How should the way of community's hygiene informationization leave

How should the way of community's hygiene informationization leave
How should the way of community's hygiene informationization leave
" the physical examination of the health is equal to the health control " Staff reporter Xiao Wei's health control of a mistaken idea " treating shaking again constantly as new things, it is prevented that light " Health care current situation,in "growth stage " Health control" Shape " Also what preparation is needed to do " The activity " ? But mention the health control now, it was the physical examination of health that associated it with at first. Why will this kind of phenomenon appear? Some experts and scholars engaged in research of health control have discussed their view. Mistaken idea how produce according to the introduction of yellow Jianshi of a dean of the public health of the Chinese Academy of Medical Sciences, the health control means that monitors, analyzes, assesses the individual or health of the colony in an all-round way, the whole course of offering health consultation to intervene with guidance and to the dangerous factor of the health. Chinese Medical Association the intersection of health control and credit will the intersection of General Board and white book loyal to think, the health control is a medical service act, it is the innovation of the medical service mode, but is different from the traditional modern medical mode taking treating as centre. It carries out the thought of putting prevention first, through carrying on physical examination of the health, assessing, health risk intervening and health promotion healthily etc. to individual or colony, realize the purpose of preventing disease and scientific management after illness voluntarily. So it can and various slow disease recover early period issues of crowd launch different services of emphasis point to healthy crowd, subhealthy crowd. Mainly carry on risk assessment and health education to the healthy crowd; Mainly carry on the health examination, qualification and management of slow disease to the slow disease crowd. Should launch the health control in different medical service organizations extensively, especially in the service organization of health care at the basic level, such as the community health Center of the city, function community hygiene service organization, rural medical organization. Bai ShuZhong says, the health control of our country begins with the physical examination of the health. And present numerous health physical examination organizations, just carry on the physical examination and not carry on the health management service of the whole journey, so cause " The physical examination of the health is the health control " Mistaken idea. Yellow Jianshi thinks, most medical physical examination centres design for the centre with disease, its purpose is putting emphasis on finding disease in early days too, so, the medical physical examination centre has not added value on the value chain of the health. "Taking disease as the centre physical examination serve, exist originally, medical the intersection of physical examination and centre concentrate to stand up the intersection of hospital and every dispersible function of department just actually, have raised the efficiency but not increased health value. " Yellow Jianshi say. Should be from " distinguish the disease physical examination " Realize three the intersection of transition and yellow Jianshi say taking health control as aim the intersection of health and the intersection of physical examination and centre should come on, design with health for centre, its aim is to look for the dangerous factor of the health; Confirming and intervening the risk factor of the health can increase health value, for example life style question of smoking, drinking etc., seldom paid attention to the medical physical examination centre, because the aim of the medical physical examination centre is to bring vexation on oneself. The same question will be paid close attention to the physical examination centre of the health, the dangerous factor that the professional personnel of the health control will take other cardiovascular vessel diseases into consideration carries on the health assessment and intervenes healthily. For another example hypertension, the staff members in the medical physical examination centre are in the eyes, this is a kind of common disease, has found that should go to the hospital to receive treatment, but in the eyes of staff member in the physical examination centre of the health, hypertension is a dangerous factor of health of cardiovascular vessel disease, it has something to do with the fat, life style healthy dangerous factor of eating salt much etc. too at the same time, should further carry on the comprehensive health assessment and intervene healthily. "The organization of physical examination of the health should realize three transitions: First, from ' distinguish the disease physical examination ' transforming into physical examination of the health; Assess from simple physical examination to health, risk interfere from to change; Third, based on physical examination, transform into continuous health service. " Bai ShuZhong says. " demanding party " Why is not satisfaction high " young " Health control in if you can't have, meet to last roading what difficulties and challenges? ShuZhong Bai say, health control though idea advanced, intension its and involve range to be still indeterminate, lack unified definition and concept, there are concepts in other words, lack intension, so does not have extensive cognition at present, a lot of clinicians, scholars, famous authorities do not understand what health control is on earth. In addition, the health authorities at all levels are not thorough in knowledge of health control, this causes health control discipline not to list in national medical entry subject of health organ yet now. The private organization or health administrative center or health control which the large hospital runs promotes the centre, all according to " The clinic " Come to sanction establishing. Without formal name, make the health control very difficult to remould oneself thoroughly from the physical examination of the health too. He has also pointed out the existing problem of management organization of all kinds of health of the present stage: "The limited health management service variety offered is single, the craft lags behind, lack technological content and validity appraisal; Regard physical examination of the health as the main and formal health control, because lack the overall science of the system to intervene and serve effectively after assessing and examining, make the satisfaction and trust of ' demanding party ' drop, has restricted operation and development of the physical examination organization of the health seriously. " In addition, our country still lacks group of expert of health control and teachers strength, especially lack it to health control service industries and accurate localization and actual assurance of the market demand, " have training to make various health control launched the activity at present train fall into, lack teachers and system teaching material; Have, study, but still on duty to engage in " Passive state. "This kind of current situation needs us to seek the policy support of the health control voluntarily, promote the fast development of health control and relevant industry, realize the systematized and standardization in developing progressively. Launch the education and training of the health control, professional engineering level and ability to expand health control and know the surface, influence and employee actively. " Bai ShuZhong says. " healthy it is each citizen's community responsibility " White book loyal to think many kinds of factor expedite the emergence of the intersection of health control and new developing discipline and development of trade this, the main reason is improving with people's living standard, the main demand after the health becomes people gradually richly. The increase of the incidence and mortality of present chronic non-Communicable disease, cause the hospitalization cost to increase sharply too while influencing people's health. Modern clinical medical diagnosis and treats competence to develop quickly, but still unable to solve the problem not having disease or having disease few. A lot of medical experts realize gradually, medical science should not only remain during the course of curing the disease, make it become " Oppose medical science " ,Weight of medical science should before if you can't move, if you can't get, prevent disease,become by " the health medical science"s with human health . In addition information technology, biotechnology,etc. are employed extensively, and modern medical science and doctor of traditional Chinese medicine cure not the idea of the disease and development of technology, have offered theory and technical support for health control. He says, it is right to be strong in to improve people The understanding of the health, must recommend and propagate in a more cost-effective manner " healthy it is each citizen's community responsibility " This important idea. "Can't work, can't fulfil family's responsibility, bring the serious financial burden to country, society, family after serious disease in life. So a person's health problem is not only a personal question, it is the important issue which concerns the society, but a lot of people have not realized this. " Government and the society can urge the ripe white book of the health control to say loyally, except that the trade develop by oneself, the improvement of understanding of health of the government is the health control produces the most high-efficient one " Catalyst " . U.S.A. is implementing the third " Healthy people 2010 " Plan, the country of European Union is implementing the second " public health action plan of European Union member state " ,Have promoted the improvement of the national health level favorably. The governments at all levels of our country are deeper and deeper to healthy understanding, making " 2020 strategical planning of China of health " . A lot of local province and city all no longer discuss economic development isolatedly, some province and city have already proposed building " health city " ; Some enterprises " My worker's health " Regard as important human resources management, this will contribute to the development of the health control. Two main strong points that deepening launches management service of the health enduringly that financial insurance and information technology are. To this, white book proposes doing a good job of two combination loyally: First, the management service of the health is combined with technical application of information, promote the application of modern information technology in the health control, the light can't finish continuous observation and management to case at all while registering relevant information by the primitive paper pen. Second, the management service of the health is bound with financial insurance trade, in order to solve the source of the fund and popular problem of the serivce object, for instance countries such as Britain, Australia and New Zealand,etc. have implemented national public medical insurance and health management system. The health management organization of relevant report is fast growing to start in July of 2007, prevented the medical association, Chinese hospital association, China to cure the SCTEs of SCTE, Chinese health education association, Chinese woman physician to jointly sponsor by Chinese Medical Association, China " The relevant organization's current situation of China's health control is investigated " Finished a few days ago. The intersection of health and management organization of Beijing investigation this contain the whole country 5744 the intersection of health control and relevant organization at most, among them plentiful Beijing, accounts for 9.3% of national relevant organization's total number; Then Guangdong Province, Jiangsu Province, Shandong and Shanghai sequentially. Above-mentioned 5 areas distributed in North China, East China and South China of relevant organization of health control of nearly half of the whole country, the relevant organization of Tibet of the southwest is minimum in quantity. Organization's quantity increases by 52% of the relevant organization's names of health control compared with that of last year diversifiedly every year, it was physical examination centre, health advisory company and health management company that the frequency of utilization lay in the top three, accounts for 64.5%, 14.0% and 6.1% of the relevant organization's total number separately. Other names have service companies of health, scientific technical corporation of the health, the health education company, subhealthy company, beauty centre, health consultant firm, health care company, health research center, health popularize the company, health industry's company etc.. Though the relevant organization of the health control relatively starts late in our country, fast growing. Since 2000, relevant service organization increases the health control of our country by 52% compared with that of last year every year average in quantity. In offering 792 organizations of the economic type materials, the state-run organization accounts for 41%, the private organization accounts for 31%. In offering 585 organizations of scale materials of organization, 77% of the work areas of organization are more than 100 square meters, 45% of the area of organization is among 100~500 square meters. Always serve the mechanism of the number of people under 500 and account for 83% of the total number, 52% among them are under numerous persons. 43% of the organizations make the risk assessment of health according to the introduction of one of the persons in charge of this survey report, the yellow Jianshi of dean of public health of Chinese Academy of Medical Sciences, according to service content and business source of the relevant organization of the health control, most organizations offer health information collecting, health risk assessment, life style management, disease management, disaster venereal disease to injure management and enterprise staff's health management service. Among them, 80% of the organizations offer health information to collect the service, 43% of the organizations offer risk assessment of the health service, 63% of the organizations offer the management service of disease; 42% of the organizations call for his main business lines source voluntarily with the customer. At one's own expense general 2006, most organization make profits balance between revenue and expenditure at least; 25% of the organizations exceed 1 million gaining the amount of money. According to charge situation, about half the of the per capita service charge once of organization form is among 100~300 yuan, less than, charge over ten thousand yuan by 1% the intersection of organization and the intersection of form and times of per person only. The most general way of paying of the serivce object is paying for itself, some expenses are that units submit an expense account too. People skills, professional knowledge and operation of market are three kinds of important ability most of relevant organization's staff member of health control. It is main reasons for influencing their development that 30% of the organizations think the human resources deficient; 16% of the organizations think the society has known insufficiently and hampered management organization's of the health progress too.


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