Medical and health services are directly related to people’s health. Only by constantly providing better medical and health services for the people can we better meet the health needs of the people.
General Secretary of the Supreme Leader has always attached great importance to improving people’s health and well-being. He pointed out that "it is necessary to push the focus of medical and health work down, the medical and health resources sink, promote the equalization of basic public services in urban and rural areas, provide the masses with safe, effective, convenient and cheap public health and basic medical services, and truly solve the problem of difficult and expensive medical treatment for grassroots people." He also stressed, "‘ Fourteenth Five-Year Plan ’ During the period, we must adhere to the people first and life first, continue to deepen the reform of the medical and health system, increase medical resources, optimize the regional urban and rural layout, and ensure that serious diseases do not leave the province, general diseases are solved in cities and counties, and daily diseases are solved at the grassroots level, providing reliable protection for people’s health. "
We have noticed that "promoting the expansion of high-quality medical resources and regional balanced layout" has been mentioned many times, which is an important measure to alleviate the problem of "difficult medical treatment" for ordinary people. Following Report to the 20th CPC National Congress’s request to join the Party, the Central Economic Work Conference held at the end of last year pointed out that social policies should stick to the bottom line of people’s livelihood, in which focusing on the medical field proposed to "promote the expansion and sinking of high-quality medical resources and the balanced regional distribution". This year’s government work report once again proposes to promote the expansion and sinking of high-quality medical resources and the balanced regional layout.
So, how to promote the regional balanced distribution of high-quality medical resources? How to improve the ability of primary medical and health services? How to make ordinary people enjoy quality medical services at their doorsteps? With these questions, the research team of People’s Forum recently walked into Xinyu, Jiangxi Province, a "medical reform demonstration city", to see how the local area delivered high-quality medical resources to the doorstep of ordinary people through "sharing".
Let technology run more and let people run less errands.
In August 2017, Xinyu City, Jiangxi Province was listed as a national demonstration city for comprehensive reform of public hospitals. Since the demonstration, the local authorities have boldly explored and tried in combination with the actual situation, and accumulated a series of useful experiences and practices in institutional mechanism reform, grading diagnosis and treatment system construction, and enhancing the people’s sense of gain, so that the people can afford to see the disease and see it well, realizing "technology is improved, services are improved, resources are sinking, and costs are reduced", and the people have really benefited.
Focusing on the topic of "how to optimize medical services and make it more convenient for the masses to see a doctor", the local authorities have closely followed the new requirements of deepening medical reform, changed their thinking, emphasized innovation and excellent management in response to the problems strongly reflected by the masses, and formulated a series of new prescriptions to promote the sharing of resources among the three levels of medical institutions in cities, counties and townships and improve the medical experience of the masses.
In order to make patients run less errands, Xinyu People’s Hospital and Fenyi County People’s Hospital have set up remote consultation centers to connect with well-known domestic hospitals, so that patients can enjoy the diagnosis and treatment services of experts from well-known domestic hospitals without leaving the city.
"It’s much more convenient to see a doctor now. I used to want to go to a big city for examination first, or ask experts from higher hospitals to come over for consultation. It’s troublesome and expensive to ask for help. Now I can get results directly in the county by seeing a doctor remotely." Mr. Yuan just accompanied his father to finish the inspection and was very excited to see the online consultation of experts in Beijing 301 Hospital. "It is very convenient to enjoy the expert service in Beijing at home."
Xinyu People’s Hospital-Fenyi People’s Hospital-Beijing Imaging Center discuss cases online to solve primary medical problems.
The research team of People’s Forum learned that Fenyi County has also established interconnected triage terminals in three hospitals directly under the county and 13 township health centers, realizing the remote consultation of the whole county, so that some grassroots patients with unknown diagnosis, difficult treatment and high surgical risk in the county can enjoy better medical services in real time at the "doorstep". At present, the system has provided remote consultation service for nearly 100 patients.
In order to solve the problems of weak service capacity and large service volume of primary medical institutions, Xinyu City launched the key livelihood project "Smart Medical Assistance" in 2021. This project provides disease diagnosis suggestions for grassroots doctors through the mode of man-machine collaboration, which can be said to benefit both patients and doctors. Among them, the quality control audit system can realize real-time supervision. When the diagnosis is inconsistent or critical cases are encountered, it will be automatically submitted to the team of doctors in hospitals above the second level for review, and the superior doctors will give feedback after further diagnosis, creating a closed loop of primary diagnosis and treatment services.
From October, 2021 to February, 2023, the "Smart Medical Assistance" intelligent auxiliary diagnosis system handled a total of 2.784 million medical records, and provided artificial intelligence auxiliary diagnosis for a total of 6.96 million times, and the standardized rate of electronic medical records increased to 98%.
Faced with the uneven distribution of medical resources and the high cost of medical treatment for the people, Xinyu City has made great efforts to do a good job of "sharing" to promote the effective integration of resources and realize the equalization of medical services. Through the establishment of two sharing centers of medical imaging and medical examination in the city, the "two-way" transmission and sharing of image information is realized, which brings great convenience to patients. For example, the "Yimaiyun" platform of Xinyu Yimai Sunshine Medical Imaging Center began to provide digital "cloud film" services for patients in 2019, and the waiting time for CT was shortened from 1-3 days to half a day.
Xinyu Medical Image Sharing Center People’s Forum Network Zhong Chao photo
According to the relevant person in charge of Xinyu Health and Health Commission, through the function of cloud service platform, any medical institution in the region can access the image information on the cloud service platform according to the requirements of patients, and implement mutual recognition of results, effectively avoiding repeated inspections, allowing patients to check less, run less errands and save more money.
In 2023, Xinyu officially launched the "internet plus Nursing Service" pilot project, adopting the mode of "online application and offline service" to extend the nursing service to patients’ homes. After the implementation of the pilot project, the elderly, infants and parturients who are inconvenient to go out can enjoy professional and high-quality nursing services at home, meeting the diverse and multi-level health needs of the masses.
A series of warm-hearted measures have guarded the health of the people and realized that "minor illnesses do not run errands, but serious illnesses have to rely on".
Wu Huaiyou, a member of the research group of People’s Forum and dean of the Marxist College of Jiangxi Normal University, pointed out that Xinyu’s medical reform adheres to the people first and the problem orientation, and has achieved good results, realizing the transformation from treating diseases as the center to people’s health as the center.
Medical resources sink and people’s happiness rises.
Only when high-quality medical resources really sink to the masses and everyone can share a healthy life will the happiness of ordinary people be improved.
In Xinyu City, a series of measures to promote the shift of the focus of medical and health work and the sinking of high-quality resources have brought about changes that everyone can feel, making the results of medical reform really warm thousands of families.
"Xiaokang Clinic" is a vivid portrayal of Xinyu’s efforts to weave a well-knit rural health service network. According to the principle of "one administrative village and one clinic", 381 standardized Xiaokang clinics have been built in the local area, and more than 400,000 farmers can easily seek medical treatment at their doorsteps.
General Secretary of the Supreme Leader pointed out that there is a shortage of medical resources in rural areas, and it is necessary to balance medical resources by remote consultation, so that ordinary people can enjoy quality medical services at their doorstep. In Xiaokang Clinic, computers are all connected with Xinyu National Health Information Integrated Management System, which has realized the functions of remote medical consultation and one-stop medical insurance reimbursement, and has been praised by local people.
"In the past, when I was unwell, I could only ask people to buy some medicine casually. Now I can find a doctor without going out of the village." Gushan Village, Dongcun Township, Fenyi County, Xinyu City, is far from the township health center, so it was inconvenient for villagers to see a doctor before. After the completion of Xiaokang clinic, villagers don’t have to worry about seeing a doctor.
Rural doctors are an important part of China’s medical and health talents. How to make them stay in the countryside? Village doctors in Xiaokang Clinic implement "village employment", adopt an integrated management method, and coordinate financial funds at all levels to give subsidies to rural doctors to ensure that their monthly income is not less than 3,000 yuan. The city has handled endowment insurance for 716 rural doctors, which has solved their worries. In addition, we also pay attention to building a reserve talent team in Xiaokang clinic, so that rural medical talents can continue to file. Nowadays, the doctors in Xiaokang Clinic have become the health "guardians" of rural people.
Counterpart support between urban and rural areas is another measure of Xinyu city to improve people’s sense of health acquisition. In order to further strengthen the ability of primary medical service and the level of diagnosis and treatment, in recent years, Xinyu City has made solid counterpart support between urban and rural areas, and selected experts with strong professional ability and rich experience from county-level hospitals to be stationed in township hospitals in turn for a long time to carry out diagnosis and treatment services and technical guidance.
The research team of People’s Forum learned in Fenyi County, Xinyu City that 142 experts from county-level hospitals in this county went to 13 township health centers for counterpart support, and carried out 10,930 total diagnosis and treatment, 315 academic lectures, 751 teaching rounds, 65 operations and 208 consultations on difficult cases in primary health centers, and popularized new technologies such as heat-sensitive moxibustion, thoracic puncture and standardized diagnosis and treatment of Helicobacter pylori. In 2022, the number of referrals from township hospitals to county hospitals decreased by 52.1% compared with 2019, and the medical service capacity of township hospitals was effectively improved.
While expert resources are sinking, grassroots doctors are also trying to "float".
In order to further improve the service ability of primary doctors, several categories of local personnel, such as township general practitioners, backbone doctors, backbone nurses, managers and backbone rural doctors, were selected to focus on strengthening training, conducting online and offline studies simultaneously, and organizing personnel to observe and study in the Municipal People’s Hospital to improve their diagnosis and treatment level.
In 2022, the proportion of diagnosis and treatment in primary medical institutions in the city reached 51.15%. Gold cups and silver cups are not as good as the reputation of ordinary people. Leaving common diseases and frequently-occurring diseases in primary medical institutions and solving them well, so that the masses can get satisfactory medical services nearby, can truly facilitate the masses and continuously improve their happiness.
Huang Erdan, a member of the research group of People’s Forum and director of the Hospital Management Research Office of National Health Commission Health Development Research Center, pointed out that Xinyu model is a concrete practice to implement the requirement of "promoting the expansion of high-quality medical resources and balanced regional distribution" put forward by Report to the 20th CPC National Congress of the Party, and hopes that there will be more innovations in institutional mechanisms and informatization in the future.
According to the experts of the People’s Forum Research Group, the construction of county medical community is one of the main highlights of Xinyu model. "County medical community construction pays attention to resources ‘ Share ’ It has effectively alleviated the problem of difficult and expensive medical treatment for ordinary people, reduced the burden on the masses, and given grassroots people the opportunity to enjoy better medical services. " Tang Renwu, a member of the People’s Forum Research Group and dean of the Government Management Research Institute of Beijing Normal University, said.
People’s health is the most important indicator of modernization and the foundation of people’s happy life. Xinyu city takes better meeting people’s health needs as its first goal, and has achieved a big breakthrough with small incision, becoming a pioneer in medical reform in the new era. In the future, we expect Xinyu City to show new achievements and write a new chapter, so that the reform dividend will benefit the grassroots more fairly and raise the health and well-being of the people to a new level. (Author: People’s Forum Research Group: Wang Zhuoyi Qu Tongyu)