Pulse: The quality of medical care is double-checked, and the "Treasure Island" medical concept has landed on the mainland.

Pulse: The quality of medical care is double-checked, and the "Treasure Island" medical concept has landed on the mainland.

As the government ranks uremia as the top eight critically ill health insurance, medical insurance coverage has become the core driving force for the accelerated development of the dialysis industry. The number of domestic hemodialysis has increased sharply. However, due to weak prevention awareness and low dialysis quality in the Mainland, kidney disease in the Mainland The average life expectancy of patients is only 3 to 5 years, while developed countries such as Europe, America and Japan can reach more than 10 years. In the management of uremic diseases, the maintenance of vascular access is an important part of hemodialysis and one of the key factors to improve the life span of patients.

Chen Weihua and Qian Haowei came from Taiwan Annan Hospital and Taiwan Taian Hospital respectively. They appeared at the academic meeting of the Hunan Provincial Medical Association Blood Purification Professional Committee in 2018 to share treatment experience in the field of vascular access.

In the field of vascular access maintenance, I have been pondering for more than ten years. This is not the first time they have come to the mainland for academic exchanges. They traveled frequently to the mainland and Taiwan as early as five years ago, and they have been the "washing capital" of Taiwan for more than 20 years. The experience and technology of treatment have brought the mainland, and it is hoped that the Department of Nephrology, Vascular Surgery, and Interventional Therapists will strengthen cooperation and improve the quality of patient care.

According to Dr. Chen Weihua and Dr. Qian Haozhen, at that time, the academic meeting of vascular surgery rarely set up special sessions related to hemodialysis vascular access. In recent years, the special session related to hemodialysis vascular access has almost become the "standard" for large-scale vascular surgery academic conferences. In fact, the surge in the number of health insurance-promoting blood and the increase in academic attention have led to the entry into the golden age of rapid development. In this context, Dr. Chen Weihua and Dr. Qian Haojun, who have long been concerned about the dialysis market in the Mainland, launched the Pulse Doctor Group in May this year.

Medical quality: "expert + case manager" double check

At present, the Pulse Doctor Group has adopted a physical medical institution, established a treatment center, provided medical technology and cultivated a light model for local doctors. Like most doctors' groups, Pulse has set up its own “moat” with the medical technology of expert doctors. Chen and Qian have focused on the field of vascular access for more than 20 years, and the related surgical experience has reached 20,000. Chen Weihua is also the director of the Department of Cardiac Thoracic Surgery and Vascular Center of Annan Hospital and the director of the Cardiac Vascular Center of Beigang Branch.

In addition, the two doctors from Taiwan also brought the "Treasure Island Gift" - case manager to the mainland. Qian Haojun introduced that the case manager manages the whole process from patient consultation, preoperative evaluation, postoperative education to follow-up after discharge from the hospital, minimizing the burden on doctors and improving the quality and experience of medical treatment. In the management of dialysis patients, the case manager is connected in series with the surgeon, the doctor of the dialysis center, the nurse of the hemodialysis room, the patient and the family, and open up all relevant links: know how to do the surgery, and know the use of the patient in the dialysis room after surgery. Know the economic situation of their family, the level of support of the family... To some extent, the case manager adds “double insurance” to the patient's treatment and grasps the whole picture of the patient.

In addition, Qian Haoyi said to the health of Yiou Health: "In addition to the double check of medical quality by expert doctors and case managers, the pulse will take an appointment to see a doctor, flexibly adjust the treatment process and time, and enhance the timeliness of medical treatment." In conversation with Chen and Qian, the doctors learned that at present, the Pulse Doctor Group has landed in Changsha at the end of September and landed in Chengdu in early December. The number of cases treated has exceeded 100. In the first quarter of 19, Pulse will also be in Dalian. Chongqing and other places set up centers.

No one can be less: medical technology and management

The quality of medical care has been controlled. What should I do with the daily management of the doctor group as the main body of the market? The founders of Chen and Qian are doctors, who are able to save lives and save people. They may be rare talents for medical treatment. It may not be so convenient for the management of market-oriented operations. Even if it is a department head who has been engaged in hospital management, the operational management gap under different systems is also very large. Coupled with the heavy medical treatments such as medical treatment and surgery, it is difficult for doctors to put enough energy into the operation and management of the doctors' group.

Some people in the industry have pointed out that the market operation thinking and medical thinking of a good doctor group are indispensable, and it is difficult for a simple doctor-employed doctor group to succeed. Therefore, many doctors also clearly recognize their own shortcomings and decentralize management to a full-time operation management team. For example, Hua Xiun Yinuo Cancer Doctor Group has Zhao Xiuwen, Dong Lei Brain Doctor Group has Dong Fa Ting, Zhuo Zhuang Ultrasound. The doctor group has Zhang Liangping, and the Bode Jialian doctor group now also has Song Jun.

Dr. Qian Haozhen also bluntly said: "Management work is very big and cumbersome. The doctors' group is to put together the same good and equal, and have the right to speak in the group, leading medical technology, and management to let the person do it."

It is understood that the pulse will be “sowed” from Changsha and Chengdu, and the follow-up will be launched nationwide. The local centers will make adjustments according to local differences, operate independently, and manage them in a unified manner. In the management section, the treatment center under the Pulse Doctor Group will be managed by Shanghai Pulse, unifying the concepts, medical technology, SOP, follow-up, etc., and doctors only need to focus on treatment.

Is “recognition of the monk” or “recognition of the temple”?

The Pulse Changhua Group, which was established only for more than 7 months, relied on the reputation and contacts accumulated by Chen and Qian in the Mainland. The referrals from major hospitals also enabled the Pulse Doctor Group to operate in a healthy manner, but they were very puzzled by the mainland patients. The medical habit of “recognizing the temple without recognizing people”: “Taiwan’s shouting is more about leaving the doctor. There are relatively few “looking at the temple”, but the professionalism of the doctors’ group is not worse than that of the top three hospitals.”

If you open professionalism, the long-term medical treatment habits of patients are also a difficult problem. If it is forced to "change the temple to the monk", the patient does not necessarily "recognize the monk." Zhang Qianggang, the "originator of the Chinese doctors group", was no exception when he started the establishment of the Zhang Qiang doctor group. In the system, he was the director of the department. He was waiting for six months to queue up for medical treatment. Outside the system, he was the doctor of Zhang Qiang. Founder, there were only five patients in the first month of the establishment. The neurosurgery in China is known as the “North Tiantan, Nanhua Mountain”. After leaving the “Nanhua Mountain”, the founder of the Donglei Doctor Group, Song Donglei also experienced a drop of 80%.

However, thanks to today's self-media channels, millions of doctors are everywhere, and the threshold for personal branding is lowering and speeding up. The situation of “recognizing the temple and not recognizing people” and “big temple and small monk” has become history or in the near future. future. In terms of branding, Pulse Doctor Group also conducts through Weibo, WeChat, major media and major conferences, and hopes to transform the influence of the industry into market influence and obtain a stable source of patients. Dr. Chen Weihua said that doctor-led medical care is the mainstream in the world, and hospitals will control costs more. Doctors can help patients choose the best treatment and the best medical materials.

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