In the past, there were problems in dispensing medicines in the community, and many community residents often encountered the situation that some drugs could not be dispensed at the community health service center. However, this year, many residents have experienced first-hand that medicines that were previously only available in secondary and tertiary hospitals can also be dispensed in community hospitals. This is since April and August last year, the Municipal Health Commission has continuously issued documents to encourage all districts to establish their own formulary catalogues for chronic diseases and common diseases in each medical association, and expand local drug allocation, adjust and optimize the drug supply catalogue in combination with the drug needs of residents in the jurisdiction.
In the morning, 76-year-old Grandma Zhu drove a wheelchair to the Dapuqiao Street Community Health Service Center in front of her home, and prepared medicines for herself and her wife's chronic diseases, and she was in a very comfortable mood.
Grandma Zhu said: "My daughter is abroad, the old couple is a big problem to dispense medicine, I am very happy to be matched, I don't want to go to other places again, just have medicine." ”
In the past, community health service centers, as primary medical institutions, were mainly equipped with basic drugs, which limited the proportion of self-selected drugs. In this way, it often brings inconvenience to many residents with common chronic diseases. Fortunately, compared with last year, the number of drugs in community hospitals is increasing this year, an increase of nearly 23% compared with the past.
Bao's wife, who is in her 80s, now has a "ursodeoxycholic acid" for her wife who suffers from liver insufficiency, and she no longer has to go to a tertiary hospital.
"It was very inconvenient for us to get to Huashan Hospital, and the waiting time was also very long, and it was very difficult to register the expert number. ”
It turned out that residents like Bao Apo had signed a contract with a family doctor in the community, and had been treated in a second- or third-level hospital, so during the treatment process, the community hospital could directly issue an extended prescription and complete the medical insurance settlement in the community hospital.
Grandma Bao calculated: "This medicine is opened in two boxes for 24 days, and we will go to Huashan Hospital once in more than 20 days, but now it can be opened in the community hospital, and after it is opened, it will be delivered to home by express delivery the next day, so it is very convenient." ”
According to statistics, at the end of last year, the city's community health service centers were equipped with an average of 661 kinds of drugs, plus more than 400 kinds of drugs can be dispensed through extended prescriptions, and the city's community health service center dispensing catalogue has involved nearly 1,100 kinds of drugs, which can basically meet the supply of common diseases, frequent diseases and common drugs for chronic diseases of the elderly.
Take the Dapuqiao Sub-district Community Health Service Center as an example. Zhang Jing, deputy chief pharmacist of the pharmacy department of the center, said: "With the improvement of community capacity, there are now nearly 100 kinds of drugs used in the community, and compared with the same period last year, we have increased by about 30%.
Cheng Tianyi, chief physician of the general department, said that in this way, he is actually playing a set of "combination punches". On the one hand, it is necessary to ensure the supply of drugs in the community, and to attract citizens or patients to come to the nearest community hospital to see a doctor; on the other hand, to promote the improvement of the level of community diagnosis and treatment and service level, and to carry out a detailed, in-depth understanding and use of drugs that the community has not been exposed to in the past.
By April of this year, exactly one year of such "community uplifting" work. At present, the city's community health service centers have more than 70 million outpatient visits a year, accounting for 38.1% of the city's outpatient volume, an increase of 3.4 percentage points compared with before the launch of the community capacity improvement program.
Reporter / Li Dexiang
Editor / Huang Qianwen
Photo / Li Dexiang
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