China News Service, Beijing, March 8th (Tang Xiaoqing and Liu Chenlu) The National Two Sessions are being held. Member of the National Committee of the Chinese People's Political Consultative Conference, deputy chairman of the Hunan Provincial Committee of the Democratic League, and executive vice president of the Hunan Provincial People's Hospital, Xiang Hua said in an interview with reporters that this Participated in the National Committee of the Chinese People's Political Consultative Conference for the first time, focusing on how to improve the first aid and rehabilitation medical service capabilities of primary medical institutions.
Since the 18th National Congress of the Communist Party of China, China has increased investment in rural health institutions.
By the end of 2021, China will have built 599,000 village clinics, covering all counties and villages.
These large number of grassroots medical and health institutions play an important role in promoting the implementation of the hierarchical diagnosis and treatment system and promoting the establishment of a hierarchical diagnosis and treatment pattern of "first diagnosis at the grassroots level, two-way referral, separation of acute and chronic diseases, and linkage between upper and lower levels".
"The 'quick' emergency treatment saves lives and allows patients to 'save their lives'; the 'slow' treatment of chronic diseases makes life healthy and makes patients 'heal quickly'. Both are the key to saving patients' lives and improving their quality of life Guarantee.” However, Xiang Hua’s research found that the current “fast” and “slow” have turned into blocking points.
"The main manifestations are the unbalanced emergency service capabilities, the need for improvement in the rehabilitation medical system, and the difficulty in popularizing on-site rescue for the public." Xiang Hua said that grassroots medical institutions still generally have inconsistent first aid levels, varying abilities, imperfect systems, inadequate facilities, and emergency medical care. Point radiation is not strong, long response time, weak professional ability and other problems.
Most of the emergency doctors in primary hospitals are dispatched by various departments. There is no fixed emergency doctor, and the work is tiring, high-risk, and stressful. The salary distribution has not been given a corresponding tilt, which affects the stability of the team and the development of technical capabilities and disciplines.
He suggested that more efforts should be made to train first-aid and rehabilitation professionals at the grass-roots level, relying on academic training institutions related to emergency and rehabilitation medicine and general and specialized hospitals, to carry out standardized training for grass-roots emergency and rehabilitation personnel and related doctor transfer training, and gradually cultivate high-level medical backbone talents .
"For example, medical colleges and vocational colleges set up urgently needed majors such as emergency medicine and rehabilitation medicine to revitalize new forces from the source. For emergency medicine and rehabilitation professionals, promotion channels are set up, and mechanisms are used to retain people." Xiang Hua said that grassroots medical institutions also have The emergency department can be used as a key department, with ad hoc or separate performance management and personnel training systems.
Xiang Hua also noticed that the number of rehabilitation beds in many hospitals is insufficient, the total investment in rehabilitation equipment in some hospitals is less than one million yuan, and the venue and personnel are extremely scarce, especially for patients in remote and poor areas.
He believes that some hospitals can be properly guided to transform into rehabilitation hospitals, and all general hospitals at the second level and above can achieve full coverage of rehabilitation medicine. Medical consortiums and medical communities establish a "province-city-county-township-village" rehabilitation service system to improve grassroots rehabilitation medical service capabilities and form an effective collaboration of "transfer from up to down" and interconnection of "co-construction and sharing" .
"Grassroots medical institutions can increase the necessary first aid and rehabilitation equipment and equipment, use the 'Internet+', set up rehabilitation equipment rental points, increase the flow of rehabilitation professionals, carry out community rehabilitation and home rehabilitation, improve the utilization of rehabilitation medical resources, and strive to solve the problem of rehabilitation. The problem of the 'last mile'." Xiang Hua suggested opening daytime rehabilitation wards, including daytime rehabilitation into the scope of medical insurance reimbursement, strict project access, standardized project fees, and launching the "family-community-hospital" mutual assistance model, which is more beneficial to patients Disease recovery.
First aid capacity building has received more and more attention, which plays a very important role in safeguarding every individual and even the whole society, and can save the lives of patients in critical moments.
Xiang Hua also suggested extensive on-site rescue of first-witnesses, led by the government, and all departments, industries, and units "joint efforts and joint management."
"Popularize first aid knowledge like firefighting knowledge, equip AEDs like fire extinguishers, and truly realize 'everyone learns first aid, everyone knows first aid'." He suggested that public first aid funds should be included in the financial budget, and special funds for first aid knowledge training should be allocated. Add automatic external defibrillators (AED) and other equipment in crowded public places such as subways, and incorporate AED configuration into the layout planning of the medical emergency system; improve policies and support social capital such as charities, foundations, and enterprises to participate in the improvement of public emergency facilities , to provide public welfare support related to the popularization of first aid to the public.
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