Original title: Cultivate medical team medical talents who cannot be taken away. “Group-style” aid to Tibet and Xinjiang has achieved remarkable results in 8 years
China Youth Daily and China Youth Daily reporter Liu Changrong
Recently, Amina (pseudonym), a Kashgar native in her 30s, developed hematemesis and melena due to liver cirrhosis, and was admitted to the Kashgar First People’s Hospital again. At the end of October, when the reporter followed the research team of the National Health Commission to the hospital, he saw Amina lying on the hospital bed sucking oxygen and feeling listless due to cirrhosis of the liver.
On October 24, the 20th “Famous Doctors Go to the Grassroots—Volunteer Service Tour” event organized by the National Health Commission came to Yuqek Kazirek Village in Kashgar, Xinjiang Uygur Autonomous Region. The picture shows Dong Qiran, deputy secretary of the Party Committee and chief physician of the Pediatric Surgery Department of the Children’s Hospital of Fudan University, conducting an interview with a 3-month-old child with severe cleft lip and palate. This was Dong Qiran’s first visit to a border area for free clinic. He found that there was a huge demand for high-quality medical services in the area. It is understood that the “Famous Doctors Go to the Grassroots—Volunteer Service Bank” has served more than 30,000 people in total and has achieved good social response.Photo by Liu Changrong, reporter of China Youth Daily and China Youth Daily
Amina’s attending doctor, Ilpan Aishan, told reporters from China Youth Daily and China Youth Daily that Amina had cirrhosis due to hepatitis B. There are many patients infected with hepatitis B and hepatitis C viruses in Kashgar, so the local viral cirrhosis There are also many patients. Many of them are young patients in their twenties and thirties.
Irpan Aishan said that he would perform endoscopic hemostasis surgery on Amina. The technique of this surgery was taught to him by experts who came to Xinjiang in a “group-style” manner. Since Xinjiang experts came to Kashgar Prefecture First People’s Hospital to provide assistance in 2016, “we have made great progress in the diagnosis and treatment of internal diseases.”
“Group-style” support for medical talents is a work jointly organized and implemented by the National Health Commission, the Organization Department of the Central Committee of the Communist Party of China and other departments. It has been determined to support “1+7” in Tibet, namely the People’s Hospital of the Tibet Autonomous Region and 7 prefecture-level people’s hospitals; to support “7+1” in Xinjiang, that is, 7 prefecture-level people’s hospitals in the Xinjiang Uygur Autonomous Region and the People’s Hospital of the First Division of the Corps Hospitals, a total of 16 hospitals at prefecture level and above. In 2021, 13 county people’s hospitals in Tibet will be included in the scope of support.
At the end of October, the National Health Commission held a press conference in Kashgar, Xinjiang, to introduce the situation of “group-based” support work for medical talents. Xing Ruoqi, deputy director of the Department of Medical Affairs of the National Health Commission, informed at the press conference that since the “group-style” support work for medical talents was launched, on the one hand, the organization has organized and dispatched talents. So far, 3,175 high-level medical talents have been dispatched to Tibet and Xinjiang; On the other hand, efforts have been made to cultivate talents, and a total of more than 1,000 medical teams and 7,678 medical personnel have been assisted in Tibet, Xinjiang and other places. The supported hospitals also dispatched 4,357 medical staff to corresponding supporting hospitals for further training in a planned and step-by-step manner.
“With the joint efforts of all relevant parties, the overall quality of local medical staff has been significantly improved, and the ‘group-style’ support work for medical talents has also achieved significant results.” Xing Ruoqi said.
Promote the “dual director system” to cultivate a medical team that cannot be taken away
At the end of October, Ding Qiang, Secretary of the Party Committee of Jiangsu Provincial People’s Hospital, returned to Xinjiang Kezhou People’s Hospital again. He said: “I feel very shocked and touched. Many medical staff are young people who were a little immature back then. When I see them again, I feel that everyone is confident and mature and has grown into the backbone of local medical care. “
From 2017 to 2019, Ding Qiang served as the president and deputy secretary of the Party Committee of Xinjiang Kezhou People’s Hospital. In the past three years, the number of beds in Kezhou People’s Hospital of Xinjiang has expanded from the original 898 to 1,500, the outpatient workload has increased by 80%, the admission rate of critically ill patients has increased by 130%, and the proportion of critically ill patients has increased by 60%.
Ding Qiang said that from the beginning of the assistance, “leaving a medical team for the local area that cannot be taken away” has been the goal. Under the guidance of this goal, Ding Qiang implemented a “dual director system”: a local doctor in Xinjiang serves as a director, and at the same time, an aid expert also serves as the director. “The two directors work together, one is in charge of business and teaching, and the other Focus on advancing daily work.”
Under the “dual-director system”, relevant assessment work has also been strengthened. Ding Qiang said that for the assessment of the disciples who are teaching in Xinjiang, the most important thing is actually to assess the teachers, because the assessment of teachers is more effective and more accurate than the assessment of students.
Using the methods of “team leads team”, “hospital provides departments” and “mentor leads apprentice”, more than 330 medical workers and assistance experts in Xinjiang Kezhou People’s Hospital have formed master-apprentice pairs, and subsequently established key specialties in Xinjiang. 5, and the hospital has also been approved as a national standardized training base for resident physicians.
Zou Xiaoguang, deputy director of the Xinjiang Health Commission, said that since 2016, eight aided medical institutions and a number of key specialties have achieved two transformations from scratch and from existing to strong. As of 2022, the number of clinical specialties will increase from 180 to 258, of which the number of key specialties in autonomous regions and regions will reach 154. What is particularly commendable is that it has achieved zero breakthroughs in national key specialties.
There is still a gap between the assisted hospitals and the average level in the western region
At the end of October, the National Health Commission organized experts from Beijing, Shanghai and other places to conduct a free clinic in Kashgar’s Yukak Kazirek Village. Wang Guiqiang, director of the Department of Infectious Diseases at Peking University First Hospital, attended the free clinic.
During the free clinic, Wang Guiqiang met many patients like Amina who had cirrhosis caused by hepatitis B. Most of these patients were in the middle and late stages of the disease.
Wang Guiqiang said that the indications for hepatitis B antiviral treatment are very wide, mainly for early intervention. In cities such as Beijing and Shanghai, due to repeated popular science propaganda and regular physical examinations, as well as early antiviral treatment, cirrhosis and liver cancer caused by hepatitis B are basically not seen.
Regarding the characteristics of hepatitis B patients in Kashgar, Wang Guiqiang said that on the one hand, science popularization should be strengthened, and doctors can play a big role in this process; on the other hand, relevant government departments should emphasize the importance of physical examinations to achieve early treatment and early intervention. .
Xing Ruoqi said at the press conference that after years of “group-style” support work for medical talents, the medical service capabilities of Tibet and Xinjiang have been improved in stages. From the looks of it, there is still a gap between the assisted hospitals and the average level in the western region, and there is still a long way to go in providing assistance.
Xing Ruoqi said that in the future, we will continue to focus on promoting the “group-based” support work for medical talents from four aspects: improving hospital management levels, optimizing the “hospital-to-subject” support working mechanism, adhering to two-way assessment, and focusing on retaining people.
It is understood that in July this year, the “group-type” assistance work to Qinghai was also launched. People’s hospitals in the six autonomous prefectures of Qinghai have been included in the scope of support, and the selection and dispatch of medical talents to assist Qinghai are currently being organized.