The clinic at night of capital community is being tried to support

The clinic at night of capital community is being tried to support
From July 1, Beijing City Area 24 community health Centers offers 24-hour medical treatment to meet an urgent need and handle serving. This just means, no matter when residents have the demand, what even there are a piece of cold and fever at dead of night, can all go to the community health Center to seek help at any time. Nowadays, the action convenient for people of this medical treatment has already been put out for 4 months, what if pilot project develop? How is the result? What questions are met? In the first ten days of November, reporters are taking the doubt, visit Dongcheng, Xicheng, Fengtai, 4 districts and 8 pilot community health Centers of Shijingshan at continuous night. Ringing a doorbell has doctors to open the door at 10 past 20 on November 4, the reporter comes to Dashilan community health Center in the capacity of patient, iron bar lock, but the electric bell installed outside the gate is very striking, listed and indicated " the emergency call please ring a doorbell at night " on the wall . The reporter pushed the doorbell, less than one minute, a doctor opened the door. Come into this community health Center, the reporter sees that has medical workers on duty to register the room, dispensary, complete doctor's guards' room, total guards' room. At 25 past 20, the doorbell of this community health Center sounds again, a guy of southern accent because " throats and heads ache very much, arms, the leg often ache too in the last few days " Come to see the doctor. The guy comes to Beijing to work as a temporary labourer, rent house to live nearby. Felt headache becomes more serious, the neighbour tells him " nearby Dashilan community health Center seem to see the doctor too in the evening " after supper . Through the blood routine examination, the guy is diagnosed as upper airway infection, the doctor writes a prescription and combines infusion for him. The guy says: "Have never expected so late, the community health Center of Beijing still can see the doctor, and needn't line up. " When the reporter reached the community health Center of West Chang'an Street, it has already been 35 past 21. Still brilliantly illuminated in the hall of this centre, there is a patient to have a blood test to test the window. At 23 o'clock, the reporter comes to the elm community health Center of cattail pollen, likewise, though already late into the night, complete consulting room, dispensary, laboratory, infusion room, registering the cashier to open normally. In subsequent a few days, the reporter comes to community, octagonal community, Germany of the Temple of Heaven to defeat 5 community health Centers such as the community and interview after 20 o'clock every day separately, find these community health Centers can offer service items such as the complete making a diagnosis, dispensary, testing,etc.. According to the introduction of service Zhang XiangDong, Deputy Director of administrative center of the hygiene of community of Beijing, it is not for difficult and complicated cases or serious disease that community's 24-hour medical treatment meets an urgent need and handles, but in order to meet working clan's common disease, medical demand of the frequently-occurring disease. Emergency call patient's few reporters find in the interview, there are less patients at night in some communities at night in some communities. In 8 community health Centers that are visited, there is over half on average every night (from 20 o'clock to next day 8 o'clock) Only have patients of 1 3. Have not much too, cattail pollen patient of emergency call reach about 30 people average night such as community health Center such as elm. One on duty complete doctor tell reporter whether will welcome, go to a doctor little peak 17 o'clock to 20 o'clock generally. And since 20 o'clock, there are few patients coming to go to a doctor, especially almost have no patient after 23 o'clock. "Without patient, I put ' the health contract ' signed with residents in order, improve resident's health file in the evening. " This doctor says frankly. It is not the pilot project that this 24-hour medical treatment meet an urgent need and handle that six li collects the community health Center, but offered the emergency call at night in 1990. According to this Liu YunJie, director of centre, according to the actual conditions of the emergency call at night, community health Center this plan, cancel night emergency call, the clinic is lengthened to 30 past 21 the daytime at the same time. For why want, cancel night emergency call, YunJie Liu provide such one figure (time slot from 21 o'clock to will it be 8 o'clock next day) : Go to a doctor patient 16 people from July 1 to 20, go to a doctor patient 19 people from July 21 to August 20, go to a doctor a patient 6 people from August 21 to September 20, 6 visit patients from September 21 to October 20. Liu YunJie says, less than a persons of patient of the emergency call at night every day on average, and with the arrival of winter, there is fewer and fewer number of people. Another person must work day and night in most community health Centers and face the shortage of staff problem if a person asks for leave. According to the statistics of Beijing Municipal Health Bureau, since 2007, already 2235 people have left our unit in community's medical worker, account for 10% of the total number of hygiene personnel of community of Beijing. Another investigation reveals, the will that 36.9% of the community hygiene personnel leave office. A lot of persons in charge of the community health Center which the reporter visits say, increase and meet an urgent need after handling serving, to community health Center where there was originally not many medical personnel, talent's scarce question seems more outstanding. "A turnip and a hole, if ask for leave alone, another person should work day and night at night of daytime. " A community doctor says. A doctor of Germany who defeats the community health Center says frankly, hands of service centre do not have enough, transfer the doctor, nurse to support from 7 hygiene service stations that are had under its command in turn every day, guarantee that there is enough medical personnel at night. And is transferred doctor and nurse on night shift, some will get back to the service station of the hygiene to continue working in the daytime. This kind of situation exists in the other community health Centers too. Many complete doctors say, pay a home visit in the daytime, also want the emergency call at night of watch in the evening sometimes, really very arduous. Zhang XiangDong says, the society is in charge of centre's investigating the pilot project secretly and supervising and guiding, has found these difficulties that the community health Center meets. He says, during the end of this year, will carry on the assessment, report according to the overall situation, and put forward the next working suggestion. One expert point out community the intersection of hygiene and service organization turn on clinic to can remedy large-scale the intersection of hospital and medical the intersection of resource and nervous problem night, common disease, chronic disease patient needn't take working time to see the doctor. But since a pilot project, should encourage every community health Center to make the next work program according to work load and patient's demand during the pilot project. This expert points out, advance community's 24-hour medical treatment to meet an urgent need and handle, will follow up from policy in introducing talents, increasing input etc. at the same time, could let this Huimin action be implemented better, leads residents to go to a doctor according to level.

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