Friday, May 4, 2012

Popularization of Shanghai - family doctor - contract and serve Can be strong in Kangding and click following to residents

Popularization of Shanghai - family doctor - contract and serve Can be strong in Kangding and click following to residents
Popularization of Shanghai - family doctor - contract and serve Can be strong in Kangding and click following to residents
Author: Sun Gang was the first workday of New Year yesterday, after Pudong New Area Wei workshop community health Center doctor Hu Bing connected and examined busily, have signed with three patients " Serve and agree on the book " ,The ones that become them " Family doctor " With the healthy gatekeeper. The reporter learns from Municipal Health Bureau, " family doctor " Signing service mode, popularize the whole city on the basis of launching a pilot project this year. The hygiene of the world organizes investgation to think, 80% of the medical demands can be solved in the community, but for a long time, the order of seeking medical advice of Shanghai is not very rational. Citizens can be arbitrary select the hospital, because " hastens high " of medical treatment ,Every large hospital is overstaffed, it is difficult to aggravate and see the doctor. In addition patient many places seek medical advice, and doctor scarce to get in touch closely, cause, use medicine unordered changing the place of examination, having dooring and medical wasteful use of resources. Though the comprehensive reform of community hygiene service of Shanghai wins initial success in recent years, but the complete serivce object is returned " Do not fix " , procedure return " Discontinuous " ," small disease does not go out of the community " Goal yet totally realize. Under the new round of medical reform background, how to further expand complete service intension, tamp the basic medical net bottom of the community? Begin from last October Pudong New Area,workshop at pool bridge, Wei, at steel, it is house crossing, three forest,etc. 11 community week, popularize the complete responsibility system of doctor's family in pilot project. Chief of Pudong New Area health bureau Sun XiaoMing explains, residents are very voluntary to contract with the complete group, set up dynamic health file, any health problem happen to the persons who contract whole family, can all seek help at first " Family doctor " . "Family doctor one effective health management mode that America and Europe adopt generally, can follow the stage of each life since born ining of residents in the whole journey, promote the healthy life style to form, guide and seek medical advice rationally, and control the expenditure of the hospitalization cost. " It is reported, a plurality of districts such as except Pudong, this city Minhang, Changning, Zhabei, Xu Hui, Baoshan County, have already begun to explore it is taking serving by fixed position as characteristic " Family doctor " Serve the new mode. The expert says frankly, should push away " family doctor " in an all-round way ,Must also overcome many bottlenecks. First of all, " hasten tallly " in used to medical treatmenting Citizen but speech,it is first class it is at the basic level it is that medical organization send " the family doctor " ,How big on earth is attractiveness? "At present, we attract residents to contract by more close service. " Wei workshop community health Center director Du ZhaoHui introduces, " family doctor " It is the healthy checking on people of resident's whole family at first. The intersection of Wei and the intersection of workshop and ten blue to say the intersection of she and mother suffer from the intersection of heart and decline, hypertension, the intersection of brain and the intersection of stem,etc. and many kinds of chronic disease the Guangxi Zhuang Autonomous Region Sun, resident of village, after contracting with Hu Bing, doctor of community, their whole family have all become serivce objects, old man's blood pressure fluctuates, adult's cold and fever, child have an preventive injection, make telephone consultation to doctor Hu as soon as possible, " All of us regard the other side as the people on one's own side, what unhappy things talk to the doctor too in the heart. " " Family doctor " Although in the community, can go to the large hospital to go to a doctor to point out the right way for the patient. If is necessary, " Family doctor " Can contact the specialists of the hospital of higher level at once, the patient looks for experts directly only according to changing the place of examination, do not use in the crowded crowd again " Can't find the north " . In addition, patients signing yes let's diagnose the illness community from " Family doctor " Arrange to make an appointment, make a diagnosis and give treatment preferably, the time of lining up is shortened greatly. The complete doctor is short of hands, restrict " Family doctor " Another obstacle popularized. According to calculating, Pudong New Area needs 8000 complete doctors alone, but there are 6000 people only at present, and totally accord with only accounting for 60% of qualification among them. The bridge community health Center director yellow Xuan of the pool introduces, family's responsibility system is welcomed, already there are more than 3300 people to contract to start two months, but is short of hands, service ability is limited, in order to guarantee the service quality has not been given a discount, the family doctor's marriage partner is only limited to key crowds such as old man, disabled person, infant and pre-school children, pregnant and parturient women,etc. yet. " How much formalism we do not pursue the quantity, but the affair seeks practical results, expect to explore a whole set of rational services and technological models as soon as possible, cover with all group progressively after being ripe. " The relevant persons in charge of Shanghai Municipal Health Bureau say, " Family doctor " Have offered continuous, foundation, comprehensive and individualized health care service, contribute to forming the rational medical order of going to a doctor in the step, it is expensive to relieve and see the doctor the ugly disease effectively, will become an important content of the medical reform this year in Shanghai. On the basis of pilot every district, the whole city forms the working scheme, ordered popularization within the year. " Shanghai will also strive for the medical insurance for the appropriate favorable policy, will improve family doctor's attractiveness, accelerate outstanding complete doctor's training at the same time, will let more citizens enjoy the convenient and material benefit that the family doctor brings as soon as possible. "


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