“Three sinks and three elevations” continue to improve the level of primary medical care in Jining City

2022-05-05 0 By

Qilu network · Lightning news January 28 – On the afternoon of January 28, jining municipal government information Office held a series of press conference on the theme of “I do Practical things for the Masses”, introducing the establishment of the long-term mechanism of “three sinks and three elevations” in the health system of Jining city, and answering questions from journalists.In 2021, jining Municipal Health Commission innovated the “three sinks and three elevations” activities in the city’s health system, and established a multi-level, comprehensive, scientific and reasonable “city to help county, county to help township, township to help village” counterpart assistance working mechanism.Through the “three sinks” of high-quality medical and health resources, high-quality health personnel and high-quality medical technology, we will promote the “three improvements” of community-level service capacity, diagnosis and treatment level, and public satisfaction.In combination with a series of measures introduced by the health care system to benefit the people, we have effectively improved people’s sense of access to medical care.Three-level pin-up assistance will be implemented to establish a long-term mechanism for promoting the sinking of high-quality medical resources.In the process of city-to-county assistance, the “group-type” assistance mode is adopted in combination with the city’s pairing support and cooperation, according to the functional positioning and development reality of the recipient hospitals. A president or vice president is assigned to the recipient hospitals, and 3-4 business backbone are selected to form a team to help them.The city’s First People’s Hospital, The Affiliated Hospital of Jining Medical College and the City Hospital of Traditional Chinese Medicine selected 92 people to carry out assistance activities in 10 county-level hospitals.In the county-to-township assistance, through division of labor and cooperation between the two sides, county-level hospitals provide one-stop services such as preferential treatment, examination and hospitalization for patients referred by township health centers.At the same time, patients with acute convalescence, postoperative convalescence and critically ill patients at stable stage will be timely referred to primary medical and health institutions for further treatment and rehabilitation, and gradually improve the medical treatment pattern of primary diagnosis, two-way referral, emergency and slow treatment, and upper and lower linkage.All 882 key personnel from 33 county-level hospitals have been relocated to all township health centers (community health service centers).In the process of village to village assistance, township hospitals set up a number of 2-3 family doctor teams, and each team contacts at least 2-3 rural doctors to establish a long-term assistance mechanism.Implement three-level personnel training, establish a long-term mechanism to improve the level of grass-roots health personnel.Rural doctors have been enrolled in classes, and peer-to-peer continuing medical education services have been provided to rural doctors through online classes and distance training, relying on provincial continuing medical education platforms.In 2021, continuing education services for 2,900 rural doctors were completed, and 335 key rural doctors were selected to attend free 7-day intensive training in Heze Medical College in two phases, to improve the skills of rural doctors in routine diagnosis and treatment, disease prevention and doctor-patient communication.17 county-level training bases, mainly county-level general hospitals and traditional Chinese medicine hospitals, have been established in the city. Each year, 200 new recruits for township health centers (community health service centers) have been selected for free training for at least three months in accordance with the principle of “learn what you do”.For municipal backbone at the grass-roots level training, determine the city’s first people’s hospital, city of jining medical college affiliated hospital, hospital three hospitals for the municipal training base, each year 100 intermediate and above titles or engaged in the professional 3 years at the grass-roots level business backbone, in accordance with the principle of “lack what fill what” free refresher training for 3 months.In 2021, 376 community-level medical and health workers completed training at the city and county levels.Implement three key tasks to establish a long-term mechanism of technical support for common diseases in county.Strengthen core specialties and enhance service capacity at the grassroots level.We will standardize the recommended standards for the medical service capabilities of county-level hospitals, improve the level of key clinical specialties in county-level hospitals point-to-point, and strengthen the diagnosis and treatment of common and frequently occurring diseases such as children and the elderly.At present, it has built 82 county-level medical treatment centers for chest pain, stroke and trauma.We will strengthen areas of weakness and improve the level of medical treatment.We will comprehensively analyze the needs of county residents for diagnosis and treatment and the ranking of diseases transferred from county to county, focusing on strengthening the development of emergency care, pediatrics, psychiatry (psychology), geriatrics, rehabilitation medicine, infectious diseases, and critical care medicine, dispatching personnel to help, improving hardware conditions, and introducing talents to make up for shortages in specialized areas.Improve telemedicine and deepen the sinking of high-quality medical resources.Relying on the national health information platform of Jining city, a unified hierarchical diagnosis and treatment platform and remote consultation system will be built in the city, and the remote diagnosis and treatment system will be extended to all township hospitals, community health service centers and clinics in central villages, so as to effectively reduce the quality diagnosis and treatment resources of the city and county to the grassroots level.In 2021, nine provincial and municipal hospitals, 35 county-level hospitals, and 174 township health centers (community health service centers) made 1.045,100 remote consultations, greatly facilitating medical treatment for the masses.In 2021, initial results were achieved in the “three sinks and three elevations”.In 2022, based on this work, jining Health system will continue to further promote this activity in accordance with the idea of “more solid, more accurate and better”.Cities will help counties, counties help townships, and townships help villages.Will work counterpart aid and senior title assess strictly tied, sinking, random checks support personnel and spot check condition into the level of medical institutions review daily evaluation content, for without good reason to take off the post more than 2 times (including) send the medical staff of the assessment results as unqualified, their level of sending medical institutions review counterpart support project “one ticket veto”.The training of community-level health professionals will be “more accurate”.In terms of student selection, the business backbone of village clinics and township health centers are carefully selected to participate in the classroom of township doctors or to the training base at the city and county level for free. According to the principle of “what to learn, what to fill what is missing”, tailored and personalized training is carried out according to specialty, specialty and need.In terms of training program design, we adhere to the principle of “one person, one case” and precise docking, so as to ensure that the learning hours of the trainees in the department meet the required standards and ensure that they have learned something.In terms of assessment, training implementation rules should be formulated, and process assessment, completion assessment and attendance assessment should be combined to ensure training effects.We will give people better access to medical services.We will further improve the telemedicine and hierarchical diagnosis and treatment systems, and realize the four-level connectivity of city, county, township and village within this year, with city and county hospitals providing telemedicine services online for the grassroots in real time.Relying on the construction of the county medical community, we vigorously carried out “grass-roots examination and superior diagnosis”. All township health centers (community health service centers) in the city provided remote ECG, remote imaging, remote pathology and other services, expanded remote ward rounds, remote education, remote training and other programs, and greatly improved the capacity and efficiency of grassroots medical services.Let the people have access to better quality, more efficient, more convenient and more efficient medical resources.Flash News reporter Du Zon-zhuo reports