" the expert diagnose community's hospitals " Bombard the disliking of the mosquito big

" the expert diagnose community's hospitals " Bombard the disliking of the mosquito big
Recently, the scheme of medical reform of Beijing causes the concern. While giving an interview, the side of chief of Beijing Municipal Health Bureau comes to Great Britain to say, some operation that Beijing allowed the doctor more, just encourage the large hospital expert to be voluntary according to market demand get to the community voluntarily, to the basic unit to serve in one of the main purposes, in order to remedy the gap of the hygiene talents of the community. The administrative decree pushes the expert to the community, but a lot of specialists, do not meet community's demand. For example an expert who sees the blood disease, drop in community for one day, a patient does not have, the expert is very gloomy, think that has killed time. (www.xinhuanet.com of April 25)
Under the administrative decree, let the large hospital expert diagnose community's hospital, this kind of medical mode is all quite general in all parts at present. The intention of this kind of method is very obvious, but dozen " can take a fancy to experts at the gate of home " Banner come to be community hospital attraction popularity. But I think, this is worth discussing.
A hygiene concept must be clarified at first. Community's hospital belongs to a kind of elementary medical health organ, it was the management of general common disease and chronic disease that was born and are treated. But as the advanced medical organization, patient mainly accepting the critical difficult disease in the large hospital. So, let the large hospital expert go to community's hospital to diagnose, it will often be very apt to fall into a kind of awkward condition, it is the general common disease patient that they meet the overwhelming majority examined, there is " bombard mosquitoes big " It dislikes. Meet critical difficult the intersection of disease and patient accidentally, limit to the intersection of community and medical equipment of medical organization, wait for monitoring device and form a complete set shortage that serve often too. Such a patient, must go back to the large hospital and receive treatment too.
Build normal country and area in most hygiene, community's hospital solves the little calamity of little disease, carry on the management of the chronic disease and treat, come into the community, offer all sorts of hygiene services of health propaganda and education. Community's doctor still bears the responsibility a kind of role changing the place of examination, diagnose those indeterminately, the patient with complicated condition changes the place of examination the advanced treatment of medical organization. Large hospital and their experts, only spent great energy in the making a diagnosis and giving treatment of these critical difficult diseases. This kind of division of labour is extremely clear. Medical experts will seldom appear in community's clinic, will not waste energy and time in the making a diagnosis and giving treatment of those common diseases easily.
Treat those some diagnosis clearly, or common disease apter to diagnose, treating with management, the most important thing is to guarantee to offer a kind of public service, norm, medical treatment that prevents from service in community's hospital. The reason why the hospitals of a lot of communities can not attract popularity, the origin of the problem is lying in this. At present, can not offer that kind of medical care with public trust, the stumbling-block that the low-level, commercialized basic unit makes a diagnosis and becomes the medical reform. And the key to the question, though is talents' shortage, not expert type talents, but the shortage of complete doctor type talents. By the look of origin, this is that hygiene input of government finance owes a debt to the medical organization at the basic level all the year round, in on the intersection of community and doctor train and introduce, lack competitive the intersection of treatment and mechanism, be separated. This is that a medical reform of Beijing stipulates clearly that will give the community the important reasons doctors improve the treatment too.
The long-standing abuse of this kind of system is not solved, experts go to the community to diagnose, the function played will not probably be very big, suspected of abusing expert resources instead, has not used resources in " cutting edge " Have.
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