The new model of "medical network linkage" carried out by Xiyi Road Street in Xincheng District, Xi'an City, has given residents in the jurisdiction a more solid "medical" support and won a good reputation. A few days ago, the reporter went to Shangpu Community, Xiyi Road Street.
The new model provides refined health management services for key groups in the community.
Community grid members "lead the way".
Promote the family doctor team to move the service gate forward.
When the children are not around, the elderly are most afraid of trouble when they see a doctor. The reporter learned that Shangpu Community in Xiyi Road Street is a typical old community, with nearly 600 elderly people over the age of 60 in 34 residential courtyards in the jurisdiction. Community workers told reporters that as a key group of people in need of health management, they often do not pay enough attention to health management, do not have the habit of regular health checks, and lack scientific knowledge of healthy life. Because of the complicated procedures of going to the hospital to see a doctor, you need to make an appointment in advance, queue up, etc., and many uncles and aunts generally control them with self-medication at home when they encounter minor illnesses and pains. Some residents with chronic diseases even adjust their medication without authorization. It is the wish of many elderly people to be able to enjoy professional health care services nearby.
The small community grid makes a big difference. The Shangpu community jurisdiction is divided into 4 grids, each of which is managed by 2-3 community workers. As the intimate steward of residents, the community grid members are familiar with the situation of key groups in the jurisdictional area. The "network" of "medical network linkage" relies on the "basic grid" governance mechanism of the community, and the community grid members give full play to the advantages of "familiar people, familiar places, familiar things, and familiar things", and act as front-line sentinels in daily inspection work, and take the initiative to discover key groups.
I'm home alone, I feel chest tightness and shortness of breath, and my head is still a little dizzy, come on!"Grandma Li, I'll be there soon. Recently, after receiving a request for help from residents in the jurisdiction, the 4th grid member of Shangpu Community rushed to the scene as soon as possible. Also receiving a request for help** was Hao Jiamin, a family doctor at the Xiyi Road Community Health Service Center, who led her team to set off immediately after the medical kit was ready. "Grandma Li lives in Building 3, let's go, I'll take you there!"Because we have learned about the health of the residents in detail in the early stage, after a simple examination and medication inquiry, the family doctor team quickly treated Grandma Li accurately and alleviated her uncomfortable symptoms.
Horizontal netting, vertical precision service. This kind of integration and interaction model is "guided" by community grid members to promote the family doctor team to move forward to the service gate, and become a solid new "medical" support for residents. The model is based on the "rainbow" grid management method, and the family doctor team is based on the principle of "special first, then general;The principle of "the old first, the young and the middle-aged first", with the elderly, pregnant women, children, the disabled, and patients with chronic diseases and severe mental disorders such as hypertension, diabetes, tuberculosis, etc., as the main service objects, and the community grid members focus on visiting households, grasp the family conditions and health needs of the residents in the grid in detail, and establish a health account for residents, aiming to provide personalized and diversified medical services for different groups of people.
Grid staff + family doctor" to provide health care services at home.
Precision medical services.
Tightly weave a regional medical and health livelihood security network.
What should I do if I am in a critical condition and I am worried that the community hospital will not be able to see it and the big hospital will not be able to see it?The reporter learned that the Xiyi Road Community Health Service Center relies on the characteristic departments of the Xincheng District Traditional Chinese Medicine Hospital and the traditional advantages of traditional Chinese medicine, adds the characteristics of traditional Chinese medicine services to the public health service project, and continuously strengthens the ability of medical and prevention integration. At the same time, relying on the close medical alliance and the city medical group, the center actively promotes hierarchical diagnosis and treatment and opens up two-way referral channels. Patients who are found to be in difficulty or in critical condition can be transferred to a higher-level medical institution through the green channelPatients in the stable period such as mild, **, and continuous** can be transferred back to the center for further recovery, and the family doctor will follow up and provide health guidance services throughout the chain.
Not long ago, 93-year-old Uncle Wang benefited from the "medical network linkage" rescue to successfully save the day. It is inconvenient to go up and down the stairs in the old community, and Uncle Wang has been bedridden for a long time, and the sudden physical discomfort on this day is even more anxious for the family. "The old man can't move, his condition can't be judged for a while, and it's not easy to contact the hospital. According to the family, after asking for help from the community grid staff, not long after, the family doctor team joined hands with the staff of the laboratory department of the hospital in the jurisdiction to provide door-to-door service. In order to further clarify the diagnosis, the staff of the hospital laboratory department took blood for the uncle and brought it back to the hospital for laboratory testing, and fed back the results to the team doctor and his family in a timely manner, so that the family doctor could carry out health guidance and suggestions for the patient according to the examination results.
The management of patients with chronic diseases is greater than **, and its core lies in long-term and continuous care and monitoring. In addition to visiting households, community grid doctors inquire about key groups in the jurisdiction every day and register their conditions in detail. In the grid group of Shangpu Community, residents interact and communicate with their "exclusive doctors" every day. "Doctor Hao, my child has a fever and runny nose, does he still need to take anti-inflammatory medicine after taking cold medicine?"Dr. Zhang, my blood pressure has stabilized recently, is it okay to stop taking the medicine?""My children are not there, no one helps me measure my blood pressure, and I can't measure it myself, but thanks to your frequent visits, I feel much more at ease." Hao Jiamin told reporters that in combination with the recent frequent diseases and weather changes, all grid doctors will release health knowledge such as disease prevention and health care in the community WeChat group from time to time, and guide residents to establish the awareness of the first person responsible for their own health and develop scientific and healthy living habits.
The innovative model of "medical network linkage" of "grid whistle-blowing, family doctor registration, identification intervention, timely referral, and post-medical follow-up" integrates medical health into the grassroots small grid, which is not only a new way of efficient medical treatment and convenient consultation, but also a solid household visit of the "grid staff + family doctor team", precise medical services, enhance the sense of access to medical treatment for the masses, and weave a dense regional medical health and people's livelihood security network.
Text: Xi'an newspaper reporter Wang Jiangli.
Editor: Xiaolu.
Review: Peng Peng, Wen Yue.
Producer: Xi'an Press Media Group.
Xi'an Newspaper Xi'an ** All rights reserved.
No **, plagiarism, or excerpts are allowed without permission.
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