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Chapter 15 Family Physician(1/2)

When she woke up the next morning, Yun Heng felt that her wrists were sore and her fingers were so sore that it was very difficult to hold chopsticks.

Because of pain in the wrist and fingers of his right hand, Yunheng did not ride a shared bicycle when he went to the community hospital. Instead, he walked and kneaded himself along the way.

After all, he also graduated from the School of Traditional Chinese Medicine. Although he is just getting started with massage, Yunheng at least knows how to knead and which acupuncture points to focus on. Compared with those who don't know anything and just rub at will, it is still more effective.

"Good morning, Dr. Yun."

"Good morning, Dr. Yun!"

Ever since he started working at West Asia Community Hospital, Yun Heng has been the first among several doctors to arrive every morning. Only Jiang Yanyan and Liu Hongxia from the infusion room came a little earlier than him. They saw Yun Heng.

, all greeted me warmly.

"Good morning, Nurse Jiang, Nurse Liu."

Yun Heng said hello, then entered the consulting room, found a tea cup, made some tea, and then sat in the consulting room and continued to knead his right hand. After all, there would be patients coming in later, and the way his fingers looked like this would affect the pulse detection.

Although there is a simulation space, Yunheng himself is a complete newcomer and does not have rich experience. If he relies solely on inspections and consultations to diagnose diseases, the probability of making mistakes is greater.

Although the four diagnostic methods of traditional Chinese medicine (inspection, smelling, questioning, and dissection) are independent, and each diagnostic method can determine the patient's condition, they are interdependent. Unless some top famous doctors rely on

Rich experience can reach the point of knowing things at a glance. Others should try their best to combine the four diagnosis and reference with each other, so as to avoid misdiagnosis and mistreatment as much as possible.

Of course, it is actually possible to diagnose the pulse with the left hand, but Yun Heng does not have that ability. He is used to using his right hand, and using his left hand is not as accurate as using his now sore right hand.

Getting started with pulse diagnosis in Chinese medicine is actually not too difficult. If you memorize the theory and practice several times, you can roughly understand the pulse. However, it is very difficult to become proficient. It is really easy to learn but hard to master.

"Yunheng."

Yunheng was holding hands in the consulting room when Qi Yaping opened the door and walked in, followed by a middle-aged man in his early forties. The middle-aged man was wearing a suit and was very well-dressed.

"Dean Qi!"

Yun Heng hurriedly stood up to greet him.

"Yunheng, let me introduce to you, this is Mr. Liu Jianzhong of West Asia Community."

Qi Yaping first introduced the middle-aged man who came in with Yun Heng.

"Hello, Mr. Liu."

Yunheng said hello to Liu Jianzhong, but he didn't quite understand Qi Yaping's intention. She didn't look like she was here to see a doctor.

Besides, he is not a specialist in a big hospital. Even if he is here to see a doctor, there is no need to have a relationship with the director, right?

Qi Yaping didn't wait for Yunheng to ask, and continued: "Yunheng, do you know that our community hospital has a family doctor service system?"

"Understood."

Yunheng nodded.

He knew this, he had learned about it when he was still in school.

This family doctor is not a private doctor, but a new type of doctor who provides comprehensive, continuous, effective, timely and personalized medical care services and care to the clients.

Family doctors, also called general practitioners, take family medical care services as their main task and provide personalized prevention, health care, treatment, rehabilitation, health education services and guidance, so that patients can solve daily health problems and care without leaving home.

needs, and get services such as home therapy and home rehabilitation care.

The concept of family doctors can be said to be quite mature abroad, but it was only started to be proposed and implemented in China in the past two years.

At present, the family doctor system has only begun to be implemented in some more developed areas or some provincial capital cities with concentrated populations.

The main service targets of family doctors are middle- and high-income people, that is to say, they are targeted at the group who cannot afford to hire their own private doctor, but whose income is still considerable, and who want to avoid some troubles and enjoy some conveniences.

At this stage, family doctors mainly include general practitioners registered in primary medical and health institutions, including assistant general practitioners and traditional Chinese medicine general practitioners, as well as capable doctors from township health centers and rural doctors.

That is to say, it is mainly at the grassroots community hospitals and township and subdistrict level offices.

For example, some families in the community have elderly people with chronic diseases, or elderly people or patients with heart disease, high blood pressure, and high blood sugar. It is unrealistic for such patients to be hospitalized for a long time, and it is troublesome to check them every now and then.

In response to this situation, if some patients are from a good family, they can find a doctor they are satisfied with in the nearest community or hospital and sign an agreement. After signing the contract, the contracted doctor will come to the patient's home at a fixed time to check the patient's body and do some

Treatment and guidance in related areas.

Theoretically speaking, medical aid stations such as West Asia Community Hospital actually provide door-to-door services and are also responsible for popularizing medical and health knowledge in the community. For example, West Asia Community Hospital has nurses going to some communities every week to distribute family planning supplies.

, doctors will go to some communities every three to five for free examinations and popularize medical knowledge.

But door-to-door service is really unrealistic now. After all, there are only a few doctors in community hospitals. You call and the doctor comes to your door, and he calls and the doctor comes to your door. It doesn’t matter whether the doctor is busy or not.

There was no one at the community hospital for treatment in an instant.

Therefore, the door-to-door service of doctors in community hospitals has actually ceased to exist in name only, so this family doctor contracting system has the soil and environment for its survival.

After all, there are still relatively few families who can afford to contract a family doctor. Some families have enough income, but they may not have patients in their families. Some families have patients, but they may not have the ability.

Within a neighborhood community, there are relatively few people who sign up with family doctors. Moreover, family doctors also come to the door at a fixed time, or if the patient suddenly has any abnormality, the doctors can usually coordinate the time.

For example, West Asia Community Hospital plus four doctors, Yun Heng, each signed up with three or five companies and was still very busy.

"Mr. Liu wants to sign me up as a family doctor?" Yun Heng was a little surprised.

He knew about the family doctor system, but he really didn't expect that someone would come looking for him. After all, he had just arrived and was still quite young. How could someone like him look up to him?

"Yes, I want to sign a family doctor contract agreement with Dr. Yun. I don't know what Dr. Yun means?"

Liu Jianzhong smiled and nodded, he was quite a kind person.

"Am I suitable?"

Yun Heng glanced at Liu Jianzhong, then looked at Qi Yaping.

After signing a contract with a family doctor, the doctor must be responsible for the contracted patients, but there will also be additional income sharing.

Generally speaking, family doctor contract services are contracted on an annual basis. Of course, for some patients with special needs, they can also be contracted on a quarterly basis. There is definitely a contract service fee for the contract, which consists of basic public health service funds, medical insurance funds, etc.

According to the charging standards announced by Zhongzhou Province, the contract service fee in Xihua City is required to be controlled within 150,000 yuan per year. Because this policy has just been implemented, there are certain discounts, plus some reimbursements such as medical and social security, the service fee is about the same.

This is around 60,000 to 70,000 per year.

The majority of this service fee must belong to the community hospital, but the contracted doctors can also get part of it, and after signing the contract with the family doctor, it will not affect Yunheng's basic salary and bonus at the community hospital.

For grassroots doctors, many are eager to sign up with two patients. It is tiring and busy, but the income can be increased a lot.

"Signing up with a family doctor is voluntary. Mr. Liu has no objection. If you agree, there is nothing inappropriate." Qi Yaping said with a smile.

Both parties are voluntary and cannot be forced. If the patient's family agrees and the doctor agrees, the contract can be signed. As for the doctor's personal ability, the patient's family has recognized it. Is there anything wrong with it?

"Mr. Liu, can you tell me the situation first?"

Yun Heng did not agree in a hurry and wanted to understand the situation first.

Although the premise of signing a contract is that both parties are voluntary, after signing the contract, the doctor will be responsible for the patient. If something goes wrong with the patient, the family doctor who signed the contract will definitely bear the responsibility.

"Of course." Liu Jianzhong nodded.

"Mr. Liu, sit down and talk." Qi Yaping greeted.

"good."

Liu Jianzhong pulled up a chair and sat down, and then said: "In Xihua City, I don't just have this apartment in Xia Xi Community, I also have two houses in Qujiang, and I also have a school district apartment...

.”

Well, this is very worrying at the beginning. In this way, Mr. Liu has at least four houses in Xihua City. The house price in Xihua City is currently about 15,000, and it is even higher in Qujiang.

Liu Jianzhong didn't feel that he was showing off, he just told the situation realistically.

"Xia Xi Community is an old community. It was the family home of the former Railway Bureau. My mother was also an old employee of the former Railway Bureau. She has lived here for many years, but now she is unwilling to move over and live with us...

....”

"Now the old man lives here alone. I have hired a nanny to cook, wash clothes and clean the house. However, the old man has asthma for more than 30 years. It has become more and more serious in the past few years. It has been for a long time.

The elderly are not happy to be hospitalized. We are busy with work and cannot take care of them in time..."

Liu Jianzhong said so much. In summary, an old lady in her early seventies suffering from asthma needs to find a reliable doctor to take care of her at any time.

"Why would Mr. Liu consider me?"

Yunheng asked puzzledly.

"My house in West Asia Community is across from Teacher Peng's family. Teacher Peng usually takes good care of my mother. Yesterday I came to visit the old man and happened to hear Teacher Peng talk about you, Dr. Yun, and Teacher Peng's lover's stomach problem.

It’s been more than ten years.”

Yunheng understood, and it was because of Kahn. I have to say that Kahn, the patient, had indeed brought a lot of benefits to Yunheng.

And Kahn was "recommended" to Yunheng by He Haipeng, so it was equivalent to Dr. He giving him the first pot of gold.

"Since Mr. Liu trusts you, I am naturally willing." Yun Heng said.

"Since you have no objection, Xiaoyun, and Mr. Liu also agrees, let's go to the door first, understand the situation, and then sign the agreement." Qi Yaping said with a smile.

Qi Yaping was naturally very happy that the community hospital could sign a family doctor.

"Then please ask Dr. Yun, Dean Qi and I to go there."

Liu Jianzhong stood up and said.

While talking, the three of them left the consulting room. Yun Heng locked the door of the consulting room and walked outside with Liu Jianzhong and Qi Yaping.

I was delayed in the clinic for a while just now. It is almost eight o'clock now, and many patients have come outside. He Haipeng has changed his clothes and is opening the door of his clinic.
To be continued...
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