Ramming the foundation and strengthening resources-Chongqing scan to improve the rescue and treatment capacity of primary medical institutions

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In the past few days after the Spring Festival, the People’s Hospital of Fengjie County, Chongqing, has sent out a number of medical teams to visit and guide the key township health centers in its area. How is the telemedicine system working? What are the weak links in the management of the wards? At each location, these teams, formed by physicians specializing in respiratory, infection, Chinese medicine and other related disciplines, will make targeted recommendations. “After the peak of infection, as the leading hospital of the county medical community, we continue to promote the sinking of resources to help primary care institutions improve their treatment capabilities.” Ou Shu, vice president of Fengjie County People’s Hospital, told reporters.

In order to do a good job in the new phase of epidemic prevention and control, Chongqing has strengthened graded guidance by sinking experts to make rounds, establishing a telemedicine collaboration network and stationing professionals to help primary health care institutions improve their ability to identify, diagnose and treat patients, and to guide primary health care institutions to do a good job of health monitoring and timely referral services for high-risk populations.

“With the support of higher-level medical institutions, we have more confidence in guarding the health of villagers.” Liu Wenju, a village doctor in Xiema Village, Fuxing Street, Beibei District, Chongqing, said. According to reports, the Fuxing Street Community Health Service Center established a district medical rescue work WeChat group, hospital medical staff, rural doctors, village community cadres are in the group. When the village health office rescue and treatment difficulties, the hospital can not only remote guidance, but also the first time to grasp the situation; such as the village health office can not rescue and treatment, the hospital will immediately go to the clinic, transfer, so that every villager can get effective treatment.

The person in charge of Chongqing Health Care Commission said that the city’s districts and counties have organized hundreds of patrol teams to carry out medical treatment guidance in key towns and villages, and established 68 remote collaboration networks to help grassroots medical and health institutions through information technology.

In order to solve the dilemma of shortage of medical personnel at the grassroots level, Chongqing is implementing the “county-hired rural use” system of sending backbone doctors from county hospitals to help grassroots health centers, and dispatching them on a regular rotation every year, a measure that has also played an important role in epidemic prevention and control. This measure has also played an important role in the prevention and control of the epidemic.

In Jiangjin District, Chongqing, each leading unit of the local medical community has designated two key doctors to be stationed in six Class A township health centers to train medical and nursing staff in critical diagnosis and identification, medication guidance, and health management of service recipients, and to conduct teaching visits for patients with more complex conditions who are hospitalized in township health centers, and to discuss and determine treatment plans, etc. A total of 142 grassroots treatment visits have been guided, and treatment plans have been formulated 63.

As the head hospital of the medical community, Chongqing Rongchang District People’s Hospital has set up four medical and nursing teams composed of internal medicine system and critical care experts to conduct rounds and guidance to each of the 13 medical community hospitals, focusing on the allocation of resources, staff training, identification and diagnosis of high-risk groups and medical care in primary care institutions, and checking the equipment of emergency equipment and emergency drugs to ensure smooth referral channels for critically ill patients. Up to now, the four teams have made 35 rounds to consult patients with difficult diseases.

Chongqing also arranged 11 municipal medical institutions, divided into four areas to provide technical guidance and medical staff support to the districts and counties, the implementation of municipal experts group area squatting guidance and tour guidance. At the same time to establish a “township – district – city” three-level medical treatment referral mechanism for patients with new coronavirus infection, simplify the process, part of the serious patients found in the triage, can be referred directly from the township health center to the municipal tertiary hospitals. (End)