Three doors of Zhejiang: Slow disease management " The intensive cultivation "

Three doors of Zhejiang: Slow disease management " The intensive cultivation "
Three doors of Zhejiang: Slow disease management " The intensive cultivation "
Staff reporter Li ShuiGen One of the operas involving much singing and action that it is hygiene management that chronic disease is managed, the ones that have already concerned the disease are controlled well and the not disease one is prevented effectively. However, this job remains the loophole or blind spot. Zhejiang Province Shanmen County is through implementing the tactics of finely melting, the stifled loophole, has also dispelled the blind spot. Neither leak a person, nor " cap " is worn at will "The resources are unclear, difficult exhibition ' Chinese boxing '. " The cooking stove of sea of woods of chiefs of three county hospitals tells reporters, should find out the basic situation of chronic disease first while managing chronic disease well. Began since March 28, 2011, Shanmen County lifted " changes the bad life style and strengthens the management of chronic disease " Propaganda of popular science climax. "Start the carpet type at early May and sift checking hypertension, diabetes and serious disease psychosis patient take action, finished the investigation of registering one's residence to 29 31,000 people of administrative village in the township intra-area in two weeks. " In tell reporter Pu town commune hospital president Sun DaoJin whether be " sifted before checking having towns the whole delimited to 3 chip 9 area of responsibility first, each responsibility cure division team responsible for 2000 people 3000 the intersection of people and area, enter family, sift, consult, in pace with management after checking, go on, it avoid check in the past and it in charge of separating, ' check finally ' and ' in charge of ' question. " "It is a ' hollow ' township that the ones that lie in the mountain area cross the township, 2/3 of the people go out here. " County disease accuse of JiMing Xu, director of centre, say " ' three disease ' sift, check team collect information from rear personnel actually, personnel connect the above, get to the bottom of the story with going out one by one. " Face peak the intersection of village and responsibility consulted to sift Pu, the west of town, Pu cure division's captain responsible for, he says, to " the third disease " in the past Information gathering has already taken multiple measures, such as set up health file, peasant's physical examination and clinic over 35 to examine blood pressure etc., but the patient omitting it is numerous. The sieve this time is checked really " The village does not leak people without leaking one, family " . He will link it seven or eight times to spend peasants go home in dinner time noon, in the evening sometimes " Chase " A person's information. "Do not leak a person, can't wear ' the cap ' at will either. " " to examining the person with high blood pressure and having possible target of heredity who divide and examine and just draw a conclusion 3 or more times for the first time that Yan GaoFeng says. " "The discovery rate of hypertension rises to 8.23% from 6% original, the discovery rate of diabetes rises to 1.59% from 1%, the number of people of the discovery of the serious disease psychosis patient is increased to 44 by 37. " This town Pu sift consult, in being " The resources " . Xu JiMing analyzes: "Raise 2.23 percentage points from discovery rate of hypertension only but speech, indicate there are more than 300 hypertension patients that are found in a piece of villages and towns. " The cooking stove of sea of woods recommend, sift and check that there are 214 responsibility doctors, 430 associations that are in charge of the doctor and 516 liaison men in village's participating in together this time, sift, consult 408416 people, sift the checking rate it is 91.15%. It is 8.81%, 1.90%, 0.201% respectively at hypertension, diabetes and finding rate of psychosis of serious disease, and old " resources " Compare and differentiate percentage points 2.9, 0.4 and 0.08 higher. Should be in charge of though, all there are " five and one " the patient "After the resources are found out, should be just in charge of. " The cooking stove of sea of woods is said: "It is a technical bottleneck of management of chronic disease that it's time to manage or not or be in charge of but improper. " Shanmen County is feeling " The resources " Set up the intersection of city, county, and township and whom tertiary medical organization make up make a diagnosis group responsible for subsequent visit verify already ago, and assess in grades. Assess and implement in accordance with the standard strictly in grades, this and implement effective management and is closely related with. High president of Jian township commune hospital Lin BaoHua says: "1875 hypertension patients confirming in the whole township, in that 39 people go out to supervise the communication, the others are a grade of 906 people after the patient of the township is through grading, 2 grades and 705 people, 3 grades and 225 people, the finding rate is improved by 2.93 percentage points compared with before. " Sun DaoJin says: "Find a chronic disease patient each time, generally assess in grades within two, three days. If determination of two grades in the counties, townships has any problem, ask the expert at city level to hold a conference or consultation. In, in the patients, there is 120 more than example Pu a that town find 2564 hypertension. " High the intersection of Jian and Zheng Shi times of the intersection of old man and 63 year old this year of township, according to management of a grade of hypertension in the past, sift assessment after checking to fix for 2 grades in grades this time. The old man's responsibility doctor, defending officer Chen that the school graduated to always tell reporters from Taizhou in 2004, the grading in the past was not objective and accurate enough. Sift and check, implement every patient this time " Five and one " The system, namely allocate a responsibility doctor, set up a health control card, give a set of health education materials, provide one the intersection of health education and prescription, release, make up a prescription Carlos by one free medicine. Confirm the individual intervenes the scheme on the basis of this. "It is intervention actions implemented newly that medicines are provided and delivered free, the purpose is to let the chronic disease patient take medicine effectively. " Xu JiMing tells reporters, " all make up a prescription to the serious disease psychosis patients free. To hypertension, according to assess, grade, meet intensity and individual will, agree the free medicine provides and delivers the scheme one by one diabetic. " Become more meticulous and manage, the quality accuses of setting up 4 " fire walls " In March of this year, a 78 -year-old old lady of Nanxi village of town says to chief of Taizhou Municipal Health Bureau Zhou ChunMei that is surveying and studying in the village by Shanmen County pavilion: " there are doctors to come to the village to take blood pressure in the commune hospital, I cost a drop of depressor (Top's profit of card) after the breakfast every day . However, there was a dizzy feeling from at dusk to the next morning. " Village residents have similar reflection too in hole village of the crossdrift, the Han 's village,etc.. The plum finds, community's hygiene attendants generally go to the village to follow up a case by regular visits to in the morning in careful spring of week, and the hypertension patient just took medicine in the morning, so often in the normal range at the time of blood pressure measurement, but the decay acting on the medicine the body, blood pressure has been raised again by the evening, symptom such as being dizzy appears easily. Therefore, Zhou ChunMei has done " the third disease " in Shanmen County Become more meticulous and manage the pilot project. The cooking stove of sea of woods says, it is to set up 4 " fire walls " to finely melt in the most key place of management for quality control ,Superintend and check by the intersection of township and land, village association check and expert reexamine and the intersection of county and 4 that land check check and link, "what increase builds health control card after the management of finely melting, the health education prescription happens, free medicine provide and deliver card, intervene result, assess, accuse of, run in the link in tight quality dynamically. " It is an old patient of hypertension that 65 -year-old Cheng Chun is fragrant, the my darling of sea of woods of its 76 -year-old spouse sifts the newly discovered hypertension patient while checking this time. The commune hospital in the township " Slow disease is done " Superintend and check a responsibility doctor and visit and intervene and implement the situation once every month, the village liaison man served as by the village cadre checks with the old man the association checks that intervenes the situation regularly, the city, county expert reexamines using medicine and result, the check group of county hospital checks the county land by way of spotting check. It in meticulous management Leave, this pair of old men's blood pressure has been steady in the mercury column of 130/80 millimetres all the time since May of this year. The cooking stove of sea of woods is said, over the past half year of management and operation of finely melting, are 37812 hypertension patient, 8154 diabetes patients and 901 serious disease psychosis patients who the whole county has already found all real? Pull out Ning's flounder's Fei's rancour of ����'s belly of arc exhausted sister-in-law's small pox small! Barium � tomb sister-in-law small pox �� Fei whetstone history Dong short iron rod with 4 edgeses frank? 5.6%, 87.2%, 93.23%, differentiate 25.6%, 27.2%, 33.23% higher in standard that more definitely than the province. Patient's satisfaction is more than 90%.


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