has always been the focus and pain point of people's livelihood that it is difficult and expensive to see a doctor. In the past ten years, Yangzhou City has continued to promote the reform of the medical system, with the construction of a close medical alliance as the starting point, promoting the construction of a hierarchical diagnosis and treatment system, to meet the needs of the masses to enjoy high-level medical services nearby, and gradually realize the "minor illness does not go away". In the town, the serious illness does not leave the county, and the treatment costs less money.”
Gaoyou: Aunt Wang accidentally fell
Two days ago, Aunt Wang, who was delivering the bridge from Gaoyou, accidentally fell. She thought it was just a skin injury.
Aunt Wang: The back hurts, it hurts so badly that I can't get out of bed.
Minimally Invasive Surgery Relieves Pain
Because Aunt Wang's fracture is located in the vertebrae, the doctor decided to use minimally invasive surgery to inject "bone cement" into the fracture site, which not only achieves the purpose of treatment but also reduces trauma. According to the doctor, this type of surgery is difficult and high-risk. It not only requires precise positioning with special equipment throughout the process, but also tests the experience and level of medical staff. Today, the Sendqiao Health Service Center has not only purchased such equipment, but also, with the help of , a tertiary hospital, such as the North Jiangsu Hospital, the doctors in this hospital have mastered the technical essentials.
Zhang Futian Deputy Director of the Orthopedics Department of Sendqiao Center Health Center: If the positioning is not good, it is easy to damage the nerves. The simplest is numbness in the lower limbs, and the serious is paralysis.
After two hours of surgery, Aunt Wang's symptoms were relieved. The family is very happy to see that the problem can be solved at the doorstep.
Wang Chunxiang's family: If you have to get up early in the morning when you go to Yangzhou , it is inconvenient to catch the car, and it is troublesome to register, and it is convenient to see a doctor at the door.
Chronic disease treatment at home
Not only Aunt Wang, but some old patients also lamented that after the hardware and software of grassroots health centers have been upgraded, it is much more convenient to see a doctor. Master Qian, who lives in Tianshan, has been diagnosed with uremia for more than ten years. He used to go to Yangzhou for dialysis. In 2020, when the hemodialysis center of Sendqiao Health Center is completed, there is no need to travel back and forth.
Master Qian: It used to take two hours to go back and forth by bus in the afternoon of 135, and it would take 7:30 at night to get home.
Sheng Wantao The attending physician of the Hemodialysis Center of the Shunqiao Central Health Center: At present, there are 17 machines and 63 patients undergoing dialysis. The most important radiation is the Shuqiao area and the west of Lingtang Lake.
Over the years, the overall improvement of the medical level in townships has made it no longer difficult for the grassroots to see a doctor. The centralized drug procurement, also known as the national "group purchase", gradually guides the price of drugs to return to a reasonable level by exchanging the price for the quantity, so that it is no longer expensive for patients to see a doctor and take medicine.
Holy Master: Recently has chest tightness , difficulty breathing and chest pain.
The cost of surgery has been greatly reduced
Master Sheng's father is 90 years old this year. Some time ago, the old man had symptoms of chest tightnesschest pain.Cardiovascular stenosis-induced myocardial infarction requires the installation of the cardiac stent . According to the doctor, the cost of the imported stent used by the old man was more than 20,000 yuan in the past. However, after the state centralized procurement last year, the price was greatly reduced.
Ji Jun Chief physician of Cardiology Department of North Jiangsu People's Hospital: Originally imported stents cost about 20,000 yuan, and domestic stents also cost about 8,000 to 15,000 yuan. After centralized procurement, both imported and domestic stents are When it reaches less than 1,000 yuan, it will be able to solve the problems of more patients after it drops sharply.
Master Sheng: If the bracket is lowered, it will be good for the common people and individual families, and the difference will be nearly ten thousand dollars.
National "group purchase" exchange price for volume
It is understood that in the past ten years, relevant departments have carried out 7 batches of selected medicines, and the number of varieties in the national essential medicine list has increased to 685. In addition to surgical consumables, it also includes drugs for common diseases such as hypertension and diabetes, chronic diseases, and major diseases such as lung cancer and liver cancer, with an average drop of more than 50%.
Huang Fuhong, chief pharmacist of Yangda Affiliated Hospital, deputy secretary-general of Yangzhou Pharmaceutical Association, and member of the CPPCC: For example, the price of insulin glargine , which is used more frequently, was originally 184, but it has since dropped to 72. For patients with blood pressure, diabetes, hyperlipidemia, etc., the economic burden of medication is greatly reduced.
through the in-depth implementation of system reform, let high-quality medical resources sink to towns and towns, improve the strength of primary medical care, and the three doctors of medical treatment, medical insurance, and medicine linked , which effectively alleviated the difficulty and expensiveness of seeing a doctor. In order to continuously improve the people's sense of gain and happiness, "Yangzhou Prescription" is still working hard.
Multiple measures to improve grass-roots software and hardware
It is understood that since 2015, Yangzhou City has invested 1.1 billion yuan in the renovation and upgrading of 18 regional medical and health centers such as Li Dian, Tangwang, and Sendqiao. Hospitals and other third-class hospitals are the leaders, and 17 vertical medical consortia, 31 joint wards, 96 provincial-level famous doctor studios and 172 municipal-level famous doctor studios have been established to provide targeted assistance to primary health care centers.
Wang Jingcheng, chairman of the North Jiangsu People's Hospital Medical Group: In the initial stage, it was mainly by experts, management experts on a regular basis, technical guidance experts for technical assistance, surgical assistance, ward rounds and teaching, etc. In recent years, the reform process has been deepened Among them, through the construction of a close medical consortium, through the construction of specialist alliances, through the construction of joint wards, and the construction of famous doctor studios, the construction of medical consortium is deepened, and the work of graded diagnosis and treatment is further promoted.
The improvement of primary medical strength has significantly increased the ratio of insured residents to primary medical and health institutions and county hospitals.
Gu Zhengrong, director of the Zhongqiao Central Health Center: The number of outpatient visits, examinations, and operations of ordinary people is 30% more than the sum of the previous three health centers combined, basically reaching the point where our residents do not stay in town for minor illnesses, and there is a doctor for serious illnesses Conjoined recovery back to the community.
In the past ten years, Yangzhou has gradually achieved a balanced layout of high-quality medical resources through the "medical alliance to promote the hierarchical diagnosis and treatment model", making "graded diagnosis and treatment, two-way referral " a reality.
Yin Chenglei, Deputy Director of Yangzhou Municipal Health Commission: The next step is to focus on key links in key areas. Reform and innovation will continue to promote the deepening of the construction of medical alliances, promote medical reform to achieve new results, and let the people change from medical care to release more dividends. In terms of medical treatment, there is more sense of happiness and gain.
In the past ten years, the exploration and construction of Yangzhou Medical Association has helped to significantly improve the urban and rural medical service capabilities, exuded the enthusiasm of people's livelihood, and improved the health and well-being of the people. It can be said that this is the vivid practice of the concept of "people-centered".
source丨Yangzhou Radio and Television "Yangfan" mobile channel
editor丨Luo Lihua
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