echemi logo
Product
  • Product
  • Supplier
  • Inquiry
    Home > Medical News > Medical World News > Treatment costs millions, professional institutions scarce, the disease becomes a newborn 'killer'

    Treatment costs millions, professional institutions scarce, the disease becomes a newborn 'killer'

    • Last Update: 2020-05-12
    • Source: Internet
    • Author: User
    Search more information of high quality chemicals, good prices and reliable suppliers, visit www.echemi.com

    according to the International Union of Physical Medicine and Rehabilitation, the number of rehabilitation therapists in developed countries such as Europe and the United States and Japan is generally 30 to 70:10 million, and the proportion of rehabilitation teachers in China is about 0.4:10 million (measured by international calibre)At present, there are fewer than 20,000 rehabilitation medical professionals in our country.China has a population of 256.5 million children, and within the scope of childhood diseases, a disease that, while not dead, can drag down an entire family at a cost of millionsThe disease has about 6 million patients in China, and behind the 6 million patients is 6 million families struggling to find medical care. The disease is children with cerebral palsy, at present, the incidence of cerebral palsy in newborns in children is about 5 per 1,000, is still high, and there is no technical means to prevent or screenLooking at future trends, the situation is not optimistic, it is expected that in the next decade, another 1 million children are expected to be born, parents do not pay attention to or delay treatment resulting in a disability rate of 46%. As with the original intention of most medical students, the desire to "cure and save people" made Liu Jianjun come up with the idea of studying medicineBut for the next 50 years, he chose to recover from a start-up. "At that time, the choice of child rehabilitation is to feel that the basis for child rehabilitation is weak, there is a need for someone to do something for the child, so that those children born with problems to live a normal life, but also better reflect the value of rehabilitation doctors, early rehabilitation training for children or medical advice, may change their lives." Liu Jianjun, director of the Department of Child Rehabilitation at the China Rehabilitation Research Center, told Arterial.com. In the 1980s, many diseases eventually led to disability, and our country's health care system never delved into the rehabilitation of the latter stages of the disease, directly leading to a sharp increase in the number of people with disabilities, when Deng Parkfang, then president of the National Disability Federation, after examining japan and the United States rehabilitation system, decided to introduce advanced Western rehabilitation concepts and rehabilitation techniques to China. In 1988, the state officially approved the establishment of the China Rehabilitation Research Center, since then China's rehabilitation cause has turned a new page, countless medical personnel into the cause of rehabilitation. On Liu Jianjun's good doctor's online page, every day there will be parents' consultation, asking him to help see the childrenOnline, his personal website of good doctors has been visited more than 1 million times, and the parents of these children with cerebral palsy have found Liu Jianjun from The Great South, hoping to restore the child's athletic ability through professional rehabilitation treatment. Although nearly 26 years of clinical rehabilitation experience, Liu Jianjun is known as "the youngest chief physician in the domestic rehabilitation community", is china's middle-aged and young cerebral palsy treatment of the backbone of experts, and is China's rehabilitation community botulinum toxin nerve blocking surgery pioneer and the most authoritative experts. Since his career, Liu Jianjun has successfully restored the athletic ability of tens of thousands of children with cerebral palsy so that they can live like a normal person, for doctors, "rehabilitation of one person, resuscitating a family" is their greatest wish.6 million children with cerebral palsy, the number of beds "cup of water car salary" started late, the bottom is thin, is the rehabilitation practitioners of the domestic rehabilitation status quo description, in the environment of the three hospitals, rehabilitation department even to now is also a weak departmentAlthough there is policy support, the provisions of the hospital must have a rehabilitation department, but because of the long rehabilitation cycle, accounting for the reason of long bed time, many three hospitals rehabilitation department is very small, outpatient only one clinic, the number of beds is even lessLiu Jianjun believes that it is precisely because the foundation is weak, so the development of rehabilitation department is now in a high-speed growth stage. Of the top 80 2017 rehabilitation hospitals recently released by the Eli Bei Hospital Management Research Center, The Beijing Fraternity Hospital of the China Rehabilitation Research Center has no doubt taken the top spot. Beijing Fraternity Hospital is affiliated with the China Rehabilitation Research Center, which is known as the "Concorde" of the rehabilitation communityIn 1988, in China, the cause of rehabilitation has just begun, and the development of Zhongkang started from scratchThirty years of achievements are also a powerful testimony to the development of China's rehabilitation medicine. The China Rehabilitation Research Center, which is directly affiliated with the China Disabled People's Federation, currently has six institutions, including Beijing Fraternity Hospital, Rehabilitation Medical College, Rehabilitation Medical Research Institute, Rehabilitation Engineering Research Institute, Rehabilitation Information Research Institute, and China Disabled People's Social Service Guidance Center. Among them, Beijing Fraternity Hospital was established in 1988, belongs to the third-level A-class general hospital, for the central financial allocation institutionsHospital covers an area of more than 220 acres, building area of more than 120,000 square meters, more than 1600 employees, the establishment of 1100 beds. Beijing Boai Hospital has a neuro-rehabilitation, spinal cord injury rehabilitation, child rehabilitation, bone and bone rehabilitation and traditional medical rehabilitation and other advantages of the profession, and long-term commitment to pediatric rehabilitation research, learn from Japan, the United States and other advanced countries rehabilitation design and rehabilitation concepts, cerebral palsy children in the hospital rehabilitation efficiency of more than 90%. Liu Jianjun told reporters that as far as the rehabilitation system in Europe and the United States is concerned, the advanced is the process of rehabilitation evaluation, through scientific rehabilitation evaluation, the development of corresponding rehabilitation programs. In this not small market, professional medical institutions are few, Liu Jianjun is currently serving the China Rehabilitation Research Center Beijing Boai Hospital is one of the most famous. Liu Jianjun's pediatric rehabilitation department has 7 doctors, more than 20 rehabilitation and training therapists, 15 nurses, a total of 50 beds, but on this 50 beds, has been the largest children's rehabilitation department in Beijing. Even zoomed in to the domestic only Heilongjiang Jiamus Children's Healing Center, Qingdao Children's Rehabilitation Center, Zhengzhou Zhengda Three Affiliated Hospital has a special children's rehabilitation department, and a larger number of beds. For the new five-thousand-year-old child with cerebral palsy and children in need of long-term rehabilitation, the current facilities that can provide diagnosis, treatment and rehabilitation management of the whole course are very limited, and public medical resources are far from meeting market demand.birth accident, will make a child a lifetime disability " this disease can not be prevented, " Liu jianjun said. Premature birth, low birth weight, birth asphyxia, and high bilirubinemia have been considered the four main causes of cerebral palsy in children, but none of these major causes can be prevented"The incidence of cerebral palsy in children has not decreased during pregnancy, unlike other diseases that are slowly declining with the development of science and technology"The child after birth to climb the age will not climb, or will not sit alone, or will not stand alone, or even can not walk, the child's parents know that these conditions are not normal, but what is the situation is not clear, and some parents think that their children are only later than the same age children, until the last visit to understand that it is cerebral palsy, and so on parents understand, often also miss the best treatment timeAccording to relevant data, the disability rate of cerebral palsy in children is as high as 46%, and 65% of children with cerebral palsy do not receive effective treatment because of poverty and other reasons. Liu Jianjun said that in children with cerebral palsy, the main difficulties and challenges are still in early detection, but with the development of perinatal medicine, maternal health awareness, birth asphyxia, nuclear jaundice significantly reduced, premature babies, low birth weight children's survival rate significantly increased, but also increased the number of children with cerebral palsy caused by these two reasons. Early manifestations of cerebral palsy in children with increased muscle tone, residual reflexes of primitive reflexes, motor retardation, the sooner the better the treatment intervention time. Unlike other departments in the rehabilitation hospital, patients in the pediatric rehabilitation department may have language problems, intellectual problems, behavioral problems, visual hearing problems, etc in addition to basic motor impairments, so they are more complex in terms of treatment. Liu Jianjun revealed that the main condition to overcome the pediatric cerebral palsy is spasms At present, the more innovative and effective treatment is botulinum toxin injection In addition, comparative experiments in large samples in hospitals showed that botulinum toxin injections combined with rehabilitation training, the patients' recovery effect was better. "It's a really difficult situation to deal with, " Liu said. "Generally speaking, newborns are about 350 grams to 400 grams, the weight of the brain is 1/4 of the weight of the adult brain, that is, the remaining three-quarters are slowly developing in the back, then two years old to develop to 75% of the adult weight, three years old to close to the weight of the adult brain." Liu Jianjun believes that compared with adult rehabilitation, child rehabilitation actually has greater potential, due to brain damage and other partial loss of ability, but also more likely to be cured. Clinical path is the child rehabilitation department to implement standardized management, improve the efficiency of rehabilitation is an important means, doctors need to be for the results of the children's assessment, the development of detailed rehabilitation projects, "the first week should do, the second week should do, all the way to the discharge process needs to be clearly formulated, in the subsequent rehabilitation process to standardize and standardize the implementation." Liu Jianjun said. Compared with traditional child rehabilitation, the current evaluation system is more comprehensive and scientific, "the original focus is on the evaluation of sports ability, now intelligence, language, behavior should be evaluated." "
    cost is high, long rehabilitation cycle, treatment rate is not more than 10%, as Liu Jianjun said, in a long time, children with cerebral palsy are considered incurable disease, " before talking about cerebral palsy this disease, said there is no cure, children get sick to go home, when the plant people "It wasn't until the 1980s that the concept of child rehabilitation began to emerge. The rehabilitation of children with cerebral palsy is a long-term and continuous process Liu Jianjun introduced that the golden period of rehabilitation of children with cerebral palsy is 0-3 years old, and the results are better before the age of 6 years old. But for children with cerebral palsy, often because of "no beds" and "treatment costs too high" two reasons, missed the golden period of rehabilitation Most children need to stay up to the age of 18 for a long time, or even recover for life And such a long cycle, but very few parents adhere to it. According to Liu Jianjun, at Beijing's Fraternity Hospital, "if there are more than a dozen patients in the clinic, only one may receive systematic rehabilitation training." "In its child rehabilitation department, there are year-round queues for children, weeks, months, and 50 beds are in short supply. Compared with adult rehabilitation, the technical and management of children's rehabilitation is more difficult, the threshold is higher, and the medical institutions with the function of child rehabilitation are seriously lacking. And the family of a child with cerebral palsy usually because of a child's illness, change the fate of the whole family, because of the disease to poverty, the number of cases of poverty due to illness, the number of cases of return to poverty, a great psychological and cost burden, can adhere to treatment of less than 10% of children. Some parents travel to Beijing, Shanghai, Chengdu and other places of medical institutions, the average annual treatment cost of nearly 200,000 yuan, "because the effect of rehabilitation can not be immediate, coupled with the high cost of rehabilitation, most parents have to give up the treatment of their children." In the process of cerebral palsy recovery, if long-term rehabilitation treatment in hospitals, the cost of a course of treatment is about 40,000, the cost of two courses a year is about 80,000, "over a decade some parents can spend millions." In addition, some patients will also choose community rehabilitation, family rehabilitation and other ways to reduce the cost of rehabilitation. The current medical insurance for the rehabilitation of children's projects is not perfect, take Beijing as an example, since April 15, 2011, the rehabilitation of children with cerebral palsy began to be included in the scope of medical insurance reimbursement, and provides that "for students and children who participate in basic medical insurance for urban residents, due to cerebral palsy for rehabilitation treatment, the rehabilitation medical expenses incurred in the scope of basic medical insurance reimbursement, before the age of 3 years old, the basic medical insurance fund to pay no more than 6 months per year; In terms of the life cycle, children with cerebral palsy are mainly faced with survival problems, requiring 24-hour non-stop care and day-to-day rehabilitation training Some children with cerebral palsy die within weeks of birth, some lives can only last to 8 to 9 years old, although children with cerebral palsy may have a shorter life span than normal, but most can live to adulthood and even old age. But cerebral palsy is not synonymous with low intelligence, some children with cerebral palsy although limb incongruity, but the brain damage is small, there are no intellectual problems, through efforts and normal people can live, study, and even go to college Liu Jianjun revealed that in children with cerebral palsy, "75% have intellectual problems, and 25% are intellectually unaffected." According to the International Federation of Physical Medicine and Rehabilitation statistics, Europe, America, Japan and other developed countries, the number of rehabilitation therapists is generally 30 to 70:10 million, China's rehabilitation teachers accounted for the proportion of the basic population of about 0.4:10 million (measured by international calibre) At present, there are fewer than 20,000 rehabilitation medical professionals in our country. The shortage of talent indirectly creates a gap in professional institutions in the market, in such cases, hospitals usually take the form of internal training, especially the direction of child rehabilitation, there is no special child rehabilitation in schools, can only be trained from a small number of rehabilitation graduates or rehabilitation doctors. For the rehabilitation of children in our country, the basic situation is that there are few professional institutions, few beds, shortage of talent, for doctors, saving a child is equivalent to saving a whole family Every family with cerebral palsy often goes through a process of grief, then anger, then helplessness, and eventually giving up In fact, they are also because of the reality of the blow forced, as long as there is a glimmer of hope, "cure the child's cerebral palsy" is still their greater wish. "One piece of hard work, one harvest", is Liu Jianjun's 26 years of practice the biggest feeling, "early efforts to carry out rehabilitation treatment, in fact, the impact of the child's life is quite large, so we must be early is to say not afraid of trouble, hard to do rehabilitation training, then he will certainly get the harvest later." "For parents, it is also true for rehabilitation workers to insist on the rehabilitation of their children.
    This article is an English version of an article which is originally in the Chinese language on echemi.com and is provided for information purposes only. This website makes no representation or warranty of any kind, either expressed or implied, as to the accuracy, completeness ownership or reliability of the article or any translations thereof. If you have any concerns or complaints relating to the article, please send an email, providing a detailed description of the concern or complaint, to service@echemi.com. A staff member will contact you within 5 working days. Once verified, infringing content will be removed immediately.

    Contact Us

    The source of this page with content of products and services is from Internet, which doesn't represent ECHEMI's opinion. If you have any queries, please write to service@echemi.com. It will be replied within 5 days.

    Moreover, if you find any instances of plagiarism from the page, please send email to service@echemi.com with relevant evidence.