New changes in medical security in the eyes of a grass-roots military doctor: what has the-瞭望新时代网

New changes in medical security in the eyes of a grass-roots military doctor: what has the

2022-04-20

New changes in medical security in the eyes of a grass-roots military doctor—— What does the "new regulations of medical reform" bring ■ special reporter of PLA Daily Tong Zujing and correspondent Zhao Wei Since the beginning of this year, the new regulations on medical treatment and security of the army have been implemented as scheduled. As a military doctor of a brigade of the 72nd group army, Ni Yineng has experienced many adjustments of medical treatment and security policies. This time, no matter from the perspective of military doctors or grass-roots officers and soldiers, Ni Yi can feel that the strength and temperature of the "new rules of medical reform" are unprecedented. A deepening concept In Ni Yineng's view, "military family priority" is an in-depth service concept. "Military hospitals serve soldiers, which is a fundamental." Ni Yineng, who is engaged in medical and health work at the grass-roots level, has a deeper understanding. The system hospital of Ni Yineng's brigade is the eastern theater general hospital. Since the reform and adjustment, the hospital has implemented the practice of "running at most once" in terms of service to solve the problems of officers and soldiers and alleviate the difficulty of seeing a doctor. In 2019, the hospital opened a "military window and green channel"; In 2020, they opened a "military registration window". This year, the new medical reform policy was implemented. On the basis of retaining the original "military clinic area" and "military ward", the "military clinic area" and "military ward" have been launched successively. In terms of Ni Yineng's personal experience, the priority concept of military dependents has been reflected in all links of medical treatment. Due to the optimization of the treatment process, Ni Yi's ability to refer to the superior hospital and accompany the examination is significantly reduced. The hospital has added a new Department - "service office for soldiers". If a serviceman and his family encounter difficulties in seeing a doctor, they can go directly to the "service office for soldiers" for consultation and help... Since last year, he has been docking with this office more and more frequently. Ni Yi was deeply gratified by a referral during the Spring Festival this year. On the second day of the lunar new year, company commander Zhou Pengzhen, who was on vacation in the camp, slipped and fell heavily on the back of her head, falling into a coma. His wife quickly contacted the army. Soon, Ni Yi was entrusted by the brigade leader to arrive at Zhou Pengzhen's residence. "It should be a sudden subarachnoid hemorrhage." Simply check it. With professional judgment, Ni Yineng believes that Zhou Pengzhen is in critical condition and should be rushed to the eastern theater general hospital near the station for rescue. The 120 ambulance sped all the way, racing against death. After arriving at the hospital, there were twists and turns again - because they left in a hurry, their families forgot to bring the certificate of last week's company commander, and found this oversight when going through the registration formalities. "First rescue! Then fill in the formalities." Ni Yineng explained the situation to the director of the emergency room. The leader of the hospital on duty made a quick decision and sent Zhou Pengzhen to the emergency room at the green light all the way. In addition to the service concept of giving priority to soldiers and their families, Ni Yi can feel that the concept of putting life and health first among officers and soldiers is becoming more and more popular. In the face of urgent and severe rescue tasks, adhering to the "position" of saving lives has become the first choice of white soldiers. The change of ideas is reflected in peacetime and "wartime". After the Spring Festival, Ni Yi can go with the team to the training ground thousands of miles away. Far away from the system hospital of fixed-point support, the supplement of drugs and equipment required by officers and soldiers for emergency treatment and field rescue under field conditions has become a difficult problem for Ni Yineng and his comrades in arms. After learning about the training area of the army, the health service bureau of the joint service support force immediately coordinated the nearby Joint Service hospital to establish a temporary medical support relationship with the brigade to solve their urgent needs. Since then, every once in a while, the joint service hospital where the training site is located will go to the field training ground to carry out diagnosis and treatment and drug delivery activities. The officers and soldiers usually have some small problems, which can be diagnosed and treated in time. A missing referral form Optimize the in-patient referral path, improve the cross military and local referral mechanism, and have access to local public medical institutions according to the regulations... Looking at the contents of the "new deal of medical reform", Ni Yi said with emotion: "in the past, officers and soldiers had emergencies, and sending them after referral was by no means solved by a 'referral form'." In the summer of 2020, Jiang Chen, the platoon leader of the Missile Battalion of the brigade, suddenly had severe abdominal pain at the training site in the northwest desert. Ni Yi can make a preliminary examination and is diagnosed as kidney stone, which needs to be quickly evacuated for treatment. To which hospital? Ni Yineng is in a dilemma: he can be sent to the military hospital for free, but it is also 150 kilometers away from the nearest one, and the local public hospital is less than 40 kilometers away, but "the medical support policy is vague". According to the medical treatment policy implemented at that time, when soldiers go out to perform their tasks, they need to go to the nearest military hospital for medical treatment. If there is no military hospital nearby, they can go to the local hospital for emergency reimbursement. How far is "nearby" and whether 150km is "close"? There was no express provision at that time. Is it a 3-hour drive to the military system hospital, or to the nearest local hospital for emergency treatment at their own expense? The Party committee of the brigade did not hesitate: "if an urgent illness cannot be delayed, it shall be immediately sent to the nearest local hospital for treatment, and the actual expenses incurred shall be reimbursed by the army within the scope of verification and cancellation according to the regulations." In the process of military reform, military health security has become a new field to overcome difficulties and do a good job in security at all levels. Nowadays, with the deepening of reform, the medical treatment of military dependents is more convenient and fast, and the expense reimbursement has more clear and specific provisions. From "referral form" to "all-in-one card", the referral and hospitalization path has been optimized and the treatment efficiency has been improved... Ni Yineng told reporters that after the introduction of the new regulations, he experienced a "cross regional and Cross Military" referral, "which is fast and convenient". Not long ago, Xia Xiaofei, a soldier in the service support center of the service support battalion of the brigade, was found to have brain stem tumors. After the inspection and evaluation of the resident system hospital, it is considered that their treatment conditions are limited and they are unable to complete the operation. It is recommended to refer them to the superior hospital. Ni Yi can inquire about the information and learned that there are relevant experts in neurosurgery of the First Affiliated Hospital of Naval Military Medical University. He contacted the First Affiliated Hospital of Naval Military Medical University through the system hospital. After sending the consultation application through the inter hospital referral platform, the experts of the First Affiliated Hospital of Naval Military Medical University analyzed Xia Xiaofei's case and relevant inspection report and confirmed that Xia Xiaofei could be admitted... Finally, Xia Xiaofei, an army soldier, was directly referred to this naval hospital by the system hospital. The next morning, they improved the information according to the regulations. In the afternoon, they sent Xia Xiaofei to the First Affiliated Hospital of Naval Military Medical University and contacted experts to operate on him. "From the cross service medical referral that took a lot of trouble in those years to now, the referral can be realized by relying on the referral platform between various hospitals. A missing referral form has witnessed the leap of medical security." Ni Yineng said. An experience of medical reimbursement Ni Yi can feel a lot about her mother-in-law's recent medical experience. Ni Yineng's mother-in-law lives in Zhouzhi County, Xi'an city. Last winter, when the old man came downstairs, he fell down the stairs and was diagnosed as pelvic fracture by the county hospital. It is suggested to transfer to a large hospital for surgical treatment. That night, Wang Yaqing, his wife working in Xi'an, discussed with Ni Yi and took the old man to Xi'an for treatment. After the introduction of the regulations on preferential medical treatment for military personnel and their spouses in the military emergency hospital, the medical treatment for military personnel and their spouses at their own expense shall be fully deducted after the introduction of the regulations on preferential medical treatment for military personnel and their parents. Subsequently, Ni Yineng called the "military service office" of the First Affiliated Hospital of the Air Force Military Medical University. When he dialed the phone and got a positive reply from the hospital, the stone in his heart fell to the ground. Ni Yi can let his wife hold the local medical insurance card, take his mother-in-law to the hospital for examination, and quickly go through the admission formalities. After the examination, the operation date was arranged on the third day after admission. "Military dependents holding social security cards can also enjoy convenient discounts when they go to military hospitals." Ni Yineng said that before the reform, this was something that could not be thought of. What surprised him and his wife was that when handling personal medical insurance settlement for the elderly after discharge, according to the new regulations, the hospital reduced the corresponding medical expenses for the elderly. "It's more convenient for military families to see a doctor." Ni Yi can notice that more and more comrades in arms have personally felt this convenience. The father of Chen Chen's family, a soldier of the health company, injured his shoulder joint while working outside. In order not to delay his work, he has been treated conservatively. After the introduction of the new policy this year, considering that a military hospital in the station has a specialty with orthopedics characteristics, Chen Chen's family filed his father's NCMS medical insurance in different places to the station through the national government service platform. Chen Chenjia said that his father was treated in the hospital. At the time of discharge, the total medical expenses of more than 30000 yuan were less than 10000 yuan after medical insurance settlement and military medical relief. After going through all kinds of formalities, the young man told Ni Yineng the good news: "my father has been cured, and my 'heart disease' is better." An upgraded medical examination form The annual physical examination began again. Looking at the newly added "thyroid function, tumor markers" and other inspection items on the list of physical examination package, the comrades in arms talked endlessly. Ni Yineng said that in the past, the physical examination was divided into "routine examination and auxiliary examination", including more than 10 basic examination items such as internal medicine, surgery, ophthalmology, Stomatology, otorhinolaryngology, blood routine, liver and kidney function, urine routine and ECG. Taking the "free ride" of military medical treatment reform, this year's military physical examination has been greatly upgraded - physical examination items have increased a lot. Relying on the system, everyone has corresponding "recommended examination items" according to different age groups. On the basis of previous years, the physical examination package has added tumor markers, thyroid function, infectious diseases, thyroid ultrasound and other items. More physical examination items, more physical insurance. Section chief Wang is the first batch of beneficiaries after the increase of the physical examination program of the brigade. With good sleep quality and sufficient spirit, section chief Wang often boasts "good physical quality". He was surprised to complete the newly added items of thyroid function and thyroid ultrasound in this year's physical examination. The physical examination report showed that the thyroid hormone of section chief Wang increased and was further diagnosed as "hyperthyroidism" by the outpatient department of Endocrinology Originally, the so-called "good physical quality" is precisely the clinical symptoms of hyperthyroidism. If it is not treated in time, its development may lead to complications. Early detection, early warning, early treatment and early benefit. Under the doctor's advice, section chief Wang paid attention to rest, reasonable diet and taking medicine on time, and the thyroid hormone level gradually returned to normal. "With more physical examination items, health management can be scientific and reasonable." In Ni Yineng's view, behind an upgraded physical examination form is the improvement of medical security treatment of grass-roots officers and soldiers. "I believe that with the further promotion and improvement of the policy, the health security of grass-roots officers and soldiers will usher in more dividends." Ni Yineng said. Figure ①: a brigade of the 72nd group army organized a physical examination, and the participating officers and soldiers studied the physical examination form in their hands. Figure ②: Ni Yineng (right), a military doctor of a brigade of the 72nd group army, treated a soldier for sprain. Figure ③: officers and soldiers of a brigade of the 72nd group army are undergoing climbing training. Figure ④: the "Huijun service area" in the outpatient Hall of the third medical center of the PLA General Hospital. Figure ⑤: the "Huijun registration window" of the fifth medical center of the PLA General Hospital. Further policies, more warmth ■ PLA Daily reporter Chen Xiaojing 100 days, not just a time scale. For a reform, "100 days" means a journey worth reviewing. It is not only a "development scale" to record the continuous promotion of policies, but also a "warmth" for the reform dividend to benefit military personnel and their families

Edit：Luo yu Responsible editor：Wang er dong

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