The first line of people's livelihood: Hospital of community of Beijing Try the diurnal clinic

The first line of people's livelihood: Hospital of community of Beijing Try the diurnal clinic
The first line of people's livelihood: Hospital of community of Beijing Try the diurnal clinic
Read and point out and run community's hospital, facilitate community residents, balanced medical resources, it is originally a very good thing. But the hospitals of a lot of communities, open in the morning, close the door at dusk, it is very difficult for working clan to enjoy medical care. Could consulting hour in hospital such as community, the intersection of community and working time of resident, stagger, facilitate residents appropriately? Beijing begins the diurnal clinic of pilot community's hospital: Since July 1, all community hospitals in the eight districts of the city lengthen the clinic until 8 o'clock pm (except weekend) ; Among them 24 offer service of meeting an urgent need and handling in diurnal medical treatment; The hygiene service group of the community guarantees " The health is open " The mobile phone is unblocked in 24 hours, answer residents' health care question in time. This pilot work, Beijing some urban areas has already tried before this, how is its result? Can community's hospital suit? What difficulties wait to solve? Delay time to serve - -Overtime pay is 20 yuan in 3 hours "It is very convenient to come here to see the doctor, the attitudes of doctor and nurse are very good too, my child's throat aches today, a bit amygdaline inflammation, infusion here comes. The child wants to go to work in the daytime, come off duty and come back to the hospital to see the doctor, otherwise must be deducting a part of pay! " At 6 o'clock pm on June 29, in the observation ward of the community health Center of Lugou Qiao of Fengtai district of Beijing, infusion of daughter who was just coming off duty that lady is being accompanied in summer. At this moment, there are over 10 patients that are infusing in some sultry observation wards slightly in this room, a nurse keeps the situation of observing the patient frequently at gate, " here has not opened the air conditioner, mainly afraid the patient catches a cold again. " "To tell the truth, sometimes feel it is very tired, the work load is large may feel too busy to do it. " However, internal medicine department applies the lofty and steep doctor and thinks that delaying time serves and really facilitates residents. "Offer service of meeting an urgent need and handling in 24-hour medical treatment, Fengtai districts are the most, there are us 7 in 24 of the whole city. " Deputy Secretary of Party Committee of Fengtai district health bureau Li Mei introduces, " Fengtai district of the round-the-clock service began to launch long ago too, the community health Center of Lugou Qiao launched first has been almost already for 10 years, it was the need of knowing residents really have in this respect too at that time. The colony like working clan, student, if the hospital comes off duty according to daily time, they can not see the doctor. " The complete clinic, emergency call, dispensary of the community health Center of Lugou Qiao are round-the-clock services, and the dept. of radiology, blood screening test lab extend to 9 p.m., about 9 people are on duty every night, average a daily emergency call patient in this year ' From 20 o'clock to next day 8 o'clock) It is 10 people. " 138 people are responsible for 180,000 people's health, the pressure is not small, but insist on about 10 years after all " . President Wu HaiTao says. The hygiene Sun Li, vice section chief of place at the basic level in Beijing only introduced, from July 1, consulting hour of the hospitals of 141 communities of urban area is lengthened until 8 o'clock pm, having increased the services of 3 hours, the pressure will not be very large. At present, the Ministry of Health has already reached common understanding with finance and Human Resource Department, according to the regulation of the overtime work of public institution, the persons who work overtime to each person for the overtime pay of 20 yuan. Meanwhile, the personnel on duty can choose to change one's shift to get leave later too. Beijing Municipal Health Bureau requires, every community health Center should guarantee the medical service quality, arrange the corresponding attenbant in the clinic lengthens service time, and guarantee to have a doctor of the post of the above professional technique of having high age and service seniority residents who is on duty at least, do the work of forming a complete set correspondingly and serving well at the same time, guarantee the medical security. Change the place of examination bidirectionally - -Strong could gain and believe in stumbling-blocks changing the place of examination of ordinary people bidirectionally of distrust to community's hospital. However, in community health Center and Fangzhuang community health Center of Lugou Qiao, change the place of examination but not meet such trouble bidirectionally. "Ordinary people's trust, is in fact the question of the capability of the hospital. " Wu HaiTao says, " the doctor who is responsible for changing the place of examination should have judgement at least, and can do some emergency processing in time and play an effective role to patient's treatment. " Apply the lofty and steep doctor and meet an urgent state when on night duty. A hyperglycemia patient comes to the hospital to adjust blood glucose in the evening, he reflects to the doctor that has often felt recently that feels suffocated oneself during that time. Through checking and judging, it contacts the patient to change the place of examination to Shijingshan hospital at once to apply the doctor, find a patient has really very serious condition, has made 4 heart supports right away. The situation happen suddenly numerously in the such one, though community's hospital can't accomplish the overall treatment, but play a very great role in trying to treat and cure time for the patient. The fitting hospital where the community health Center of Lugou Qiao changes the place of examination bidirectionally is Xuanwu Hospital. When the doctor of the community health Center of Lugou Qiao judges a patient needs to change the place of examination, will open and change the place of examination singly or book the registration card, treat on can change over to Xuanwu Hospital ing in 1- 3 days. The patient is during treatment of Xuanwu Hospital, the doctor judges that can get back to community's treatment, the patient can go back to community's hospital to carry on rehabilitation within 2- 3 days. How be sanitary the community " Have not stopped " Serve and do better, realize progressively " level goes to a doctor, changes the place of examination bidirectionally, recovers in the community " Seek medical advice new mode keys that communities pilot explore next without being become. In 100 patients of the community who go to a doctor, if 30 individuals diagnose the situation such as being indeterminate need changing the place of examination, the community should attach to and fit in with one's training or speciality the brass-wind instrument of the large hospital for 9 individuals among them at least. Beijing the intersection of Bureau of Finance and social security profound will, vice section chief of place, big to say, will pursue the moon to register progressively this year, the registering rate of moon changing the place of examination from hygiene service organization of the community to the large hospital needs to be up to 30%. Deputy Bureau Director of Beijing Municipal Health Bureau Mao Yu says, within this year, all of the whole city and community's hygiene and two, tertiary hospitals with the cooperation relation of business of service organization need to reserve number source for this. Make an appointment to community the intersection of number and source can influence hospital go to a doctor query of the order normally, Mao Yu says, concrete each hospital is in order that suitable what the community leaves, have not required in unison at present, rely mainly on meeting community's demand. The patient changing the place of examination the large hospital through the community will be dispersed to a plurality of departments, there should be unable to be influence. Service of registering one's residence - -" medicine of slice " Just as old a friend's " the old mother in my home has hypertension, feel uncomfortable, phone ' medicine of slice ' directly, others come to family to treat directly. They also phone to find out about the condition of the old lady frequently at ordinary times, still come to family to examine blood pressure free. " In heart of Mr. Lu of the community of Lugou Qiao, " medicine of slice " Have already become own " Family doctor " . " medicine of slice " The service mode is generalized to the Fengtai District from the community health Center of Lugou Qiao soon. Li Mei introduces, " medicine of slice " Last community mode by resident is the healths getting ranging from in level Prominent very function,be definite when lasting that residented. Does community's hygiene of Fengtai district serve resident's satisfaction to get continuously in 2008 and 2009? Does �� let out the imperial mandate �? Residents are sick to head direct for the used to seeking medical advicing of the large hospital, depend on " medicine of slice " simply It is very difficult to change, need support of the policy even more. Ding XiangYang, Vice Mayor of Beijing, points out, the service theory of the health care of Beijing is taking place greatly and changing at present, want, stress great hygiene, especially want, serve, start with from the intersection of community and hygiene, promote, develop, lighten burden of seeking medical advice, promote health. Offer support to community's hygiene work from policy, fund, solve " public health attendants' treatment is low " Wait for the question. The reform pilot project of making a diagnosis, seeking medical advice in order as constructing level, Pinggu district of Beijing pays attention to the guide of the policy and rational distribution of medical resource further. Chief of Pinggu district health bureau Zhang You says, in order to lead and encourage resident's level to go to a doctor, the intersection of Pinggu and district stipulate every in hospital in first class medical organization, submit an expense account, have blow pairs of line jointly while being agricultural while being new clearly already, it wipes out proportions to be 65%; In the tertiary hospital in hospital, submit an expense account one pair of lines is 1300 yuan, the proportion is 50% that submit an expense account. Meanwhile, Pinggu district relies on the advantage of the high-quality medical resources of the district hospital, carry on clear localization and integration of the resources to other four hospitals in the area under one's jurisdiction: Three section hospitals - -The Traditional Chinese hospital of healthcare hospitals for women children of mental hospital in the district, district, district gives play to the specialized department characteristic emphatically, the duty of preventing disease etc. of no longer bearing the community, only offer the full-time service of making a diagnosis; Exactly amalgamate the medical resources of the second hospital in the district to enter it in the district hospital.


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