Thoughts on that sends medicine to the basic unit

Thoughts on that sends medicine to the basic unit
Thoughts on that sends medicine to the basic unit
Hua Wen I reach rural at the basic level hospital give lectures, experience rural health care industry store some enough and that deficient in even deeply a few days ago, the hospital at the basic level makes a diagnosis the improvement of competence shoulders heavy responsibilities. The specialized personnel of medical organization of hygiene at the basic level are scarce, the understanding of some diseases is not deep enough. Many rural medical worker's levels still remain at barefoot doctor's level, respiratory disease that it is common as to some countrysides, for instance bronchiectasis, chronic obstructive lung disease,etc. realize not deep enough, common respiratory system symptom of aching and breathing hard to common cough, expectoration, wheezing, chest etc. can't carry on accurate differential diagnosis. The high-level making a diagnosis apparatus is scarce. The resources of commune hospital are insufficient seriously, the apparatus is outmoded, facilities are not complete, the level is relatively low. A lot of the intersection of health clinics in towns and townships and the intersection of berth and rate of utilization fewer than 30%, instead of make a diagnosis low competence this, can only deal with some common diseases with light condition, the demand has something to do with meeting grassroots. The rural patient is difficult in the locality to get the valid treatment, should go to not native's large-scale hospital to go to a doctor, have aggravated peasants' financial burden seriously. Network information is deficient, new technology, new idea are not upgraded in time. Because the rural infrastructure is relatively bad, the network has not covered all villages and small towns yet, the only route that the doctor at the basic level obtains medical knowledge has books and magazine,etc. only. And the speed of renewal of knowledge of books is relatively slow, and the price is relatively expensive, not fit for the fast popularization of the new idea and new technology of medical science. Lack the technical support of large-scale general hospital. Some hospitals at the basic level have introduced some new making a diagnosis apparatuses too, but because there is not relevant operation use experience, a lot of apparatuses perform practically no function. This needs assistance of the experienced hospital doctor of higher level even more and for certain technical support, help them to be familiar with and understand the application of the new technology more quickly. The medicines kind lacks and abuses with antibiotic. There is no market in the countryside in some dosage form more rational medicines and more advanced medicines, a lot of rural patients employ the medicine of the fugitive or low price, make the condition difficult and well control, break out and cause chronic disease repeatedly, more difficult to treat. The adaptation card of some hospital doctor antibiotic at the basic level can not be grasped tightly, in addition, the competence of making a diagnosis is limited, as to the thing that can't make a diagnosis and give treatment clearly, cause antibiotic to misapply and abuse in some etiologies of disease, influence patient's further therapeutic effect directly. The propaganda of the knowledge of infectious disease is insufficient. Because the hospital at the basic level lacks sufficient manpower and material resources, the propaganda strength to infectious disease is insufficient, unfavorable to the controlling as soon as possible of infectious disease.


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