The standardization is still to make a diagnosis in community's hygiene " The short board "

The standardization is still to make a diagnosis in community's hygiene " The short board "
The standardization is still to make a diagnosis in community's hygiene " The short board "
The municipal medical insurance bureau of Heilongjiang Province Mudanjiang is in the will Kui pays close attention to the leaderette today: Residents bring into community's medical treatment to effect an insurance in the cities and towns that will be expanded constantly, an important policy that it is the system reform of the national hygiene will be arranged. But setting-up and operation of the community health organ of our country are at primary stage, a lot of problems exist from the system, policy aspect and basic construction aspect yet. So how about enable the health organ of the community really treat in the place of disease as a medical insurance patient, avoid producing the bad medical consequence, make the patient practical and benefited, the cost of the medical insurance fund is worth, become a realistic problem that can't be ignored. We welcome reader's friend to speak out freely to this topic. The national basic medical insurance system, from the day of setting up, various circles of society, experts and scholars appeal for on the fact that constantly and want to bring the medical health organ of the community into the whole system of the basic medical insurance, construct it as the new basic medical service system of city on foundation with community's health care service. The health care service organization of the community is in lower the most that health care prevents the network, it implant among the intersection of community and masses totally, face vast basic medical insurance, effect an insurance person, have in offering health care to community masses " Convenient, swift, nearby" When the gifted advantage. According to statistics of authoritative department, 80% of the diseases can get the treatment of a certain degree in the health care service organization of the community at the present stage. Produce the medical function in the basic medical insurance works of health organ of good communitying has extremely important realistic meanings. Really few Mudanjiang of the hospitalization cost brought the health organ of the community into the whole system of the basic medical insurance in 2006. Up till now, there are health organs of 32 communities in all by fixed position as the medical insurance, accounts for 76% of the total number of health organs of community of the whole city, include in, guide, effect an insurance while being some already a patient made a diagnosis and gave treatment to seek medical advice in the community through propaganda and system of policy. Investigate by us, all most diseases that make a diagnosis and give treatment of patient going to a doctor in the health organ of the community, for cold and fever, pneumonia coughing, acute gastroenteritis and some chronic disease, if the simple medical treatment of vascular disease of the heart brain is handled. According to characteristic and climate characteristic of the Northeast region, the period changing at the temperature vigorously, will present a large number of breathing problem patients. Most of them carry on simple handling in families ' Use medicine by oneself) A few days later, such as the inefficiency, go to the medical health organ of the community to seek medical advice nearby. Every day's visit is of great number in the health organ of the community in this period, can see the convenient and vast patient of earth very much of health organ of the community, especially they hit person, the elderly or children with inconvenient behavior. In the first half of 2007, we ran hospitalization cost statistics of health organ of a community (see the following form) ,It is very low to find every person's expenses. In the health organ of the community, the disease of upper airway infection generally only needs to be about 200 yuans to can be cured, and the per capita expenses of the patient of the same type of large and medium sized hospital of Mudanjiang are 867 yuan, by contrast, the therapeutic prices of the health organ of the community should be much cheaper. In addition, each the intersection of community and also some common diseases health organ, all kinds of relevant therapeutic medicines of the frequently-occurring disease are or lower than their prices to sell to the visit residents who give the community with the retail price of the market, streamline formalities, put in the guidance using medicine in place in time too, is well received by community resident. Because the real current situation of the medical health organ of the community at present, the complicated disease to difficulty, critical surgery,etc. disease( Besides slight injury) It is unable to treat and cure. The intersection of community and medical health organ unable to offer in hospital servicing normal the present stage in addition, the patient came back home to recuperate, saved the patient's hospitalization cost too after the health organ of the community finished handling. Can be seen according to the existing materials, if give the appropriate one direction on the policy aspect of system, patient's practical problem of seeking medical advice that the ones that will solve a large number of in the health organ of the community effect an insurance, reduce, effect an insurance agony and financial burden of patient, can reduce the intersection of medical insurance and expenditure of fund. May also exert a benign influence on the disposition of health care resources in the long run. Setting-up and operation of the different community health organ of the norm are at primary stage to carry out and make a diagnosis, there are a lot of questions in such aspects as policy aspect of system and capital construction, if personnel quality for medical worker or medical the intersection of qualifications and low personnel more than low, administrator. Concrete staff members are some retired personnels or just graduating, unable to enter great unit medicine of medical treatment and studying the graduates of universities and colleges of the large hospital, and the complete doctor is extremely scarce. Many people's knowledge in them age or have inadequate experience, so people can not see the new medical content on real clinic. It has the intersection of community and the intersection of health organ and consciousness to obtain economic benefits to be obvious moreover, consciousness of public service relatively bad. In addition, the apparatuses of a lot of communities are basically all apparatus which some hospitals have already eliminateds, and only simple instruments such as heart electrical machinery, Ultrasonography B, sphygmomanometer,etc.. The existence of the above-mentioned phenomena, the course is unstandard that certainly will cause the health organ of the community and make a diagnosis, medicines using unstandardly, question of operating unstandardly etc. of sterilizing the utensil. And lack the institutional improvement with careful overall science and influence the quality that the patient seeks medical advice directly, let the curative effect of seeking medical advice give a great discount. What is more, may also cause some unpredictable consequences, and this kind of consequence can not be found in the course of treating, it is impossible to be prevent accurately in time, the damage substantially as arising from unreasonable administration, sterilize not thorough, unstandard recessive infectious disease,etc. that causes. The original intention that its result develops community's hygiene with we is far from each other, will waste various medical fund greatly - -Medical fee of what medical insurance premium and patient are afforded. These questions must cause the great attention of administrative departments at all levels, make the medical organization of the community really make a diagnosis and give treatment in the place of disease as a medical insurance patient, healthy gatekeeper, but not produced the source of the bad medical consequence. Standardize the respect and work hard in the system because of the existing problem of the present stage of health organ of the community, I think, should strengthen the institutional improvement fundamentally first, build upper and lower time from the norm of the health organ of the community, define the concrete requirement for its infrastructure construction. Take measures to substantiate the complete doctor, examine the personnel engaged in this job regularly. Mainly common, occurs frequently chronic disease is the current situation of the main fact to meeting the patient that examines in the health organ of the community, the relevant department should organize being made the making a diagnosis in the normal, clinical route of common chronic disease on the content of it generality by the medical expert in certain aspect, the technology in the course is different to correct the medical personnel of the whole community and make a diagnosis fundamentally, serve the unstandard, not scientific phenomenon and take place. Want some convenient a cheap one, prove, have already moreover The medical technology of the result popularizes in the health organ of the community. New method new technology of medical science substantially as already confirming in the file that is issued in Ministry of Public Health, rate of making the basic unit of common disease go to a doctor, knowing rate, technical application rate of suitable hygiene of prevention and cure of disease,etc. are improved by a relatively large margin, the ability of the technological service of health care at the basic level will be obviously strengthened like this. Third, there should be a clear operational procedure in the course to make a diagnosis and give treatment in all medical treatment of the medical health organ of the community, it is real that these rules should be combined, science is rational, careful and complete, everything has regulations to abide by. And there should be corresponding records, the source that the course taking place can trace back to it in all operation. It should strengthen the training education of the health care personnel of the community to accomplish the above, improve its scientific consciousness, service consciousness, need to check and check and rate every year, make community's medical worker meet the needs of new situation constantly, could let the medical insurance patient benefit from it in this way, the cost of the medical insurance fund is worth.


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