The current situation and development trend of the clinical medicine industry are as follows:
In the last 20 to 30 years of this century, with the improvement of people's living environment and economic conditions, as well as the improvement of their cultural quality, their lifestyles, health care needs, and the types of illnesses have undergone significant changes. This change has greatly contributed to the unprecedented rapid development of medical science and technology and the transformation of the medical service model.
At present, the achievements in many fields of clinical medicine have been recognized by the people, and it is expected that there will be further development and fruitful achievements in the 21st century. In this regard, the following predictions of possible future changes in clinical medicine specialties and service delivery models are made based on current trends and discussed with colleagues***.
I, the development of medical science and technology and medical model of change accelerates the reorganization of clinical disciplines
A) the traditional internal medicine system, many bacterial and parasitic infections will gradually reduce the disease, instead of the emergence of viral infections and diseases and their complications, the complexity of the disease of affluence, obesity, hypertension, diabetes mellitus, physiological metabolism decline in the disease, vascular sclerosis, Brain cell degeneration and paralytic dementia and other diseases of old age will be more and more
II) In recent years, through the experimental animal models such as nematodes, fruit flies and other research found that the relationship between genes and aging is very close.
3)Due to the development of electronic and intelligence technologies, the emergence of various endoscopes, the popularization of imaging medicine and interventional diagnostic and therapeutic means have and are dramatically changing the scope of traditional surgical treatments.
4) The desire of parents to ensure the health of their children has been a driving force in the development of gynecology, obstetrics, and pediatrics.
V) The development of Chinese medicine has always been emphasized by the Party and the government, and in recent years, Chinese medicine has gone out of the country and become more and more popular among the people of western countries.
VI) social progress, technological development and social needs will inevitably change the status quo of clinical medicine, some of the traditional disciplines may gradually shrink, some of the specialties occur in new combinations, which is an inevitable development trend.
seven) the introduction and application of ultra-high magnification microscope has broadened our understanding of the human body's microcosmic world, found many from the unrecognized disease information, which not only helps to make a clear and quick diagnosis of the disease, but also for the study of clinical medicine opens up a new way.
Two, the progress of society and the need to accelerate the transformation of the medical service model
Social change, the transformation of the medical model, the people's awareness of self-care to improve the health care services are bound to be more demanding. Reduce disease, reduce injury, special care and family services, less money, without leaving home to get satisfactory health care services, this social demand has urged the social health care work of the old concepts, the old system of change.
I) to the national social security sector as the main, non-state insurance companies to supplement the implementation of medical health insurance system for all the people to establish and implement the former set up a public account and individual accounts combined with the implementation of basic medical care for the people's protection; the latter to supplement the other types of selective insurance to collect a certain amount of money, such a combination of medical services plus a variety of institutions to make the general public in a reliable and complete circle of health protection. Reliable and complete health protection circle, not only changed the original "public medical" system, reducing waste, but also to meet the health care needs of the social population, increasing civic awareness.
II) The establishment of community medical centers is the emergence of primary medical service institutions to meet the health care needs of the people.
3)The soundness of the social security system and the establishment of community medical centers will inevitably have a certain impact on the original state-run specialized or general hospitals
4)Medical and health care is carried out in accordance with the needs of the society, and the supply and demand of health care services for the social population control the direction of the development of hospitals to a large extent.
At the same time, the severe competitive situation will force the medical staff and management of large hospitals to go out of the hospital to the community, to the grass-roots level, to the patient's home in order to extend the scope of medical services, and constantly expand the market. Make the traditional hospital to remove the walls, become "no walls of the hospital". This kind of hospital without walls will take the initiative and community medical centers and general practitioners to improve the collaborative relationship, give full play to the guidance of large hospitals.
Driven by social change and the development of medical science and technology, all types of medical institutions coordinate with each other, complement each other's functions, and form a tightly connected whole. Centered around the health care needs of the general public to display their respective talents, play their respective energies, so that the people's prevention, health care, treatment and rehabilitation in this health care entity to be implemented.