Strengthen the grassroots, how to improve the path?

On the morning of March 4th, the 2021 "voice•responsibility" symposium on behalf of the CPPCC members of the People’s Congress of the medical and health sector was co-sponsored by the 24 Chinese pharmaceutical industry associations (learning) associations and organized by People’s Daily Online, People’s Health and E-pharmaceutical managers (below Referred to as the symposium) was held in Beijing.

Hierarchical diagnosis and treatment, medical consortium, medical community, and Internet medical treatment have increasingly become "hot words" in recent years.

Wang Songling: Cultivating high-quality general practitioners is the key

Wang Songling, member of the National Committee of the Chinese People's Political Consultative Conference, academician of the Chinese Academy of Sciences, and vice president of Capital Medical University

Wang Songling, a member of the National Committee of the Chinese People's Political Consultative Conference, academician of the Chinese Academy of Sciences, and vice president of Capital Medical University, took the lead in pointing out that the training of high-quality general practitioners is the key to realizing the sinking of high-quality medical resources.

"To truly solve this bottleneck problem, the most important thing is to establish a long-term sustainable general practitioner training school system and discipline system.

First: give full play to the five-year clinician training and three-year residency training, that is, the main body of the 5+3 model.

Second: Reform the inpatient training system.

Third: After the 5+3 MD comes out, it is necessary to establish specialist training.

Fourth: Attract high-quality high school graduates and enter the medical and health industry as students.

Fifth: Improve the career development plan of general practitioners, including professional titles, continuing education, training, and remuneration, and stabilize their work.

Tuo Biguang: Training of high-level talents

Multi-departmental coordination is required

Yao Biguang, deputy to the National People's Congress and director of the Digestive Disease Hospital of the Affiliated Hospital of Zunyi Medical College

"The lack of high-level medical talents is the main pain point facing the western grassroots medical and health system.

Tuo Biguang pointed out that the cultivation of high-level talents requires coordinated promotion of multi-sectoral systems.

Huo Yong: To establish an effective disease and health management system

Member of the National Committee of the Chinese People's Political Consultative Conference and Director of the Heart Center of Peking University First Hospital Huo Yong

"The core of building an efficient and high-quality medical service system lies in medical staff.

He emphasized that there are three problems: the problem of hospitals, the problem of capacity, and how to build a supporting policy environment system.

Based on this, Huo Yong puts forward four suggestions:

First, adjust the country’s current salary system to increase the income of medical staff, especially the income of grassroots medical staff;

Second, do a good job in the linkage of the three medicines.

The third is to establish a linkage with medical institutions as the main body, and vigorously promote the close integration of the construction of medical consortia and medical communities with medical institutions, and medical institutions should play the role of post-hospital and pre-hospital linkage;

Fourth, we need to sink medical resources and strengthen informatization.

Ding Jie: The key to improving primary diagnosis and treatment capabilities

Is to establish an appropriate standardization mechanism

Ding Jie, member of the National Committee of the Chinese People's Political Consultative Conference and Professor of Pediatrics, Peking University First Hospital

"The biggest problem of strengthening the grassroots is to improve the ability of diagnosis and treatment.

Ge Junbo: Chronic disease management goes from side to side and from side to side,

Implement the "Three Completes"

Ge Junbo, member of the National Committee of the Chinese People's Political Consultative Conference, academician of the Chinese Academy of Sciences, and director of the Department of Cardiology, Zhongshan Hospital Affiliated to Fudan University

Ge Junbo, member of the National Committee of the Chinese People's Political Consultative Conference, academician of the Chinese Academy of Sciences, and director of the Department of Cardiology, Zhongshan Hospital Affiliated to Fudan University, has always been concerned about the management of chronic diseases.
According to him, in recent years, China's chronic diseases have shown explosive growth.
Last year, the number of patients with cardiovascular diseases in China reached 330 million, which is 40 million more than a year ago, far exceeding the number of newborns born in the same period.

How to solve? Ge Junbo proposed that the management of chronic diseases should be side-by-side, and no one should fall.
Implement the "Three Completes": full domain coverage, full participation, and full management.
From the original focus on disease diagnosis and treatment, it has shifted from upstream efforts to prevent the occurrence of diseases, follow up patients after they are treated, and focus on their recovery.

Bi Hongsheng: Play the role of "gatekeeper" in primary eye care,

Let people enjoy universal eye health

Representative of the National People's Congress, Dean of the Eye Hospital Affiliated to Shandong University of Traditional Chinese Medicine

Bi Hongsheng, deputy to the National People's Congress and dean of the Eye Hospital of Shandong University of Traditional Chinese Medicine, mentioned that during the "13th Five-Year Plan" period, my country's three-level blindness prevention network and eye health service system have been gradually improved, and the level of eye health management and technology has been significantly improved.
However, according to the survey, the development of primary eye care and ophthalmology at the primary level is still relatively weak.
If you want to achieve universal eye health, according to preliminary estimates, there should be 300,000 professional and technical personnel in ophthalmology and optometry who graduated from standardized medical schools to engage in eye health care.
However, there are currently only more than 6,000 people, and the gap is huge.

Therefore, he suggested that the primary eye care training can be strengthened through the physician association and medical society, and the "main force" and "gatekeeper" of primary eye care can be cultivated.
Through planned and hierarchical training, improve the initial diagnosis level of common eye diseases of primary doctors, and the operation ability of ophthalmic equipment, gradually form a primary eye care team with optometrists and ophthalmologists as the main body, and establish a life cycle eye health file for the whole people.
Provide safe, effective, convenient and inexpensive eye care services.

In addition, he pointed out that it is necessary to accelerate the sinking of high-quality medical resources and integrate the construction of a primary eye care network with the construction of national graded diagnosis and treatment, telemedicine, and specialist alliances.
On the one hand, give full play to the role of primary medical staff in the first diagnosis, give primary medical institutions the right of inspection and diagnosis, the right to prescribe therapeutic and diagnostic local eye medicines, and the right to functional rehabilitation training for optometrists in primary medical institutions, and extensively carry out eye disease screening and popular science Missions and other services.
On the other hand, using information technology tools, superior hospitals with advantages in talents and technology can provide consultation services and technical guidance for primary medical institutions.
Through convenient, efficient, interconnected, and interoperable methods, people can enjoy universal vision.
Health services.

Dong Rui: Incorporate Chinese medicine into the rural public health prevention and control system

Dong Rui, member of the National Committee of the Chinese People's Political Consultative Conference and President of Beijing Kangyide Pulmonary Hospital of Integrated Traditional Chinese and Western Medicine

"Traditional Chinese medicine has many unique advantages in protecting the health of farmers, preventing poverty, and helping rural rejuvenation.
" Construction of medical service outlets.
Organize and encourage traditional Chinese medicine, especially famous Chinese medicine, to go to the countryside, and fully and comprehensively build the basic-level studios of “famous medicine, famous doctor, famous medicine, and famous technique” of traditional Chinese medicine at the two levels of villages.
Incorporate traditional Chinese medicine into the rural public health prevention and control system, and weave firmly and tightly the rural two-level traditional Chinese medicine service network.

At the same time, it is necessary to give play to the role of Chinese medicine in "preventing disease" and improve the health of farmers.
Farmers' awareness of health care is relatively weak, and some farmers have been in a sub-healthy state for a long time.
Prevention before illness is the most prominent manifestation of the idea of ​​preventing diseases in Chinese medicine.
Traditional Chinese medicine "cures the disease before it" focuses on conditioning the physique, achieving the goal of preventing disease before it occurs, that is, preventing disease from changing.
Therefore, the use of special techniques such as traditional Chinese medicine ointment, moxibustion, medicated diet, diet and winter and summer treatment can reduce the incidence of respiratory diseases, diabetes, cardiovascular and cerebrovascular diseases, rheumatism and other diseases in rural areas, and help improve the health of farmers Level.

"A clinic, a table, a handful of herbs, and a silver needle can carry out medical treatment.
" Dong Rui pointed out that it is necessary to promote the spirit of "barefoot doctors" and cultivate talents in rural Chinese medicine.
From the 1960s to the 1970s, the "barefoot doctor" who was a farmer and doctor was a special product in the history of China's health development.
It provided health protection for Chinese villages and was highly praised by the World Health Organization.
At the key node of health care, poverty prevention, and rural revitalization, the hardware facilities of township hospitals and village clinics across the country have been greatly improved.
The key is the lack of talents.
Traditional Chinese medicine itself is general medicine.
Farmers, simple and cheap, most suitable in rural areas.

Dong Rui emphasized that it is necessary to strengthen the training of talents and the promotion of suitable Chinese medicine technology, improve the treatment of traditional Chinese medicine personnel at the rural two levels, and actively promote the talent management model of "counties govern townships and villages governed by villages" in Jiangsu and other places.
Cultivate a group of new-age rural TCM practitioners who love Chinese medicine, the countryside, and the farmers.
Under the historical conditions at that time, they will escort the health of the farmers.

Wang Guiqi: Need to pay attention to counterpart assistance at the grassroots level

Help effect and performance appraisal

Wang Guiqi, member of the National Committee of the Chinese People's Political Consultative Conference and director of the Department of Endoscopy, Cancer Hospital, Chinese Academy of Medical Sciences

Wang Guiqi, a member of the National Committee of the Chinese People's Political Consultative Conference and director of the Department of Endoscopy at the Cancer Hospital of the Chinese Academy of Medical Sciences, pointed out that counterpart assistance to the grassroots level also has certain drawbacks.

How can we truly achieve the effectiveness of counterpart assistance? Wang Guiqi said that a national counterpart assistance platform should be established to achieve precise assistance.
By concentrating all the assistance resources on the platform, the grassroots hospitals can put forward the professional and personnel needs of the platform, and the assistance personnel can choose the assisted units on the platform according to their own profession and development.
“Only two-way choice can be matched.
And the right taste.
"

In addition, Wang Guiqi mentioned that it is necessary to pay attention to the effect of assistance and performance appraisal.
It is necessary to combine personal interests and professional standards from the perspective of humanization, so that doctors who go out can play a role while also being able to match their career prospects and development.
Create a connection and improve the internal driving force of the assistance work.

At the same time, the role of market regulation must be brought into play.
Wang Guiqi mentioned that the fundamental problem is to allow doctors to practice more practice and make doctors the common wealth of the whole society, rather than the private property of individual hospitals.
Large hospitals are the base for training medical students, and it is also the cradle for training good doctors.
Only by allowing these good doctors to go out through market allocation can we promote the sinking of more high-quality medical resources.

In addition, it is necessary to use information technology and 5G technology to improve the effectiveness and efficiency of assistance, and to flexibly grasp and dilute the assistance time, so that the helpers are willing to help and always help, so that the assistance work can develop sustainably.

Wang Guiqi said that in addition to government assistance, it is necessary to fully encourage and support the assistance work of non-governmental organizations and determine the effectiveness of their assistance work.

Ling Feng: Putting "Rehabilitation and Health Hut" into the village

Ling Feng, member of the National Committee of the Chinese People's Political Consultative Conference, chief expert of neurosurgery at Xuanwu Hospital of Capital Medical University, and initiator of Chinese volunteer doctors

Rural medical and health services are still facing many problems such as uneven allocation of urban and rural medical resources, weak primary medical service capabilities, and lack of effective means to clear the "last mile".
Ling Feng, a member of the National Committee of the Chinese People's Political Consultative Conference, chief expert of neurosurgery at Xuanwu Hospital of Capital Medical University, and founder of Chinese volunteer doctors, said that since 2017, Chinese volunteer doctors have joined the fight against poverty with the support of the National Health Commission.
Chinese volunteer doctors rushed to fight for poverty.
More than 200 national-level poverty-stricken counties, more than 20,000 volunteers, trained more than 10,000 village doctors, and established nearly 200 expert workstations.

With the completion of poverty alleviation, the next step is the Beijing Lingfeng Charity Foundation and the China Disabled Persons’ Federation Rehabilitation Association will jointly launch a rehabilitation and health hut into the village.
It is reported that the rehabilitation health cabin is equipped with commonly used rehabilitation equipment, physiotherapy equipment, electrocardiographs, blood pressure monitors, smart screen color TVs, etc.
, so as to facilitate the villagers' nearby rehabilitation treatment and simple chronic disease prevention and treatment.
It will be extended to become a designated aid base for Chinese volunteer doctors for chronic disease prevention and treatment, a popular science publicity and education center, and an activity center for the disabled.

The symposium of the two sessions was co-sponsored by 24 Chinese pharmaceutical industry associations (learning) associations, and hosted by People's Daily Online • People's Health and E-pharmaceutical managers.
39 NPC deputies and CPPCC members from the medical and health sectors (22 representatives from the medical sector and 17 from the health sector) attended the symposium online.
Relevant officials and industry experts from the National Development and Reform Commission, the National Health Commission, the Ministry of Finance, the Ministry of Industry and Information Technology, the National Food and Drug Administration, the National Medical Insurance Administration, and the State Administration of Traditional Chinese Medicine were invited to observe the conference online.

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In this symposium, in addition to the topic "How to strengthen the integration of medical and defense, overcome weak links, and accelerate the construction of a strong public health system?", the delegates and members also focused on "How to deepen the "three-medicine linkage" reform" and promote medical innovation.
The establishment of an institutional system for industrial development?" "How to improve the top-level design and implementation measures of traditional Chinese medicine "inheriting the essence, maintaining integrity and innovation"?" "How to accelerate the sinking of high-quality medical resources and strengthen primary medical service capabilities?" Targeted opinions and suggestions.

It is understood that the "Voice·Responsibility" Symposium for the CPPCC members of the National People’s Congress of the medical and health sector, hosted by 24 Chinese Pharmaceutical Industry Associations (Studies) and undertaken by People.
com·People’s Health and E-pharmaceutical managers, has been held since 2009 for the first time.
, Has received more and more attention, and has also gathered more and more voices.
According to incomplete statistics, in 2020, the proposals and suggestions concerning the pharmaceutical industry submitted by the representatives of the National "Two Sessions" have been responded to by the National Development and Reform Commission, the Health Commission, the Ministry of Industry and Information Technology, the National Food and Drug Administration, the National Medical Insurance Administration, and the State Administration of Traditional Chinese Medicine.
More than 500 pieces.
In order to make this symposium fruitful, the 24 Chinese pharmaceutical industry associations (academics) actively prepared and cooperated with each other, and divided into multiple groups to pass lower-level research, online symposiums, questionnaire surveys, etc.
starting from the second half of last year.
Form, extensively collect the main problems existing in the current pharmaceutical industry, and organize the situation reflected by the grassroots into more than 120 proposals and suggestions and 2 grassroots research abstracts for discussion and reference by the delegates and members of the meeting.