Sanming, Fujian: A National Benchmark for Healthcare Reform Innovative Practices and Promotion of the "Healthy Community of Practice" (HeCoP) and "Six-Disease Collaborative Management" Model

Tech 2024-11-26 16:59:04 Source: Network

Sanming, Fujian: A National Benchmark for Healthcare Reform Innovative Practices and Promotion of the "Healthy Community of Practice" (HeCoP) and "Six-Disease Collaborative Management" ModelOn November 19th, the National Health Commission (NHC) of China held a training session in Sanming, Fujian Province, to promote the Sanming healthcare reform experience. Lei Haichao, Party Secretary and Director of the NHC, emphasized that provinces should utilize cities as units and take concrete actions to earnestly promote the Sanming experience, achieving comprehensive and dynamic progress in reform

On November 19th, the National Health Commission (NHC) of China held a training session in Sanming, Fujian Province, to promote the Sanming healthcare reform experience. Lei Haichao, Party Secretary and Director of the NHC, emphasized that provinces should utilize cities as units and take concrete actions to earnestly promote the Sanming experience, achieving comprehensive and dynamic progress in reform. This meeting marks a new phase in the promotion of the Sanming experience and highlights its significant position and exemplary role in China's national healthcare reform. The Sanming reform, particularly its 3.0 phase innovationsthe upgrade from "Medical Community of Practice" (MeCoP) to "Healthy Community of Practice" (HeCoP) and the establishment of the "Six-Disease Collaborative Management" modelprovides valuable experience and lessons for national reform efforts.

The launch of Sanming's healthcare reform 3.0 signifies a new stage. A core objective of this phase is the upgrade from MeCoP to HeCoP. HeCoP, compared to MeCoP, places greater emphasis on health management and prevention, aiming for whole-life cycle health management and a true shift from "treating illness" to "preventing illness." The "Six-Disease Collaborative Management" model serves as a crucial tool for HeCoP construction. It leverages digital technology to build a four-tiered digital management system ("city-county-township-village"), enabling the "horizontal transfer" of advanced diagnostic techniques to primary-level facilities.

The "Six-Disease Collaborative Management" model is not merely disease management but encompasses a whole-life cycle approach to disease prevention, screening, diagnosis, treatment, management, and rehabilitation. Its core lies in multidisciplinary collaboration, breaking down information barriers, and forming a patient-centered, whole-life cycle health management framework. This enhances the accuracy and efficiency of disease diagnosis and treatment, but more importantly, strengthens disease prevention and health management, shifting from "managing diseases" to "managing individuals."

The experience of Ms. Zhang, a patient at Sanming First Hospital's Eco-City branch, exemplifies the advantages of the "Six-Disease Collaborative Management" model. Diagnosed with right lower lobe small cell lung cancer, she received treatment and was able to "remotely" consult with top experts from Shanghai Ruijin Hospital, benefiting from comprehensive, multidisciplinary, whole-life cycle care for her tumor. Via video conferencing, a multidisciplinary team (MDT) comprising specialists from different departments developed a detailed treatment plan.

Sanming, Fujian: A National Benchmark for Healthcare Reform Innovative Practices and Promotion of the "Healthy Community of Practice" (HeCoP) and "Six-Disease Collaborative Management" Model

Ms. Zhang's case is not an isolated incident; it represents the significant achievements of Sanming reform 3.0 and highlights the importance of telehealth in primary care. This model significantly improves the diagnostic and treatment capabilities of primary hospitals, allowing patients access to higher-quality medical services while avoiding the inconvenience of traveling between different hospitals and departments, truly embodying the concept of "easy access to healthcare."

The collaborative model of "Ruijin Medicine + Sanming Demonstration + WeDoctor AI" is key to the successful implementation of the "Six-Disease Collaborative Management" model. Shanghai Ruijin Hospital's established "Six-Disease Collaborative Management" standards and techniques are precisely replicated and transferred to Sanming using digital technologies. This success relies on technological platform support, medical professionals' expertise, and the importance of cross-regional medical collaboration.

Currently, the initial phase of the "Six-Disease Collaborative Management" model has completed the construction of collaborative management service systems for cancer and metabolic diseases. Systems for cardiovascular and cerebrovascular diseases, respiratory diseases, reproductive medicine, and geriatrics will be implemented successively. Sanming has also established a "Six-Disease Collaborative Management" centralized procurement center, promoting disease-specific centralized procurement to provide patients with more cost-effective diagnostic and treatment options and optimize the use of medical insurance funds. These measures demonstrate the pragmatism and innovation of the Sanming reform.

The Sanming Municipal Committee and Municipal Government's "Action Plan for Deepening Medical and Health System Reform in Sanming" further clarifies the direction of Sanming reform 3.0. The plan emphasizes integrated HeCoP construction, the development of the "Six-Disease Collaborative Management" system, further integration of medical treatment and prevention, and the establishment of a HeCoP working mechanism led by the government, with departmental coordination and social participation. Based on county-level MeCoPs and urban medical consortia, and using medical insurance payments as a link, the plan aims to provide citizens with health services ranging from prevention to rehabilitation, guiding Sanming reform 3.0 and providing valuable experience for other regions.

Sanming, Fujian: A National Benchmark for Healthcare Reform Innovative Practices and Promotion of the "Healthy Community of Practice" (HeCoP) and "Six-Disease Collaborative Management" Model

The deep collaboration between WeDoctor and Shanghai Ruijin Hospital provides strong support for the promotion of the "Six-Disease Collaborative Management" model. They collaborate on research into digital integrated prevention and control systems, collaborative management system construction, and collaborative management medication guidance. Together with partners like Tencent and the Zhejiang Provincial Key Laboratory of Medical Image Artificial Intelligence, they jointly upgrade the "Six-Disease Collaborative Management Platform" and provide a supporting standardized intelligent disease product system. This replicable and extensible solution will provide strong technical support for the construction and upgrading of close-knit county-level MeCoPs nationwide.

The success of Sanming's reform is not accidental, and the promotion of its experience is not easy. Various regions need to make targeted adjustments and improvements based on their specific circumstances. However, the innovative spirit and pragmatic approach demonstrated by the Sanming reform, and the remarkable achievements of the HeCoP and "Six-Disease Collaborative Management" model, undoubtedly provide valuable lessons for national healthcare reform and lay a solid foundation for building a "Healthy China."

Sanming's experience shows that a health-centered HeCoP construction path driven by digital technology and using "Six-Disease Collaborative Management" as a lever is effective. With the rapid implementation of innovative models such as "Six-Disease Collaborative Management" at the grassroots level, true whole-population, whole-life cycle health management will be achieved, providing strong support for the implementation of the Healthy China strategy. Sanming's reform is leading a profound health revolution, and its HeCoP and "Six-Disease Collaborative Management" model have become a benchmark and key engine for national healthcare reform studies. In the future, with continuous technological advancements and experience accumulation, the Sanming model will be more widely promoted and applied, bringing health benefits to more people. The NHC's repeated press conferences promoting the Sanming experience and its stated goal of nationwide coverage within five years demonstrate the national government's high regard for the Sanming reform and their confidence in national healthcare reform.

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