Up to relatively recently, family doctors were positioned as «masters for all hands». They and basic treatment will be prescribed, and the childbirth will be taken, and the simple operation is quite capable of conducting.
Today, family doctors or general practitioners, we are increasingly meeting in district polyclinics. They are not in a hurry to write direction to a narrow specialist, and try to treat sick ears and problems in the work of the heart, keep pregnancy and Treat from infertility on one's own. Good? From the point of view of health organizers, which in some cases simply save on medical personnel, such a development of primary medical care is very justified. After all, narrow specialists engaged in individual patients continue to work in hospitals.
In the media, such a position is presented in a more advantageous light: family doctors due to complete awareness of the state of health of their patients are being treated not to the disease itself, but the body as a whole. Than not postulate? However, in fact, everything looks not so colorful - general practitioners do not have enough experience to diagnose many diseases, not to mention the methods of their treatment. For reception of one patient, 10-15 minutes are given, of which 10-12 minutes are on filling out the statistical coupon for the insurance company, an outpatient card, recipes and directions. Hope for medical literacy of the medical sister is not always possible - the recipe written with errors has a personal signature and a doctor's seal and may cause various unpleasant situations.
A bit of history
Development of medicine as the science of assistance to suffering began long before our era. And as the new diseases are confirmed, individual medical classes engaged in a certain type of pathology began to clothe. Then it was not enough for a modern organization of medical care, but its principles still remain unbreakable to this day.
The most bright in the history describes Zemstvo doctors, which are essentially a prototype of modern family doctors. They usually observed several families, serving all its members, as well as fortress peasants and workers who belong to them. Hospitals or «at home», prototypes of our hospitals, were considered a place of accumulation of infection, the lot for lonely and the poor. Most often patients such «Prehistoric clinics» died from a massive infection and the absence of any treatment. Doctors such institutions worked on voluntary principles or, maximum, contained a hospital and bought primitive medicines for funds from donations. But for research practice there was a huge space - it was then that the proactory tables and anatomical theaters began to enter into doctors «in fashion». It also provided a rather powerful jump in the study of diseases and their treatment.
Family doctors: Today in the future
In addition to the above-described methods of working with the population of modern health, there is still a smaller class of private family doctors. So it happened that the Russian man in the word «private» understands everything that does not apply to the state.
Such private family doctors work either independently or organize a group of several specialists, or open medical centers. Anyone can conclude a service contract for a period of 6 months to 5 years (on average) and about and without such receiving medical care in the agreed volume at any time of the day. The contract itself - the document is very voluminous, the preparation of which the mass of time is given. In addition to the main «Nabolevsky» Moments It requires to register species and amounts of help with the most common diseases, and to convey to the patient, that in the case of, for example, a gunshot wounds, a bandwidth operation is carried out under hospital. Which hospital is the question. Either, with a private clinic, there is an operating room with all the necessary equipment and a high-class surgeon, anesthesiologist and duty resuscitation, or an additional agreement is concluded with another clinic, or simply called the Municipal Ambulance Brigade.
Nuances are very much. Sometimes they do not paint in the contract completely, but then it is indicated that the signature means familiarization and agreement with the charter of the clinic or other rules. Naturally, you should read carefully.
Undoubted pluses
Especially for families in which there are various ages and elderly. These two categories of patients more often need medical care. Many mothers appreciate the opportunity at any time of the day to get a competent consultation of a specialist. Working adult people is convenient that more than half of the concerns about the elderly or old person will take on a doctor.
There are cons
Good family doctors are married and married to their work, their patients. The connection of the level of salary in such specialists directly depends on the qualifications, so the lion's share of free time is dedicated to self-improvement and training.
For patients weighing minus is a fairly high cost of family doctor services. However, in order to get rid of health problems or to give him as much time as possible, many are ready to pay. Imagine: the sick kindergarten will receive not only competent treatment, but all the necessary analyzes will take at home, in the presence of parents. All references will also bring home. No queues in clinics and swearing in the registry. Or an elderly lying person who family physician himself will find a nurse, will also invite to the house «Laboratory on wheels» and will comprehensively observe a difficult patient.
The choice is not always simple, but sometimes it is obvious.
