Shenyang hospital " The clinical route " Implement for one week both worried and glad

Shenyang hospital " The clinical route " Implement for one week both worried and glad
Shenyang hospital " The clinical route " Implement for one week both worried and glad
From August 1, Shenyang chooses in more than 70 above- second -class medical organizations including private medical organization, implement the clinical route managements of 279 pieces of number that Ministry of Public Health makes in an all-round way. Shenyang Municipal Health Bureau make 10 basic clinical the intersection of route and number carry out in unison in the whole city second and the above medical organization, other 269 kinds all choose independently according to the actual conditions of every hospital. What is the clinical route? After implementing the clinical route, what material benefit will the patient receive? See the doctor expense lower? On August 9, the clinical route lasts one week, how is the running situation? The reporter has interviewed this. 10 kinds of diseases must carry out 10 kinds of basic number of clinical route of standard of the route to include: Acquired character pneumonia of community, too high myocardium infarction of odd-shaped section ST, the transient brain is ischemic to break out, acute simple appendicitis, femur neck fracture, spontaneous pneumothorax, chronic hard meninx make hematoma, uterus smooth muscle tumour, planning and cut open palace producing, inguinal hernia. It is stalwart that the administration of possessing form spends absolutely clear citizens Mr. Zhang, a burst of traffic accident, make him fracture in little leg, live in the hospital before two weeks. The medical personnel has sent a form to him, tell him clearly, only needs to be in hospital for 21 days, costs 24,000 yuan. In addition, do anything every day, what medicine does it use, how much does it spend, must live a few days, clear. " whether you watch, only one of antiinflammatory agent, which one does it spend, with how much mark, wear, at all needn't afraid doctor write a prescription, turn on your medicine,etc. more " ,Mr. Zhang says. Abusing the antibiotic phenomenon is prevented from and " abused antibiotic and has been contained! " The ones that face one in gentleman's hand " The clinical route form " ,The medical matters subject personnel of the hospital understand and claim, once enter the clinical route for the reporter, use some medicine, make which check and when surgery define the regulation. In this case, had " great prescription " easy to appear clinically in the past , " excessive inspection " Been stopped with doing operation slowly fundamentally, the patient saved time to save money! New things say many someone query, can regard as new things very, the reform to query too in the course of implementing. The doctor tells reporters, also fracture in little leg, the situation of different patients is different. For example there is an old man, it is not a simple fracture. The old man entered the route first finally, checked and found the special circumstances after in hospital, then has been retreated out. These complicated situations, make the patient for the moment difficult to understand. Reporter find from confirm one patient enter route, begin, doctor face a series of " the tongue works " interview, . So, strengthen the job training of the clinician, it is a prerequisite of this reform. Staff reporter Tang KuiYang Read the newspaper to help 1. What is the clinical route? For a certain disease and set up a set of standardization to treat the mode and treat the procedure, can reduce single number, in hospital day and hospitalization cost equally, also can reach standard of making a diagnosis to it is expected the therapeutic effect, it is the medical means which a lot of developed countries generally use at present. 2.How about treating the procedure? Case: With acute simple appendicitis in hospital, the appendectomy of walking, as the example of next day. Procedure: Register Going to a doctor, the doctor inquires the medical history, physical examination The blood screening test lab, further diagnose clearly Surgery, confirm whether to accord with and start the clinical route Explain the condition to relatives, fill in the clinical route form, start the clinical route In hospital for first, two days, must use medicine and check according to the route Observe the condition, reach the standard of leaving hospital, must handle and leave hospital. According to shine on the intersection of bed and the intersection of route and requirement, standard sun less than or equal to 7 days in hospital, the general patient will leave hospital within 5 days.


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