The domestic tiered diagnosis and treatment system is based on the principle of voluntariness.
The reason why the principle of voluntariness is emphasized is that patients seek treatment in hospitals, and the relationship between patients and medical staff is really like that between lovers. If they are compatible, the relationship will be smooth, but if they are not compatible, they will break up.
The compatibility here of course refers to whether the technical thinking of the doctors and nurses is consistent with the patient's illness.
Technical doctors sitting at the top of the medical pyramid are popular, but that doesn’t mean everyone loves them.
The principle of patient voluntariness must be put first. For this reason, in tiered diagnosis and treatment, we can only encourage patients to go to primary hospitals for treatment. To increase the attractiveness of primary hospitals to patients, the killer is to let top medical experts provide a guarantee for primary hospitals. Hence, there are some new terms such as medical alliance, medical community, expert alliance, telemedicine collaboration, etc., which are essentially the above-mentioned purposes.
The county hospital where Senior Brother Yu works, Wangjiapo County Hospital, is a frontier pilot unit for various medical reforms. It is itself the core hospital of the Wangjiapo County regional medical community. Secondly, it has established a medical alliance with Qin'an Hospital, an affiliated hospital of the National University of China in the capital.
The capital's medical circle is far more than the three major departments mentioned above. The NUS School of Medicine is quite famous, but the three major departments are too powerful to compete with it.
No wonder the capital’s medical circle is called the nation’s medical center, with patients from all over the country flocking to the city.
There are many hospitals affiliated with the National University of China Medical School, among which Qin'an Hospital is not bad, it is a tertiary hospital (which shows that there are so many tertiary hospitals in the metropolitan area that it is hard to imagine in other places). Technically, Qin'an Hospital is more than enough to serve as a technical guidance unit for county hospitals.
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Here is a brief distinction between medical alliances and medical communities:
Medical alliances, such as Qin'an Guiding County Hospital, do not interfere in other people's management work and only provide technical assistance.
Medical communities, such as Wangjiapo County Hospital, need to integrate medical service institutions in the region to form an overall medical organization. In addition to technical guidance, it is also necessary to intervene in the management of personnel, finance and other institutions below.
According to the principles of the pilot unit for tiered diagnosis and treatment, Brother Yu should be treated in the county hospital as much as possible, and try his best to avoid leaving the county for serious illnesses.
If the county hospital's technology is truly unable to support the situation, you can contact the medical alliance unit Qin'an Hospital for help.
The advantage of following the first two medical routes is that it is very convenient to seek medical treatment and transfer to other hospitals, and the patient's medical settlement will also be convenient at that time.
If both options are blocked or you don’t want to go that route, it doesn’t matter. Patients can go directly to other hospitals for medical treatment on a voluntary basis.
How should we interpret the benefits that the state provides to patients’ families?
Dr. Xie Wanying asked, "What does Dr. Yu think about his illness?"
Teacher Ren Chongda thought that Student Xie could always grasp the key points quickly.
Speaking of the principle of voluntariness, whether or not patients receive state welfare benefits depends on how they think about their illness.
Obviously, as long as the patient feels that his or her illness does not require the help of the top medical experts, it is in the best interest to take away the benefits given by the state.
"I have contacted experts from Qin'an Hospital and the initial situation does not look good. He is also afraid that he has a malignant tumor," said Ren Chongda.
What this means is that Mr. Ren's previous description of the patient's condition was endorsed by Qin'an experts: multiple tumors are suspected to be malignant, and it is currently impossible to determine where they are primary and where they have metastasized.
If the malignant tumor has metastasized throughout the body, it would be futile to seek treatment from the National Association with existing medical means. It is better to go through the national welfare channel, which is convenient and economical.
It can be seen that the ideas of people in the industry are somewhat different from those outside the industry.
People outside the industry think that the more incurable the disease is, the more they need to find top experts. People in the industry know that the disease is incurable, so they just want comfort and convenience without making the patients suffer.
Where information inside and outside the industry is connected, more and more people outside the industry actually make the same choices as people inside the industry.
The welfare of the country is really useful.
Doctor Xie Wanying understood after hearing this: "I believe in the professional intuition of Senior Brother Yu and Teacher Ren. We can let him go to our new district joint clinic first. If he is within the treatment range of the new district, we will immediately admit him to the hospital."
He is a selfless devotionist in his medical school, and his alma mater will lend a helping hand as long as the person is in need.
The premise is the two words "professional" mentioned by Dr. Xie.
Teacher Ren Chongda couldn't help but shudder twice: Student Xie pointed out that if his professional intuition was wrong, he would have to take the blame.
Doctor Xie: Mr. Ren, there’s no need to be so unconfident.
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