Beijing of Xinhua News Agency on November 23 report (reporter Jiang Guocheng) the country develops and reform committee, Ministry of Public Health and manpower resource and social security ministry are released 23 days jointly " reform medicines and chemical reagents and the opinion that medical services the price to form a mechanism " , advanced the near future that medical price reforms and long-term goal. To 2011, order of value of market of our country medicine should improve stage by stage, drug price tends reasonable, medical services price structure sex to contradict to alleviate apparently; To 2020, medical price can change of cost of service of production of objective and seasonable report and market supply and demand. " opinion " clear, the government makes drug price want to abide by " supply and demand of compensation cost, reasonable profit, report " basic principle, at the same time level of consideration socioeconomy development, masses bears ability, medicines and chemical reagents is clinical the element such as value; Strengthen the management that sums price action to current link further, reduce a government to coach current price difference leads valence medicines and chemical reagents stage by stage level, maintain reasonable price difference or rate of exchange concern between medicines and chemical reagents; The government makes primary medical services the price, want to be on basis of cost of reasonable compensation medical establishment, according to deduct finance allowance, medical establishment to sell medicines and chemical reagents and medical apparatus and instruments (bad news material) check and ratify of price difference accrual. " opinion " put forward, in reasonable make drug retail and directive price while, want according to " medicine is apart " requirement, reform medical establishment compensates a mechanism, cancel medical establishment to sell addition of medicines and chemical reagents stage by stage. Public hospital cancels income of the reductive after addition of medicines and chemical reagents, can pass increase finance allowance, improve medical services price and establish " medical issue serves cost " the measure such as the project has necessary compensation; Want to reform medical services to serve price pattern further, accelerate solve medical services to serve contradiction of price structure sex, raise the medical services that reflects technology and service value to serve the price, reduce large and medical equipment supervision and remedial value; Strengthen pair of management that are worth price of medical apparatus and instruments high, lead the price reasonable form.
Case of Xi‘an market price supervises examination bureau to begin from now, will begin by a definite date the medicines and chemical reagents of 4 months and examination of focal point of price of medical services, depreciate to what the government sets medicines and chemical reagents does not depreciate to reach the designated position, change medicines and chemical reagents is packed covert rise in price wait for behavior,
These units accept an inspection The limits that checks this is business of drug production, sale (contain " 3 endowment " enterprise) , medical establishment (contain external paid the medical establishment such as the army of the service, armed police, run by the local people seeks profits gender medical establishment) , disease precaution controls center, blood orgnaization of representative of invite public bidding of station, medicines and chemical reagents and other, and the section that concerns with medicines and chemical reagents and medical services and collect fees unit. The price that main examination produces since July 1, 2007 and collect fees behavior, the examination that violates act to great value but on restrospect to one year. Drug price checks what In drug price respect, whether is the medicines and chemical reagents that regulation of main examination government depreciates carried out by the regulation reach the designated position, have without defer what depreciate or do not depreciate by formulary extent, random avoids national price runs policy need not or use a government less to depreciate of medicines and chemical reagents; Whether is price medicines and chemical reagents carried out by valorize to the government, have fix a price without exceed one‘s authority, whether to put in the breakthrough to top retail price is sold or change drug name, norms and pack covert rise in price; The drug that medical establishment sells, arrange on the foundation that whether purchases value actually in medicines and chemical reagents add evaluate, of medicines and chemical reagents add valence rate actually to whether be by formulary control 15% (prepared herbal medicine in small pieces ready of decoction adds Chinese traditional medicine valence is led 25% ) less than, the rake-off outside having valence waits covert the behavior that raises the rate that increase price. Medical services the price to check what Price field serves in medical services, whether does main examination collect fees by formulary project and standard, have without improve grade or the standard collects fees, decompose collect fees the project repeats collect fees and collect fees only do not serve or of little service; Whether is the one-time medical and wholesome data that medical establishment uses put in above to collect fees behavior; Medical whether is the medical apparatus and instruments that value of equipment supervision services, medical establishment sells carried out according to price level of the regulation etc.
The examination ends to the end of November, came to was direct examination and key examination in October in August period, was processing period in November, to service of medicines and chemical reagents, medical services all sorts of chaos add valence, chaos to collect fees behavior prices branch investigates gravity.
China will boost national level actively this year public hospital reform is pilot, undertake public hospital compensates mechanism reform, fulfil a government to throw policy, adjust medical services to serve the price, cancel addition of medicines and chemical reagents stage by stage. When news of national Ministry of Public Health does to disclose this one information today, say, as one of points that countrywide sanitation works this year, encourage each district what public hospital reform begins formal diversity is own and pilot, make, implement public hospital setting and development program, optimize composition of public hospital construction; Exploration perfects public hospital to run system, improvement strengthens public hospital processing; Drive a hospital to run system of mechanism and human affairs, income allocation to reform, strengthen post performance assessment, exploration carries out post performance pay to make; Begin a doctor many a little bit hold course of study and clinical method are pilot; Exploration single defect is planted quality management, advance apply " electronic anamnesis is basic and normative " . In the meantime, encourage, support and guide social capital to hold be not public hospital, accelerate form diversity to handle cure situation. Ministry of Public Health expresses, coach those who strengthen pair of pilot policy, technology and groom, dog cheek by jowl pilot job makes progress, begin survey superintend and director to guide investigate with base line, had done evaluate preparation; Research establishs standard of public hospital staff, strict control is large and medical plant layout, encourage build in all share, raise wholesome resource to use efficiency. In addition, still set research center of national district medical services, build medical services quality government control, evaluation and supervisory system and it is core with commonweal sex, it is a center with the patient, it is oriented public hospital to superintend a system with performance, improve medical services quality in the round, ensure medical services safety. Specific content includes: -- system of go on a tour of inspection of perfect and large hospital, evaluation of evaluation of the hospital that start is pilot, normative medical establishment hold trade act, strengthen medical services advertisement to superintend; Perfect system of doctor qualification exam, strengthen a doctor hold trade act management; -- advance make an appointment diagnosis and services, open further on the weekend outpatient service, extend time of outpatient service registration, adopt a variety of civilian, benefit civilian measure, optimize flow, convenient patient go to a doctor. -- normative hospital complains management, drive build people of medical services dispute to mediate system of system and insurance of medical services liability. -- advance reasonable with medicine, carry out " national prescription collect " , perfect prescription comments on a system, strengthen reasonable monitor with medicine, normative antibacterial clinical application runs thing. -- deepen clinical foundation to nurse quality management, rise nurse working level, fulfil collect the orgnaization that offer blood to set a program, perfect doctor takes an examination of nucleus and medical personnel medical ethics to test a system regularly. (Reporter Ceng Liming)
In extensive network Beijing on October 10 message (reporter Liu Tiansai) from cure of Ministry of Public Health politics department learned a few days ago, this department near future will be in hospital of Beijing University people to wait begin optimize a service flow, reasonable use medical services resource pilot job. Pilot and main include two parts content: It is door emergency call the settle accounts after making a diagnosis and give services first; 2 it is resource of integrated section office and patient demand, change a space with time.
Zhao Minggang of politics department vice director says doctor of Ministry of Public Health, in the past, patient of outpatient service, emergency call sees a doctor, project of every diagnosis and services wants fee of capture of one by one, increased to queue up to expect time. Expend personnel as a result of capture queueing up at the same time overmuch, affected order of hospital door emergency call. He says, pilot " door emergency call the settle accounts after making a diagnosis and give services first " , want technological process of readjust outpatient service, emergency call seeing a doctor, on the base that in crowd of examine of face each other, emergency call seeing a doctor means paying fee has classified, according to different crowd specific case study differs mechanism paying fee, the diagnosis and services that draws lessons from cash pledge of prepay of patient of be in hospital serves mode, simplify flow of patient door, emergency call seeing a doctor.
Jiao Yahui of deputy director general of office of government of politics department medical services tells cure of Ministry of Public Health the reporter, execute " the settle accounts after making a diagnosis and give services first " , the hospital can is opposite cash pledge of every patient collection, install independent information identification code. Every accept the patient to make a diagnosis and give services, information system is met deduct relevant expense automatically from inside cash pledge.
"Change a space with time " , it is to show in the light of job of medical services of different section office medical services of actual condition, patient needs resource of medical services of sue for peace to use a case, make overall plans to medical services resource from time, space and manpower resource, science is allocated. Zhao Minggang says, at present outpatient service person is a lot of hospitals completely in the morning suffer from, surgery demands exceeds supply, rate of consulting room, surgery empty buy is higher afternoon. Accordingly, want reasonable arrangement the diagnosis and services of different section office works, raise hospital outpatient service, emergency call, surgery to wait use efficiency.
Wang Sha of dean of hospital of Beijing University people introduces, at present this courtyard is debugging information system, right the outpatient service of different section office, different crowd second all charge undertakes calculating, predict pilot job can spread out before the end of the year.
In electric Ministry of Public Health allotted new network a few days ago on January 24 " the announcement that about print and distribute medical servicesd superintendency job point 2009 " , to a few jobs 2009, undertook deploy.
The announcement says, of the party seventeen put forward clearly greatly, hold to common medical services property of healthful society commonweal. Push public hospital reform, strengthen medical services to superintend, it is one of key jobs that deepen reform of medical sanitation system. Basis 2008 the State Council " 3 calm " regulation, ministry of Public Health established medical services to serve superintendency department () of department of abbreviation cure canal, the superintendency that assumes service of medical establishment medical services works, build medical establishment medical services to quality is evaluated and control a system, the organization begins medical services to quality, safe, service, finance affairs is supervised and be evaluated wait for the job, build the public hospital that is core with commonweal sex soundly to superintend a system, assume advance public hospital to manage system to reform the job.
Working conference pointed out countrywide sanitation 2009, advance public hospital reform is pilot, strengthen medical services to the service manages and be superintended, the hospital is established to superintend an orgnaization in wholesome service, build the public hospital performance that is core with commonweal sex to evaluate administrative system and safety of medical services quality to evaluate a system. Fulfil to be carried out in the round countrywide sanitation worked 2009 conference spirit, directive each district does medical services of good medical establishment to serve superintendency job, begin hospital government system reform is pilot, maintain the commonweal quality of public hospital, now will medical services superintended working point print and distribute to give you 2009, tie place please the work is real, perfect origanization construction, formulate job is arranged, fulfil each deploy. Ask your hall bureau medical services superintended working arrangement to sign up for my ministry medical services to serve superintendency department 2009.
Medical servicesd superintendency job point 2009
2009 is Ministry of Public Health establishs medical services to serve superintendency department, strengthen medical services to serve the first year of superintendency job in the round, also be medical sanitation a year when system reform deepens in the round. Various and wholesome service wants to be mixed theoretically with Deng Xiaoping " 3 delegates " serious thought is guidance, carry out deep implement scientific progress concept, closely around key of wholesome 2009 job, build the public hospital that is core with commonweal sex soundly to superintend a system, build medical establishment medical services to quality is evaluated and control a system, the organization begins medical services to quality, safe, service, finance affairs is supervised and be evaluated wait for the job, advance public hospital to manage system to reform the job.
One, strengthen medical services to serve superintendency orgnaization and team construction
Establish responsible medical services to serve superintendency special orgnaization, cogent the superintendency that strengthens services of pair of medical establishment medical services, safeguard the commonweal sex of public hospital, it is to insist to be with the person this, solve people to see a doctor the need of problem of go to a doctor, it is to deepen medical sanitation facilities of sanitation of system reform, stimulative medical services coordinates the important step that can develop continuously in the round. Various and wholesome service should understand the value that medical services enhances to serve superintendency job below current condition, arduous sex and long-term sex deeply, according to the actual condition of this unit, union deepens reform of medical sanitation system, build perfect medical services to serve superintendency orgnaization, provide necessary personnel power, straighten working relationship, make clear goal assignment, fulfil post responsibility, begin the work actively.
2, research builds a hospital to evaluate a system
(One) various and wholesome service should be summed up deep " it is a center with the patient, give priority to a problem in order to improve medical services quality " the hospital manages year of activity experience, publicize advanced type, popularize good experience, expand to consolidate and enlarge mobile achievement, stimulative medical establishment strengthens management, improve efficiency, improvement serves, control cost.
(2) research builds quality of medical establishment medical services, safe, service and performance to evaluate a system. Accelerate hospital management to evaluate systematic construction, normative hospital evaluation evaluates the work. Exploration establishs the lasting effect mechanism of hospital management.
(3) the evaluation that the organization begins medical services quality, safe, service, financial management is checked and superintend the job. The hospital that start evaluates pilot job and individual examination to evaluate the work. The organization begins work of go on a tour of inspection of large and public hospital. Strengthen the guidance that builds to morality of medical personnel profession.
(4) begin application of service of primary to public medical establishment medical services, basic medicines, medical services to serve rights and interests of fair, patient to safeguard, the evaluation of manpower resource management and integrated performance.
3, strengthen safety of medical services quality to superintend
(One) drive build country, province, city (the ground) safety of quality of 3 class medical services controls evaluation system. Begin specialized subject of national level medicine to accuse to evaluate a center character pilot job. The fundamental link that directive medical establishment serves around diagnosis and services, make plan of medical services improvement in quality, begin quality to assess an evaluation, raise medical services to serve quality.
(2) research builds early warning system of risk of national medical services. Classification, classification launchs medical services venture the collection of pertinent information, collect, analysis works. Organization, directive medical establishment and medical personnel are adopted in time deal with measure puts forward to improve and be on guard proposal, cogent safeguard medical services is safe.
(3) undesirable incident information collects perfect medicines and chemical reagents, medical apparatus and instruments, analysis and mechanism of processing of cautionary, lash-up and system. According to the property of undesirable incident, limits and serious degree, classification statified take effective measures, reduce pair of medical services safety and the patient‘s healthy adverse effect.
(4) increase pair of medical services advertising to superintend strength, strengthen all sorts of pair of media to release medical services advertising to monitor, investigate gravely lawfully break the law violate compasses release medical establishment of medical services advertising.
(5) the desired result management that strengthens pair of medical establishment and hold trade act is superintended, the doctor with the uniform standard that start checks the work regularly, begin pair of medical establishment and public health worker lawfully hold of course of study supervise and check.
(6) the good experience that processing of systematic summary unskillful and faulty medical or surgical services works, explore the mechanism of tripartite mediate of dispute of doctors and patients. The standard that fortifies pair of patient complaint handling and superintendency job, boost insurance of medical services liability, compose establishs relationship of harmonious doctors and patients.
4, begin a hospital to move superintend
(One) research makes a hospital run superintendency system frame. Draft a hospital to move those who superintend is medium long-term work program. Research is made in the light of different system of ownership, different level, different area hospital government policy is mixed moving mechanism.
(2) coordinate reform of medical sanitation system, strengthen a hospital to run superintendency job. Enlarge a patient to see a doctor make an appointment service, promotion hospital runs advanced practice of management and experience.
(3) begin a hospital to run special superintendency job. Strengthen safety of pair of medical establishment equipment, establishment to use what ensure a condition with logistics service to superintend. Aggrandizement carries out circumstance of discipline of finance and economics to medical establishment superintend.
Rep. Ron Paul meets a medical marijuana patient--Nov. 9 2007
Open win the first, talk about the problem that oneself understand system of more Chinese medical services.
Before reforming and opening, chinese sanitation and health are regarded to be a kind of cause that provides welfare of the whole people, as the arrival of times of reforming and opening, socialist market economy, safeguard of this kind of welfare begins to transfer to social security, conventional medical services defends make trouble course of study to cannot have gotten used to the need that society of current our country admits, "Commercialize " or " welfare is changed " the controversy lasts up to now. No matter be to commercialize system or welfare to change system, the current situation that we see is: In 30 years when go in reforming and opening on one hand, chinese economy lasts level of fast growth, per capita rises substantially; On the other hand, scope of number of the sicken rate of countrywide urban and rural dweller, sicken is increasing; On one hand the investment that governmental year after year is increasing medical services to protect make trouble industry, on the other hand, "Have economic requirement see a doctor difficult, do not have economic condition see a doctor expensive " the outstanding issue that becomes current medical services to serve a field.
Create the source of above phenomenon, come from the problem at medical services system, and the outstanding performance of a variety of system issues, it is the directional mistake that the government throws: Major government investment is cast to medical services an orgnaization, and safeguard system is in medical services to serve a process to buy sheet for medical services again.
The process of healthy state and composition are: Healthy - inferior healthy - disease, and the corresponding countermeasure that controls this one process is precaution - healthy interpose - cure. Medical services is one of healthy payoff only, another payoff still included precaution, health care, education, environment, social security to wait a moment. Before this, the last segment that the much that governmental finance throws threw healthy state -- medical services an orgnaization, should undertake in upper reaches originally " scanty " , turn into to be in actually downstream " " , as a result expression is major countryman from " health " enter directly " disease state " , all sorts of chronic illnesses are sent high, and orgnaization of downstream medical services can‘ts bear heavy burden, because prevent investment and medical services investment to reflect the investment on healthy result,comparing is 1: 8, spend 1 yuan of money to throw precaution to be able to save the remedial cost of 8 yuan of money namely, the government appears in the investment of segment of medical services very little, when pressure of orgnaization of medical services is enormous, the investment that the government increases pair of medical services to serve again... made an investment so - the service is differred as a result - again devoted vicious circle.
Another feature of malady of system of Chinese medical services, namely " for medical services process buys sheet " . Below existing medical services system and system of medical services safeguard, formed what be dominant with clinical medical services to be " service process buys sheet " the current situation, basically pay cure to serve the expense of process happening namely, this also makes medical services system inside " baleful and revulsive " , " excessive service " system sex inducement. Finance can passive be patient allowance or " buy sheet " , form the finance that treats for the patient to guarantee a system, investment is very huge, but still cannot satisfy social requirement, thereby aggravate the vicious circle that governmental investment increases ceaselessly, it is dereliction of duty of medical services corruption, medical services, service poor, medicine and phenomenon of too advanced society offerred diagnostic fare " system opportunity " .
The result link up with that drive of medical services market, system should improve with health, is not with medical services process photograph is contacted. System of current medical services sanitation is heavy " the individual is clinical cure " , " buy sheet to serve a process " , light " healthy result is improved " , " healthy precaution result is incentive " , the promotion of the development that expression prevents medicine for negligence and healthy safeguard consciousness and fulfil, implementation is health and cannot consume in preventing a process " buy sheet for healthy result " .
Governmental investment should change key devote to communal and wholesome system, should pay close attention to precautionary medicine development and construction of healthy safeguard system and socialization application, attention relieves the communal product that service function gives priority to with healthy safeguard, medical services, still have a share clinical medicine development and " primary medical services is ensured " the half communal product that serves an orgnaization. And with clinical the product of half communal, half competition with cure (like civilian battalion hospital) with complete competition " personal product " (serve an orgnaization like health management, check-up, health care) relevant industry, should use the power of the market, outside capital, unlock completely, "Its society of the society does " , the benign loop that drives medical services market develops.
Become community oneselfInspect a patient to be a family member
-- Chinese in the 2nd people of city hospital " baby-sitter type " service of community medical services suffers praise
Before before long, be located in word of ongoing journey assorted Chinese in the 2nd people of city service center of sanitation of community of hospital advancement region is on duty the nurse receives sanitation of key medical services suddenly to serve a target -- break down for a long time the dweller of Huang Jiatang village in the bed phone of Home Liu Ling, saying is the body feels unwell. After be informed a circumstance, immediately of this center Doctor Zhang Jiming guides a nurse to be driven toward Home Liu Ling, fail for much viscera function via diagnosing diagnose, turn its very quickly examine has services to the hospital. From examine to when sending toward hospital around to use mere 15 minutes, seasonable keep within limits the patient‘s illness is exasperate.
"Ailment enters a hospital into community, a serious illness " the criterion that is community sanitation service. Work at sanitation of community medical services to serve better, this courtyard is service center of two community sanitation (station) deployed B to exceed, the equipment such as appearance of custody of report of electrocardiogram machine, heart, the setting observes sickbed 9 pieces, begin service of all-around medical services, rehabilitation, satisfied the Medical Protection need of community dweller greatly. Favorable environment seeing a doctor, perfect medical services establishment, low drug price, left good impression to community dweller.
On August 13 morning, the reporter is carrying fine drizzle seek by inquiry on the head open takes a route afore east paragraph the courtyard of assorted word crossing belongs to community sanitation service center, just stepped into the door to encounter director of central the first month to smile head on greet sb. Enter a center, the reporter sees, inside house 4 sit the patient that examine doctor is seeing a doctor to come round is making an inspection seriously, the patient that queues up from the back sits trimly over to await. Be in neat anew " healthy home " before the colour television that there are 42 inches on mural wall, the ground of patient in spirits that hitting an a bit watchs Olympic Games match, two cure protect what personnel stands to just looking attentively at a patient each to drop bottle... , the first time contact, dribs and drabs left deep impression to the reporter.
Community sanitation serves the main component that is urban sanitation job, it is the fundamental link that realizes everybody to enjoy hygiene target. " the directive opinion that the State Council serves about developing urban community sanitation " middle finger gives community sanitation to serve is wait to serve a target for the key with woman, children, old people, chronic person, disabled, impoverished dweller, with active service, come to serve give priority to. Chinese in hospital of the 2nd people carries out city seriously the opinion spirit that implements city of medium, province to serve about community sanitation, in community service center (station) advocate among construction " riant service, patient is consummate " community sanitation serves a concept, be welcomed goodly by place administer dweller. Last year a of in the winter in the morning, live in east community of alley of tower of east of Shanhaiguan Chen Hui honest old people stagger alone the service center of sanitation of ongoing journey community that walks into this courtyard courtyard to belong to, before after nurse beyond emerald green Ling sees, going up instantly, support sb with hand she, after the patient‘s condition that knows this old person in the inquiry needs, help him up to the doctor slowly before. Understanding has not had breakfast to a respectful form of address for an old person, central cure protects personnel to buy mug-up and congee to him inside the snack bar of the doorway again. After been diagnose, because do not have the company of family, director of the first month fears day of Leng Lu is slippery fall old person, barred for him a taxi remanded her, the person of old native place that after the event is informed a circumstance still hit a phone to convey on a special trip deeply gratitude.
The duty place that examine of fixed make one‘s rounds is community sanitation service needs, also be city service center of sanitation of community of hospital of the 2nd people (station) since building insist for a long time to be civilian the one big characteristic of the service. Service center of sanitation of this courtyard community (station) street of road of Ma Chi of road, ongoing to the people of place administer journey, Xing Hanlu, belfry, drink, Jiang Tan, scenery road, Zhongshan in all 8 community, about 50 thousand person built a company to go one by one library of dweller health record. Undertake examine of make one‘s rounds every months to community dweller regularly, especially a few aged body weaks that have diabetic, coronary heart disease, high blood pressure and the patient that cannot ambulate due to illness undertake coming to check and be treated every week, if the drug that takes for a long time is taken, need a phone only, community sanitation service center (station) with respect to meeting clique the person sends medicine to come. Live in Chinese in city highway bureau on the west hind courtyard of city family member Chen Xiaolin‘s aunt of 78 years old, contract coronary heart disease old. Because family busies all the day,work, old person act is difficult. To this, service center of sanitation of ongoing journey community Director Meng Lijun arranges Yu Cuiling of this center nurse to come regularly examine of make one‘s rounds one, take wants drug, observe in time to the illness and take effective measures, should have Liu aunt " baby-sitter " cure is protected, excited grandma busy vertical stroke has thumb. To save expenditure, advocate managing consciousness, community service center (station) cure protects examine of personnel make one‘s rounds is to use pedestrian travel to go, no matter blow,rain, the old old man of long-term to the much name inside community sicken holds to medical services to take care of from beginning to end.
The service center of sanitation of ongoing journey community that hospital of the 2nd people sets city and service station of sanitation of Zhongshan street community are held to from beginning to end " patient consummate, credit the first, excellent service, clean-fingered practise medicine " community medical services a concept, the community sanitation center that riant service, warmth sees a doctor (station) the impression that left profundity to a lot of patients. To this, the reporter visited a few dwellers of people region community, belfry community, mention city service center of sanitation of community of hospital of the 2nd people (station) medical services, everybody praises in succession say: "Service station of sanitation of community medical services not only all ready, cure protects facility personnel enthusiasm is considerate, still insist to undertake medical services dog to a few long-term and ill patients examination cure, it is simply ‘ baby-sitter type ‘ family doctor! It is simply ‘ baby-sitter type ‘ family doctor!!
According to relevant data report: Hypertensive: In our country hypertension the patient makes an appointment with 1 100 million, but only the person of 26% knows he has high blood pressure, and control blood pressure truly have 3% only;
Cardiovascular disease: Every year about 2 million person dies at cardiovascular disease, everyday nearly 7000 people, about every 12 seconds; Overweight and fat: The person that China overweights 2 100 million, have 60 million fatly, 200 million overweight people have one part to be able to turn very quickly fat, fat definition is a patient;
Diabetic: Two diabetic people of countrywide, this follows fat relative;
Fatty liver: City crowd suffers from fatty liver generally, its are mid patient of cent period fatty liver is evolving into the sclerosis that it is liver further; Patient of mobile sex tuberculosis resides the world the 2nd;
Second liver: Second liver patient counts the 1/3 that takes the world;
Contagion: The contagion that once was eliminated looks up afresh, new hair contagion has a half to had appeared in China probably;
Cancer: The mortality of cancer is annual 1.5 million;
Mental psychology disease: Invigorative still the burden with psychological disease is increasingly aggravating, actual patient population already was amounted to 16 million;
Inferior health: Middleaged crowd, especially 40-60 year old, inferior health exists generally, the job of pressure, nervous, excess load, chronic fatigue is asked for integratedly make more and more people feel fatigued easy exhaustion, insomnia, attention centers body empty not easily, cannot live normally even and work... but comprehensive system examination, laboratory test is passed in the hospital when video perhaps examination, cannot discover affirmative cause of disease toward contact the company is contained in Yi Niankang beside widespread presence.
Insomnia: Newest in March 2006 investigation shows: The person that wait for sleep-disorder of 6 cities adult occupies Beijing, Shanghai, Guangzhou 57% , among them Guangzhou is highest, amount to 68% .
Meanwhile, mushroom of medical services charge, chinese wholesome resource used up 614 billion yuan 2001, occupy GDP6.4% , disable due to illness, premature death loss 780 billion, occupy GDP8.2% , two add up to 1.4 trillion yuan, occupy GDP14.6% . Arrived 2005, expenses of countrywide medical services already increased one thousand and two billion six hundred million yuan, occupy GDP5.5% , approximately astronomical.
The overfatigue of numerous celebrity dies or die young the health that lets people must examine his afresh! The individual‘s car, housing needs to be safeguarded daily, where is the body of that person? Capital account of the individual and company operation need person specially assigned for a task to manage, where is the health of that person?
Health management should know his healthy state above all
What does individual health manage a plan to you can be brought for the individual?
1. understands body age of the individual, judge disease trend of the individual:
Evaluate through healthy check-up, health, the disease seeks advice wait for a method to know an individual the difference of the physiology age with the healthy located state that the body organizes an organ now and actual age; Whether understanding individual body, psychology is in health and disease between transfer level (35 years old of above have 7 adults to lie " inferior health " ) , accordingly judgement individual depends on current condition and habit to be in whether inevitable meeting will contract some kind of disease inside period of time henceforth, and as soon as possible puts forward precautionary measures.
2. dogs for a long time the individual‘s health:
The private doctor that for a long time one is secured and a flock of clinical experienced chairman doctor dogs process of physiotherapy of individual every time and healthy item record, compared with " the healthy pattern that has disease to see different doctor " have foresight and accuracy more to the individual‘s judgement.
3. prevents protracted patient‘s condition, timely directive seek medical advice:
To the patient, best medicaments is time. If discover the body is unwell,can consult private physician of the individual in time, if require services, can suggest in time to go to a hospital seeing a doctor. To the processing of as soon as possible of healthy problem, not only prevent bungle patient‘s condition, can release pressure more, cheerful mood, be far from disease worry.
Utmost reduces 4. the happening of major disease:
Science, professional health management serves, eliminate to perplex the individual‘s old insalubrious element ceaselessly, make from bagatelle, check erroneous ideas at the outset, have healthy energy in the deposit inside the individual‘s body gradually, achieve the dynamic balance of physiology and psychology thereby, daily god Qing Dynasty enrages bright, health lives.
5. invests health, results is infinite:
Invested health to save the defray because of the disease, health management proves in foreign practice, if the respect manages to invest 1 yuan of money in health, can get reducing 6 ～ the redound of charge of 10 yuan of medical services, and this kind of redound can last. Yi Niankang fills service of healthy medical services to be individual take preventive measures, the defray that saved medical services cost while, harvest more health.
6. maintains an individual optimal job status and exuberant energy:
Everyday calculated undertakes ego health manages, can make an individual energetic, physical ability is able-bodied, handle affairs dedicated, efficiency times add. In the meantime, sanitarian doctor often coachs life daily life of the individual and food are used to, your individual body maintains groove forever.
7. saves an individual to safeguard healthy time and money, improve efficiency of individual health care:
Phyletic and various health food often makes the person not is eventually, the gymnastical equipment of breed numerous and jumbled makes a person not know what to do, the way to keep in good health is multifarious, cure sea is vast, how many person begs hard search painstakingly, find way oneself, get wrong road Ma Kun however, terribly defeated, or bungle opportunity, injury money hurts a body. Yi Niankang fills healthy medical services to serve from arrangement hospital, make an appointment the service that the numerous respect such as plan of fitness of recuperation of diet of doctor, design, motion is an individual to offer meticulous in a subtle way, economic individual safeguards healthy time and money, improve efficiency of individual health care.
Of 8. identity indicative:
The private doctor that has oneself and healthy medical services, be healthy life not just is indispensible, more exalted.
Assume a person has 1000000 money, the 1 delegate in front is healthy, the 0 represents him houses from the back, car, wife, son, gold, if do not have in front that delegate is healthy " 1 " word, everything is equal to from the back 0, had health to be able to have everything. But, a lot of people always are in when be dying, what just experience health and life is precious, but everything is late.
How will carry out service of healthy medical services?
Health management is the healthy danger that points to individual or pair of crowds the element undertakes be monitoringed in the round, analysis, evaluate and the whole process that forecast and prevents. Its tenet is the enthusiasm that arouses individual and collective, significant favourable geographical position achieves the biggest health to improve the result with limited natural resources. Serve as a kind, its are specific the practice is the healthy guidance that makes evaluate and be offerringed for the individual have specific aim according to healthy state of the individual, make they take action will improve health.
In the west, health administration plan has made the very important one part in system of healthy medical services, already proved to reduce healthy risk of the individual effectively, reduce medical services expenditure at the same time.
Establish individual health record
1. recorded the process of the happening of individual disease, development, cure in detail, include a doctor to diagnose a report, check a report, doctor prescription, detailed account of medical services expense, healthy advisory record, go to the lavatory at any time and place inquiry.
2. passes the contrast of around data and data, the individual can master the change of him health condition, the disease develops the incline to, case such as remedial effect, be helpful for next of Medical Protection decision-making.
When 3. individual go to a doctor, what healthy archives can be an individual is inchoate diagnose, inchoate cure provides a basis. In the meantime, servy record of the drug allergy record in healthy archives, near future is waited a moment, can be an individual not only managing medical services expenditure, it is painful that the trouble that because repeat examination place to bring,still decreased is mixed. The family that Yi Niankang contains a company to be able to professional personage is individual and individual establishs detailed, complete, consecutive healthy record, ensure illicit close sex of the individual can get huge protection and respect.
Chen Zhu of minister of Ministry of Public Health: Price of medical services will rise appropriately numerous place fixes eyes upon " cure revises a report " opened veil eventually yesterday, chen Zhu of minister of Ministry of Public Health does not mention especially " cancel to fill with medicine stage by stage cure mechanism " , more let common people change to cure be full of expect. Chen Zhu is to be in what thirtieth of standing committee of National People‘s Congress of 10 whole nations makes afore-mentioned making known one‘s position on the conference, this also is " cure revises a report " first high standards appears in gear of our country top authority.
Occupy Chen Zhu to divulge, be in to 2010 the whole nation will be preliminary establish framework of system of sanitation of primary medical services, build the system of sanitation of primary medical services that covers urban and rural dweller to 2020.
Drug price will " reduce "
Long-term since, our country is insufficient to the finance investment of public hospital, medical establishment is a method with raising medical price in succession, will maintain oneself is run and develop.
Chen Zhu said yesterday, public hospital should cancel stage by stage " with medical filling medical service " mechanism, lower drug price. He discloses, will build a nation basic medicines system, namely administration makes a state basic medicines catalog, build basic medicines production to supply a system, execute invite public bidding to calm dot is produced or be purchased centrally deserve to send directly wait for means, ensure the production of basic medicines is supplied, normative and basic medicines is used.
Morning paper reporter interviews Zhuo Xiaoqin of university of Chinese politics and law to teach at this point, he expresses, how to solve " with medical filling medical service " it is the core problem that cure corrects. Mechanism of existing addition of medicines and chemical reagents, hospital too count income of medicines and chemical reagents, make the phenomenon that the hospital opens expensive drug into expensive drug, doctor more outstanding, create vicious circle easily.
Medical services price general " rise appropriately "
Chen Zhu also emphasizes at the same time, besides increase finance allowance, also can raise medical services to serve the price appropriately, compensate a mechanism in order to perfect public hospital.
Hard to avoid of ordinary common people will be afraid, medical price fell, medical servicesd the price to go up however, " tore open east the wall fills on the west wall " , the defray of whole medical services of common people can very tall still?
Zhuo Xiaoqin expresses to this, if is increased purely or reduce cost of some kind of medical services, appear really possibly the people‘s afraid problem. So, must establish the reasonable compensation mechanism of the hospital, implementation finance allowance, medicines and chemical reagents produces the solution with total purchase and sale, ability makes sure common people have a good opinion of is ill.
Primary medical services " governmental dominant "
When cure is being collected to change plan before this, after all by " governmental dominant " or by " market dominant " , once had appeared fireworks.
Chen Zhu is clear yesterday, want aggrandizement government responsibility and investment, establish government is providing the dominant place in communal sanitation and service of primary medical services.
"Service of primary medical services is mixed by government, society individual tripartite is reasonable partake charge; Need medical services to the service pays fee by the individual or be sure to pay through commercial health especially. " Chen Zhu expresses, wholesome investment should increase substantially with the place in the center of, governmental investment serves medical services of give attention to two or morethings to need for just be being mixed square, devoted key is used at sanitation of community of communal sanitation, country sanitation, city and urban and rural dweller safeguard of primary medical services.
Communal and wholesome orgnaization continues " commonweal "
Notable is, chen Zhu emphasizes in the report, communal and wholesome orgnaization should execute sum budget to manage, maintain commonweal quality. Qiu Renzong weighs expert of ethnics of life of courtyard of Chinese company division at this point, the medical services expenses of 67 ％ is assumed by the patient, this is extremely unreasonable.
Chen Zhu still discloses: "Should be built and perfect the sanitation of new-style city medical services that is a foundation with community sanitation service to serve a system. " community hospital basically is to be a dweller to offer the primary medical services of the communal and wholesome service such as disease precaution and general and common disease, frequently-occurring disease, chronic to serve; The diagnosis and services that large hospital wants to assume urgent danger to weigh disease and difficulty disease. Should realize community head examine stage by stage, classification medical services and two-way turn examine.
New medical service changes service of program protocol medical services to raise fund statified solve on December 27, 2007
Report from our correspondent is wide the partial be concerned about that changes plan for the new medical service that just pays close attention to each, yesterday eventually unlock. Yesterday, chen Zhu of minister of Ministry of Public Health represents the State Council the 31st times to standing committee of National People‘s Congress of 10 whole nations the conference did a problem to be " the report that about sanitation of urban and rural medical services system is reformed and strengthens safety of food medicines and chemical reagents to superintend a circumstance " . Although not be formal cure,change plan, but the treatise that the part changes about cure in the report, still divulged the new medical service that is about to publish corrects a few decisive problems in plan, among them the content such as the investment of aggrandizement government, the commonweal that outlines reform of our country primary medical services changes way.
Chen Zhu elaborated the key problem that system of our country medical services will reform henceforth from 6 respects, include a government system of safeguard of reform of management of reform of devoted, large hospital, country and town community hospital, medicines and chemical reagents, medical services is built and the respect such as wholesome talent education, covered a few large crucial segment of system of sanitation of our country medical services basically.
Chen Zhu expresses clearly in the report, the medical services system of our country is reformed, the responsibility of aggrandizement government and investment, construction covers the system of sanitation of primary medical services of urban and rural dweller, the communal sanitation that offers cheap of safe, effective, convenient, price for masses and primary medical services, stimulative everybody enjoys sanitation of primary medical services to serve. To 2010, in the whole nation preliminary establish framework of system of sanitation of primary medical services, to 2020, build the system of sanitation of primary medical services that covers urban and rural dweller, form multivariate pattern running medical service, get used to the demand of medical services sanitation with mutiple level people.
- window is unscrambled
Change funds about cure
The government throws give attention to two or morethings of both sides of supply and demand
Of property contend for, it is reform of Chinese medical services presses the directional problem that should solve above all further. The government will change in cure in act why to plant part, it is Chinese cure changes to commercialize element of key of road or commonweal sex viatic.
[report] new medical service changes responsibility of government of plan general aggrandizement and investment. Establish government is providing the dominant place in communal sanitation and service of primary medical services, build and perfect governmental sanitation to throw a mechanism. The government adds wholesome investment newly to be used at sanitation of community of communal sanitation, country sanitation, city and urban and rural dweller mainly safeguard of primary medical services, want medical services of give attention to two or morethings to serve to need for just be being mixed square.
[unscramble] Ceng Can and cure change plan to make, the Beijing Normal University that changes harmonious group to had referred cure to change plan to cure teachs Gu Xin to think, the governmental investment that all circles before this word answered this actually pays close attention to very fills need to still just offer side argument. Alleged offer square, be medical services offer square, include communal sanitation, country sanitation and urban community sanitation, needing just is to pass cure to keep systematic supply patient.
Medical services raises fund statified solve
After dominant part of the government gets making clear, next is the problem in namely what domain dominant? Apparent, governmental dominant, do not pull greatly on behalf of packets the government is big, new medical service changes plan, to medical services the service undertook clear classification, made clear what the medical services of different type serves to raise fund channel.
[report] the field serves in communal sanitation, basically raise fund through the government, provide equal service to urban and rural dweller. And primary medical services, mix by government, society individual tripartite is reasonable partake charge. Need medical services to the service pays fee by the individual or be sure to pay through commercial health especially.
[unscramble] Gu Xin thinks, the field serves in primary medical services, advocate mix by government, society individual tripartite is reasonable partake charge, it is the returns medical services at public expenses way that denied a few people are advocated essentially, it is right way.
Ensure construction about cure
Cure protects a system to was enclothed completely 2010
Medical services ensures system construction, it is new medical service changes a system to design another medium strong point, namely so called allowance " need square " .
[report] to the end of 2008, medical services of new-style country collaboration enclothes all country dweller basically, rise stage by stage raise fund level and submit an expense account scale. To the end of 2010, insurance of primary medical services covers town worker all town from personnel of course of study, insurance of primary medical services turns town resident in the round.
[unscramble] Gu Xin thinks, new medical service changes the goal that plan defined to cure of implementation the whole people is protected, cure of the whole people is protected advancing is key link, other innovation is eye.
About hospital reform
Cancel to fill with medicine stage by stage cure mechanism
In reform of medical services system, how large hospital changes is the decisive problem that puzzles each all the time. Gu Xin says, cannot reach unanimous opinion on this problem just about, bring about cure to change plan to come on stage hard tardy.
[report] on the devoted mechanism that is in large hospital, chen Zhu is clear, income and expenses of drug of will real practise medicine manages apart, cancel to fill with medicine stage by stage cure mechanism, cut off a hospital to run the interest connection that sells with medicines and chemical reagents, lower drug price. Adopt raise finance accessorial, proper raise medical services to serve the measure such as the price, perfect and public hospital compensates a mechanism.
[unscramble] Gu Xin says, in the reform program of large hospital, chen Zhu‘s report was not mentioned should have revenue and expenditure two line management, and whether does large hospital execute income and expenses like community hospital two line management, it is cure each problem of square fireworks in changing plan to make. "The report says to want to increase the finance allowance to the hospital only, but specific how fill and did not make clear, and the problem that this is a key. And the problem that this is a key..
Public hospital follows commonweal character
The general orientation that Chen Zhu thinks cure changes must hold to the tenet that healthful commonweal property mixes common medical services to serve for people, medical services is concerned before this answered this clearly also should " the government sings leading role " or " the market sings leading role " controversy.
[report] the property about public hospital and fixed position, chen Zhu goes out in report middle finger, should reform hospital government system and moving mechanism, especially " public hospital should follow commonweal property and social benefit principle, insist to be a center with the patient " .
[unscramble] university of Chinese politics and law teachs Zhuo Xiaoqin to think, medical services goes commercialize a course to be able to cause new inequity, this is decision of Chinese national condition. (this edition interviews and write Guo of Liu Wei of our newspaper reporter to love Di)
In extensive network Beijing on October 10 message (reporter Liu Tiansai) from cure of Ministry of Public Health politics department learned a few days ago, this department near future will be in hospital of Beijing University people to wait begin optimize a service flow, reasonable use medical services resource pilot job. Pilot and main include two parts content: It is door emergency call the settle accounts after making a diagnosis and give services first; 2 it is resource of integrated section office and patient demand, change a space with time.
Zhao Minggang of politics department vice director says doctor of Ministry of Public Health, in the past, patient of outpatient service, emergency call sees a doctor, project of every diagnosis and services wants fee of capture of one by one, increased to queue up to expect time. Expend personnel as a result of capture queueing up at the same time overmuch, affected order of hospital door emergency call. He says, pilot " door emergency call the settle accounts after making a diagnosis and give services first " , want technological process of readjust outpatient service, emergency call seeing a doctor, on the base that in crowd of examine of face each other, emergency call seeing a doctor means paying fee has classified, according to different crowd specific case study differs mechanism paying fee, the diagnosis and services that draws lessons from cash pledge of prepay of patient of be in hospital serves mode, simplify flow of patient door, emergency call seeing a doctor.
Jiao Yahui of deputy director general of office of government of politics department medical services tells cure of Ministry of Public Health the reporter, execute " the settle accounts after making a diagnosis and give services first " , the hospital can is opposite cash pledge of every patient collection, install independent information identification code. Every accept the patient to make a diagnosis and give services, information system is met deduct relevant expense automatically from inside cash pledge.
"Change a space with time " , it is to show in the light of job of medical services of different section office medical services of actual condition, patient needs resource of medical services of sue for peace to use a case, make overall plans to medical services resource from time, space and manpower resource, science is allocated. Zhao Minggang says, at present outpatient service person is a lot of hospitals completely in the morning suffer from, surgery demands exceeds supply, rate of consulting room, surgery empty buy is higher afternoon. Accordingly, want reasonable arrangement the diagnosis and services of different section office works, raise hospital outpatient service, emergency call, surgery to wait use efficiency.
Wang Sha of dean of hospital of Beijing University people introduces, at present this courtyard is debugging information system, right the outpatient service of different section office, different crowd second all charge undertakes calculating, predict pilot job can spread out before the end of the year.
"Sick chaos demands medical service " the main feature that ever was the behavior of spending of medical services since China is long-term, the personage of popular medical affairs that old and well-known family of doctor of expert, professor, chairman, traditional Chinese medical science, sea puts in a doctor ‘s charge to become patient quest. All round 3 armour hospital, specialized subject hospital " mark dealer " business is thriving, the market that shows resource of Chinese high grade medical services with respect to enough is thin lack rate, showed a patient to serve the blind level that consumes behavior to suiting the medical services of individual body condition from another angle at the same time.
Everybody longs to get life continueing, from China Qin Shi emperor sends forces to search an elixir to begin, refuse anile services to what Chinese section section reachs to begin on international in recent years, the mankind is seeking the plan of continuance life momently. Below the most primitive motive drive, once people realizes place suffers from when the disease endangers life, meet a few all can, not hesitate of all cost go winning medical services make a diagnosis and give services, with period restore health.
Be in China however, because master the population scale of medical services knowledge extremely low, the patient is choosing appropriate medical establishment or professional personage side, be in very passive position. In a lot of medical services the service provides information in, as a result of the blemish of intellectual structure, the patient chooses very hard to suit his service. Normally medical services of the patient consumes behavior to basically have the following kinds:
One, " sick chaos demands medical service " :
This kind of patient basically pays close attention to healthy position of the individual quite, but the rule that does not have health in daily life and working action respect and means, arrive basically to regular body is checked without the row on schedule, after only the symptom of the disease appears, the need with urgent ability removes ailment, to get the rehabilitation of the cure of the disease and body quickly, not hesitate all cost, all over the cure that seek a name, specialized subject hospital. Often take in one‘s hand program of a few kinds of services, if program of every kinds of services is short-term cannot get effective, can change doctor or remedial program, if things go on like this, be immersed in without cure but target-seeking predicament. Expectation " Bi Jigong and one battle " . Find highly skilled doctor or expert of big shop sign, one action treats a disease.
2, " prolonged illness makes the patient be a doctor " :
Great majority of this kind of patient contracts some kind of chronic disease, what long-term him attention has the progress of the disease, make progress to this medical services of professional domain from doctor of medicaments, specialized subject, can master a few basic knowledge. A few necessary kind were taken in daily life and working action respect, compare a care to his disease, make progress and obtain complete rehabilitation of the disease in order to defer to be a target normally. Used up many time and energy to be in the respect of make a diagnosis and give services of the disease, expectation and doctor obtain the communication of professional layer class, achieve the confidence of rehabilitation target in order to increase. The patient that has a typical case even goes attending the professional learning meeting of medical specialized subject, in hospital outpatient service, a few clinical students that just walk out of a school gate often encounter this kind of patient‘s quite professional query.
3, " ailment not go to a doctor, a serious illness seeks a medical service "
Foundation of economy of great majority of this kind of patient is better, be in evasive condition to health. Daily life and working action respect do not have healthy rule and means basically, assuming more society and actuating pressure. Do not wish to face true health, if the body has small unwell, often take health care to taste with period restore healthy, but in do not wish to admit to be in disease state substantially. Only to the body apparent symptom appears, even when crisis life, ability can face disease predicament. Because have good economic base, can not hesitate normally all cost, employ all human relations in society, enter best medical establishment, ask best doctor, in order to redeem the health of the body even life.
Services of 3 kinds of afore-mentioned main patient medical services consume behavior, actually in the final analysis is decided by nature place of the mankind, shuck layer upon layer crust, there is a flimsy heart inside, fear is inherent and come, the longing to life is each the individual‘s wish. The calm faces life, face a disease correctly, be to life had better caress. Below the assistance of professional organization, build favorable medical services to serve consumptive behavior, for healthy navigation, for life wonderful.
Long so big, first time be in hospital. Still run to Canada from China, borrow the daughter‘s light.
And this lives, still be occupy in the hospital of capitalist country, "Enjoy " is " multicoloured " (person) service.
Want to write oneself experience all the time, do not compare to do the Chinese and Western of what profundity, dare not place on a par communism and capitalism more,
Pure belong to experience communication -- the communication of experience of life. Say ward ～ ～ above allThe hospital here (adult) have 3 kinds of ward: Average room (4 people) , double room, single room. Medical services of the government offers common ward only freely, if need lives other two kinds word is about oneself give money or the burden of insurance of medical services welfare of own company. There is toilet in the ward of whatever appearance, there still can be TV in some hospitals, some just has in some mobile rooms only. Common hospital is be not a patch on for this disease child hospital. Every building has a boiled water, there is freezer inside, person letting disease and family member put food. Still have microwave oven, tell a driver, still offer drinking water and ice cube (ambitious attune, because this content is in a hospital the good in but big, this and home are very different) . The insurance of our company can burden double room, chose double room in a few days that of unripe daughter so. It is fortunately quite in those 5 days, around 3 days additionally one piece of bed does not have a person, mix completely private room is same, and better than private room is, husband can have a place to accompany me in the evening, the space has bigger. The price that spent an in part only enjoyed the services of private room, be pretty good! ! Food ～ ～As long as it is occupy hospital, that is a day 3 total packages, can send menu let a patient choose everyday the following day " dish type " . It is the dish type of some of foreigner nevertheless, to me such by Chinese meal be used to it is for bad stomach not quite suit, so I also was not chosen, making them informal send is. Because I am Caesarean birth, so postpartum food of 2 days should be decided by the nurse. Strong operation come back the first times, they went up to me potted chicken broth, freezing fruit juice and ice-lolly -- complete fluidity and fear I have a fever. Because of the operation before hungry many hours 10, awake so, I also cannot was in charge of so much, ate. When Mom waiting for pa sees me to the hospital, was scolded by them. Because this is in Chinese most cultured " confined " in, I am freezing thing had not broken ～ ～ Serve ～ ～Had not lived in home courtyard, how much is the scale that does not know the nurse takes care of a patient, here, it is about 1: 5, a nurse just takes care of 5 patients, so they are very patient, and basically be to breathe out to arrive surely. From basic examination, hair medicine brushs a body to wait a moment to side patient, be nurse keep everything in one‘s own hands. Take medicine like me, have warm water of first time requirement only (because here waters machine those who come out is glacial water, need bites the travel that heat up ability) , later every time, the nurse is to prepare Wen Shuicai and medicine to be taken together, look at me to eat next ability to leave. Still cannot get out of bed after the operation, nurse not only side of serious and tender ground brushed a body, the demand that still presses me and habit give brush good Lotion, want than myself meticulous. This is pardonable also nevertheless, can take a nap in the office when family idle rest blow water, on 3 days of classes rest 5 days, pay tall material benefits is good, affirm good intention affection. But Canadian nurse is allegedly strange still be short of, so the government often adds welfare to their raises, the hope can draw more people. Individual character of if it were not for is slacker, read without method farewell school, take an examination of a nurse to return really right choice. Other ～ ～Every morning 8: The towel that 30 metropolises somebody sends clean and dress (patient is taken) and water of one dock-glass ice gives every patient. After every had paused, natural meeting somebody is next to clear away tableware and clean sanitation. So no wonder hears some person be in hospital are to want to be being driven what just agree by the hospital before.
The medical services that experiences Germany serves (2)
Above paragraphs respecting sees a doctor in Germany very convenient, need not spend money, need not worry basically look down on disease. Nevertheless, also cannot say everywhere satisfactory, talk then below.
The son has a fever 40.3 degrees, the doctor of clinic opened some of medicine to disease. Had come home two days, heat still is controlled in 39 degrees, see a doctor rapidly again. Last female doctor is off, changed a clinic. The structure of the 2nd clinic is very simple also, but the patient is apparently some more, still have person of ailment of additionally two foreign countries. The key of exceedingly meaning depends on examined doctor probably. Complexion of this my dear brother is ruddy, a snow-white and orderly mustache, have the taste of bit of Christmas great grandfather. And, english and its are fluent, as if to often attend the expert of international conference, no wonder attracted more international patient at the same time.
Register name, the doctor has seen the son‘s medical record from the network. Be being diagnosed after the examination is bronchitic, but still do not give antibiotic. Arrived in the evening, when son heat comes up again, we are can‘ted restrain, take him to go to a hospital seeing emergency services. Emergency call doctor knows husband goes to work in the hospital, give us prescription antibiotic, let us depend use, still suggest to continue to observe at present.
Use after all need not antibiotic? We discussed in the home. The habit according to home is early for certain used, nevertheless we decide finally or comply with the proposal of German doctor. The son‘s heat drops somewhat really later, we also appreciably was at ease a few.
But the following day in the evening, the son begins to complain ear is uncomfortable, did not pass how long so painful that cry loudly. We see emergency services immediately. The doctor is diagnosed is tympanitis, know to there is antibiotic in our hand, just changed dosage. I checked the manual of domestic congener product, the dosage of German doctor prescription is the upper limit of children dosage.
After use antibiotic 3 days, son otalgia, fevered symptom disappears. Take him to go over there white mustache doctor further consultation with a doctor, everything is normal. This disease went at long last.
Do father and mother to us for, a cold develops tympanitis, some apology regret always is in the heart. The gentleman chats with the colleague in the unit, have German also blame what doctor antagonism gives birth to element to point to proof control is too tight. A the upper respiratory tract is affected, procrastinated very long, final development is become pneumonic, be in hospital when, allegedly a few index had been close to septicemia. After use antibiotic, the symptom after 4 days disappears left hospital.
Most parent can think the doctor should use antibiotic as early as possible, let the child avoid the risk of pneumonic, tympanitis. But, to the doctor, abusive antibiotic has been become reach its serious problem. This, the conflict that should be individual interest and group profit.
Fast when going back to the motherland, guttural agnail of the son, this time we make a prompt decision, some of antibiotic wanted over there Dr Gong Zhigang of German attend in a advanced studies, eat to the son go down, symptoms of a few Queen of heaven disappear, board the plane smoothly go back to the motherland.
Through this experience, next time when we go abroad again, regular meeting notices the antibiotic on the belt. Be in Germany, this can be to have what money cannot buy.
Sanhelios of holy He Lishi -- Germany installs high-end health to taste formerly
Country of report from our correspondent develops innovation appoint, resource of Ministry of Public Health, manpower and social security ministry were announced a few days ago " the opinion that reform medicines and chemical reagents and price of medical services form a mechanism " , according to " medicine is apart " requirement, reform medical establishment compensates a mechanism, the country will cancel medical establishment to sell addition of medicines and chemical reagents stage by stage; Lower the drug price of on the high side further; Clinical diagnosis and services, nurse, operation price will rise, reduce at the same time large and medical equipment supervision and remedial value.
" opinion " point out, 2009-2011 year main task is reasonable adjust drug price, on the drug price base that runs in government of comprehensive check and ratify, lower the drug price of on the high side further, rise appropriately clinical and indispensible cheap drug price. To 2020, establish perfect government adjusting control is united in wedlock with market adjustment photograph, the medical price that accords with medicine to defend make trouble course of study to develop the rule forms a mechanism; Medical price can change of cost of service of production of objective and seasonable report and market supply and demand; System of medical price management is perfect, adjusting control method is scientific; Medical price order is favorable, market competition behavior is normative.
" opinion " requirement, on the base that serves price item in normative medical services, improve clinical diagnosis and services appropriately, nurse, the medical services that the operation reflects value of service of medical personnel technology with etc serves the price, reduce at the same time large and medical equipment supervision and remedial value. Strengthen pair of establish (interpose) enter kind of superintendency that waits to be worth price of medical apparatus and instruments high. " opinion " point out at the same time, want active exploration to establish mechanism of negotiation of both sides of medical cost supply and demand, those who encourage conditional place to develop terms of payment and charge negotiation mechanism is pilot. (Li Yi)
" man of fashionable and healthy · "- - Yi Niankang fills medical services of the health that start to serve " D plan "
Origin: 2009 the 8th period " man of fashionable and healthy · "
Yi Niankang fills medical services of the health that start to serve D to plan " TITLE=" " man of fashionable and healthy road " - Yi Niankang fills medical services of the health that start to serve D to plan " />
Publish the magazine the title page of a thread-bound book that Yi Niankang contains company news
A few days ago, the famous high end inside course of study is private the doctor serves an orgnaization- - club of health of international of Yi Niankang Cheng Zunyue started a service of healthy medical services " D plans " , the club passes medical services of health of integrated Beijing top-ranking high end to serve resource, it is open of all circles personage to arrive directly at Beijing, enjoy expert of health care of the Nanhai in including, Beijing expert of authority of 3 armour hospital inside the healthy express that high-end medical services. Join a club, need to dial 400-6868-091 of member hot line only, the health that the club can offer seasonable, authority and top-ranking quality for the member seeks advice and medical services. The fixed position that Yi Niankang fills a company is one is service object with high-end honoured guest, offer a service to be centered in precaution it is chronic, difficult to solve go to a doctor, improvement inferior the healthy medical services that health attachs most importance to a dot serves a company.
About " man of fashionable and healthy · " --
" vogue " magazine company is a country the central step that society of travel of tourism bureau director, China sponsors is big print. Provide the actual strength, high-grade periodical that has latent capacity most to publish a group most as China, " vogue " already had below magazine company division " vogue " , " fashionable gentleman " , " fashionable household " , " fashionable travel " , " fashionable and healthy Ms. · " , " man of fashionable and healthy · " wait for a variety of 20 periodical.
" vogue is healthy " (man) Men‘sHealth is magazine of health of the first high-grade male of domestic. In be the same as type male magazine, " Men‘s Health " sales volume increases the rapiddest. Have deep international media to run actual strength, powerful " vogue " publication team, with the abroad that has had 3.53 million circulation the copyright of famous man journal cooperates. In the investigation of professional periodical market, " Men‘s Health " with it distinctive healthy thinking, original editor concept is in the develop a school of one‘s own in be the same as type magazine.
Everybody or domestic person can fall ill more or less, fall ill when seeing a doctor, how to handle good relationship with doctor nurse, make a doctor additional take care of you?
One, do not want doctor of create difficulties for sb to perhaps irritate face to face doctor
The patient looks much, the doctor calculates the smile laughs at deadlocked early also, so you meet those who have a smile to be lucky, meet what did not smile to also do not make excessive demands, the key still is the medical skill that see a doctor, see a doctor the problem that can solve you. And do not want doctor of create difficulties for sb exasperate perhaps doctor. Seeing a doctor is to solve a problem, had not solved a problem to do not have advantage absolutely to oneself with respect to exasperate doctor. If meet the doctor with really bad manner, do not want stick to one‘s position, remember next his project name secretly, after treating disease, can search to relevant section is mirrorred or be complained. Present conflict and thing are profitless, the illness incur loss through delay that can allow you only perhaps accentuates because of life illness.
2 attention arrive from the move on the attention to the doctor on the explanation of pair of own illnesses.
The core when seeing a doctor is a patient is not a doctor, the patient should put attention on him body, do not put attention on doctor or hospital (attitude of attending to guests of window of the jam of the manner that is like a doctor, hospital, registration) , too the mood that goes paying close attention to the external condition that those oneself cannot change to be able to affect his only, and the time that took up the analysis experiences him patient‘s condition. Think oneself have what body well unwell, cause these uncomfortable perhaps bring about the aggravating, element that alleviate what to have, fine fine memory what disease has been gotten before oneself, produce the issue with special what recently, if get hurt, wait accidentally. Still have your this attempt how these information concise and reach the designated position so that convey to come out. I am in clinical on had seen various patients, some is very muddleheaded, whats say to not be clear about; Some however can rapid important deliver a doctor with useful disease information. In these two kinds of patients, those who be in an unfavorable situation is former of course: Oneself say to not be clear about, the doctor thinks the side also is not helped. So everybody sees a doctor, above all oneself should spend time to make great efforts, consider oneself whole issue to be clear about well.
The 3 anticipation that had imagined oneself to see a doctor purpose
Had imagined what oneself see a doctor to expect an end, before that is to say sees a doctor have in your heart roughly idea: For instance you see a doctor this, be for groovy check-up? Still uncomfortable plan is diagnosed detailed examination, clearly? Or be does after just opening bit of medicine to control a symptom temporarily, redo plan? Or it is clearer that a certain disease is diagnosed, you are to plan to keep cure, be in hospital, operation, be still to consult remedial program merely? Clear up these problems to be able to make the communication of you and doctor more fluent, the problem that invites you is able to solve quickly.
For instance I had encountered a patient, because she is infecund do not see a doctor before Yo, the doctor says to want to make clear the pathogeny to make an inspection, she is not willing to make an inspection; The doctor says that goes back first oneself and husband have a try more can conceive, she says to had tried a lot of years again is to be not conceived. She is mixed without the desired value that clears up her namely purpose seeing a doctor, it she wants even oneself what to do after all is not clear that she wants even oneself wants even oneself what to do after all, pester repeatedly, the registration that can waste oneself only expends the time with the doctor. If this patient thinks those who be clear about his to expect an end beforehand -- see a doctor this not to want to check the pathogeny in detail, hope doctor gives out the medicaments that the proposal that a few guidance bear and conduce bear, coach its are borne. If still cannot be pregnant, get examination cause of disease in detail again in the future, so she is the sufferings that because the doctor is paid no attention to,won‘t solve her, insoluble her problem and pained.
Still have a patient, she sees a doctor because of illness of serious uterine gland flesh, she expects an end with respect to what understand her very much -- him hope operation, but internal cause of half an year is working element cannot operation, if where,ill purpose is in light of this cannot control a symptom inside the time of half an year of the operation (serious dysmenorrhoea and because menstruation bleeds,cause anemia of the sex that be short of iron too much) . Understood her purpose, the doctor gave her to open GnRHa every months, let her come no longer menstruation, also no longer upset stomach bleeds, perfect so that solved the problem of this patient.
4, true and so direct that make clear oneself economic atmosphere
Do not say ‘ with best medicine ‘ ‘ money is had a plenty of ‘ the word of and so on, unless beautiful is not the money of your home or you are very rich really. Want to be behaved so that there is bit of difficulty in the home, but be bungled the manner that sells iron to also want to treat a disease, the doctor respects the person that has close feeling. If you have difficulty, speak out directly, doctor and nurse or conference idea try help your save money, use cheap medicine, cheap examination as far as possible for instance, make an inspection less as far as possible. Of course, effect of cheap medical effect great a long time can be inferior to more expensive drug, but always not be such. The monitoring that does an examination less to investigate pair of patient‘s conditions as frequent check of course is strong. But only such ability save next money to call protracted battle quite, be? A minute of price a minute of goods, when shopping such, when treating a disease also often such.
5, give sb a present depends on intention
If you want to thank a doctor to express intention very much, can send bit of expression the gift of intention, to doctor and nurse, showing consideration for is as more important than money as esteem. For example I am in clinical had seen many gifts are very close: The snack that makes with one‘s own hands for example, the sole of own accept, him manuscript acknowledgment is believed or thank a poem, fruit, beverage, the bowl holds bubble range, the box meal that the doctor that becomes even the stage the operation to hungry abdomen sends... doctor often because of moil by accident meal dot, because forget busily,perhaps drink water to perhaps did not buy water for nothing, the fruit of a few money or beverage can let a doctor experience you to show consideration for his, can facilitate naturally the doctors and patients with sweet, mutual considerate consideration concerns, the doctor also is a person, you show consideration for him, he also can show consideration for you naturally conversely, let you get a lot of keep an eye on.
6, remember please, no matter how do you do, because,perhaps the doctor is met of the patient do not cooperate to must make a lot of inspections more, rangjiduo spends bit of money, but won‘t treat bad disease intentionally absolutely. Operation doctor won‘t become the operation intentionally forever poor, because such not doing,arrive.
Service of careful character medical services rises in price
Today, media reports Ministry of Public Health plans to raise medical services to serve the price, borrow this to solve or change medical services system " raise cure with medicine " problem. Current, the country is taking active and significant step, rise with preventing to produce price structure sex and cause generalized inflation appear, put forward medical services to rise in price right now malapropos, also lack sufficient reason.
"Fare of diagnosis and services is too at present low, the registration of an average doctor expends 1 yuan of money, the registration cost of doctor of a vice director is only also 35 yuan of money, but treat a patient, what the doctor needs to pay is old study and accumulated experience and knowledge. This kind has worked to pay lowly to sex of medical services knowledge, bring about a doctor to rely on big prescription, many medicine comes twist realizes his value to reflect. Again for instance, a surgical operation, the material charge such as bracket withs the price clearly marked mark a price, and very costly, but the pay that doctor of an expert class becomes an operation does not cross hundreds of yuan, appeared so " red bag " , " rake-off " the unhealthy tendency that waits for twist. " this should concern the argument that raises medical services to serve the price in the report namely, but we can‘t help wanting to ask such question: When the doctor sees a doctor, the number ability that how many fund the patient registers compensates sex of medical services knowledge to work? Hypothesis patient paid enough registration fee, did the doctor open a big prescription to accept red package no longer?
Price of medical services is exorbitant rot with wind of medical ethics cure long-standing, the people is right this detest. The occurrence of this kind of situation, the reason is many sided, among them very serious consideration is a country the investment to medical services system is inadequate since finance is long-term, 2 it is lack control government effectively to what wind of cure of medical ethics of medical services system builds, 3 be wholesome to happening in medical services system break the law action penalizes lax.
Several days ago, a friend takes the work in the same placing‘s child to see a doctor to the hospital, can show current people very much the awkwardness in process of go to a doctor. The child that this friend works in the same place, when next buildings inadvertent trip, when going to a hospital to check, ground of doctor make a great show of being in earnest is diagnosed give this child to have prostatitis, need has services immediately, one kind when immediately recommended this hospital to develop marks a price every 300 yuan medicaments, say to need to have the services of a period of services 10 days. Otherwise, the likelihood should affect the child‘s birth! Want to know, the age of this child still resents up to now 19 one full year of life, and just fell coccygeal, how is hard raw uncultivated land diagnosed gave prostatitis? I did not see this my friend again, but he is to feel those who take this child to turn to other hospital to see a doctor to here has a problem to just appear personally, we hear this thing a few times feel mysterious.
Couplet thinks of very long before a program that CCTV broadcasts: One does not have the patient with venereal what at all, unexpectedly by the hospital " diagnose " piece venereal, cost for this hundred thousands of yuan of money! The result does not have the person of what disease originally, not only really by " cure " give a suit disease, still sold for this house and cost all savings.
Our for the moment no matter after medical services the price to rise, intellectual sex of the doctor works so that do not get compensating, does doctor idea try to you can stop from the course of action of gold of the extort on patient body? Before paragraph can be the issue of cost of day price medical services that time exposures one after another put an end to? Besides, the doctor should win pay pay according to salary of title of working fixed number of year, does the charge of this and registration use inevitable connection?
Difference of medical services, collect fees the price is high, it is the result that forms for a long time, it is very not easy to think in one day is solved, but wanting to be solved through huff is not the basic principle that solve apparently. Urgent affairs, it is fall the price of medicines and chemical reagents as soon as possible, 2 it is cogent correct the wind of medical ethics cure that had rotted come over.
Also be to be in several days ago, occupy of a relative hospital, need is used " dew opening a place of strategic importance " medicaments is aperient, this kind wants the small drug of 8 horn money only on street face, the price of the hospital achieved 17 yuan actually! General when nobody is willing to the hospital such place goes, healthy person is not willing to go, the patient is more right the hospital flinchs. The doctor is in public mood, it is the doctor of heal the wounded and rescue the dying, be still sinister in appearance cateran? I do not know the hospital gives medicines and chemical reagents decided value by what, how do increasing price decuply with respect to just a little easily decide, resembling such thing is prices branch will be in charge of or by what the orgnaization is in charge of after all, anyway such day price medicines and chemical reagents does not know who will be in charge of should be in charge of by who. Close as to respecting doctor " red bag " problem, the doctor had had wage income, he closes even by what " red bag " , do the doctor of expert class and the expert that satellitic development works have distinction? Assume it doesn‘t matter is distinguished between them, that sends the expert of God the satellite, does each pace work does somebody send to them " red bag " ?
So, although the price hospital medicines and chemical reagents falls, the value that lets medicines and chemical reagents can let a patient can be accepted, this ability is the urgentest task, is not what thing when still was not being done wear urgently first what rises in price. Go up to those blame cannot the price, can be accepted and the masses understands, for instance cannot of price of second birth the sources of energy rise, people is good understand such business, rare after all the thing that lack will be less and less, content with rare for expensive, cannot renewable resources on the whole final it is to side with a how many price to cannot buy gotten degree to go.
Still think the proposal that offer is, official or expert, it is to want the thing that Shen Yan rises in price to be especially below the situation that all sorts of commodity price general go up, 2 it is to those letting that the person is full the ground looks for a tooth to cannot be become at all rise in price the theory of reason does not take put before the public at will, 3 it is media does not have the speech with numerous canonical to still let them say what listen oneself is good oneself at all to this kind, do not let this kind of opinion on public affairs give the public that serves price bellyful complaint to medical services originally to add again blocked up.
