The division of cardiology should break " Inside " " outside " Demarcation line

The division of cardiology should break " Inside " " outside " Demarcation line
Xuanwu Hospital of Capital University of Medical Sciences Xu DongZhang builds
Cardiovascular vessel disease worried critical disease more in patient, and follow the card data to upgrade fast, this determines work of making a diagnosis of cardiovascular speciality of the hospital must reach " Fast, accurate, meticulous" Requirement. Only in this way, could meet ordinary people's health demand to the maximum extent. Cardiovascular internal and external department have advantages have deficiency also each in treating disease. How set up, cooperate platform, make patient get accurate convenient treatment by one high-efficient internal and external department, it is a question in front of hospital administrator and cardiovascular professional personage, also guarantee to deepen, set up the urgent need of harmonious medical treatment in medical system reform.
Each independence of internal and external departments of blood vessel of mode centre of making a diagnosis of the tradition, including finance, berth, personal management,etc.. Which speciality the patient is in hospital to usually get under this kind of mechanism of management first to seek medical advice, which specialized treatment is accepted finally. Can therapeutic method it chooses to be apt, have, follow the intersection of card and data, support very much difficult to say. The physician pays attention to the protection of the medicine and gets involved in the complicated case of treatment, the surgeon " holds the knife and travels all over the world " ,Know and it is less to employ the clinical evidence of drug therapy. At the same time once because the condition needs transferring from one department to another and treating the patient among internal and external specialities, often face a great deal of tedious links of communicating, adjusting the bed, treating project setting etc., the smooth one faces the extra cost, a few unfortunate ones may miss treating the opportunity best, influence the prognosis.
How break such professional constraint of demarcation line, make cardiovascular internal and external the intersection of department and professional doctor can have no reserve at all, incline all their offer " a station type " to cardiac Serve, the our academy has done some beneficial exploration, hope to setting up " real heart centre " Enlightenment to some extent.
We think, the real heart centre should possess three conditions:
1.Accomplish the absolutely unifying of finance checking and calculating, berth and personal management. As the independent department of the hospital, under existing system and compensation mechanism of running, financial state and berth closely related to it, realistic problem that arrangement of personnel must be faced of the department. Only solve this key problem, could implement " a station type " of regarding patient as the centre Serve and offer the basic mechanism, internal and external department doctors could make concerted efforts.
2.The hospital should guarantee the power to make decision of the department is grasped in inter-disciplinary talent's hands. As controlling the department leader whose internal and external department specialities merged, no matter which kind of professional backgrounds to have in person, all should possess good study and link up ability, to step internal and external cardiovascular professional development of department, there is sensitive assurance while being whole, not merely put the eyes in one's own professional range, it should be a good study good at management, inter-disciplinary talent broad and with certain professional level of mind.
3.Set up the good culture of department of linking up study. How much whom year form make a diagnosis, used to until working way very much difficult to change in a short time. How to let the physician recognize and accept " Have an operation " ,How to let the surgeon understand and use " ABCD norm is treated " ,How let a large number of guide can employ at clinic really, this need, set up, communicate with each other platform of study, train the atmosphere liked to socialise.
Round these three points, the our academies all amalgamate the heart ward, clinic of internal and external departments at first, settle account in unison, make internal and external department doctors " share weal and woe, share weal or woe " . In this way the healing solutions do not all need to transfer which kind of no matter the impatient accepts to the bed, the out patient can accept the consultation of internal and external department doctors at the same time, in order to guarantee high-efficiently. How to appoint the inter-disciplinary talent wiith certain professional level good at management at the same time? We think in practice the surgeon may be more suitable, because they stand in the terminal station of speciality treatment, will not terminate the patient's treatment easily, it is a essential condition to certainly good at managing. Help internal and external department doctors to set up the cooperative platform, such as we discuss complicated case and system read slice together collectively after setting up handing over to the next shift early, make policy collectively to guarantee a patient is greatest and benefiteddest; Arrange to continue educating the project together, learn from each other to discuss, reach common understanding to the complicated case treatment; Implement institute's total system together, has guaranteed the patient makes a diagnosis noncongestion of each link,etc..
Xuanwu Hospital the intersection of heart and centre establish over one o'clock, patient lead while being satisfied while being whole and medical service quality improve a lot. These practices fully realize our original imagination, accord with the development trend of discipline.
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