Hierarchical diagnosis and treatment should focus on the patient to future

Time: 2015-11-30

Source: China's traditional Chinese medicine

Author: Lu Wenhua

Reform gradually into the deep water area, resulting in "medical care" expensive "and" the excessively rapid growth of medical expenses is the main reason of the "doctor". On the promotion of the construction of classification system of diagnosis and treatment guidelines "to" mess ", grass-roots hospitals to carry out the "guidance", the author thinks that, as long as the solution to the patients "to" "to" "leave" problem, "hard" "expensive" "chaos" is solved:

, which patients voluntary grass-roots medical institutions, to do this, mainly from three aspects, one is to strengthen the propaganda, in addition to the propaganda grading diagnosis and treatment of relevant policy, also deal with health institutes to carry out the business properly "marketing", let patients know what we can do, what can provide, what is special, avoid further, blindly go to a doctor. Second, contract signing, to give priority to with service team doctor signing service, between the doctor and the villagers to establish a relatively stable contractual relationship, make the villagers know what ill, each should go, who to find, how to find. Three is the chronic disease, common disease, frequently-occurring disease as the breakthrough point, active service, sit, such as change, keep it away (out of the hospital, the village door), send (send medicine, take medicine), (for area residents to understand their own health, increasing health awareness, consciously cultivate healthy behavior), improvement of grassroots medical institutions and patients awareness of diagnosis and classification and recognition, which changes the original medical ideas and habits.

Stay, mainly reflected in two aspects, one is to keep the medical talent, 2 it is to keep the patient, the former is the key, the latter is a difficulty. In retaining the medical talent, trying to make each staff both treatment, also has the development prospects, let them live a decent, work with dignity. In keeping patients, mainly to solve the suffering of patients, so the technology, equipment, environment, service to keep up.

To that grassroots medical institutions for technology, equipment and so on reason cannot solve disease patients, should be how to action for patients, and to ensure the safe and cheap cases referred to superior hospitals for treatment. In this regard, the author thinks that also want to do it at three, one is to sign referral agreement, ensure the smooth referral; 2 it is must be selective referral, so-called selective referral, is to know what is the specialty, the agreement signed between the hospital patient should be referred to what hospital, to reduce the risk of referral to bring; 3 it is active tracking, turn on the grass-roots medical institutions should take the initiative to understand the treatment situation of patients, and it can not only improve the level of their business, but also can further strengthen the communication with patients, enhance feelings. (the author to santai, sichuan province second people's hospital)