Everybody will have one's own family doctors

Everybody will have one's own family doctors
The staff reporter lives in the octagonal street of Shijingshan District of Beijing gently and quietly and builds the Nan Li community 54 -year-old Li Xue wide lady of steel, the afternoon of October 16 come to the octagonal street Tiyuguan Road community health station. Familiar with Zhang WeiLin doctor, she of health status, look over medical manual of Ms. Li, inquire use medicine and physical condition and make, assess basically, open for her a box is constructed intelligently and reached and new in a box of spit of fland of Lip river. Ms. Li says, stand at the gate of home in hygiene, disease will need to stand in a long queue, the doctor understands again she suffers from the situation of hypertension, just as she has one's own family doctors. Make Ms. Li in a glad one even more, two medicine these spend 78.90 in large hospital, can stand, only take 66.50 yuan in community's hygiene. In the intersection of Tiyuguan Road and community health station, 330 hall and consulting room are neat and bright inside the station. Complete consulting room, recovering in the physical therapy room, infusion room, stomatology department, department of traditional Chinese medicine, surgery Every class consulting room is all available; Chair, fast blood glucose appearance, complete doctor make a diagnosis appearance,etc. to make a diagnosis and recover self-containedly to wait. This hygiene Li YaHong, head of service station says, community's hygiene serves and puts emphasis on regarding health as the centre, but not regard disease as the centre, its serivce object has both patient and healthy people. The community health station examines blood pressure, holds the knowledge lecture of health free for residents, still offer to the elderly having difficulty getting about, chronic patient,etc. and make house calls, make them can be attended to and cared for and guided healthily without going out of the door. At present, such a community hygiene service organization stands like the hygiene of octagonal street Tiyuguan Road community, have already spread all over the country in each city. The statistic offered in hygiene office of department's community of society of woman of Ministry of Public Health reveals: By the end of 2007, the national all cities above region have already launched community's hygiene services, launch 829 areas under the jurisdiction of the municipal government of community's hygiene service, accounts for 97% of the total number of national areas under the jurisdiction of the municipal government; Launch 328 county-level cities where community's hygiene serve, accounts for 89% of the total number of county-level cities. Set up 6340 community health Centers together in the whole country, more than 20,000 community health stations. In some large and medium cities, residents can basically reach the hygiene service organization of a community while walking for 15 minutes. Since 30 years of reforming and opening up to the world, the urban hygiene industry of our country has grown a lot, the setting-up of the safe, effective, convenient community hygiene service organization, exactly advance a great achievement produced accompanying by the system reform of the medical and health thoroughly. In February of 2006, the State Council printed and distributed " instruction on developing urban community's hygiene service ", 2006, have held the urban community's hygiene working conference for two years in succession in 2007, has offered the policy and assurance of organization for development of community's hygiene service, develop the intersection of community and hygiene, serve, dominate to the government dominating changing from department progressively. Regional government issue policy one after another, construct the good hygiene of community, serve the environment for masses. In order to help residents seek medical advice, the intersection of Wuhan and city to reach the intersection of community and the intersection of hygiene and crowd that service organization go to a doctor implement, exempt from ordinary clinic, register, make a diagnosis, inject serve, make a diagnosis and the intersection of care and expense in hospital " Five exempts " Policy, check to the intersection of implement the intersection of blood and routine, the intersection of urine and routine, the intersection of stool and routine, liver function, chest completely, electrocardiogram,etc. and individual event, personnel of low insurance, expenses reduce or remit 20% " 6 make a reduction of " Policy, reduce or remit the expenses, offer, subsidize by government, reduce to diagnose the illness expense citizen greatly. Wuhan also plans to set up the brand-new family's health file in 3 years. Uncle Tang living in the yellow street of crane's floor of Wuchang district had thinking oneself very healthy all the time in the past. The doctor of yellow community health Center of street of crane's floor is at the time of his free physical examination, find he not only has essential hypertension, but also there is slight diabetes. The medical personnel of the community health Center sets up the specialized file of the management of chronic disease for him immediately, ask large the intersection of hospital and doctor hold a consultation for him, go on, visit, look at to the doorstep to him regularly, guide the intersection of he and administration and reasonable diet. From this year, " management of two lines of revenue and expenditure " taking ensuring resident's basic medical care and public health service as purpose Comprehensive reform in the intersection of Zhejiang Province and the intersection of Hangzhou and the intersection of city and every district, county ' Market) The hygiene service organization of the community launches in an all-round way. " management of two lines of revenue and expenditure " Main content is that last community government, hygiene service organization " live on the regular pay by the government " ,Salary, bonus, operating expenses and other every funds of all personnel of organization, by the commitments in full of the government, include in financial budget management. Meanwhile, the special family of finance of turning over area fully of all incomes which the hygiene service organization of the community produced. Pass the such one " Revenue and expenditure are separated " Reform, cut off the medical worker interests chain from source, break off chasing the favourable motive of the service organization of the hygiene, impel it to come back public beneficially. The intersection of Hangzhou and mayor in pilot unit one of celebrate tide chirp director of community service centre Zhu YueWei say once, implement " management of two lines of revenue and expenditure " ,Have reduced resident's patient's expenditure of hospitalization cost on one hand; On the other hand, fine the lazy mechanism through rewarding excellently, impel the medical worker to " move round resident voluntarily " . "The hospital goes to the community to investigate resident's satisfaction regularly, its result is got in touch with our bonus directly. " Doctor of community service centre DaoTing Li this say the the intersection of examination and another one that mechanism bring it is comes out that, lead the medical worker to run more public health services such as community's health education, prevention and health care,etc.. "Included and only followed and wrote a prescription the hook in the past, enter one to do health education now, such public health services as chronic disease was checked can be regarded as the work load. " Li DaoTing says, everybody no longer stares at " writes out a prescription " closely ,there are like colleagues, until energy place on " wrap up by slice " on she Medical treatment of resident of the community, keeping healthy, preventing and recovering,etc. is at work. " management of two lines of revenue and expenditure " Pass the attempt of nearly two years in Hangzhou urban area, the effect is obvious. According to newest data compared with the same period of last year, clinic person, rate of utilization of the berth, resident's diabetes and managing rate of hypertension norm improve in the whole year of all pilot unit, the filing rate of family's health file rises at double, the medical personnel makes the number of people of the community service, enters the domestic service person to increase, hospitalization cost once of per person, the bed is average daily the fee drops in hospital. The relevant persons in charge of Ministry of Public Health say, community's hygiene service has further reflected function and human-oriented service theory of government's public service, last public health service where government offer the China one urbanite free and conveniently, low priced medical cares basic, the community cures completely the division team will offer overall health service for every resident, everybody has one's own family doctors who will change reality progressively.

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