Previously, after undergoing surgery and transitioning to rehabilitation, I had to travel back and forth several times. Now, when I am discharged from the Municipal People's Hospital, I can be admitted to the joint ward on the same day. The expert plan comes with me, and my recovery is particularly reassuring. "Recently, Ms. Li, a patient receiving treatment at Weifang High tech Rehabilitation Hospital in Shandong Province, praised the locally innovative" joint ward "model. After 5 months of exploration, this model has achieved more than 100 two-way referrals, with good performance in core indicators such as rehabilitation connection rate and patient satisfaction, effectively alleviating the difficulty of graded diagnosis and treatment of "easy transfer from top to bottom", and achieving effective connection between "treatment in the hospital and rehabilitation at the grassroots level". For a period of time, hierarchical diagnosis and treatment has often faced bottlenecks in practice, such as unclear responsibilities, poor connection, and uneven service capabilities between upper and lower level hospitals. To this end, Weifang People's Hospital has cooperated with grassroots institutions such as Weifang High tech Rehabilitation Hospital to innovate and establish a joint ward that integrates "management, service, responsibility, and interests". The "dual director" responsibility system has been implemented - the Municipal People's Hospital dispatches technical directors to be responsible for formulating diagnosis and treatment plans and providing business guidance; Grassroots institutions dispatch administrative directors to coordinate patient management and logistical support. This is to directly 'implant' the diagnosis and treatment standards and management models of tertiary hospitals into the grassroots level, making upper and lower level hospitals a 'community of responsibility', and consolidating the cornerstone of hierarchical diagnosis and treatment from the institutional level. ”Su Maoquan, Director of the Weifang Municipal Health Commission and Secretary of the Party Committee of Weifang People's Hospital, introduced that Weifang has implemented a closed-loop referral process through the "Five dimensional Collaboration" mechanism, making it more convenient for the public to seek medical treatment and more reassuring for rehabilitation: mechanism collaboration guarantees referral. With the "dual director" responsibility system as the core, establish a 24-hour response and weekly joint consultation mechanism, coordinate multiple departments to carry out quality supervision, and achieve standardized management throughout the entire process. ——Convenient referral through a two-way 'green channel'. When referring patients downwards, the higher-level hospital assesses their rehabilitation needs in advance, and the grassroots institutions reserve dedicated beds. Through the integration of "assessment reservation connection", the goal is to achieve "admission upon discharge"; When referring upwards, critically ill patients at the grassroots level enjoy "priority reception, priority examination, and priority hospitalization" services. ——Information interconnection breaks down 'data silos'. Relying on the city's regional health information platform, key data such as electronic medical records and examination results can be easily circulated and shared throughout the entire process. ——Improving grassroots level through 'hematopoietic' assistance. Continuously improve the standardized diagnosis, treatment, and rehabilitation service capabilities at the grassroots level through regular expert visits and joint ward rounds. ——Incentive mechanisms enhance endogenous motivation. Incorporate the quantity, quality, patient satisfaction, and technical assistance effectiveness of two-way referrals into the core assessment, scientifically allocate profits based on contributions, and provide special incentives. Next, we will build a broader regional rehabilitation collaboration network, promote the construction of data decision-making centers, and better empower the construction of joint wards. ”Su Maoquan stated that this model is expected to provide replicable experience for solving common problems in hierarchical diagnosis and treatment, and contribute more to the construction of a healthy China. (New Society)
Edit:WENWEN Responsible editor:LINXUAN
Source:people.cn
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