Jiangxi Province takes the first step of community's family doctor

Jiangxi Province takes the first step of community's family doctor
Jiangxi Province takes the first step of community's family doctor
And, but such " Luxurious" Thing,Jiangxi state city the south is outside, it liberate chapter tribute district and Jiangxi there is the residents of community at three a river: The hygiene service centres of these three communities start community's family doctor's reform pilot project formally on April 18, the ones that become service administrative structure reform of hygiene at the basic level of our province " Eat crabs " Person. What is community's family doctor? What kind of function do they take on? How did they work? Taking the doubt, the reporter makes a special trip to the city of Jiangxi state to probe into unexpectedly. The family doctor is not a person " Fight " April 19, in the intersection of city and the intersection of liberation and community health Center, state of Jiangxi, complete the intersection of doctor and sweet-smelling according to go to a doctor, make an appointment, arrange for jade Cai, come to community's couple's home to do health examination. In the chapter tribute area, there are 196 complete doctors like Cai YuFang, 137 community's nurses, they all successively accepted provincial complete doctor and community's undergo job-specific training of lasting 3 months. Because the family doctor appears in the form of group, these complete doctors, nurses,etc. become " community's family doctor " Foundation stone of the pilot project. "Their common slight illness and chronic disease for treating residents are experts. " The village of chief of health bureau of tribute district of chapter does duckweeds to speak proudly. According to the plan of Jiangxi state Municipal Health Bureau, by 2015, this kind of " contractual " , " the complete doctor serves the group type " Service mode, should cover 80% of the community health Center in the whole city in the central urban district, the proportion of family of signing family doctor's service contract in the street range is up to 30%. The relevant persons in charge of Municipal Health Bureau of Jiangxi state say, this pilot project is expected to manifest the result within half a year. If is effectual, market and Rui Jin will push away in Nankang. Three major ideas guarantee to serve quality for April 16, an old woman 76 years old living in the Department of Communications dormitory of municipal Jiangxi state leaves this world. Since April 9, the patient enjoyed the agreement service of community's doctor later period of this hepatocarcinoma, old man's son is through contacting other community health Center in the south, the complete group confirming your doctor in great numbers led the hole offers approaching one's end care service. On the last day of old man, the hole is in great numbers and expensive and two nurses call four times a day, have an injection for the patient and ease pain, do the spirit of patient and his relative to placate. "I mother move dignified, thank to doctor and nurses Kong. " The old man's son tells reporters, their service for community's doctor is very satisfied with. FanGui Kong say community collect, pay a home visit expenses only, in large hospital, have five six thousand yuan impossible at all. Community's doctor offers approaching one's end care to no doubt need " Register one's residence to the doorstep " ,Take advantage of, seem tomorrow in the intersection of Municipal Health Bureau and at the basic level hygiene and person in charge of women and children health dept. Zhao, state of Jiangxi, the three key ideas of the family service are to serve, make house calls and contract and serve voluntarily, regard key crowds such as women, children, the elderly, chronic patient, and pregnant and parturient women,etc. in the area under one's jurisdiction as the serivce object, offer the public health service, " it is only a job among them to enter the family to the doorstep " . "Teach residents healthy life styles. " Other Zhu ZhiLin, Deputy Director of community health Center in the south says, the 15th, the 25th and the 28th of each month of service centre of their community, reach three crowds in the area under one's jurisdiction separately and hold volunteering medical consultation and health education lecture of free physical examination intensively. These years, the efforts of the other community health Center of the south produce effects obviously, the controlling rate of hypertension of area under one's jurisdiction exceeds 65%, the controlling rate of diabetes exceeds 57%, the condition gets the residents that controlled and approves of community's doctor gradually too, have laid the good foundation for the pilot project this time. How could the family doctor walk April 20 better, a long-term personage paying close attention to medical reform of the Chinese Academy of Social Sciences of Jiangxi Province points out, step into the deep water with the new medical reform of our country, introduce the family service pilot project in the hygiene service organization at the basic level of the city, if the pilot project succeeds, it is another kind of enormous contribution to the new medical reform. The reporter notices, Beijing proposed allocating " community's family doctor " for each family within two years last year ; On April 16 this year, Shanghai claims to start the family doctors of 10 counties and make pilot work too. Family doctor, has already become the trend of the times. Chief of health bureau of tribute district Zhuang ZuoPing says the chapter, the mode which the family doctor examines for the first time that she hopes, can let small disease, common disease kept in community's hospital, the large hospital specializes in difficult and complicated cases, each performs its own functions, optimize medical resources. The city of Jiangxi state has community's family doctor's better foundation, but how on earth is the result of the pilot project, worth expecting. The relevant persons in charge of Municipal Health Bureau of Jiangxi state say frankly, according to system design, there is a question of three main respects at present: First of all, community's family doctor's labour intensity increases greatly, how to examine the performance to need the system to follow up, and the principle is to encourage the more pay for more work; Secondly, should reach " the small disease does not go out of the community " Purpose,it is need promoting greatly not to last proportion, for instance, diagnose the illness Beijing residents at community health organ, be up to the submitting an expense account of 90%, the ones that go to the larger hospital submit an expense account the proportion will be reduced correspondingly, have guaranteed the small disease is not crowded to the large hospital. A question is community's complete too few doctor, and flowability is relatively great, this is unfavorable to doctors and patients and establish good trusting relationship. Take other community health Center of the south of city of Jiangxi state as examples, the household register populations of this community are more than 46200, but there are only 17 complete doctors, 2718 average residents have a complete doctor. "We expect to discover the problems from three community service pilot projects of Jiangxi state as soon as possible, let the family doctor push away on a large scale. " April 21, woman of province department of public health the intersection of society and the intersection of and division chief speak male genital to say, " hope such new the intersection of hygiene and service method can let resident to be healthy autumn, in order to improve the relationship between doctors and patients, advance the new medical reform to make contributions. " Staff reporter Zhang XuHong


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