It is difficult for the guide of making a diagnosis to apoplexy to encounter landing

It is difficult for the guide of making a diagnosis to apoplexy to encounter landing
In our country, have averagely every 12 seconds the apoplexy (commonly called as apoplexy) happens to a person ; And about 3/4 of the disability in the persons who survive of apoplexy, for this reason the annual medical expenditure is up to 12 billion yuan; Send the apoplexy case about 2,500,000 newly every year at present, have more than 6 million to suffer from the apoplexy now - -High ill rate, high mortality, high to disable rate, high person who recur, let apoplexy occupy the intersection of population and total the intersection of primary importance and reason of death. The devil's talon how to chop this off to endanger people's health directly? Strengthen second prevention, namely prevent the links generally acknowledged to be essential of recurring of the apoplexy. For this reason, new edition " the intersection of apoplexy and second the intersection of prevention and guide " issue recently, in emphasize depressor, the intersection of he and spit of fland lower the intersection of lipoprotein and medicine and resist blood platelet while medicine the intersection of apoplexy and second the intersection of prevention and the three foundation stones, one point of healing solutions on the basis of risk assessment of first determination, take a solid step in order to implement the individualized treatment. Though the new guide has combined the actual conditions of China while according to following medical science of card " The quantity body is customized " ,However, the professor is still anxious unavoidably that director, Beijing God Temple Hospital Vice President, king of neural head of the department of internal medicine of the training center of the Chinese apoplexy centre support the army: Like all guide of all kinds of disease treatment already issued, " prevention guide to the apoplexy second " issued newly faces the awkward situation different to fall in the clinic diagnosis too. Guide and have the intersection of wide gap and king support the army Professor give an example among being clinical. Say that the patients coming to the hospital 3 hours should all dissolve the bolt treatment to have illness coming on in theory, but in China, this proportion is only 9%, U.S.A. is 70%. Then, the guide " too high to reach " (used at the end of a special alternative, or rhetorical question)? "The guide is that we, to the lowest requirement of whole medical treatment, the supreme requirement is certainly higher than the guide. In other words, the necessary, most basic requirement in it is clinical that the guide is. " The professor emphasizes that Wang supports the army. Wang supports the army to analyze that thinks, form the reason to present the wide gap between guide and practice at present and come from three respects: Because the guide has not forced strength at first, it but the professional personage of medical association has on one kind of a kind of disease treatment according to the common understanding that can be depended on, it is one offered to all types of hospital doctor that makes a diagnosis in the route, it is unable to force clinicians to carry out. Secondly, " invisible hands " Influence the landing of the guide directly - -The doctor leaving not according to the guide is usually two kinds of situations, one is very confused, do not know the guide at all; Another kind to carry clear to pretend not to know, because he like, may turn on those medicine which is good for him, and unwilling to make medicine on the guide. In addition, lack essential supervision mechanism and make the patient difficult to profit from guide. Statistics reveal, national medicine used for neural protection, blood circulation promoting respect, has accounted for 40% of the hospitalization cost, "in fact effective traditional Chinese medicine which cures cerebrovascular diseases of none at present yet. " World Health Organization has pointed out in the declaration of apoplexy of world issued in October of 2006: Should contain those high cost, unofficial and wrong method. The guide should let the patient understand the king support the army the professor introduces, some foreign methods are worth drawing lessons from. Set up disease and manage the project team, lead the patient to seek medical advice. U.S.A., that year in order to let the guide fall, set up a very big disease and managed the project team, " follow guide " by name. It sets up a set of control systems including straight newspaper of network at first, find out about the implementation to the guide of the hospital at any time. And annual a January, according to carry out guide intensity set up " billboards " project team this ,Line up for hospitals of the whole country, and evaluate the gold medal, bronze medal, silver medal hospital, expect to seek medical advice and pay guiding to the patient through this form. The implementation of this project plan, not only has improved medical quality but also obtain the pleasant achievement at the same time - -The mortality of annual apoplexy drops by nearly 2%. Write the guide " The patient edition " ,Let the patient cooperate and supervise a doctor. Most of guide is for doctor to read that the ones that write in the domestic medical association now make a diagnosis, it is very much difficult for patient not to understand. Abroad, some medical insurance companies specially write the publishing guide " patient edition " ,Let patient understand prevention of disease suffered from, make a diagnosis ABC, can in make a diagnosis in the course offering more cooperation to doctor while being whole, at the same time, can also correctly a little " It is not a guide " Make a diagnosis behavior play a role in supervising. It is reported, already the vascular disease quality control centre of national brain has been established in February of this year in Ministry of Public Health, expect through controlling, will make a diagnosis the guide will be fulfilled. Staff reporter Chen Qing

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