Complete doctor, family doctor, how to " keep goal "

Complete doctor, family doctor, how to " keep goal " for the health ?
Since the medical reform of Shanghai of the leaderette is started in an all-round way, a series of reform measure is producing the positive role of relieving the difficulty and high cost of getting medical treatment progressively: The family doctor offers the complete service to resident, the basic medicine of community is on a price reduction by a wide margin, clinic " a station type " Pay and save the time of lining up, the system of making an appointment is improved and seen the doctor unorderedly But these new measures will unavoidably meet all sorts of difficult problems in the course of advancing, including citizens are not used to and even not understand.

This newspaper will put out the report continuously from this day, will proceed from citizen's personal experience, invite the medical reform expert to solve and doubt that it is puzzled to clear up on the new action of these medical reforms, and propose further improving the measure, in the hope of forming the good atmosphere that the whole society supports the medical reform.

You have any opinion propose, welcome, write letters kjb@jfdaily.com, or send fax 63224119.

Mr. Liu " The doubt of contracting "

Staff reporter Gu Yong

Live Mr. Liu of Xuhui District, hear neighbour contract " family doctor " successively often recently . Mr. Liu who just passed the age of 40 had already presented much inferior health status, he thinks that if a family doctor often consults, may be convenient and many. Then, he specially goes to the nearby community health Center, please teach " signing matters " .

The person in charge of the centre tells Mr. Liu, the family doctor contracted to make and have enough and to spare in two months, the inhabitants can all contract with the family doctor. After contracting, the family doctor will include residents' common disease, frequently-occurring disease in managing together, still can enjoy and increase medicine quantity to see the doctor according to the circumstances, the health is assessed, a series of services of making an appointment and having priority etc.. These family doctors all take on the key link by having the complete doctor of community's hygiene working experience for three years.

After finding out about the quotations tentatively, wonders that there is many Mr. Liu: What disease does complete doctor see on earth? Sound, can all look, and not paid attention to even more the disease has been defended firsted in complete disease from head to foot, this pours and satisfies the need with one's own inferior health status. But, does such a complete doctor have high enough level? If all understood, all and non- precise, " balm " Can the doctor be be in charge of one's own health?

In addition, Mr. Liu is also puzzled: The family doctor is not like one's own imagination " A telephone is at someone's beck and call " Private doctor. The service of the family doctor, are mostly health control and live to intervene, uncomfortable, must also go to the centre or website to look for the doctor inquiries test. In this case, " family " How to reflect the concepts of two words?

Mr. Liu's question mark in brain, it happens to be a great deal of young and middle-aged residents' doubt instantly too. They are not like the elderly the inquiries test, often see the doctor; But their health consciousness is improving progressively, it is healthy and preventing all kinds of diseases to hope to safeguard oneself by family doctor. To puzzled to complete doctor, family doctor by gentlemen Liu, reporter interview the intersection of community and hygiene Pan YiHui, director of administrative center, district of Zhabei, specially.

Expert's question and answer: In charge of standing up the whole family healthily

Reporter: Are family doctor and complete doctor the same concept?

Expert: Family doctor the concept invoke American-European district first. In our country, it mainly refers to regarding complete doctor as main carriers, regards community as the service range, regard family as and serve the unit, and offer hygiene of the health control service for all kinsfolks. The family doctor is a kind of service mode, do not have concrete professional title system.

As for the complete doctor, and " training doctor " whom we knew well in the past Concepts belong to an aspect. The complete doctor has accepted the doctor of the complete medical education, complete medical science is regarded as one modern medical science, it does not advocate " Treat the head when the head aches, foot ache cure the foot " ,But advocate waiting to intervene at many levels through the living beings - psychology - society, improve residents' health level finally. In every community of Shanghai, are starred by backbone's complete doctor a family doctor and served at present.

Reporter: A lot of people thought, the family doctor was the doctor at someone's beck and call, is it?

Expert: Such understanding is not very accurate. Should clarify a concept first, the family doctor is not a private doctor. At present, nearly there are 1300 community family doctors who Shanghai launches a pilot project, each family doctor signing resident is about 2000 to 3000 people, if three member family, contract 700 to 1000 household just roughly. In the face of such a big crowd, the inquiries test at someone's beck and call is impossible accomplished.

In the family doctor " The family " Two words, does not refer in particular to call to see the doctor at home, it lays particular emphasis on the harmonious relation among a kind of doctors and patients even more. A household several generations " Recognize " A doctor, the family doctor can be compared to a member of family, pass the intervention, collection of health information of the daily habits and customs between all kinsfolks, safeguarding the whole family to be healthy finally, the family doctor serves the key goal made. However, some fixed patients of hospital bed set up at a patient's home, the family doctor will also insist on making house calls as before.

Reporter: Since complete doctor stresses " The whole " ,How to guarantee the quality of making a diagnosis?

Expert: First of all, absolutely not makes a diagnosis and sees the doctor, but promote resident's health level in goal of complete medical science. If, the specialist relies mainly on treating disease, it seems that " the cross section is intervened " ; Then, the complete doctor is " intervenes in the whole course " starting with preventing from . Popular not to get on very well, residents prevent disease while having no disease, there is little trouble that make a diagnosis, suffer from the complete doctor of difficult and complicated cases and help to change the place of examination and look for experts, this is a complete doctor's duty, but not improve and make a diagnosis the level of a certain disease simply.

The complete doctor's whole service level of Shanghai is improving constantly in recent years. A plurality of counties have already trained the standardization to the existing community's doctor, has improved the level of the professional knowledge; The complete doctor of the community, also need being the same as the training doctor, graduate, carry on three - year long training in the large hospital in the future. That is to say, the doctors of these community come from hospital of Zhongshan, Rui Jin hospital It is more guaranteed to cure the skill level.

Reporter: In Shanghai medical reform scheme, puts emphasis on improving with " family doctor's system " It is the central community's hygiene service system, what important meanings are there?

Expert: " family doctor's system " This kind of friend type relationship between doctors and patients, can be rated as a large breach which adjusts the existing medical resource structure. Residents believe in the family doctor, will examine and keep in the community for the first time, not only convenient, also help to relieve large quantities of common diseases, chronic disease patients to " enclose and stop up " Awkward current situation of the large hospital; Through the changing the place of examination of family doctor, residents will see the doctor in good order, the crowd will shunt effectively, let tertiary hospital make a diagnosis the intersection of difficulty and in weight disease attentively.

Little dictionary

Complete doctor: Through the medical talents of complete medical vocational training, mainly bear the prevention and health care, common disease in the basic unit more? Level ground proper Sha of Hu The spring of stepping for silk spits round ' Fei's rancour ]Pour Fei to be vast to thread of fear Mei the intersection of scar and cherish Pu direct shelf imitate , Tao of basketry, forgive thinly with nest ]?

Family doctor: Mainly mean regarding community's family as the unit in our country, offer the doctor of continuous, safe, effective, suitable health service to kinsfolks.


Complete doctor, family doctor, how to " keep goal " for the health ?