How to resist the first wave of the epidemic after the "liberalization" of the township health center

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“At last, we have resisted the first wave of the epidemic,” Liu Gang said with a long breath to the reporter who came to the interview.

Liu Gang is a doctor at a health center in Yuzhou City, Henan Province, but a month ago, the sudden peak of infection caused not only a large number of doctors and nurses at his health center to be “hit”, but also a batch of antipyretics and antipyretics that should be used to treat new crowns were out of stock, which brought Liu Gang and his colleagues Unexpected difficulties.

“Now the drugs are also still relatively tight, but we (the health center) have been able to supply the drugs basically.” Although there are still patients coming to the clinic, Liu Gang told reporters that compared to the other days when there were queues of patients everywhere in front of the clinic building, the number of daily visits has now dropped quite a bit.

In the health center where Liu Gang is located, President Wang Feng said that one of the reasons why the health center was able to overcome the initial difficulties in treatment, thanks to these years have been promoting the construction of the “(county) medical community”.

The so-called county medical community refers to the county-level hospital as the leader, township health center as the hub, the village health office as the foundation, and then build up the county, township, village three medical and health institutions to collaborate, three-tier linkage of the county medical service system.

The Yuzhou Health Care Commission told reporters that Yuzhou’s county medical community consists of three medical health groups led by Yuzhou People’s Hospital, Yuzhou Central Hospital, and Yuzhou Chinese Hospital and other general hospitals.

According to Liu Gang’s understanding, the so-called medical community, equivalent to a group of companies, the parent hospital, “equivalent to our management headquarters, as for us, these health centers, as the group of secondary companies below, the health center’s financial and technical support by the headquarters, including drug procurement, is also unified by the group headquarters unified procurement, and then issued to us (health centers) here. “

Liu Gang’s health center, belonging to a hospital in Yuzhou City medical health group. At the beginning, although the hospital is short of medicine, but its location in Yuzhou City, is a well-known domestic “medicine capital”, rich in Chinese herbs, its parent unit of Yuzhou City Hospital, also has some Chinese medicine formulas can be used to treat new crowns, and finally, the “Medical Community” in the solution to the The “medical community” began to play a role in the process of solving the lack of medicine: the higher-level hospital provides the Chinese medicine formula, and then the lower-level health center’s Chinese medicine museum boils the Chinese herbs into oral soup, and the village doctors and family doctors scattered around the countryside, respectively, according to demand, to the health center to receive the corresponding medicine.

“The people don’t have to go back and forth, they can get the medicine directly to the local village health center.” Liu Gang said that many township health centers and village health offices in Yuzhou have solved the problem of drug shortages in this way.

Huang Can, director of another health center in Yuzhou, has a different understanding of the medical community. This health center is in a remote location, located in a mountain range nearly 40 kilometers from Yuzhou city, and even if a patient takes 120, it takes nearly an hour to travel from the health center to the city.

“For some critical patients, not to mention an hour, maybe 10 minutes is a matter of life and death.” Huang Can had a patient, it is unfortunate to usher in such encounters, at the end of December last year, the patient was just sent to the health center by his family, already in high fever, breathing has begun to be poor, Huang Can immediately through the online remote information technology platform, and the higher hospital to get in touch, the higher hospital on the one hand to send 120, on the other hand, and mobilize hospital experts, remote guidance Huang Can and others in the health center to the patient On-site diagnostic medical treatment, then, along with the relative stability of the patient’s condition, the 120 ambulance also arrived at the health center and transported the patient to the higher hospital in Yuzhou City.

“Here we are, there are many mountain roads, ambulances come and go, at least two hours, very delayed treatment.” Even though it has been many days, Huang Can still can’t help but lament that at that time, thanks to the medical community, they were connected to a higher-level hospital, otherwise, the patient would probably not have been able to keep.

It is also the value of medical community for rural medical care, just this past December 2022, the National Health Commission has issued two specific guidance for medical association (common) body within a week.

One was on December 7, when the National Health and Welfare Commission issued the “Notice on the issuance of a work plan for the graded treatment of New Coronary Pneumonia by medical association”, and the other was on December 11, when the official website of the National Health and Welfare Commission issued the “Notice on the issuance of a work plan for relying on county medical communities to improve the medical security capacity of New Coronary Pneumonia in rural areas” (Joint Prevention and Control Mechanism General Issue [2022] No. 126), which again mentioned that that in rural areas, county-level medical communities should be used as a carrier to improve the capacity of county hospitals to treat serious illnesses and to play the role of health monitoring in township health centers and village health offices to minimize the rate of serious illnesses and deaths.

Subsequently, on December 27, the State Council held a press conference on joint prevention and control mechanisms, and Jiao Yahui, director general of the Medical Department of the National Health and Wellness Commission, said that county medical communities should be formed in rural areas on a county-by-county basis, using the model of graded treatment to give full play to the role of urban and rural medical service networks at the three levels.

A data from the National Health Care Commission shows that, as of now, the number of county medical communities formed nationwide has exceeded 4,000.

However, the thinking of “going to a big hospital”, which is still solidified in the minds of many people, is becoming an obstacle for some county medical communities to move forward.

In a health center in a central province, the hospital director Guo Tong learned that the reporter came to understand the construction of medical community, shaking his head repeatedly said, the people have a disease, they drive to a large hospital, who came to the health center, know that the health center medical conditions are not as good as others.

“In fact, for the rural people, many diseases can first in the township health center for preliminary treatment,” said Guo Tong, but for so many years, many people have a misunderstanding of the health center, plus, now driving is also very popular, many people, a disease, are more willing to drive directly to the city hospital, which is actually a medical resources This is actually a waste and impact on medical resources.

This is a waste and impact on medical resources. “Some health centers (treatment conditions) are really not good.” Liu just admitted in an interview with reporters, in the past, the poor treatment of health centers, medical equipment is not complete, indeed may have delayed some patients (treatment), but now, through the medical community model, the higher hospitals will target the weaknesses of the health center, regularly send special doctors to sit in the health center, guidance, which has been much improved than before.

However, in the face of the next peak of patients may appear again due to the Spring Festival, Liu Gang’s heart, still some drums, “after all, or the health center, can directly mobilize medical resources, there are only so many, there is really a large area of infection, or may be unable to take care of themselves.”

Now, along with the health center to join the medical community, Liu Gang’s most urgent expectation is that many health center doctors, doctors, in the knowledge base, diagnosis and treatment experience have a lot of room for improvement, “after a while, the patients are not so much, I really hope that the higher hospitals can give us more training in these health centers, after all, the doctors of higher hospitals, than our health center is still much stronger The doctor is a pseudonym.”

(Doctors and deans are pseudonyms in the article)