The celestial being in Zhejiang occupies: " three platforms " Let peasants solve the big problem nearby

The celestial being in Zhejiang occupies: " three platforms " Let peasants solve the big problem nearby
The celestial being in Zhejiang occupies: " three platforms " Let peasants solve the big problem nearby
Staff reporter Li ShuiGen " eight mountains one and a point of fields of water " Xianju County lie in by the southeast Zhejiang,live scattered on the 20 722 villages administrative of villages and towns of counties undeveloped nearly 500,000 people. It is not merely that rural hygiene resources are poor once peasants are ill to face, and difficult problems such as the medical expenses not convenient and heavy of the traffic,etc.. Nowadays, " in urban and rural areas and conjuncted " which this county pursues , " the village is in flakes " Medical reform tacticses rural,last " enjoy by hospital levels at county level nearby" Make a diagnosis service. Medicine of Zhejiang Province is corrected after assessing the method of this county conscientiously, has already popularized its successful reform experience to the whole province. " diagnosis platform of the image " Build in central the intersection of commune hospital and Wang you the intersection of White Dagoba and the intersection of town and the intersection of fish and the intersection of mountain village and people, because the chest was aggravated while paining, inhaling not long ago, go to the commune hospital of the centre of the town to go to a doctor. The clinic doctor finds patient's chest has tenderness, propose taking a photograph of the chest slice at the time of physical examination. The radiologist diagnoses the report is: "The seeing round shade among the rib before the right lung 2-4, the edge boundary is unclear. " Diagnose as tentatively " The lung takes location pathological change in right " . Subsequently, abundant chest one of Wang Ru is uploaded to the county image to diagnose the centre by optic fibre special network, diagnose the report is after the centre expert checks: "The shadow of seeing the flaky density increase of rib before the right lung 2-4, the edge boundary is not clear enough, size about 46* 43mm. The rib is destroyed after the right side the seventh " ,Malignant pathological change of the wall of the chest, propose CT checks after considering. With the aid of " Diagnose the platform in image " ,Have already made this 56 -year-old patient diagnosed correctly and treated in time in time, have improved the competence of making a diagnosis of the central doctor of commune hospital. This is a typical case that a reporter sees in the interview. The land of county of Xianju County " Diagnose the centre in medical image " There are institutes of traditional Chinese medicine of county people's hospital, county and 3 centres commune hospital in the first batch of access networks. The central commune hospital can transmit patient X one, CT one to the county to diagnose the centre in time through the optic fibre special network after preliminary examination, the high age and service seniority doctor who is diagnosed the centre allocates by the county is responsible for checking, holding a consultation and diagnosing, and then will diagnose that passes the central commune hospital, meeting examining a doctor to make the doctor's order in view of the above of the commune hospital back in real time through the network in result, construct and manage in time. The whole course generally only needs 5- 6 minutes. Diagnose the centre in image that from January to July in 2011 years, " " Hold a consultation, verify 7144 persons altogether, the report revises 1802 persons, the revising rate of the report is 25.2%, find greatly that leaks and examines 146 persons by mistake. The commune hospital of the centre of town of White Dagoba radiates head of the department Wu Jiang to tell reporters: "Have report that revise on every one, we will contrast, analyze especially to leak case to examine the situation conscientiously, even more can organize, ask the intersection of county and the intersection of centre and expert come on on-the-spot evaluation and analysis even in the department. Now, the revising rate of the report has already been obviously reduced. Upload the image to report to 33 persons today, is entered the director and checked in real time it is all qualified by the centre Gong Yong in the county. " " the heart is electric to diagnose the platform " At 30 past 2 on the the afternoon of August 10 of the whole county of cloth of network, fit the village 45 -year-old peasant Yin XiaoHua of door of table of mountain range township, feel the chest uncomfortable in chest suddenly and ache, catch up with and leave home fitting the commune hospital of mountain range township of half a li immediately. On duty the intersection of doctor and general Hu give him have an electro-cardiogram, check immediately, exist side by side, spread, give county " the intersection of heart and cable diagnose in the center " through the intersection of optic fibre and special network namely the intersection of inspection and result ,Diagnose the centre provides the report rapidly: Acute myocardium infarction! "Hand over to the county hospital quickly! " The commune hospital will send the special train to send Yin XiaoHua to the county people's hospitals of outside more than 70 kilometers at once. Because is serious, the hospital of county after dealing with promptly sends 120 emergency tenders to protect and send to Taizhou hospital all the way again. Taizhou hospital makes a definite diagnosis of " Lower a blood vessel to stop up before the left " ,Give the support and get involved and treat. Diagnose fast fortunately, pass on in time, otherwise patient will miss the intersection of heart and gold that stem rescues rescue time. Fit the intersection of mountain range and the intersection of township and JinQiang Yin, president of commune hospital, speak of the case afterwards, until " whether the intersection of heart and cable diagnose the platform " Profuse in praise. He says: "Now, local ordinary people rest assured very much in seeing the doctor nearby, because the expert in the county is just in ' home town ', this ' stealthy expert ' can save someone's life! " Interview, learn, the intersection of county and the intersection of land and " the intersection of heart and cable diagnose in the center " of Xianju County There are county people's hospital and 23 health organs of villages and towns in the first batch of access networks. 2010 is from January to July, " the electricity of heart diagnoses the centre " Check altogether the heart telegram informs 2183 persons, the report revises 715 persons, the revising rate of the report is 32.8%, find greatly that leaks and examines 76 persons by mistake. President of centre of town of White Dagoba commune hospital Zhou Wei can be told reporters: "We hold it once to revise the report and analyze the meeting per month, the contrast, look for the reason one by one. For diagnosing and describing the unstandard situation, demand to implement according to the norm too. At present, because diagnose it is unstandard to describe that is diagnosed the reporting rate that the centre expert revised, have already dropped to 2.8% from 8.4% of initial stage. " " change the place of examination in the platform bidirectionally " See the doctor, save effort, save money 67 -year-old Lu Xiao phoenix again, house live in the intersection of Po and the intersection of beach and the intersection of township and the intersection of Daegu and the intersection of field and village. Will it be April 26 this year, because she happen suddenly, suffer from abdominal pain companion to be sick to vomit, send the intersection of county and the intersection of hospital and treatment to, diagnose as through checking: Cholecystitis, acute pancreatitis. In hospital expenses for 3 day 2856.25, agricultural the intersection of medical insurance and conceited 1279.48 yuan submit an expense account. Transfer under April 28 to the central commune hospital of town of White Dagoba and accept rehabilitation, the all-inclusive cost while recovering and leaving hospital on May 8 is 1473.30 yuan, agricultural the intersection of medical insurance and conceited 601.16 yuan submit an expense account. 78 -year-old the intersection of White Dagoba and the intersection of town and the intersection of fish and fragrant color Cui, people of mountain village, dash for ward dizzy to faint one, speech disorder hand over county the intersection of hospital and treatment on will it be June 22 this year 5 hour, diagnose as brain blocking up, 3 grades of essential hypertension, hypertension heart disease. Leave hospital, in hospital to July 4 expenses 10819.36, agricultural the intersection of medical insurance and conceited 3513.45 yuan submit an expense account. Play and transfer to the central rehabilitation of commune hospital of town of White Dagoba on July 4, the all-inclusive cost is 2248.50 yuan while leaving hospital on July 16, agricultural the intersection of medical insurance and conceited 771.29 yuan submit an expense account. Interview, learn because the image, the intersection of heart and cable diagnose foundation of the platform, enables the intersection of diagnosis and competence of the health clinics in towns and townships promote greatly, have guarantee for the technological ability that the patient made a diagnosis nearby. Meanwhile, change the place of examination foundation of network platform bidirectionally, make need because of condition, transferring to again or patient turned to down enjoy the convenient service. , enjoy " The landscaped roadway " Convenient service, and special train meets and sends off; Patient recovering at home after leaving hospital, enjoy it 1-3 times to follow up a case by regular visits to to the doorstep; Following up a case by regular visits to the materials when make a diagnosis and recover at home while changing the place of examination bidirectionally will be connected and stored. In addition, this county stipulates that it is 75% to submit an expense account in the commune hospital in hospital, submit an expense account and 10 percentage points higher more than the county hospital. It is reported, the system of changing the place of examination bidirectionally started since April of this year is transferred to patient 5 on the commune hospital by the end of July 48 persons; County transfer patient to 3078 person under the hospital, continue, in hospital 50 person, the intersection of outpatient service and 545 person among them, recover 2483 persons at home. The berth rate of utilization of the health clinics in towns and townships rises to 91.0% from 43.1%. The hospitalization cost of the patient that transfers to the county hospital drops by 32% on average.


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