China has become the hardest hit diabetic! At present, China's patients with type 2 diabetes has reached as much as 40 million. Of these patients, food, exercise, medication, injections would have to be professional guide, how to solve this dilemma? "Small disease into the community, seriously ill hospital, rehabilitation back to the community" sloganeering for so many years, in the management of diabetes, the interaction between hospitals and community hospitals How? Recently, the lives of Times reporters interviewed experts and patients.
Two short of a long, very convenient community hospitals
December 7 morning, life Times reporter arrived at the Xicheng District of Beijing Ditan CommunitySphygmomanometer Health Center (hereinafter referred to the Centre) interview. 9:30, the hospital is the most crowded, most rowdy time in the out-patient center hall, I saw the two rows of chairs sat quietly waiting for a dozen patients, and 67 patients in the queue registered - neither large hospitals not think like journalists, as sect languished.
Tan, director of the Center for Community Health Service DU Xue Ping: 1996, we Centre for outpatient amount only 2,000 people in 2006, the annual outpatient amount has exceeded 22 million. It should be said that the "mini-community of" education is effective. Now to tell people is that the "minor ailments" include both general common diseases, multiple, but also a clear diagnosis of chronic diseases, such as diabetes, hypertension, hyperlipidemia, and other. Hospital patients to a doctor is the "two-a short": the road to spend a long time waiting for a long time, a Sphygmomanometer doctor's time is short, and in community hospitals is "a long two short": the time spent on the short, the waiting time is short, the doctor a long time.
Peking University People's Hospital, director of endocrine JI Li-nong Professor: Currently, China's community hospitals with the diagnosis and treatment of the hospital there is still a certain gap, so people have to treatment regardless of the severity of the hospital running, it is in fact ills. On the one hand, patients in the hospital, regardless of registration, waiting, and paid, the Quyao long time. On the other hand, the hospital outpatient amount in the saturation point, a doctor at a fixed working hours (for example, a morning) Reflecting the need for the excessive number of patients, diagnosis and treatment of such a patient an average of the time too short, sometimes with patients communication is not so full.
Diabetic patients Li Hong (a pseudonym): I am 68 years old, live in North Baiyunguan, has been retired after a doctor at the centre. Is not to say that major hospitals in poor, the doctors of course, a higher level. But there too many patients, the doctor is too busy, gave no thought to you. Furthermore, Qutang major hospitals, both in the day, the kids do not rest assured that must accompany leave. I walk home from the centre will work for five minutes, what are uncomfortable as they come. I am 11 this year, total bad tonsil inflammation, later diagnosed as diabetes, Quyao, monitoring what's on to the Centre. The first time when the doctor Genwoliao a half an hour, how to eat, how to take medicine, how, how to meter, teach me. Prior to departure also opened a special detail of diabetes healthy menus to me, Meidun What to eat, how much to eat, and above all written clearly. Just get sick of the half, each measuring 8 weeks, blood glucose, thanks to the door of a hospital, it is necessary to test blood sugar is not only big trouble. Now my blood sugar under control quite well, today Sphygmomanometer (December 7) by measuring postprandial glucose is 6.1 (mmol / l).
Hierarchical management, hospitals and community hospitals interact
While community hospitals to provide patients with a convenient, but reporters in the interview it was found that many patients in community hospitals or skeptical, using a vulgar word, "community hospitals and love you really do not want to say easy." This, the experts have also presented their own proposals.
Diabetic patients Liu Ping (a pseudonym): I was diagnosed with type 2 diabetes has been six years, lives in the park near the altar, there is a community hospital at home, but I have a month left to a recent 3 - level hospitals - Beijing Chaoyang Hospital, a doctor. To the hospital the doctor is really too hard. Every time a doctor, I have to get up at 6:00 and more, and then 20-minute ride to the hospital, but only linked to the afternoon, because if am a doctor, we must wait until noon faster. End link, I ride home, a doctor at another hospital. Queuing up, a doctor, Nayue…… generally required half a day.
Community Hospital is convenient, but I can not be there to. The first is incomplete because of drugs. Before I could open at home in front of the hospital medicine, but recent According to the rules, small hospitals could not import the drugs. I have been eating imported drugs, had a month to Beijing Chaoyang Hospital. This was followed by the inspection of the small hospital equipment failure. Diabetic patients need to monitor glycated hemoglobin, microalbuminuria, many small hospitals do not have conditions, and can therefore only to major hospitals. Finally community hospital doctors is not reassuring level. Hospital doctors gave me opened insulin, the community can go to the hospital, where doctors said: "Do you eat glibenclamide is not very good?" In fact, I was the blood sugar level has been necessary Sphygmomanometer to use insulin to control the .
Tan, director of the Center for Community Health Service DU Xue Ping: patients with community-based hospital is gradually built up trust, which requires a process. In this process, the most important thing is to raise the level of community doctors. In addition, the state should also be addressed to the community hospitals more policy support, for example, to allow more drugs into communities.
Two short of a long, very convenient community hospitals
December 7 morning, life Times reporter arrived at the Xicheng District of Beijing Ditan CommunitySphygmomanometer Health Center (hereinafter referred to the Centre) interview. 9:30, the hospital is the most crowded, most rowdy time in the out-patient center hall, I saw the two rows of chairs sat quietly waiting for a dozen patients, and 67 patients in the queue registered - neither large hospitals not think like journalists, as sect languished.
Tan, director of the Center for Community Health Service DU Xue Ping: 1996, we Centre for outpatient amount only 2,000 people in 2006, the annual outpatient amount has exceeded 22 million. It should be said that the "mini-community of" education is effective. Now to tell people is that the "minor ailments" include both general common diseases, multiple, but also a clear diagnosis of chronic diseases, such as diabetes, hypertension, hyperlipidemia, and other. Hospital patients to a doctor is the "two-a short": the road to spend a long time waiting for a long time, a Sphygmomanometer doctor's time is short, and in community hospitals is "a long two short": the time spent on the short, the waiting time is short, the doctor a long time.
Peking University People's Hospital, director of endocrine JI Li-nong Professor: Currently, China's community hospitals with the diagnosis and treatment of the hospital there is still a certain gap, so people have to treatment regardless of the severity of the hospital running, it is in fact ills. On the one hand, patients in the hospital, regardless of registration, waiting, and paid, the Quyao long time. On the other hand, the hospital outpatient amount in the saturation point, a doctor at a fixed working hours (for example, a morning) Reflecting the need for the excessive number of patients, diagnosis and treatment of such a patient an average of the time too short, sometimes with patients communication is not so full.
Diabetic patients Li Hong (a pseudonym): I am 68 years old, live in North Baiyunguan, has been retired after a doctor at the centre. Is not to say that major hospitals in poor, the doctors of course, a higher level. But there too many patients, the doctor is too busy, gave no thought to you. Furthermore, Qutang major hospitals, both in the day, the kids do not rest assured that must accompany leave. I walk home from the centre will work for five minutes, what are uncomfortable as they come. I am 11 this year, total bad tonsil inflammation, later diagnosed as diabetes, Quyao, monitoring what's on to the Centre. The first time when the doctor Genwoliao a half an hour, how to eat, how to take medicine, how, how to meter, teach me. Prior to departure also opened a special detail of diabetes healthy menus to me, Meidun What to eat, how much to eat, and above all written clearly. Just get sick of the half, each measuring 8 weeks, blood glucose, thanks to the door of a hospital, it is necessary to test blood sugar is not only big trouble. Now my blood sugar under control quite well, today Sphygmomanometer (December 7) by measuring postprandial glucose is 6.1 (mmol / l).
Hierarchical management, hospitals and community hospitals interact
While community hospitals to provide patients with a convenient, but reporters in the interview it was found that many patients in community hospitals or skeptical, using a vulgar word, "community hospitals and love you really do not want to say easy." This, the experts have also presented their own proposals.
Diabetic patients Liu Ping (a pseudonym): I was diagnosed with type 2 diabetes has been six years, lives in the park near the altar, there is a community hospital at home, but I have a month left to a recent 3 - level hospitals - Beijing Chaoyang Hospital, a doctor. To the hospital the doctor is really too hard. Every time a doctor, I have to get up at 6:00 and more, and then 20-minute ride to the hospital, but only linked to the afternoon, because if am a doctor, we must wait until noon faster. End link, I ride home, a doctor at another hospital. Queuing up, a doctor, Nayue…… generally required half a day.
Community Hospital is convenient, but I can not be there to. The first is incomplete because of drugs. Before I could open at home in front of the hospital medicine, but recent According to the rules, small hospitals could not import the drugs. I have been eating imported drugs, had a month to Beijing Chaoyang Hospital. This was followed by the inspection of the small hospital equipment failure. Diabetic patients need to monitor glycated hemoglobin, microalbuminuria, many small hospitals do not have conditions, and can therefore only to major hospitals. Finally community hospital doctors is not reassuring level. Hospital doctors gave me opened insulin, the community can go to the hospital, where doctors said: "Do you eat glibenclamide is not very good?" In fact, I was the blood sugar level has been necessary Sphygmomanometer to use insulin to control the .
Tan, director of the Center for Community Health Service DU Xue Ping: patients with community-based hospital is gradually built up trust, which requires a process. In this process, the most important thing is to raise the level of community doctors. In addition, the state should also be addressed to the community hospitals more policy support, for example, to allow more drugs into communities.