Xinhua News Agency, Nanjing, May 23, reporter's notes: this "network" of the hospital allows more people to "look after the disease" at home

Xinhua News Agency reporter Dong Ruifeng

How to treat more diseases in the small hospital at home?

A reporter recently saw a scene in Dongtai City, Yancheng, Jiangsu Province: the patient went to the town health center to finish the CT, and the film was transmitted to the city's tertiary hospital through the information system within a dozen seconds. Soon, the diagnosis report was transmitted back. "It's the same as taking pictures in the city hospital." Xiao Zhang, a technician in the CT room, has received more than 20 patients that day.

Not only can images be "cloud diagnosis", but also blood samples can be sent for remote inspection. On the screen of Dongtai People's Hospital, the delivery routes and videos of professional logistics are displayed in real time. If necessary, samples collected by township hospitals will be sent here as soon as possible, "80% of the test results can be fed back on the same day".

One information network, realizing the integration of municipal services, the homogenization of examination results, and the transformation of different medical institutions from "respective array" to "integrated sharing".

"Two leading hospitals, six rural regional medical centers, 18 township hospitals, and 341 village clinics (stations) in the city have formed a medical community." Cui Hai, director of the Dongtai Municipal Health Commission, told reporters that the local organization structure, staffing, and financial input were basically unchanged, To provide more township residents with tertiary hospital services at their doorsteps.

In the emergency training room of Shiyan Central Hospital in Dongtai City, medical staff are practicing using breathing airbags. Photographed by Dong Ruifeng, reporter of Xinhua News Agency

Every step that makes patients walk less is converging into a big step of medical reform.

At present, local governments have learned and promoted the experience of Sanming medical reform according to local conditions. A total of 157 county medical communities were established in Jiangsu Province, with a county medical consultation rate of 93.9%. Since this year, the National Health Commission has held three consecutive training sessions for close county medical communities in Dongtai to introduce local typical practices. On the 23rd, a press conference on continuing to deepen medical reform was held here.

Information network is "table", and collaboration network is "inside". Only by taking the actual demand as the guide, breaking through the blockages and reengineering the process can the "multi game" be changed into "multi win".

Since 2023, Dongtai City has included the subsidy funds for basic public health services, the subsidy funds for essential drug system and the medical insurance fund into the general plate of the medical community, and assessed the member units of the medical community in five aspects: "satisfaction of the four parties (the masses, doctors, hospitals, and the government), public health, medical quality, service capacity, and operating efficiency", The assessment results are directly linked to the total performance of the unit and the salary level of the main responsible person.

Lower level hospitals do not have to worry about being "siphoned", and higher level hospitals do not have to worry about being "overhead" - to make all member units of the medical community truly "one family", and the reform of medical insurance payment mode is the key.

With the "baton", the "heavy treatment" has also accelerated the transformation to "health management".

In view of the reality that the proportion of the local elderly population exceeds 37%, Dongtai Municipal People's Hospital and Municipal Hospital of Traditional Chinese Medicine lead the establishment of 10 special disease teams, which are linked with the municipal and rural medical staff at the third level and the village level public health committee respectively, to increase the sunshine wage brought by "good health management", build a health grid, and prevent minor diseases from developing into serious diseases.

"Let high-quality medical services cover the ends of urban and rural areas, and maximize the health benefits." Cui Hai hoped so.