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《吴医师保健养生堂第五十六讲》 — 上门诊疗服务 吴宇琛
2024年06月18日 15:04 发布 编辑:Editor

上门诊疗服务

吴宇琛

SUM WU

Sum Wu

Registered Chinese Medicine Practitioner

Bachelor of Health Science in Traditional Chinese Medicine (UTS)

Bachelor of Science Majoring in Psychology (UOW)

Specialising in pain management and mental wellbeing through Tradition Chinese medicine in combination with modern science in mental health, dieting and nutrition.

吴宇琛,澳洲政府注册中医师、针灸师,五龙岗大学心理学学士、悉尼科技大学中医系学士,擅长用传统针灸理伤手法和中药治疗各种新旧损伤痛症,特别采用中医中药和现代心理学、营养学相结合调理治疗各种慢性病和亚健康。

 

 

Home care visits

上门诊疗服务

One of the major obstacles for many of our patients seeking treatment isn’t necessarily the cost or the time but rather the accessibility.
对于我们许多寻求治疗的患者来说,主要障碍之一不一定是费用或时间,而是可及性。

 

What do I mean by accessibility? It is the ability to physically attend our clinic for consultation and treatment. Like every other TCM clinic we see patients face to face on a daily basis whether it is just for a herbal consultation or assessment and treatment with Acupuncture of Tuina. This would require patients to be able to make their way to our clinic and those who aren’t within walking distance may have to drive or be driven or even take public transport but the reality is this also makes assessing our services difficult for a not so small percentage of our patients. They may need to rely on family and friends to assist and transport them due to their own limited mobility or disability.
可及性是什么意思?这是能够亲自到我们诊所进行咨询和治疗的能力。与其他中医诊所一样,我们每天都会与患者面对面交流,无论是中医中药咨询还是针灸推拿评估和治疗,这将要求患者能够前往我们的诊所,而那些不在步行距离之内的患者可能必须开车或家人朋友开车,甚至乘坐公共交通工具,但现实是,这也使得对于没有这些便利条件的人来说,获取我们的治疗服务变得困难。由于他们自身行动不便或残疾,他们可能需要依靠家人和朋友的协助和交通。

 

For a long time these types of patients could only rely on other people’s every changing schedules and even the weather, therefore some may unfortunately not be able to seek treatment on time.
长期以来,这类患者只能依赖亲友,但亲友的作息时间不确定甚至需要看天气,因此有些人可能无法按时就诊。

 

One of the solutions we came up with was offering our services via call-out. Initially we are currently offering our services to our patients in the St George area but we will look to expand our reach in the near future.
我们提出的解决方案之一是通过上门服务。我们目前正在为St George地区的患者提供服务,但我们将寻求在不久的将来扩大我们的服务范围。

 

So what is this call-out service and how is it different from being in our clinic setting? Well it is as it sounds, one of our TCM practitioners will come to the patient’s home via appointment and currently we are mainly focusing on our deep tissue therapy, which involves combination of Tuina and a topical herbal paste. The biggest challenge was how do we bring the clinic to our patients at their own home without compromising our treatment quality and safety? Nowadays portal treatment tables are very common and even the large and bulky Infra-red heat lamps we use at work are now very portable as well. Safety equipment such as disposable bedsheets and sanitation equipment are also used to maintain safety and cleanliness.
那么这种上门服务是什么?它与我们的诊所环境有何不同?顾名思义,我们的一位中医师将通过预约来到患者家中,目前我们主要专注于骨伤科治疗,包括推拿和外用草药膏的结合。最大的挑战是我们如何在不影响治疗质量和安全的情况下将诊所带到患者家里?如今,上门治疗台非常常见,甚至我们在工作中使用的又大又笨重的红外热灯现在也非常便携,我们还会使用一次性床单和卫生设备等安全设备来保持安全和清洁。

 

On average setting up everything is very quick and the patient is able to receive treatment from the comfort of their own home without having to worry about not being able to arrange for travelling outside.
平均来说准备工作非常快,患者能够在自己舒适的家中接受治疗,而不必担心无法安排外出。

 

While there is a significant amount of preparation and traveling involved for our practitioners, the benefits we can provide far outweigh these obstacles. During my time working at our clinic I have received a lot of feedback from our elderly patients who unfortunately are unable to make it to the clinic by their ability and therefore sometimes it may be weeks between when they can come for a follow up and there is a high chance of prolonging their discomfort and pain as well as deterioration of their illness.
虽然我们的医师需要进行大量的准备工作和出行,但我们可以提供的好处远远超过这些障碍。我在诊所工作期间,我收到了老年患者的很多反馈,不幸的是,他们无法凭借自己的能力来诊所,因此有时可能需要几周的时间才能进行复诊,直到他们可以进行复诊为止,这很可能会延长他们的不适和疼痛以及可能使病情恶化。

 

For example while ago I had an elderly gentleman who I saw for lower leg pain in both legs. He was unable to walk unassisted and would require a wheelchair to get around due to the pain and swelling he was experience in this legs. The first time I saw him, both his legs from the knee down was very swollen and there was significant decrease in vascular flow to his feet and the skin on both lower legs was extremely hard and dark in appearance. We were able to work on it regularly for a few weeks which saw an improvement mobility and reduction in pain and the skin was starting to return to normal with the improvement in circulation due to the treatment. Unfortunately after a while he wasn’t able to come for the treatment as his caregiver was no longer able to help him and it would be almost half a year since I was able to see him again. At that point we were able to offer him our call-out service and once again start working with him to treat his legs.
例如,不久前,我有一位年长的老人,他双腿的小腿疼痛,由于腿部疼痛和肿胀,他无法在没有帮助的情况下行走,需要轮椅才能走动。我第一次见到他时,他的双腿从膝盖以下肿胀得很厉害,脚部的血管流量明显减少,双小腿的皮肤又硬又黑。经过我们定期进行几周的治疗,他的活动能力得到改善,疼痛减轻,并且通过治疗,随着血液循环的改善,皮肤开始恢复正常。不幸的是过了一段时间,他无法来接受治疗,因为他的护理人员无法再帮助他,而我再次见到他已经是将近半年了。那时,我们可以为他提供上门服务,并再次开始治疗他的双腿。

 

This is just one of the examples of who may benefit from using this service but we hope to broaden our reach to encompass more patients who may not have known about us clinic in the past as well. Some of our patients who regularly come to our clinic may also use their Home Care Package to pay for their treatments and actually we also offer our call-out services for Home Care Package recipients as well.
这是从使用这项服务中受益的病例之一,我们希望扩大我们的覆蓋范围,可以服务更多过去可能不了解我们诊所的患者。一些经常来我们诊所的患者也可以使用他们的家庭护理套餐来支付治疗费用,并且我们还为家庭护理套餐接受者提供上门服务。

 

如有疑问想咨询吴宇琛中医师,可以在微信或whatsapp搜索0404836368,加吴宇琛中医师微信或whatsapp,也可以发简讯或致电0404836368作语音留言,吴宇琛中医师有空就会回复