In recent years, Chinese medicine hospitals have experienced a period of rapid development. With the rapid growth of people's demand for Chinese medicine services, the development of Chinese medicine hospitals has encountered bottlenecks such as crowded diagnosis and treatment environment, tight beds in wards, lagging construction of characteristic disciplines (specialties) and shortage of talents.
How can Chinese medicine hospitals stand out in the new situation of medical reform and develop better while solving their own development problems? Zhang, vice chairman of the Association for Science and Technology in Shangyu City, Zhejiang Province and president of Shangyu Hospital of Traditional Chinese Medicine, pointed out that the development of traditional Chinese medicine hospitals should strictly control the quality, create characteristics, improve the quality in innovation and carry forward the characteristics in inheritance.
Improve quality in innovation
The key to Excellence and quality is to provide high-quality medical services for the masses. Zhang said that under the current fierce competition in the medical market, quality service is very important for the development of hospitals. First of all, it is necessary to further improve, implement and standardize hospital medical behavior and continuously improve medical quality. To do a good job in medical quality, it is necessary to implement the core systems of medical quality and safety, such as the responsibility system for first-time doctors, the system of three-level doctors' rounds, the system of graded nursing, the system of preoperative discussion, the system of consultation and the system of technical access. Vigorously promote clinical pathway management, carry out quality control of single disease, and standardize medical behavior. Continuously improve the treatment rate of traditional Chinese medicine, popularize the application of basic drugs and appropriate technologies, and standardize the clinical use of antibiotics and other drugs. Secondly, while improving the quality of medical care, we should consider the problem from the patient's point of view under the premise of "taking the patient as the center", think about what the patient thinks and worry about what the patient is anxious about. Strengthen humanized service, actively carry out civilized service etiquette training, strengthen the verbal communication ability and art of medical staff, provide scientific, standardized and warm services for patients with standardized etiquette, elegant posture, appropriate gestures and appropriate language, and advocate real people-oriented medical services.
In order to better provide quality services, Zhang said, there must be strong quality management. He said that as a public hospital, it is necessary to actively implement the autonomy of employing people, set up posts as needed, compete for posts, employ according to posts, and manage contracts to improve management ability and quality. On the one hand, we should deepen the patient-centered service concept, constantly improve the medical quality management and control system, constantly improve the quality of medical services, implement the core system of medical care, adhere to the "three basics and three strictness" and three-level doctor rounds, optimize the patient diagnosis and treatment plan, strengthen and improve the connection of all links in the medical process, speed up bed turnover, shorten the average length of stay, and strive to control and reduce the per capita hospitalization expenses and outpatient expenses, control the proportion of medicines, improve the cure rate and alleviate the pain of patients. On the other hand, it is necessary to strengthen the management assessment of administrative and logistics staff, promote the change of work style, improve efficiency and effectively serve the clinical front line.
Quality management should attach importance to human management. Zhang believes that it is necessary to improve the reasonable talent management mechanism, attract and retain talents, and inject vitality into the sustainable development and brand creation of hospitals. The hospital will increase the introduction of high-level talents such as academic leaders and doctors, implement the strategy of talent introduction, mobility, openness and win-win, and gradually form a reasonable talent echelon. In personnel training, the mode of combining "sending out" study, further study and training with "please come in" teaching is adopted. Actively encourage medical staff to participate in study, further study and training at home and abroad, introduce new technologies, new ideas and new concepts, continuously improve the professional quality of training objects and departments, and build a development platform and climb the ladder by actively communicating and strengthening exchanges between training objects, so as to lay a foundation for promoting the construction and development of hospital specialties and further promote the construction and overall development level of hospital talent team. By inviting well-known experts to come to the hospital for regular lectures, sitting and rounds, patients can enjoy the diagnosis and treatment services of well-known experts in top three hospitals without leaving the city.
Carry forward the characteristics in inheritance
The practice of Shangyu Chinese Medicine Hospital is to give full play to the role of traditional Chinese medicine in disease prevention and control and medical services, give full play to the characteristics of traditional Chinese medicine with the construction of specialized diseases as the starting point, and give full play to the advantages of rich resources of traditional Chinese medicine and concentrated clinical experience of famous and old Chinese medicine experts; The treatment rate of TCM and the participation rate of TCM are regarded as the hard indicators for the assessment of various clinical departments, and clinicians are encouraged to "be competent in TCM but not in Western medicine, first in TCM and then in Western medicine, and combine Chinese and Western medicine" in clinical diagnosis and treatment, and TCM is encouraged to carry out outpatient and TCM rounds, give full play to the specialty of TCM which is "simple, cheap and effective" and actively promote the application of appropriate technologies of TCM; In terms of discipline construction, efforts should be made to build excellent medical (specialized) departments with Chinese medicine characteristics, such as orthopedic center, tumor treatment center with integrated Chinese and western medicine, cardiovascular treatment center, spleen and stomach disease treatment center and nephrosis treatment center, so as to promote integration with characteristics, comprehensively strengthen characteristics and start regional brands.
As an important position for the inheritance, innovation, display and dissemination of Chinese medicine culture, strengthening the construction of Chinese medicine culture is helpful to embody the basic characteristics of Chinese medicine hospitals and consolidate the development direction of Chinese medicine. Zhang emphasized the importance of the construction of cultural characteristics of traditional Chinese medicine. He introduced that he came to the hospital last year and invested more than 2 million yuan in the overall transformation, creating a medical environment with a strong Chinese medicine culture atmosphere for patients. At the same time, the hospital strives to improve the medical environment, integrate and optimize the medical treatment process, simplify and shorten the medical treatment time, introduce electronic registration (including appointment), accounting and payment systems, optimize the imaging, inspection and dispensing processes, and make use of online, telephone and on-site appointment registration to shorten the waiting time and provide simple and fast quality medical services for the masses.
At the same time, it is necessary to improve the cultural system and increase publicity. Further improve a set of hospital identification system that embodies the hospital spirit and culture with hospital emblem, hospital training and hospital songs, enhance the connotation of the spirit and culture system, regularly compile hospital newspapers, and relevant departments produce promotional materials, TV topics and brochures with Chinese medicine characteristics to enhance the overall image of the hospital and extend the hospital culture outside the hospital; Organize colorful staff activities, cultivate festival culture, actively encourage staff to participate in various social activities, and shape a good social image of the hospital.
Regarding the hospital's recent development plan, Zhang said that it is necessary to focus on the overall goal of medical reform, serve the public at a low price, and realize public hospitals. The per capita cost of outpatient service, the per capita total cost of hospitalization and the proportion of drugs should be taken as important indicators for performance evaluation of clinical departments; Establish a unified and standardized drug clinical application management mechanism, strengthen supervision over irrational drug use, inspection and repeated inspection, and strive to achieve treatment, reasonable inspection and rational drug use; Implement the policy of mutual recognition of clinical examination results, effectively reduce medical expenses and achieve the purpose of treatment at the lowest cost. At the same time, give full play to the leading role of Chinese medicine hospitals, actively carry out assistance activities, send medical equipment, medical technology and medical services to community service centers and township hospitals, train grass-roots Chinese medicine personnel, guide the development of appropriate technical work of Chinese medicine, and at the same time popularize Chinese medicine knowledge to the masses, and move the service tentacles of Chinese medicine forward to the doorstep of the masses, so that Chinese medicine hospitals can truly become public hospitals in the hearts of the people.