It is a marrow of community's hygiene service to be human-oriented

It is a marrow of community's hygiene service to be human-oriented
Fudan University subsidiary the intersection of Zhongshan and the intersection of hospital and complete medical the intersection of department and Yang grasp how human-oriented spirit implement in the medical practice brightness, need exploring constantly. Know the cultural and educational attribute that community's hygiene serve correctly, strengthen practice, raising personning will serve to trust to community's hygiene the respect is very important. Complete medical science promotes the medical mode to transform with the development of economy, culture, people's improvement progressively of understanding of the self-value. Maslow " The level needs the theory " Think, people are required to be from low to high physiology, various " need the level " of security, social activity, respect and self-actualization Composition. In people's physiological demand, for example after the food and clothing basic necessities of life is satisfied, he has a safe and social need, there is need of receiving the respect and self-actualization. The sick person is still the people, they need to be respected even more from physiologically or psychologically; Get well, became primary goal of their self-actualization even more at this moment. And the medical care under the biomedical mode, is often contrary to this kind of demand. Because factors such as the biomedical achievement,etc. cause people's life-span to lengthen, aging population is becoming more serious, a large number of regression diseases, cause people " life style disease " caused by eating more moving few, bad hobby and environmental pollution ,It has already become modern's life and healthy main killer that such as heart cerebrovascular diseases, cancer, breathing problem etc., this makes to pursue biomedicine that is cured simply to have more visitors or business than one can attend to. Just as will it be later stage the 20th century until building, movie TV,etc. take place so-called a confrontational to inclined to one in the field " And then modernism " The same, at the time of the high development of biotechnology that medical science is here, put forward the question that the medical mode was transformed too at last in the seventies of last century, medical science should be turned from the biological mode into the living beings - psychology - social mode. Living beings - psychology - proposition requirement people of the social mode are from the system theory, thinking aspect of the whole theory, understand people's disease and health problem in an all-round way. The relevant proposition proposes to be approved immediately, but concrete medical treatment is practised and far from keeping up with. Complete medical science is a special medical discipline of incorporating biomedicine, behavior science and social science into an organic whole, the reason why can get fast development last later stage in century, because it bore the weight of the conversion of the new medical thinking system in fact, turn the transformation of the medical mode from theory into reality. Complete medical science meet the intersection of community and hygiene, it serves complete medical science to be whether one door have particular medical training of idea their even more. So to complete medical science, instead of emphasizing a piece of " the whole " The word, it would be better to emphasize one " specially " Word. Certainly this is not medical treatment of training " Specially " ,But medical on the idea" Specially " . Emphasize the human-oriented idea, it should be the characteristic that complete medical science is different from other trainings. Certainly not get on very well theoretically, each subject of medical science should be human-oriented. But complete medical science should regard its deep cultural and educational spirit as the characteristic even more. Respect people's value, respect people's personality is the intension of the humanism. By the look of medical science, disease that community's medical treatment needs dealing with is mostly some early, diseases not splitting up yet; It is some ones that since restrict, disease of more psychology, social aspect question, disease that even needs lifetime medical care of one that and recover. So, the medical care of complete medical science can meet the demand for community's medical treatment even more. Because of disease still in early days and and more for psychology, social issue of aspect, or enter, recover one already, the patient is needing humanized service even more subjectively. The doctor should regard the patient as a sick one " People " ,The person who there are distinctions to be passionate, the person in a social life. Should consider according to patient and his will, characteristic and social background of the family while offering medical science service for patient and his family. Medical science should pay attention to people and better than paying attention to the disease, it is better than paying attention to pathology paying attention to ethics. Community's hygiene service also includes medical science such as preventing, health care, health education are served, treat patient, serve healthy people, so as not to suffer from on right. So human-oriented cultural and educational spirit is not merely a characteristic of complete medical science, also should be a marrow of community's hygiene service. The cultural and educational attribute government that should pay attention to community's hygiene, serve pays close attention to the people's livelihood, pay attention to developing community's hygiene service, there will be the equipment condition of the community health Center or have very great improvement soon. On management, pay attention to convenient, but and, warm service one " The software " Construction. The cultivation with hygiene attendants at the basic level, it is the key to improving community's hygiene service level, this has already generally paid attention to regional health authorities. But look on the whole, pay attention to being more improvement with technical speciality, paying attention to the cultivation of health care attendants' quality still needs to add. In the medical practice, the embodiment of the professional ethics is ubiquitous too. For example it is the medical thinking of offering the best evidence for clinical medical treatment to follow medical science of the card. The best evidence was obtained through the random grouping controlled study of the big sample, say generally it is undoubtedly correct. But the old men of many kinds of diseases, though hepatitis B and virus are infected, but may not need antiviral treatment either. And then for example generating heat might not need infusion, might not need to cough to perspect waiting a moment to need the doctor to make a diagnosis diligently. Put forward in recent years " Comparative therapeutics " ,Require the doctor to compare acceptability of various curative effect of the scheme, side effect, spending, patient of making a diagnosis,etc. synthetically, confirm a kind of concrete scheme suitable for a certain patient is carried out. Individualized medical treatment is the human-oriented medical treatment, it is a characteristic of complete medical science, have reflected the deep cultural and educational spirit of medical science. (The author is a subsidiary clinical practice professor of hospital of Zhongshan of Fudan University, doctoral supervisor; Hold Chinese Medical Association's managing director, complete medical branch's General Board concurrently. )

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