Chongqing Shizhu: There is also spring in remote township health centers

“It is much more convenient to come to the hospital to see a doctor. I am an old patient, and I could not do the examination here before. I often travel to the county town, and it costs a few hundred yuan to go to the hospital. If you do, you can see a lot of illnesses.” Yu Shouchang, a villager who saw a doctor at the Xixin Township Health Center in Shizhu Tujia Autonomous County, told reporters a few days ago.

The patient is being examined at the Xixinxiang Health Center

Shizhu Tujia Autonomous County was once a national poverty-stricken county. With the acceleration of urbanization, the number of visits and medical income of grass-roots medical and health institutions has decreased year by year. Taking Xixin Township as an example, the local health center has only 4 medical staff, 8 beds, 1,978 outpatient visits and 136 inpatient visits per year. In recent years, it has basically been in a state of debt operation. In such a situation, positive changes are taking place as Shizhu explores and implements the reform of the trusteeship of grass-roots regional medical and health centers.

Xixinxiang Health Center

According to the relevant person in charge of the local health and health committee, in order to save the survival and development of the health centers in remote townships and ensure the basic public health services and basic medical services for the local people, Shizhu selected ten grassroots medical and health institutions with good foundation, excellent location and convenient transportation. To build a grass-roots regional medical center, the regional center will implement the “five unified” management of ownership, business, personnel, finance, and medicines for township health centers that are weak in development, severely reduced in the population served by their jurisdiction, and particularly difficult to operate. Taking Xixin Township as an example, the regional center has dispatched clinical, nursing, inspection, B-ultrasound and other medical personnel to take turns on duty in the local health center to ensure its normal operation, and the regional center will arrange ambulances for patients who need further treatment.” package delivery”.

Shizhu family doctor team provides door-to-door service in poor households

“In the past, we were understaffed, and although there were not many patients, each of us had a fixed post, basically all year round, and we had no time to attend training, let alone go to our homes to carry out basic public health services. Now we work with Mawu Hospital’s staff. Colleagues work together, and this problem is basically solved.” Liu Xing, a doctor at Xixinxiang Health Center, told reporters.

Fang Jinming, a family doctor at the Mawu Township Health Center, said, “At the beginning we formed a team to go to Xixin Township to provide public health services to the countryside. There was basically no place to eat at noon, and everyone was hungry with instant noodles. Now we go to the countryside, and many villagers have done it. After the rice and the bacon have been stewed, they insisted on keeping us to eat together, and the satisfaction of the masses has also been improved.”

The family doctor team of Shizhu Mawu Town Central Health Center went to Xixin Township to provide door-to-door service

According to reports, from August 2021 to August 2022, the remote township health centers where Shizhu is entrusted will save an average of more than 1 million yuan in manpower, operation and other costs, with an average year-on-year increase of 26.6% in the number of diagnosis and treatment, and an average year-on-year increase in medical income by 40.5%. Through the two-year pilot reform, the burden on patients in Shizhu Township has been significantly reduced. In 2021, the average cost of primary outpatient and emergency services will be 82.29 yuan, and the annual increase will be controlled within 10%; Yuan.

Producer: Wang Kai

Editor: Wu Xinwei

Reporter: Wu Liming