The community the first in the excessive infusion prevents and controls the wall

The community, the first in the excessive infusion prevents and controls the wall
The community, the first in the excessive infusion prevents and controls the wall
Wang Germany raises at present, even excessively abusing the abnormal phenomenon of the infusion arouses the attention from society. The infusion gives medicine for medicine way at the end for a few critical patients. Don't mention, make a diagnosis and give treatment common disease, chronic disease in clinic, in the intersection of ward and the intersection of treatment and complicated difficult disease, needn't infuse either under most situations. In a sense, cancelling the clinic infusion is for safeguarding the patient safely too. Gratifiedly, already many medical organizations are making great efforts to change this current situation now, cancel the infusion room of the clinic progressively. I think, control the excessive infusion can start from medical organization of the community. Community clinic of medical organization target mostly the intersection of chronic disease and patient, have a few acute to infect a patient, its symptom is lighter too. Community's doctor follows " Can take medicine and does not have an injection, can have an injection and does not infuse " Principle,there are basic and medical demand on that basically can meet by patient by oral medicine, cover are made or skin note injection. And during these years, I see another alike an oddball in the course that community instruct: Regardless of the community health Center or hospital bed set up at a patient's home, phenomena of the excessive infusion are growing on and on. Inside, are full of patients to require voluntarily, it is used to making the great prescription full of doctorsing, others are that patients have written a prescription to take the place of failing from the large hospital in the medical organization of the community. But what made the author puzzled is, the infusion room of the medical organization of the community is often in saturation state, but it is very difficult to see serious disease patient here. If the excessive infusion can not get and controls in the medical organization of the community effectively, will cause the waste of medical resources on one hand, aggravate the patient's financial burden; On the other hand will even strengthen the medical risk. Because infusion from intravenous to give medicines, if the infusion react and medicine bad reaction directly, will all aggravate the condition, even cause the consequence that can't be saved. If community's doctor lacks enough understanding to this, once it is often too late to repent to meet accident. One happens to try negatively by penicillin cover in some community health station of Ningbo, but the lethal accident of anaphylactic shock takes place in the accident in infusing. Therefore, many community's doctors think the risk in community's infusion is really too great, especially in the organization that apparatus condition and technical force are insufficient, abusing the infusion will constitute a threat to the patient's life security. The doctor of the department of hospital bed set up at a patient's home of the community is anxious, if call as patient's infusion, the doctor can not have waited by the patient all the time, the thing of changing the bottle, pulling out the needle etc. often needs undertaking by relatives, there certainly will be more potential safety hazards. So patient that make house calls needing should oral administration give medicine as much as possible, avoid having an injection, should not infuse still more, this is not convenient in order to be pursued, but for being safe. (author is a professor of affiliated hospital of medical college of Ningbo university, the expert of Ningbo community's technological guidance base)


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