Consultation center could " Duplicate " Get to the large hospital?

Consultation center could " Duplicate " Get to the large hospital?
Staff reporter Gu Yong has announced the total amount of an emergency call of one one after another in tertiary hospitals of Shanghai recently, such as 2,700,000 persons in Rui Jin hospital, the hospital of Zhongshan is 2,500,000 persons, Yan Chai Hospital is 2,755,000 persons, Huashan hospital is 2,960,000 persons, the total amount of medical care is mostly increased progressively at the speed of 10% to 15%. The clinic of the hospital remains high, except that patient's quantity increases, it is a great reason too to go to a doctor repeatedly, check repeatedly. " whether one seek medical advice Carlos think everywhere " ,The patient diagnoses the illness and checks and likes " Get a good buy by shopping around " ,Seek the most authoritative diagnosis result from it. How let patient diagnose the illness route to be convenient, reduce the unnecessary repeated inquiries test, check? At present, some counties have already had district level consultation centers, patients do not need to wrap up and walk around, diagnose the result realizes the standard norm; In a few large hospitals, occupied the radiation of the backstage in the department of diagnosing etc. in the past, also already gone to the front desk to serve a patient. Expert's therefore the suggestion, the above-mentioned practice can be expanded to the whole city, set up several consultation centers at city level, let the patient diagnose the illness " Put in right place in one step " . Hold a consultation and enjoy the convenient method to set up the consultation center in unison, has already become reality in some counties of this city. In Changning District, the all community health Centers change the past disposition, no longer offer test checking, image in the department of diagnosing etc. alone. The test data from community, so long as reach the district level consultation laboratory in unison, the report passes back to the community to return to to a patient after providing. Such brand-new attempt has been launched so far already for one year, hospital and common people have applauded one after another. Chief of Changning district health bureau Zhang Ping says, " the limited medical resource structure has been realized and optimized most, the energy vacated can be used on more community services. " A lot of patients say too, can enjoy expert's level to check in each test, needn't be so futile again as to rush about. In some small and medium-sized cities in our country, the regional consultation center has already had embryonic forms for the first time. The reporter knows, Ningbo and other places has already opened the pathological diagnosis centre, all pathological diagnosis has been all dealt with by the centre in the area, the other hospitals no longer offer pathologic discipline. Subsidiary tumour hospital Vice President Professor Du Xiang of Fudan University says to this, "combine medical resources, set up the regional centre, not merely can facilitate a patient effectively, still help to optimize the discipline level, promote overall capacity. " The interests barrier needs to break the above-mentioned successful experience, can " duplicate " Get to the large hospital which patients concentrate even more? The reporter learns in the consultation center that makes a diagnosis, really a plurality of number exists in Shanghai at present, but centre these launch led by medical association, employer's organization mostly, at main function confine mutual exchange, technology among the doctor among the hospital to learn from each other, not open to patient. If the patient needs to hold a consultation, the traditional method is connected each other from medical matters of the hospital, provide and consult about the form, send experts. The expert says, want centralized discipline resources, set up several consultation centers at city level opened to the patient, the interests barrier between the hospitals needs breaking badly. As the national medical center, the medical resources in Shanghai are plentiful, there are more than 30 tertiary first rate medical organizations alone. The subsidiary relevant expert of Huashan hospital of Fudan University analyzes that thinks, should " combine shuffling " to resources again ,The difficulty is not small. First of all, every large hospital competition consciousness is strong, among them auxiliary department's levels such as examining, image, pathology,etc. are indispensable. Admit, check, realize yet mutually among the hospital instantly, want, set up, unify consultation center to be extremely difficult. Secondly, base on the premise that it is insufficient to put into the government, it is still that the economy of the hospital include a great source that various test are checked etc., above-mentioned department in a single day " The independence " Go out, certainly will cause revenue and expenditure out-of-balancely; Moreover, the composition, going or staying of relevant office staff of the hospital of the personnel of the consultation center, also the realistic problem of making the hospital administrator rather troublesome. Follow the prescribed order to assuare expert thinks quality, set up although the starting point of the consultation center at city level is good, but should follow the prescribed order while carrying out specifically. Might as well first since setting up several regional consultation centers to do, for example, the light hospital around the large hospital, if there are very few persons who checks department inquiries test of test, can consider and in the large hospital. Thus, even patient can also enjoy, diagnose while being high-quality in light hospital, needn't rush for the large hospital specially " Roll and make a noise violently " . And to difficult and complicated cases of the high hair partly such as lung cancer, hepatocarcinoma,etc., can be at the cost of government, on the basis of existing clinical medical center, set up several consultation centers opening to the outside world, let discipline resources be relatively centralized, can also offer the clear choice to patient. The reporter learns, Shanghai part hospital with the discipline advantage has opened the independent test checking, image and diagnosed the clinic, for instance East China hospital has opened a hardwood professor in country and read one block of operating rooms, the hospital of Zhongshan opens and radiates and diagnoses clinic,etc., specially consult about and read one, solves and diagnoses the difficult problem for the patient. The expert proposes, it is used for reference in the hospital of Li that this method is worth still having enough and to spare. But because patient large demand have, diagnose, expect much, similar to, hold a consultation clinic of property open, should keep " high threshold " also ,Guarantee the due engineering level.

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