The last kilometer to slow disease of traditional Chinese medicine service

Time: 2017-12-15
Source: China's traditional Chinese medicine
Author: Chen meter wisdom

Xiamen wo mountain community LaoZheng couples suffers from diabetes, high blood pressure, and go to large hospital, all the year round every time from home to the hospital sees a doctor, take most of time. A physical examination, LaoZheng couple learned that the municipal hospital diabetes specialist Cai Chuanhai also visits in the community. So LaoZheng couples follow Cai Chuanhai came to xiamen traditional Chinese grain mountain community health service centers. Several sessions, LaoZheng couple of blood pressure, blood sugar control well. Saves time, but also enjoy the high quality services of traditional Chinese medicine, LaoZheng couples to community service center was full of praise!
In recent years, xiamen city, fujian province will insist on \"three division condominium\" (specialist), general practitioners, health management classification, the combination of appropriate technology for diagnosis and treatment of traditional Chinese medicine (TCM) and guide the large hospital of traditional Chinese medicine experts dispatching to the community, to develop Chinese medicine experts grassroots DaiTu, promote community doctor of traditional Chinese medicine service ability, perfect the slow disease classification diagnosis and treatment work.
Chinese medicine for the medical community to raise service coverage by the diagnosis and treatment process
Since 2015, xiamen traditional Chinese grain mountain community health service center will be combined with appropriate technology for diagnosis and treatment of traditional Chinese medicine (TCM) and at different levels, adhere to the \"emphasis on raising medical combination,\" as the core of health services, to provide the daily care, rehabilitation therapy of traditional Chinese medicine, etc., at the same time, let the chronically ill enjoy full \"d have combined with\" service.
56, aunt huang lives in mount longhu garden street, have high blood pressure, diabetes, for a long time. Eight years ago, because of stroke, hemiplegia and left many sequelae. Every time, aunt huang depends on love riding electric bring her to get to the Amoy area of the large hospital, rehabilitation and open daily drug, frequent travel, let aunt huang is very depressed.
Once, aunt huang and lovers walked into the community health service center of xiamen city hospital of hetian mountain health hut, try holding the attitude, find the doctor of physiotherapy treatment qing-hua Yang. Ching-hwa Yang after hemiplegia classification evaluation and identification of the aunt huang, formulated the rehabilitation treatment, 1 years through exercise therapy, massage, acupuncture and moxibustion treatment, such as aunt huang originally extremely stiff limb, the activities can be mild, hemiplegia from Ⅱ also improve the Ⅲ level grade, blood sugar, blood pressure stable. Now, aunt huang can offer 42 days of a drug. After signed a contract with the family doctor, can also direct side, mailed to home, solved before aunt huang frequently prescribe for the inconvenience.
In recent years, the policy support, the xiamen city grading diagnosis and treatment in patients with primary clinic experience has been further improved, the clinical sign slow disease patients can enjoy merits, is reduced to a big hospital in line, and save the outpatient costs, reimbursement ratio higher, drug spending less.
Chinese medicine experts grassroots DaiTu enhance the level of clinical diagnosis and treatment
To enhance the level of basic services of traditional Chinese medicine and convenient community masses go to a doctor. Two years ago, xiamen, health and family planning commission to conduct Chinese medicine expert teacher DaiTu work at the local level. At the same time, guide the large hospital expert sink at the grass-roots level, teaching community general practitioners. And tertiary hospital doctors responsibility.it and linked into the community, to assist in the training and teaching of traditional Chinese medicine into the community special subsidies.
Xiamen city hospital endocrinology ing-ming chiu, director of the visits to the community in 2013, found that gp at the grass-roots level in daily work, using the skills of traditional Chinese medicine is less, effect is not ideal in the treatment of common diseases. At the municipal health and family planning commission issued Chinese medicine experts to grass-roots division DaiTu scheme after DaiTu ing-ming chiu is involved in the division work, help the community general practitioners grasp the skills of traditional Chinese medicine, community service the masses.
\"Strong community atmosphere of traditional Chinese medicine, doctors have mastered many skills of traditional Chinese medicine, let patients spend less money, like a disease, greatly improved the trust service to the community in patients with traditional Chinese medicine.\" To carry out the division DaiTu for two years, ing-ming chiu see changes in the community. He thinks that Chinese medicine experts on a regular basis to visit at the grass-roots level, not only to drive the TCM diagnosis and treatment level of grassroots, also let the perimeter of the patients in community began to trust in traditional Chinese medicine.
\"Before, the community services of traditional Chinese medicine is relatively single, the credibility is not high.\" About big hospital of traditional Chinese medicine experts to the change of the community after the teaching, xiamen traditional Chinese grain mountain community health service center director Xu Guoshan said, now, by experts at the grass-roots level of traditional Chinese medicine division DaiTu, center of Chinese medicine service ability up, doctor of traditional Chinese medicine skills have improved, using traditional Chinese medicine treatment methods. From Chinese medicine yinpian to acupuncture, traditional Chinese medicine sticking, moxibustion of TCM appropriate technologies, such as residents to accept service of traditional Chinese medicine compliance raised, cure curative effect is good.
\"Big hospitals in dispatching of traditional Chinese medicine experts and business guidance, through the pass, help, belt, comprehensively enhance the service ability of traditional Chinese medicine of grassroots health workers and business level.\" Xiamen, health and family planning commission, deputy director of wang Yi green, said the next step, the municipal TCM experts into the community work, will gradually expand coverage, mainly from island to island, let more people in the community health service center will be able to enjoy the features of traditional Chinese medicine. By the end of 2016, xiamen traditional Chinese medicine experts in community work expanded to 23, a total of 195 experts under the community, teaching general practitioner of 250 people, promote grass-roots service ability of traditional Chinese medicine.
Slow disease sinking at the grass-roots level to promote traditional Chinese reforms
In recent years, xiamen traditional Chinese outstanding traditional Chinese medicine in the management of hypertension advantage, strengthen TCM doctor in the role of \"three division condominium\" service system, the existing \"three division condominium\" team for structural adjustment, the establishment of Chinese medicine expert group, select the corresponding treatment, prevention and curing methods, vary from person to person's intervention, to improve the physique, syndrome differentiation treatment, patients enjoy all the services of traditional Chinese medicine.
\"Hospital of traditional Chinese medicine experts in all the subjects on a regular basis to visit community health service center, patients in the community, not crowded, and there was a general practitioner diagnosis and treatment.\" Xiamen city hospital, vice President of the former choleric bin said that in case of sudden illness, patients with gp can telephone consultation with the superior hospital experts, at the same time, realize the two-way referral, transfer patients to the superior specialized subject hospital treatment. Patients in stable condition after, can back to the community again following treatment.
Xiamen city hospital expert visit, in the center of the community health service knowledge training of general practitioners, and invite the patient to listening to lectures at the scene. After the course, experts recommend patients community general practitioners, let patients know about community physicians. Make a diagnosis and give treatment scheme under the guidance of experts in tertiary hospital, gradually to slow disease is willing to stay in the community, community trust doctors.
After implementation of hierarchical diagnosis and treatment, the xiamen city hospital and community health service center of the four form high quality medical resources exchange, mutual benefit, mutual aid, and hierarchical diagnosis network coverage in the lake area. Structure change \"hospital clinic of chronic disease, light patients to big hospital reduced, 20% precipitation in the community.\" Of xiamen Chinese GengXue said, now, hospital critically ill patients, complex patients increased, large hospital see a serious illness, incurable diseases, ailments in the community treatment, early diagnosis and treatment results show classification.
\"Three division condominium\" grading diagnosis and treatment combined with traditional Chinese medicine mode at the grassroots level to carry out the appropriate technology, xiamen city, the hospital outpatient amount hasn't actually fell slightly, community MenZhenLiang is a small growth, expanded the influence of traditional Chinese medicine at the same time, received good feedback, the residents of the community is gradually changing people \"sick to large hospital to find experts\" concept. (Chen intelligence)