Chapter 566: Medical Problems (7)
Jing Zhenlin couldn't help but be excited as he spoke, his eyes were a little moist, his tone became low, and he looked at Qi Tianxiang and said sadly: "A few days ago, a chief doctor of our cardiology department collapsed in front of the outpatient table, a senior cardiologist, but he had a heart attack due to overwork. Pen × fun × Pavilion www. biquge。 infoThere are more than a dozen such tragedies in our hospital every year, and as for other stomach problems, prostatitis, pharyngitis, and sciatica, it is even more common. Patients only need us to provide them with thoughtful diagnosis and treatment services, but they do not think that the doctor who sees the doctor is also a human being, and it may be a patient. ”
"This is still the situation of the outpatient clinic, the situation in the ward and the operating room is not easy, a simple operation takes dozens of minutes, complex takes several hours, several surgeries a day, without super physical strength, energy, it is simply not able to cope. On the one hand, patients need good and thoughtful service, and doctors need patient, meticulous, and pleasant explanations and services. On the other hand, there is the excessive work of doctors, especially excellent specialists and chief physicians, the physical strength of severe overdraft, and the fatigue manifested by exhaustion. Jing Zhenlin calmed down and said truthfully: "In terms of outpatient clinics, there is a long queue outside, but every patient hopes to get a detailed inquiry about the condition by experts, as well as patient and meticulous explanations and diagnoses. ”
When it comes to medical professional issues, Jing Zhenlin, who has always been rigorous, couldn't help but be verbose again, "Speaking of excessive medical treatment, I don't deny it, this phenomenon does exist, but in our hospital, I can say responsibly that we absolutely do not have such a problem, on the contrary, we persuade patients not to do some unnecessary examinations." ”
"Many of the patients who have hung up on my expert number have come with various films and medical records, and they have also undergone various biopsy tests, and many of them are recent, and the diagnostic conclusions made are also very professional and accurate. At a glance, you can see the existing problems and understand the state of the patient, such a patient can be directly admitted to the hospital as long as the conditions of the ward permit, even if they are temporarily unable to be admitted to the hospital and need to wait, it is recommended to return to the original hospital for further treatment. Jing Zhenlin shook his head helplessly, and said with a wry smile: "But these simple explanations, whether it is a patient or a family member, are all opposed. It's easy to wait for so long, hang up the number of a well-known expert, and send it away without doing any inspection, not only is it unwilling, but it will also say that you should not be careful, and even resentment. There is no way but to write down a bunch of checklists, and it seems that only in this way is the respect for the patient and the importance of the condition. ”
Jing Zhenlin breathed a long sigh of relief, took a sip of water from his teacup, and then continued: "Not only the examination, but also the diagnosis and treatment, my outpatient clinic is assisted by several assistants, not only me, but most specialist outpatient clinics. The purpose of this is to save time and to give young doctors or interns the opportunity to see and learn for the first time. Every patient is examined and questioned by the assistant, and after filling in the detailed medical record, it finally arrives in my hands, basically I don't need to ask too much, just look at the assistant's initial diagnosis conclusion to make a judgment. But this is absolutely impossible, not only still have to ask again, but also patiently listen to the patient's introduction of their own situation, maybe only in this way can the patient be satisfied, in order to feel that the expert's opinion and attitude are pertinent and professional, but this is also a hasty process, I don't have so much time, the patients who are waiting outside don't have time. This is a contradiction, which is difficult to reconcile, and what we can do is to spend more time and energy to satisfy the patient, and also make the patient feel that such an expert number is worth hanging. ”
"In fact, what is the need for this, most of the grassroots hospitals now have complete inspection methods, the inspection equipment used is also advanced, and all the data and imaging data are consistent. There is no difference between treatment and medicine. Serious and serious illnesses can choose to come to large hospitals for diagnosis and treatment, and some minor or chronic diseases can be left in grassroots hospitals for treatment. In fact, big hospitals and experts do not necessarily have the patience and meticulousness of small hospitals and ordinary doctors. Jing Zhenlin seemed to have finished expressing his meaning, so he looked at Qi Tianxiang seriously and said: "Having said so much, it is one meaning, to develop cooperative medical care, give full play to the government-led regulatory role, reduce the burden on our big hospitals, reduce the pressure on our doctors, and let us better carry out medical services and better serve patients." ”
Jing Zhenlin finally finished speaking, as if he had poured out all the depression in his heart, and he felt relaxed all over, looking at Qi Tianxiang calmly, as if he was waiting for his comment, and as if waiting for his support and affirmation.
Qi Tianxiang looked at Jing Zhenlin gently, stretched out his hands and patted them gently, echoing Jing Zhenlin's speech with such behavior, and his eyes showed a look of approval. It should be said that Jing Zhenlin is sober and understands his role and the role he can play.
To solve the problem of universal coverage of medical insurance, in addition to activating the internal motivation of hospitals, it is an unavoidable fact to revitalize grassroots medical units at all levels. Jing Zhenlin is very sober about this, and he also knows the key to Qi Tianxiang's need to focus on, these seemingly verbose narrations are actually to use their own difficulty to pave the way for Qi Tianxiang's comprehensive layout, it seems that this purpose is partially in advance.
Qi Tianxiang expressed his attitude with applause, and his heart was also full of gratitude, after all, they have been old friends for many years, and there is still a tacit understanding with each other. Although Qi Tianxiang was only the vice president of the Law School of the Capital University of Political Science and Law when he was studying at the Central Party School, and was a well-known administrative jurist in China, while Jing Zhenlin was the senior president of the Hehai Provincial Hospital and a well-known oncologist at home and abroad.
At the end of the party school, the two went their separate ways, and there were not many opportunities to meet, but the telephone contact was always constant, Qi Tianxiang took up the post of the Provincial Commission for Discipline Inspection and made the two go to a city, that is, the years when Qi Tianxiang was idle in the policy research room, the two would often sit together, but Qi Tianxiang went to Jing Zhenlin to chat and drink tea, which was also feasible when Jing Zhenlin had time, and most of the time it was more than a telephone chat. Jing Zhenlin can be said to be one of Qi Tianxiang's friends who can chat with confidence when he first came to Hehai.
Since Qi Tianxiang became the secretary of the Provincial Commission for Discipline Inspection and successfully became a member of the Standing Committee of the Provincial Party Committee, the two of them have met less, that is, Qi Tianxiang was hospitalized due to Bai Fengshou's illness, which can be regarded as a relatively close relationship. After that, it returned to a state of imminent separation, but the telephone exchange continued to be maintained, even after Jing Zhenlin became the vice chairman of the provincial CPPCC, it was still the same, no difference.
Seeing Qi Tianxiang applauding applauded, everyone in the office also applauded, which made the somewhat boring atmosphere enlivened up and became a lot more lively due to Jing Zhenlin's tirade.
Qi Tianxiang looked around at everyone with a slight smile, and seemed to be very satisfied with everyone's response, so he raised his hands and waved them slightly, then looked at Han Fei and said, "Dean Jing has taken the lead in expressing his opinion, and he has said it very well and in place, this is the attitude to solve the problem." Now I would like to hear the opinions and views of you, the leader of the health department, so I might as well talk about it! ”
Han Fei knew that he had to speak at today's meeting, but he didn't expect Qi Tianxiang to be called in public, and he was a little nervous and cramped for a while, but looking at Qi Tianxiang's calm expression, although he was apprehensive in his heart, he still didn't dare to hesitate for a moment.
Since Sun Pingfang called him last night to inform him that at nine o'clock this morning, when he went to Qi Tianxiang's office for a meeting, although Sun Pingfang only mentioned Qi Tianxiang's encounter in the first courtyard lightly, but when Han Fei heard it, he didn't care about it like a thunderbolt on a sunny day. Putting down Sun Pingfang's phone, without the slightest hesitation, he hurriedly called Li Lidong's phone, and asked Qi Tianxiang about the situation in the first hospital, including Guo Fugui's condition and treatment, and was flustered for a while, and actually forgot to explain to Li Lidong to immediately improve Guo Fugui's treatment conditions.
I'm really afraid of what's coming, after Qi Tianxiang took office as governor, Han Fei always had a heart, knowing the chaos and problems in medical and health care, Qi Tianxiang will definitely not let it go, as a field of medical care, education, social stability, and economic development, medical and health care is an important symbol of people's livelihood improvement and social progress, and it is also an important embodiment of the government's image.
But Han Fei is worried and nervous is not only these, as the person in charge of the provincial health management department, Han Fei has been very strict with the medical unit over the years, as the director of the health department for many years, he not only regards the medical resources of the province as his own one-third of an acre, but also tries his best to squeeze out the interference of other department leaders in the operation of the hospital, and gradually forms a power structure of Yiyantang, which not only enjoys the pleasure brought by power, but also enjoys tangible benefits.
Due to the professional characteristics of the medical and health industry, the hospital's major personnel appointments and dismissals and financial expenditures also have relatively special places, especially in the declaration of professional titles, technical grade evaluation, hospital qualification upgrades, as well as equipment introduction, hospital layout, and centralized procurement, the health department has absolute decision-making power and domination.