The patient seeks medical advice " Flock together " Large hospital The expert is helpless " Kept constantly on the run "

The patient seeks medical advice " Flock together " Large hospital The expert is helpless " Kept constantly on the run "
The patient seeks medical advice " Flock together " Large hospital The expert is helpless " Kept constantly on the run "
Caricature / Wang WeiBin 1. Cai seek medical advice, write 58 -year-old Ms. Cai, live in the north countryside of Henan Province by Ms. and Mr. Song. This period of time, her eyes suffer from a kind of strange disease: Open and ache, dry and astringent, rub aching. She go the intersection of village and clinic, the intersection of county and hospital investigate reason, feel a pain eyes open, turn on, then make a decision to go straight in one large hospital in the provincial capital. People win more pictures and go to market in the hospital, quite a lot are from the alien like her. Ms. Cai has hung the number of a chief physician of ophthalmology department with the help of relative in Zhengzhou, waited until ten one thirty at noon since nine o'clock in the morning, took a fancy to the disease at last. Expert listen to statement of her, has mutter to oneself first: "This disease comes too. " She is glad and hurt and wronged after hearing, the glad one is, it means one's own disease is not serious; The hurt and wronged one is, if here can have a good prospect in the native place, who can go to the provincial capital! After finishing seeing the inspection result, the doctor makes a definite diagnosis of dry eyes. How on earth must it will be the disease, what does it must pay attention to usually, can effect a radical cure, there are several patients behind to the doubt of she and relative, the doctor is busy with writing the prescription on the computer, only say ", the administration has a try first" . Ms. Cai sighs over with feeling directly: Go to the large hospital to look for the expert to be very difficult to see the doctor! Mr. Song of Xu Chang is luckier than Ms. Cai, he accompanies the lover to go to Henan Province tumour hospital to live in House of Lords on the first day, the lover did the cervical cancer operation the next day. Mr. Song says, they have all looked in county, city, because the condition is complicated, change the place of examination here. The hospital advised him to observe for some time and do the operation in the locality in the city at that time, he insisted that transferred from one hospital to another: "The lover's disease,etc. arises, the city hospital is not sure. " The reporter sees, two inpatient areas of tumour of woman of this institute, occupy patients in the ward, add the bed too on the corridor. 2.The large hospital makes a diagnosis and attracts the patient competently " it is the main reason that the patient flocks together in the large hospital to make a diagnosis wholly competently. " The People's Hospital of Henan Province cures Commissioner of Mines Sun PeiChun to think. He analyzes, with the development of economics and society, the demands for medical treatment of common people are higher and higher. In addition, the medical insurance and new agricultural implementation that shut, especially shut newly and agriculturally, has lightened peasants' burden of seeking medical advice greatly, make them have ready conditions to get in large hospital where high-quality medical resources concentrate to seek medical advice. The clinic of Henan Province tumour hospital is done to director Sun CuiPing and approved of this kind of view. She says for example by the treatment of tumour, the diagnosis and treating of malignant tumour is a comprehensive system, level,etc. that the expert diagnoses, treats competence, checks and treats the apparatus, clinical nursing level among them, will all influence the final therapeutic effect. "The current situation is, the health clinics in towns and townships do not possess the diagnosis of tumour and treat the condition at all. Some hospitals at county level have oncology departments, can only do some basic treatments. The general tumour of hospital at city level can be treated, run into the complicated case, or should change the place of examination to the provincial hospital. " Sun CuiPing says. Sun PeiChun and Sun CuiPing both think, the psychology of following blindly of high and some patients of cognition degree of hospital at the basic level, also the important reason why the patient flocks together in the large hospital. "Such as ordinary cold, can have a good prospect in the local community's hospital, some patients lean towards running to the hospital of the first, second and third too. " Sun PeiChun says. 3. " flock together " Expert's number, the doctor is very helpless A lot of patients " Flock together " The large hospital, it was " expert's number " that went straight . Will present such a phenomenon in a lot of large hospitals: Ordinary number of attending physician easy to arrange, expert but overstaffed in symbol, some the intersection of hospital and expert have " the intersection of limit and No. " . "In fact some unnecessary to let expert disease. " The clinic of children's hospital of Zhengzhou goes through the relevant persons in charge to tell reporters, " but everybody always has a psychology, since come to see the doctor, why not let experts see? " She think expert expense disparity big in symbol and ordinary number, cause patient flock together the intersection of expert and a reason of No. too: "Take our hospital as examples: 2.5 yuan for a number for attending physician, 4.5 yuan for associate professor of treatment, 5.5 yuan for chief physician. The patient coming to see the doctor will seldom take notice of the disparity between this two or three yuan, want to hang expert's number naturally. " Patient flock together the intersection of expert and symbol, let many the intersection of expert and " kept constantly on the run " . It is reported, Ministry of Public Health stipulates, a patient's time is probably 10 minutes that the doctor looks; Abroad, a lot of doctors only see ten or twenty patients each day. And this is unrealistic in a lot of large hospitals of our province. 4. " make an appointment and make a diagnosis " While relieving the phenomenon of flocking together to interview, the doctors of the large hospital of several of the first, second and third of provincial capital recommend " make an appointment and make a diagnosis " to reporter simultaneously . They think, if " make an appointment and make a diagnosis " Can generally pursue, the hospital " as crowded as a market " Phenomenon but also can effectively relieve. It is reported, abroad, a lot of hospitals have generally pursued and made an appointment to make a diagnosis. For example Singapore the intersection of clinic and quantity reach people Wan, for make an appointment, make a diagnosis 70% to 80% some large day such as hospital, the hospital has not presented the phenomenon that has been crowded with people. And an insider thinks, making an appointment and making a diagnosis though can relieve the phenomenon of flocking together, but look for one's roots and trace to the source, it is the act of getting a permanent cure to let more high-quality medical resources sink to the basic unit. In this respect, our province is taking measures constantly, such as increasing the input into the hospital at county level, cultivation of the hospital doctor at the basic level of enhancement, improving the hardware facilities of the hospital at the basic level,etc.. But make a diagnosis wholly the promotion of competence is not obviously the thing of accomplishing in one move. National general orientation of medical reform, 90% rural patient can solve problem of seeking medical advice in county, the intersection of township and magnitudes of medical organization, this goal, shoulder heavy responsibilities. 6 reporters write down notes today, our " stay at a unit in the hospital and experience people's livelihood " The series of reports come to an end. Six manuscripts, although is not enough to reflect the overall picture, can peep a spot. The difficult, relationship between doctors and patients of seeing the doctor becomes the focus which the society pays close attention to in recent years intensely. Pursue truth, concern people's livelihood, it is the newspaper-man's responsibility and pursuing, it is our original intention of running this group of reports too. One come more than month, it gets to be relatively lonely hospital at the basic level from large hospital that crowded with people, we enter the operating room with the doctor, follow the rural patient and see the Specialist Clinic, is go to the ward to interviewed and in hospital a patient. We have seen the doctor's working hard and efforts, see the doctor's sense of duty; It is difficult that we have realized the patient, have heard the patient's hope. Close thick interview one, we feel a lot, feel on one hand patients are to enjoying the hope of high-level, high-quality medical care, on the other hand even experience profoundly, strengthen medical infrastructure construction, improve medical personnel's quality and urgency of the level. (Lang ZhiHui Qu Fang)


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