Our country will appear to the rehabilitation service demand " Blowout "

Our country will appear to the rehabilitation service demand " Blowout "
Our country will appear to the rehabilitation service demand " Blowout "
Author: Wang SiHai increases with aging population and regression disease morbidity of our country in recent years, the society increases to the demand for medical treatment of recovering sharply. But recover medical resource to be limited while being national at present, the medical resources of the different levels can not get reasonable use, the patient in need of rehabilitation still mainly concentrates on the tertiary hospital, a lot patients leaving hospital and going home can not get the appropriate rehabilitation in time and maintain the training continuously of the function, cause heavy economy and psychological burden to society and family. So, set up and improve the medical service system of recovering imperatively. Our country will appear to the rehabilitation service demand " Blowout " Ministry of Public Health cures division chief of policy department general department Fan Jing and introduces, according to data that every province appears in the newspaper, 3288 general hospitals set up the rehabilitation department in our country, accounts for 24.6% of the total number of national general hospitals, open and recover the inpatient area in half of them; 338 hospitals of all kinds of recovery, accounts for 9.1% of the total number of national section hospitals; Recover and make 52047 berths (account for 1.18% of the total number of national health organ berths) ,Among them 39408 rehabilitation departments of general hospital, account for the whole country and recover and make 75.71% of total berth; Recover in 12639 hospitals. The professional and technical personnel of medical science of recovery therapy is 39833, the general hospital accounts for 89%, it accounts for 11% to recover in the hospital. Recover doctor, recover therapist and recover nurse 15949 people, 13747 people and 10137 people respectively, account for proportion of total number, professional and technical personnel of medical science of recovery therapy, differentiate 40.04%, 34.51% and 25.45%. The intersection of Peking University and first hospital the intersection of physics and medical science and recover head of the department Wang NingHua, introduce, the service centre of community of Beijing has more than 200 rehabilitation institutions at present, recover the apparatus dispose 50% alone overallly. Start, recover 2006 professional and technical personnel authorize, 800 over people have the card got only. But social demand that Beijing recover increase fast at present, brain apoplexy have illness coming on 2 million newly every year, disable rate, up to 60% more than, 50% take care of oneself, urgent personnel recovered to reply concentrate on tertiary hospital mainly, the recovery resource coverage rate of the hospital is little, lead to the fact 80% of the group who needs recovery can not be recovered. Zhuo DaHong, professor of department of medial science, thinks that one of the founders of modern medical science of recovery therapy of our country, Zhongshan University recover, at present, the ones that lie in bed, not take care of oneself in midium or long term of the elderly of our country are nearly 27 million people, hemiplegia nearly has 700,000 people, nearly 240,000 people lie in bed in 820,000 senile dementia patients for a long time. According to the result of disabled person's sample investigation for the second time, the total number of disabled person of our country is 82,960,000, accounts for 6.34% of the population, involve the population of 260 million families. Need the number of people of deformity of rehabilitation service to account for 72.28% of number of people of total deformity, is waiting for the disabled person of the rehabilitation service to account for the disabled person total number 53.28%. Under the influence of enormous disabled person's base figure and aging population, with the development of economy, the demand for the rehabilitation service of our country will appear " Blowout " Phenomenon. The existing service ability of recovering can't satisfy the demand Fan Jing say, our country recovers the following problems exist yet in medical service system: Recover medical the intersection of resource and the intersection of total amount and enough, maldistribution of low quality, service ability is not high, the special personnel for rehabilitation work are deficient, the medical service system of recovering is not complete, the related policy support is insufficient, all these factors are determining our country has now medical service ability of recovering that can not meet demands of the people. At present, recover while being national medical resource distribute irregularity, main centralized East China, Central China developed area very much, low developed areas such as the Northwest, southwest,etc. are relatively scarce. The special personnel for rehabilitation work are very deficient, the professional and technical personnel of national medical science of recovery therapy is 39833, and our country needs recovering 114,700 therapists at the present stage, talent's gap is up to 100,900 persons. If consult international average level, in view of 20,000 medical organizations and demands of service organization of hygiene of community in the whole country, our country is up to 300,000 to therapist's demand of recovering, talent's gap is very enormous even more. Wang NingHua says, as a whole, the special personnel for rehabilitation work in Beijing are scarce, the apparatus is insufficient that recover, the tertiary system of recovering is not complete yet, it is little in quantity to recover in the hospital in speciality, the large-scale tertiary general hospital has not generally set up rehabilitation department. A lot of patients needing to carry on rehabilitation look like postoperative brain blood vessel accident, cerebroma, fracture, joint replace postoperative, or wait to resume in the large hospital, cause " press the bed " Phenomenon; Or leave hospital and go home " By oneself" Recover, has often lost the best opportunity of recovering. Fan Jing introduces, the national medical service system of recovering is not very complete at present, the service that medical organization of the recovery of different level offers is very limited, result make between level lacking mechanisming and channeling that the patient flows, changes the place of examination up and down. In addition, country seem insufficient too in relevant related policy support, issue, recover 9 medical care include in the policies and regulations of the medical insurance 2010, but the project still exists and submits an expense account in reality limitedly, the problem of the proportion on the low side of submitting an expense account, this is restricting the development of medical care of recovering to a certain extent. In addition, make and involve the hygiene, finance, civil administration, education, manpower ensuring and Association for the Handicapped,etc. a plurality of departments in policy of medical care of recovering, it is not very smooth to coordinate between every department at present. Encourage social capital enter, recover service field to be Fan quiet to say Ministry of Public Health will conduct in the industry of recovering of development, encourage, lead, support society and folk capital to enter to recover in the service field actively, offer at many levels, optimize more services, in order to meet the people's different demands. Quantity and quality that the medical demand will be offered that the government will be responsible for guaranteeing to recover in the future, the concrete stock of industry of recovering takes existing resource as the core, increment, as the main fact with the social capital, make the transition and take enterprises, public institution general hospital as the core. The responsible institution of the hygiene will also adjust medical resources existingly and recover, will define every level functional demand. The large-scale rehabilitation department of general hospital is based on the acute early recovery of one of disease and got involved, fully merge with the relevant clinical training, offer the effective, high-level rehabilitation in time. Recover in section hospital and the second general hospital and take steady patients of disease as the core, offer the training, specialized rehabilitation; Recover hospital to recover focal point that medical service system adjust future, present recovery quantity enough in hospital, ability is not high, so the country encourages conditional second general hospital (especially the enterprise, undertaking run the hospital) Make the transition in order to recover in the hospital or enlarge and strengthen recovering in the department wholly. The hygiene service organization of the community takes convalescent patient of disease as the core, press close to society and family, offer specialized guidance for the fact that the patient recovers; The hygiene service organization of the community offers and basically recovers Serve, needn't emphasize the organization of each community mixes the recovery room or apparatus, can delimit serving to enclose according to people, shared resource. Our country will accelerate the personnel training of medical science of recovery therapy in the future. National the intersection of general hospital and rehabilitation department and recover hospital to be on duty to recover professional personnel, should be through launching the education and undergo job-specific training after graduating, improve ability and level; To the personnel of the hygiene service organization of the community, should stress the content of rehabilitation in the complete doctor is trained; Expand institution of higher learning, recover scale of medical education progressively, strengthen the ability construction of teaching, equilibrate medical education of recovering and recover supply-demand relationship which talents use fundamentally. Ministry of Public Health will make and recover medical treatment standard and treatment technology operation regulation of making a diagnosis this year, promote therapist's entry of recovering to manage, recover medical resources adjust the pilot project, and choose seven in the whole country and recover on the base of demonstration of medical care and summarize and popularize its experience and method.


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