Make infusion treatment essence

The 2016-06-08

Source: health

Chief reporter yan 龑 our reporter Zhi-yong liu Feng Lizhong

Several provinces will cease to big hospital outpatient infusion of news, discuss whether drew towards the industry. Around cancel outpatient infusion, experts say, doesn't mean the hospitalized patients can't infusion; And promote reasonable transfusion treatment, should not stop at cancel outpatient infusion.

Alert to infusion to emergency and community

Will cancel the big hospital outpatient infusion, there will be no reasonable transfusion requirements of patients transferred to the hospital emergency department or community medical institutions, evolved to change a place to hang bottle?

According to reporter understanding, the vast majority of cancel outpatient infusion of hospital, has taken corresponding quality control measures, to prevent unreasonable infusion to the emergency department "foster". XiaoLin, director of the guangdong province shenzhen baoan district people's hospital outpatient department, department of the hospital quality control on a regular basis for outpatient emergency infusion of medical records and prescription for review.

But there are still a experts point out that part of the medical institutions of the emergency department because of the lack of triage system and brought together a large number of emergency patients, undertake the task of the hospital most of the iv fluids, "abolish all outpatient intravenous fluids will aggravate the emergency work, induced demand remains to be seen, such as hospital".

Filled the outpatient transfusion room 20 chairs, some patients have to waiting area infusion to the outpatient service hall, this is a reporter recently in the southern city community health service center of the scene. "The current outpatient infusion rate of 18%, although less than 20% of the provisions of the state, but it is still too high, community infusion rate at 5% more appropriate." The director of the center said, the big hospital outpatient infusion control more and more strict, often have the treatment of patients with large hospital open single infusion to the community requirements.

A community doctor also revealed to the media in Beijing, the city shut down some big hospital outpatient infusion room, not strictly controlled infusion therapy, but open infusion prescription and drugs, "sent to the community in patients with infusion". The temple of heaven in Beijing, said frank zhao, director of the hospital pharmacy basic-level hospitals in transfusion safety risk certainly higher than the large hospital, should be regulated.

Commissioner of health and family planning commission of zhejiang province medical administration medical tube, said yu nahuy abolish all big hospital outpatient infusion did not appear similar situation in zhejiang province, some community outpatient infusion of medical institutions and even the different degrees of decline, "through personnel training, academic activities, such as large hospital played a guiding role in the grass-roots".

Reasonable transfusion still need the parties to work together

At present, the Chinese government has not yet been issued by the competent department of clinical guidelines, reasonable transfusion medical institutions fail to establish a reasonable transfusion management system and organization.

Recently released the first infusion security expert consensus, points out that the government departments should be reference for the clinical application of antibacterial drugs guiding principles of mode, establish the rational use of transfusion guidelines, clear the clinical indications of infusion and unnecessary infusion of clinical indications; Organized by association of industry society, draw lessons from foreign experience, pharmaceutical, medical and nursing experts, pathology experts such as written release iv clinical guidelines. Frank zhao, said the guide should be made to accord with the China's national conditions, we consider the assessment and management of the transfusion patients, more to pay attention to the best infusion quantity, types of infusion speed, liquid, choice of common problems, attaches great importance to the education and training of medical personnel.

Expert proposal, the government department should also include transfusion management in hospital management target responsibility system, set up hospital clinical transfusion safety management system, set up a management team and professional technical team, strengthen the monitoring, evaluation and training of clinical transfusion application.

The Beijing hospital authority, said an official with the relevant departments of the city does not require 22 city tertiary hospital uniform cancel outpatient infusion, but by use of medicine proportion, antimicrobial agents, the prescription and percent of pass, outpatient infusion rate and a series of indicators of comprehensive performance evaluation to promote the rational use of transfusion. 22 city tertiary hospitals of the city's average outpatient infusion rate, from 4.46% in 2014 to 2.85% in 2015.

Wu Chao, vice President of the drum tower hospital of nanjing, jiangsu province, said cancel outpatient infusion is a kind of control transfusion abuse only means, but for many to accept chemotherapy of tumor patients in the day, and there is no need to transferred to the hospital or emergency room, outpatient infusion with space should also. Promote reasonable transfusion, he says, there is another important foundation, is to speed up the reform process, make the medical behavior, including infusion, return to the pure treating patients.

Infusion fees charged by the experts say, some hospitals not only, and charge fees, medical rescue fees, even "outpatient infusion was booming, largely because is the result of the interest guide". This aspect suggests a as the medical fraternity space, on the other hand also show that the regression nature still need to set up reasonable compensation mechanism. Future will ban the outpatient infusion gradually pushed across the country, making compensation mechanism is essential, otherwise cancel outpatient infusion, excessive treatment may appear in a new way.