卞界瀹惰卞婚㈣淇浼

When a man is tired of London锛 he is tired of life. Samuel Johnson

堕撮锛涓涓卞戒鸡淇娲讳杩锛杩涓涓锛浣ㄨ卞藉颁汉瀹堕锛姣ぉ浠凤ㄩ宄版堕磋刀ゅ伴锛寰杩浜颁鸡瀹惰卞婚Royal Free Hospital锛

涓涓锛浜茶韩浣浼颁卞藉荤′绯荤浼缂虹癸涔韬浜涓タ规宸杩浜茬艰璇浜卞藉瑕浜锛渚濡ㄦ绁ㄨ辨℃涓扮濂抽镐浠荤绛

1NHS绯荤

卞芥寮浠ヤ负璞灏辨浠芥淇ユ(National Health Service锛锛充浠绉扮NHS绯荤2012骞寸浼ゥ杩浼寮骞寮锛镐俊澶у借杩浜宸ㄥぇNHS

NHS绯荤辫卞芥垮璁剧涓璧╃锛瀹袱涓绾х荤浣绯伙涓互绀惧轰负涓荤绗绾垮荤缃(Community-based primary health care)锛甯镐负ㄧぞ洪┗璇渚荤淇ョ涓搴诲(General Practitioner锛 GP)ゅ＋锛绗灞涓NHS婚㈡(Hospital-based specialist services)锛卞绉涓绉诲璐璐ｅ苟GP杞(refer)浜猴澶涓浜澶х浜ヨｈ

2浼瀹惰卞婚

ㄧ杩婚⑩浼瀹惰卞婚(Royal Free Hospital)绔浜1828骞达涔瀹㈠Free跺涓辩锛浣跺ョ浜哄璐圭

杩杩涓浜

濮浜哄绉荤William Marsden涓澶╂涓ㄤ搴фㄥ涓涓コ瀛╁涓洪ゥ楗垮剧蹇琛浜锛娌℃涓瀹跺婚㈡挎跺ス锛涓哄ス涓璧峰昏垂灏コ瀛2澶╁浜杩浠朵瀵William瑙ㄥ澶э涔涔浠渚垮绔浜涓涓锛涓ㄧ浠涓璧烽辩绌蜂汉锛浠ュFree

Royal涓1837骞翠鸡涔辩讹杩瀹跺婚㈡舵不浜澶ч涔辨ｈ锛浠ョ淮澶╀濂崇浜婚㈢瀹剁杩婚㈡卞介瀛绌跺婚涓锛鸡ぇ瀛诲㈢瀛婚ュ悍绉瀛浣浼浼达UCL Partners锛濮浼锛涔绾фょ涓绉婚卞芥浜＄涓濂界瀹跺婚涓涓涓㈠猴㈡ㄦ搴500寮锛宸5000澶浜猴ヨ100澶涓藉

3杩淇

变繁规绉荤奸㈡讹浠ュ涔ㄧ浠浠淇′腑灏辫宠杩涓ゆ归㈤界锛缁㈡圭介浣ㄩ甯歌创蹇缁瀹浜宸ヤ堕磋〃锛瑙寰瀹ㄥ浠ョㄢ涓ゅュ舰瀹广

涓烘姣1-3ㄥ氨瑕涓瀹わ绉绉姣绉寰╁㈡绉抽ㄥ淇娲ㄩ杩瑙浜浠浠灞婚BarnetChase Farm浠ュ绉ㄥ涓瀹跺婚㈢ㄨ琛

借浠浠富浠诲绗璇达宸插拌浜浣浠婚㈢姣涓姐

宸ヤ涓锛涓昏浠ヤ涓浜娣卞讳浼锛

涓浜烘虫锛寰

璇ュ婚㈢＄蹇垫富ㄦ杩(positively welcoming)锛绉灏(actively respectful)锛娓版(clearly communicating) 瑙у蹇(visibly reassuring)

浣浼婚㈢澶чㄥ宸ラ界姝ｅ颁杩广

姣濡ㄧ胯ユ挎讹荤棣浼**甯锛浠ヤょ浜洪绉锛跺浠缁锛涓涓浜轰缁姝ゆ涓ユ跨浜哄锛杩绉涓村璁块浠ュ瀛绛ㄥ浜烘ヤ讹姣姝ラ借绀艰х锛ㄥ浠ュ洪ㄥ锛ㄥ浠ユヤ涓浣瀛锛绛绛

涓娆￠颁涓浜洪甯镐激蹇捐锛涓村ㄨ芥唱锛璺荤灏辩揣绱ф浜虹锛涓瀹板ス锛涓撮村板ス蹇骞冲杩涓娆″ㄩㄨ锛颁涓浜烘蹭汉锛瀹富浠讳究涓存剁浠涓姝ヤ姝ユ㈡㈣蛋寰澶锛璧板瓒宠冻璧颁5锛朵杩ㄧ寰璇浜轰姣ㄨ

缇藉荤归澶搴у跺娌绘锛甯稿父甯╋绘瀹扳瑙ㄨ寰颁娣婕灏借寸琛ㄧ

浜 诲′汉甯镐澶

繁ㄧ婚㈡搴1800澶寮锛宸3000宸锛RoyalFree Hospital搴500寮锛宸ョ5000澶浜恒

杩杩涔澶涓绉瀹わ瑙姣釜绉瀹ゆㄤ荤浜烘拌藉宸澶锛涓鸿寰澶荤ㄦ惧锛锛浣浠浠村ゅ＋ゅ伐绠″涓绉ゅ＋╃娌荤甯绛姣濡ICU锛34寮搴猴160ゅ＋锛5ゅ＋涓ㄨ变骇绠℃瀛杩4甯搁┗ICU搴峰娌荤甯濡㈡绉锛藉瑙瀹姣250寮搴洪瑕涓㈡浜哄锛浠浠500寮搴洪㈡浜哄澶杈10澶锛姝ｅㄤ7浜猴╀ㄦ惧锛

や荤涓ㄧ┛藉ぇ瑜锛朵诲′汉芥┛浠ｈ〃浠浠韩浠界缁涓舵姣搴涓瀹ｄ匡㈣缁ョ浜轰椤癸韩浠借浜插璁挎堕淬洪椤广濡浣棰查㈠璺涓舵诲′汉浠ｈ〃浠涔韬唤绛

涓 澶瀛浣

ㄥ藉锛涓涓浜哄烘涓荤璐璐ｏ浜洪瑕浼璇锛涓荤诲朵绉瀹ゃㄨ锛姣釜浜烘ぉ芥涓teamユユ裤

濡涓绉荤甯浼璇荤搴峰荤寰╁荤绛绛甯浼姣ぉユュ诲憋妫ュ荤寮诲辨宸锛ㄧ豢茬璁板ㄥ诲变寰╁荤涓ㄦユユ绱锛娇ㄥ褰锛瑕跺存逛负寰╁瀵瑰ㄩ㈢绱灏ゅ舵绾挎绱楂浣跨ㄦ┿朵绉瀹ゅ荤瑕浣跨ㄤ绾挎绱讹瑕璇峰井╁荤ヤ璇

捐涓寰╁涓讳换涓挎ユ裤朵腑涓涓井╁涓讳换涓ㄦ2-3娆′涓ㄥICUユ匡浣涓昏瀵规绱锛涓ICU浜哄涔界ㄧ绱锛浼璺涓荤荤ュ璁ㄦ绱浣跨ㄩ涓涓井╁涓讳换涓ㄦぉ哄圭瀹わ浣姣ぉ涓圭瀹わ璇㈤圭瀹ゅ荤绱归㈤瑕浼璇杩璺涓涓井╁涓讳换杩琛伴炬ユ匡浠浼姣ㄦユ夸娆★堕杩伴炬渚淇℃

姣釜teamュ垮介ㄧ渚涓璁板锛渚浠ラ究娑癸浠ラ荤伙缁借т扮佃涓

渚锛舵ヨ

藉荤界朵浼锛浣澶у板戒繁缁锛浠ョ稿剧句荤锛浼寮轰诲便

浣ㄨ卞界锛荤烘介电фц锛渚濡寰澶浜洪界ラNICE褰ㄥ井╁讹ｉ荤璁╂涓杞戒釜APP寰╂锛㈣灏戒绉璇ラㄤ绉绱褰荤涓讳换ユ匡颁浜鹃讹浼褰烘垮烘烘ユ锛冲浜虹杩ㄥ藉瑙宠薄

浜荤ㄥ逛究

跨ㄥ澧涓戒涓汉叉ょㄥPPE(personal protective equipment)锛姣濡涓汉叉ゅ缃┿涓灏哄锛澶с涓灏锛濂涓娆℃у磋绛锛逛究诲′汉跺ㄣ姣釜绉瀹ら介绉诲ㄥ插虹褰诲′汉浣讹浠ユ扮浜哄杈癸姝ｅ板跺╁ㄣ

宸ヤㄧㄩ欢兼

卞芥杈惧藉锛浣缃缁存涓藉樊澶浜

涓芥瑙浜轰汉ㄧㄨ规6锛板4G卞藉ぇ澶颁汉杩ㄧㄨ规4锛4G杩涓锛灏ゅ舵婚寰澶版逛璐寸涓瑕浣跨ㄦ虹璇婚㈤宸ヤュ芥ㄩ欢ョ姣荤戒缁涓ㄥ兼猴骞虫跺伐浣灏辩ㄥ兼恒

涓寮濮杩璁╂瑙甯镐瑙ｏ涓烘寰㈠锛兼哄璧凤荤灏辫惧哄佃锛涔戒ㄨ繁虹锛剁佃杩句版琚ㄧ锛杩涓间瑙寰娴垂堕淬璺灏荤锛骞插涓存佃杩杩瑕ㄥ兼鸿涔浼缁涓瑗裤浠璇翠涔涓ラ锛姝ｉ借枫

ユ荤戒锛婚㈤寰澶版逛俊寰宸轰借芥跺颁俊锛兼哄借芥跺般ㄩ欢宸ヤュ锛涓瑙存寮浜娌借芥惧渚

涓跨娲哄ㄥ杩

ㄤ娲ㄩ骞歌璇颁跨娲哄ㄣ

涓steam cleaner锛╃ㄩ娓╄告苯锛涓昏ㄤ涓挎繁搴娲锛浼规姣锛芥ぇ硅娌ㄦ锛虫MRSA

涓Vapourised hydrogen peroxide锛VHP锛锛╃ㄨ姘у姘芥藉姣锛ㄥ婚㈤寰寰ㄤ伴炬VREMRSA绛锛缂虹规姣讹瑕块寸揣浜哄涓寰ュ锛瑕3.5-4灏躲

婚㈠寰搴虹揣寮锛浠VHPㄤ澶伴炬浜哄涓浜浼х浜哄洪㈠娇ㄣ杩瀹跺婚㈠辨VHP哄4锛姣瑕1涓遍

浣涓哄お杩讹婊¤冻涓浜涓村姹锛浠ヤ浠宠璐拱浜澶涓绉板绱绾跨ㄣ寰骞歌锛ㄩ㈡绉ｄ婚㈠杩浜杩哄跺ｄ澶╀浠濂藉ICU娴璇杩哄ㄣ杩哄ㄥ辫45锛姣璧VHP锛澶уぇ缂╃堕淬

澶绠＄垮

卞芥垮涓轰浜瑙ｅㄥ藉娴琛碉ㄨ卞戒哄锛浼瀹瀹跺ぇ婚跺姹杩浜婚㈡澶借涓浠藉板藉瀹楠瀹ゃ

ㄧRoyal Free Hospital灏辨瀹婚涓锛浠ヨ澶涓浠藉藉瀹楠瀹ゅ哄妫娴绛锛杩涔澶уぇ逛究浜涓村荤瀵瑰璇娌荤锛浠ュゆㄥ村

㈡跺瀵规渚澶借杩琛璇璺韪姣ぉ浼涓寰╁涓讳换伴㈡跺璺浠浠氦娴杩虹澶渚ㄤ浠婚㈤锛涓哄虫敞伴炬锛浠ユ渚伴炬渚借璇昏骞剁存缃涓涓ヤ俊杩瑕寮浼璁富绠″荤ゅ＋跨ㄥ锛璁ㄨ杩渚伴炬杩绋涓涓褰版癸姣濡绱浣跨ㄦ点妫靛绂绘颁绛

4杩淇

涓涓杩淇堕存瑙澶锛颁板北涓瑙锛浣杩娣辨繁浣浼颁NHS绯荤璇稿浼癸姣濡╃ㄤ荤璧婧宸ヨ缁荤ㄥ杩诲′汉寰浼骞舵瓒冲绘ｅ崇郴璋绛绛

浣NHS绯荤涔璇稿涓瓒筹姣濡浜鸿杩婚㈢荤瀹规锛瑕缁瀹跺涵荤灏辫锛瀹跺涵荤姘村钩宸榻锛杩蜂瀹规婕璇

澶锛涓虹NHS绯荤璧涔己锛浠浠藉绾婧

涓娆℃璺涓讳换ㄩㄨ讹灏变翰肩逛涓哄5浜猴宸茬纭浜锛涓哄哄5杈缃瑙锛寰诲璇瓒筹姣璧峰朵甯歌锛5稿杩灞缂浠ュ充娇浜哄凡缁纭锛浠涓缁浜娌荤

涓讳换ㄩㄨ灏变瀵规ｈ姝锛琛ㄧず涓鸿己锛浣杩绉渚垮瑕姹涓浜浠ユ不濡瑕娌荤锛藉ㄩㄨ垂锛垂浠锋煎甯告璐点浜轰芥濂绂诲

浜哄澧ュ悍璐ㄩ姹楂锛NHS 荤¤杩涓芥弧瓒充汉浠荤姹浣灏辩瑷锛NHS绯荤杩╁ぇ浜锛ㄨ褰颁汉澶╂讹澶у颁汉杩NHS绯荤豹涓宸层

杩娆¤淇澶уぇ寮浜肩锛瀵硅澶浜℃浜扮璁よ朵浜韩璁稿涓瓒冲浠瑰寰╋╂ユ杩娆￠惧寮借淇