How to build a national regional medical center? Medical | Regional | Medical Center
Promoting the expansion and sinking of high-quality medical resources and regional balanced layout is one of the key contents emphasized in the report of the 20th National Congress of the Communist Party of China to promote the construction of a healthy China. The construction of national regional medical centers is an important measure to promote the expansion and sinking of high-quality medical resources and regional balanced layout. China has a vast territory and uneven distribution of medical resources. In different regions, the goal of building national level regional medical centers that represent the top level of medical care in the region is to solve the problem of people in the region not leaving the province for serious and serious illnesses. How to build a national regional medical center?
Henan Children's Hospital is one of the first 10 pilot project units to build a national regional medical center. In oncology surgery, the reporter caught up with a rare and difficult surgery. The patient is a newborn born only 14 days old, and surgery requires the removal of a hepatoblastoma that accounts for one sixth of his body weight. Hepatoblastoma is one of the rare malignant tumors in childhood. When rare cases occur, the difficulty of surgery increases exponentially, which places extremely high demands on the amount and time of surgical bleeding. The medical team chose microwave bloodless tumor resection with minimal bleeding and strengthened neonatal anesthesia management.
The national regional medical center represents the national level medical level in the region. For patients, the most intuitive standard is that it can see difficult and severe diseases, rare diseases, and rare diseases, and can perform complex surgeries with high difficulty.
After more than 30 minutes of intensive surgery, a hepatoblastoma weighing over 1 pound was completely removed, and the entire process resulted in less than 20 milliliters of bleeding. When the huge tumor was removed from the patient's small abdominal cavity, everyone on site breathed a sigh of relief. The surgery was very successful, and the young patient was immediately pushed into the intensive care unit.
Qin Hong is a well-known expert in the oncology department of Beijing Children's Hospital. Over the past two and a half years, she has regularly visited Henan Children's Hospital for outpatient visits, ward rounds, and surgeries, as well as organizing specialized training for doctors in Henan. Like Qin Hong, in the past few years, more than 130 experts from Beijing Children's Hospital have come to Henan Children's Hospital to help establish a national children's regional medical center. Beijing Children's Hospital is one of the main units of the National Children's Medical Center, representing the highest level of pediatrics in the country. Sending national high-level hospitals to assist in co construction is the top-level design path for the construction of national regional medical centers.
Li Dachuan, Deputy Director of the Medical Administration Bureau of the National Health Commission: Currently, we have selected 69 comprehensive hospitals and specialized hospitals nationwide, as well as 20 traditional Chinese medicine hospitals as export hospitals, to jointly build regional medical centers in areas with weak medical resources, and help improve the overall level of local medical water. The purpose is to enable patients to access high-level medical services nearby through the construction of regional medical centers, reduce the burden of medical treatment across provinces, and enhance the health level of the people. Currently, 76 projects have been designed nationwide, covering provinces with relatively weak medical resources.
It is understood that the establishment of national regional medical centers is mainly aimed at diseases with high mortality rates, heavy disease burdens, and a concentration of seeking medical treatment outside the country. The focus is on building national regional medical centers in categories such as oncology, neurology, cardiovascular, and pediatrics. For example, the Cancer Hospital of the Chinese Academy of Medical Sciences has jointly established the National Cancer Regional Medical Center project in Shanxi, the Fuwai Hospital of the Chinese Academy of Medical Sciences has jointly established three national cardiovascular disease regional medical center projects in Yunnan, Henan, and Shenzhen, and the Beijing Children's Hospital is also jointly building three national children's regional medical center projects in Baoding, Xinjiang, and Heilongjiang.
How to build a national regional medical center? For export hospitals, the biggest challenge is how to improve the diagnosis and treatment level of specialized doctors in the region, so that they can quickly accumulate experience in treating difficult, severe, and rare diseases, and improve their skills in performing difficult and complex surgeries. In addition to the 14 day old patient, Qin Hong also completed surgery for three other small patients on that day. Among them, there were both malignant and metastatic hepatoblastoma, as well as a particularly large nephroblastoma. She imparted her surgical experience and skills hand in hand to doctors in Henan.
Henan is a populous province with a total number of children exceeding 20 million. Due to relatively weak medical resources, many children who previously suffered from serious illnesses had to travel to Beijing, Shanghai and other places to seek treatment. In order to keep the sick children in the local area, Beijing Children's Hospital not only dispatched a large number of experts, but also exported brands and advanced management systems. They added the brand of Beijing Children's Hospital Zhengzhou Hospital to Henan Children's Hospital, telling everyone that experts from Beijing Children's Hospital are here for long-term consultations.
Ni Xin, Director of the National Children's Medical Center and Dean of Beijing Children's Hospital affiliated with Capital Medical University: After our brand arrived, in fact, for local parents who see their children sick, they will first choose to go to Henan Children's Hospital because experts from Beijing Children's Hospital are here. Under such a premise, the patient will be left in the local area. Allowing every doctor at Henan Children's Hospital to see complex and difficult diseases in addition to common and frequently occurring ones, this approach enables them to grow rapidly in the local area.
Wednesday and Thursday are the days when Beijing experts gather in Zhengzhou for consultations, and the outpatient volume will increase significantly. In this ward in front of us, almost one-fifth of the children with major hematological diseases in Henan Province receive treatment from small patients every year.
Wang Tianyou is the director of the Hematology Center at Beijing Children's Hospital. In recent years, one of his important tasks has been to assist the Hematology and Oncology Department of Henan Children's Hospital in expanding and strengthening. Childhood hematological malignancies have always been a severe illness with high costs, high mortality rates, and high referral rates. In clinical practice, the finer the division of departments, the higher the professionalism of doctors, and the stronger their diagnostic and therapeutic abilities. Wang Tianyou led a team of over 30 experts to take turns providing guidance and guidance, dividing the Hematology and Oncology Department of Henan Children's Hospital from two professional directions of a large department to seven subgroups similar to Beijing Children's Hospital.
In addition to the Department of Hematology and Oncology, in the past five years, Beijing Children's Hospital has dispatched a total of 9 well-known discipline teams and multiple discipline leaders to form a group like system to assist Henan in building a national children's regional medical center. Including well-known disciplines such as ear, nose, throat, head and neck surgery, pediatric oncology surgery, endocrine genetics and metabolism, pediatric urology, and pediatric dermatology.
A young patient is about to be discharged from the hospital. The child is in fourth grade and used to take frequent leave due to headaches, fever, and nasal congestion. Through remote joint consultations among ear, nose, throat, neurosurgery, and respiratory departments, it was finally determined as a difficult disease - nasal skull base abscess.
Duan Qingchuan, the specially appointed director of the Department of Otolaryngology, Head and Neck Surgery at Zhengzhou Hospital of Beijing Children's Hospital, said that her illness is relatively dangerous. The abscess has already broken through and entered the brain, which may produce some irreversible permanent sequelae. Difficult and complex patients will also promptly contact Beijing and develop preoperative treatment plans.
Under the guidance of experts in Beijing, it was finally agreed to transform the more traumatic craniotomy surgery into a minimally invasive endoscopic nasal surgery with a smaller incision, and the surgery was very successful.
Unlike most experts who regularly come to Zhengzhou for assistance, Duan Qingchuan is a resident expert at Beijing Children's Hospital working in Zhengzhou. He also has one identity, which is the specially appointed director of ear, nose, throat, head and neck surgery. In order to assist the key disciplines of Henan Children's Hospital in enhancing scientific research capabilities and improving diagnosis and treatment levels, Beijing Children's Hospital has innovatively launched a dual director system in Zhengzhou.
Zhou Chongchen, Dean of Zhengzhou Hospital of Beijing Children's Hospital: One discipline has two directors. The former discipline director of Henan Children's Hospital focused on department management, while the specially appointed expert director of Beijing Children's Hospital focused on improving medicine, education, and research. This has resulted in a one plus one greater than two effect.
The term of office of the specially appointed director is generally one year, with rotation at the end of the term. Over the past two years, Beijing Children's Hospital has selected 49 experts to serve as special directors in Zhengzhou, covering 18 disciplines and professional directions.
The key to building a national regional medical center lies in talent cultivation. In addition to selecting the executive director and a large number of experts to come to Zhengzhou for guidance, Beijing Children's Hospital also arranges a large number of backbone medical personnel from Henan to Beijing for further education and learning every year, forming a normalized mechanism for two-way talent exchange.
Kang Wenqing, the discipline director of the Newborn Disease Diagnosis and Treatment Center, studied in Beijing for a month last year. Her biggest achievement was how to apply precise adjustments of antibiotics in clinical practice.
Statistics show that with the assistance of Beijing Children's Hospital, in recent years, the number of difficult and severe diseases admitted to Henan Children's Hospital has increased from 74 to 108, and the cumulative implementation of core technologies has increased from 82 to 114, with a coverage rate far higher than the requirements of the national standards for setting up regional medical centers for children. The transfer rate of pediatric patients in Henan Province has significantly decreased, and the goal of "preventing children from leaving the province due to serious illnesses" has been preliminarily achieved.
How to build a national regional medical center? This requires the sincere efforts of the output hospital, relying on the sincere learning of the hospital, and the sincere support of the local government. The practice of Beijing Children's Hospital and Henan Province in recent years has explored a path that can be used for reference. Led by the National Medical Center and with the National Regional Medical Center as the backbone, we will build a high-level medical network covering the whole country, so that the people can enjoy high-level medical services nearby. The national regional medical center is still under construction, and the relevant person in charge of the National Health Commission stated that the plan is to achieve national regional medical center construction projects in all provinces with demand by the end of the 14th Five Year Plan.
Editor | Qu Guixiang
Camera | Xu Peng
Editing | Zhang Wenqing
