Conduct the hygiene in urban and rural areas to develop proportionally in Chengdu Peasants have - family doctors-

Conduct the hygiene in urban and rural areas to develop proportionally in Chengdu Peasants have - family doctors-
Conduct the hygiene in urban and rural areas to develop proportionally in Chengdu Peasants have - family doctors-
White sword the intersection of Sichuan and the intersection of Xinjin and the intersection of county and the the intersection of town and the intersection of field and the intersection of gulf and the intersection of village and peasant in army in 46 -year-old Feng Zhang in peak, found two years ago that suffered from hypertension and diabetes, depressed. What let him feel surprised is, standing in hygiene of village not merely sets up " health file " for him ,It is special to also arrange " Health care doctor " . Though he often goes out to work as a temporary labourer, will receive doctor's message at regular intervals, inquire his condition, and remind and take medicine on time. Peasants have " Family doctor " ,This conducts a epitome that the hygiene in urban and rural areas develops proportionally in Chengdu of Sichuan. There are 11,120,000 people in all in Chengdu, urban and rural residents each take half, it is typical " big city, large countryside " . In recent years, the government of Chengdu accelerates advancing the integrated strategy of the hygiene in urban and rural areas, have broken the situation of the public health in urban and rural areas with unbalanced service for a long time. From this year, urban public health funds that the government invests are 20 yuan for each person every year, rural public health funds are 15 yuan for each person every year, the public commune hospitals of village and town have realized and " serves as the subject with the public health, supported by basic medical care " Function make the transition,"is it equal to serve public health take,basic medical care homogeneity " In urban and rural areas health care been new for pattern forming. The turning into peasants of the phenomenon does not go out of the village while being sick " go over, there is not a hospital like kind in the whole town, it is the small private clinic everywhere, someone has got acute disease, must hire a car in the county hospital. Now, the hospital is built in home gate, the villagers needn't worry to see the doctor again. " Sit in the observation ward of the public commune hospital of the open town in China of Shuangliu County, old man Chen infusing is profuse in praise. In recent years, 400 million more than Chengdu invest, stand, go on standardize, standardization, information construction to the intersection of the whole city and 238 public health clinics in towns and townships and 2396 the intersection of village and hygiene. At present, each of villages and towns has a public commune hospital, standing in hygiene of village basically makes sure to diagnose the room, therapeutic room, room of dispensary three separate, medical device layout is complete. A peasant says wittily: "The condition of the commune hospital is even more comfortable than that of the family, it is unwilling to leave to live in. " According to an item of statistics, in 2007, the whole city enjoys peasants that the hospitalization cost compensates have 30% to in hospital in the medical organization at county level in hospital, there are 60% in the health clinics in towns and townships in hospital, the structure is becoming more rational that peasants seek medical advice, have formed " the small disease does not go out of the village, serious disease does not go out of the township, the difficult disease does not go out of the county " tentatively Countryside medical new pattern. The standardized construction of the medical health organ in the village, has promoted the new agricultural sound development which shuts the system. At present, the whole city participate in, shut population, rise to 5,370,000 people from 3,750,000 people for 2004 while being agricultural while being new, join the shutting rate and rise to 95% from 70%. This year, the whole city raises funds newly and agriculturally jointly competence exceeds 100 yuan for each person every year, Shuangliu County, Dujiang Weir city,etc. reach 200 yuan for each person every year, peasants' benefited one is improving with benefited intensity constantly. The turning into the hospital of the system does not cure the disease since 2007 by all means again, Chengdu launched the public standardized polit construction project of commune hospital of the villages and towns, have defined two major functions of the public commune hospitals of villages and towns: Basic medical treatment and public health. The commune hospital is besides bearing basic medical care, should undertake preventing, keep healthy, recover, health education, birth control service, from " regard disease as the centre " Turn into " regard health as the centre " . Nowadays, all public commune hospitals of villages and towns of the whole city are sponsored by government, standing in hygiene of village is managed integratively by the public commune hospitals of villages and towns. Meanwhile, the government establishes the administrative center of the hospital, unify management to the public commune hospitals of villages and towns: Medical quality is supervised in unison, medicines are provided and delivered in unison, the medical apparatus calls for bid in unison, the medical worker is trained in unison, the financial affairs are managed in unison. The public commune hospitals of villages and towns implement " Two lines of revenue and expenditure " ,The incomes are all turned over to the administrative center of the hospital, expenses all include in government's budget, the doctor's income is no longer got in touch with writing a prescription more or less, but get in touch with indexes such as basic medical treatment and quantity of service, service quality, patient's satisfaction of the public health,etc., implement the salary of post and add the salary of performance, thus has stopped " great prescription, excessive inspection " ,fully embodiment is public for public service of hospital for property. The public commune hospitals of villages and towns implement the function and make the transition, doctors should bear basic medical care, also launch crowd's health control. Some pilot counties pursue responsibility and cure the division team enter the community, enter the village group, launch the health education and enter peasant family, prevention and health care and enter the peasant family, key crowd and manage and enter the peasant family, chronic disease to manage and enter the peasant family, sanitary control to enter the peasant family etc. " Enter the peasant family five times " The activity, make the masses receive all-round health service. The turning into a doctor of the service does not wait for patient September of this year again, 36 -year-old Zhang Yu is refined in Xinjin the county people's hospital gives a birth smoothly. After the 7 day, she get back to home, the the intersection of town and the intersection of Ming and the intersection of river and the intersection of Residential Area and " a medicine " that hygiene stand just Come to do for the first time to visit and look at postpartum. Because she tall endangers pregnant and parturient women, becomes a doctor's focal point care target since pregnant the beginning. Moreover, when should play vaccine child and when should make physical examination, there is " a slice of medicine " Warning. The the intersection of town and public Zhao, president of commune hospital, steam and say: "Antenatal health care, visiting looking at, immunization programs for children postpartum, examine the doctor's important index. How much the doctor's bonus is taken, it depends on how many points the patient hits. " In the past, Xinjin rural doctor of county get used to, wait for patient call, it has patients to be " so unoccupied that feel nervous " right away . Nowadays, the doctor standing in hygiene turns on the computer every day, will jump out the target needing to pay close attention automatically on the screen. What hypertension the patient should reexamine, what pregnant and parturient women should do health care, what children should inject vaccine, very clear. This information system will cover all villages in Xinjin county at the end of this year. Set up for every peasant family " The health file " ,It is another duty of the rural doctor's. In Xinjin county, the reporter sees, " health file " To different colonies, have done labels with the color such as being red, yellow, blue, green, pregnant and parturient women are red labels if it is endangered for example high, the fitting doctor must check fixedly to the doorstep, monitor their condition change at any time. Because there is this examination of public health, the enormous transition has taken place in doctor's routine: Service range turn by medical care into, compound the hygiene, serve; The service method is turned into and takes the initiative passively; The serivce object turns into the whole crowd by the patient; Serve goal by one-sided to pursue economic benefits, turn into, pursue the social benefit. At present, urban and rural residents can all enjoy the free public health service that the government offers nearby, have realized the service of public health in urban and rural areas is covered completely. Deputy Bureau Director of Chengdu health bureau Yang XiaoGuang says, one of the important goals of the hygiene in urban and rural areas of the pool, extend towards countryside urban the intersection of community and the intersection of hygiene and service theory and mode, let peasants enjoy the public health service as city at the gate of home.


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