This ＂talent＂ is healthy： creating a ＂15-minute medical circle＂

For many chronic patients and the elderly, family doctors can provide them with sustainable and convenient medical services. How to better play the role of family doctors as health gatekeepers and better serve the masses? How to solve the problem that people are difficult and far away from seeing a doctor through the reform of public hospitals and the construction of medical associations? With the concerns of the masses, the reporter went to Xiangtan City, Hunan Province, a national public hospital reform and high-quality development demonstration project city, and conducted an investigation.

　　(As a national public hospital reform and high-quality development demonstration project city, Xiangtan City has continuously deepened the reform of medical and health system and promoted graded diagnosis and treatment)

In recent years, Xiangtan City has promoted the high-quality development of public hospitals, vigorously developed the contract service between medical associations and family doctors, created a "15-minute medical circle" for the masses to facilitate medical treatment, and opened up the "last mile" of primary medical services, so that ordinary people can get medical treatment at their doorstep.

　　(Tang Wenjing, Party Secretary and Director of Xiangtan Health and Health Commission, introduced the medical reform in Xiangtan)

As a national public hospital reform and high-quality development demonstration project city, Xiangtan has made some achievements in deepening the reform of medical and health system and promoting the construction of graded diagnosis and treatment. Tang Wenjing, secretary and director of the Party Committee of Xiangtan Health and Health Commission, told the reporter that Xiangtan City explored the construction of a close medical association, and Xiangtan Central Hospital took the lead in establishing Xiangtan City Medical Group, optimizing the reform of medical supply side, promoting the sharing of resources within the medical group and promoting the development of graded diagnosis and treatment.

　　(Family doctors in Xiangtan provide diagnosis and treatment services for patients)

At present, 67 primary medical institutions in Xiangtan have formed a close medical association with hospitals above the second level. Xiangtan City has built a new medical and health service system with reasonable layout and linkage from top to bottom to facilitate the masses to see a doctor. At the county level, Xiangtan actively promoted the pilot project of national compact county medical community. Full coverage of imaging diagnosis and remote consultation of difficult cases in the medical community, promoting the graded diagnosis and treatment system of primary diagnosis, two-way referral, rapid and slow division and treatment, and linkage up and down.

The reporter learned that in the city medical group, patients at the grass-roots level do not need to repeat the examination, and the examination results at the grass-roots level can be uploaded to the higher-level hospitals in time through the information platform, avoiding patients from running more.

In order to make it more convenient for people to see a doctor, Xiangtan City has set up 453 teams of family doctors, each team including general practitioners, nursing staff, medical experts, etc., and the team of family doctors has sunk into 1269 community grids to create a "home-front" hospital for the people.

(Reporter interviewed at the ECG Sharing Center of Xiangtan City Medical Group)

"Through information technology, solve the problem of difficult medical treatment." Tang Wenjing said that Xiangtan has built a smart medical and health service system, established a national health information platform, promoted the horizontal interoperability of four types of information platforms: hospital management, primary health care, disease control platform, and maternal and child system, provided digital medical services such as "one card" for convenient medical treatment, and built a new mechanism integrating prevention, treatment, rehabilitation and management, so that people can enjoy more convenient health services. At present, the signing rate of key groups such as the elderly, children and patients with chronic diseases in Xiangtan City is nearly 80%.

In recent years, Xiangtan City has taken the opportunity of implementing the national public hospital reform and high-quality development demonstration project to continuously deepen the reform of the medical and health system and promote the coordinated development of medical insurance, medical care and medicine. At present, Xiangtan city has basically realized the pattern of "headache and fever are solved in the countryside, common diseases are not out of the county, and difficult diseases are not out of the city".

Reporter: Shuai Cai, Cheng Ji ‘an, Dai Bin

Correspondent: Xue Gangyue, Wu Hao, Su Yanmin, Peng Qiuxiang.

Photography: Fu Xin Peng Shuixiu Yao Jiacheng

Later period: Yao Jiacheng and Wang Binyuan

Acknowledgement: Hunan Provincial Health and Wellness Committee

Xiangtan health and health commission

Xiangtan Central Hospital

Active medical sound

Xinhua News Agency Hunan Branch Shuaicai Studio Production