Zhang Fan, who had a clear mind, felt less anxious. Although Old Man Zhong and Old Man Hu express themselves in different ways, their ideas are the same.
And Zhang Fan not only asked them two, but also asked many people, such as those who switched jobs from the hospital to the health bureau, as well as doctors and nurses who worked at the lowest level.
The development of hospitals cannot keep up with the number of patients admitted to the hospital. Regardless of the level, the ideas given are almost surprisingly similar.
Strengthen the accommodation function of primary medical care.
Regarding primary medical care, in the northwest, apart from the current tea content, there are almost only one or two places that can achieve this function and dare to say this.
The first one is Shenshu City in the mountains and valleys. People in this place dare to say this because it is rich. Not only is there a lot of coal underground, but it is also a high-quality industrial thermal coal mine. It doesn’t matter if you have money, it’s almost to the point where you don’t have to pay for medical treatment.
The second one is Or in Mongolia. For a few years, this place was so exaggerated that they even used Range Rover to herd sheep. Sometimes I couldn’t understand why they were herding sheep when they already had Range Rover?
It’s hard to say about other aspects, but medical care is still not developed in these two places. One is rich enough to go to Roujiamo, and the other is rich and goes to the capital.
But tea is different. In terms of medical treatment, now it is not just tea. Even in the frontier, Zhang Fan can set a bell in many cases regarding medical treatment.
The meeting is a three-day high-intensity meeting, and various methods and rules must be listed within the three-day meeting.
The people coming from the bird market almost drove Zhang Fan crazy.
However, Zhang Fan was very generous this time. He drank coffee as he pleased and placed four or five coffee machines in the conference room. You can eat whatever you want, including roasted mutton, boiled mutton, stewed beef, braised beef, whatever fresh meat from the pastoral areas.
Moreover, not to worry about sudden death, three full health rescue teams took turns to guard the small living room next to the conference room. When everyone sees this posture, be good and pretend to be sick. I will give you a full set of maintenance in minutes.
At the end of the three-day meeting, when they went back, the car was full of people who were sleeping and couldn't wake up even if they screamed.
However, the results were also very impressive. Ouyang, Ren Li, and Zhao Jingjin looked at the results of these three days. Old Zhao said with a smile: "The efficiency of our border health court is quite good."
"Isn't it good? You Zhang Yuan is so easy to take advantage of?" Ouyang rolled his eyes and smiled.
Medical community! The results of three days directly created a medical community in the tea area.
First, it starts directly from the most basic public medical units, with the three branches of Chasu as the leader, and then spreads to the most basic public medical units.
And there is almost no dead space, even the school's infirmary is included in this circle.
The main campus of Chasu Hospital is mainly responsible for clinical teaching and internship in higher medical schools and cultivating senior clinical medical talents. And undertake the clinical professional training tasks for the technical backbone of the second-level hospital.
And establish and improve the medical quality management organization in the hospital, formulate quality management plans, improve the internal restraint mechanism of quality management, conduct quality education for all employees, regularly supervise, inspect, and evaluate the quality management of medical care, medical technology, and pharmaceutical medical records, and provide suggestions for improvement. .
The medical quality management organizations established include: Medical Quality Management Committee, Medical Records Management Committee (can be merged with the Medical Quality Management Committee), Pharmaceutical Affairs Management Committee, Hospital Infection Management Committee, and Blood Transfusion Management Committee!
Patients with first-level diseases are no longer accepted.
The so-called first-level diseases are actually diseases that are simple to diagnose and treat, such as common colds, simple appendix, and upper respiratory tract infections.
Moreover, a doctor rotation system has been formed in the branch hospital, which means that the attending doctor or above in each department must lead a team into the branch hospital for a month-long diagnosis and treatment task.
All medical units in this circle must enter the overall assessment of Chasu Hospital. Lower-level central hospitals, Br County hospitals, and Chasu hospitals will rotate director-level doctors every three months to lead attending-level doctors. They are not only responsible for treatment, but also serve as business directors of lower-level hospitals.
It can be said that this model is almost impossible to expand in another place or unit.
First of all, the travel expenses incurred by going to lower-level hospitals are very small, and the doctors will most likely not resist. But after going there, they will be like borrowed cats and will never catch mice. The amount given was too much, and the local finances could not bear it.
There are also part-time deans and originally appointed deans. If Zhang Fan had not held the position of health book, he would not have been able to achieve this measure.
China's medical treatment does have offline support, but this thing can only be said to be mediocre in effectiveness.
Seeing this regulation, Ren Li looked pityful, not because she was unwilling to go to the countryside, but because Zhang Fan had run out of money!
Of course, not only does the Chasu Hospital cost money, but the Niao City Government and the Chasu Government cannot escape. After the regulations and interim measures are reported to the bird market.
The boss of the bird market was frightened when he saw it. I agree. If this kind of thing becomes normal, funds will be invested regularly every year in the future. What about other areas? Will there be a chain reaction? If people see that the effect is good, they will also apply. What to do with this approach? Is there financial support?
Don't agree, Zhang Fan will definitely speak out on antiemetic drugs. Now antiemetic drugs have surpassed the border wine industry and become the third largest industry.
To be honest, antiemetics are the next best thing to mining and tobacco. The leaders of Bird City never expected that this thing would be so profitable. When he grabbed half of the shares with a black face, many leaders complained. The policies given to Zhang Fan were not consistent with the shares, and they felt that the government had suffered a loss.
Looking at it now, no one is talking anymore, especially the new boss and second child. They never dreamed that they could get such a large amount of income for Frontier. As for their political achievements, it goes without saying that anyone with a discerning eye will understand. Everybody understands.
Therefore, Zhang Fan is now even more detached.
After Niaoshi forwarded the regulations to Chasu, Chasu's leader in charge of health took the regulations and said to the boss and the second son with a sad face: "Zhangyuan really doesn't suffer. Boss Shinsing promised us to use the land to invest. I originally thought It's good to be able to make a fortune, but as soon as Zhang Yuan turned his head, something unexpected happened.
This is how to do ah! "
It's not just the money issue that worries the health leaders. With Zhang Fan doing this, a large chunk of his authority has been poached.
Originally, Chasu Medical Care was special. The current scale of Chasu Hospital was so large that he could only serve as a leader in the county and township. But now that Zhang Fan was doing it, he didn't even have to think about it. In the future, the counties and townships might not listen to him.
The eldest brother and the second child looked at each other and said, "As a pilot, this is also an attempt. What I mean is to support it fully. Our Jiadi Chasu Hospital also knows about it anyway!"
"Haha, I agree, but the premise is to let Zhang Yuan speed up the research and development of the vaccine."
People are looking further ahead than health leaders, and not all cities or regions are qualified for this type of pilot project. Under normal circumstances, this kind of thing will only gradually spread to areas like Chasu after being tried in developed areas. Now, Chasu may become a pioneer.
Although there are some slight problems with the policies and methods between the two levels of government, they are all minor problems. Chasu is just crying for the poor, and they are also imitating the thieves. On the premise of full support, they are crying for the Niao City Government.
When the methods and regulations are implemented, the results are visible to the naked eye.
Patients in China recognize doctors and even have superstitious beliefs about some doctors.
For example, some experts are just loyal believers in the eyes of some patients, while other doctors are all jerks.
When various experts arrived at the branch in rotation, they took away a large number of patients. Moreover, since Chasu Hospital no longer treats first-level diseases, the occupancy rate of county-level hospitals where experts are admitted has also increased significantly.
Zhang Fan's methods and regulations actually didn't target anyone.
But after it was implemented, all the private hospitals and clinics in the Chasu area began to cry loudly because there were no more patients.
What is the biggest difference in treatment between public hospitals and private hospitals?
Even some experts don’t know this. The drugs used in private hospitals are extremely cheap. They are even so cheap that you can avoid using drugs as much as possible. If you must use drugs, use the most basic drugs. What is really expensive is the doctor’s treatment.
In this regard, it has gone ahead of public hospitals, but once medical treatment involves making money, it becomes a more troublesome matter.
Because once it comes to making money, all kinds of monsters and ghosts will change. There was a joke back then, saying that a person could go to a certain Tian hospital to have circumcision surgery for one hundred yuan.
To be honest, 100 yuan is not enough for an ordinary guest house, but they only charge 100 yuan for surgery. However, after the surgery, various beautiful nurses will be sent to take care of them, and then wait for the patient to get up and cut off, and the second surgery will be done directly. Eight to nine thousand.
It’s hard to say whether this is true or false.
However, the emergence of the tea-based medical community will be a disaster for private hospitals and clinics. Especially for some gynecology and men's departments, the original patient group was directly robbed by county-level hospitals with experts.
Because this circle is so big, even the school clinic needs training, which directly activates the entire medical field in the Chasu area.
The Tea Su General Hospital is now much better and has released a large number of expert doctors.
In fact, most of the workload of hospitals in China, large hospitals in a region, consists of repetitive and simple treatments. For example, in Xihua's orthopedics department, 80% of the procedures are internal fixation surgeries for traumatic fractures.
This kind of surgery offers almost no improvement for a mature doctor-level doctor, except for a commission on consumables.
Kechasu Hospital's diversion seemed really wasteful at the beginning, but scientific research actually progressed much faster than before.
Within a month, scores were popping up in several departments.
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