origin: an surging journalist Xu Jia
5 month 19 is the Eighth World family medical birthday, Shanghai Baoshan District health and family planning committee in friendship A large free clinic was held at the Lok Hui square in road street to publicize family doctors and provide medical advice to the surrounding residents. In
, the elderly are the main force, and the "chronic disease" is always a hot topic. The data show that with the aging of the population and the urbanization of the way of life in China, the disease has changed greatly. The proportion of the population over the age of 60 is more than the proportion of children under 5 years old for the first time. At present, there are 96 million patients with hypertension and 270 million patients with diabetes in China. Among the causes of death in urban and rural areas, 84% are caused by chronic non communicable diseases.
Zhang Huihua, the chief physician of the Baoshan District friendship Street Community Health Service Center, told www.thepaper.cn. In the summer, the elderly often met with dizziness, indigestion, no appetite and other problems, and the related consultation would be more. In summer, the elderly are most afraid of "saving" and are not easy to dehydrate or heat stroke.
Zhang Yan, deputy chief physician of Baoshan District integrated traditional Chinese and Western medicine hospital, said residents are especially concerned about science and nutrition. After all, medication is still for the doctor, but it can adjust itself. However, there are still many misconceptions about the elderly.
taking diabetes as an example, the weather is hot in summer. If we do not replenish the water in time, it will be easy to cause ketosis symptoms due to dehydration. To make up for water, you also have to see what water is filled. Boiled water is the best, and the lighter tea is fine, but don't use salt soda or other drinks instead of water.
many old people have a misunderstanding that they should drink more salt in summer. Salt soda water is salty without sugar. In fact, there are also lots of sugar in salt and steam water, which is not suitable for diabetics. Drinks with high salt and sugar content are "hypertonic and diuretic" and cause complications of diabetes.
chronic disease control in the elderly is an important part of family doctor's work. "We have contracted family doctor services. The elderly sometimes ask WeChat, sometimes they call, and they go to the community health service center." Zhang Huihua explained that family doctor 111 services not only signed a family doctor, but also designated a two level hospital and a three level hospital in the whole city.
more importantly, the elderly will have some chronic diseases requiring long-term medication and follow-up. For some residents with good compliance and stability, family doctors can set up a "long prescription" for 1-2 months and follow up all kinds of forms to reduce the number of residents. At the same time, family doctors can continue the prescription of higher hospitals. That is to say, when the family doctor is referral to a superior hospital, the family doctor can use the same medicine in the prescription of the higher level hospital, and through the third party logistics to the community health service center, the service station, the residents near the pharmacy and so on.
at present, Baoshan District has also launched the "community based family doctor" WeChat platform service. As long as we open WeChat into the public number of Baoshan community and click "family doctor" into the "home doctor's studio", residents can understand the information of family doctors and get all kinds of policies and regulations related to their own health, information of disease prevention and control, and health small knowledge. At the same time, you can make appointments and appointments more quickly, and communicate with family doctors through the Internet.