Define the poverty-stricken urgent critical patient of economy treats and cures the procedure of seeking medical advice in advance
It is a long-standing problem that the urgent critical patient under the poverty-stricken state of economy makes a diagnosis and gives treatment in time. The prerequisite solved is setting up and having effective systems, namely the procedure of seeking medical advice of patient of this kind of disease.The intersection of Jiangsu and Nanjing until municipal the intersection of law and support of committee coordinate, cure health bureau the intersection of policy and according to national relevant regulations 2005 while being municipal, have drafted more distinct procedure of seeking medical advice, has standardized the power and responsibility of the related departments. The file is countersigns and issues by Municipal Health Bureau, public security bureau, Department of Civil Affairs, the thing that each office has not basically sought medical advice as the urgent critical patient poverty-stricken for economy is tired of the spirit since 5 years. The roam beggar not having the life in our city now sends and cures the procedure to introduce as follows:First, personnel and spirit or suspected mental patient of intellectual disturbance1 . Escort unit, give Nanjing the intersection of brain and the intersection of department and hospital to determine, treat, notify city succour stand at the same time. Escorting the unit must provide the written materials, the state while explaining the precise place that personnel find escorted and finding for hospital, and go through formalities of handing over in writing.2 . City succour stand should send someone, go on, confirm, belong to, succour target, succour, stand, go through relevant procedures by city specifically.3 . Through determining it is a mental patient's, are treated by the brain department's hospital in principle, city succour stand appoint, accept hospital for medical treatment separately, succour, stand by oneself or consult by city about escorting the unit and passing on and appointing separately to accept the hospital for medical treatment; Through it determines to be the intersection of intellectual disturbance and personnel, notify city succour, stand, come on, connect, succour by the intersection of brain and the intersection of department and hospital; Through it determines to be the intersection of intellectual disturbance and personnel and mental patient, escort unit, hand over city, succour and stand originally.4.Succour, stand, confirm, succour mental patient of target by city, must follow legal will of guardian its, combine relevant medical history, the hospital makes diagnosis and decision healing solution. Need hospital treatment, it needs to pay the relevant expenses according to the regulation to hand over to the hospital, and while treating and coming to an end, go through formalities of leaving hospital in time in accordance with the doctor's order. Succour, stand, confirm, succour the intersection of intellectual disturbance and personnel of target by city, handle properly in time escorting the unit, can't be held up in the brain department's hospital.5.To the treatment of the mental patient, concrete condition is handled by the norm of the hospital; Does not need to be in hospital, can be in the emergency treatment of the door.The patient falls on second, critical way1.Find critical way go bankrupt patient, on the premise of allowing in condition, escort into unit, give the designated hospital of the location and go to a doctor. When the situation is urgent, send the medical organization of two class or above of adjacent place to go to a doctor at someone's convenience nearby, or notify immediately " 120" Succour.2.Escort the unit by oneself or the notice " 120" Give behind the patient, notify city succour stand, contact with the hospital at the same time.3.City should send someone to come to the institute to confirm to succour and stand, belong to and succour the target's, stood by city succour and gone through relevant procedures specifically. As to after affirmation clear to belong to, succour target, escort unit, should inquire the intersection of patient and the intersection of relative and situation, pay the relevant expenses in time, and while making a diagnosis and coming to an end, supervise patient relatives to pay off the expenses, fetch a patient home in time.4.The patient and succours standing from the hospital and responsible for the concrete matters during the treatment period. However, the client of the order as to not observing the management system of the hospital, upsetting working and making a diagnosis normally, the public security department should admonish in time, take the corresponding measure if necessary. Meet the situation that checking specially, operation,etc. needs signing, take charge of signing from succouring the station.5.Infect patients ' Includes the HIV-positive person) Sending the second hospital in Nanjing to seek medical advice, the tuberculosis patient sends the chest hospital of a city of Nanjing to seek medical advice, the leper sends prevention from suffering from the diseases and center for the prevention and treatment of venereal diseases of control centre dermatosis of a city of Nanjing to seek medical advice.6.Behind the patient has steady condition, it is responsible for providing the medical certificate of disease or explanation accepting the hospital for medical treatment, fetch implementation home to succour next from succouring the station.Third, about the expense guaranteeSuccour visit of target, adopt, keep accounts first, and then method to close, every quarter first month, answer and examine the hospital it by relevant evidence and expenses that city succoured standing and at one time closing and happening in the previous quarter.Fourth, otherPublic security men, civil administration, all types of medical organization and medical personnel, must give first place to the whole situation, strictly observe relevant norm, fulfil duty, close cooperation, stop, delay, treat emergence of the incident because of the intersection of funds and problem firmly.The above is the procedure that the relevant patient of our city seeks medical advice. Practice has proved, it has stronger effectiveness. However, I think, still a great theoretical question demand urgently to discuss, namely accept behavioral properties for medical treatment.I think, the sending off of this kind of patient should belong to " succour " to manage One component of work, property its should equate with, succour, work, namely there is social administrative management of relief properties. Its relationship between doctors and patients should be an administrative legal relation. The course is a link which succours the work to similar to patient's making a diagnosis and giving treatment in hospital, it is likewise public security men, civil affairs department that it manages and guards the responsible host. Similar to the patient's funds, should be paid first in advance by the civil affairs department, then is held the relevant notes that the hospital provides to cancel after verification to the financial department by the civil affairs department. Standard and restriction of using medicine, can consult the relevant regulations of the medical insurance.Similar patient difficult to manage, have patient and even medical personnel cause the danger of the injury to go to a doctor normally while being other. Meanwhile, similar the intersection of patient and medical history gather difficult, apt to have false medical history appear, result in, misdiagnose, manage, leak, examine, leak, cure by mistake while being easy extremely. So, must define the danger that this kind of patient causes to others, or the mistaken diagnosis of this kind of patient's experience manages, leaks and examines leaking to manage by mistake, national relevant compensation regulations that should all be applicable. Jiangsu Hu XiaoXiang
|
0 comments:
Post a Comment