Core reading In recent years, shiye town health center in Zhenjiang City, Jiangsu Province has implemented the hierarchical diagnosis and treatment system, promoted the contracted services of family doctors, improved the treatment of grass-roots medical and health personnel, and practiced the concept of "great health". The annual outpatient volume is 56000, an increase of 40% over 2014; 1、 There are more than 60 secondary operations every year, and the grass-roots treatment rate is 83.73%. With warm-hearted measures, we protect people's health, and realize the goal of "not leaving the island for minor diseases and relying on serious diseases". Driving along Runyang Yangtze River Bridge, the approach bridge spirals down to a small island in the middle of the river. This is shiye Town, Dantu District, Zhenjiang City, Jiangsu Province. Shiye town health center is in the center of the island. In front of the yellow building on the fourth floor, there are patients in and out of the hospital and doctors rushing on their way. The general secretary pointed out that without the health of the whole people, there would be no well-off society in an all-round way. Medical and health services are directly related to people's health. "Without the health of the whole people, there will be no comprehensive well-off society." For more than seven years, this slogan has been hung in the spacious and bright hall on the first floor of the town health center, reminding all staff of the town health center to pay wholeheartedly for the people's life and health every day. Today, the annual outpatient volume of shiye town health center is 56000, an increase of 40% over 2014; 1、 There are more than 60 secondary operations every year, and the grass-roots treatment rate is 83.73%. It has realized that "minor diseases do not leave the island, and serious diseases can be relied on". Township health centers are a window. Implement the hierarchical diagnosis and treatment system, promote the contracted services of family doctors, improve the treatment of grass-roots medical and health personnel, and practice the concept of "great health". In the grass-roots front line, one measure after another has promoted the downward shift of the focus of medical and health work and the sinking of high-quality resources, which has brought change and development and made the achievements of medical reform truly warm thousands of families. Telemedicine facilitates patients In the consulting room of radiologist yuan Runzhi, three precious photos are kept. The general secretary said with a smile that this is a good way to sink high-quality resources and can solve some problems. "The affirmation of the general secretary has been surging in my heart like a warm current." Yuan Runzhi recalled. As a pilot province of comprehensive medical reform at the provincial level, Jiangsu leverages the difficult problems of medical reform with "strengthening the grass-roots level", and has jointly built 688 medical consortia. Yuan Runzhi introduced that since 2014, the health center and higher-level medical institutions have established general and specialized clinics. On the one hand, experts are invited to serve on the island to improve the diagnosis and treatment ability. On the other hand, remote image consultation is realized through information means. During the conversation, some patients came to take X-rays, and the report issued was marked with the head of "Zhenjiang first people's Hospital" (hereinafter referred to as "Municipal First Hospital"). "Take a film here, and the film will be synchronously transmitted to the imaging center of the first municipal hospital. I will make a basic judgment first, review the doctor, and then make supplement and modification." Yuan Runzhi said. "Our health center has changed a lot in recent years!" Said Wu Yuzhen, a general practitioner in the consulting room next to yuan Runzhi. Since 2014, the number of joint clinics of the health center has increased from 1 to 6. On the basis of the radiology department taking the lead in remote image consultation with the first municipal hospital, the remote connection of biochemical testing and ECG equipment has been realized in 2019, and a "remote consultation center" has been established. For difficult and miscellaneous diseases, multi-disciplinary cloud consultation can be conducted with Jiangsu Provincial People's Hospital and the first municipal hospital. It is more convenient for patients to see a doctor and their hearts are warmer. On that day, Wu Yuzhen connected Tao aibin, deputy director of Cardiology of the first municipal hospital, in the cloud consulting room of the health center. Jiang Ruying, a villager of Xinglong Village, had a heart bypass operation in the first municipal hospital due to myocardial infarction. She needed to test the indicators and adjust the medication for several months. "Don't worry, aunt Jiang." In the cloud clinic, Wu Yuzhen turned on the remote equipment. Aunt Jiang came to the health center to do the latest indicators such as ECG and coagulation function, which were transmitted to Tao aibin at the other end of the video in real time. The other party looked carefully and gave immediate feedback. "It's too convenient. Not leaving the island is like seeing a doctor in a big hospital." Aunt Jiang was very satisfied. "The general secretary said, 'you have to go to work during the day and have a medical examination at home at night. It's hard for everyone!' the general secretary's encouragement to the family doctor's work warmed everyone's heart." Shao Junyan said. These days, Shao Junyan and her colleague Wu Rong are preparing for the physical examination of patients with chronic diseases. According to Wu Rong, the health center will form 30 medical staff into five "3 + X" family health responsibility teams to provide zero distance and systematic services by dividing service areas and entering households in villages. At present, 12700 electronic health records have been established, with a filing rate of 87.6%; 5185 key groups such as the elderly over 65 and patients with chronic diseases signed personalized contracts, with a signing rate of 86.7%. Resources sink and take root in the grass-roots level The number of outpatients, the number of first visits at the grass-roots level, the number of operating units and patient satisfaction increased year by year. Hu Xiaozhong, President of shiye town health center, believes that the development of the health center is inseparable from the two-way development of hematopoietic blood transfusion. At the end of 2013, when Hu Xiaozhong first became president of the health center, there was only a three story building with small area and less equipment. The medical environment and the level of medical staff were not satisfactory. In March 2014, with the financial support of the government, the health center built a four storey medical building with an area of more than 4600 square meters, updated equipment, increased beds and opened new departments. Hu Xiaozhong calculated an account: from 2015 to 2021, finance at all levels invested more than 30 million yuan in health centers, including personnel funds, basic public health funds, infrastructure and equipment funds. Zhu Chaoyang, deputy director of Zhenjiang Municipal Health Commission, told reporters that in 2015, shiye Town Health Center joined Zhenjiang rehabilitation medical group, from joint outpatient service to joint ward, to joint service of family doctor team, from inviting experts from superior hospitals to the island to opening telemedicine cloud clinic, and the diagnosis and treatment capacity of the health center has been continuously improved. At present, there are 105 full-time / specialized joint clinics and 20 rehabilitation joint wards in Zhenjiang, and more and more grass-roots hospitals are benefiting. "Experts from superior hospitals are invited to come in, which is not only more reassuring for patients, but also helpful to grass-roots doctors." Yuan Runzhi said that sitting in a township health center is equivalent to studying in a superior hospital. He is more confident in technology and the people have more confidence in the health center. Li Feng, deputy director of Dantu District Health Committee, said that since 2015, three technical and administrative backbones in Dantu District have successively worked as temporary assistant to the president of shiye town health center, and helped to increase nine health professionals through recruitment and transfer. Wang Shengqin, a young examiner, said that since this year, she has had several temporary training experiences in higher-level hospitals and conducted training on a number of testing items that were not originally set up in the town health center. "In terms of internal hematopoiesis, we will speed up the construction of talent team through the 'double training' mechanism of training party members into backbone and backbone into Party members." Hu Xiaozhong introduced that if the staff have professional titles but no posts, they will be given quota subsidies; If the education background and professional title of non staff personnel are improved, the basic salary will increase by 100 yuan to 300 yuan; Those who participate in learning and training are not only granted leave but also reimbursed expenses. The learning atmosphere is becoming stronger and stronger, and the hearts of employees are more warm. Wang Shengqin said that the warm words of the general secretary have always inspired her to take root at the grass-roots level and make solid efforts. In 2015, probationary party members became regular; In 2017, passed the enrollment examination; In 2019, he was promoted to an intermediate title and became a competent inspector; In 2020, obtain the qualification certificate of nucleic acid inspection; In 2021, he took the initiative to serve in the front line of anti epidemic and was awarded the title of Excellent Communist Party member by the district Party Committee There are many heart warming measures, and the level of medical personnel has been continuously improved. According to statistics, the proportion of medical staff with bachelor's degree in the town health center increased from 35% in 2014 to 80% in 2022, and the average income of staff increased from 61800 yuan to 120000 yuan. Exercise prescription for health care In the "health cabin" on the first floor of the neighborhood committee of satellite community in shiye Town, 69 year old Shao Kuanxin took a prescription from doctor Dai min. The list says: aerobic exercise for half an hour every day, walk fast, and the heart rate is 120 per minute. "I haven't seen this prescription before", uncle Shao wondered. He has high blood pressure. Today, the family doctor made an appointment for him. "This is called exercise prescription." Dai min explained with a smile to Uncle Shao, "through the combination of drugs and exercise, we can better control blood pressure and prevent other diseases." Dai min is one of the three sports prescribers in the prescription Department of the sports department of shiye town health center. Last October, the Jiangsu Provincial Sports Bureau and the Provincial Health Commission held a training course for sports prescribers. She participated in the training with more than 200 licensed doctors from medical and health institutions across the province. "You should stick to it every day, and the exercise intensity should be moderate. 120 steps per minute, the heart rate is just right." Dai min kindly reminded uncle Shao and asked him to have a reexamination in three months. He could also come to the health center to find her. In the "exercise for health" center of shiye town health center, there is a "national physical fitness testing machine" in the conspicuous place. Walking inward, there are all kinds of equipment such as limb joint trainer, aerobic exercise treadmill and so on. "The combination of precision medicine and scientific movement can help people's health on a larger scale." Hu Xiaozhong is also the director of the sports department. In his opinion, the service objects of the Department cover all people: for patients with chronic diseases, improve the effect of diagnosis and treatment; For sub-health groups, prevent the gateway from moving forward; Improve the physical quality of healthy people. Since October last year, the health center has issued more than 460 exercise prescriptions. While providing warm-hearted services for more people, it has gradually changed to the direction of medical and prevention integration. The training of sports formulators in Jiangsu Province was officially launched in 2020. In the past two years, there have been seven training sessions, with more than 800 trainers. The person in charge of the disease control department of Jiangsu Provincial Health Commission said that standardized training will provide talent and technical support for the application of exercise prescription to clinical practice and crowd intervention. Employees will provide scientific and accurate guidance of "medicine + diet + exercise" and fitness and health services throughout the life cycle. At present, the sports prescription Department has been piloted in medical institutions such as Jiangsu Provincial People's Hospital, Changzhou sports hospital and shiye town health center, and gradually promoted to the grass-roots level. In shiye Town, on December 13 every year, the "health run" activity is held in the 6km health trail built around the island; Two old shipyards along the Yangtze River have been transformed into fitness parks; The town has successively added 24 fitness squares at the door of their homes, and residents have more good places to exercise and fitness... The concept and action of "great health" have been gradually popularized among the grass-roots people. (outlook new era)