Jiangxi: Make a diagnosis in the route for the basic unit " Explore the way "

Jiangxi: Make a diagnosis in the route for the basic unit " Explore the way "
Jiangxi: Make a diagnosis in the route for the basic unit " Explore the way "
The intersection of staff reporter and Lu Tian, reporter of policy, Cao After the basic medicine system is implemented formally, medical organizations at the basic level generally use the basic medicine. However, use how to popularize " guide to the clinical practice of national basic medicine " and " the national basic medicine prescription is collected ", how to standardize the medical medical worker of health organ in the basic unit to use medicine rationally, reduce the medicines expenses, become the difficult problem of the administrative department. Will it be June 2010, make a diagnosis route basically pilot project the medical health organ in basic unit begins quietly in Jiangxi Province. " clinical route " This is in popular fresh word of the large hospital, with the implementation of the basic medicine system, familiar with the medical organization at the basic level gradually. It is the basic unit to standardize the treatment " The soft rib " At last the end of December, the research report was put in order and made at last in the middle period when Jiangxi Province basically made a diagnosis in the route. The policy Jia LiMing, division chief of office of medicine of department of public health of Jiangxi Province introduces, basically makes a diagnosis in the route, as its name suggests, are different from the clinical route where the above- second -class hospital is launching, with standardize the medical health organ common disease in the basic unit, basically check, basically use medicine dailily mainly ' Including the national basic medicine and every province augment medicines) It is a content. The pilot content of Jiangxi Province is a medical organization at the basic level the patient makes a diagnosis in the route in hospital. Compare the pilot project of the route of basically making a diagnosis of clinic launched in the other provinces in the corresponding period, seem to have a realistic meaning partly even more in hospital. On one hand it is relatively clear to make a diagnosis in the course step in hospital, facilitate the standardization operated; On the other hand, the doctor at the basic level is unreasonable to use medicine and make a diagnosis the behavior appear at hospital treatment stage more centralizedly, the normal demand is more eager. The department of public health of Jiangxi Province has offered great attention to this pilot project. The work presided over by the chief instructs the group, have investigated the disease table of the medical impatient of health organ of basic unit of the whole province, selected common number of high frequency, organized more than 20 experts of 8 provincial hospitals to discuss shortly afterwards. Director Zhu PeiQian of the second stomach surgery of affiliated hospital in Nanchang university is one of the expert panel members. While seeing the reporter, he is preparing to organize the doctor of the provincial capital to go to the basic unit to patrol and say the route actively. The expert in the provincial capital is so enthusiastically, because they find, the unstandard and therapeutic influence in the basic unit has already been expanded to the hospital of higher level. "The patient that sometimes sends up, either time is late, or the medical one is wrong. All things on foundation have not been done well, have already missed treating the opportunity while sending up. " Zhu PeiQian says. Heavy foundation of the principle of the route " exactly our principle no say newly ' Technology) ,Only explain the foundation. " Zhu PeiQian says, while making and basically making a diagnosis in the route originally, considered two respects mainly, it is a norm at first. For example, patient oral fluid infusion is getting thinning " needs warm water, and obey slowly " . Secondly, stress that treats in grades. Rigid principle of changing the place of examination in some basic unit bidirectionally and must change the place of examination upwards, also intend to choose the types such as cerebral hemorrhage etc. at the same time, explore the principle that the basic unit changes the place of examination upwards and receives patient's rehabilitation on later stage after examining for the first time. Revised repeatedly, Jiangxi Province confirms finally that has written the basically making a diagnosis in the route of 24 pieces of common number such as 2 type diabetes, hypertension, in September of 2010, started the pilot project of the whole province in Jinggang Mountain. Jia LiMing says, the reason why select to hope for this pilot project " a single spark in Jinggang Mountain, can set a prairie fire " . There are the new mechanisms " Suit for period " Nanchang county is numerous to the central commune hospital of garrison post of the pool " A single spark " A member of China. In this commune hospital with 80 berths, internal medicine department, surgery and gynaecology and obstetrics have all participated in the pilot project. What advantages can pilot project bring? Several chiefs of the office of department gather together, seem to say yet it is not very clear. "Has just started at present, the result has not been very obvious yet. " President's the Wan 's China explains. But he says, everybody has an optimistic view of the prospect of the route of basically making a diagnosis, the standardization after all unanimously, can bring the improvement of the whole engineering levels and management levels of commune hospital. However, there are places that makes people incompatible in the new mechanism. The staff members of the county hospital of Nanchang tell reporters, on one hand, the idea of the doctor at the basic level has not been totally changed yet, not used to the procedure leaves according to the norming; On the other hand, the detection of the basic unit, test level are limited, the regulation in some routes lacks and realizes the terms. By last mid-December, successively medical health organs of 117 of basic unit launched a pilot project successively in Jiangxi Province. It is introduced, pilot medical organizations generally reflect, the behavior of making the medical organization make a diagnosis of the route of basically making a diagnosis is more normal and more transparent, the workflow is more meticulous and more overall, medical engineering level and service quality are promoted, in hospital days and the expenses to drop to some extent, the relationship between doctors and patients is more harmonious, and help the young medical worker to grow up too. But meet some questions and difficulties in the pilot course, for example different medical organizations are difficult to implement the route reach the unity, it is inconsistent to know the treatment to various variation situations, the information construction level at the basic level is low, lack and count experience of management,etc. appraised, these questions have all strengthened the difficulty launched in route of basically making a diagnosis. "The management of the route is a brand-new job to basically make a diagnosis, there are few maturity experiences that can be used for reference both at home and abroad. " Jia LiMing says, can't worry very much. According to the plan of Jiangxi Province, will spend one year or so launching the pilot work of the route, include proving and further improving the science, regulation, advance and practicality of the route, and explore that sets up and suits the medical real route management system, work pattern, quality evaluation of health organ of the basic unit and improves the system continuously. "Make a diagnosis route adjust constantly certainly, say any other things to be early even now. " The future expectation though the pilot project has just started, basically make a diagnosis the route still brings a lot of expectations to people. Qiang Chen to make a diagnosis the intersection of route and member to make expert panel basically, the intersection of Jiangxi Province and Vice President of children's hospital. This time, she has participated in working out the routes of infantile pneumonia and viral enteritis, two these pediatrics most common making a diagnosis most apt diseasing that going wrong. "We have especially put emphasis on holding the first opportunity when working out the route, how to distinguish the serious disease, how to change the place of examination etc.. " In Chen Qiang's view, make a diagnosis on the most direct function of the route, arouse the basic unit to the due attention of these issue. To introducing the clinical route to manage in the commune hospital at the basic level, the Wan 's China has special expectation too. "Basically make a diagnosis after the route comes out, structure and expenses have been basically fixed if the ath disease used medicine, like that can renovate doctor, write a prescription arbitrarily, use medicine not including the expected to use some base medicine catalogues according to the norm basic unit at the same time. " This solves the commune hospital and faces the basic medicine " Non- enough " Another one make changes according to specific conditions it law. Jiangxi Province enables the commune hospital Have strict restriction with the non- basic medicine. And according to the thinking of management of the route of basically making a diagnosis, diagnose in grades to a certain disease that treats, to in which stage with basic medicine and which stage use non- basic medicine make concrete standard. So long as the commune hospital operates according to the procedure of this route, the administration is not limited by non- basic medicine using proportion. Jia LiMing expresses and approves this, " so long as the administration is rational norm, it is limited by force that it is unnecessary for us " . In the long run, Jia LiMing expects the basic unit to make a diagnosis in the route to manage the effective use which promotes medical resources even more, reduce the unreasonable expenses, shorten average in hospital days, control the medical cost. "Manage through the route, can make single number make a diagnosis the expenses reach unanimity, thus promote the medical treatment at the basic level to ensure the reform of means of payment, for realize, pay according to number, prepay, make, offer basis by norm while being taking diagnosing relevantly and dividing into groups as foundation, set up medical treatment finally and ensure the benign mechanism with mutual promotion of medical care. "


|