Personnel training and reality disconnect seriously The complete doctor trains and demands the reform urgently

Personnel training and reality disconnect seriously The complete doctor trains and demands the reform urgently
" instruction on setting up the complete doctor's system " which our country will issue in the near future, strive through training the complete doctor's standardization, improve and implement policy of encouraging the complete doctor to serve the basic unit for a long time, make great efforts to solve the insufficient problem of health care talent at the basic level from system mechanism. " opinion " and a series of guidance file of " team's construction plan of health care at the basic level taking complete doctor as the focal point ",etc. issued before this form a complete set, indicate the complete doctor's construction of our country will step into the institutionalized orbit, and right to build the community health Center, advance health care reform, solve the difficult problem of seeing the doctor and play a critical role. However, the training quality of the complete doctor of our country is less than satisfactory at present, so the service offered still can't meet resident's requirement, talent's shortage and strong demand of the medical reform form enormous contrast. The complete doctor offers all-round medical treatment service after Master degree candidate Wei XiaoMing graduates, have gone to Beijing Datun community health Center to work as the complete doctor directly. When the reporter sees her, she is seeing the doctor newly for 52 -year-old Tian Yi. Tian Yi suffers from many kinds of chronic disease such as diabetes, asthma, hypertension newly, the recent heart rate is too fast, but Wei XiaoMing has not only checked heart disease and given medicine, but consider Tian YiXin's whole physical condition synthetically, has opened lipoprotein medicine and ARB depressor of dropping, relieve his blood pressure, lower rhythm of the heart. "Complete doctor to treat people and is in health or disease state from physiology - psychology - society, making a diagnosis to the patient is the comprehensive diagnosis of regarding people as the centre and treats, the treatment chosen is according to patient's situation, provide the relevant means such as control of diet, kinesiatrics beyond drug therapy. " The way filial piety musical instrument of the complete professor of department of medial science of Capital University of Medical Sciences tells reporters, " the complete doctor is such modernized medical diagnosis mode practitioner. " It is obviously different that the training clinic in the like this medical service modes and hospitals serve. In our country, the medical mode of the large hospital is to regard disease as the centre, serve as the main fact with the training, the doctor usually only carries on the differential diagnosis of symptom to the patient in terms of training engaged ined by oneself. "For example, woman patient's abdominal pain caused by ectopic pregnancy goes to see doctor, entering will pay checking from the digestive system to digest department's doctor; Get the ob-gyn will check from gynaopathy. If the patient goes to a doctor in the community health Center first, the well-trained complete doctor checks the law will differentiate true condition quickly by arranging, and give the patient to the corresponding training doctor and guarantee to treat and cure time. " Filial piety musical instrument explains, this kind of disease judges the difference on, it is different from training to come from the education that each class doctor receives on the road. What the doctor in every professional department of the hospital received is trained by each professional doctor, complete doctor working in the community health Center, that was accepted is the complete medical training. " gatekeeper " Complete doctor of six major functional positioning, is considered to be the resident healthy " gatekeeper " ,The functional positioning to the complete doctor of countries all over the world is roughly the same, the functional positioning to the complete doctor of our country is in community's medical treatment, keeps healthy, prevents, recovers, health education and 6 contents of birth control, the purpose is to serve residents provide convenience, economic, effective, continuous comprehensive health care, carry on the management of the life, health and disease all-round responsibility type. Wei XiaoMing's routine in the community health Center, besides diagnose every daying, still follow more than 20 patients of hers for a long time, inquire their health condition regularly, set up health file for them, offer regular health care guidance and suggestion, adjust guidance and use medicine in time, urge their physical examination, help to come down with a acute disease patient to change the place of examination to the large hospital. In the intersection of community and slow the intersection of disease and subject research of management, community health Center that XiaoMing Wei belong to carry on sample investigation to the intersection of community and health status and the intersection of danger and factor of resident, analyse morbidity and different age brackets proportion of chronic disease according to the data. "The proportion of hypertension of our community is up to 22%, there are many cancer patients, and the proportion of the cervical vertebra disease is very high, this had not expected originally, also we will track, implement the focal point on management and health education at the health in the future. " "While the resident is trained from three to five complete doctor, though carry on the department and train in rotation like specialist, train the requirement for the system according to the complete doctor of our country, the complete doctor holds clinical knowledge and skill more extensively, deal with the community resident. Its multi-disciplinary comprehensive judgement and guiding ability but it is specialists can't be obtained. " Complete medical professor of training center Guo AiMin of Ministry of Public Health introduces, when the complete doctor meets difficulty miscellaneous disease and serious disease patient that the country stipulates to need to go to the large hospital to treat, can change the place of examination effectively accurately; The patient is after the hospital gets back to the community, they can also continue following and treating, let the patient reach the psychological or physiological best recovery result. Strictly speaking, the cultivation of the complete doctor is moulding " masterpieces " . " group " Management benefited a thousand ten thousand " chronic disease it manages to be work of group, patient I administer, if chronic disease such as diabetes, coronary heart disease, vascular disease of heart brain appear, I will organize the recovery doctor or other complete doctor's team unity in the group, popularize and educate, follow their health state to them continuously relevant health knowledge. " As the leader of medical management of the community health Center, complete doctor and recovering in the doctor and group of composition of personnel of hygiene to launch the health control, it is mode and means of the complete doctor's work. The materials reveal, after implementing the complete doctor's service mode since 2006 in Dongcheng District, Beijing, complete doctor's group and resident have established relatively stable service relation. Each complete management of doctor's group and 14 working grids on average in Dongcheng District at present, serve more than 1000 residents, the whole district has set up 115 complete doctor's groups together, has realized it to resident's grid, equal health control that melts. They have set up individualized health file for all slow disease patient and high-risk group on the basis of health databases of people of the whole district, with community residents, especially the key crowd has signed the health control agreement, do not offer and classify and normalize to manage with long-term the whole lifespan healthily the crowd for the disease, already disease healthily. Filial piety musical instrument thinks on the road, " group management " in complete medical treatment The way, not merely can organize experts to hold a consultation, coordinate and change the place of examination for different disease individuals and crowds, offer and sift examining, health education and psychological consultation in early days to the crowd with different ill risks, to strengthening the nursery work of weak and sickly colonies such as old man, child,etc. at the same time, health idea and disease of strengthening community residents take precautions against purpose Know, have positive function. Construction of discipline no? Does the sedan-chair wave the postscript and saute persimmons? At present, it is becoming " bottleneck " which is advancing health care reform of our country that complete medical talents are insufficient . There is member of the CPPCC National Committee that calls upon during two Conferences this year, the country should allocate one to two the above complete doctors who receives good education and training in each community and health clinics in towns and townships within two years, difficult problem of seeing the doctor in order to relieve. Guo AiMin thinks, realizes there is certain difficulty in this demand. If you want to break this bottleneck, build the problem in discipline badly in need of solution. "Our country can not still carry on formal training to the complete doctor like countries such as Great Britain and American,etc. at present. " Study the universities and colleges in 128 specialized medicine of clinical medicine recruited in our country at present that Guo AiMin analyzes, ", has offered only 63 of " complete medical science " course by the end of 2010, among them though 12 practise the community, but it is only 4 class hours to practise time on average, the communities of the other schools basically just go to the community to have a look having a glance at to practise the content. " In addition, except 5 hospitals such as the hospital of, Shao Yi of Zhejiang University, Fudan University Zhongshan hospital, the other tertiary first rate hospitals of the whole country have not set up the complete medical subject or complete medical teaching and research room. " In the annual national complete medical training project is supervised and guided, Guo AiMin still finds, complete medical teachers not only the quantity is obviously insufficient, but also quite a few of teachers find out about community's hygiene service properties incompletely, can't implement training pointedly, make the result of training give a great discount. In addition, high-level teachers that the tape teach can really on community's teaching base be few, also the important factor of influencing training quality. "Though our government pays much attention to the construction of complete medical science, some cure the understanding and uncomplete which study universities and colleges and hospital, set up complete medical subject or functional demand of teaching and research room non- clear as to the tertiary hospital, even misunderstand to some extent, lead to the fact the construction of discipline is uncomplete, personnel training is serious and insufficient. " Guo AiMin says. (the intersection of reporter and the intersection of snow and red moon Wu Zhao)

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