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　　1！ 2！3！ Click! The year 2023 has been completed. After the baptism of wind and rain, we have also seen the beautiful scenery. In 2024, when the Guizhou Provincial Two Sessions are about to be held, doctors Shi Li brings a good news: their The equipment in primary medical consultation institutions is "new"!

"Fever lasts for five hours, and he was admitted to the hospital at 15:36 on February 19, 2023, with a history of hypertension and cerebral infarction. On February 22, thyroid color ultrasound showed mixed masses of bilateral thyroid glands, which were classified into three categories. Now there are repeated fevers, but no coughing and expectoration..." In the ward of Longli County People's Hospital, Qiannan Prefecture, Guizhou Province, the twice weekly long-distance teaching rounds are ongoing, Shi Li, a doctor of Longli County People's Hospital, is discussing the cause of the patient's repeated fever with the superior expert doctor.

Shi Li, a doctor from Longli County People's Hospital, is conducting remote consultation with experts from superior hospitals.

Primary medical care began to take AI consultation.

"It's not a big problem. Bacterial infection is not very clear, and there is no infection of other special pathogens. Fungal viruses still need to be checked, even bacteria. In addition, non infectious factors should also be considered. If there is still a problem with body temperature, you can consider doing a bone puncture. Now you can follow your original respiratory treatment plan slowly." With the guidance and affirmation of superior experts, Shi Li also had a new treatment direction in her heart, and then adjusted the diagnosis and treatment plan, carried out targeted blood tests on the patient to further clarify the cause.

For Shi Li, this face-to-face remote ward round teaching is equivalent to practical teaching. Every time she asks for help from a superior expert, it is an accumulation of knowledge. She said: "Under normal circumstances, we will carry out distance learning twice a week. The first is a remote ward round on Tuesday morning to discuss difficult cases, and the second is a business learning on Wednesday morning. This way can enable our grassroots medical staff to update their medical knowledge in real time, provide more accurate medical diagnosis and better medical services for the masses, and also improve the doctor-patient relationship at the grassroots level to a certain extent. "

Doctors of Longli County People's Hospital are taking part in telemedicine training.

Fang Li is viewing the patient's electronic medical record information on the remote ward platform.

In Longli County, the assistance mode of long-distance teaching ward round not only reduces the time and energy of local patients to go to the superior hospital for diagnosis and treatment, but also upgrades the "blood transfusion" telemedicine for individual cases to the "hematopoiesis" normal long-distance teaching aimed at improving the ability of grassroots doctors, further improving the medical service ability of grassroots medical staff, It effectively promoted the expansion and sinking of high-quality medical resources in the county.

Fang Biyong, 55, is a doctor in the village clinic of Gujiao Town, Longli County, Guizhou Province. After 30 years of medical practice, he has always used the same medical equipment - sphygmomanometer, stethoscope and thermometer. In recent years, with the establishment of Longli County's telemedicine service system and the help of digital technology, Dr. Fang has replaced the "old three" and used "new equipment".

"Now through the mobile large screen and telemedicine system in the clinic, I can immediately upload the patient's medical records and basic examination results to the system when encountering difficulties and miscellaneous diseases, and dial the superior hospital to apply for expert doctors for remote consultation. Experts will directly guide me on how to diagnose and how to use drugs in the opposite side." Fang Biyong said.

The medical staff in the clinic of Guanyin Village, Gujiao Town, Longli County are taking part in telemedicine training.

Fang Biyong (left) and Yang Huiqi (right), the village doctor of the "post 00s", pose for a group photo with the newly built Guanyin Village Health Center in Gujiao Town, Longli County.

In Longli County, Qiannan Prefecture, the application of information-based, digital and intelligent means is quietly changing the way people see doctors - through two smart screens, grassroots doctors and experts have remote consultations in the "cloud", so that people can enjoy convenient and high-quality medical services nearby.

In recent years, Longli County has continued to explore and break through the difficulties and blockages in the construction of the county medical community. With the support of Tencent, more than 50 administrative villages have achieved digital hierarchical diagnosis and treatment, forming a telemedicine service system covering five public medical institutions at the provincial, municipal, county, township and village levels. AI assisted diagnosis, remote diagnosis and online training have become the "new three items" of intelligent consultation for village doctors in Longli County, which has greatly helped all clinics to improve their medical knowledge and reception ability.

In November 2023, Guizhou Hospital of Zhongshan First Hospital, Qiannan Prefecture Health Bureau and Zhongmai Digital officially signed the Strategic Cooperation Agreement on Digital Hierarchical Diagnosis and Treatment. With the overall goal of "supporting disciplines, leading talents, spreading technology and helping management", Guizhou Hospital of Zhongshan First Hospital takes Zhongshan First Hospital as the output hospital, and provides remote teaching outpatient service Distance teaching rounds, remote case teaching discussions and other remote collaboration, through weekly online teaching rounds and remote medical record teaching discussions, integrate the hospital's specialized high-quality resources, promote the medical service ability of the whole prefecture through radiation, vigorously develop digital graded medical teaching, and support discipline leaders to complete the task of discipline development, Promote the rapid implementation of digital graded medical teaching in the whole prefecture.

Guizhou Hospital of Zhongshan First Hospital, Qiannan Health Bureau and Zhongmai Digital officially signed the Strategic Cooperation Agreement on Digital Hierarchical Diagnosis and Treatment.

Wang Qian (right), chief physician of Gastrointestinal Surgery Department of Guizhou Hospital of the First Affiliated Hospital of Sun Yat sen University, is conducting teaching rounds and case teaching discussions with general surgeons of Longli County People's Hospital.

"Through eight years of pilot work in Longli County, we have explored a replicable and promotable digital hierarchical diagnosis and treatment teaching collaboration scheme. Today's signing marks another solid step forward in the work of digital hierarchical diagnosis and treatment in our prefecture." Yang Xiuhe, director of Qiannan Prefecture Health Bureau, said that he will follow the principle of resource integration and coordinated development, Strive to achieve the goal of graded diagnosis and treatment of "serious diseases do not leave the county and minor diseases do not leave the village".

The village doctor of Longli County is asking the doctor of the superior medical system to treat patients through the telemedicine system.

Jiang Tao, the attending physician of Longli County People's Hospital, is conducting a remote consultation with the doctors of Maozhai Village Health Center in Xima Town.

By the end of 2023, Longli County's digital hierarchical diagnosis and treatment system has covered 18 clinical departments, 15 township level hospitals, 52 administrative villages and 83 village clinics in 3 county-level hospitals, benefiting more than 100000 people. By the end of 2025, Qiannan Prefecture plans to form a digital hierarchical diagnosis and treatment service model of vertical flow of high-quality medical resources supported by digitalization, which is connected from top to bottom. The medical treatment rate in the county will reach more than 90%, further meeting the people's demand for high-quality medical and health services.

Tianyan News Reporter of Guizhou Daily

Chen Zujia, Yue Duan, Zhou Rui

Designed as Guihong

Editor Liu Sibo

Second instance Li Jie

Third instance Liu Dan