1) changes of disease spectrum and cause of death spectrum
Chronic non-communicable diseases closely related to bad living habits, environmental pollution, life pressure and other factors have become the main causes of premature disability and premature death of adults.
The pathological process of these diseases is long, and the specialized medical service with the value orientation of "treating diseases" has considerable limitations.
2) the transformation of medical model
The defect of biomedical model adopted by most experts is that it can't explain the psychological and social causes of some diseases and various psychosomatic diseases caused by diseases.
Discomfort can't explain the correlation between biology and behavior, and can't solve the problem of psychosomatic diseases and the decline of the quality of life of chronic patients. These problems
The application of bio-psychological-social medical model by private doctors can be well explained and solved.
3) The medical expenses are soaring and the distribution of health resources is unreasonable.
Biomedicine relies on high technology, which makes the medical investment increase sharply, but it has little effect on improving the overall health level of human beings. More than 85% of health care workers
Health resources are spent on 15% of critically ill patients, while only 15% of resources are used for genetic medical care and public health services for most people. And high-tech doctors
The "transitional medical care" caused by the value orientation of learning leads to the soaring medical expenses, which makes the society even more overwhelmed.
4) Functional differentiation of medical and health institutions, attaching importance to grass-roots units.
Now the whole world has realized that the three-level medical system, mainly private doctors, is an ideal medical system and different levels of medical institutions.
You can do your job well, and the focus should be on the grassroots represented by private doctors.
5) Rapid population growth and aging
With the highly specialized development of biomedicine, its medical service is narrow, fragmented and expensive, and it is unable to solve the problems of "longevity" and "health".
Functions of private doctors
Under the guidance of general practice theory, private doctors have the following basic functions:
Healthy gatekeeper and coordinator, avoid excessive medical treatment and reduce waste: as the first-time doctor and the "gateway" of the medical care system, solve patients.
80-90% of the conventional diseases, fully understand the health status, and formulate an optimized treatment plan according to the cost/effect principle to reduce unnecessary examination and transitional treatment.
Treatment, to avoid waste; Private doctors are very familiar with community and local hospitals and experts. For a few people who need specialized medical care, private doctors play the role of patients and hospitals.
Coordinator between experts, contact with selective consultation and referral.
Patient-centered humanistic care makes treatment more warm: private doctors, as friends, work with you within the scope permitted by medical principles.
Fully negotiate the details of treatment so that you can understand and participate in the treatment decision-making process.
Coherent, comprehensive and complete medical service makes health judgment more predictable and accurate —— Different views of private doctors on health, disease and rehabilitation
At this stage, we should pay attention to the health of ourselves and our families at any time and anywhere; The holistic and systematic thinking held by private doctors has broken through the tradition.
Unify the narrow reductionism method of specialized medicine, treat diseases, observe, understand and deal with health problems from physiological, psychological, social and cultural factors,
Make health judgment more predictable and accurate.
Prevention-oriented health care can avoid or alleviate diseases and improve the quality of life: according to the different stages of the life cycle of the clients,
Provide primary, secondary and tertiary prevention for possible risk factors and health problems. Primary prevention: disease-free prevention, including health promotion and disease prevention measures.
Prevent diseases from invading the human body; Secondary prevention: early diagnosis and treatment of diseases to prevent the deterioration and spread of diseases and prevent the occurrence of complications; Tertiary prevention: restriction
Disability, reduce sequelae and complications, provide rehabilitation and hospice care services, and maximize the quality of life.
Take the family as the caring unit, and safeguard the health and happiness of family members: the family is the biggest resource of personal health and the most important factor affecting health.
Family structure and function will directly or indirectly affect the health of family members, and private doctors will let families.
The court normally plays its due role, maintains the normal development of the family and creates favorable conditions for the happiness of family members and the treatment and rehabilitation of patients.
The qualities that private doctors should possess.
A family doctor who is patient-centered and guided by the general practice theory of bio-psychological-social medical model must have the following qualities:
Extensive medical knowledge and clinical trials: full-time doctors who have received professional training in general medical knowledge are in relevant departments of large general hospitals.
Abundant rotating clinical trials;
Strong humanistic feelings and good communication skills: family doctors must have a deep and lasting interest in human and social life and a high degree of respect for patients.
Have compassion and responsibility, good communication skills, and fully communicate and negotiate with patients as friends;
Excellent management consciousness and service consciousness: good at independently taking responsibility and controlling the situation, and have the spirit of coordination and cooperation in a collective environment.
And have a good sense of service and maintain good relations with relevant parties;
Abundant energy and persistent scientific spirit: coordination in many aspects and comprehensive care for patients require family doctors to have abundant energy. The role of private doctors
A for patients and their families:
-Doctor: responsible for the diagnosis and treatment of common health problems and all-round whole-process management, including early detection, intervention, rehabilitation and terminal services of diseases;
-Health guards: responsible for comprehensively maintaining health and promoting the formation of a healthy lifestyle; Regular proper health examination, early detection and drying.
Pre-risk factors; As medical spokesmen for patients and their families, they communicate with others and safeguard the interests of customers;
-Consultants: provide consultation services on health and diseases, listen to and understand patients' feelings, build trust with patients through skilled communication, and have a full understanding of various diseases.
Provide detailed explanations and information on various related issues, and guide customers to carry out effective self-expression health care;
-Educators: make use of various opportunities and forms to provide in-depth and meticulous health education to clients at any time to ensure the comprehensiveness, scientificity and operability of education.
Targeted, and evaluate the educational effect;
-Health service coordinator: responsible for providing coordinated services to patients when they need them, including using family, community and social resources and medical care at all levels.
Health care resources; Form an effective two-way referral relationship with specialists.
Health care and insurance system
-Gatekeeper: As the first-time doctor and the "gateway" of the medical care system, it will provide patients with the basic medical care they need, which will solve the problems of most patients.
Solve the problem of selective consultation and referral of a few people in the community who need specialized medical care; As the "portal" of the medical insurance system, register with the insurance system.
Book, obtain the qualification of "gatekeeper", and engage in medical and health care activities in strict accordance with relevant rules and regulations and the principles of justice, cost/effect, as well as the provisions of the insurance department.
Unified * * * and medical management;
-Team management and educators:
? To society
-Community/family members:
Community health organizations and supervisors;