The patient " flocks together " Large hospital What it will be hospital of the first second and third " It is asked that a bed is difficult "

The patient " flocks together " Large hospital What it will be hospital of the first, second and third " It is asked that a bed is difficult "
The patient " flocks together " Large hospital What it will be hospital of the first, second and third " It is asked that a bed is difficult "
It is cold one minute and hot next, the patient with respiratory tract, cardiovascular vessel disease of this city increases to some extent. Yesterday, live the intersection of Hexi District and favourable the intersection of the people and aunt Zhang of line get ill again, family want, send the old man to " the first, second and third " The intersection of hospital and hospital treatment, but because hospital berth nervous having minor condition by patient, the doctor proposes them to get to community's hospital in hospital, this lets aunt's family feel very awkward. Every winter, there are relatively more patients in hospital, and the reporter finds in the investigation, hospital of the first, second and third of this city is nearly all " It is asked that a bed is difficult " ,The persons who are in hospital are mostly the elderly. It is reported, from January 1 this year, this city residents can enjoy the medical insurance of urban residents. It is introduced, citizens can enjoy the medical insurance of urban residents in tertiary, second, first class fixed hospital, the elderly are in the first class hospital (the community health Center) over the student, children and 70 The hospitalization cost taking place in hospital treatment, the proportion is the highest that submit an expense account. It is obvious, this measure just seeks medical advice in order to guide more citizens into community's hospital. But the reporter learns from Municipal Health Bureau, there are 35 tertiary hospitals in all in this city, second hospital and 85, 75 community health Centers. The hospitals of the different levels, the sick bed rate of utilization takes shape distinctly and compares with: Tertiary sick bed of hospital nearly overload, the intersection of community health Center and rate of utilization of sick bed less than tertiary half of hospital. In the face of " it is asked that a bed is difficult " The first, second and third hospital and berth" Rich " Community hospital,why it have so many people must crowd by heads broken want to go " the hospitals large " (used at the end of a special alternative, or rhetorical question)? The medical level of hospitals of a pair of communities of the reason worries not long ago, living in radio station grandmother Li of one of peaceful district suffers from the honeycomb and organizes inflammation, long mango size lump under thigh, and already suppurated. Because the old man has been already at the venerable age of 86, has had difficulty getting about, family bring grandmother Li to this liang of largest hospital of the first, second and third of family, can hope the old man hospital treatment, and check in an all-round way. Grandmother Li's son tells reporters: "Old lady's upper and lower floors are really inconvenient, it is both that several people are giving her a piggyback by turns that these twice check us, each time tossing about the old men and does not all think the heart can stand. Instead of so, it would be better to be hospitalized to have a thorough examination, having a look has question of other respects. But there is not a berth in two hospitals, and the condition that this kind of disease can not be in hospital either, it is treated to the nearby community's hospital that the doctor lets. " As to this, the Li 's are difficult to make: "We hope the old man can live in the large hospital, so can already check in an all-round way, needn't toss about and change dressings back and forth. Old ladies are all so big and old, is community's doctor's ability all right? Living, can community's hospital rest assured? " There are special messengers to look after the old man different from grandmother Li in the reason two the first, second and third hospital, other persons let the old man live in the hospital of the first, second and third, it is for getting good treatment. "Let the old man live in the large hospital, there is special messenger that looks after, and nutrition pantry, the price is even cheaper than the old people's home, how suitable. " In the ward of hospital of a the first, second and third of this city, a patient relative says to reporters like this. Nowadays, nobody accompany the system after some the first, second and third hospitals in this city pursue the ward, and allocate the nutritious diet center, original intention, in order to create the good environment of seeking medical advice for patient. However, with the development of this system, impatients have more and more middle-aged and elderly people, hospital stays are longer and longer, even reached the standard and left hospital and still left the phenomenon in the courtyard. Before last the Spring Festival, one had hospitals of the first, second and third that nobody accompanied the system to carry on an item of statistics, the mean age is 82.5 years old to leave the patient that the institute spends the Spring Festival, " stay behind to take care of things " in the ward Nearly all old man. The lying-in woman of the reason three gives birth to other of large first-selected hospitals children, with the arrival with annual baby boom, the obstetrical ward of the hospital of the first, second and third is more full. The reporter often hears a word like this in the interview: "Grow such once all one's life, must live in the large hospital too while costing more money. " 27 -year-old Xiao Zhang has just given birth to a boy in city center Gynecological and Obstetric Hospital, she tells reporters, after pregnancy, family look for acquaintances early, should grow in the best hospital of Tianjin in any case. Xiao Zhang says: "Too high requirement that I have nothing, but the old man is worried. They are afraid the production process will present some questions, the general hospital can not deal with. " Xiao Zhang's mother says with a smile aside: "It was the hospital of the gate at home at that time that I gave birth to her originally, could reach the girl and give birth to the child and think it worrieded, always think that should go to the best hospital. " Some community hospitals of reason four can't nowadays pay by credit card, the hospital of the first, second and third of this city networks the clinic, it is unnecessary to pay for the fund first that the patient pays by credit card and seeks medical advice, only need to pay the expenses that oneself should pay, this action lets a lot of citizens think it convenient. "Not every community's hospital can pay by credit card, have a little trouble. " A patient says. It is reported, there are 75 community health Centers in all in this city, are divided into 498 community health stations. At present, 59 community health Centers and 277 community health stations realize the clinic is networked. Because of failing to realize the whole city covers, " it is convenient to submit an expense account " to make some citizens more willing to choose The first, second and third hospital. Solution Train community's doctor to be a key The hospital of the first, second and third " It is asked that a bed is difficult " ,Community's hospital " Desolate" . To this kind of phenomenon, relevant persons in charge of Municipal Health Bureau introduce, ordinary people do not approve of community's hospital, because they think aspect of community's doctor's understanding of disease is low, it is indeterminate to diagnose the disease, the therapeutic effect is unsatisfactory, and the environment of hospital of the first, second and third is better, the apparatus is advanced. If if things go on like this, will form the vicious circle, cause the overload operation of hospital of the first, second and third, patients going to community's hospital are fewer and fewer, cause the medical wasteful use of resources. "There are few patients who community's doctor contacted, not having experience, certainly ability is unable to improve. " This person in charge says, it is a direction to change the place of examination bidirectionally, solve the key to the problem, it is to want to train community's doctor. From next week, this city will implement a series of measure successively, will improve community's doctor's diagnosis and treatment ability. First of all, popularize the work of changing the place of examination within the range of the whole city bidirectionally among hygiene service organization and large hospital of the community, realize " small disease yes the community, serious disease is in hospital " Goal. Through implementing the system of changing the place of examination bidirectionally, patient's young disease is examined in the community for the first time, not merely can reduce the hospitalization cost, improve the medical resource stand-by phenomenon of community's hospital; The patient changes the place of examination to community's hospital to pay and carry on rehabilitation again after the large hospital passes impetuosity in hospital and treats the stability. The large hospital solves the overstaffed problem, can vacate for time and energy, devoted to solving the difficulty, urgent critical disease. In addition, doctors of the hospital of the first, second and third will enter the community, countryside, training doctor at the basic level, guidance. University student need, carry on, train while being corresponding too graduate, let community Doctor's level is improved, let community's hospital keep more talents here too. News chain the intersection of community and hospital diagnose the illness, wipe out 60% Medical insurance systems of urban residents stipulate, within a year for medical treatment, the whole people's medical insurance effects an insurance personnel's hospital treatment fee submits an expense account according to the following standards: The hospitalization cost happening in the tertiary hospital in hospital, get up one pair of standards is 500 yuan, the proportion is 50% that submit an expense account; The hospitalization cost happening in second hospital in hospital, get up one pair of standards is 300 yuan, the proportion is 55% that submit an expense account; The hospitalization cost happening in the first class hospital in hospital, the proportion is 60% that submit an expense account. In addition student, the intersection of children and hospitalization cost that hospital treatment take place, wipe out proportion, wipe out at the foundation of proportion increasing by 5 percentage points in above-mentioned at all levels hospital; Hospitalization cost that the old person takes place in second and first class hospital hospital treatment over 70, wipe out proportion, increase by 5 percentage points.


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