After Chinese cure changes, service of senile rehabilitation medical services develops a tendency (3)

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After Chinese cure changes, service of senile rehabilitation medical services develops a tendency (3)

(Chinese rehabilitation medicine develops advanced forum - 08-12 3 inferior the speech stalks of grain)

Changsha thing is contemporary Mu Qiao of Liu of limited company of hospital government service

2.3, defray of American senile Medical Protection. Begin to execute since 1965, the United States offers Medical Protection for 65 years old of old people that reach above and certain disabled. This defray forms by 3 parts: Insurance of be in hospital, add insurance and Medical Protection choose a plan. Expenses of insurance of be in hospital originates labour fuel tax, at present tax rate is 2.9% , enterprise and individual each pay 1.45% ; The financing of add insurance expenses basically has two medium of communication -- 75% come from average revenue income, 25% come from insurance premium; Medical Protection chooses to plan to come from insurance premium income completely. This defray by manage federally, qualificatory standard is in each city is unified, defray amounted to $2160 2000 100 million.

The menace that the ageing of population makes system of Norwegian medical services gets is bigger and bigger, the expenses of the hospital is increasing ceaselessly, but the phenomenon that queues up to wait to see a doctor did not decrease all the time, the hospital also feels undermanned all the time. In this kind critical condition falls, norwegian decision undertakes medical services sanitation is reformed, the superintendency that masters a hospital afresh by the country counterpoises, set each square liability clearly at the same time. The whole nation comprises 5 in all " enterprise of medical services sanitation " (every such " enterprise " next administer all hospitals of an area) , funds originates public fund. From jural say, these a few " enterprise " be independence. The only limitation that they get is: Must not go bankrupt.

3, service of senile rehabilitation medical services develops a tendency

3.1, the development of contemporary rehabilitation medicine.

Rehabilitation medicine is a burgeoning course, it is a when 20 centuries metaphase appears new idea. It is a functional obstacle with eliminate and reducing a person, make up for and rebuild the person‘s function is short of break, try to improve and raise the medical subject of each respect function of the person, namely the precaution of functional obstacle, diagnose, evaluate, the medical course of cure, training and processing. Sports therapy is the serious content of contemporary rehabilitation medicine and method. Rehabilitation medicine is a medical course that recovers about stimulative disabled and patient, more specifically, rehabilitation medicine is for the purpose of rehabilitation and the precaution that uses concerned function barrier, diagnose and evaluate, the course of a medicine of cure, training and processing. Rehabilitation medicine by weigh the 3rd medicine (clinical medicine is the first medicine, precautionary medicine is the 2nd medicine) . In modern medicine system, already contacted precaution, medical services, rehabilitation each other, comprise an unity. Rehabilitation medicine is initiative at the Second World War later, it is main service object with the disabled formerly. Contemporary rehabilitation medicine is nearly half century comes to those who rise develop flourishingly, its development is the inevitable tendency that human medicine enterprise develops, also be the result that modern science and technology progresses.

3.2, the change of chart of old people disease and chronic sicken rate increase, make rehabilitation iatrical demand bigger and bigger.

Ministry of Public Health is right 12 provinces of our country (city) the result of sampling investigation makes clear, main sicken is our country old people tired of hypertensive, coronary heart disease, diabetic, head is dead, rheumatism, malign tumor and other retreat travel sex disease. Rate of dead sicken of tired of our country head enters higher level since 50 years old, show logarithm to rise sharply to old age. Sicken rate shows hypertension to differ to arrive 65 years old than exemple growth point-blank after 40 years old oneself previously, almost every other grows one 5 years times. Average sicken age is our country coronary heart disease the male is 61 years old, the female is 63 years old, the male over female, sicken rate shows ascendant trend after 55 years old. Diabetic sicken rate is old people of 60 years old of above of our country 4.12 ％ .

Sicken of chronic of our country old people is led from 20 centuries house is tall since 90 time no less than, investigation of Ministry of Public Health made clear 1993, 70% have the 60% ～ in senile crowd chronic medical history, average per capita suffers from 2 to 3 kinds of diseases. Sicken of chronic of old people of 60 years old of above leads 3.2 times be countrywide population, disable 3.6 times leading is total population. 2003, rate of sicken of chronic of old people of 65 years old of above of our country is 53.8% , rate of sicken of old people of village of its middle peasant is 39.2 ％ , rate of sicken of urban old people is 77.7 ％ , 38.5 percent of country of urban prep above. In the meantime, rate of sicken of chronic of old people of different level city is put in notable difference. The city waits in big city prep above, small town of urban prep above waits in. As population aged, senile disease also subsequently grow in quantity. Disease of osteoporosis, Pajinsen, senile domentia is perplexing old people and its family all the time etc. And senile and gawkish incidence of a disease also rises sharply, also will become a of our country serious communal and wholesome problem. No matter be pair of him old people, still be pair of its families, also or society, senile and gawkish rehabilitation already made the essential one part in clinical rehabilitation. What senile and gawkish disease points to is obstacle of activity of function of a kind of when cause because of pathological changes of cerebrum nerve cell durative advanced nerve, because cerebral ministry function ebbs gradually, the patient‘s memory and intelligence undertake the gender degrades, the part still has the change of the respect such as mood, behavior and feeling, affect the disease of daily life of the patient and gregarious ability. Senile and gawkish disease still does not have therapeutics of specially good effect at present, and rehabilitation cure nots allow to ignore, rehabilitation therapeutics is unalterable this ill pathology change, but particular to the move since this ill improvement function, can delay its progress.

Have old people of 60 years old of above at present 144 million, about 70 million old people has rehabilitation demand. Plus the patient that causes damage because of chronic in great quantities, our country society has huge demand to rehabilitation service.

3.3, according to statistical data, it is difficult that the senile life of 6 % of 4% ～ provides for oneself alive and need medical services nurses deliverance, and the rehabilitation medical establishment that can offer old people to live, can satisfy the market demand of 20 only, the market with because this is senile huge existence of career of rehabilitation medical services.

Community recovers: Community rehabilitation is to be inside certain ground wire (be like a city) of villages and towns of street, country, namely inside community limits. The social system project that makes the disabled, chronic patient and senile patient get comprehensive rehabilitation. Community rehabilitation thought comes into being at 20 centuries 40 time. Experience develops zigzag, be taken seriously extensively of a lot of world nations to 70 time, give on the international meeting that holds in Alamutu at World Health Organization of 70 time evening affirm, the formulation at that time is " the deformity precaution that is base with community and rehabilitation " . The community that at present people place says recovers; Basically point to the disabled rehabilitation in community [medical education net rectifies tonsorial cloth] . Its concept is: Be brought into play actively in urban and rural community and coordinate concerned branch and personnel. Open hair and the resource that use community adequately. The comprehensive rehabilitation that is object of disabled etc rehabilitation to offer effective, feasible, economy in the respect such as medical services, education, profession and society serves.

Senile hospital recovers: The hospital basically closes treat the need such as senile and apoplectic sequela, encephalatrophy, gawkish, terminal cancer to treat but weigh the senile patient in rehabilitation.

The senile rehabilitation section in the hospital: