 years, member units based on the development model of "joint construction, joint management, joint construction sharing, joint construction sharing", and ran to the goal of "collaborative linkage and integrated development". It has taken the pace of rapid development and achieved obvious results.

The hospital and grass -roots medical and health institutions carry out normalized business technical bands on members of the association, effectively improving the business technical level and service capabilities of urban and rural individual physicians and rural physicians, increasing the enthusiasm As gradually increase, the satisfaction rate has increased significantly. After the establishment of the association, there was no illegal medical practice and medical fraud, which effectively promoted the sustainable, healthy and standardized development of individual doctors and rural physicians in urban and rural areas.

In addition to the improvement of diagnosis and treatment capacity, urban and rural individual doctors and rural doctors also actively participate in activities such as large -scale free consultations in Lipu City and the prevention and control of new crown pneumonia. For more than three years, members of the association have participated in more than 2,800 social public welfare activities such as large -scale free consultations, health poverty alleviation, and condolences to the elderly for welfare institutes. More than 3,200 people participating in the prevention and control of epidemic in nucleic acid collection and vaccination, which have been fully affirmed by the masses and received the masses. Praise. (Reporter Tang Yanyun)

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