CN103425861A - Specialized platform (community) for doctor-patient communication - Google Patents

Abstract

The invention relates to a community doctor-patient communication platform and method. The platform is technically characterized by mainly comprising a specialized platform (hardware) for doctor-patient communication, a community health care communication network system (software) and full-time community communication staff. By the aid of a communication system and the community network system, a modern medical model is realized through harmonious communication in various links, humanistic care and benevolent mind and heart are sufficiently embodied, doctor-patient health and doctor-patient harmony are realized by making great efforts, and satisfaction of masses can be improved.

Description

Doctor patient communication training platform (community)

Technical field

The present invention relates to a kind of community doctor patient communication platform and method, mainly by doctor patient communication platform (hardware), community medicine communication network system (software) and the full-time personnel component of linking up in community.Realize modern medical mode, fully show humanistic care, with both a benevolent mind and heart, strive for doctors and patients' health, doctors and patients' harmony, social harmony progress; Community is that between patient and medical personnel, contact is the most frequent, exchanges the most directly, thereby is the place that the most easily produces contradiction, causes medical tangle and complaint; Community is entered in medical treatment, and family is entered in medical care, and the reasonable etc. of the quality of the quality of service, the height of quality, environment, charge is the problem that patient and family members generally are concerned about, guarantees that masses' satisfaction improves.

Background technology

Along with the fast development of urban economy and the transformation of modern medical mode, the status of community's basic medical treatment and effect more and more highlight important.Change the biologic and psychogenic society medicine pattern into from simple biomedical model, the intension of sanitary work has been that main expanding to be take health as target from curing the disease, from individual disease prevention and cure, turn to integrated control and colony to intervene, so brand-new task is not that existing preventive and curative health mechanism can bear, the emphasis of service must be transferred to community from hospital, and great change has also just occurred in original doctor patient communication mode and approach.The purpose that association is linked up in urban community health services work: further change work idea, improve attitude, carry out doctor patient communication work, reduce the generation of even stopping medical tangle, complete the work in every task that higher level department gives, the work of guaranteeing has quantity, quality is arranged, masses' satisfaction improves.

Summary of the invention

Be accompanied by the development of modern medicine, doctor-patient relationship has been not limited in hospital, expands to and cures each relevant social relationships, and its multifarious formation has also determined level and the complicacy of doctor-patient relationship.Catch the core of variation, propose, outside the battle position of this harmonious doctor-patient relationship of section office, to build the harmonious doctor-patient relationship of broad sense outside institute.

Advance community's structure harmonyCommunity can build the first-selected position of harmonious doctor-patient relationship outside institute, with near community medical service center, forms cooperation unit, will implement in community medical service in new ways with the theory of centers on the patients.For effectively bringing into play the effect of hospital in the community spirit civilization construction, allow hospital and doctor's vivid effect be embodied in community, be penetrated into family, build the more harmonious doctors and patients of community environment; Emergency treatment party branch is in helping each other hand in hand with East Lake, Wangjing Community Service Center, and location in-depth harmonious construction, in interaction, promote hospital, community to make progress together in resource sharing, constantly strengthen doctor's service awareness.From " unilateralization " to " interlockization ", the evolution from " shallow-layer " to " deep layer ", realize the better doctors and patients of community harmony;

" how is your nearest glycemic control? there is there diet control? " " your blood pressure is somewhat higher, please notes sleep and diet ... " " do you take medicine on time? while recommitting disease, must seek medical advice in time, periodic review." nowadays, Community Service Center, a medical platform of building together novel, harmonious, interconnected, that make progress is able to framework, and constantly develops in depth.

In doing manual labour " good medical care "A lot of doctors, especially the doctor of emergency department's work, often can meet " acquaintance " and introduce the patient who comes, and these patients trust hospital, and energy and doctor are better interactive.And, in emergency treatment party branch eye, this phenomenon, can build a kind of new way of harmonious doctor-patient relationship outside institute.The medical care of hospital, in the middle of life, be subject to neighbours, friends' trust on every side.If can utilize such influence power, just can better set up harmonious doctor-patient relationship;

Such something is arranged, allow emergency treatment associate chief physician Gu Chengdong keep thinking about always, meet the people to say.Within certain day, Emergency Room has been moved in 12 patients, it is awfully busy that the doctor hurries, when having waited patient for a long time to one, he says when apology, what families of patients was understood very much says: " having nothing to do; I listen you to say your emergency department's thing, and I can understand " Gu Chengdong is very surprised, because he is not familiar with this families of patients, find family members to inquire afterwards, just know cause.After emergency treatment party branch proposes " the good doctor " in the life of large family belongings, he comes off duty while taking exercise in oneself community, always likes having a talk about with neighbours oneself task story, and everybody doctor-patient relationship merely, and from him, that also recognizes many hospitals situation to the community neighbours.The families of patients of this rescue room is exactly his neighbours' aunt's nephew's colleague, relation as joke around mouth, but the emergency treatment story that Gu Chengdong tells passes in family members' ear as " spider web ", also just achievement at that time in harmonious doctors and patients' event of rescue room mutual understanding;

After emergency treatment party branch advocates a proposal, emergency treatment party member medical personnel After Hours always like the most popular place, own community to walk around, and neighbours merely oneself, in the story of hospital, answer everybody variety of issue.Party member Ying Jiao madder has been write down such one section word in own diary: " I am the doctor; may become this lifetime does not know clearly; however I stare the sight in mine with it, I want to make great efforts it is not become to trust, support from understanding, feeling uncertain, and the sight of this " harmony " is kind of a happiness that allows me tremble! ";

Friends neighbours and their mutual understanding, later sick, no matter go to which hospital, can build harmonious doctor-patient relationship.As long as everybody does like this, " everybody dedicates to a bit and likes ", the harmonious doctor-patient relationship of entire society will point the day and await for it.

Future is infinitely fineConstantly perfect along with the enforcement of new medical reform and China's hygiene legislation, the raising of living standards of the people, cultural quality, harmonious doctor-patient relationship will become main flow.Explore to set up harmonious, coordinate, healthy, unified doctor-patient relationship, improve constantly medical service quality and level, make medical services more press close to the masses, approach society, constantly meet the people growing demand for medical service and be undoubtedly each hospital's WKG working, be also the target of pursuing struggle simultaneously.

Communication in seeing and treating patients: because mostly the medical patient in community is chronic disease, common disease, frequently-occurring disease, Most patients tosses about in bed to seek medical advice in various big hospital, and oneself is tortured with a disease and decocts through full, and too many sad and misery is arranged in the heart, except the statement medical history, unavoidably narrate the history of seeking medical advice of oneself when medical.Carry out with the patient basic training that effective communication is the general practitioner.

Communication in nursing for treating: the state of an illness and the treatment basic understanding of most of chronic patients to oneself, a community nurse does not have certain All-round nursing knowledge and communication capability, is difficult to allow the patient convince.The quality that this link is linked up directly affects patient's secondary and seeks medical advice.

Communication in at-home service: set up residents ' health archives, home visit or house calls by appointment, public health emergency investigation etc., all need to go deep into community serves in man of resident family, the communication produced in the strange and service of environment relates to the personal lifestyle custom that also will look after object in privacy concern, cost issues, individual's personal safety and the medical treatment safe problem, service sometimes, that sometimes will face may be a plurality of service objects, there is no certain communication capability, be difficult to complete smoothly.

The communication in service is followed the tracks of and paid a return visit to phone: phone is followed the tracks of and return visit work is important ingredient.Will in the shortest time, obtain service object's trust, and can and obtain own desired result by the purpose of brief language performance oneself, phone is linked up Community Medical Staff is linked up and had higher requirement.

Group in health education is linked up: relate to different sick kinds of all ages and classes, especially the publicity of Emergent Public Events and education, the useful knowledge that makes the patient obtain being correlated with, except the relevant medical knowledge of adequate preparation before, need the initiator that certain explanation and ability to express are arranged, and can give rational guidance for individual difference.

On important step, make an effort: in urban community health services, the communication of seeing and treating patients, the communication in nursing for treating, the communication in door-to-door survey, call-on back by phone are linked up, health education is linked up, these links take in Health Services and usually run in community, need be as the emphasis link, especially in at-home service and call-on back by phone work, communication plays conclusive effect, answers adequate preparation in advance.

During nursing for treating, linking up, is to obtain the best opportunity that patient coordinates, dispels misgivings.

The class of languages communication skill: minute sound language class is linked up and the communication of subvocal speech class, and wherein the former uses morely, and craftsmenship is strong, the most difficult assurance.The sound language ditch is connected with talk, teach, give a lecture, make a phone call etc., wherein use at most, the most frequently, the most directly, talk the most effectively, the skill of talk has: listen attentively to, receive, certainly and encouragement, clarification, enquirement, reconstruct and generation are stated, focusing etc.1. listening attentively to is most important, a most basic skill, and at least half depends on and listens attentively to the effect of talk.An investigation was once done by the World Health Organization (WHO): when patient tells symptom, just interrupted by the doctor average 19 seconds.The medical worker will be good at listening attentively to, and this is the main source that obtains patient's relevant information, must be as far as possible patient, wholwe-hearted and close heart and listen attentively to telling of patient, and reaction to some extent, as convert expression and expression in the eyes, " uh the, " sound of nodding and send, or insert simply one " I have caught " etc.Endure the patient of various pain constricteds to the fullest extent, often worry that the doctor does not attentively listen them to tell, do not disturb its inner experience as the worker of family practice, more can not interrupt abruptly patient's talk, come the medical patient of community clinic perhaps just psychological burden overweight due to, telling can relief pressure, itself is exactly a kind for the treatment of means.For the person that is not good at words, can say " do not worry, speak slowly " when listening attentively to.In order to mean the sincerity of listening, except expression in the eyes exchanges, also can insert " ", " afterwards ".For the patient who chatters away, can again introduce dexterously theme, serve the tea to the patient as stood up, or put question to and introduce the subject of a talk or essay etc.2. receiving refers to and unconditionally accepts patient.3. certainly refer to the authenticity of sure patients' feeling, can't offer a negation, more do not argue with patient.4. encouraging is exactly to encourage patient to express, the available form that does not complete sentence, and as " anything else ", " afterwards ", also the narration in available front inspires patient further to bring into play.5. clarification is the actual process of understanding thing, and in the whole process of event, patient's emotional experience and emotional reactions, especially the other side have felt to be subject to the thing stimulated, and clarification is very necessary, otherwise just is difficult to real communication.Disease is narrated and glanced off because of all factors for some patient, even conceal and do not carry, but also operative treatment: when intraductal papilloma, nipple have yellow, pink discharge, when the mammary gland expansion is rigid streak, while being difficult for differentiating mutually with breast cancer, can adopt the local operation Resection in Treatment.

Embodiment

Door-to-door survey and call-on back by phone work, should avoid resident's sleep and busy time of housework, is typically chosen in 3:00～6:00 in afternoon, or evening 7:00～9:00.Make house calls and should first preengage, with the other side, the time is as the criterion easily.Can carry shoe cover while registering one's residence and prove the certificate of own identity, had better not gaze around, arbitrarily walk about.

Health education or collective link up to be chosen in and carry out 7: 00～9: 00 evening at weekend, this time, the working clan was more idle, and weekend, child was generally with father and mother, also can guarantee the elderly's time.The place that collective is linked up can be selected in the meeting room of residents' committee in community, also can be selected in the health education for outpatient service chamber.Can write warm blessing language, existence general knowledge on outpatient service propaganda division interior wall, the knowledge such as diet guide, prevention from suffering from the diseases, rehabilitation, not only optimized environment but also popularized health care general knowledge.

The selection in time for communication and place: when outpatient service is seen and treated patients, linking up is the important channel of obtaining the firsthand information, take full advantage of this time, obtains more data.For this uncomfortable patient of direct statement, the doctor should carry out the diversity enquirement as far as possible, to obtain the additional information that is beneficial to medical diagnosis on disease and public Health Services are provided.For explaining medical patient unclear or that be not good at statement, the general practitioner should fully induce, and utilizes communication skill fully to excavate the disease association data, in order to carry out next step diagnosis and treatment.Arrange and fully demonstrate hommization in the community clinic clinic, as comfortable couch, the quilt cover of hot water machine, pink colour easily, allow and suffer from family's sensation with family.

Claims (3)

1. the present invention relates to a kind of community doctor patient communication platform and method, its technical characterictic is mainly by doctor patient communication platform (hardware), community medicine communication network system (software) and the full-time personnel component of linking up in community.

2. community according to claim 1 doctor patient communication platform and method, its technical characterictic is: by communication system and community network system, by the basic communication with the patient, comprehensive actual exchanging information, certainly select the situation of all-level hospitals diagnosis and treatment such as suitable township, community, county, city, province.

3. community according to claim 1 doctor patient communication platform and method, its technical characterictic is: comprise that communication in seeing and treating patients, the communication in nursing for treating, the communication in at-home service, phone follow the tracks of and pay a return visit communication, the group in health education in service and link up etc., reach: advance community, structure harmony, in doing manual labour " good medical care ", serve one to one the patient, the hommization medical services.

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