2016 national general hospital of traditional Chinese medicine experience exchange video conference, as a "national comprehensive hospital of traditional Chinese medicine work demonstration unit", the third army hospital, the specialized hospital and dimethyl hospital how to facilitate work of traditional Chinese medicine, promote the hospital comprehensive service capacity --

General hospital of traditional Chinese medicine work how to do

Time: 2016-06-02

Source: China's traditional Chinese medicine

Author: Zhou Manyi

General hospital, the development of the work of Chinese medicine is an important part of hospital overall construction, only in the medical service, subject people, public health, science and technology innovation aspects do equal and balanced development of Chinese and western medicine, can truly improve status of traditional Chinese medicine, to hospital comprehensive ability to ascend.

Air force general hospital: "three key subject" combine traditional Chinese and western medicine

Last year, close to 50% "combine traditional Chinese and western medicine hospital outpatient service, dermatology, positive orthopaedic MenZhenLiang close to 70 and 70, respectively, in hospitalized patients, the utilization rate of close to 30% of Chinese medicine, in the traditional Chinese medicine consultation people accounted for 13% of the total consultation person-time, high technical level and good curative effect of diagnosis and treatment of combining traditional Chinese and western medicine, has become a hospital quality brands."

Air force general hospital actively practice of combining traditional Chinese and western medicine policy, continue to strengthen the cooperation of Chinese and western medicine discipline construction, become the country also has the key discipline of the state administration of traditional Chinese medicine in general hospital, one of the key specialty and ZhuanBing center hospital.

One is the cooperation of Chinese and western medicine skin disease. In the late 1970 s, professor Cai Ruikang in inheriting the famous traditional Chinese medicine diagnosis and treatment of skin diseases and professor Zhu Renkang, everybody Zhao Bingna experience, on the basis of modern organic combination skin disease pathogenesis and pharmacological progress in pharmacodynamics, have the courage to explore, repeated practice, innovation and development, successfully developed a special effects more than 10 kinds of military preparations, "solved since the battle to cross the river is always a difficulty of soldiers", to promote the rapid development of the hospital dermatology discipline.

2 it is to combine traditional Chinese and western medicine bonesetting therapy. In the early 1970 s, according to the air force flight personnel ask high incidence of neck, shoulder, waist, back, learning Feng Tianyou professor from folk bonesetting teacher's famous ancestral bonesetting technology, theory of TCM and western medicine science digest, founded the "spinal fixed-point rotation reduction method" in the treatment of spinal degenerative diseases, effectively reduce the grounded by neck shoulder waist and leg pain caused by high rate.

Department in 1986 became the first batch of specialized centers, and all the army in 2002 was named the state administration of traditional Chinese medicine the first batch of key ZhuanBing center.

3 it is to combine traditional Chinese and western medicine specialist metabolic disease. In the 1950 s, experienced the test of the liberation war, the war to resist U.S. aggression and shi-ming li, Hao Gang, Hu Jinxin, deep impression in the battlefield treatment technology of special effect of traditional Chinese medicine, combined Chinese and western medicine innovation research, started with "6542" the combination of traditional Chinese medicine treatment of diabetic foot, to create a "quadruple therapy" prevention and control of chronic kidney disease, "Que ginseng slice" was developed to treat disease of heart head blood-vessel, formed the unique advantage of metabolic disease combine traditional Chinese and western medicine.

In 2007 was named the state administration of traditional Chinese medicine department key specialty metabolic disease. In the "three key subject" radiation driven, other combine traditional Chinese and western medicine hospital technology vigorous development. Hospital in 2007 was named the country's first comprehensive hospital of traditional Chinese medicine work demonstration units.

Hospital say:

General hospital of traditional Chinese medicine to do four insist on the job: one is always adhere to the leadership of the party committee of Chinese and western medicine combined with work; The second is always insist to follow the law of the development of combine traditional Chinese and western medicine; Three is always adhere to the center of serving the army; Fourth, always adhere to the traditional Chinese and western medicine combined with technology innovation.

Tumor hospital affiliated to sun yat-sen university: a multidisciplinary collaboration highlights tumor therapeutic advantage

"Hospital regions with nasopharyngeal carcinoma, lung cancer, prostate cancer, liver cancer and other diseases as the research key, for a whole set of patients during radiotherapy, chemotherapy and after the treatment of convalescence and combine traditional Chinese and western medicine diagnosis and treatment of traditional Chinese medicine pattern: as for high rates of malignant tumor diseases in south China regions for different stages and different stages of hospital in classification, treatment and prognosis of nasopharyngeal carcinoma (NPC) has done a lot of further clinical research work, accumulated rich experience, and achieved remarkable curative effect."

As a national key tumor specialized subject hospital, sun yat-sen university affiliated tumor hospital specializing in diseases, concentrated technology form a unique therapy, encourage multidisciplinary collaboration, actively promoting in-depth combining traditional Chinese and western medicine therapy.

Hospitals receive more difficult complex cases, through the establishment of normal consultation mechanism, encourage regions of doctors involved in partial cases discussion and the specialist multidisciplinary consultation of single diseases. At the same time, also in regions set up a multi-disciplinary and partial expert group consultation system, regular consultation work for partial patients within the department, make the patients can get more appropriate and comprehensive quality medical services.

For nasopharyngeal carcinoma before and after radiotherapy and long-term illness change characteristic, the hospital regions continuously explore practice, through a large number of cases to summarize the clinical rule, develop a sensitization, after radiotherapy for nasopharyngeal carcinoma patients before radiotherapy prevention and unique therapy after radiotherapy maintenance treatment of adverse reaction, improve the patients in the near future curative effect, easing because of adverse reaction caused by such as ulcers of the oral mucosa for patients with pain.

In addition, the hospital regions since the 1980 s began to engage in the study of tumor in patients with tongue like, through the use of advanced tongue diagnosis of traditional Chinese medicine image analysis system, hemorheology detector and a series of instruments, on the tongue of the tumor patients as a long-term tracking observation, has accumulated a series of relevant research achievements of purple tongue and its prognosis in patients with nasopharyngeal carcinoma (NPC) relationship. Takes the lead in putting forward and will fade or not blue tongue and fade sooner or later, as an indication for the prognosis of patients with nasopharyngeal carcinoma clinical observation, early interventional treatment, prevent recurrence, transfer, eventually improve the survival rate.

In nasopharyngeal carcinoma of traditional Chinese medicine, the hospital regions was not put through all the selection of cases of traditional Chinese medicine, was found the prognosis of nasopharyngeal carcinoma different TCM syndrome types with special performance, thus make the classification more scientific and accurate, TCM diagnosis and treatment of patients with nasopharyngeal carcinoma has important guiding significance.

Hospital say:

General hospital regions development, to learn from experience in domestic and foreign counterparts, comprehensive evaluation mechanism, combined with their own characteristics to develop clinical work plans and medical safety objective management system of management and continuous improvement programs such as the core, to build up the idea of total quality management in partial scope, specific to the department level, to establish the quality management system, evaluation measures and specific operation specification, etc., through regular training examination methods such as substantial work, make the hospital service quality and safety of traditional Chinese medicine and guarantee.

Pudong new area, Shanghai public hospitals: the secondary development first-class hospital lighting) fusion of Chinese and western medicine

"In recent years, hospital of traditional Chinese medicine fully improve service ability, TCM MenZhenLiang and discharges from 2012 increased by 36.8% and 112.1%, yinpian prescription, non-drug therapy attendances, paste services increased by 58.7%, 65.7%, 182.5%; floor number of western medicine department of traditional Chinese medicine yinpian and non-drug treatment increased by 77.6%."

As the Shanghai pudong new area of level 2 grade a hospital, second military medical university affiliated hospital, Shanghai pudong new area and the hospital carried out partial fusion of Chinese and western medicine practice exploration, comprehensive integration of Chinese and western medicine clinical practice and scientific research and innovation.

Regions based on their clinical features, to carry out the advantages of disease diagnosis and treatment standard construction, and carries on the comprehensive planning of the secondary branch of traditional Chinese medicine, business number and connotation of quality enhances unceasingly. Based on compound mechanism and efficacy of traditional Chinese medicine material research as the breakthrough, teaching ability, research topics and results obtained some achievements.

In the field of medical services, but also in many clinical departments to promote the service of traditional Chinese medicine, western medicine specialist selection agreement and non-drug treatments, and the service included in the performance of traditional Chinese medicine, through the measure, preliminary explored a set of suitable for different department advantage of traditional Chinese medicine and western medicine.

For some poor western medicine curative effect of disease, such as postoperative abdominal mass, severe eczema during pregnancy, infection after cesarean delivery, chronic pelvic inflammatory disease, cerebral apoplexy hemiplegia are actively join in TCM. Form the western medicine of incurable disease intervention mechanism of TCM.

In the field of discipline talents, promote hospital key subject of resources integration, around the main direction, joint research, forming regional ZhuanBing, specialized medical center. Encouraging staff to participate in the "western" culture, accept the traditional Chinese medicine theory and special skills training.

Through the project lead, multiple professional areas promote the fusion of Chinese and western medicine: relying on the "Shanghai three years a plan of action - general hospital of traditional Chinese medicine clinical discipline of Chinese and western medicine integration development demonstration research" project, carrying out a series of work.

To promote advantages disease clinical database construction as the core, in the joint outpatient service, develop advantage diseases (such as perimenopausal syndrome) fusion of Chinese and western medicine diagnosis and treatment plan, formed the standardization treatment, observation scale, inspection package service mode, establish the fusion of Chinese and western medicine clinical database, and use modern tools such as data mining, provide the foundation for evidence-based, precision medical treatment.

Hospital say:

In terms of mechanism, the general hospital should implement a series of special system conducive to the development of TCM. Personnel, for further study, degree, title promotion, TCM personnel give priority to same conditions. Science and education, personnel number of year to participate in academic exchanges of traditional Chinese medicine may be higher than that of the hospital rules limit. Performance, compared to the key discipline of hospital the most preferential policies. In addition, still can set up a special fund of traditional Chinese medicine, improve medical environment of traditional Chinese medicine.