Why can athletes' clinics enjoy state subsidies? In fact, the outpatient service of athletes includes consultation, consultation and physical examination, so it usually takes a long time for both doctors and patients to check once, which will inevitably affect the medical and health resources that pediatricians should allocate when they see a doctor. Therefore, all hospitals that provide outpatient services for athletes will provide basic subsidies for each child to see a doctor. In other words, this is also an important benefit of the infant health policy.
What conditions must a doctor in an athlete's clinic meet? Dr. Zhu said that at present, almost every pediatrician or trained family doctor in Taiwan Province Province has the ability and responsibility to consult a healthy children's clinic. Correctly speaking, all doctors who have received training courses in children's family health care and preventive medicine, which are entrusted by the Ministry of Health and regularly held by the Pediatric Medical Association every three years, as well as doctors who have passed the professional training courses in preventive health care medicine, will obtain qualified licenses, that is, they are qualified to be specialists in athletes' clinics.
Service target and content: Dr. Zhu Shiming pointed out that at present, the outpatient service for healthy children is only provided for children under seven years old, and they can enjoy seven health examinations subsidized by the national medical service system. At ordinary times, parents can take their children to a healthy children's clinic at the recommended age, and at the same time, in accordance with the provisions of the second page of the Children's Health Handbook issued by the state, carry out preventive injections and other projects.
In short, the main contents of the athlete clinic include: preventive health care, vaccination, development evaluation and health planning. What is the usual process of the athlete clinic? Dr. Zhu Shiming pointed out that when a healthy baby arrives at the clinic, he must report to the clinic first, and then he will help the baby measure his height, weight, head circumference, general examination and development examination in the early stage and the first five clinics when he is one and a half to two years old. In the later period, the two examinations at the age of two to seven mainly measured the height and weight of the child. The details of each examination are clearly written in the children's health handbook.
Speaking of this, Dr. Zhu said earnestly that the Handbook of Children's Health is the most correct and basic outline of parenting knowledge provided by the state. If parents read the whole manual, in fact, all the parenting information parents want to know is included. However, in the outpatient clinic, there are still many parents who have not really read the manual and recorded their baby's health status, including the items recorded by parents in the manual and the health education record form filled out by themselves before each examination, which must be interpreted and ticked according to the items.
Therefore, Dr. Zhu once again appealed to parents not to be lazy. At least the day before each time you take your baby to see an athlete's clinic, you should not only bring your baby's health manual, but also do your homework in advance and read carefully the items that your baby needs to check this time and the contents of preventive injections, so that parents can know more clearly whether their doctors have really checked their baby at the clinic and give them more health protection.
Show parents the basic process of athlete clinic. Wait in the waiting area and fill in the parents' records and health education records correctly.
In the check-in area of outpatient service, carry the children's health care manual and check-in list.
Measure the baby's head circumference, length and weight.
Before preventive injection, check the injection and contents for parents to sign.
The doctor asked in detail.
All parts of the baby's body have indeed been examined.
The difference with general pediatrics * Preventive health care What is preventive health care? In other words, according to the baby's growth curve and development trend, we should observe whether there are backward and abnormal development conditions such as growth retardation, reflex movements at various stages, gait walking and so on. And take early detection as a preventive measure for early referral treatment. Therefore, Dr. Zhu said that the athlete clinic is actually a window, which is used to help the baby transfer to other specialties as soon as possible in the early stage of many diseases, that is, when they are discovered by doctors in the athlete clinic, so as to improve and track the baby's subsequent development. In other words, preventing children from getting sick, even if they get sick, will not become a major disease, and in the early stage of the disease, they can provide immediate and effective treatment, which is the ultimate goal and significance of athletes' preventive health care.
* Inoculation Secondly, the yellow folder "Inoculation Timetable and Record Table" on the first few pages of the children's handbook will record the baby's vaccination, including self-funded and public-funded vaccines. You can provide this table to the school before the baby enters school, so as to know whether the baby has completed all vaccinations. Therefore, parents should take their children to get vaccinated on time, which will definitely help the baby to defend against diseases more healthily. Therefore, if the baby needs vaccination, he should go to the athlete clinic instead of the general pediatric clinic!
* Developmental assessment of children's physical and mental development is generally divided into four parts, including: coarse movements, fine movements, language cognition and social behavior. At every stage of development, a baby has a mileage indicator at every age. If the doctor evaluates that the baby is really too slow to develop through milestone comparison, it may be necessary to assist in referring it to the child psychology department or the child rehabilitation department.
* Health Planning Another advantage of making good use of the athlete clinic is that it can provide personalized health consultation and planning advice for different babies. Dr. Zhu Shiming has repeatedly kindly reminded parents not to regard the athlete clinic as a place for the baby to see a doctor! Because, for the baby, there is also the most important content in the athlete clinic, which is health planning. As far as the principle of fairness is concerned, the athletes who come to the clinic are basically healthy babies without diseases, while those who go to the pediatric clinic are sick children who need treatment for symptoms such as fever, cold, bacterial and viral infections. If sick children also come to the Jian 'er clinic to register for medical treatment, it is bound to increase the health risks of children who see Jian 'er clinic.
Anyway, the definition of baby clnic in foreign countries is "healthy baby consultation clinic". Therefore, when the baby is not sick, if you come to the athlete clinic, the doctor will give more suitable health planning and special suggestions for different individual babies; For example, for each baby's growth delay, the contents of the suggestions cannot be the same, and some need to give further screening suggestions or self-funded vaccines to prevent problems before they happen and prevent the baby's disease risk.
Take parents to understand the athlete clinic and let the athlete clinic go to a big hospital, okay? Dr. Zhu Shiming said that this is not the case. Major hospitals still focus on seriously ill children, but they still set up clinics for athletes to provide more diversified services for patients. As for small clinics or regional hospitals, doctors with licenses for athletes' preventive health care and medical services can also run athletes' clinics, so parents can also take their babies to the nearest health check-up.
Finally, Dr. Zhu reminded that the athlete clinic is a health courtesy provided by the state to babies. Although it seems unlikely that parents will have any big consequences if they don't take the baby for examination, such policies and welfare measures can't help children make up for it if they miss one of the examinations. Therefore, it is the most wise for parents to help their children grasp this right and minimize the health risks to their children.
The content of Children's Health Handbook is a professional content compiled by many elite pediatricians. If parents would rather believe the incorrect and vague parenting information on the Internet than take the time to read it well, it would be like putting the textbook aside and reading only the auxiliary teaching materials, which would put the cart before the horse. In addition, the website of the National Health Service of the Ministry of Health and Welfare also provides PDF files to download the contents of the book. Information is transparent, open and easy to obtain. If parents really care about their children's health, they really need to cherish it and will definitely give their babies a truly healthy life!
Zhu Shiming Education: Chang Gung University School of Medicine Experience: Researcher of Neonatology Department, Jackson Memorial Hospital, University of Miami, USA Currently: Lin Kou, Director of Neonatology Department, Chang Gung Children's Medical Center, Associate Professor of Chang Gung University, Standing Supervisor of Taoyuan Medical Association, Member of Health Communication Committee of National Medical Association of the Republic of China, and editorial consultant of Baby and Mother magazine.