It is difficult to relieve and see the doctor The complete doctor's building of contingent plays an important part in overall situation of medical reform

It is difficult to relieve and see the doctor The complete doctor's building of contingent plays an important part in overall situation of medical reform
The complete doctor refers to accepting the new doctor of special training of complete medical science
The complete doctor of basic unit of our country is scarce, cause the difficulty and high cost of getting medical treatment to a certain extent
By 2020, such multiple channels as our country will train through job-transfer training and resident's standardization train 300,000 complete doctors
" suggetion on deepening the system reform of the medical and health of the State Council of Central Committee of the Communist Party of China " is proposed, regard basic health care system as the public products to provide for the whole people, realize everybody enjoys the basic health care service by 2020. And strengthen the complete doctor's building of contingent, it is to realize everybody and enjoy the basic route of the basic health care service, relieve the masses " The difficulty and high cost of getting medical treatment " Significance action.
The complete doctor is basic health care system " The gatekeeper "
It is difficult for the specialist to meet residents' basic health care demand. In the mankind meets practice of disease challenge, specialized branch of domain of health care is thinning day by day, the technical requirement is improving constantly too. Large hospital, specialist and high-new medical combination of technology, regard disease as centre, divide the intersection of training and way made a diagnosis to go on into, give play to ultimate attainment of reaching. Should say these kind " the skill industry specializes in " Method at whole therapeutic effect of helping it is with disease. However, one of the key contents of the human development is to promote the health, but not merely treat disease. The treatment mode taking disease as the centre can't totally meet the contemporary living beings - psychology - requirement for the social medical mode, deal with while being difficult because aging population, the intersection of life style and unreasonable, the intersection of living environment and the intersection of bad spiritual high pressure,etc. and many kinds of the intersection of factor and common or single the intersection of function and health problem of producing. Meanwhile, because the specialist meets patients that examines every day numerous, the contact time of they and each patient is short and getting used to relying on medical apparatus and medicines to make a diagnosis and give treatment, thus has generally ignored it to the patient's cultural and educational care, it is difficult to set up long-term, close relation with the patient. These factors are not only unfavorable to the making a diagnosis and giving treatment to manage with healthy long-term track in time of patient's condition, also become one of the important reasons why relationship between doctors and patients is tense. Represented by specialist to make a diagnosis the mode is instead of regarding people's health as the centre with disease, can't totally meet the people's basic health care service demand.
The complete doctor is resident's health and hospitalization cost " The gatekeeper " . The complete doctor refers to accepting the new doctor of special training of complete medical science, provide convenience in the basic unit, basic, economic, valid, continuous comprehensive health care service, carry on the life, health and disease all-round responsibility type management. The appearance of the complete doctor has filled in the deficiency of the high training biomedical mode, it is the important component of the health care personnel at the basic level. In main developed countries such as Britain, Australia,etc., the complete doctor has been given health care services and medical insurance two systematic " gatekeepers " Duty. The complete doctor is offering the comprehensive health care service of regarding people as the centre, pay attention to the function in respects such as the prevention and health care, utilizing hygiene resources rationally, launching chronic disease and managing, controlling the hygiene expenses,etc., already been extensively approved by various circles of society. World Health Organization and world family doctor organization points out in a cooperative file: "If not the health care system of any country regards accepting the complete doctor of good training as the foundation, destined to demand the high cost. "
The complete doctor of basic unit of our country is scarce, cause " the difficulty and high cost of getting medical treatment " to a certain extent . According to relevant research, most health problems can be solved in the basic unit. But of our country complete doctor seriously insufficient in quantity, damage whom basic health care serve can get to a great extent. Meanwhile, existing complete doctor have the intersection of education and low, the intersection of professional title and low, the intersection of knowledge structure and wear out, clinical the intersection of experience and the intersection of person who deficient and problem generally. In a lot of in the human eye, complete doctor understand a bit each department " the balm " that master Doctor, its professional skill can't obtain residents' trust on the whole. Urban and rural residents often have to seek something far and wide when it is within reach to the large hospital to go to a doctor when ill, cause the hygiene resources at the basic level to leave unused, the large hospital is overstaffed, influence the whole utilization efficiency of hygiene resources, also produce " It is difficult to see the doctor " One of the main reasons of the phenomenon. In addition, because the large hospital makes a diagnosis the expenses often differ greatly with the medical health organ of basic unit, as to the excessive use which the large hospital serves, have aggravated a patient and disease financial burden of the whole society, have caused to a great extent " It is expensive to see the doctor " Question.

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