Weakened spirit, unstable movement, feeling tired after activities… These health problems that we often overlook may often be the distress signal sent by the body. Recently, when 72-year-old Ding Pingsheng went to the Gongxing Community Health Service Center in Shuangliu District, Chengdu for a routine follow-up, his contracted family doctor Wang Kun found that his complexion and spirit were not as good as before, and he even walked a little crookedly. After examination, Uncle Ding was diagnosed with “atrial fibrillation”. Atrial fibrillation, as a heart disease that is easily neglected, is very harmful to middle-aged and elderly people. In order to facilitate Uncle Ding to seek medical treatment as soon as possible, the center urgently opened a “green channel” and sent Uncle Ding to a higher-level hospital of the “Medical Union” for further diagnosis and treatment. Save precious time for rescuing patients.
“In recent years, we have taken advantage of the ‘medical alliance’ to actively open up two-way referral channels, and have solved many problems. It is difficult for people in the jurisdiction to see a doctor.” Shang Fang, director of the Gongxing Community Health Service Center, said, “The center adheres to the ‘integration of medical treatment and prevention’, and further promotes the new model of contracting family doctors to strengthen team building, sign contracts through multiple channels, and formulate personalized service packages. Waiting as the starting point, we will make every effort to promote the family doctor’s service work, and build a solid health barrier for the residents in the jurisdiction.”
Two-way referral< /p>
Open a “green channel” for patients
Ding Pingsheng is a contract patient of Wang Kun’s family doctor team. Coronary heart disease, diabetes. In his spare time, Uncle Ding always likes to read some medical books related to his own diseases, and learn some common health knowledge. He usually keeps his blood pressure and blood sugar well controlled.
“The elderly are stubborn and think that their blood sugar and blood pressure are well controlled, so they don’t need to resort to drug conditioning and regular physical examinations.” During the last routine follow-up visit to the center, Wang Kun discovered the abnormal situation in time. , “The old man’s energy and energy have become worse than before, his movements are unstable, and the symptoms of tiredness are obvious after activities. The uncle also said that he was only short of qi and blood, and insisted on going home and using traditional Chinese medicine for conditioning.”
For many years Wang Kun, who has clinical experience, knows that the situation will never be as simple as “insufficient qi and blood” as Ding said. After patient persuasion, Uncle Ding conducted a comprehensive examination and was diagnosed with “atrial fibrillation”. In order not to miss the best time for treatment, Wang Kun’s family doctor team conducted an urgent consultation with experts from the “Medical Union” superior hospital, and contacted the family of Uncle Ding, and finally decided to refer the elderly to a superior hospital for surgery through the “green channel” . Four days later, Uncle Ding completed the treatment and was discharged from the hospital.
After the old man was discharged from the hospital, as long as he had time, Wang Kun would follow up on Uncle Ding’s heart health by phone. “Thanks to my family doctor, I saved my life this time. In the future, I will be obedient and report to him regularly!” said Uncle Ding gratefully.
Medical-Prevention Integration
Be the “health gatekeeper” of residents
Relocated to The Gongxing Community Health Service Center in the new hospital area undertakes the basic medical care, public health and family doctor contract services for 66,000 people in the area. How to give full play to the advantages of general practitioners in primary diagnosis and chronic disease follow-up? The center has figured out an effective path for family doctor services.
“As of now, our center has set up 9 medical staff consisting of general practitioners + nurses + public health staff + specialist doctors + The family doctor service team composed of rural doctors + medical alliance experts has gradually formed a ‘multi-party linkage’ service model, and implemented a ‘medical and preventive integration’ operation mode of division of labor, responsibility system and full-staff system.” Shang Fang told reporters, “We Through grid management, sub-community contracting, and seamless coverage, the coverage rate of the family medical service team can reach 100%.”
< p>It is worth mentioning that the center also uses the grass-roots mental health department as the entry point to promote the signing of special specialist family doctors, and assign 7 psychiatrists to the family doctor team to provide diagnosis and treatment, health management and Continuous services such as two-way referral, through the remote consultation information platform jointly built with higher-level hospitals, the vision of mentally ill patients being able to enjoy expert diagnosis and treatment services from tertiary hospitals at the grassroots level is becoming a reality.
Photo courtesy of Huaxi Community Media Reporter Li Sijia Health Service Center
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