When you arrive at the hospital, do you walk around in circles to refresh your steps? Shanghai municipal hospitals rebuild service processes, update diagnosis and treatment models, and optimize experience

Release time:May 23, 2024 12:14 PM

When you arrive at the hospital, you walk around in circles and have to "check your steps" as soon as you leave... How to make the patient treatment process more convenient and efficient? Recently, news came out of the "Bimonthly Seminar on Municipal Hospitals Strengthening Patient Experience" held by the Shanghai Shenkang Hospital Management Center: Starting from 2020, 20 municipal hospitals in the city have successively set up patient experience departments, focusing on medical environment, medical services, Five key links, including medical treatment process, doctor-patient relationship and hospital governance, continue to work hard. Some hospitals have restructured service processes and innovated diagnosis and treatment models according to local conditions to meet the diverse and multi-level service needs of citizens.

Concept innovation drives practical breakthroughs, which can make fragmented diagnosis and treatment services continuous and efficient, avoiding the need to switch between various departments in the hospital. Experts at the seminar pointed out that many municipal hospitals are committed to using new technologies and new concepts to innovate service models, continue to promote ambulatory care, accelerated recovery surgery, and multidisciplinary collaborative diagnosis and treatment models, while integrating resources to promote the construction of comprehensive tumor diagnosis and treatment centers to create a Patient-centered "one-stop" full-cycle management comprehensive diagnosis and treatment innovative service system.

In the Chest Hospital, the centralized management "thoracic professional day surgery" model has been launched first. This model is based on the ERAS concept of accelerated recovery surgery, and implements comprehensive rapid recovery measures in preoperative education, nutritional support, anesthesia visits, pain management, and postoperative rehabilitation to promote early post-operative ambulation, early recovery, and early discharge. At the same time, we fully integrate medical resources and gather multidisciplinary teams to participate in diagnosis and treatment, allowing patients to enjoy full-process health management. The Obstetrics and Gynecology Hospital of Fudan University has established a service system for the comprehensive diagnosis and treatment center of gynecological tumors, built and applied structured electronic medical records and standard operating procedures for comprehensive diagnosis and treatment of cervical cancer, developed standardized data sets, and integrated clinical pathways, multidisciplinary diagnosis and treatment, clinical research, and personalized follow-up. By integrating it into the diagnosis and treatment of gynecological oncology, patients can achieve full-cycle "one-stop" management and the development of clinical research.

Based on the characteristics of children, the Shanghai Eye Disease Prevention and Treatment Center has added a special MDT myopia prevention and control joint clinic during the winter and summer seasons. When providing myopia diagnosis and treatment services, the national standards for myopia prevention in the "Appropriate Technical Guidelines for Myopia Prevention and Control in Children and Adolescents" have been designed. An answer sheet is made into a test card, and children are invited to answer it, so as to mobilize the children's enthusiasm to actively grasp the standards for myopia prevention, and effectively achieve the combination of prevention and treatment in the clinic.

In recent years, Shanghai municipal hospitals have implemented interconnection and mutual recognition of medical and health information, promoting intelligent identification of key images and accurate push and mutual recognition of inter-hospital inspection results. Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine has created a typical business scenario for convenient medical treatment, launched a number of innovative applications based on the Internet, such as accurate appointment, intelligent pre-consultation, city-wide interconnection and mutual recognition, contactless payment, portable medical records, etc., and realized rescue "Enter the car and be admitted to the hospital", intelligent voice follow-up, medical electronic bills, intelligent outpatient triage, digital RMB payment, digital twin hospital navigation, "Anxinda" for traditional Chinese medicine delivery, multi-disciplinary expert consultation in Internet hospitals, intelligent accompanying platform, wisdom Functions such as medical cloud film, medical insurance electronic prescription, and "Internet Hospital Zone" can be applied for at any time.

Yueyang Hospital of Integrated Traditional Chinese and Western Medicine Affiliated to Shanghai University of Chinese Medicine has simplified medical treatment routes and concentrated departments related to diseases of the same system in the same clinical area to alleviate patients' repeated trips to the outpatient area. Taking painless gastrointestinal endoscopy diagnosis and treatment as an example, patients originally needed to travel multiple times between the gastroenterology department and the anesthesiology department, which was time-consuming and laborious; now the two departments are set up opposite each other in the same outpatient area, and examinations are implemented through information technology As a result, hospitals are interconnected and patients complete all diagnosis and treatment procedures in the same clinic, which greatly shortens the time for medical treatment.

The Shanghai Sixth People's Hospital is exploring the establishment and improvement of the "pre-hospitalization" work process, and simultaneously establishing the "pre-hospitalization deposit" and outpatient priority queuing functions for pre-hospitalized patients. In addition to fasting items, all medical examinations and large-scale examinations such as radiology and ultrasound for pre-hospitalized patients can be completed on the same day. Combined with the critical value early warning reporting mechanism, "pre-hospital transfer" is convenient and effectively shortens the patient's waiting time in the hospital.

The relevant person in charge of the Shenkang Hospital Management Center said that since the National Health Commission issued the "Notice on Carrying out Activities to Improve the Medical Experience and Enhance the Patient Experience" in 2023, Shanghai municipal hospitals have upgraded the "Convenience Service Center" and promoted the "one-stop" hospitalization We will continue to simplify the entire service process of medical treatment by providing time-scheduled diagnosis and treatment appointments and centralized appointment services for examinations. At the same time, we will actively use information technologies such as artificial intelligence to explore the establishment of scientific, reasonable, flexible and efficient examination and surgery schedules, shorten the The length of stay of patients in the hospital reduces disorderly flow.

Next, Shanghai municipal hospitals will aim to make the medical environment more friendly, provide respectful medical services, make the medical treatment process more convenient, increase mutual trust in doctor-patient relationships, and promote cooperation in hospital governance, and promote more scientific processes, more continuous models, and better services. Efficient.

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How to know health? The Chest Hospital releases the first popular science book in Shanghai. More than half of the world’s new esophageal cancer patients are in my country.

Food is the most important thing for people. The esophagus is an important part of the human digestive tract. Only with a healthy esophagus can people enjoy delicious food. However, in my country, the incidence and mortality of esophageal cancer ranks among the top malignant tumors, and more than 50% of new esophageal cancer patients in the world are in China. At the same time, there are few popular science books about esophageal cancer, and people often “do not know about the disease and it is difficult to cure it”. To this end, Liu Xiaoxin, director of the Nursing Department of Shanghai Chest Hospital, led a team to compile "Esophageal Code·Surgical Care" using original comics as a carrier. It is reported that this book is the first book in Shanghai that uses original cartoon images to popularize science in the field of esophageal disease care, and has been approved by the Shanghai Municipal Science and Technology Commission for a special science popularization project. The honorary editor of this book is Professor Fan Xianqun, academician of the Chinese Academy of Engineering and dean of Shanghai Jiao Tong University School of Medicine, and the chief reviewer is the president of Shanghai Chest Hospital.

There are more than 200,000 new rare disease patients in my country every year: Renji establishes a difficult and rare disease diagnosis and treatment center to help avoid detours

Fever, red and swollen eyes, nodules on the left ankle, pneumonia, redness and swelling of the auricles and bridge of the nose... strange symptoms appeared one after another all over the body. At one point, he was comatose and was sent to the ICU. He barely managed to survive after multiple blood transfusions. After going to 3 hospitals and 5 departments, Mr. Su, who had been ill for 3 years but could not find out the cause, finally found the answer in the Rheumatology Department of Renji Hospital Affiliated to Shanghai Jiao Tong University School of Medicine: This is a rare case of VEXAS syndrome. The first global reports of the disease were only 2 years apart. Rare disease patients like Mr. Su are not uncommon at Renji Hospital. The "2023 China Rare Disease Industry Trend Observation Report" shows that there are currently more than 7,000 known rare diseases in the world, and there are more than 20 million patients with various rare diseases in my country, with more than 200,000 new patients every year. To further implement the national

Habits such as mouth breathing, snoring while sleeping, and lip biting can also cause children to have uneven teeth, in addition to dental caries

Oral health is an important part of overall health. Recently, at the Shanghai Health Lecture hosted by the Shanghai Municipal Health Commission, the Shanghai Municipal Health Promotion Commission Office and the Shanghai Health Promotion Center, experts revealed that dental caries is one of the most common diseases that harms the oral health of children in my country. It is recommended that children under 6 years old Children who are older than 6 years old can have oral examinations every six months. Wang Jun, director of the Department of Pediatric Dentistry at the Ninth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, said that if you want to have a pair of neat and beautiful teeth, in addition to blocking the "enemy" of tooth decay, you must also eliminate many "stumbling blocks", such as lip opening. Showing teeth, breathing through the mouth, snoring while sleeping, habitually biting the lower lip or pencil, sticking out the tongue, etc. "Taking mouth breathing as an example, it may be due to rhinitis, adenoid hypertrophy, etc.

The National Children's Medical Center Infection and Immunization Building will be put into use without leaving the building for full chain treatment. Coordinates: Fudan Pediatric Infection | Infection | Building

The 2023 National Children's Medical Center Infection and Infectious Immunization Forum held today announced that the National Infectious Disease Medical Center/National Children's Medical Center Joint Research Base has signed a contract and landed at Fudan University Affiliated Pediatric Hospital. The National Children's Medical Center Infection and Infectious Immunization Building was officially put into operation on the same day. As the only designated hospital for the treatment of infectious diseases in children in Shanghai, the National Children's Medical Center and Fudan University Affiliated Pediatric Hospital have played an important role in major public health events. In order to effectively promote the construction of the Clinical Center for Infectious Diseases and Immunization at the National Children's Medical Center, create a discipline group for infectious diseases and immunology, and continuously enhance the hospital's radiation leading role in the field of infectious diseases and immunology in children, the hospital relies on the fifth round of the three-year public health action plan in Shanghai - "Construction of the Emergency Network System for Infectious Diseases in Children"

A 14-year-old girl suffers from a rare eye disease and receives support from a public welfare fund. Symptoms of "I haven't looked in the mirror for a long time" | Patient | Public welfare

A 14-year-old girl has been experiencing symptoms such as protruding pupils, incomplete eye closure, corneal injury, restricted eye movement, and overall fatigue for several years. The physical discomfort and facial abnormalities caused by eye diseases have made her increasingly reticent, and her temperament is vastly different from before. At the Ophthalmology Department of the Ninth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, the pupil has been diagnosed with a rare thyroid ophthalmopathy combined with myasthenia gravis, which requires prompt treatment. However, considering the young age of the pupil, conventional hormone and radiation therapy cannot be used. Therefore, Zhou Huifang, Deputy Director of Ophthalmology and thyroid ophthalmology expert, has developed a targeted drug combined with surgical treatment plan for it, and targeted drug treatment will be performed first. Three months ago, I was hospitalized for one week with mydriasis and received intravenous targeted drug treatment. Afterwards, I went home for observation and followed up on time

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