The construction of national regional medical center is an important measure for expanding high-quality medical resources and achieving balanced regional distribution. Combining the construction experience of West China Hospital of Sichuan University as an output hospital for national regional medical center, this paper takes the construction project of West China Xiamen Hospital of Sichuan University as the breakthrough point, sorts out the three major dilemmas faced by new project hospital, including pre-operational pressure, dilution of output hospital resources, and regional differences in management systems. It innovatively proposes to strengthen the four main responsibility subjects: the newly built hospital, the output hospital, the local government, and the national level, and provides specific implementation strategy suggestions for 11 core matters, including differentiated development, multi-dimensional publicity, internal management, top-level design, information technology support, personnel subjective initiative, internal responsibility, policy guarantee, compensation mechanism, and assessment subjects.
The outbreak of coronavirus disease 2019 has become a public health emergency of global concern, posing a great threat to people’s health. As a state-level large-scale general hospital with rich medical rescue experience in dealing with emergent public health events, including severe acute respiratory syndrome and earthquake, West China Hospital of Sichuan University quickly established six working mechanisms for telemedicine. West China Hospital of Sichuan University set up a team of clinicians to provide multi-disciplinary telemedicine consultation, telemedicine education and joint rounds on line with the 5th generation mobile networks, which designed to help estimate patients’ condition, innovate the mode of diagnosis and treatment, and improve service efficiency in remote institutions including preferred hospitals for coronavirus disease 2019 patients in Sichuan Province and telemedicine alliance units outside the province.
The construction of national regional medical centers is a significant measure in China to deepen the reform of public hospitals and promote the downward flow of high-quality medical resources and their balanced distribution across regions. This article explores the high-quality development path of national regional medical centers in West China Hospital of Sichuan University, a large comprehensive hospital in Southwest China. It clearly states that the implementation path for the output hospital to carry out the national regional medical center construction project includes scientifically conducting demand research, comprehensively clarifying functional positioning, uniformly setting up organizational structures, establishing an expert dispatch mechanism, homogenously training self-recruited personnel, and fully participating in infrastructure construction. It also proposes to take the establishment of a management system and mechanism adapted to local conditions as the core, build a flexible and organic management model, set up a targeted “group-based” operation mechanism, and innovatively establish a comprehensive assessment and evaluation system to support the construction of a hierarchical medical system.