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Zhejiang yongkang: integral service breaks wooden bucket effect

2018年12月06日

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Take the lead in the construction of virtual Shared traditional Chinese medicine pharmacy in China, realize the full coverage of intelligent TCM diagnosis and treatment system, explore integrated TCM services, rapidly improve the service capacity of grassroots TCM, and enhance people's sense of gain --



Zhejiang yongkang: integral service breaks wooden bucket effect



Source: China journal of traditional Chinese medicine, 1st edition, author: zhao weiting, zhang guanchun






"The lack of service capability of TCM at the grass-roots level affects people's sense of access to TCM services and restricts the overall development of health and health undertakings. A year ago, the problem plagued wang fuming, director of the health and family planning bureau in yongkang, zhejiang province. At that time, the data in front of him was not optimistic: the business volume of TCM prepared slices in primary medical institutions accounted for only 12.5%, and only two of the 183 village health offices and service stations in the city were able to independently carry out TCM prepared slices service.



Wang fuming organized the cadres of yongkang health and family planning bureau to do a lot of research and calculation. Aiming at the current situation of strong leadership and weak grass-roots level and the advantages of convenient local logistics and Internet services, he made up his mind to build an integrated service system of traditional Chinese medicine.



Basic-level medical institutions no longer set up traditional Chinese medicine pharmacy, instead of unified procurement, distribution of virtual sharing of traditional Chinese medicine pharmacy; The construction of intelligent TCM diagnosis and treatment system and remote consultation system -- the integrated exploration launched last August has enabled yongkang to "overtake cars on curves" on the road to improve the service capacity of grassroots TCM. As of the end of October this year, more than 90 village clinics have achieved a breakthrough in the prescription of traditional Chinese medicine.



"The integrated service of traditional Chinese medicine allows people to see traditional Chinese medicine less to run, remote areas see traditional Chinese medicine for minor diseases basically do not run." Yongkang vice mayor lu yi said.



Sharing TCM pharmacies: "costs are down, TCM services are up"



With a click of the mouse, the prescription of traditional Chinese medicine can be transmitted from the farthest village health room to yongkang hospital of traditional Chinese medicine, and patients can receive the decocted medicine at home that day. Sharing Chinese medicine dispensary lets common people need not rush about to also can eat high grade Chinese medicine.



However, at the beginning of the integration construction, many grass-roots medical institutions were full of concerns: would the cancellation of traditional Chinese medicine pharmacy affect their business volume? Many areas of traditional Chinese medicine yinpian centralized distribution work stuck in this link.



For this reason, yongkang health and family planning bureau established the leading group of integrated Chinese medicine service system, with wang fuming as the group leader and a Chinese medicine specialist in charge of detailed calculation and a lot of communication and interpretation.



"At first there were mood swings and concerns about the impact on hospital revenues." Lin huizhen, director of the health center of economic development zone, said frankly. Wang fuming helped Lin huizhen calculate the account, and after it was incorporated into the integrated system, the high-quality medical resources of the city hospital of traditional Chinese medicine could be Shared through remote consultation, which is not only conducive to expanding the influence of the hospital, allowing more nearby patients to come to see a doctor, but also accelerating the formation of their own talent echelon of traditional Chinese medicine. Although the profit of traditional Chinese medicine slices needs to be Shared with the municipal hospital of traditional Chinese medicine, it also saves the labor cost of traditional Chinese medicine pharmacy and decocting room, reduces the cost of medicine storage, transportation, mildew, damage and other losses, and the benefits far outweigh the disadvantages.



The data are the most convincing. After being integrated into the integrated system, the amount of TCM diagnosis and treatment in the health centers of economic development zones increased by 52.3% from January to October this year compared with the same period last year, and the volume of TCM decoction business increased by three times.



"People generally say the medicine is better and cheaper." Before cang town health center President wang zhaolong said. "Now we don't have to worry about the storage of medicinal materials. After unified purchase, the total amount is large. The price has advantages.



"Since the operation of the integrated TCM system, it is estimated that the consumption of medicinal materials, construction of TCM pharmacies and labor costs will be reduced by more than 4 million yuan." Wang fuming introduced that by the end of June this year, the first batch of included 10 township health centers, community health service centers, the volume of traditional Chinese medicine ready-to-use slices business grew 32.1% year-on-year, not included in the five units 27.7% year-on-year decline. "Costs have gone down and the volume of TCM services has gone up." This is the feeling Shared by the heads of the 10 health centers.



At present, the remaining 5 township hospitals have also actively joined the integration system.



Share a famous Chinese medicine "at home to see Chinese medicine, good!"



The zhou fa ying that lives in economic development zone is 70 years old this year, of knee joint meniscus wear her leg foot is not very convenient, still need to go to a hospital to reexamine regularly because of hypertension and complication unluckily. "I used to go out at 6:30 in the morning to take a bus to the city hospital of traditional Chinese medicine, registered, see a doctor, take medicine, come back at 4 or 5 in the afternoon." Now, she only needs to walk 15 minutes to the health center of the development zone, after which she can go home and wait for the medicine to be delivered to her door.



Feel more and more convenient to see traditional Chinese medicine and jingzhou health service station before the cang town doctor zhou cunqiang's patients. Health service station is equipped with hd camera, audio, microphone, through the intelligent diagnosis and treatment system of traditional Chinese medicine, zhou cun-qiang can not only launch real-time remote video consultation to yongkang hospital of traditional Chinese medicine experts, exchange patients' conditions, listen to Suggestions, with the help of the auxiliary prescription system to issue an agreement prescription, leisure time can also learn online.



"It used to be that only a few village doctors' associations prescribed traditional Chinese medicine, but now more than 90 service stations and village clinics have achieved a breakthrough in the prescription of traditional Chinese medicine." Vice President of yongkang hospital of traditional Chinese medicine hu zhongliang introduced, the hospital organized experts for common diseases, frequently-occurring formulated 78 agreement prescription. In case of addition or subtraction, the TCM doctors of yongkang hospital of traditional Chinese medicine will go through systematic consultation, review and signature.



Some patients with chronic diseases used to go to yongkang hospital of traditional Chinese medicine once every 15 days. Now they can see a doctor and prescribe medicine in the village health office in front of their home. They can go to the re-examination and adjustment prescription once every two or three months.



In order to ensure safety, yongkang hospital of traditional Chinese medicine also arranged experts in the background audit check. "If we find an overdose of a prescription, for example, we may alert or even stop giving it out." "Hu zhongliang said.



At present, 15 township health centers, community health service centers, 183 service stations and village health offices in the city have been equipped with high-definition cameras, audio and microphones, and an intelligent TCM diagnosis and treatment system.



"People in the most remote rural areas can also enjoy the medical services of famous TCM doctors in yongkang hospital of traditional Chinese medicine at home." "Wang fuming said.



Sharing good teachers to "build a TCM community with distinctive features"



The hardware facilities of the integrated system have been completed. In order to make up for the shortcoming of traditional Chinese medicine and break the bucket effect, we must speed up the construction of software. In order to publicize and explain the policy, the city health and family planning bureau specialized in Chinese medicine hu huaying traveled to yongkang every hill, one by one to teach the village doctors to use the intelligent diagnosis and treatment system.



Yongkang hospital of traditional Chinese medicine has also set up a leading group and a joint medical office, where special personnel are responsible for training grass-roots doctors to use intelligent diagnosis and treatment system and consultation system, and issuing agreed prescriptions.



"We provide consultation services for experts on a regular basis, and send experts to guide and support grassroots medical units to popularize TCM knowledge and promote appropriate TCM technologies," he said. "Hu zhongliang said.



At present, yongkang is taking the jurisdiction area of each township health center as the whole, and training all doctors in the jurisdiction at different levels. For example, there are different contents of training for village doctors who are qualified to practice traditional Chinese medicine and ordinary village doctors.



"Yongkang hospital of traditional Chinese medicine experts are almost hand in hand to teach." Mr. Wang said all six village clinics in qiancang now offer TCM services. "People at the grassroots level need TCM very much, but in the past it was a big problem to cultivate TCM at the grassroots level, and integration solved this problem."



"In recent years, the yongkang municipal party committee and government have always placed the work of traditional Chinese medicine in a prominent position of development. According to the goal of "running once at most" reform and the goal of building a medical community, we will truly realize the unity of human resources, financial resources and material resources, and the decline of high-quality resources. Lu yi said that the next step is for the municipal government to strengthen the establishment and strength of special funds for the cause of traditional Chinese medicine, build yongkang hospital of traditional Chinese medicine, the leading unit of traditional Chinese medicine, gradually integrate all public medical institutions into the integrated system, and introduce preferential policies to encourage private hospitals to join, so as to build a community of traditional Chinese medicine with yongkang characteristics.



"The research on the integrated TCM service system of private medical institutions is already under way, and the next step is to include one or two." Wang is full of confidence in the future of TCM integration.