How to break through the wall of health education? How can doorstep service be more considerate? Shanghai hospitals do this to provide health services without barriers

Release time:Apr 16, 2024 21:22 PM

How can health education break through barriers and innovate in the metaverse of media information explosion? What kind of health education do ordinary people need, and how should large public hospitals respond? Large public hospitals and community health service centers at all levels in Shanghai, combined with their own characteristics, strive to popularize science with flavor, so that many ordinary people have their own preferences.

Huashan Hospital: A one-stop all media science popularization platform

How to break through the wall of health education? How can doorstep service be more considerate? Shanghai hospitals do this to provide health services without barriers

At the "Smart Outpatient Elderly Experience Center 3.0" on the second floor of Huashan Hospital General Hospital, a volunteer is introducing various practical medical methods such as mobile phone registration, payment, and inspection reports to some elderly people and their families through a screen. In front of the screen, these viewers are holding their phones while following the instructions on the screen, nodding occasionally. And next to the escalator on the second floor, there are science popularization posters displayed one after another. Some are about quitting smoking, some are about taking a hundred steps towards health, some are about mental health, and some are about how to protect the digestive system... Through various vivid comics, we aim to spread health science to people.

This is just one of the "one-stop" all media science popularization platforms that Huashan Hospital is striving to build.

It is understood that the WeChat official account of "Huashan Hospital Affiliated to Fudan University" has 4.6 million fans and launches more than 200 original popular science articles every year. Huashan Hospital's Internet medical channel "live medical broadcast", which starts at 12 o'clock every weekday on time, enables medical experts to communicate and interact with the people in a timely manner. Since 2020, it has been broadcast for more than 800 consecutive episodes, with a total of more than 6 million viewers on each platform, and more than 35000 message interactions.

The "Smart Outpatient Elderly Experience Center" on the second floor of Huashan Hospital teaches elderly people how to register online, pay fees, and view test reports. Photography by Li Lei

WeChat video accounts have abundant resources, with a total of 220+videos released, including a series of science popularization short dramas "Aunt Kang and Her Old Neighbors" with 1.022 million views. Fans left a message saying, "It's interesting that we can learn health knowledge while chasing the drama." In addition, the hospital's Tiktok platform released ultra short videos, which are useful for small medical classes. The B platform provides in-depth and long videos, which can be described as covering all ages from old to young.

After years of accumulation, the Huashan Science Popularization All Media Platform has not only become a popular "medical science popularization treasure box" among the people, but also a "good helper" for doctors in disease diagnosis and treatment. During the consultation, doctors will recommend relevant popular science content based on the patient's needs, and ask them to take it home and read it slowly to alleviate anxiety, enhance their in-depth understanding of the disease, and make full preparations for the next follow-up visit.

The health science popularization comic promotion column on the second floor of Huashan Hospital. Photography by Li Lei

The Dapuqiao Street Community Health Service Center is working together through the "three centers" to create a health service platform at the doorstep.

[Community Health Service Center: Health Service Platform at Home]

The Dapuqiao Street Community Health Service Center is working together through the "three centers" to create a health service platform at the doorstep.

Build a new comprehensive and precise AI health education model for chronic disease patients in the community through the Health Management Center. Accurate pressure measurement, intelligent blood glucose monitoring, intelligent follow-up, COPD, colorectal cancer screening... By integrating these intelligent projects, data automation uploading can be achieved. At the same time, pioneering the integration of chronic disease monitoring, diagnosis and treatment, and follow-up management functions in the chronic disease center, transforming the previous chronic disease management model. On this basis, combined with the Puhui Medical WeChat service account provided by the center, the traditional chronic disease follow-up model is optimized. Through timely feedback from doctors and patients after AI follow-up and precise intervention in patient health education, the structured and intelligent comprehensive AI health education of doctor diagnosis and treatment services is improved.

A patient is using an upper limb robot for upper limb training at the Dapu Bridge Community Health Service Center. Photography by Lai Xinlin

At the same time, as the first demonstrative community rehabilitation center in Shanghai, the Dapuqiao Street Community Health Service Center is fully committed to building a "doorstep" rehabilitation service platform for residents, providing various forms of comprehensive and all-round rehabilitation services by building a four level rehabilitation network. Using medical social workers as a link, we will create health support actions such as rehabilitation clubs and caregiver support teams. In addition, we will create an immersive interactive experience such as the "Nursing Science Popularization Market" and the nursing self media "Da Pu Qi Xiao Hu", focusing on establishing a healthy lifestyle concept and meeting the diverse nursing service needs of community residents.

Ruijin Hospital Emergency Department. Photography by Lai Xinlin

Ruijin Hospital: Health services without walls

Ruijin Hospital proposes to establish the concept of "a hospital without walls for health services", using regional and specialized medical consortia at various levels as carriers, integrating expert teams from tertiary hospitals, secondary hospitals, and community health centers, including chronic disease management teams and community health centers, to seamlessly integrate high-quality medical resources with everyone's health.

Nine medical experts from Shanghai who helped the residents of Karamay in Xinjiang free clinic, spanning more than 4000 kilometers Father | Expert | Shanghai

At the arrival of the sixth "Chinese Doctor's Day", nine medical experts from Shanghai, including Renji Hospital affiliated to Shanghai Jiaotong University School of Medicine, Tongji Hospital affiliated to Tongji University, Eye, Ear, Nose and Throat Hospital affiliated to Fudan University, Shanghai Dermatology Hospital, and China Welfare Society International Peace Maternal and Child Health Care Center, including neurology, urology, otorhinolaryngology, ophthalmology, thyroid surgery, breast surgery, hematology, geriatrics, and dermatology, went to Karamay Central Hospital and Karamay Third People's Hospital to carry out free clinic activities. Among them, 6 experts are doctors dispatched by Tongji Hospital to aid Xinjiang, and 3 experts have traveled over 4000 kilometers to Ke to help local patients clarify their doubts. Urumqi residents drove over 400 kilometers with their father to a free clinic, where Patiguli underwent a small physical examination

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"Thank you Director Liu for helping me solve a big problem! I've been struggling with paronychia for two years. I had to pull out my toenails twice before, but they didn't grow well. I kept getting inflamed and my mentality was about to collapse. This time, the problem has finally been completely solved." In the outpatient consultation room of the Tenth People's Hospital of Shanghai, Miss Zhang expressed her sincere gratitude to Liu Guangpeng, the director of plastic surgery. At the beginning of 2021, Xiaozhang accidentally cut his toenails too deep, injuring the nail bed. Although he disinfected it with iodine at the first time, he didn't expect to become inflamed a few days later. His entire first toe was red, swollen, and painful, and he even limped while walking. External use of iodine is ineffective, oral antibiotics are ineffective, and the only option is to choose toenail removal that sounds very painful. I originally thought that pulling out my toenails would remove the old and replace the new, but I never expected that the newly grown toenails would always "burrow into the flesh", causing inflammation to recur,

Some family doctors have also opened a special clinic for diabetes... 60% of residents in this district of Shanghai are diagnosed and treated in Fengxian | residents | community

Fengxian is located in the remote suburbs, with limited medical resources. Community diagnosis and treatment have become the top priority for residents' health. How to build a good network base to serve the people? The reporter recently learned from the district health commission that based on the actual situation of the region, taking into account the size of the service population and the trend of population introduction, the district health commission is promoting the horizontal integration of community health resources. Residents are willing to "vote with their feet" to choose the community, and the solid foundation and warm service of community family doctors are indispensable. Data shows that there are currently 549 general practitioners in Fengxian District. Last year, the proportion of community diagnosis and treatment accounted for 49% of the total diagnosis and treatment in the district. In the first half of this year, the proportion of community diagnosis and treatment has increased to 60%. Wang Tao is a family doctor at the Xidu Community Health Service Center in Fengxian District who has been committed to the community for ten years and has signed contracts with more than 1900 community residents

In this regional medical center, patients make sachet masks to feel the warmth of home. The Dragon Boat Festival medical center | patients | sachets

Today is the traditional Dragon Boat Festival. As a regional medical center, Shibei Hospital of Jing'an District organized a special "love on the left and accompany on the right" activity to welcome the Dragon Boat Festival. The patients and their families wrapped Zongzi together to make sachets and feel the warmth of home. It is reported that the Elderly Rehabilitation Department of Shibei Hospital is a key discipline in Jing'an District, with 80% of hospitalized patients being over 70 years old, including those aged 90 or 100. During the meticulous treatment of the elderly, the Rehabilitation Department integrates family oriented services throughout, creating a humane "warm service" and building a harmonious doctor-patient relationship. Shu Jin, director of the Elderly Rehabilitation Department, said that with the arrival of the Dragon Boat Festival, medical staff have found that a small number of patients lack family companionship and their psychological and emotional needs cannot be met. The hospital's social work department and department medical staff work together to build a "heart to heart bridge" for doctor-patient interaction and two-way communication,

The annual throat preservation rate is nearly 80%, and Shanghai research was included in the International Annual Conference: Immunotherapy for locally advanced head and neck tumors | Patients | Local

At the recent 2023 Annual Meeting of the American Society of Clinical Oncology, research from Fudan University Affiliated Cancer Hospital was quite impressive: in the field of head and neck tumors, "induction chemotherapy combined with treprizumab can be used for laryngeal preservation treatment in patients with locally advanced laryngeal/hypopharyngeal cancer. The results of the Phase II clinical trial showed a one-year laryngeal preservation rate of 79.4%." The first author of this study, abbreviated as INSIGHT, is Professor Xiaomin Qu from Fudan University Affiliated Cancer Hospital, and the corresponding authors are Professor Yu Wang and Professor Xiayun He. It is reported that laryngeal cancer and hypopharyngeal cancer are one of the most common head and neck squamous cell carcinoma in China, with the incidence rate accounting for about 20% of head and neck squamous cell carcinoma. Due to the insidious symptoms of the disease, the patient was diagnosed later and had a poor prognosis. Previously, surgical resection was used to prolong survival. With the development of multidisciplinary comprehensive treatment, diagnosis and treatment

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