Introduction
Footfall is one of the common diseases in dermatology clinics and has a high incidence, especially in tropical and subtropical areas. As the foundation of the health-care system, primary health-care institutions are responsible for the treatment of a large number of patients. The development of their level of treatment is related not only to the individual health of the patient, but also to the public health of society as a whole. With the advances in medical technology and the advancement of grass-roots health-care reforms, there has been a significant development in primary-level health-care facilities in terms of pedagogic treatment.
II. Developments in primary health-care facilities
(i) Application of traditional healing methods
1. Exterior anti-fluent drugs
– The extensive and long-standing use of external anti-fist drugs in primary health-care institutions. For example, americ acids (cromazine, icconium, etc.) and accetamines (terbiphene, thiphene, etc.). These drugs work by inhibiting the synthesis of fungal cell membranes, with significant efficacy in the treatment of patients with mild feet. In general, a partial plaster is used for 1-2 sessions per day, usually for 2-4 weeks. The price of traditional out-of-pocket drugs is relatively proximate and easy to promote at the grass-roots level, which can effectively mitigate the symptoms of patients, such as itching, skin removal, etc. However, the efficacy of the treatment is more influenced by the patient ‘ s dependence, and some patients are vulnerable to relapse due to inadequate or irregular treatment.
2. Angular stripping assistive treatment
– Primary doctors also use a combination of hornic detachants, such as aqueous acid. Angular detachants can remove thicker angular layers, promote penetration of anti-facter drugs and improve treatment effectiveness. For example, for patients with an amphibious increase in their feet, the use of aqueous acid formulation to bubble their feet and the wearing of anti-fluent ointments after the aphrodisiac softening of the accelerator enhances the effect of the drug and accelerates the healing of the skin. However, the inappropriate use of horned detachants may cause adverse effects, such as skin irritation, requiring a doctor at the primary level to give a detailed account of the method of use and care.
(ii) New treatment technologies and the gradual expansion of drugs
1. New types of exterior antifluent preparations
– In recent years, a number of new types of anti-foulbacterial preparations have begun to be used in primary health-care facilities. For example, a combination of formulations that contain multiple antifluent components, not only have antifluid effects but also have anti-inflammation, itching, etc., which improves the symptoms of patients in a more comprehensive manner. In addition, a number of long-activated, slow-release external agents have been introduced, reducing the number of medications used by patients and increasing dependence. For example, a new type of typhine gel, which can be used once a week, greatly facilitates the patient, especially for people who are busy or have less memory.
2. Reasonable application of oral anti-fist drugs
– In the case of patients with moderate-heavy or non-effective medical treatment, the use of oral anti-fouling drugs has begun at the primary level. It’s like Ectarconium, Tebbiphen. These drugs have a wide spectrum of resistance to fungi and can effectively kill the deep fungi and increase the cure rate. When using oral antigen drugs, doctors at the grass-roots level place greater emphasis on the monitoring of indicators such as the liver function of the patient and, while ensuring the safety of the drug, regulate the dose and course of treatment. For example, it is generally used to treat a high level of shock therapy, i.e. one week per month and two to three months in a row, both to ensure the efficacy of treatment and to reduce the risk of adverse drug reactions.
(iii) Improved capacity of primary health-care services for the promotion of foot treatment
1. Training and education
– With the improvement of the primary health-care training system, there has been a significant improvement in the professional knowledge and skills of primary doctors in the field of pediatric treatment. Through participation in lectures, training courses and online learning courses for specialists in higher-level hospitals, doctors at the grass-roots level have developed a deeper understanding of the mechanisms, diagnostic standards and treatment norms of the problem. For example, in the area of foot-to-face diagnosis, grass-roots doctors are able to make a more precise distinction between different types of foot, such as herring, scavenging, impregnation, etc., and thus develop more targeted treatment programmes.
2. Staffing and upgrading of medical equipment
– Some of the primary health-care facilities are equipped with fungal lenses, which make the diagnosis more accurate and rapid. Basic doctors can directly examine the crumbs of the skin damage of the patient in outpatient clinics, and can detect fungus or spores when they are observed, avoiding the limitations of empirical diagnosis alone. A number of better-off primary health-care facilities have also introduced assistive screening equipment, such as Woodlight, which helps to identify pneumatic and other similar skin diseases, such as rashes, silver crumbs, etc., further improves the accuracy of the diagnosis and provides the basis for accurate treatment.
III. THE CHALLENGE OF GROUND HEALTH ACHIEVEMENTS
(i) Patient dependence
Despite the continuing development of primary health-care facilities in the area of pediatric treatment, patient dependence remains a prominent problem. The relatively long treatment process for foot-to-mouth treatment, in particular for external drugs, requires several weeks of continuous use, and some patients have a high rate of relapse due to abating symptoms. In addition, the lack of attention to personal hygiene during drug use, such as changing shoes and socks and not keeping feet dry, can also affect the effectiveness of treatment. Medical doctors at the grass-roots level need to devote more time and effort to educating patients about their health and to increasing the importance and dependence of patients on foot treatment.
(ii) Limited resources for primary health care
There are still some limitations in the availability of health-care resources in primary health-care establishments compared to higher-level hospitals. For example, with regard to the variety of drugs, it may not be possible to equip in a timely manner with some new and expensive antifluid drugs. In the case of difficult and complex cases, doctors at the grass-roots level lack further means of examination, such as fungi culture and drug sensitivity tests, to determine the type and drug sensitivity of pathogens, thus affecting the optimization of treatment programmes. In addition, there is a relatively low level of dermatology expertise in primary health-care institutions, and some doctors ‘ experience and technical skills in plentiful treatment needs to be improved, and there may be cases of misdiagnosis or maltreatment in the face of specific types or combinations of other diseases.
(iii) Inadequate disease prevention and health education
The work of primary health-care institutions in the area of disease prevention and health education is not sufficiently advanced. Sufficient occurrences are closely related to hygiene practices, living conditions, etc., but there are currently fewer grass-roots awareness-raising campaigns targeting these areas. Many sufferers lack knowledge of the means of transmission, methods of prevention, etc., which leads to easy transmission in the home, schools, public places, etc. Basic health-care institutions need to strengthen their cooperation with communities, schools, etc., and carry out a wide range of health education activities to raise public awareness and prevention awareness and reduce the incidence of haze at source.
IV. FUTURE VISION FOR RESOURCES AT GROUND HEALTH INSTITUTIONS
(i) Development of personalized medicine
In the future, as medical technology continues to improve, primary health-care institutions will move in the direction of individualized care in terms of endemic treatment. Technical means such as genetic testing allow for a more precise understanding of the individual differences of patients, such as sensitivity to different anti-fungic drugs, drug metabolic characteristics, etc., and thus develop individualized treatment programmes for patients. For example, for some patients with slow metabolism of specific anti-fact drugs, the drug dose and course of treatment can be adjusted appropriately to improve treatment effectiveness while reducing the risk of adverse drug reactions.
(ii) Telemedicine and upgrading
The application of telemedicine technology will further enhance the level of treatment at the primary level. Basic doctors can obtain expert diagnosis and treatment advice through a remote consultation platform for real-time exchange of patients ‘ medical conditions, results of examinations, etc. with dermatological specialists at the higher hospital. At the same time, the continuous improvement of the tiered system of treatment will facilitate the rational separation of patients, and primary health-care institutions will be better able to take on the task of dealing with common diseases, such as diarrhea, timely referral to higher-level hospitals for patients with serious health problems, and, once conditions have stabilized, return to the primary level for rehabilitation, creating an orderly system of care and improving the efficiency of the health-care system as a whole.
(iii) Development of integrated response models
The primary health-care institutions will establish a well-established integrated prevention and treatment model that integrates treatment with prevention and health education. On the one hand, better management of the treatment of pediatric patients, improved treatment rates and reduced relapse rates, and, on the other hand, awareness-raising campaigns on the prevention and treatment of pediatric diseases have been carried out in communities, schools, businesses, etc., with a view to providing health care to the pediatrics, such as the promotion of the wearing of air-shoes, the cleaning of feet and the avoidance of the sharing of slippers. At the same time, there is a strengthening of the supervision and management of public health, such as the decontamination of swimming pools, baths and other places, the reduction of sufficient means of transmission, the overall reduction of the incidence of disease and the improvement of the public ‘ s skin health.
Conclusions
Primary health-care facilities have undergone a process of transition from traditional treatment to the gradual introduction of new treatment technologies and medicines, with notable results in improving their capacity. However, challenges such as patient dependence, limited access to health care, and inadequate education in disease prevention and health remain. Looking ahead, with the improvement of individualized, tele-medicine and tiered treatment and the development of integrated treatment models, primary health-care institutions will have greater opportunities for development in the area of pediatric treatment, and will play a more important role in public health by providing quality, efficient and comprehensive health care to a large number of patients.
