Community service group: Twist into a rope

Community service group: Twist into a rope
Community service group: Twist into a rope
A Hao reporter of staff reporter cub reporter Liu Ping'an Lu Pei Changning District is that Shanghai deepens community's hygiene and serves the experimental field reformed. In 2003, Changning district began to deepen community's hygiene service reform pilot project. The main content of the reform is to construct community's hygiene service mode taking complete group as the core. 2005, Changning district explores the comprehensive reform of community's hygiene service, have proposed ensuring masses' basic medical treatment clearly, improve Medical Benefits Funds, manage and pay method, prominent the intersection of community and hygiene, serve the intersection of community and hygiene such as being public beneficial, serve the three goals of reform. Recently, the reporter deepens Changning district to interview as the clue with the complete service group, from each aspect such as ordinary citizen, community's hygiene attendants, administration and supervision authorities, health bureau of Changning district of Shanghai, understand the measure result of this reform and influence. Regard community as the range, regard healthy characters as the goal, launch " six in one " Serve not to be hygiene by functions main in community health Center. But, because original medicine defends breaking up the family, the independent work pattern of a line, it is difficult for the technical staff of the hygiene to think community residents offered the comprehensive, continuous hygiene service of fine quality independently. This weak link while serving that the intersection of Shanghai and mayor would rather hold community's hygiene in the district, take the form in which the group makes up to set up complete service group. They allocate several complete doctors, public health doctors and nurses and make up the group, learn from each other, learn from other's strong points to offset one's weaknesses, undertake the integrated control service function of community's hygiene together. Nowadays, such a group, Changning district there are more than 40. People these and restriction mechanism twist into a rope through encourage, depend on collective strength, bear the integrated control service function of community's hygiene. Support each other, compete each other Changning district Xinhua community health Center is one of the 9 centres this district, by the first class hospital in 2005 - -The community clinic hatches. This centre is divided into 4 websites, each website has allocated a community service group composed of 6 people - 8 people. 4 groups support each other, compete each other, offer community's hygiene service for nearly 100,000 residents within the range of 22,000 square meters together. Will it be 30 past 8 April 29, people station cherish, begin work of one day such as them with Wei for the intersection of group and the intersection of community service and group of captain really. In this group, there are 3 complete doctor, 3 public health doctors, a nurse. The 29 -year-old complete doctor has bright money to responsible for the hospital bed set up at a patient's home. More than 40 old chronic disease patients need him to visit and look at in the service area fixedly to the doorstep. This day, the money is on to enter the family to visit and look at 8 " old friends " ,It were the telephones of the previous day that made an appointment. The reporter has borrowed a bicycle and gone together with him. The money is on by bike, say one's own work: "The content that we make house calls, besides diagnosing there is health education in condition, the life style is intervened, guide and seek medical advice the route etc.. Besides stethoscope, sphygmomanometer, one of daily record of work in my tool kit, there is a palmtop computer -like PDA, there are each patient's health data inside. It will upgraded that elementary each time, later conveyed to the centre, managed in unison. Wei Huai, captain of group, really has my every responsible patient's telephones. She wants to know my working condition route is numerous, can phone patient, can also visit to the doorstep. Besides group's captain, a department that accuses of quality is responsible for quality specially to examine in the centre. They will be irregular too finds out about patient's situation, the complicated patient to condition, will advise or change the place of examination. " "On, bright, you come! " In Yanan West Road 970 Long, Lao Yuan married couple have not waited for the money to go to the gate to call happily bright. 76 -year-old Lao Yuan suffers from hypertension, coronary heart disease, because after one of crack brains blocked the operation last February, have joined hospital bed set up at a patient's home. "Look after me for more than one year bright, check and write a prescription for me, teach my sport and recover, very affective, I can walk now. The spouse has suffered from diabetes, it is bright management too. So long as there is something special, a telephone, he will come in blowing and raining. " The subdistrict office offers a house to Xinhua community health Centers free. Through compete for on duty HuaiZhen Wei, captain of group, can bring public health doctor here produce simple and easy clinic Tuesday while being every. Wei cherishes and really queues behind, a lot of old men are waiting patiently. "The Zhang 's residence is the street the furthest from our website. Every simple and easy clinic on Tuesday has more than 80 old chronic disease patients to come regularly, too busy to have lunch each time. We hands have few and much business, the centre once wanted to dismiss from this point, but residents did not promise. " Wei Huai really says. Talking about and cancelling this point, secretary Li in the street is not dry: "They are the most popular in all organizations of street. It is very difficult to take out a house in the old town, but we offer none of this houses to object to. The serious illness old man of the low-income household, several pieces of intellectual disturbance and paralysed patient, if not doctor Wei comes here to make a diagnosis and give treatment and check for them every week, they want to receive a lot of crime. The old men in the street all regard them as the relative. " (leave and rotate the 7th) (have and connect the 1st) According to the introduction of Wei HuaiZhen, the working form of the complete service group is various. For example, complete doctor or seeing the clinic in the centre, or visit the patient who looks at the hospital bed set up at a patient's home to the doorstep; Public health doctor or intervening collective chronic disease on the hygiene service website of the community, or visit and look at, investigate and count essential disease to the doorstep; Community nurse or lasting healths collective propaganda and education about resident,or to the doorstep to patient infusion, check, not offer health guiding service. The complete service group still offers individualized services to resident. For example, like staying at home and watching TV to the elderly, send to the propaganda film with health education content; To the high-risk group of young and middle-aged chronic disease, utilize the ways of the E-mail, short information of cell phone. Remind them to correct the bad habits and customs. They serve through making an appointment, adopt " draw back putting " The method, namely shorten the time of seeking medical advice to make house calls, in order to understand carefully the condition can elongate the time of talk, with the service intension of this increase, make it " disposable " See the doctor and extend and serve for consulting in all-weather medical science. It initiates and jumps to the community service group backward to cause every concern that personal value is expected to rise. The district government of Changning sees, this forces undertake nearly 20% of the elementary health care jobs of low-income household and the elderly in the district to stand up, have reflected the government " The profit is old, the profit is poor " Policy,and it is small to put into great to produce. The district government has strengthened confidence of putting one's back into, is giving community hygiene to serve and create the new space, offer the new facility constantly, make the community service group do and have a fulfillment. Because the group has grasped the healthy first-hand material of service area resident, the complete doctor should introduce the hospital of higher level suited to patients, so two three Grade of specialists in hospital will all look at high community's doctor now. It also initiates the reverse job-hopping phenomenon that complete doctor's personal value is expected to rise - -Jump to the community health Center from the central hospital. The rock of station 29 -year-old Zhao Xue of China of west law is one of them. She has introduced the mind experience of job-hopping by oneself to the reporter. "I was a heart physician of central hospital of Changning district in the past, went through 3 most arduous emergency calls in the hospital, always cure in hospital next. At the unions of once and the community health Center, I think this kind of work pattern accords with my understanding of medical science very much, germinate the idea of jumping the trough. Meanwhile, I understood the policy that the country serve to community's hygiene, think the space of the personal development here is very big too. The fact proves my choice can not go wrong: First, it is wider to serve crowds. Only facing a kind of patient in the past, various patients were organic to meet to now. Second, there is much energy put into patient's prevention and health care, health education, recovered and guided. Third, the relationship between doctors and patients has changed. The community patient believes you, relies on you, that kind of feeling is very precious. " In the community, Zhao XueYan has still experienced unprecedented team spirit. "In community's hygiene serve, a lot of things can be finished alone by you. , Chinese medicine of for example recovering, I need help of other doctors. The service respect of the public health, make vaccine, woman's children's health care,etc. if coming down with infectious disease, all of us will participate in. We seem to be twisted into a rope, all linked with one another, implicative of each other. " " community's hour service " Relieve manpower to be nervous in community, snow rock deepest experience Zhao but the hand is too scarce. This question is perplexing the administration and supervision authorities of community's hygiene service of Changning district too. This year, they draw lessons from the form in which the housekeeping serve the part-timer, explore and introduce " community hour serve " . The hygiene Zhao XiaoMing, deputy managing director of administrative center of community of Changning district says: "Developing the community must have open thinking and visual field. Retired medical worker and other social volunteers on the job of the life and work in the district in Changning, so long as by ability, hope and time of the community service, all of us create conditions for they. " They have published on the media " Changning district recruits hygiene part-time personnel, volunteer of the community publicly " Advertisement. The job fair was opened just now, the retired medical worker of a lot of was even willing to be irrespective of pay to come to serve. Zhao XiaoMing thinks, these measures can only all relieve hand's pressure to a certain extent, in the long run, the norm trains the complete doctor to be the basic way. At present, the intersection of community and the intersection of hygiene and from recruit clinical this year's graduate or low age and service seniority, in hospital medicine while being national administrative center, district of Changning, trust every medical college of Shanghai to carry on 3 - year training completely for a certain area. Complete theory study with tertiary hospital transfer from one department to another clinical study of skill first year, later entered the hygiene service organization of the community to practise. "Living cost of 1600 yuan in the first year when they is being trained, improve by 12% in the second year. Training expenses and living expenses during this time are all undertaken by the hygiene administrative center of the community. The complete doctor recruiting it comes from all parts of the country. The farthest one is the high age and service seniority ' always in hospital ' from affiliated hospital of medical college of Shihezi of Xinjiang. Complete doctor these work out formally behind entering duty, equal pay for equal work as regular staff they. " Zhao XiaoMing says.


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