Traditional Chinese medicine service integration of counties and townships tripartite win-win situation

Time: 2016-09-09

Source: China's traditional Chinese medicine

Author: ZhangGuanChun Xu-dong fang Liu Xue

A night in November 2015, changxing county, zhejiang province GaPu Town 72 - year - old villager xu, accidentally falls sent GaPu Town institutes of health emergency, hospital doctors already suspected right femoral neck fracture. At this moment, institutes a phone call at the changxing county hospital director of orthopedics ShiXiang TCM doctor right away, please consultation, after checking that the diagnosis definitely, and application of traditional Chinese medicine conservative treatment. Guided by ShiXiang, patients in hospitals adopt palasy traction and internal, improved home rehabilitation after half a month; Then, institutes of doctor to follow-up on a regular basis, three months later, xu has been able to walk. The patient's medical expenses, but a total of 2000 yuan.

Told reporters recently, GaPu Town institutes of health director guo-ping jiang, like xu cases, hospitals could not handle, are transferred to the county hospital in the past. Right now, the villagers at home can enjoy directly to the county hospital, a high level of service, thanks to changxing county hospital and township service integration of traditional Chinese medicine management, comprehensive hosted GaPu Town institutes of health.

More efforts to ensure managed targets

Changxing county hospital dean BaiPingHua introduces, in medical services in the fierce market competition, with a diagnosis, two-way referral, rural grassroots patients to turn or county people's hospital to hospital, the county hospital's business development is an opportunity and challenge. Hospital, he thought, can't wait for the patient, and should be proactive. To this end, the hospital take launched by the government of zhejiang province level city and county-level hospitals sinking grassroots medical this reform opportunity, since 2014, successively with the lees lane town, GaPu Town and HongXingQiao Town government signed a three-year full hosting town hospitals agreement, and explore and township service integration management mode of traditional Chinese medicine. Be hosted institutes increases brand hang county hospital branch (hereinafter referred to as branch), practice the "three, five unification" : institutional and administrative organizational system, bear the public functions and tasks of invariant, financial input mechanism; Business, finance, human resources, medical drug supplies procurement and informatization construction by the traditional Chinese (institute) unified implementation of the "integration management".

BaiPingHua explained, "objective management" is managed goal oriented, help achieve the sorting in custody period class a hospitals above standards and create two above characteristics of traditional Chinese medicine college; In custody and research results as the standard, make the branch annual clinic and bed use, the service people and non-drug therapy of traditional Chinese medicine and other refine management quantitative indexes such as growth rate, service satisfaction, by a third party county family planning department of public health in the annual assessment, rewards and punishment.

Comprehensive help increase performance

To realize the goal of hosting, institute for sorting "blood transfusion" type and "ZaoXieXing" support. First of all, the institute sends the technical team for sorting "blood transfusion", to the branch in 3 to 6 intermediate title more than the doctors take turns to visit for a long time, including stationing personnel with senior technical titles of not less than 2 people, but also conduct regular, "weekend" expert outpatient service, make the villagers out of villages and towns can enjoy the county hospital services. At the same time, will "ZaoXieXing" key "points" to locate support, one is talent cultivation. Through organized, academic lectures, education training rounds, teacher DaiTu and institute of technical personnel training in rotation, free to accept branch to carry out a variety of forms such as teaching, holding appropriate technology all-round, multi-level technical personnel ascending branch business skills. The second is to help sorting, respectively, to establish "general" of traditional Chinese medicine and TCM pediatrics department, &experience, acupuncture and massage etc characteristics. Now, changxing county hospital managed three towns and townships, is no longer "regions" is only a house, a table, a MaiZhen "LaoSanJian", but to create all become a certain scale, the relatively independent comprehensive diagnosis and treatment of traditional Chinese medicine service area "house" in traditional Chinese medicine.

At the same time, the institute also seamless docking and sorting the leadership level. Of the Chinese, who in charge of the dean, director of the department functions of hospitals management guidance team, deep branch regularly research and guidance. Institute also appointed resident management backbone branch respectively, directly involved in the sorting of administrative management, to help establish and improve various rules and regulations. Originally, institutes of bonuses for basic "Commons" or "award" surely with closing, namely pegged to the doctors prescription drug income directly, to hurt the medical staff to carry out the enthusiasm of "low-cost" services of traditional Chinese medicine. Today, the institute to help sorting to establish advanced "balanced scorecard" performance management concept, establish a complete set of embody "work more", "optimal" more comprehensive performance evaluation and salary distribution system, and make the sorting of bonus distribution on the right track, to continuously improve the overall performance.

The integration of management results

Changxing county and township hospital to explore Chinese medicine service integration management by objectives, got to win more: first of all, patients benefit. People at home can see not only a serious illness, especially between institute and branch opened a hierarchical diagnosis and treatment, two-way referral barrier-free green channel, make emergency seriously ill get timely rescue. In the past, GaPu Town institutes referral channel impeded, turn on the county hospital patients rarely, but be hosted, since the first seven months of the year will turn on hospital outpatient 31 cases incurable diseases, 38 cases of be in hospital, especially the institutes have some patients need on-site rescue patients have a strong "anchor", county hospital experts on call. After especially institutes is managed, for better grassroots services of traditional Chinese medicine. HongXingQiao Town institutes of previous years due to various reasons, a kind of doctor of traditional Chinese medicine "profession", herbalists change tube pharmacy, traditional Chinese medicine outpatient crowds. In recent years, the school in a county hospital of close help regrouped and develop the traditional Chinese medicine, not only out of the trough outpatient service business, also the traditional Chinese medicine service delivery. HongXingQiao Town LuoGu Village 71 - year - old villager Ms., suffering from lumbar disease and acute lumbar sprain, carelessly a bit pain while move the whole body sweating. Township health centers doctors on the acupoint massage and prescriptions for patients with traditional Chinese medicine (TCM), successive visits eight times, 40 days finally make the patients recover, medical treatment only overland yuan altogether.

Second, the institutes of development. Be hosted three institutes of the same, a year of around three years, the medical business increased year after year, li xiang, rainbow star bridge, GaPu Town three institutes of entrusted compared to the year before and after, outpatient visits increased by 20.66%, 37.02% and 20.66% respectively; Hospital visitors doubled; Business income increased by 24.8%, 64.8%, 91.8% of Chinese medicine. Institutes of health staff annual salary income increased as well. Guo-ping jiang told reporters, GaPu Town institutes of health worker monthly bonus this year can increase 1000 yuan per capita. The reporter understands, this three institutes shall be tested and approved by the county family planning department of public health in the first half of this year, its comprehensive performance in the county each villages and towns (street) institutes of the top five, including GaPu Town institutes ranked first.

Third, changxing county hospital also benefit. The hospital through exploring the county service integration management of traditional Chinese medicine, broaden the service channel of Chinese medicine, grab the competition with general hospital highlands of the basic source. Statistics in the first six months of the year, the hospital service of urban and rural residents health care clinics 13400 person-time, 13.8% higher than county general hospital "eldest brother". Hospital this attendance record, bed utilization rate of 120.8%, the outpatient service, discharged patients all time cost is below the average in hospital at the same level in the whole province.