At that time, Taipei city began to support the medical care of Mazu (Lianjiang County), which gave me the opportunity to serve all the islands of Mazu. Pap smear and ultrasound examination alone can make me serve for a long time, because I am a rare "female" doctor, which makes conservative women willing to come out for examination, so that cancer can be found and treated early. As a female doctor and community medicine, I feel very valuable.
In order to take care of the children and my husband is in the front line of medical treatment (Editor's Note: My husband Wei Guozhen is an award-winning neurosurgeon and chairman of the Taiwan Province Neurooncology Society), I temporarily left the clinic and went to the CDC, but I was caught in the battle of SARS in 2003, which unexpectedly changed my career. Seeing Director Chen Jianren and Commander Li Mingliang directing the fight against evil, I decided to stay at the public health site so that everyone could live a normal life with peace of mind. Regardless of SARS, dengue vector warfare and influenza preparedness, the prevention and treatment of all infectious diseases need the epidemic prevention propaganda of the whole society to change people's behavior. Only effective disseminators of public health risks are the only way to ensure community health.
Since 20 18, Taiwan Province Province has entered an aging society, with the population over 65 reaching 14%, more than the young population below 14. We must try our best to face the challenge, create a healthy Shangri-La, tell our story from the local perspective, and creatively solve our needs in urban and rural areas.
I asked the General Audit Office to analyze the top ten causes of death and count the battlefields of diseases, and found that the top ten causes of death have changed from infectious diseases such as gastritis, duodenitis, enteritis, pneumonia and tuberculosis in 1952 to malignant tumors and cardiovascular and cerebrovascular diseases in15. Comparing the World Health Organization's global sustainable development goals, as well as community comprehensive medical care, vaccine policy, dementia care and primary medical care for vulnerable areas, all point to the importance of community medical care. Community, community and community are the areas that are most needed and lacking in a healthy future.
In Taiwan Province Province, where universal health insurance is provided, everyone enjoys the happiness of high-quality medical insurance, and it is inevitable to use health insurance resources when getting sick or injured. Only by keeping healthy and preventing diseases can we reduce the consumption of hospital resources and make the medical care system last forever.
Community medicine focuses on early diagnosis of diseases, early identification of environmental and occupational hazards and disease prevention, which is different from traditional medical care. The services it provides have a small vision of personal health and are mostly limited to the specialized division of labor in hospitals. There are four characteristics:
1. Pay attention to public health and community health.
2. Emphasis on preventive medicine or primary health care.
3. Follow people's daily life, rely on routine work and rest, and focus on family life.
No matter where you are, you should pay attention to the concept of serving the people.
On the one hand, individuals and families also have the responsibility to develop health knowledge and even contribute their own abilities. On the one hand, it is diversified cooperation, combining the public sector and the private sector to form teams and partners, exerting collective strength and realizing the ultimate ideal of national health.
The Great Future of Community Medicine: Innovation and Transformation The brand-new community medicine will not have too many brand-new elements, and the concept at least implies the following points:
1. In order to integrate the kinetic energy of the community, the community must participate in the planning, organization and management of community health care. Community refers not only to physical areas, but also to virtual communities and social networks.
2. Community Medicine 4.0 is not just dancing with long photos. With the progress of ICT Internet of Things, telemedicine or intelligent medical technology provides a brand-new nursing model. Telemedicine. Remote nursing. Telestroke, for example, has developed quite successfully in the rapidly developing countries in Europe and America.
3. The connotation is not only to consider personal health, not only to treat diseases, not only to involve health units, not only to go to home for medical care, but also to face the great challenges of an aging society, and to physically change the face of community medicine with the concepts of dynamic aging, health promotion and mutual help and self-help.
4. Social media has completely changed the way of practicing medicine and the framework of providing nursing care, especially the network 2.0 technology, which has brought the relationship between media medicine and medical treatment into a brand-new pattern.
Primary health care is so important, but it has long been neglected. I hope that the book "Community New Vision, New Generation Health Strategy 4.0" can attract more people's attention and investment in community health.
& lt This column reflects experts' opinions and does not represent our position. & gt