The community makes an appointment and registers: The little data refract the big problem

The community makes an appointment and registers: The little data refract the big problem
The community makes an appointment and registers: The little data refract the big problem
The newest statistics of staff reporter Liu Ping'an Beijing show, the tertiary hospital of this city pursues and makes an appointment to register over two months in an all-round way, in all making an appointment and registering a patient, the community only accounts for 5.55% booking the proportion. The little data show, lead the intersection of patient and little disease get community, serious disease book large hospital through community, there are very long waysing will go. Patient: The community is unable to help to book expert's number not long ago, Ms. Wang of Beijing learns that live, father checks a cancer index exceeds standard in the liquid of bleeding during physical examination of native place, but results reexamined in much general hospitals of the locality are inconsistent. In order to let father's condition made a definite diagnosis of, whole family all place hoping on Ms. Wang, let her look for the doctor to judge in Beijing. Ms. Wang holds the inspection result to come to one tumour hospital in Beijing, the result is not able to register in two days continuously. When Ms. Wang is burning with anxiety, does she want whether to ask community's doctor to help to make an appointment or not? She holds the psychology that sees to come to the community health Center of the own Residential Area. However, the personnel of the community health Center say they have no number of experts of tumour hospital, can't help to have her. All the different kinds having no choice, Ms. Wang spent 600 yuan buying the brass-wind instrument of expert of 200 yuan of a script at the gate of tumour hospital from hands of number dealer finally. It is not specific that seeking medical advice of Ms. Wang is gone through. The great difficult and complicated cases such as tumour, expert resources are very rare, the brass-wind instrument registering the window and putting in clinic of the hospital nearly robs to the last pin everyday. Number dealer all-pervasive, control some number source seek exorbitant profit, it is very much difficult for common people not to hang up the intersection of expert and No., it is more impossible to want to register through the community. The newest statistics of Beijing show, the tertiary hospital of this city pursues and makes an appointment to register over two months in an all-round way, in all making an appointment and registering a patient, the community only accounts for 5.55% booking the proportion. The little data show, lead the intersection of patient and little disease get community, serious disease book large hospital through community, there are very long waysing will go. Hospital: The community realizes that discusses and books registering according to the introduction of person in charge of clinic of Beijing Chaoyang hospital after one is examined, the domestic patient diagnoses the illness and gets used to going to line up to register, this is a kind of special and helpless reality. Patient reach hospital, examine by the intersection of clinic and part, instruct how many departments patient register for and which expert. It may not be accurate either that this each is examined, but the basic form, it is the ordinary people that think the rational registered letter way. And it is booked and changed the place of examination to the specialists of higher authorities after needing to screen through community's complete doctor that the foreign patient diagnoses the illness, the course is strict. This person in charge still shows, making an appointment and registering on the net was put out at first by the private hospitals of Taiwan, Hong Kong and other places, belong to a kind of attraction patient, facilitate the marketing means of the patient. No matter in when, where it will be patient, can reserve by phone and register or through the network. But this way has a lot of problems, the patient registers by oneself but not divides and examines and screens through the complete doctor, there will be possibility of registering by mistake. Here, there are two " guide " Need finding out: With help some patient for guide, regard dividing accurately examining as, guide on earth? In fact, the community makes an appointment and registers the guide that can realize the above-mentioned two directions, have not only facilitate a patient but also realized that divides examining accurately. The hygiene service organization of the community should rely on the network, the large peripheral hospital of radiation, and with the good interdynamic relation of its setting-up, the patient that come to the community to go to a doctor can be divided and examined by the community. The person in charge of clinic of the People's Hospital of Peking University introduces, over half of patient going to this institute to go to a doctor is a nonlocal patient, they have clearer judgements to department and expert of every large hospital of Beijing, head direct for the purpose and come. So, half of patient does not need to divide and examining shunting, but about 1/3 of urban patients are the first visit, most patients are the subsequent visit, make an appointment and register the result to these some patients better. At present, the People's Hospital has already and formed the medical community in the peripheral community health Center, the hospital gives the community source No. some, the patient can hang up the brass-wind instrument of the hospital in the community. Number part of the super expert's is shunted to the community, a part is reserved by phone, a part is registered directly by the clinic. Unless whether which kind of reservations it is, there are getting getting more limited more very still on main expert resource,must overall arrangement. It is a prerequisite to keep clinic number, because most patients are used to lining up to register in the clinic. The hospital distributes telephone numbers 6 days ahead of time, does not sick run to the hospital when guiding a patient, but come to see the doctor pointedly, the idea of going to a doctor is from registering to make an appointment and register live. But, the method like the People's Hospital of Peking University is actually rare, a lot of large hospitals are limited with community's complete doctor's level, can't divide examining for not distributing telephone numbers for the community health Center of the perimeter accurately. A large person in charge of clinic of hospital says, see abroad the expert is made an appointment by community's complete doctor, layer of each is examined and shunted. Our country's conditions are not allowed, mainly community's doctor's level can not be reached, ordinary people distrust too. There is no community to examine for the first time, make an appointment and does not know where to begin when registering. Community: Without number source, one can't make bricks without straw One community health Center director in Xicheng District of Beijing tells reporters, the community health Center is undertaking two major tasks of public health and basic medical treatment, among them public health projects are numerous, and the human resources of the community are very limited, the working intensity is very large, especially visit looking at, investigation of registering one's residence to the doorstep. Indeed, patient's less situations exist in the community health Center set up in the outer suburbs of a part, but this is not that a community does not book the reason registered for the patient actively. The medical organization of the community wants to register and establish two-way connection between large hospital and resident by making an appointment very much. The problem is, a lot of large hospitals would rather watch the brass-wind instrument dealer control the number source and make profit, will not distribute telephone numbers to the community either. The community does not have number source, how to make an appointment for residents? And some hospital give in close relations community put some really, in that clinic can be hung up ordinary number all, the meaning is not big to patient. While mentioning the topic that the large hospital cooperates with community, management college Professor Tao HongBing thinks the medical and health of medical college of Tongji University of Central China University of Science and Technology, because the hospital should fulfil personnel training, technological guidance,etc. and support the work according to the requirement in the course of cooperating, pay greater than repayment in short term, so the enthusiasm that the hospital participates in cooperating is not high. Meanwhile, the main basis examined that most hospitals regard the economic indicator as the performance, cause the doctor to lack the motive force that cooperates with community. The hygiene service organization of the community develops time short, in large quantity but strength is scattered, the influence to the society is not big. Especially for a long time, the government compensates efforts not big to the hygiene service organization of the community, apparatus condition and engineering level of health organ of the community are relatively weak, division of labour and cooperation that all these influence is of both sides. The hospital cooperates with division of labour of the community Need government's leading factor to coordinate, in the balanced mechanism of the interests, personnel training and technical support, change the place of examination and examine with the community for the first time bidirectionally, hospital and community's information communication and encouraging restraining and trying to find out the experience with respects such as the sageguard measure,etc., promote both sides merge, reach, lead the intersection of patient and little disease get community gradually, serious disease book large purpose of hospital through community.


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