Image courtesy of "123rf.com.cn" At the Desheng Community Health Service Center in Xicheng District, Beijing, 88-year-old Ms. Rao is undergoing rehabilitation with the help of rehabilitation therapist Li Hexing. Li Hexing said: "Mrs. Rao has been effectively rehabilitated after a long period of rehabilitation." Ms. Rao also said that she had undergone rehabilitation in the community after surgery in 2003. At that time, the station could not stand up and now she can walk. From the rehabilitation after surgery, to the rehabilitation of the elderly and the disabled, the role of rehabilitation medicine in the medical system cannot be ignored. The reporter interviewed a number of experts in the field of rehabilitation and learned that the development of rehabilitation medical care in China is still uneven and inadequate, and there is still a gap with developed countries. The experts interviewed generally believe that community health service institutions are the closest places to patients and one of the main positions for rehabilitation medicine. It is hoped that the grassroots level will be an important starting point for strengthening rehabilitation and promoting the construction of “healthy Chinaâ€. The role of rehabilitation medicine in the medical system cannot be ignored The 32-year-old Li Hexing graduated from the Capital College of Physical Education with a bachelor's degree in rehabilitation. He then went to the community to do rehabilitation work. Now he is the director of the Rehabilitation Medicine Department of Desheng Community Service Center. Li Hexing said: "The pressure of the lumbar disc herniation caused by Ms. Rao was relieved after the operation, but the nerves have been damaged before the operation, and the muscle atrophy of the upper and lower limbs makes the elderly feel 'no power', resulting in inconvenience. The current rehabilitation is mainly to help The old man maintains activity." As an emerging discipline, rehabilitation medicine is a medical discipline that alleviates and eliminates human dysfunction, compensates for and reconstructs human dysfunction, and seeks to improve and enhance all aspects of human function. Rehabilitation treatment includes rehabilitation of neurological diseases such as stroke, recovery of bone and joint muscle diseases and disability, rehabilitation of the elderly, rehabilitation of childhood diseases, and rehabilitation of mental disability. Yu Changlong, a well-known sports medicine expert and honorary director of the Institute of Sports Medicine of Peking University Third Hospital, believes that the development of rehabilitation medical care and rehabilitation industry has become a top priority. Combining the experience of developed countries and the aging of China's population, community rehabilitation has developed greatly. space. Yu Changlong said that speeding up community rehabilitation construction can solve the problem of insufficient professionalism of the old-age care institutions and the “supply-side†reform in service provision. On the other hand, through the concept of “rehabilitation pre-positionâ€, it can prevent some serious diseases and accidents caused by the lack of physical function of the elderly, such as preventing the elderly from falling through pre-rehabilitation training, thereby reducing the occurrence of diseases such as fractures. To alleviate the medical burden of our country. There is still a gap with developed countries It is understood that the Desheng Community Health Service Center is located beside the North Second Ring Road in Beijing. The Department of Rehabilitation Medicine has a reputation for many years. The surrounding communities are aging and have more rehabilitation needs. However, in general, the development of rehabilitation medical care in China is still uneven and inadequate. The total amount of rehabilitation medical resources is insufficient, the distribution is uneven, the differences between regions are large, the development of the central and western regions is slow, and the development of community rehabilitation is still far from the developed countries. . "Rehabilitation medicine in China started very late. It was only in the early 1980s that development needs were put forward, and a medical model of prevention, health care, treatment and rehabilitation should be formed." Hou Baoyan, director of the Department of Rehabilitation Medicine, Henan Provincial People's Hospital, said that until 1996 The original Ministry of Health officially standardized the definition of "rehabilitation medicine": its purpose is not to cure the disease, but to allow the disabled individual to get the maximum degree of functional recovery, the main means of active rehabilitation training, such as physical therapy, homework Treatment, speech therapy, psychotherapy, etc. Due to factors such as the aging of the population, there is a huge demand for rehabilitation medical care in China. According to the 2016 Statistical Report on Social Service Development announced by the Ministry of Civil Affairs, as of the end of 2016, there were 230.86 million elderly people aged 60 and over, accounting for 16.7% of the total population. Relevant data show that nearly 150 million elderly people in China suffer from chronic diseases including hypertension and diabetes, among which 40 million are disabled and partially disabled. In addition, there are 88 million disabled people in China. According to the fifth national health service survey data, the prevalence of chronic diseases increases with age, the spectrum of diseases caused by aging changes, the high-risk rate of the elderly themselves and the need for chronic disease disability. It will continue to expand the demand space for the rehabilitation medical industry . The market size and growth rate of China's future industry in the next few years show that in 2013, China's domestic rehabilitation medical market is only 20 billion yuan (15 yuan per capita), far lower than the US's 100 billion US dollars (per capita is about 80) USD). Yu Yu, director of the Rehabilitation Medicine Department of Sichuan Provincial People's Hospital, believes that while there is room for development and opportunities, China's rehabilitation medical care still faces challenges such as insufficient rehabilitation investment, large talent gap and insufficient equipment. On the one hand, the number of patients who need rehabilitation is increasing year by year. On the other hand, there is insufficient policy and hardware support for community rehabilitation development, and the community rehabilitation work method system needs to be established. Strengthening rehabilitation requires attention to the grassroots Fang Guoen, president of the China Rehabilitation Medical Association, believes that community rehabilitation is an important part of the entire rehabilitation system. It is responsible for the recovery of the disease and the rehabilitation and rehabilitation of chronic patients. At the same time, community rehabilitation is linked to family rehabilitation and rehabilitation. As well as the close meeting point where patients return to health and return to society, it is the last mile to the health of society. Therefore, the government should attach great importance to the construction of community rehabilitation work and related policy support. Academician Wang Chen, Dean of the China-Japan Friendship Hospital, suggested strengthening early diagnosis, early treatment, early rehabilitation, strengthening the construction of continuing medical institutions such as rehabilitation, geriatrics and long-term care, and building a therapeutic, rehabilitation and long-term care service chain. To develop the rehabilitation services of traditional Chinese medicine, to play the leading role of traditional Chinese medicine in the treatment of disease, the synergy in the treatment of major diseases and the core role in the rehabilitation of diseases. "Only when patients turn to a large hospital, they will have confidence in community rehabilitation." Yu Changlong said that the smooth two-way referral mechanism is an important guarantee for community rehabilitation. It is recommended to start with economic levers and incentive mechanisms. Institutional design to improve the rehabilitation mechanism of community and large hospitals, and make reasonable coverage of medical insurance. In 2016, the “Notice on the inclusion of new medical rehabilitation projects in the scope of basic medical insurance payment†proposed that 20 rehabilitation projects such as “Rehabilitation Comprehensive Assessment†were included in the scope of medical insurance payment, and the medical rehabilitation projects that had been included in the payment range continued to be retained. . The people in the industry who are interviewed suggested that we should do a good job in the implementation of local policies and ensure that the policy is “not discountedâ€. The attraction of grassroots to talent still needs to be strengthened. Some grassroots first-line rehabilitation workers reported that the policy requires rehabilitation departments to be set up in secondary hospitals, and many capable people have left. It is very difficult to recruit people at the grassroots level. Every year, there are people in Keli who go to large hospitals and private hospitals. At the grassroots level, we still have not been able to completely break the "big pot of rice". We do more and do more and more, and we still need to improve the effective incentive mechanism. (Economic Information Daily)
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