Community's clinic generally exist " Three is low "

Community's clinic generally exist " Three is low "
Community's clinic generally exist " Three is low "
Challenge a fund which solves development " The bottleneck " A medical trade personage unwilling to sign in Chang An reveals, on building the community health station, because the first grade of market decentralizes one's authority in an all-round way, while every town street is obtaining the autonomy, also the one that has caused every town street in building competence and construction scale is different, lack the unified standard. According to construction in Chang An, the understanding of the public service of community's hygiene is not deepened, mostly remain in finishing the level that higher authorities assign the index. Participate in respects such as the urban planning, cultural construction,etc. in good tastely in Chang An, but input in medical care of community is little much. The roof beam red wave of Deputy Director of community health Center of town of Chang An points out, at 15 community health stations already built up at present in Chang An, the average monthly rent has reached 20,000 yuan each, if 28 service stations all build up within this year, the mere monthly rent is a sum of enormous expenses, it is mostly a public service unit of a government to stand in and community's hygiene, but not profit unit, it is only difficult to support to run well by the meagre income, need government finance for more support. Challenge 2 networks to layout and has not reached yet " Convenient for people " Stand in order to do privately in ruins hygiene of town of Chang An, person in charge Zhyuan ShunBang's introduction stands according to this hygiene, resident, district of town, diagnose the illness, used to nearby and let acquaintance make a diagnosis and give treatment, after community hygiene clinic runs, though the one that stand in ruins hygiene of town of Chang An connects the examining amount to glide to some extent, nearby residents are used to coming to ruins hygiene of the town to stand and see the doctor, except more serious disease is sent to Chang An hospital. "Because the intersection of community and hygiene stand, layout still relatively little at present, and medical market of Chang An large, have not experienced yet and obviously assaulted at the moment. " Run to director Ding XueDong to say frankly, the first 16 community health stations that have already come into operation now distribute and lean towards the south position in the garrison post of Chang An mainly in education hygiene of garrison post of Chang An, the residents of the peripheral main service S358 provincial road, the whole coverage rate is not especially putting in place. And according to the growth trend of clinic quantity and experience accumulated in earlier stage, Chang An is carrying on the tense preparation for establishment to 13 remaining websites at present, plan to come into operation progressively before July of this year, in order to solve some people and seek medical advice inconvenient problem. Challenge 3 service team's whole quality and demand urgently to improve At present, talent deficient to restrain the intersection of community and hygiene from serve key link of development, because salary and conditions is generally lower than the hospital, lack the effective incentive mechanism of the community of attracting outstanding talents to enter the community, take root, so Dongguan the intersection of community and hygiene of city service organization low professional title low to have education generally and age and service seniority low " Three is low " Phenomenon. It influences the stability of the team directly that medical personnel's salary welfare is on the low side, thus influence the continuity served. Especially public health talents are scarce, the main restriction factor influencing the work of public health to launch. Challenge 4 information management systems and demand urgently to upgrade Reporter visit the intersection of community and hygiene stand, find at present, Dongguan the intersection of community and hygiene of city it serves standardized intensity to be even high, the collection statistical work of community's hygiene information material is relatively backward, all these have limited development of community's hygiene service business. Information is the foundations of management and decision. How to finish community's hygiene services guaranteeing both quality and quantity on condition that short of hands, with complicated and strenuous task, must demand urgently to research and solve. Street doctor Hu of community health Center of Dongcheng of the case: " community's doctor's income is on the low side " Doctor Hu of the community health Center of street of Dongcheng has already worked in the centre for half a year, and lasted 10 years from the doctor margin, refer to the income of 2000 yuan of about every month, she thinks treatment is still a bit less. In her eyes, community's hygiene working pressure is less, the risk is relatively little, and contact the surface bigger, the suitable complete doctor develops. "But if can enter the large hospital and work, it is certainly a better thing. " Doctor Hu is an ob-gyn of the hospital of Dongcheng before community's clinic comesing. "The monthly income of our doctor of picture is about 2000 yuan, and the graduate comes the salary that the community learns on the job will be a little lower, the attending physician will be a little taller, 3000 yuan per month on great physical stamina. " Doctor Hu said, because university students who just graduated did not have doctor's practicing qualification card, without prescription right, so it is very difficult to launch the work of making a diagnosis and giving treatment independently, will be influenced on the income naturally. Doctor Hu comes to the graduate the future that the community works expresses it is not very optimistic, "can enter the large hospital after graduating, this even if one step stride into Longmen, if come to the community to work first, it is very difficult to go back after estimating. " It is reported, the community health Center of street of Dongcheng is sponsored by street of Dongcheng, and entrust the hospital of Dongcheng to manage. Have 13 hygiene stations under its command at present, there are 2 besides still in construction. Doctor Hu introduce, she one day meet person who examine in 10 about people at present, whole the intersection of clinic and the intersection of quantity and about 50 more than people of centre. About the financial problem of community's clinic, doctor Hu estimates, the community health Center is still in losing state. "At the end of last year, because tense Zeng of the funds can not send out the salary for a time, it just releases several months to drag; Release monthly till now since but it is annual to open. " The yellow silk wheat of president of medical association of expert opinion city: The present new medical reform scheme of the hospital that 90% of the patients needn't go, the yellow silk wheat of president of medical association of Dongguan summarizes him as three sentences: Deepen the intersection of hygiene and the intersection of reform and people's livelihood of assuaring, implement basic the intersection of medical treatment and justice of assuaring, improve the intersection of system and mechanism, protect public service. In implementing basic medical treatment, it is the key to do community's hygiene service well, take a broad view of the whole country, Dongguan has already been started in advance in this respect. Dongguan started the hygiene service organizations of more than 300 communities of the whole city last October, , government's management that these organizations pay the bill in the government, it is public beneficial to guarantee. And ordinary people go there to see the doctor, can submit an expense account with the social insurance, this has become the strongest backing, make this kind of medical care really make sure high-quality cheap. Come on, say the intersection of community and hygiene of Dongguan serve, fail, give play to to greatest extent function still at present. Operation was since half a year, it is 2,040,000 that the hygiene service organization of community of Dongguan has met and examined the number of people, and the clinic quantity of all hospital of the whole city is up to more than 20 million persons, greatly differ from each other with its 60% of the goals. Can find, in the hygiene service organization of the community meets 2,040,000 persons that examines, only 230,000 persons need to change the place of examination to the hospital. In other words, more than 90% of patient can all " settle " in community's clinic ,Needn't go to large hospitals to line up to seek medical advice. See the doctor in the hygiene service organization of the community, can enjoy less expensive service. Base gynecological section chief, community's hygiene of market of Municipal Health Bureau go through director Wan QiaoLing: Decrepit women and children build health file so far, in the hygiene of community of the whole city serve Heart (station) Up to 322 families. But these centres (station) All only functions of giving play to basic medical treatment, and the function of 5 respects such as preventing, health care, family planning has not reflecting. According to the plan, the next goal of service organization of the hygiene of community of Dongguan is to set up resident's health file. Plan to pay health examination as the elderly under the age of 65, offer for infant and pre-school children under the age of 3 and grow to check, offer to pregnant and parturient women and check and visit looking at with the postpartum before labor, offer cervical cancer and breast cancer to woman over 35 to sift, check, offer community's intervening measure to chronic disease patients such as hypertension, diabetes, spiritual disease,etc.. The work, will be mainly undertaken by the hygiene service organization of the community. " Yes implement the basic public health and serve and cover urban and rural residents, and fully give play to the role of hygiene service organization of the community this year. It is to start the beginning of community's hygiene service in the outlet Dongguan that the reporter observes and examines and makes for the first time community's medical treatment, the party concerned has already predicted to its awkward situation that will face soon, that the website construction object that the Ministry of Health puts forward has not been really realized at the bottom of those years (last the end of June, reveal in a copy of materials that the department of social insurance of Dongguan offers, are scheduled before October the whole city builds up more than 370 community health stationsed, a final to build up and come into operation the whole year one only 318) . Obviously, compared with other cities of the whole country, the reason why the hygiene service organization of community of Dongguan is had difficult labour at the beginning of starting, and its one that unavoidably fell into and served and managed is double and awkward, among them the reason is numerous. So, while thinking deeply in the future outlet of community's clinic, there are places drawn lessons from in some methods in the domestic relevant city. It examine for the first time it make have compare with large hospital practicality, service,community health station because their relevant inferior positions, will often face the problem such as being high, run and not good of going to a doctor rate. In some areas of Beijing and Shanghai, in order to solve this problem, try to examine and make for the first time community's medical treatment, ordinary people will see community's doctor first after falling ill, community's doctor can not change the place of examination to the large hospital. However, the reporter finds, can implement community's medical treatment and examine its most important guarantee of area that makes for the first time, levels of doctors and nurses and their service items of the community had jurisdiction over are relatively complete. Moreover, many areas are only some experimental operation, some are only limited to some particular chronic disease projects. The characteristic of combining Dongguan, examine and make for the first time the special medical care community are sure effectively. Because the serivce object of Dongguan a lot of community health stations is the workers in the industrial area, show as more some common chronic occupational disease, it check, prevent and rehabilitation service may form specialization. And the social insurance department has said, should include the hygiene service organization of the community in the social insurance, really work its magic, must set up the community and examine the system for the first time. It is introduced, have been also included in this point of some western countries in the law, and have contacts with personal insurance all the time. Press close to citizens and run the factory and cure the capability that the family cures community's medical treatment and is not so good as the large-scale hospital, perhaps it is the important factor of the large hospital of citizen's prior choice, but not that community's hospital meet all cold reasons either. In the interview, we find citizens are not high to the understanding intensity of the service organization of community's hygiene, advantage and specialty that community's hygiene serve fail to be fully reflected, have influenced it to run to a certain extent. In people's general understanding, it is main characteristic that community's medical treatment presses close to residents, convenient and swift with it. However, in running actually, are limited by influencing in some systems and idea factors. For example social insurance wipe out " all-purpose card " Can not be ensured with the trans-regional question of going to a doctor etc. by the system for a long time, make some community health stations look very near to the resident, it is in fact very far. As to this, some domestic cities have proposed developing community's medical treatment into " family doctor " Thinking of development. Let community's medical treatment give full play to its strong point, will press close to residents if it is careless. To a certain extent, enable community's medical treatment " family doctor " Melt, among them already a lot areas have been implemented to the treatment of chronic disease. Likewise, direct against the characteristic of Dongguan area, can try to develop " factory doctor " too in community's medical treatment Melt and " family doctor " Melt. Straighten out relationship, implement, change the place of examination bidirectionally we find a lot of citizen diagnose the illness, often can change the place of examination into the difficult problem in the intersection of community and medical organization in interview. Then, what diseases have reached and stipulate that can change the place of examination in Dongguan? The relevant persons in charge of Ministry of Health say, the range can change the place of examination if general disease has gone beyond the service organization of hygiene community and made a diagnosis, and some training diseases such as tuberculosis,etc., because need to turn into the section hospital to treat, it is relatively complicated. A staff member of community health station tells reporters, in fact some community medical organizations have index of changing the place of examination. Meanwhile, the mechanism of going back to community's clinic from large hospital has not really implemented either. Many to treat the patient nearly recovering in the large hospital, its anaphase work of rehabilitation can well go to the community to go on, but not really gone back to the community. This has taken up resources of the large hospital on one hand, on the other hand even make the recovery function of community's clinic unable to launch. As to this, Beijing, Nanjing,etc. have been already system of changing the place of examination of the strict norm bidirectionally in the large hospital and clinic of community, make mutual accepting the relation in order between the two, has realized resource-sharing and mutual supplement with each other's advantages of both sides better. This edition writes articles square town refined Liu enters the horse and likes to grow bright red the Jin Dynasty of a staff reporter


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