Excessive concentration of medical resources is the main problem facing “difficult to see a doctorâ€. Building a medical consortium (referred to as “medical associationâ€) is an important measure to solve the problem. How to "connect" the medical association determines whether it can truly meet the most important medical needs of the grassroots, such as "quality", "convenience" and "cheap". The 48 core hospitals in Nanjing and various district hospitals and more than 140 community health service centers in the city have established a variety of medical associations, which have realized the full coverage of the medical associations of all public primary medical institutions in the city. Where is the key to the construction of the medical association? What is the problem? What solutions have Nanjing adopted? The reporter conducted an in-depth investigation.
How to break the heat on the cold
Change "loose" to "tight" and improve grassroots service capabilities
“Hey Director, come!†Zhou Ayi, a resident of the Lushan Community in Yuhuatai District, Nanjing, entered the Community Health Service Center and greeted the Chinese medicine doctor Qi Zhizhong, the director of Nanjing Chinese Medicine Hospital. In Nanjing, citizens who have a medical treatment at any community health service center have the opportunity to meet face-to-face with experts from the top three hospitals.
But in the past it was not such a picture. Confucius Temple Community Health Service Center, located in the most prosperous Confucius Temple area in Nanjing, the occupancy rate of the ward was less than 20%. “The beds in the community hospitals are empty, and the patients are all crowded into the big hospitals. The main reason is that the service capacity of the community hospitals is insufficient.†Tao Shu, director of the Department of Infectious Diseases of the First Hospital of Nanjing, said that the graded diagnosis and treatment cannot be satisfied with arranging expert consultations and large hospitals. In the form of community hospitals, the key is to improve the service capacity of community hospitals.
"Upper heat, medium temperature, and cold", the form of the joint medical complex, mostly a loose state, the effect is more dull to the grassroots. In 2014, Nanjing City began to promote the construction of a new medical association. "The core is to improve the ability of grassroots services and to sink high-quality medical resources to the grassroots." The relevant person in charge of the Nanjing Municipal Health Planning Commission said that the new round of medical associations must develop towards close cooperation.
Under the background of the construction of a new medical association, the Department of Infectious Diseases of the First Hospital of Nanjing and the Confucius Temple Community Health Service Center have established a medical care escrow ward, and the backbone of the department's business is stationed to help the ward management and medical quality and safety. Uncle Li, who is in his 70s, often develops lung infections due to chronic diseases. In the past, he was particularly afraid that he would not be able to wait for the bed of the first hospital when he was sick. Now he is holding the first hospital's directed referral contact list, and he is familiar with the community. Service center, "Doctors and inspection methods are the same as the first hospital. The cost is paid according to the standards of community hospitals. It saves money and saves money. Of course, I am willing to be hospitalized here!"
"Squaling" is not advisable
Participating in competition, large hospitals must also improve service quality
The Laoshan Community Health Service Center, located in the edge of the main city of Nanjing, is a newly established community medical institution in 2014. Only this community health service center has participated in the cooperation of many medical institutions such as Jiangsu Provincial Hospital of Traditional Chinese Medicine and Nanjing First Hospital, and has opened many specialized clinics such as internal medicine, surgery, gynecology, etc. Experts come here for a consultation. Residents of the Lushan community can enjoy quality medical services at their doorsteps, eliminating the need to go to the big hospitals in the city.
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