After Chinese cure changes, service of senile rehabilitation medical services develops a tendency (4)

Swine flu vaccince may have medical threat?

After Chinese cure changes, service of senile rehabilitation medical services develops a tendency (4)

(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

4, senile rehabilitation medical services new pattern

4.1, the country will take sanitation of senile medical services seriously to work more.

Be in early Ministry of Public Health allotted the opinion that about strengthening our country old age medical services sanitation works 1985, the country is made again later carry out " senile Medical Protection " 85 " program (1991, 1995) " , issue the policy sex document that strengthens senile and wholesome job twice, bring into job of senile Medical Protection " countrywide health education and compendium of program of healthy stimulative work (2005, 2010) " , " China nurses the enterprise develops program outline (2005, 2010) " , " job of Chinese spirit sanitation plans (2002, 2010) " etc. Establish countrywide old age group of wholesome job leader and advisory committee of expert of senile and wholesome job, the guidance that strengthens wholesome to countrywide old age job is coordinated and science is decision-making.

The country is encouraged conditional large and medium-sized medical establishment offers senile ill specialized subject or senile ill outpatient service, provide special service actively for old people. Plan according to area sanitation, build the medical services sanitation that can provide the service such as senile ill prevention and cure, senile rehabilitation and mortal consideration to serve an orgnaization. Each district medical establishment provided send by registered mail generally for old people of 70 years old of above, see a doctor, the preferential privilege that takes the side such as medicine, be in hospital serves. 2006, the country is promulgated carry out " national economy and social progress " 915 " program compendium " , nurse executive love project, accelerate what development faces old people of senile disease damage to nurse service facilities brings into program emphasis.

Accelerate sanitation of construction city community to serve a system, drive each district to bring into senile Medical Protection key of community sanitation job, the sanitation that offers safe, effective, convenient, economy for old people hard serves. Each district guides orgnaization of sanitation of basic level medical services actively to serve orgnaization transition to community sanitation, begin old age to health care, medical services nurses and recover wait for a service. Basis of basic level medical establishment the special demand of old people, offer domestic visit a patient at home, family to nurse, the service such as daytime observation, mortal consideration. The part of old people is basic and healthy the problem gets settlement in community.

4.2, the rehabilitation of senile hospital serves mode general more and more human nature is changed.

New medical pattern is in in the past, contagion is the main menace of human health. And infection basically is caused by the biology element such as bacteria, virus again, so, people is what the sort of situation says " biology medicine mode " . Differred now, healthy to the mankind main menace already transferred blame contagion to come up by contagion gradually, the element causing disease that is not contagion basically is psychological element, society element, so, people calls present medical pattern " biology - psychology - social medicine mode " .

Biology medicine mode is in the health that protects the mankind and the further progress to medicine, produced major stimulative effect really. The one-sided sex that understands to the disease as a result of this mode however reachs limitation, cause a medical worker to see tree only in the " in the process of disease of prevention and cure, do not see silvan " , note the biology element respect of the disease only, and the dominant intermediary effect that ignored a disease to make much mainer psychology factor and social ingredient.

The rapid development of modern science and technology, the research achievement of a variety of course makes clear, behave formal understanding to the disease, already by because traditional sheet is odd if really because of sheet fruit and the expression of the many deep administrative levels because of much fruit come out to how, be opposite consequently the understanding of the disease already not mode of medicine of biology of be confined to, and development makes live thing - psychology - social medicine mode.

The main task that clinical in the past doctor treats a patient is to diagnose reach cure, take biology respect of the patient seriously, ignore aspect of environment of the patient‘s psychology, society, cause a lot of heart body diseases long treat do not heal. Modern medicine mode asks clinical doctor is when understanding patient disease and medical history, answer to set out from social setting of the patient and psychological change, undertake be analyticed in the round reaching diagnostic to what the patient contracts a disease, thereby the comprehensive services program with effective formulate. The observation of the function of psychological society element that improves pair of patients and analytic ability, improve remedial result.

Modern medicine mode enlarges the precautionary health care that gives priority to from biology pathogeny with biology - psychology - the precaution with integrated society, improve precautionary result effectively thereby, want sanitation to serve as the change of medical mode escalate to serve limits namely (abbreviation enlarges) 4 times: By physiology the service enlarges psychological service; Enlarge the service outside the hospital by Wu of hospital to be taken orally; By medical services the service expands to prevent a service; By the technology the service enlarges social service.

4.3, the brand of senile rehabilitation hospital is built.

In the process that has a service for the hospital, we created the concept that 6 systems run the hospital. The point of view that we discuss from the system sets out, regard the hospital as the system of an organic connection, it is by the building (Build) , equipment (Eqripment) , talent (Person) , manage (Manage) , product (Production) with culture (Clture) 6 stature systems comprise. The brand of the hospital is built even if should begin from the 6 subsystem construction of the hospital, let whole system be combined, build the brand of a hospital.

Building (Build) : The building design of senile hospital is different from the specialized subject hospital with general omnibus other perhaps hospitals for certain, it is having its characteristic, it is very important to be designed to the building of the rehabilitation facilities of senile patient especially. The hospital needs to undertake medical services craft is designed before construction, that is to say, the hospital should undertake according to the fixed position of the hospital the function is designed, if we have the flow of go to a doctor of original hospital patient changing, have design of different medical services technology, of course, the building design of the hospital differred. We often see the outpatient service of some large hospitals is designed very complexly, the elephant is labyrinthian and same, the patient should go to one place often cannot be being found, sometimes, the doctor also cannot find the place that should go. Such hospital is designed, did not consider to be a center with the patient at all, not be even it is a center with the doctor. The ward of hospital of class of a county nurses unit area achieved 400 many square metre, red should wear ice skate ability is OK, such design is wasteful and how old.

Equipment (Eqripment) : The equipment of senile hospital and general hospital are different, recover especially the equipment of need, in general hospital, rehabilitation patient goes recovering often very simple, exercise a hand exercise a hand, exercise a leg exercise a leg, somebody is asking, such equipment, the patient is bought it is OK to come home oneself recovered. Actually, it is so simple thing has more profound knowledge, we should make rehabilitation circuit, the patient takes exercise in rehabilitation before, should measure measure pulse, the quantity measures blood pressure, come so, the patient can feel not to lack a hospital.

Talent (Person) : Bill Gates says: "Dig 20 our top talents, so I tell you, microsoft can become a footy company. " like the talent of the talent of the hospital and Microsoft important! The defray of manpower respect occupies 20 ％ basically only in Chinese hospital, and the developed country occupies 80 ％ . " the business quality that improves medical personnel and other personnel in the round and service quality, we think, entire grooms study is more than groom individually study, but, we do not object a doctor going out study, make an on-the-spot investigation, attend in a advanced studies. Make hospital study plan, lift the new climax of study, innovation.

An absorbing phenomenon discovered after we once compared TV station and hospital: See a TV station do well, we often see it have good compere and the column that had had, visit a hospital? It is to look have a medical service, 2 it is to have characteristic section office. Be opposite compere and of renown cure in comparing a process, we discover, the TV station is supporting compere with total force, the renown cure of the hospital often is emerge of itself and perish of itself. So, we but in order to learn the way of the TV station, go packing the renown cure that supports a hospital conciously?

Manage (Manage) : Government gives benefit! This is the consensus of all of us, after to the management of the hospital mode undertakes analytic reflection, we put forward a few main management train of thought to give a hospital reference.

The system is changed and legal system is changed, the hospital should be built make clear all sorts of regulations systems, provide a person with the system, avoid the management by experience of consider sth as it stands; Plan gender and systematization, plan and target are very important, the plan cannot be paronomasia, the plan should have the premise that can carry out; Management carries out ability, run a system, run way, manage an ideology, if cannot be fulfilled quite,carry out, everything can make a castle in the air; The ability that improves continuously, so administrative method cannot be forever truth quite, the world is going, the hospital is changing, the person is going, so, we want to be improved according to different need; Supervise effectively, again good system, it is better to do not have supervise, go impossibly carrying out.

Product (Production) : The service product of the hospital is a hospital the combination of relevant resource, we can seek first-rate means in fumbling ceaselessly, we are used " clinical road classics " the combination that describes service product, product of the plan, service that pack, let a patient be accepted most the service that human nature changes. The service is a product, what the hospital sells is a product, so, we are about to undertake more good design to the product.

The hospital serves a product to combine an analysis: Support sexual equipment, be before the service is being provided for the patient in the hospital, the corporeal resource that must reach the designated position. Build even if among them one of. Assist article: The patient buys the corporeal product with consumption, wait like medical services things, medicines and chemical reagents. Dominance serves: Those can be used feel and make a service basic or substaintial character and interest. If ache did not feel after fill a tooth. Recessive service: The client can be ambiguous the results on the spirit that feels the service is brought, or the blame essence of the service is characteristic.

Culture (Clture) : Hospital culture is the belief that hospital member abides by jointly or common ideal, it makes the standard of the individual in strong tie hospital or group action. Hospital culture is a hospital distinguishs the tradition at other hospital and belief, it gifts hospital vigor. Hospital culture is to be able to produce cohesive affinity to gift the hospital is bright the mutual and oriented system of individual character.