Integrating innovation to realize quality improvement and expansion of high-quality medical resources

The Second Hospital of Traditional Chinese Medicine of Guangdong Province (hereinafter referred to as "the Second Hospital of Guangdong Province") initiated the "combination of medical care and nursing care" pension model in 2006, which became the benchmark of pension service, helped and guided medical institutions inside and outside the province, and established the management model of combination of medical care and nursing care. In order to deepen the health service system for the elderly, in February this year, the Guangdong Provincial Bureau of Traditional Chinese Medicine approved the establishment of an "elderly medical center" to provide comprehensive medical services for the majority of elderly friends, so that the elderly can have more "medical" support for the elderly.

74-year-old Zhong Popo came to Huangpu Hospital of No.2 Middle School of the Province because of abdominal pain, and was later diagnosed with pancreatic cancer. Fortunately, she received laparoscopic pancreaticoduodenectomy here, which is known as the "surgical Everest" operation. After the operation, she gave full play to the advantages of traditional Chinese medicine and integrated traditional Chinese and western medicine. Grandma quickly recovered well and was discharged smoothly.

Starting from a small hospital near the foot of the lake, the Second Provincial Middle School Hospital has focused on its main business in the past 30 years. It has developed from 160 beds in one hospital area to a comprehensive 3A hospital with 3 hospitals, 3 outpatient departments and 1,500 beds. It has not only continuously enhanced the supply of medical service capacity, but also adhered to the differentiated development strategy, upgraded medical services and technology, and made more patients feel full of security here.

"One, two, three, four ….." At 10: 30 in the morning, the elders of Guangzhou Nanguo Yijing Senior Apartment walked out of the room, came to the activity area, sat down at intervals, and under the leadership of social workers, began sitting eight-stage brocade exercise.

If "the combination of medical care and nursing care" is an important consideration dimension of old-age service, the seamless connection between "medical care" and "nursing care" in Guangzhou Nanguo Yijing Senior Apartment is its most attractive place. The old people who live here have personal experience: they all have their own bed-managing doctors to take care of health care matters, and they can freely choose to enjoy the customized Chinese medicine diet in the kitchen every day. If there are some intractable diseases, they can also ask doctors in different fields for consultation …

The reason why this group of elderly people have such convenient and desirable medical resources is because they are backed by the public hospital tree of Guangdong Second Hospital of Traditional Chinese Medicine.

The apartment for the elderly is in the same building as the Baiyun Campus of the Second Provincial Middle School Hospital. The apartment for the elderly occupies 4 floors and the hospital occupies 5 floors. This building is provided by the government, and the provincial second middle school hospital and the elderly apartment are rented at preferential prices. Not only that, the Second Middle School Hospital of the province also implements comprehensive management of the old-age apartments, provides exclusive doctors for each elderly person, and provides one-stop convenient medical treatment, green access for hospitalization, chronic disease management and other medical services, thus solving the problem of "difficulty in seeing a doctor" for the elderly.

Guangzhou Nanguo Yijing Apartment for the Elderly was jointly built by Guangzhou Service Center for the Elderly, Guangdong Ruihua Group Co., Ltd. and Guangdong Second Hospital of Traditional Chinese Medicine, which pioneered the establishment of a pension service institution by public hospitals and private enterprises in Guangdong. After nearly 20 years of development, it has become a "model room" and demonstration site for the combination of medical care and nursing in Guangdong Province.

"Promoting the combination of medical care and nursing, the elderly feel safer." The staff of Guangzhou Nanguo Yijing Senior Apartment said that the apartment uses convenient medical and nursing resources, arranges doctors and nurses to make rounds every day, organizes lectures on health care knowledge for the elderly, and also establishes personal health files for each elderly person, regularly carries out risk assessment and self-care ability assessment, keeps abreast of the physical and mental health of the elderly, and provides safe and thoughtful nursing services.

Wu Wenfeng, vice president of Baiyun Campus of Provincial No.2 Middle School Hospital, said that as a pioneer of the mode of combining medical care with nursing care, the hospital has accumulated some practical experience. At present, with the accelerated aging of the population, it will share experiences with peers and related enterprises inside and outside the province, participate in the revision of the standards for the aged care industry, establish close friendly school-enterprise cooperation and other measures, better serve the needs of the country and reflect the responsibility and responsibility of public hospitals.

Wu Wenfeng revealed that in the next stage, the hospital will take Dengfeng community as a pilot, promote the extension of medical services to the community home, build a continuous medical service system for the elderly from health care rounds, rehabilitation care and disease diagnosis and treatment, and explore the creation of a new model of "Chinese medicine geriatric medical center-community health service center-home rehabilitation-institutional pension" to achieve a comprehensive management of healthy aging and active aging.

In February 2018, Guangdong Second Hospital of Traditional Chinese Medicine (Guangdong Institute of Traditional Chinese Medicine Engineering and Technology) and Huangpu District Government held the "Agreement Signing Activity of Guangdong Second Hospital of Traditional Chinese Medicine Integrating Luogang Chinese Medicine Hospital". After the overall integration, Huangpu Hospital, the No.2 Middle School Hospital of Guangdong Province, was approved to build a national traditional Chinese medicine inheritance and innovation project, and planned to build a new building with a total construction area of 58,450 square meters. After completion, 665 beds will be added, making it the first 3A Chinese medicine hospital in Huangpu District and the whole eastern Guangzhou, and it has also become another growth pole of medical development in eastern Guangzhou. Local people can enjoy high-quality and simple Chinese medicine services at their doorstep.

What experience has the Second Provincial Hospital of Traditional Chinese Medicine explored in taking over the Second Hospital of Traditional Chinese Medicine?

Liu Jun, president of Guangdong Second Hospital of Traditional Chinese Medicine, said that at the beginning of integration, the Second Hospital of Guangdong Province emphasized that integration was not only the integration of property and personnel, but also the integration of service concept, hospital culture and people’s hearts. Therefore, from the very beginning, we cared for all employees in all aspects and at all levels, and faced all the problems that employees cared about directly. Many of these problems were very difficult to solve, but the Chinese medicine practitioners in the second province gave full play to the feelings of "family", understood and respected each other, and made joint efforts, which not only solved the problems, but also condensed the strength, making the integration a harmonious movement and bringing together greater strength.

Establish a talent team of entrepreneurial officers and develop more medical technologies that are convenient for the people and benefit the people. Liu Yue, vice president of No.2 Provincial Middle School Hospital, said that since the integration, the hospital has been aiming at the development of excellent top-three comprehensive Chinese medicine hospitals, continuously updating medical equipment and transforming outpatient departments and wards. While stabilizing the medical staff of the original hospital, it has sent business backbones and introduced many talents to work in Huangpu Hospital, innovated and developed new technologies in many jurisdictions and hospital districts, which has greatly promoted the medical technology and service capacity of Huangpu Hospital and achieved leap-forward growth in medical business.

Refined management and specialized development are one of the effective ways to expand the influence of hospitals. Liu Yue introduced that before, the setting of the second-level specialty in the inpatient department was not detailed enough, and there were only five departments, namely, internal medicine department, internal medicine department, major surgery department, obstetrics and gynecology department and acupuncture and rehabilitation department. This mode of major specialty was not only not conducive to the growth of employees’ professional skills, but also could not provide accurate and satisfactory medical services for patients. In order to solve this outstanding problem, Huangpu Hospital has continued to promote the development of specialization. The inpatient department has been developed from 5 departments before the integration to 13 departments, and the departments of intensive medicine, trauma orthopedics and encephalopathy have been opened, and the chest pain center, stroke center and trauma center have been vigorously built, which has significantly improved the emergency treatment ability of Huangpu Hospital. At the same time, rehabilitation, orthopedics and surgery have the advantages and scale of medical technology, and established a good reputation among the masses. The development of a number of difficult operations has continuously filled the gaps in Huangpu Hospital and benefited more critically ill and difficult patients.

Five years of reform and carrying forward the burden have yielded fruitful results. Since the integration, the number of out-patients in hospitals, the number of discharged patients, business income and the number of operations have continued to increase, and the clinical teaching has achieved zero breakthrough. The comprehensive configuration of large-scale high-end equipment has helped the level and quality of medical services to leap forward. In the next stage, Huangpu Hospital will continuously improve its high-quality medical service capacity, so that people in eastern Guangzhou can enjoy more and better medical services nearby.