The hospital of the first, second and third " The flowers are in blossom " Village
The doctor of provincial hospital builds three river the People's Hospitals to diagnose the illness for local peasants in the coordinated cooperation hospital.
It is gentle /take a photograph of by the people staff reporter Tong Zhu on Wang
By river the one of womens of farms big, uterus skin tumour serious. Family are planning to take patient to the large hospital of Harbin of provincial capital to carry on the operation, it is said only several 5 kilometers build the expert that three river the People's Hospitals have come into the province from the farm, hold psychology that see come hospital, never expect provincial hospital in the intersection of form and May, Deputy Director of gynaecology and obstetrics, of coordinated cooperation this, succeed in, carry on uterectomy under the peritoneoscope for it at the gate of home.
This kind of example nowadays, can be found everywhere in 66 of the whole province by the town of county which the tertiary hospital supports. Can enjoy the service of making a diagnosis of the expert of hospital of the first, second and third inside the province without going out of the door, have already become reality.
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A few days ago, the hygiene administrative department of our province aimed at strengthening the construction of hygiene at the basic level of the whole province, let limited the intersection of hygiene and resource maximize, utilize, reflect health care serve a equal to take one " ten thousand doctors go to a grassroots level " really And the hospital activity at county level of coordinated cooperation of tertiary hospital. Since the activity is launched, nearly one thousand well-known doctors, experts of tertiary hospital in the whole province, eat in 66 hospitals at county level with relatively weak medical level, the business backbone who becomes here, also taken inside the province first-class medical care for local common people.
Peasant's friend House gate enjoys the high quality services inside the province
" ten thousand doctors go to a grassroots level " And the hospital activity at county level of coordinated cooperation of tertiary hospital, the first beneficiary is the common people in the place. For this reason, the department of public health of the province, as the administrative department, for not allowing the situation that the activity goes through the motions or gives up halfway, have made the job specification of three yearses of the hospital at county level of each coordinated cooperation of tertiary hospital, and sign the responsibility contract. Can let the common people in the place enjoy high-quality medical care through this kind of form in its purpose.
It is reported, this coordinated cooperation activity has covered the county (market) above 90% of the whole province ,Benefiting the county, township, village, total population exceeds 10 million people, the coordinated cooperation personnel that and each tertiary hospital sent, everyone is experts, backbones of the hospital.
In the past only in medical technology, means which the large hospital there could be in the provincial capital, grasp and apply skilfully in each hospital of county town nowadays. According to the incomplete statistics, with the development of the work of coordinated cooperation, have had 100 means of making a diagnosis with new multi-type already, launched in the hospital that is supported extensively.
Harbin medical university attaches to the second hospital bone head of the department Han JianFeng, accredits personnel as the coordinated cooperation, reside with the river city the People's Hospital. Over two month, to the high reality that take place of disease of the local lumbar vertebrae, utilize technology that oneself knows, launch more than 20 lumbar vertebraes operation, is received by local common people favourably deeply. As time goes by, local ordinary people all know an expert of dept. of orthopedics of provincial capital has come in Dao County hospital, then look at the intersection of waist and disease, look for doctor Han on the province, become to choose first locals, telephone of JianFeng Han become some the intersection of township hospital and " consultation hot line " of doctor too . Under the leadership of Han JianFeng, with dept. of orthopedics of river the People's Hospital, have become the department that local common people trust too.
It is reported, like Han JianFeng, with the development of the coordinated cooperation activity of our province, each one is supported in the county hospital, all because of the arrival of the tertiary hospital expert, have one or several " fist departments " trusted by common people .
Introduced to the profound president of the People's Hospital of river, because the medical condition was limited in the past, the disease a bit seriously of people here, want to go to the province to look too while taking the car for a dozen hours, tire the people and drain the treasury and does not say, a lot of diseases are delayed on the road. "Our hospital has experts in provinces too now, the nearby township, village peasant look for the expert in the province to see the doctor, just one or two hours, really equivalent to let the hospital of the first, second and third move to the village. "
Accredit experts The common people there really need us very much
What the provincial hospital accredited in the first batch and is supported builds the department of neurosurgery of three river the People's Hospitals, orthopeadic surgery, gynaecology and obstetrics, circulate 7 experts of internal medicine department, department of nerve internal medicine, division of endocrinology and ENT dept., also become the busiest person in the hospital. A detailed work load record, there is such a record:
The teaching of accumulative total is given lessons for 31 times, has made a plurality of scientific research plans. Department of nerve internal medicine Pan become favourable Deputy Director organize Corey's vocational study Tuesday afternoon while being every, successively studied the dissection of the brain, image of localization diagnosis, CT of brain infarction and MRI of brain and studied treating progress newly of diagnosis, vascular disease of the brain.
Happen Specialist Clinic 16 altogether totally, circulate internal medicine department beautiful Great Britain director Wu produce Specialist Clinic once every week among them, department of nerve internal medicine Pan become favourable Deputy Director go out, examine one every week, dept. of orthopedics square strong Deputy Director Wu go out and examine Wednesday while being every, the Specialist Clinic happens regularly to the high grand director of department of neurosurgery.
Make the rounds of the wards 64 together totally, department of nerve internal medicine Pan make the rounds of the wards every morning as favourable Deputy Director among them, diagnosis and treating standardized guidance, make each patient get the rational, normal treatment to each patient; The high grand director of department of neurosurgery insists on making the rounds of the wards every day, organizing the critical patient to rescue, hold a consultation.
Organize the difficult disease to discuss for more than ten times together totally; Circulate internal medicine department beautiful the intersection of Great Britain and director Wu organize one every week difficulty and death case discuss among them; Square strong Deputy Director Wu of dept. of orthopedics discusses the difficult case every Thursday.
Organize the teaching of operation more than 20 times together totally.
It is introduced in a short period of several months, the activity launches, 30 tertiary hospitals accredit the expert's pouplarity which is supported the county hospital, far go beyond people's expectancy.
According to the introduction of comrade of responsible institution of department of public health, since the work of coordinated cooperation is launched, the whole province 30 tertiary nearly one thousand of hospital accredit expert, work at full capacity while being the whole nearly, this has reflected the need for high-level medical treatment of common people at the basic level to a certain extent.
Four institute, medical university of Kazakhstan, digest Bin Li, Deputy Director of department, accredit, be Thailand the People's Hospital, leave in several months, see patients, make the technical training up to one's eyes in work every day. He says to the reporter, this feeling is the deepest, that kind of aspiration, expression in one's eyes of believing in that it is the local patient, knew " the common people here really needed us very much " at that time. "
Administrative department let hygiene serve equal to take, realize the medical treatment in situ
Because of the historical reason, the health care of our province is unbalanced in resource allocation, it is too centralized in the key city that concrete embodiment is and the outlying district one is relatively weak. Let limited the intersection of health care and resource, utilize, combine while being high-efficient fully, it is the original intention of this coordinated cooperation activity.
For this reason, the hygiene administrative department of our province proposes: Support and work in three years when the large-scale hospitals of 30 cities of the whole province should be responsible for the hospitals of three counties separately, propose medical service ability and level in Gao County hospital emphatically, strengthen rural common disease, frequently-occurring disease and great disease medical treatment, make peasantry get the cheap health care service of fine quality nearby, make great efforts, relieve rural the difficulty and high cost of getting medical treatment issue; Adopt and strengthen the technological staff training of the rural hygiene, help to launch the new technology, new project, train key personnel, strengthen the construction of discipline, method of setting up and improving the system and receiving the personnel of aid-receiving hospital and receiving a training free etc., propose the management level in Gao County hospital.
According to the introduction of chief of province department of public health Li Bin, accredit the hospital of county supported through the large hospital expert, can let the medical resources of advantage fully utilized, can also vitalize some and leave medical resources unused at the same time, realize progressively the hygiene service is equal to melt in the real meaning.
Ministry of Health statistics show, the coordinated cooperation activity is launched, 66 of the whole province are supported in the hospital at county level, average clinic quantity rises by more than 10%, the proportion that local masses go out to go to a doctor is dropping progressively too.
Pass the coordinated cooperation activity, while combining hygiene resources effectively, " medical treatment in situ " Willing scene straight for realization progressively.
The policy is chained Enable, go to a grassroots level " Go down, afford to keep "
The national new medical reform scheme puts forward " system of setting up rural medicine and health work of the coordinated cooperation of urban hospital clearly. The large hospital in the city will set up long and steady coordinated cooperation and system of cooperating with the hospital at county level, way of taking clinical service, staff training, technological guidance, apparatus to support etc., help it to improve medical level and service ability " Requirement,department of public health devote more efforts to coordinated cooperation rural hygiene of urban hospital for stepping forward, combine the resources of health care in urban and rural areas, set up the long-efficiency mechanism of the coordinated cooperation of hospital in urban and rural areas, strengthen the medical building of contingent, improve the rural medical service quality, help peasant and patient get better medical care nearby, lighten peasant's financial burden, promote the health care industry of our province to develop in a healthy way overallly, coordinated, sustainably, since August of 2009, launch " ten thousand doctors go to a grassroots level " Activity.
The hospitals of 66 counties of the coordinated cooperation of large-scale hospitals of 30 cities of the whole province, these 66 hospitals include 14 national-level hospitals of poor county, 7 provincial hospitals of poor county, 18 hospitals of frontier county (both frontier county and poor counties including 4) ,Hospital of general county of area under the jurisdiction of the municipal government of 32 pieces of ground.
" ten thousand doctors go to a grassroots level " The activity, aim at proposing medical service ability and level in Gao County hospital, strengthen rural common disease, frequently-occurring disease and great disease medical treatment, make peasantry get the cheap health care service of fine quality nearby, make great efforts, relieve rural the difficulty and high cost of getting medical treatment issue.
" ten thousand doctors go to a grassroots level " The activity adheres the principles of sending and please come up and is combined, proceed from actual need of the aid-receiving hospital, fit in with one's training or speciality according to discipline, speciality, personnel three, take measures of helping to manage, spread technology, bring talents, support discipline etc., through helping and helping to combine together, be touring and fix and combine together, support and combine with aid-receiving, be clinical and prevent the work method of combining together short long, reaching finally makes the hospital management level at the basic level improved, new technology, new project are popularized, second the intersection of discipline and construction enhance, stand-by equipment utilize, it is equal to take and is implemented for public health to serve, the people get the goal of high-quality, high-efficient, safe, cheap medical care.
In the province and city ' Administrative office) Under the organization and arrangement of health authorities, supporting the hospital is taken team to the aid-receiving hospital to investigate and survey and study by the institute leader, on the basis that both sides consult together, confirm the annual concrete performance goal, and sign " support the agreement " with aid-receiving hospital and define responsibility and obligation of both sides.
Performance examination methods of personnel, incentive mechanism and responsibility claim system of improving and going to a grassroots level, make " ten thousand doctors go to a grassroots level " The activity steps into becoming a regular practice, standardization, institutionalized orbit. Sound and implementing the tertiary hospital clinician in the city in promotion, before the high title, go to the basic unit to serve the working system in one year. Personnel implement for going to a grassroots level " Three do not change " Namely the salary, bonus, welfare treatment are not turned into sum " Four have priority " Namely promote policies and measures such as the professional title, employing the post preferably, selecting and appointing and receiving a training, promoting and putting in an position preferably preferably,etc. preferably, relieve, go to a grassroots level worry of personnel, make, go to a grassroots level personnel " go down, afford to keep " really ,Fully contribute.
The aid-receiving hospital sets up the touring medical care system of going to the countryside regularly while accepting and supporting the hospital to support, guide and improve the township, two grades of medicine and health work of village.
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