Written by: Yunnan Elderly News Yang Lei Editor: Xu Min
From the short-term guidance of experts at grassroots hospitals to the director and department director, from the free medical consultation activities, we can only see provincial experts to the experts performing surgery on me. The sense of gain of medical services in counties (cities, districts) has greatly improved the medical level of grassroots hospitals, the referral rate has been reduced, and the foundation for the construction of the "five centers" has gradually been consolidated. This is the results of the "provincial-managed and county-use" counterpart assistance work carried out by our province this year. Let us experience the health miracle created by the sincere cooperation and assistance work of support and the recipient hospitals for the local area through examples.
shan Township people can get sick at their doorstep. The "provincial-administered county-level" counterpart assistance work has promoted the accessibility of high-quality medical resources
ended the hardships and seeking medical treatment
70-year-old Wang Chaokun lay on the urology bed of Xichou County People's Hospital in Wenshan Prefecture, with joy showing between his eyebrows. He has suffered from huge prostate torture for more than four years and heard that the expert team of the Provincial First People's Hospital entered the county people's hospital and was admitted 3 days ago. After consultation, provincial experts took the surgery for him. He could get out of bed the next day after the operation. Because it was a minimally invasive operation, he could be discharged from the hospital after 4 days. Previously, hospitals in county lacked equipment and technology and dared not take surgery on elderly patients. They also had to do abdominal distension and were hospitalized for at least half a month. Since the counterpart assistance work was launched, the First Hospital of the Provincial Hospital has sent 10 medical team members from the reproductive gynecology, nuclear magnetic resonance department, rehabilitation medicine department, pathology department, urology department, anesthesia department, , pain department, geriatric medicine department, stomatology center, and pediatric department to work at Xichou , which has greatly improved the diagnosis and treatment level of relevant departments of the county hospital. In the past year, Xichou County People's Hospital has conducted 293 surgeries, 61 consultations and difficult cases, achieving the first case of many surgeries.
Provincial First People's Hospital assisted in the construction of multiple rural clinics in Jijie Township, Xichou County, Wenshan Prefecture, solving the problems of first and first diagnosis of grassroots people
"One sound of 120, a year of fat pigs are raised in vain." registered poor households who live in Jijie Township, Xichou County Deng Guofa has a deep understanding of this sentence and has a deeper understanding of no longer worrying about falling back into poverty due to illness. He is a strong laborer at home. The repeated recurrence of kidney stones in 10 years made him lose the opportunity to go out to work. In 2004, the Provincial Hospital began to support the development of medical services in Xichou County with , and successively invested 1.771 million yuan to build 8 village (school) health centers including Zhongzhai Village, Jijie Township. This allows villagers like Deng Guofa to get sick at their doorstep. Since the in-depth assistance this year, it has made it easier for too many villagers to solve the problem of surgery in the county. In the past, when I had surgery, I had someone to accompany my family to the state hospital or even the hospital in Kunming. I stayed in a hotel, waited for an appointment, and had surgery. It took two months to spend. With the round trip, I couldn’t even get a few tens of thousands of yuan. Deng Guofa's reimbursement rate for this operation was high, and he only paid more than 1,000 yuan. During the interview, many rural patients also told reporters that the state encourages villagers to see a doctor nearby, and provincial experts come to their doorsteps, which makes seeing a doctor and undergoing surgery a "happiness". The accessibility of high-quality medical resources allows farmers to raise pigs with peace of mind and achieve a well-off life.
With the counterpart assistance of the Provincial First People's Hospital, the pathology department of Xichou County People's Hospital in Wenshan Prefecture has been put into use
for many years. The reason for the slow progress is that the foundation of primary medical institutions is too thin and the technology in the hands of doctors is not strong. Even if advanced equipment is supported everywhere, no one can use it or dares to use it, and they can only be idle. The medical records I saw in primary medical institutions usually end with a sentence: refer to first-level hospital . The masses went to state-level and provincial hospitals, and the grassroots doctors wanted to improve their level through a rich number of diagnosis and treatment cases, so they lost the foundation.In order to reduce the grassroots referral rate, the medical counterpart assistance carried out by our province has never stopped. This year, the "provincial-managed and county-use" counterpart assistance work jointly launched by the Provincial Health Commission and jointly launched by the Provincial Party Committee Organization Department, the Provincial Party Committee Organization Department, the Provincial Department of Finance, the Provincial Department of Human Resources and Social Security, the Provincial Rural Revitalization Bureau and other departments has surpassed the previous assistance in terms of depth and intensity. 14 provincial medical institutions have formed a group to help 83 county-level hospitals . The assistance covers 74 counties (cities, districts) (including Lushui City , Shangri-La City, and does not include Nujiang Prefecture , Diqing Prefecture ).
From the guest to the "family"
, Zhaotong Ludian County People's Hospital approaching the early morning, Liu Tongyun, deputy director and chief physician of the Department of Dermatology of the First Affiliated Hospital of Kunming Medical University, is holding a training meeting on improving the treatment capacity of the new coronavirus pneumonia . He now has a new identity - the legal representative and director of Ludian County People's Hospital. He not only needs to coordinate the work of the medical team, but also is working hard to build a pathology department. In April this year, a team of 10 medical experts, mainly from the First Affiliated Hospital of Kunming Medical University, participated by the Provincial Infectious Disease Hospital and Kunming Third People's Hospital, went to Ludian , Yongshan , and Zhenxiong County Hospital to carry out counterpart assistance work. The head of the assistance team usually serves as the director or executive vice president of the aided hospital. This is not only a feature of the counterpart assistance of the "provincially managed county-level" this time, but also a need to strengthen the work of supporting the hospital's "use hospitals to take care of the hospital". Only by effectively changing the assistance practices of experts as guests can the assistance team be encouraged to actively integrate into the aided hospital, from technology to management to development, and help grassroots hospitals improve quality and efficiency in all aspects.
Kunming Medical University First Affiliated Hospital provides assistance to Zhenxiong County People's Hospital in Zhaotong City, and helps its cardiology department become a famous department in Yunnan, Guizhou and Sichuan provinces
In the "Notice on Issuing the Implementation Plan for the Establishment of a "Provincial-Administrative County-Use" Counter-Aided Assistance Mechanism" in our province, it is clearly stated that for national key counties for rural revitalization, support hospitals should select experts with deputy chief physician or above and doctoral titles and doctoral experience as the assistance team leader, and serve as the director or executive vice president of the hospital of the assisted county, and the assistance team leader should be no less than 2 years. Two years means that the captain can have the opportunity to be fully familiar with the grassroots and think about work, and can also ensure the continuity and stability of the assistance work. On October 20, He Wenwei, captain of the counterpart assistance medical team of the First Affiliated Hospital of Dali University stationed in Tonghai County People's Hospital in Yuxi City, successfully performed the "closed reduction of left femoral intertrochanteric fracture comminuted fracture intramedullary nail internal fixation surgery" on 99-year-olds suffering from various basic diseases. Grandma Zhang's family thought about it repeatedly when signing the operation consent form. This time, the experts were not passing by, but permanently resident. The elderly's recovery after the operation was guaranteed and they could finally make up their minds. Such surgery is a routine operation at Tonghai County People's Hospital. However, Grandma Zhang's relevant examinations showed that she had many high-risk factors for surgical anesthesia, such as chronic obstructive pulmonary disease, coronary heart disease, , and level 3 of cardiac function. The captain of the assistance team, He Wenwei, invited experts from the First Affiliated Hospital of Dali University to participate in multidisciplinary consultations and jointly formulated surgical anesthesia treatment plans, which ultimately ensured the success of the operation.
Zhaotong Zhenxiong County People's Hospital adheres to the weekly reading system. This is an advanced management model brought by the First Affiliated Hospital of Kunming Medical University
The most intuitive effect of the assistance work is that there are more surgeries in various departments that grassroots hospitals can and dare to carry out. One example of successful operations plays a crucial role in enhancing the reputation of the hospital. In Ludian County Hospital alone, since April this year, the assistance team has carried out multidisciplinary consultations and discussions on difficult cases across the hospital, and guided 82 surgeries. 18 new technologies, new businesses and new projects have been introduced, and 2 new national center construction projects such as heart failure centers and hypertension compliance centers have been added. A total of 2,586 outpatients have been completed and 389 emergency departments have been completed. The number of outpatient patients in the department of cardiology, dermatology, obstetrics and gynecology has increased significantly. The phenomenon of major and special diseases being transferred out of the county has gradually reversed, and the social influence has been highlighted, which has strongly supported the development of local social and economics.According to the relevant person in charge of Zhaotong Municipal Health Commission, a total of 14 tertiary hospitals in the province have provided counterpart assistance to Zhaoyang District, Zhaotong City, Ludian County , Qiaojia County , Zhenxiong County , Yiliang County , Yanjin County , Daguan County , and Yongshan County People's Hospital. A total of 85 medical experts have been to the receiving hospitals to carry out on-site assistance work. Among the assistance medical team leaders, 5 are the directors of the receiving hospitals, and 3 are the executive vice presidents ( Zhaoyang District , Qiaojia County, and Zhenxiong County). The assistance team takes the level evaluation, construction of key specialties, construction of weak specialties, construction of centers, and quality improvement and compliance with standards as the phased assistance goals, and helps the recipient hospitals to lay a solid foundation in terms of medical technology services, operation management, and MDT team building.
rushing thousands of miles to only serve the people and the heart is at peace
August 20, on an ordinary weekend, Director Chen Xiaobo's cell phone rang out of the Department of Thoracic Surgery of the First Affiliated Hospital of Kunming Medical University. The other party stated the critical situation that occurred during the operation. They performed "thoracoscopic wedge resection of the right upper lobe nodule of the right lung for lobe resection". During the operation, the patient was found to have a mediastinal lymph node sclerosis, showing a pivotal lymph node. Due to the tight adhesion of the lymph node sclerosis and the pulmonary artery, uncontrollable bleeding occurred during the free upper lobe pulmonary artery. This is a problem that has never been encountered since the thoracic surgery department of Zhenxiong County Hospital conducted lobectomy surgery. Director Chen asked the other party to send the patient's lung film through the remote consultation system. Then he made a quick decision to tell the other party to stop the bleeding for the patient first and wait for him to come down for the operation. After reporting to the hospital, Director Chen immediately drove to Zhenxiong . It was nearly 600 kilometers long distance. It was already evening when he arrived at the county hospital. He had not had time to eat and entered the operating room immediately. With the cooperation of colleagues from the county hospital, the operation was successfully completed, and Director Chen's steps were already staggering when he walked out. The patient walked out of the gates of hell, and the county hospital opened a new chapter in lobectomy technology. There are many such stories in the assistance work. Some experts who support the hospital, although they are not members of the assistance team, have also been integrated into the assistance work. Because medical assistance at the provincial and county levels is a project and a heritage. Take Kunming Medical University's First Affiliated Hospital for example. The counterpart assistance to Zhenxiong County Hospital has been in 17 years, and the Provincial First People's Hospital has been helping Xichou County Hospital since 2004. If the previous assistance is compared to building bridge piers, then this year's "provincial-administered county-owned" counterpart assistance is like paving a highway on the bridge pier, consolidating the results of provincial hospital assistance and opening up the fast lane for the construction of county-level hospital medical alliance .
Liu Tongyun (left), deputy director of the Department of Dermatology at the First Affiliated Hospital of Kunming Medical University (left), became the director of the People's Hospital of Ludian County, Zhaotong, and took the business and management one shoulder to shoulder
This counterpart assistance has achieved the effect of helping one county and one area. The First Affiliated Hospital of Kunming Medical University has established a segmented assistance work mechanism in Zhaotong City, divided 11 counties into 4 areas, established a mobile assistance mechanism for county-level assistance experts, and guided assistance experts to carry out free medical consultations, teaching, training classes and other activities in the region in an orderly manner according to grassroots needs. Since the launch of the segmented assistance work, a total of 238 patients have been provided with round-trip diagnosis and treatment services. While providing high-quality diagnosis and treatment services to patients, it has also driven the improvement of medical services in surrounding counties and districts. A patient with heart failure and in Weining, Guizhou suffered a sudden myocardial infarction and directly asked to go to Zhenxiong County People's Hospital for surgery. The expert clinic of spinal joint surgery, trauma orthopedic expert clinic, cardiology and other expert clinics in Zhenxiong County have excellent reputation among the people in Sichuan, Yunnan and Guizhou provinces, and indirectly reflects the results of 17 years of assistance. Since 2004, the First Provincial Hospital of the Provincial Hospital has successively selected 103 people to Xichou County First People's Hospital to carry out counterpart support work. 98 new businesses and new technical services have been expanded, the "Kunhua Medical Consortium Specialty Alliance Agreement" has been signed, and 9 expert team workstations have been established. 450,000 yuan of assistance was invested to help Xichou County Hospital and the Provincial First Hospital establish a remote consultation platform between departments, shortening the time for consultation on diseases and reducing the family burden of patients. It is worth mentioning that the First Provincial Hospital has carried out a lot of work in assisting the construction of township health centers and expanding the further training of grassroots doctors.Since the beginning of this year, 10 doctors from the county hospital have been given the opportunity to study in the first hospital of the provincial hospital. Wang Jinwei is a village doctor in Houka Village, Zhongzhai Village Committee, Jijie Township. He witnessed the process of Zhongzhai Village Health Center from old and dilapidated to a new look. Four years ago, he and the other 15 village doctors went to the First Hospital of the Provincial Hospital for further study. Now the village health center has become the first choice for the first and first consultations of nearby villagers. Under the influence of years of free medical consultations and education activities by provincial experts, the villagers' health literacy has improved, and the village appearance has become beautiful. Creating a healthy village and a harmonious village has become a new highlight of rural revitalization.
Zhaotong Ludian County People's Hospital has opened a remote diagnosis and treatment system. The expert group of the First Affiliated Hospital of Kunming Medical University can consult the grassroots public in Kunming and "provincially managed county-level" counterpart assistance work, aiming to promote the sinking of high-quality medical resources, bring advanced diagnosis and treatment technology to key counties and areas with weak medical forces, and help grassroots patients solve difficult diseases, while cultivating talents in county-level hospital departments, promoting discipline development, stimulating the vitality of medical services, promoting tiered diagnosis and treatment, and helping rural revitalization and healthy Yunnan construction. This work has been carried out for less than a year, but it has shown vigorous vitality, which is derived from the high attention and high-level promotion of the provincial party committee and government, the effective linkage of multiple departments at the provincial level, the experience accumulated in the history of medical assistance, and the boundless love of the medical front in our province. In the colorful scroll of rural revitalization in our province, that reassuring white scenery is indispensable.
Kunming Medical University First Affiliated Hospital Assistance Expert Team conducted a large round of rounds at Ludian County People's Hospital
Build a healthy village and a harmonious village have become a new highlight of rural revitalization in Wenshan Xichou County
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