The elimination of "convenience clinic" should have alternative measures

The 2017-09-05

Source: health report

- zhi-hua luo

Recently, a large hospital in yunnan province and shandong province has cancelled the "convenient clinic". It is reported that the opening of "convenient clinic" is to facilitate the patient to take medicine and check, but as the hidden danger gradually revealed, the large number of large hospitals cancelled the service. (worker's daily, August 30)

The reason that big hospital cancels "convenience clinic" is more sufficient, besides considering security factor, it is to adapt to current medical reform situation more. Because go to "convenient outpatient" prescribing medicine, many is already confirmed and the patient that is stable, they actually should go to the primary care medicine. Big hospital still reserves "convenient outpatient", it is in and primary hospital to rob a patient, will let "big hospital overcrowding, small hospital door is lark" the problem is more difficult to resolve.

Many large hospitals have some historical reasons for opening "convenient clinic". For the overcrowded outpatient clinic, the "convenience clinic" has the function of diverting patients, which can reduce the pressure of the comprehensive outpatient and specialized clinic. More direct reason, it is a long time, many chronic treatment with medicine is lacked of grassroots medical institutions, even if has been confirmed and patients in stable condition have been flocking to hospitals.

Cancel "convenient outpatient service", however, depends on whether it is necessary to not only, more to see whether have the conditions, when conditions also does not have, even if be necessary, should also be cautious to incrementally. At present, the hierarchical diagnosis model has not yet been forming, some basic medical and health institutions, also do not have enough ability to undertake basic list of essential medicines is not and large hospital, "convenient outpatient service" in this context, will bring some inconvenience, big hospital "convenient outpatient service" the medicine, basic medical and health institutions and not want medicine, these patients had to polyclinic or expert outpatient service sees a doctor, not only time-consuming, but also exacerbate other patients to see a doctor difficult problem.

Cancel the big hospital "convenient outpatient service" is the trend of The Times, but the premise is to have alternative measures, such as the uniform list of essential medicines, let grassroots health institutions also have slow disease needs many kinds of drugs, or by drugs' temporary distribution, satisfy the desire of the patients at home prescriptions. In addition, to establish close medical couplet body is also a strategy, allow doctors and medicine to direct at the grass-roots level, big hospital "convenient outpatient service" will be natural shrinking, by then, even if patients go to large hospital, please see "convenient outpatient service", they won't.