Help the patient to find the appropriate expert

Help the patient to find the appropriate expert

Staff reporter � cub reporter Chu XiaoMing and Yan DaPeng Yan
See the big expert must look for specialists first
"I can be seen you! I toss about in bed by train by bus from Xinjiang to Beijing, it is said a lot of patient arrange, hang up the intersection of VIP clinic and No. of you more than first year 5 day. If not this reservation changes the place of examination singly, I do not know when to take a fancy to the expert like you! " Not long ago, in nerve head of the department of surgery Li Yong outstanding consulting room of the function of Xuanwu Hospital of Beijing, the reporter has seen and held and booked patient uncle Dai whose number waited.
Uncle Dai that ache to make an appointment, hang up number of YongJie Li by oneself in front of registering window suffer from typical, hang up the intersection of chief physician and number of YongSheng Hu first two days ahead of time, doctor Hu make an appointment brave outstanding VIP clinic Li on one's behalf according to the needs of condition. At the intersection of case history and copy of uncle Dai, reporter see above write " please transfer brave outstanding clinic Li to" clear ,It is doctor Hu YongSheng's signature to record the end in case history.
Uncle Dai because the face pains and is diagnosed as trigeminal neuralgia by the local hospital, go on blood vessel reduce pressure surgery, produce little effect. Li YongJie says, this can't be calculated and misdiagnosed, because this kind of disease is rare, even only 10 examples - the experiences of making a diagnosis of 12 in departments of neurosurgery of the function of Xuanwu Hospital. Li YongJie has opened 3 kinds of operation schemes for uncle Dai, one is trigeminal root operation, but have a big risk; One to make surgery from the cerebral cortex, stimulate and inhibit pain, but spend tallly; One kind is a stereoscopic directional operation, the risk is little, but can only relieve pain. Uncle Dai decides to accept the stereoscopic directional operation, but " much steady and more sure in the heart " .
Speaking of the experience of seeing the doctor this time, uncle Dai says, compared with lining up to register waiting within the foreseeable future by oneself, " the visit system of level is really good " .
Vice President, Xuanwu Hospital of Beijing, train, explain this institute this on new action of medical care that 2007 put out tomorrow while being lucky - -The system of going to a doctor of clinic level, namely classify the Specialist Clinic, is divided into famous expert and ordinary expert. Famous expert including department of neurosurgery insult Professor, jade flat professor, function brave outstanding professor Li of department of neurosurgery Wang of department of nerve internal medicine of the sharp point. The patient wants to see the famous expert can't register at the window, must reach the ordinary specialized department or ordinary Specialist Clinic to go to a doctor first, meet and examine a doctor and recommend booking the famous Specialist Clinic according to the condition. Examine a doctor and responsible for preparing relevant medical materials such as the case history, auxiliary examination result,etc. for the first time, and register patient's information, fill in the in duplicate Specialist Clinic confirmation slip in system of real name, make an appointment and go to a doctor for date and time slot, make an appointment cycle is generally one week. Mark out the patient gets and makes an appointment for time, place and place of going to a doctor of number on the confirmation slip, leave the telephone of department's contact and patient. Patient, on go to a doctor, hold confirmation slip, reach register room, get expert's symbol the same day, the clinic meets and examines 10 patients on average every half a day. If the expert thinks the condition needs subsequent visit, can continue opening the confirmation slip, book subsequent visit.
Train, say frankly the intersection of Beijing and the intersection of Xuanwu Hospital and the change of service method, let huge visit amount and demand for famous expert for " force " tomorrow while being lucky Come out. This courtyard of Specialist Clinic demand state investigations reveal, 90% of the patients would like to choose famous expert and key department expert. And expert that pay a home visit 80 people - 90 people only in quantity every day such as institute, compared with 6000 persons of average daily clinic amount, like aing ridiculously inadequate effort to save a grave situation.
For this reason, Beijing Xuanwu Hospital draw lessons from tertiary medical mode of network, design the intersection of level and mode of going to a doctor, namely change the place of examination step by step, the doctor in charge turns the patient to the associate professor of treatment or chief physician, the associate professor of treatment or chief physician is turning the patient to the famous expert. Except the famous expert, the ordinary Specialist Clinic happen to a lot of chief physicians or associate professors of treatment, patient can hang the intersection of expert and No. that oneself want according to demand.
The function Deputy Director of department of neurosurgery Hu YongSheng of Xuanwu Hospital in Beijing tells reporters, level it goes to a doctor to be to screen difficult and complicated cases and special course of case, spend patient that should use most on on one's body limited high-quality resource. "There are one or two basically a circle of patient that I changed the place of examination towards the famous expert, there are five or six when at most. "
Let the patient find the expert of the real need in time
On one hand expert resources are rare, have expert's resource wasting phenomenon on the other hand, this is a big problem which the hospital faces. (leave and rotate the 2nd) (have and connect the 1st)
"Actually it was not my speciality, but must let me see the doctor. Before implementing the system of going to a doctor of level, such a case is not small number. " Li YongJie says, because an infant 6 years old goes to Disneyland to frighten while playing, have a high fever after coming back, has presented symptom of twitching. Li YongJie explains, they should hang pediatrics, but infant's relative insists on not willing to the child's relative, " think that it is steady and sure to see the famous expert in the heart " .
In fact, the large-scale general hospital expects relatively much to comprehensive skills such as the professional level, ability to deal with problem of the doctor going out and examining,etc., the intersection of Beijing and Xuanwu Hospital participate in whom clinic work the intersection of specialized department and intermediate and doctor of professional title the above all. This Zhang Jian, president of institute, says: "The patient can fully believe in these doctors. "
Beijing Xuanwu Hospital statistics show, hanging by mistake in the past, the situation of expert's number accounted for nearly 30% in the clinic. This Deputy Director of institute clinic Liu LiSong says, specialists in the hospital of the first, second and third generally have a clinical experience for many years, "to first visit patient, will often do more laboratory test, inspections at the time of the first visit, the result mostly can't come out at once. Before the result of laboratory test come out, can't even authoritative expert make diagnosis. So, make the work of the laboratory test report according to the condition, is done by the expert, but waste resources. "
Train and speak frankly luckily, the reason why " protect " the famous expert Stand up, mainly in order to let the real difficult and complicated cases patient find the expert that oneself needs in time. The patient is going straight towards the famous expert to see the doctor, but does not know the expert's specialty. The department of famous expert that some patient conditions even look for with they is not relevant at all. And pursue and make an appointment and change the place of examination in the courtyard step by step, can make the patient that really need to help get the expert's help. It is reported, after the famous expert finishes seeing a patient, case history materials will also be feedbacked to the department. To having cases, the famous expert will also communicate with the first visit doctor. "The course of communicating, it is the course of improving young doctor's medical skill constantly too. "
According to statistics, Beijing Xuanwu Hospital implements the system of going to a doctor of level, the proportion that the first visit person of the ordinary clinic accounted for the total person of emergency call of the door has already been improved from 85.1% in 2005 to 92.9%, Specialist Clinic person's proportion drops to 4.16% from 9.26% in 2005.
Divide rationally
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