Construction and application of critical care system based on regional coordination.
10.3760/cma.j.cn121430-20240627-00548
- Author:
Yongguang YANG
1
;
Xinliang LIANG
2
;
Jingge ZHAO
1
;
Jianpeng JIAO
2
;
Erdan HUANG
3
;
Jing LI
4
;
Lei QI
5
;
Lifang ZHANG
6
,
7
Author Information
1. Department of Research and Foreign Affairs, Henan Provincial People's Hospital, Zhengzhou 450003, China.
2. Department of Public Service Development, Henan Provincial People's Hospital, Henan Provincial Engineering Research Center of Technology Research and Application of Technology Service, Zhengzhou 450003, China.
3. Health Policy and Health System Research Department of the National Health Commission's Health Development Research Center, Beijing 100191, China.
4. Department of Nutrition, Zhengzhou University Affiliated Cancer Hospital (Henan Cancer Hospital), Zhengzhou 450008, China.
5. Department of Ultrasound, Dengzhou People's Hospital, Dengzhou 474100, China.
6. Department of Operation and Management, Luoning County People's Hospital, Luoyang 471700, China. Corresponding author: Liang Xinliang, Email: lxlshy-120@
7. com.
- Publication Type:Journal Article
- MeSH:
Humans;
China;
Critical Care/organization & administration*;
Delivery of Health Care/organization & administration*
- From:
Chinese Critical Care Medicine
2025;37(7):671-675
- CountryChina
- Language:Chinese
-
Abstract:
In the context of continuously deepening medical and health system reforms and comprehensively promoting the "Healthy China" strategy, Henan Provincial People's Hospital has established a regional collaborative and vertically integrated critical care service structure and network. This initiative aims to enhance information empowerment, strengthen regional collaboration, improve the insufficient primary medical services, and ensure timely and effective treatment for critically ill patients. By establishing a comprehensive dispatch service platform for regional collaborative critical care, building a "top-down" remote medical collaboration network, and forming a cross-regional specialty alliance for critical care, the hospital has improved the efficiency of medical services and enhanced regional capabilities for treating critically ill patients. Simultaneously, for critically serious patients and those with complex diseases at primary medical institutions, a one-stop consultation and referral service has been implemented. This service adopts a "three specialists" approach and a multidisciplinary consultation mechanism within the hospital, constructs a multi-dimensional critical care transfer mode integrating air, ground, and the internet, creates a regional collaborative rescue mode, and implements full-cycle treatment for critically serious patients. The comprehensive, flexible, and efficient service pathway for regional collaborative critical care established by this system ensures timely and safe treatment for critically ill patients, promotes the distribution of high-quality medical resources, and effectively addresses issues such as uneven distribution of high-quality medical resources and varying levels of critical care capabilities. It has facilitated the formation of a new tiered diagnosis and treatment order characterized by "first diagnosis at the primary level, two-way referral, separate treatment for acute and chronic diseases, and vertical integration". This approach has enhanced the diagnostic and comprehensive service capabilities of primary medical institutions. Currently, by strengthening information empowerment and sharing, creating a full-process critical care diagnosis and treatment model, providing medical assistance and cultivating primary-level critical care talent, and promoting appropriate technologies, the hospital has gradually overcome challenges such as barriers to information exchange and sharing between hospitals, overloaded critical care teams, high pressure on patient reception and transfer, and limited critical care capabilities at primary medical institutions. This article summarizes the construction and practical application of this regionally coordinated critical care system, aiming to provide a reference for the management of critical care treatment.
