Sichuan Online Suining Channel News (Reporter Zhao Quanjun)"The old man should come to the hospital for review on time, and I will come to your house for consultation from time to time!" On August 3rd, Chen Jianjun, a doctor from Daan Health Center in Anju District, Suining City, came to the home of Xiao Yufen, a patient. After signing up as a "family doctor", Chen Jianjun visited Xiao Yufen every week to give him a physical examination and told him to take a rest.
In recent years, Anju District of Suining City has continuously promoted the "three major projects" of health and poverty alleviation, with the main contents of "building demonstration clinics in villages", "improving the ability of village doctors" and "supporting doctors by medical experts", carried out free health checkups in the fields, and implemented specific measures such as family doctors’ contract service, which effectively alleviated the problem that rural people are difficult to see a doctor and expensive to see a doctor, continuously reduced the prevalence rate of the people from the source, and improved their sense of health and happiness.
Send a health check-up to the village.
Facing the newborn morning sun, six doctors from Da ‘an Township Health Center set off for Sankouyan Village, 20 kilometers away, to do health check-ups for more than 200 villagers. Zhong Jiajun, director of Da ‘an Township Health Center, is the leader. He has been rooted in the grassroots health and poverty alleviation front for several years and knows the health status of every poor villager and the difficulties faced by poor households in seeking medical treatment. "Let the villagers come to the town hospital for physical examination, which will delay the farming. The doctor will go directly to the village to check and reduce the people’s going back and forth."
Song Jiaqun, a villager, works in other places, ignoring personal health problems in order to earn money, and has no time to go to the health center for physical examination. On March 2 this year, doctors from local health centers, with electrocardiographs, B-ultrasound machines and other instruments, took advantage of Song Jiaqun’s intermission before going out to work to make a general examination for her, diagnosed the hidden diseases in her body, and immediately dismissed the prescription. After treatment, she has recovered.
"Health checkup is not a trivial matter. The sooner you find it, the sooner you treat it, the better." Zhong Jiajun warned the villagers who didn’t have time for physical examination.
In order to solve the practical difficulties and not delay the villagers’ time, Zhong Jiajun concentrated his physical examination in the health center every day, or led a team into the village every two weeks to check for the people with mobility difficulties and unable to go to the town.
Since 2017, the pilot project in Anju District has concentrated on physical examination and village inspection, providing free physical examination for the elderly aged 0-6 and over 65 every three years. In 2018, centralized physical examination, household physical examination and hospital physical examination were added for poor households, and a free physical examination was conducted for poor households every year. The items include blood test, physical examination, liver and kidney function examination, routine hematuria, B-ultrasound, electrocardiogram, blood pressure, blood sugar and blood lipid. In 2019, the "Implementation Plan for Health Poverty Alleviation in Anju District of Suining City in 2019" was compiled, and the health checkups of poor people were included in the health poverty alleviation support projects.
According to statistics, up to now, Anju District has provided free health check-up services to 19,653 poverty-stricken people who have set up files and established cards, and the notification rate and appointment rate of physical check-up have reached 100%. This year, the health and health departments in Anju District insisted on reform and innovation, and promoted various tasks of health and poverty alleviation. The provincial funds were 1.75 million yuan, all of which were used for free medical examinations for poor people. At the same time, a team of medical experts will be set up to provide health assistance in various forms, such as sitting in village clinics, visiting poor families for free clinics, sending doctors and medicines, training rural doctors free of charge, and popularizing health knowledge, so that poor people can enjoy the medical services of big hospitals and experts in cities without leaving home.
"Family doctor" and "caring person" of the masses
From May 17th to June 11th this year, during the "World Family Doctor Day", the health department of Anju District took advantage of holidays and every day to carry out family doctor service activities in towns and village clinics, and signed 3524 family doctors on the spot. According to the Contract Service Agreement for Family Doctors, after signing the contract service, the villagers will enjoy the dynamic health management service of a family doctor contract service team composed of a second-class hospital doctor, a basic general practitioner, a village doctor, a public health medical staff and a nurse.
Xiao Yufen, 74, is a beneficiary villager after signing up as a "family doctor". Xiao Yufen has suffered from emphysema since childhood, and catching a cold will aggravate her condition. After two daughters married in Guangzhou, the old man lived alone. A few months ago, the old man relapsed and suddenly fell to the ground in pain. Fortunately, Chen Jianjun, a doctor from Da ‘an Health Center who went to review the patients’ recent situation, found out in time that the old people were out of danger when they were sent to Da ‘an Township Health Center for treatment. After signing a service relationship with the elderly, Chen Jianjun checked the elderly every week and went through hospitalization procedures for the elderly. Even though he was not the attending doctor of the elderly, he still insisted on visiting the elderly in the ward every day.
Chen Jianjun’s family doctor service team should provide family medical and health consultation services to more than 200 villagers in Da ‘an Township, most of whom are special groups such as "empty nesters", widowed elderly people and chronic diseases. He has every villager’s phone number on his mobile phone, and talks with the client every week to ask about his physical condition, guide the villagers to form good living habits and guide them to use drugs scientifically.
Jiang Li, director of the Aiwei Office in Anju District, said that up to now, a total of 426 family doctors have been established in Anju District, and 350,300 family doctors with permanent residents have signed contracts, with a signing rate of 54.56% and a signing rate of 68.42% for seven key groups.
Since 2019, Anju District, relying on the "I Know Health" APP developed by Suining Research Center of Health Care Big Data of National Science and Technology University, has signed an online contract with two pilot units, Rougang Community Health Service Center and Baoshi Town Health Center, and continued to promote it in the whole district. The purpose is to strengthen the whole process and whole cycle health management of the population, and the health files, family doctor service records and medical treatment management of the contracted clients are all recorded on the information platform, realizing digital dynamic tracking of disease prevention and treatment.
Minor ailments do not leave the village, and treatment is local.
How to solve the current situation of poor medical and health structure, low level, unstable team and weak hardware in rural areas, the Liancun demonstration clinic promoted by Suining in the whole city is a useful attempt.
Wei Wu, director of the Poverty Alleviation Office of Anju District Health and Health Bureau, said that three years ago, Shuijing Village, Baoshi Town, Anju District gave birth to the first demonstration clinic in China, integrating the medical resources of surrounding villages and establishing a "small health center". At present, five village clinics have been built and opened in this district. Up to now, the number of outpatient visits has reached 52,722, and the number of inpatients has reached 2,095, basically achieving the goal of villagers’ "staying in the village for minor illnesses and treating them locally".
At the same time, Anju District has also made great efforts to improve the ability of village doctors, and organized village doctors from 25 poor villages and 6 demonstration clinics in the whole district to participate in the third batch of "village doctor ability improvement" engineering training courses in Suining City, so as to comprehensively improve the professional theoretical knowledge, practical skills training, clinical treatment and other capabilities of village doctors. According to the plan, Anju District will promote the construction of standardized village clinics in 25 poverty-stricken villages this year, ensuring that all 25 standardized village clinics will be put into use by the end of September, and more than one qualified village doctor will be employed.