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.
Humans ; China ; Critical Care/organization & administration* ; Delivery of Health Care/organization & administration*

The implementation and implementation of DIP medical insurance payment system reform has a far-reaching impact on hospital operation and management mode,which resulted in an urgent need to adapt and optimise the way hospitals operate and manage their content.It analyzes in-depth DIP health insurance payment for the impact of hospital operations and management,from the perspective of the implementation of disease classification policy,medical insurance cost accounting control,medical service quality improvement,medical insurance after-the-fact analysis,disease category management,etc.In order to better promote the healthy and sustainable development of the hospital.

OBJECTIVE To provide ideas and reference for the anti-infection treatment and pharmaceutical care for severe pneumonia caused by Chlamydia psittaci. METHODS Clinical pharmacists participated in the whole process of the treatment for a patient with C. psittaci-induced severe pneumonia. According to the patient’s medical history， clinical symptoms and test results， clinical pharmacists assisted the physician to dynamically adjust the anti-infective scheme； for C. psittaci infection， the patient was treated with tigecycline combined with azithromycin successively， and other infection therapy plans were dynamically adjusted according to the results of pathogen examination. During the treatment， the patient suffered from suspicious adverse drug reactions such as prolonged QTc interval， elevated lipase and amylase； the clinical pharmacists conducted pharmaceutical care and put forward reasonable suggestions. RESULTS The physician adopted the pharmacists’ suggestion， and the patient was discharged after treatment. CONCLUSIONS For the treatment of severe pneumonia caused by C. psittaci， the characteristics of patients， drugs and pathogens should be taken into account to develop individualized anti-infective treatment. Tetracyclines and macrolides have a definite effect on C. psittaci infection， but attention should be paid to the possible ADR caused by drugs in clinical application.

The implementation and implementation of DIP medical insurance payment system reform has a far-reaching impact on hospital operation and management mode,which resulted in an urgent need to adapt and optimise the way hospitals operate and manage their content.It analyzes in-depth DIP health insurance payment for the impact of hospital operations and management,from the perspective of the implementation of disease classification policy,medical insurance cost accounting control,medical service quality improvement,medical insurance after-the-fact analysis,disease category management,etc.In order to better promote the healthy and sustainable development of the hospital.

The implementation and implementation of DIP medical insurance payment system reform has a far-reaching impact on hospital operation and management mode,which resulted in an urgent need to adapt and optimise the way hospitals operate and manage their content.It analyzes in-depth DIP health insurance payment for the impact of hospital operations and management,from the perspective of the implementation of disease classification policy,medical insurance cost accounting control,medical service quality improvement,medical insurance after-the-fact analysis,disease category management,etc.In order to better promote the healthy and sustainable development of the hospital.

The implementation and implementation of DIP medical insurance payment system reform has a far-reaching impact on hospital operation and management mode,which resulted in an urgent need to adapt and optimise the way hospitals operate and manage their content.It analyzes in-depth DIP health insurance payment for the impact of hospital operations and management,from the perspective of the implementation of disease classification policy,medical insurance cost accounting control,medical service quality improvement,medical insurance after-the-fact analysis,disease category management,etc.In order to better promote the healthy and sustainable development of the hospital.

The implementation and implementation of DIP medical insurance payment system reform has a far-reaching impact on hospital operation and management mode,which resulted in an urgent need to adapt and optimise the way hospitals operate and manage their content.It analyzes in-depth DIP health insurance payment for the impact of hospital operations and management,from the perspective of the implementation of disease classification policy,medical insurance cost accounting control,medical service quality improvement,medical insurance after-the-fact analysis,disease category management,etc.In order to better promote the healthy and sustainable development of the hospital.

The implementation and implementation of DIP medical insurance payment system reform has a far-reaching impact on hospital operation and management mode,which resulted in an urgent need to adapt and optimise the way hospitals operate and manage their content.It analyzes in-depth DIP health insurance payment for the impact of hospital operations and management,from the perspective of the implementation of disease classification policy,medical insurance cost accounting control,medical service quality improvement,medical insurance after-the-fact analysis,disease category management,etc.In order to better promote the healthy and sustainable development of the hospital.

The implementation and implementation of DIP medical insurance payment system reform has a far-reaching impact on hospital operation and management mode,which resulted in an urgent need to adapt and optimise the way hospitals operate and manage their content.It analyzes in-depth DIP health insurance payment for the impact of hospital operations and management,from the perspective of the implementation of disease classification policy,medical insurance cost accounting control,medical service quality improvement,medical insurance after-the-fact analysis,disease category management,etc.In order to better promote the healthy and sustainable development of the hospital.

The implementation and implementation of DIP medical insurance payment system reform has a far-reaching impact on hospital operation and management mode,which resulted in an urgent need to adapt and optimise the way hospitals operate and manage their content.It analyzes in-depth DIP health insurance payment for the impact of hospital operations and management,from the perspective of the implementation of disease classification policy,medical insurance cost accounting control,medical service quality improvement,medical insurance after-the-fact analysis,disease category management,etc.In order to better promote the healthy and sustainable development of the hospital.