Qinghai provincial hospital and community hygiene service organization changes the place of examination and carries out standards bidirectionally

Qinghai provincial hospital and community hygiene service organization changes the place of examination and carries out standards bidirectionally
Qinghai provincial hospital and community hygiene service organization changes the place of examination and carries out standards bidirectionally
" whether serious disease go hospital, recover, answer community " . The implementation of system of changing the place of examination bidirectionally has offered the system guarantee for the patient's rational distributary and normalization of the medical care order, but " community hygiene service system builds and gets in touch the urban base-line survey report especially " that finish recently reveal, the implementation situation of changing the place of examination bidirectionally at present is not fully up to expectations. This is revealed by mother and child care of Ministry of Public Health and survey report which the hygiene department of the community and medical college of Tongji University of Central China University of Science and Technology finish together, while building and contacting the city in the hygiene service system of 28 communities especially, regard district as the unit, only 36% of the areas under one's jurisdiction are set up and implemented the hygiene service organization of the community and system of changing the place of examination bidirectionally of the hospital of higher level. In 2006, transferred to 212 patients in each community health Center on average, and the hospital of higher level transferred to the patient getting back to the community was only 56 persons, it is zero to transfer to the number of people of disease under many places. On condition that lack the complete head and examine making and medical insurance to restrict at present, really realize that also there is a greater difficulty to change the place of examination bidirectionally. So, are contacting the city to carry on the community and examine and make making and exploration that the medical insurance is being prepaid and made and change the place of examination bidirectionally for the first time especially, look for the breach, set up and improve operating mechanism, this pair constructs two grades of hygiene service system in the city and plays a key role. In the intersection of community and the intersection of hygiene and patient that service organization go to a doctor, what kind of need to turn into the large hospital and going to a doctor in time under the situation? Go back to the community from large hospital, what kind of condition will accord with? A few days ago, reporters knew from the department of public health of Qinghai Province, my provincial hospital and community hygiene service organization changed the place of examination and carried out standards bidirectionally, thus enable " Small disease reach hospital, recover, answer community in community, serious disease " Have it according to depending on. In order to set up and change the place of examination unblockedly bidirectionally, the department of public health of Qinghai Province requires the local actual conditions of the regional foundation, communicative channel of information of exploring and setting up hospital and community hygiene service organization and changing the place of examination bidirectionally, make the management of changing the place of examination bidirectionally. Go from community to the hospital clearly for the first time " Have and rotate " The patient's concrete condition is: Complicated case of difficulty that can't be made a definite diagnosis of; In the great injuries and deaths incident, handle the case with limited ability; Critical patient with operation indication; Because the technology, apparatus condition can't limit diagnosing, therapeutic case etc.. Go from hospital to the community " Leave and rotate " Patient's condition is: The condition is steady after acute treatments, the case with indication of leaving hospital; Need to continue the case of rehabilitation; Diagnose the clear chronic disease case needing to treat for a long time; Case of nursing for the aged; General common disease, frequently-occurring disease case,etc.. According to the regulation, voluntary, the principles of needing, making a diagnosis and giving treatment in grades, changing the place of examination geared to the needs of the job, resource-sharing, continuity service of condition of changing the place of examination and must follow a patient bidirectionally. Besides changing the place of examination longitudinally, the relevant work that also changes the place of examination horizontally well, make the patient get the rational, thoughtful service in such aspects as Chinese medicine, infectious disease preventing and curing and characteristic specialized department. In addition, the department of public health of Qinghai Province requires, the hospital will set up the full-time organization or appoint the corresponding department, responsible for, transfer to patient is unified and coordinated standardizing management, changing the place of examination, working bidirectionally receive at the community transferring to and getting in touch, the landscaped roadway where the noncongestion changed the place of examination bidirectionally, reduce links, the patient offers the facility in order to change the place of examination; Conditional to change the place of examination the patient for the community to reserve the berth; Go to a doctor to the patient transferring preferably, follow " check single and common " The principle, does not do the unnecessary repetition inspection. Meanwhile, the hygiene service organization of the community should transfer the eligible patient to the hospital according to the principle of changing the place of examination in time; The urgent critical patient has while rotating, should appoint the special messenger to escort; To going back to the patients of the community, should offer initiative continuity health control and medical care to the doorstep in time; Playing and transferring to the patient to needing, set up the hospital bed set up at a patient's home according to relevant regulations, offer the health care service. According to the introduction of place division chief Wang of society of woman of department of public health of province, our province has launched the large and medium-sized public hospital in the city and supported community's hygiene service activity at present, 10 large and medium-sized public hospitals in Xining area have signed the coordinated cooperation agreement with 11 community health Centers separately, the medical personnel requiring to select and appoint the title for technical personnel of the above-mentioned 2 intermediates twice every week in the coordinated cooperation hospital goes to the community to diagnose, make the rounds of the wards, hold business lecture and health education lecture, send expert to the community and hold a consultation in time, accept free a medical worker receives a training and studies in the community. (Author: Zhang YongChun)


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