Official Ladder [Grassroots Civil Servants]

Chapter 968

On April 4, as expected, major hospitals across the province ushered in a wave of medical treatment, because the policy of 11% reimbursement has been blown for a long time, and many patients endured the pain and waited for the arrival of the policy.

Now, the new policy of medical reform has finally started to be implemented. There are long queues in the key tertiary hospitals in various cities, not to mention the major hospitals in Chang'an.

Faced with this situation, the Provincial Medical Insurance Bureau and the Health and Health Commission have long learned from Chang'an. Qin Province's unique hierarchical diagnosis and treatment system is broadcast in major hospitals in the province to solve the problem of overcrowding in large hospitals and the difficulty of finding a number one. Primary medical institutions and some small hospitals are empty.The disease that should be treated in which level hospital must go to that level hospital for treatment. Without the transfer certificate of the lower level hospital, the upper level hospital is not allowed to admit patients. If you don’t need medical insurance reimbursement, then it’s another story. The rich want to enjoy it at their own expense. As the medical resources allow, the preferential policy is for the vast majority of ordinary people, and not necessarily ordinary diseases must be treated in the top three hospitals in the provincial capital.

At the beginning of the implementation of the new policy of medical reform, graded diagnosis and treatment is a magic weapon, otherwise the top three hospitals in the province will be in chaos, and they will definitely be in chaos.

Under the premise of ensuring the quality of medical treatment and the safety of diagnosis and treatment for the general public, Qin Province will focus on the "seven enhancements" in accordance with the requirements of the hierarchical diagnosis and treatment system of "first diagnosis at the grassroots level, two-way referral, separation of emergency and slow treatment, and linkage between upper and lower levels".

At a press conference held on the afternoon of April 4, Zhang Zhiqiang, director of the Provincial Health and Health Commission, answered questions from reporters on measures to promote hierarchical diagnosis and treatment in Qin Province and avoid gatherings of medical institutions.

Zhang Zhiqiang said that under the unified leadership and command of the Provincial Party Committee and the Provincial Government, hospitals at all levels in the province have strictly implemented the hierarchical diagnosis and treatment system. Although there are occasional confusions, they are all within the controllable range.

According to Zhang Zhiqiang, at present, some large hospitals are gathering crowds seeking medical treatment. There are three main reasons for this phenomenon: the first is the rapid release of the suppressed demand for diagnosis and treatment.The second is that medical institutions adopt a pre-examination and triage system according to regulations, which relatively prolongs the time for patients to enter the consultation room.The third reason, which is also the most fundamental reason, is that a large number of patients in the province flock to large urban hospitals for medical treatment. They do not follow the rules of hierarchical diagnosis and treatment, so that "minor diseases and common diseases are diagnosed and treated at the grassroots level, serious diseases are treated in county-level hospitals, and serious diseases are treated at the county level. Referrals to large hospitals”; at the same time, there are still many patients who did not go to the hospital according to the scheduled registration time, but came to the hospital in advance, resulting in the gathering of personnel in large hospitals.

In order to effectively solve this phenomenon, under the premise of ensuring the quality of medical treatment and the safety of diagnosis and treatment for the general public, and in accordance with the requirements of the hierarchical diagnosis and treatment system of "first diagnosis at the grassroots level, two-way referral, separation of emergency and slow treatment, and linkage between upper and lower levels", Qin Province should focus on Up to the "seven enhancements" to ensure the medical safety in the early stage of the implementation of the new policy of medical reform.

The first is to strengthen the management of graded diagnosis and treatment diseases.Qin Province organized relevant experts to formulate 256 types of diseases for graded diagnosis and treatment in county-level hospitals and 49 types of diseases for graded diagnosis and treatment in grassroots medical and health institutions.

The second is to strengthen the implementation of the medical referral system.Except for critically ill patients, all patients who meet the diagnosis of graded diagnosis and treatment diseases, in principle, receive the first diagnosis and treatment at the primary medical and health institutions near the place of residence or the place where the disease occurred.

The third is to strengthen the improvement of primary medical service capabilities.Establish a division of labor and cooperation mechanism and a counterpart support relationship between higher-level medical institutions and grass-roots medical institutions, and drive the steady improvement of the diagnosis and treatment level of grass-roots medical institutions.

The fourth is to strengthen the implementation of the two-way referral mechanism.Medical institutions at all levels and of all types should cooperate closely and form a two-way referral channel relying on forms such as medical alliances and counterpart support.

The fifth is to strengthen the diagnosis and treatment of chronic diseases at the grassroots level.

The sixth is to strengthen the construction and application of information technology.All medical institutions above the second level must implement online appointment registration, appointment inspection, and telemedicine, and guide patients to seek medical treatment at the nearest location and at different times.Second- and third-level medical institutions should provide grass-roots medical institutions with services such as remote consultation, remote pathological diagnosis, remote imaging diagnosis, remote electrocardiogram diagnosis, and remote training through the Internet, and promote the implementation of the "basic-level inspection, superior-level diagnosis" model.

The seventh is to strengthen the hierarchical management of diagnosis and treatment.Medical institutions at all levels and of all types should specify the referral service department and implement a referral responsibility system.According to the recommendations of the receiving doctors, responsible for contacting the upper and lower referrals, and actively providing continuous diagnosis and treatment and referral services for patients.

Faced with the initial chaos, Wang Hongtao didn't care, because he had already experienced it once when the medical reform was implemented in Chang'an. Just get used to it, at most one month, after the first batch of patients are discharged from the hospital, the situation will ease now, and it will be completely back to normal in at most three months.

Now some "bricks" in the society make a voice from time to time, saying that the policies are getting better and better, and the people's lives are already very good. Why do some people not know how to be grateful and dissatisfied?

Wang Hongtao felt that this kind of concept was pure nonsense, and he sneered at it. The "bricks" were talking nonsense!You can investigate the people in a household, the number of people in a family in a year, how many catties of meat they buy, and what they eat for life, and you will know.

Many people are still struggling on the poverty line. When they travel around in cars, many people cannot afford bicycles.

When they were sitting in the office blowing on the air conditioner, many people were still carrying bricks under the sun at 35 degrees, sweating profusely.

When they are sitting in the coffee shop and savoring life in the milk tea shop, some people may have never tasted the taste of coffee and milk tea in their whole life.

When they are ostentatiously dressed in brand-name clothing, many people are still living a life of wearing a piece of clothing for several years, and can wear it again if it is torn and mended.

When their children go to expensive private schools, many parents' children drop out of school early, just because of the tuition fees and living expenses, they go home to help their parents share

When their parents retired and danced square dances in the square every morning and evening, many of their parents were still doing farm work with their faces facing the loess and their backs to the sky, just because their offspring were working part-time, and their hard work earned them a lot of money. What's more, it is difficult to support themselves, and they are old, and they don't have a pension of one thousand yuan a month.

Those who speak sarcastic words are blinded by one leaf and cannot see Mount Tai!Leaving home, traveling across the ocean, traveling thousands of miles to work, and not being paid for months, who do you thank?The monthly income of 1000 million people is only [-] yuan, how good is the life of ordinary people?How do you want them to be content?All self-sufficient people have no one to be thankful to but those who are dependent on state assistance for their existence.Everyone is making a contribution to the society. If we say gratitude, we should not only be grateful to that part of the people. Everyone should be qualified to accept the gratitude of others.Everyone is grateful, thankful to each other, what's the point?If you must be grateful, then be grateful for your efforts!

What's more, even if ordinary people don't know how to be grateful, it is still the responsibility and mission of the party and the government to make people's lives better, and we must not be complacent just because we have introduced one or two good policies.

The journey of the avenue, the world is for the public!As the ruling party, we must breathe with the people, share fate, and connect with each other, serving the people is always on the road!

In the afternoon, Lu Wenhua, Secretary of the Provincial Party Committee, invited Wang Hongtao to his office to discuss some matters.

When he went there, Wang Hongtao thought about it. If there was a personnel problem, the secretary didn't seem to think about it. They said that he used to like to do image projects. Why is there no movement now?Anyway, think about it, maybe you can help find some ideas.

After the meeting, Secretary Lu was very enthusiastic. He bypassed the desk and sat side by side with Wang Hongtao on the sofa, apparently planning to have a long chat.

"Hong Tao, my Baofu Village is located in Tongzhou City."

Wang Hongtao said: "Tongzhou is managed by Weiyang City. In 2012, it was upgraded to a deputy city hall-level administrative system. The fiscal and taxation system has been completely directly managed by the province. It is located on the west bank of the Yellow River in the east of Qin Province, in the northeast corner of the Guanzhong Basin, more than 240 kilometers away from Chang'an. meters, with a total area of ​​1621 square kilometers. It governs 2 streets and 6 towns.

Tongzhou is a national food safety demonstration city, a national sanitary city, an excellent tourist city in China, a key city for PPP innovation work in the field of major municipal engineering, and an advantageous area for agricultural products with Chinese characteristics.The conditions are not bad, but the economic development is a bit lagging behind. I remember that the GDP seems to be about 390 billion yuan. If the secretary can take care of it, it will definitely bring great changes to the economic development of Tongzhou. "

"Hongtao, I didn't expect you to be very familiar with the situation in Tongzhou!" Lu Wenhua didn't expect that Wang Hongtao would know the basic situation and the advantages and disadvantages of any county and city at random. He didn't think he had this ability. Lu Wenhua, the mayor, also worked, but it was not easy for him to name the counties in Liao Province, such as GDP, income, area, who remembers what those few things do.

Wang Hongtao said: "The responsibility lies. After all, I am from Qin Province, and I know Qin Province better. If I don't understand the situation, I can't prescribe the right medicine. Secretary, I suggest that a standing committee be held this week. The provincial government has several issues to discuss. It was submitted to the Standing Committee for research, and the issue of the 'Qin Han University' team that we talked about last time has been approved by the institution."

"Oh, it's so fast, okay, Qinhan University pays attention to the whole province, and the higher-ups also attach great importance to it. I also learned during this period that the four ministries and commissions jointly built the university. You have put a lot of effort into it. To support it, let Professor Zheng Guoqiang serve as the party secretary and president, and be responsible for forming the leadership team of Qinhan University.

"That's natural. Thanks to the secretary for his support, so that I can do business for Professor Zheng. It took a lot of effort to fool him into getting on the ship."