Fujian: 112 kinds of diseases are pressed " The standard procedure " Treat

Fujian: 112 kinds of diseases are pressed " The standard procedure " Treat
Fujian: 112 kinds of diseases are pressed " The standard procedure " Treat
The intersection of staff reporter and Wei Zhang it is reported it is young guy that suffer from acute appendicitis likewise, some are in hospital for 7 days, costs more than 5000 yuan; Some are in hospital for 4 days, only need to cost more than 2000 yuan. The same kind of disease, have different therapeutic method on the hand after reaching different doctors. In the future, this kind of phenomenon will change to some extent. Recently, the department of public health of the province issues " notice on launching the clinical route and managing the pilot project ", require the tertiary hospital of the whole province to start the clinical route to manage the pilot project from June 1. In the future 112 kind disease,after patient in hospital, how it check, in what medicines, leave hospital being be " according to standard on a few days postoperatively " . The medical expert in our province thinks, this measure contributes to the medical behavior of the norm, " ask for great treatment only minor illness " Will wear the inhibition. " see the doctor according to the standard " Have not enforced 22 112 specialities are pressed " The standard procedure treatment " Number,last gynaecology, obstetrical department, department of general surgery, division of endocrinology, kidney internal medicine department, urology surgery, stomatology department, thoracic surgery,etc.. The range of this pilot project is the tertiary hospital of the whole province, among them municipal first hospital of subsidiary hospital of Zhongshan of Xiamen University and Xiamen manage the pilot hospital for the clinical route of Ministry of Public Health. Encourage conditional second hospital to launch the clinical route and manage the pilot project actively. The pilot hospital can choose several number to launch the work of launching a pilot project in the clinical route of 112 pieces of number. Among them each one of tertiary general hospital chooses the clinical route of 10 number implementation of 5 specialities to manage at least. According to the notice, next month, the clinical route of our province will enter the implementing stage soon. The clinical route pilot project of our province, encourage the patient to choose voluntarily, has not enforced. The suitable reporter knows from every large hospital of Fuzhou not every patient, every hospital is being chosen the number of the pilot project according to one's own situation nowadays, and in Ministry of Public Health " The clinical route " Have slightly and adjust, make the edition of Fujian according with the actual conditions of this province even more. The same kind of disease, the situation of different patients is various too. Zhang ZiPing, managerial expert of my provincial hospital, says, it is not every patient that can enter " clinical route " . For example with patient of appendicitis, 20 -year-old guy strong in young body, the health is good, without complication, he can " press the standard treatment " ; And 80 -year-old old man, there is hypertension, also there is diabetes, unable at all " according to the standard procedure treatment " . " press the standard treatment " Disease can only simple for venereal disease example,complications or companions other send disease of. Even enter " The route " Patient,not in not in treating present make a variation,such as complicationing will be appeared, might retreat by outlet foot-path. Reporter observe raise hospital to be enthusiasm very much important to it is introduced, Ministry of Public Health " diagnoses the illness in the national pilot project according to the standard " ,Hope through strengthening one's own internal management, standardize the medical attendance behavior, relieve ordinary people and see the doctor expensively. But in the interview, the reporter finds, my provincial hospital is to " clinical route " Lack motive force, because this measure may reduce the incomes of the hospital. As to this, a person in charge of hospital says, should set up and award or punish the mechanism, the hospital does well, stint on expenses for the patient, should reward, and exceed standard, bury singly on this hospital. Bundle the patient's interests and interests of hospital together, the hospital is dynamic. That is to say " See the doctor according to the standard " Want and " forced quotation of single number " Combine together. Pass the pilot project " See the doctor according to the standard " ,It is rational to estimate out single number " Bind the line " ,Through " bind the line " Forced quotation, encourage the hospital to " see the doctor according to the standard " spontaneously . The two are both as circulating, perhaps there is one day, the cost of hospitalization has been really lowered. " clinical route " Know how many clinical routes are studied together, makes strict working routine and accurate time to a certain disease by domestic a group of experts, it is equivalent to one kind " Standardization " Mode. Popular says, the medical worker is engaged in making a diagnosis " navigator " of the activity ,Or one that make a diagnosis " The curriculum " . First day in hospital, want, make what check and what medicine does it wipe out, have some injection the next day, do operation several day, what ward does it change over to behind the operation, leave hospital etc., there is a detailed regulation a few days while being postoperative. Cure when what it will be patient, the doctor, nurse, patient know what's what in the heart. No matter it is on the hand which doctor the patient has reached, according to the same " standard " Treat. Implement " clinical route " There are several advantages at least: Help to standardize the medical attendance behavior, avoid " making the great prescription " , " excessive inspection " ; Guarantee medical quality and medical security; Help to shorten day in hospital, raise the turnover rate of the hospital sick bed.


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