Friday, May 4, 2012

Shanghai pursues family doctor's system in an all-round way The family doctor is in charge of widerly

Shanghai pursues family doctor's system in an all-round way The family doctor is in charge of widerly
Shanghai pursues family doctor's system in an all-round way The family doctor is in charge of widerly
Pursue and set up family doctor's system in an all-round way, is taken charge of certain amounts of crowds' health control by family doctor, form closer service relation, examine and make for the first time a family doctor progressively at the same time, it is Shanghai that lists in new medical reform scheme, an important task explored actively. " White collar's noon clinic " ,Expand the service crowd and walk for 15 minutes at most, can reach a medical care closest to home to click, the community health Center is known as " The hospital of the gate of resident's home " ,Community's doctor becomes a family doctor from this. But working clan very difficulty enjoy,because " The centre " Service time often is and the same in work hours in people,it wait for if you can't come off duty, come back home, it even " Close " (used after a verb to indicate the completion of an action). Miss Wang goes to work in a company in commercial building of square of Hanzhong, bend over one's desk working for a long time, often have pains in the loins and back. Recently, she heard on the day near the company the community health Center of West Road street of eye specially offered " White collar's noon clinic " ,Have a try. Recover after doctor Yan connect, examine old dawn such as department, adopt treatment such as being very warm for her, until 1 hour, 5 day first course of treatment nurse one's health each time, stiff symptom of Miss Wang's back is relieved greatly. And each treatment, the doctor also teaches her it is apt to learn the setting-up exercises apt to make. Take advantage of, have a rest get nearby the intersection of community and the intersection of hygiene and white collar of Company that in the center made a diagnosis noon like Miss Wang, more and more gradually in Zhabei districts. Break " The area lives " The concept, expand the service coverage rate in the hygiene centre of the community to the crowd that lives in this area, works, studies, the family doctor is in charge of even more " It is wide " --This kind is called " The responsibility system of health service " New mode, district hygiene system from Zhabei is last to put out on August,first at 4 community pilot project, in all 9 community health Centers this year " Highly successful " ; It is expected to popularize in the whole city later. On day eye West Road street community health Center director Zhang Yin says, expands the service crowd, also " The situation compels " : Originally have more than 50,000 residents in their area under one's jurisdiction, but with the expansion of the urban construction of nearly two years, half the residents move and move away, and taken shape " South building, north resident " Crowd geographical distribution characteristic. Through investigating, they suit measures to local conditions, face the working clan in the commercial affair, commercial building in the regional south, have introduced physiotherapy, acupuncture and moxibustion, does cupping and such special services as the disease is cured in summer in winter; Still direct against the doubt after enterprise staff's physical examination, launch the advisory service of the health, and invite the expert to run the health lecture. Meanwhile, " The centre " Sign the agreement with supporting parents in the organization in the area under one's jurisdiction voluntarily, every Tuesday, offering medical treatment service in order to move in the old man four times, so weekly that respect the elderly the service centre makes a round of visits, solve the intersection of the community and old person practically" Provide elderly with proper medical treatment " Demand. Monitor prewarning in real time, support community's doctor Have a winter vacation, Pu town community health Center Peng several chicken-pox patients have appeared in a primary school in the area under one's jurisdiction. The clinic doctor of the school relies on information-based technology, through offering the disease system immediately, information has been conveyed to having illness coming on " The centre " Health control platform at. See that clicked the mouse slightly after the red early warning signal not stopped glimmered, " The centre " Have understood the spot, case of the epidemic situation of infectious disease and counted etc., start the corresponding prediction scheme immediately in time, send public health personnel there to handle live, investigate, sterilize, isolate ...... Utilize the health control platform researched and developed by oneself, help community's doctor to carry on the work, it is Peng Pu's community health Center in the town pursues " The responsibility system of health service " A great characteristic of the new mode. They divide the area under one's jurisdiction into 10 grids, each grid allocates a responsibility system doctor, on the health control platform, can see the situation in each grid which doctors takes charge of serving clearly. Such as school, student every day general disease and morbidity information of infectious disease will appear in the newspaper on the same day. The health control platform still belongs to HIS system, resident's health file system, Chinese medicine of the medical organizations at all levels with the district " Cure the not disease " System, health cabin information collection system network, in order to coordinate each other, serves and links. Lasting health control, give consideration to the prevention and health care Every will it be will it be 8 o'clock morning Tuesday, Linfen the intersection of way and the intersection of street and the intersection of community health Center and doctor link China, carry, make a diagnosis, wrap up according to appointment coming the intersection of uncle and house Jin always, offer hospital bed set up at a patient's home service. See uncle walking haltingly and taking a step, raising the hand difficultly, doctor Zeng encourages the recovery progress after old man's apoplexy warmly; Having finished massage, acupuncture and moxibustion, write out a prescription, he does the health to brief on: It is cold, blood pressure rises, will avoid being overtired during the Spring Festival carefully ......Before leaving, doctor Zeng returned uncle Jin's spouse examined blood pressure, blood glucose, do not forget to exhort a few words: " In charge of shutting up, take the leg. " In order to try hard to exchange with patient more, doctor Zeng will be nearly busy with not having lunch until one two in the afternoon every day. He says: " Long-term laid up patient, except treat even more. A few words of having a chat, have a result more yet than to take medicine sometimes. " The street community health Center director Luo Wei of road of Linfen tells reporters, pursuing " The responsibility system of health service " China, they pay attention to " The sustainability of the service " . For this reason each occupy committee's announcement responsibility system doctor's basic materials, contact detail,etc. in the area under one's jurisdiction, let residents understand more. At working way, appoint the intersection of service and crowd that doctor fix correspondingly, from responsible for patient individual's expanding to and serving the whole family in the past, from mainly making a diagnosis in the past and expanding to concurrently in charge of the health education, prevention and health care; Combine even more " Zhabei 2020 " of the health Project, strengthen the subsequent health control in an all-round way including the intersection of health and healthy people, subhealthy people, patient consulted to sift in. The chief and king of health bureau of Zhabei district are glorious to say, implement " The responsibility system of health service " ,It is system practice and innovation in Zhabei district of the family doctor of Shanghai, the goal is enabling " Defend people in health " Play a more effective role. Such respects as they will also examine in cultivation, community of the family doctor of the responsibility system for the first time will be further explored and tried in the future.


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