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    Home > Medical News > Medical World News > Health and Health Commission's latest program Health Hospital, village health room public health division of labor has been determined.

    Health and Health Commission's latest program Health Hospital, village health room public health division of labor has been determined.

    • Last Update: 2020-08-02
    • Source: Internet
    • Author: User
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    Close-type county medical community is currently in the whole country in the "fire like" exploration period, the construction is to promote the main means of graded diagnosis and treatment.
    health hospitals and village health rooms play an important role in them and are closely related to their future development.
    However, most of the county medical community has not fully connected the county towns and villages, did not implement effective unified management and other problems.
    in this case, the benefits for primary doctors are not obvious, but some tasks are allocated step by step, increasing the workload of health hospitals and village health rooms.
    recently, the Guangdong Provincial Health and Health Commission and the Guangdong Provincial Administration of Traditional Chinese Medicine jointly organized and formulated 15 guidelines (hereinafter referred to as the "Guidelines)" for the Operation Of the Slow Disease Management Center of the Health And Health Community in Guangdong Province.
    a total of 15 guidelines, such as the "Slow Disease Management Center Operation Guide (Trial)", taking chronic disease management as an example, to clarify the chronic disease public health tasks undertaken by health hospitals and village health rooms, and to work and performance under scientific planning can be reasonably distributed.
    the management of chronic diseases, reduce the burden of primary doctors "Guide" put forward, adhere to the classification of sub-shard management.
    county-level general hospitals, township hospitals will be chronically ill people divided into high-risk groups, medium-risk groups, low-risk groups three levels, corresponding to red, yellow, green standards for sub-standard management.
    by the county-level hospital specialist team, township hospital general practitioner team and rural doctor division of labor collaboration: red standard patients by the county-level hospital key management and treatment;
    (1) Green label: compliance, blood pressure (blood sugar) to meet the standard, no special discomfort; (2) yellow label: compliance, blood pressure (blood sugar) overrange, but not yet reached the emergency risk value can have mild discomfort, no new target organ damage;
    their respective member units have a clear division of labor and responsible focus objects, so that the county medical service capacity and chronic disease prevention and control management capacity overall improvement, but also reduce the burden of grass-roots doctors.
    the implementation of the first consultation at the grass-roots level, the grass-roots residents shall not directly transfer to the residents under the jurisdiction of the grass-roots member units should receive the first consultation services, the grass-roots member units standardize the provision of diagnostic services, confirm the patients who need to be referred, management doctors apply for graded management of the transfer to county-level member units.
    patients with hypertension have the following signs to turn up 1. Initial diagnosis suspected to combine hypertension risk or serious damage to the target organs.
    2. Young and blood pressure level of 3 (systolic pressure of 180mmhg and or diastolic pressure of 110mmhg).
    3. Patients suspected to be secondary hypertension at first glance.
    4. Pregnant and lactating women.
    5. Suspected white coat hypertension, need to be clearly diagnosed.
    6. Adverse reactions or comorbidities that cannot be explained or difficult to deal with occur after the patient has taken antihypertensive drugs.
    . Other difficulties require further treatment at a higher hospital.
    diabetics with the following signs of turning up 1. consciousness disorder, deep breathing, exhalation have rotten apple taste, consider: ketoacidosis; 2. consciousness disorder, dehydration, low blood pressure, consider sugar: urea non-keacinacid poisoning hyperpermeability syndrome; 3. conscious disorder, hunger, limb sepsis, heart rate hypercerate, low blood pressure, consider: hypoglycemia, treatment is ineffective; Blood sugar greater than 13.9mmol/L and/or aftermeal blood sugar is greater than 16.7mmol/L, 2-3 oral medications are used to the maximum dose, blood sugar still cannot control those who meet the standard, rehypertensive slower blood sugar is repeated during the adjustment of glycodrugs, etc.; 5. initial target organ damage, such as: cardiovascular disease caused by coronary heart disease (myocardial infarction), ischemic cerebrovascular disease, diabetic renale damage and diabetes diabetes. 6. People with abnormal blood sugar in pregnant and lactating women; 7. Adverse reactions that cannot be explained or treated after taking sugar medications; 8. Acute complications of diabetes: random blood sugar s.16.7mmol with or without a consciousness disorder; 9. Blood sugar, blood pressure and/or hypolipidemia; 10. Those with serious complications who are not able to treat effectively locally (e.g. patients with poor diabetes foot control).
    it should be noted that the out-of-county referral work shall be carried out by the county-level member units in accordance with the provisions, and the grass-roots level shall not be transferred directly.
    clear the results of the division of labor in hospitals and village health rooms and performance-linked "Guideline" put forward that medical and health institutions at all levels should integrate chronic disease management into the performance appraisal system of basic public health services, according to the relevant national and provincial assessment standards and methods to the lower chronic disease management related responsibility units to complete the annual task indicators to assess, timely feedback, adjust management and strategy, and linked to performance.
    last year, the National Health and Care Commission held a video conference to promote the construction of close-knit county medical community, proposed to strive to by the end of 2020, in each city at least a good result of the medical community.
    the 15 guidelines formulated by Guangdong Province, the county, township and village three-level medical and health institutions "string together", the formation of a scientific and accurate function positioning, clear process, division of labor and cooperation, the operation of standardized and efficient county health care closed-loop service system, for other provinces and cities to lay a model.
    picture read: Guangdong Province close-knit county health care community slow disease management center operation guide (trial) Source: Guangdong Health and Health Commission.
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