Make community's hygiene service network in Wuhan Ensure resident's basic medicine to defend and serve

Make community's hygiene service network in Wuhan Ensure resident's basic medicine to defend and serve
Make community's hygiene service network in Wuhan Ensure resident's basic medicine to defend and serve
Www.xinhuanet.com Wuhan 4 The 14th cable (reporter's the Yu 's one of moon) The intersection of Wuhan and city take government as the leading factor, policy make ensure, around " the enclose by one service, one system, a kind of cooperation mode " ,Have built up a more complete community hygiene service network, has promoted community's medical service level, have relieved the masses well " The difficulty and high cost of getting medical treatment " State. The whole city the intersection of community and hygiene serve the intersection of clinic and quantity, reach 736 person Wan 2009, increase than 2003 nearly 6 times; Residents serve comprehensive satisfaction and reach 96 to community's hygiene. At the beginning of April, " conclude the community and march toward the healthy way " held in Wuhan At the international academic meeting of community's hygiene service, the expert of World Health Organization offers the abundant affirmation to method of Wuhan. --Make " community's hygiene service is enclosed in 15 minutes " : Going out several steps can go to the hospital to see the doctor in the past few years, Wuhan invested more than 4 hundred million yuan, improve house and apparatus condition of the hygiene service organization of the community according to seeking unity of standard, the hygiene of community offered to resident safely, conveniently, effective, cheap serve, make " community's hygiene service is enclosed in 15 minutes " . Chief of Wuhan Municipal Health Bureau Lin GuoSheng introduces, according to " planning scientifically, balanced overall arrangement, favourable member of a nationality convenient for people " The principle, makes and plans community's hygiene service organization structuring in Wuhan. The community health Center sets up the area of centre of the range had jurisdiction over at the place where the residential district handles affairs mostly, the community farther from the community health Center is supplementary set up the community health station, implement the centre, stand and manage integratively, guarantee residents walk 1 0 - 1 5 Can reach the hygiene service organization of the community minute. Wuhan municipal or district two government issue multiple the intersection of guarantee and policy promote the intersection of community and hygiene serve network, develop, strengthen the attractiveness of service organization of community's hygiene. Make the house and ensure the policy. Include the business house of service organization of community's hygiene in the urban communal facilities construction plan, while transforming in the newly-built residential blocks and old cities, must build the hygiene service organization of the community together; Every district government solves the hygiene business house of the community in a manner to buy or offer free. Implement the favorable policy of the medical insurance. Confirm hygiene service organization of the community as the fixed organization of the medical insurance preferably. At present, all community health Centers and eligible stations in Wuhan have already all included in the fixed organization of the medical insurance, proportion and it reduce individual and in hospital from standard in pair. Set up Huimin and subsidize the policy. From 2005, the residents going to the hygiene service organization of the community to go to a doctor can enjoy " 5 exempt 6, make a reduction of " General to favour the policy ' " 5 exempts " : Exempt from the ordinary clinic and register, make a diagnosis, inject serving and making a diagnosis in hospital, care expenses; " 6 make a reduction of " : Blood routine, urine routine, stool routine, liver function, chest completely, electrocardiogram,etc. individual event be lasted 20 to be lasted expenses) ,Reducing or remitting the funds is subsidized by the government. Several million person residents enjoy and reduce or remit the favour every year, reduce the hospitalization cost and add up to Damien 1. 2 hundred million yuan. Build the intersection of community and hygiene at the service organization, the intersection of Wuhan and until " whether government for being main pluralistic to run " city Principle,encourage not making the transition street, health clinics in towns and townships at first and public hospital to last community hygiene service organization, take the measure of competitive bidding again, encourage enterprise's hospital, university hospital to compete with the private hospital, examination and approval of selecting the superior. At present, the whole city builds up 118 community health Centers together, 386 community health stations. Secretary of Jianghan District health bureau Jiang WenHui thinks, the resident " difficult to see the doctor " Mainly reflect some decrepit patient, disability masses because of the traffic and have difficulty getting about, it is difficult to go out and see the doctor, it is difficult to see the doctor to get to the large hospital, especially it is difficult to see experts. So Jianghan District combine the intersection of area under one's jurisdiction and the intersection of health care and resource, with 1 Wan from people to 1. 5 the intersection of service and population of people Wan, walk 10 to 15 service of minute radius standard, set up 13 community health Center and 35 community health stations, form regard central hospital in the district as network carry, community health Center network, community health station serve the network for the intersection of network and tertiary community's hygiene of ins and outs for second, build up tentatively " Serve and enclose in 15 minutes " ,Have solved some people " It is difficult to see the doctor " . --Set up family doctor's system in innovation: " there are patients in the family, look for a family doctor first " In 2008, in order to further change community's medical worker service mode and service theory, Wuhan launches family doctor's institutional improvement. Strengthen and face the responsible host that all residents served, popularize " health control " The idea, realize hard " every family has one's own family doctors, everybody enjoys the basic health care service " Goal. Deputy Bureau Director of Wuhan Municipal Health Bureau Li Tao introduces, the family doctor serves the system and goes through the pilot project for two years, every community health Center chooses to have the good complete doctor who links up the ability, business with consummate skill as the family doctor, divide, serve area of responsibility, from " sit hall practise medicine " Turn into and go to the community, enter the family voluntarily, from the traditional preach type service mode, change to for resident's physical examination, prevent and cure, use medicine, guidance and concrete service consulted. Have already set up 1095 " family doctors " at present The group, there are family doctors to provide service in each community of the whole city. Li Tao introduces, the family doctor implements complete doctor's responsibility system, regards complete doctor as the core, organize community's nurse and public health department's doctor, launch community's basic medical treatment and public health work together. Each family doctor probably administers the community in 1500 families, 5000 residents. It is common on each building number of community to show family doctor's name, telephone number, have contacting the card of a family doctor in each resident's family, let each resident know one's own family doctor, make sure " there are patients in the family, look for a family doctor first " . The family doctor regards women, children, the elderly, chronic patient, disabled person, mental patient, poor resident, population from other places,etc. as the key serivce object, responsible for work such as the health education, setting up health file, following up a case by regular visits to, resident's physical examination, management of disabled person and mental patient of chronic disease of the family, grasp resident's health status and great infectious disease information. Use suitable Chinese and Western medicine and technology, carry on general common disease, frequently-occurring disease and make a diagnosis; Offer and visit multiple services such as depending on, family paying a home visit, family nursing, hospital bed set up at a patient's home, telephone consultation, recovering and guiding, changing the place of examination to the doorstep. At present, the filing rate of the health file of the residents of the whole city reaches 6 9. 42 % . Wuhan will also build family doctor's system to include in hygiene system performance management by objectives and funds at all levels and appropriate in the system, arouse the enthusiasm that the hygiene system builds family doctor's system. Utilize all the intersection of district and the intersection of government affairs and platform, the intersection of network and media, the intersection of Residential Area and the intersection of broadcast,etc. and media fully, improve the resident knowing rate to the family doctor. The statistics show, residents reach 60 to the family doctor's name, knowing rate of service content of organization's sum where one occurs at present. The beautiful introduction of Liu Yi, division chief of place of the hygiene of Wuhan Municipal Health Bureau community, will devote more efforts to popularizing and building this year, continue improving the family Doctor's system, strive for 3? Mao tease guide the intersection of order and the intersection of �� and little the intersection of ancient vessel and ����, wash fierce to invite the drought raise Yi �� and pay � and jump and collate stopping? --Set up the mode of cooperating with large hospital: The price of community's hospital, the service of the large hospital is in order to promote community's hygiene service level, strengthen community's hygiene service function, attract more residents to see the doctor into the community, mode that Wuhan launches the large public hospital and cooperates with hygiene service organization of the community. Through depositing, coordinated cooperation, holding 3 ways directly, the more than 100 community health Centers in the whole city have formed partnerships with 38 public hospitals separately, give full play to the technology, talent, resource and management advantage of the large hospital, promote community's hygiene service quality and management level, improve resident's trust on the hygiene service organization of the community, community's medical service level is promoted comparatively fast. In 2007, Wuhan initiates the public hospital and deposits the mode of the community health Center, remaining firm in adhering to public service property in the community health Center, become by membership, personnel identity become and duty become and at all levels government finance put one's back into and under the prerequisite that relevant policy does not change, allocate the right and right of operation and management of the administration, personnel of the community health Center and is taken charge of by public hospital. Have set up and deposited the work and examined and appropriated the mechanism, the finance at city level, according to " grades and rewards " with the funds With " take the place of mending in order to reward " The principle, subsidize public hospital funds. 34 community health Centers are transferred to the public hospital to deposit the whole city, have made the good result. Jiang WenHui thinks, the large hospital has deposited and brought changes in many aspects to community health Center, managing idea, service function, medical personnel's professional ability, satisfactory rate of service has very great promotion. Wuhan the intersection of city and one hospital, according to the intersection of community and characteristic, arrange for department of nerve internal medicine, dept. of dermatology, department of traditional Chinese medicine expert advance the community health Center of the street to diagnose respectively from Monday to Friday while being every, still arrange for oncology department, pain specialized department and cardiovascular dept.(internal medicine) expert to participate in and make the rounds of the wards, receive the masses' warm welcome. Li Tao introduces, community health Center and large public hospital are besides establishing and depositing the cooperation mode, it builds close relation between cooperation to still establish other respects. Launch " a thousand doctors enter the community " The activity, the close medical exchange of technology. The public hospital organizes experts to go to the community health Center to diagnose, make the rounds of the wards regularly, launch the technology lecture; Accept community's medical worker and receive a training of study and short-term cultivation free, promote community's medical worker clinic diagnosis level. Examine service cooperation, the large hospital resources of rational utilization. Community health Center and public hospital realize progressively the survey report is mutually recognized, patient checks the reduction repeatedly. Strengthen the relation of changing the place of examination bidirectionally, open and change the place of examination in the landscaped roadway bidirectionally. Public hospital doctor " Perform the operation in the daytime " Patient and postoperative condition stability patient turn into the community and recover, has lightened patient's burden. Community's medical worker instructs residents how to change the place of examination to the corresponding training advantage hospital according to the condition, realize progressively " Small disease enters the community, serious disease to the hospital, recover back to the community " .


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