Private doctor is a general term for "general practitioner" and "family doctor", which developed from "general practitioner" in the early 1960s.
Because of its advocacy of "patient-centered", family-based whole process, all-round and responsible care, it was well received by the public and soon became popular in Europe, America and developed countries. Everyone has his own personal doctor. Looking for a doctor instead of going to a hospital has become the mainstream of people's healthy consumption in developed countries.
Second, the standards of private doctors.
Private doctors are graduates of regular medical colleges, who have a comprehensive understanding of common diseases, prone diseases and preventive health care in clinical departments, and have received systematic training in general knowledge such as sociology, psychology, kinematics, nutrition and rehabilitation training.
And private health care doctors who specialize in providing daily health management and maintenance for customers.
The job content of a private doctor
The core work of private doctors is to provide personalized health consultation and guidance, regular physical examination, regular comprehensive evaluation of customers' health status and early warning of diseases, and provide medical auxiliary services for patients' diagnosis and treatment when necessary.
The emergence of private doctors has greatly satisfied people's demand for personalized medical care consumption and is an effective supplement and improvement of social medical resources.
The Development of Private Doctors in China
Since the reform and opening up, with the sustained and rapid development of China's economy, people's living standards have been continuously improved. However, the functional orientation of traditional hospitals is mainly "treatment" rather than prevention, which is far from meeting people's personalized health care consumption needs. At present, in some big cities in China, some new medical and health care service models, such as family doctors and private doctors, have appeared one after another, but they are not real private doctors. This is because:
1, irrational allocation of social medical resources
From the social development trend, community clinics and private doctors should be the main providers of community health care services. However, the current allocation of medical resources in China is unreasonable. In the same city, high-level doctors and medical technical equipment are often concentrated in a few large hospitals.
2. The general quality of employees is not high.
Most of them are part-time specialists or retired doctors in large hospitals, and some of them are social practitioners recruited from the society. Most of them have not received systematic training from general practitioners, which is the main reason why the service quality of private doctors is difficult to guarantee.
The charge is usually too expensive.
Ordinary people simply can't accept its price, and as a result, private doctors have become the patents of some rich people.
People's health care concept is still very backward.
When I am sick, I am anxious to find a big hospital instead of a doctor, but I seldom pay attention to my health. Once you get sick, you spend thousands or tens of thousands of yuan on medical expenses, but you never invest in your own medical care, which is one of the main reasons why the promotion of private doctors in China is blocked.
Responsibilities of private doctors in developed countries
United States: Private doctors are the health defenders of a family or group, and can provide long-term services such as health consultation, preventive health care, medical rehabilitation, diagnosis and treatment of common diseases, and actively follow up and observe patients with chronic diseases and patients recovering. Can deal with the health problems of 85% and 90% patients. Many doctors also provide some special services, such as sports medicine, gerontology, women's health care and adolescent health care.
Britain: Private doctors are the main providers of national primary health care services, and their community health services include: primary health care, health promotion, chronic disease management, immunization, cervical examination, anesthesia, etc. Family doctors provide their registered patients with all-round basic medical and health services from birth to death, including disease diagnosis, treatment, medical care, prevention and monitoring of infectious diseases, health consultation and patient referral. Family doctors can solve 90% of the problems of registered patients.
Australia: Private doctors play a "gatekeeper" role similar to that of Britain, providing services including disease diagnosis, treatment, medical care, infectious disease monitoring, health consultation and patient referral. Usually, 80% of patients will terminate in the clinic of general practitioners, and only 20% of patients will be referred to hospitals or community health service centers.
Private doctor system in the United States
Private doctors in America are generally called family doctors. When each family participates in medical insurance, they should first choose the doctors listed on the doctor list of the insurance company and become their own fixed family doctors. When any family member is ill, he should first see a family doctor, and then the family doctor will decide whether to transfer to other professional disciplines (such as obstetrics and gynecology, cardiology, dermatology, etc.). ).
Most doctors in America have contracts with insurance companies. For example, the more insurance companies you participate in, the greater your chances of appearing on the list of insurance companies. Generally, they only need to pay the basic registration fee, and other expenses are directly charged to the insurance company.
Of course, the monthly insurance premium for each family is also a great burden. Fortunately, the working employer will bear part of the insurance premium.
Another is that you can use your own personal doctor instead of the doctor list of the insurance company. Such family doctor insurance companies also accept it, but the insurance premium is relatively high. Many families choose this way in order to have their own familiar doctors to maintain the health of the whole family. I've always been lucky. I have changed several medical insurance companies, and the doctors have always been the same. Their medical team is very famous in Southern California, and almost every insurance company is on the list.
The most expensive private doctor is a specific doctor hired by an individual from a professional perspective outside the insurance system. There are many such doctors. Of course, a person can hire a number of private doctors with different specialties. He can also provide advice in an emergency. However, most of these are patents of the super rich. In America, doctors will be looked down upon if they are ill and have no insurance.
At present, there is no medical insurance system in China like that in the United States, but there are private doctors. My parents have two private doctors with reasonable fees. When you are sick, you go to see a doctor. In Shanghai hospitals, you pay for your own physical examination, which is limited. If I have an ID card, it will cost less. This is completely impossible in America.