Every a thousand children in our country only have 0.23 pediatricians

Every a thousand children in our country only have 0.23 pediatricians
Every a thousand children in our country only have 0.23 pediatricians
On October 17, infant and relative line up to wait in clinic halls of the children's hospital of Tianjin. Li ShiQi takes a photograph of children and accounts for 20% of total population of our country. In recent years, children are difficult to see the doctor to become an outstanding social concern, common people reflect strongly. Mainly display in two respects: First, " physicianless " . Children's section hospital is overstaffed, and the pediatric clinic of general hospital relatively shrinks, the medical service organization of pediatrics is obviously insufficient in supply; Second, " lack medicines " . Mostly an adult use medicine for pediatrics, lack dosage form suitable for children. Begin from this, this edition will put out the follow-up story, the difficult problem of dissecting children and seeing the doctor thoroughly, in the hope of arousing the attention from each side. --Editor Able to register, can not live in the institute, emergency call, has become " common fault " of the pediatrics hospital The baby had a fever suddenly at night, it was over 6 o'clock the next morning, Ms. Lin is bringing baby to BJ Children's Hospital. The team of parents lining up to register has already extended to the square of the east of the hospital, some parents sit on the ground, some even hit the shakedown on the square. In order to attach to expert's number, some parents came at three four in the early morning. Even so, coming to line up early may not mean attaching to number either. "Already more than 3 hours, the child coughs so that faces are all red, has not hit the upper needle yet, can not I be worried? " Mr. Jia from the Inner Mongol takes child to the capital subsidiary children's hospital of institute of pediatrics to see the doctor, line up, take nearly 3 hour, see the doctor, spend 3 minute, wait for 1 can't yet fail, pay liquid hour. It is difficult for children to see the doctor and register, it is more difficult to be in hospital. In the children's hospital of the market of Nanjing, the left hand of baby 3 months old has had the great hemangioma of a head of garlic, ache so as to cry and scream every evening, the hospital has no berth. Corridor, every can add, put place of bed all pack with at the corridor, there is not even place to get a foothold. Ms Zhang from northern Jiangsu countryside says: "Waited until a bed at long last, lived in the inpatient area of burn and plastic surgery dept. of the hospital at last, although but one at the corridor add bed, this piece no pale, etc in month after all. " It is the pediatrics hospital to be able to register, can not live in the institute, emergency call " The common fault " . A location parents tell such a story: Child generate heat get 39 C, get up measles all over, get emergency call see suddenly, find, arrange one the intersection of condition and in weight child above just. It is such a state every day, burn the humouring and burning to 40 degrees of C of 39 degrees of C. This parents say: "Can only be waiting, the doctor sees and says this is not a great thing. " On one hand children's section hospital is overstaffed, that the pediatrics of some ordinary hospitals is desolate on the other hand. BJ Children's Hospital the intersection of clinic and the intersection of quantity and peak period already up to 9000 people day, the capital grinds and reaches 6000 people too, close to the saturation. Patient's parents say, " have no way one ones that take child to the capital to grind and see the doctor, did not think of such big strength of the fee either in the past, went to the general hospital to see. But all the same results each time, the doctors of those hospitals see that said to you finally: Go to the children's hospital, we can not solve. " It is reported, some nonlocal patients' parents come to Beijing from afar, because the local technology in small scale of hospital is poor, there is not even ordinary pediatrics ICU, some basic ones check the project and can not done either, can not see difficult and complicated cases even more, the infant parents have to come to Beijing. A analysis to 4 children's hospitals such as BJ Children's Hospital, capital institute of pediatrics, Shandong university children's hospital, Kunming children's hospital reveals, huge clinic cold, the intersection of person who generate heat and common disease in little most patient, difficult and complicated cases only account for 10%- 15%. The capital grinds Li Ying, attending physician of emergency department, says, children's section hospital goes to a doctor the number increase, the medical worker can't bear the heavy load, tired at replying the ordinary patient, there is too few time and energy that must drop to the new technology into, have hindered pediatrician's business from progressing. Study the professional stop of universities and colleges' pediatrics and enroll new students, has cut off the pediatrician's steady source in medicine, the whole country lacks 200,000 medicine at least It is introduced large hospital comprehensive unwilling to develop pediatrics, have deep reason behind one's back. One synthesizes a director to say, the fixed price is unreasonable to charge, restrict the sound development of pediatrics. Children are ill, come to go either fast quickly, does not " make money " as old chronic disease ,This is the large comprehensive hospital to developing the important factor that pediatrics is not interested in too. An expert says, because the pediatrics of general hospital belongs to the single department of the hospital to make and set up, there are less image facility, biochemical checker and project which are suitable for children of various kinds, it is very difficult for quite a few of infants to finish the project of serial inspection and examination in a hospital, often still need to transfer to the children's hospital, thus cause patients to run off. The statistic of Beijing Municipal Health Bureau reveals, last year, BJ Children's Hospital and capital grind the intersection of door and the intersection of emergency call and number and leave hospital number of people account for the intersection of the whole city and above- second -class the intersection of medical organization and pediatrics, go to a doctor 46.5% and 51.3% of quantity respectively, concentrate on seeking medical advice and aggravate two children's section hospitals and registering the question such as being difficult, difficult in hospital. "It is difficult for children to see the doctor, it is obviously insufficient to come from the medical care of pediatrics of our country. " China cures Zhu ZongHan, president of SCTE's pediatrician's branch, to say, gathers the cyanogen amine milk power incident from three, get the intersection of brothers and the intersection of mouth and ill first type the intersection of H1N1 and the intersection of influenza,etc. and infectious disease, it was insufficient seriously that these public health events happening suddenly exposed pediatrics medical resource, medical apparatus and medical worker. Zhu ZongHan introduces, our country only has 68 children's section hospitals (the government run 48 among them) ,Only accounts for 0.42% of the national medical organization, is mainly distributed in the developed big city in economy. The administrative division above county level exceeds 2000, and there are 1625 healthcare hospital for women children at county level, the average every county is fewer than one. 258,000 berths of national pediatrics, only accounts for 6.4% that the national hospital berth counted. There are two children's hospitals in Wenzhou urban area of Zhejiang Province, one is subsidiary children's hospital of medical college, one is a children's hospital of the city. The subsidiary original design of children's hospital of medical college is 800 people of clinic, nowadays the clinic amount is up to 3000- 4000 people in peak period. And the market children's hospital that has just established, because of lacking medical talents, a lot of floors are left unused. It is difficult for children to see the doctor, the more important is that lack the outstanding pediatrician. Zhu ZongHan says, national medical practitioner (including the assistant doctor) 1,600,000 people, and account for the children of the total population 20%, only 60,000 doctors of children. The medical health service of the children of some areas stills have greater disparity. The doctor and total number of assistant doctors are 390,000 people in the national health clinics in towns and townships, among them over half of the education are special secondary schools, have accepted undermanned 10% that the pediatrics system trained. The pediatrician is scarce, still relate to arrangement of the medical education of our country. 1998, Ministry of Education, in order to widen the speciality Piece, adjust, stop enrolling new students the pediatrics speciality since 1999 in " the the intersection of university and college and the intersection of bachelor degree and catalogue ", in fact has cut off the pediatrician's steady source. Zhu ZongHan says, the pediatrician's source is specialized graduate of clinical medicine and specialized graduate student of pediatrics at present, but because the pediatrician of our country trains system and system not to be complete, should train the pediatrician who is qualified, the difficulty can be well imagined. Every a thousand children in U.S.A. have 1.36 pediatricians, every a thousand children in our country only have 0.23 pediatricians. Than issue as before Damien's national standard, our country still lacks 200,000 pediatricians at least. Health care Dai YaoHua, General Board of branch thinks that the Chinese preventive medicine moment is virgin, the imbalance between supply and demand of pediatrician and pediatrics berth is very conspicuous, if there are no enough pediatricians, only by can not solve the basic problem to count to expand the berthing. Pediatrics is not the drawing back edition of adult's department. Pediatrician's shortage, should solve by increasing supply On June 1 this year, as the Traditional Chinese hospital of Beijing is determined as the TCM pediatrics making a diagnosis to the construction unit in the centre, the paediatric ward of this institute is opened again after closing 15 years, pediatrics berth is increased to 10. Chinese Chinese medicine west garden hospital and Beijing University of Trad. Chinese Medicine of academy of sciences attach to the eastern hospital and make a diagnosis in the centre as the first batch of TCM pediatrics of Beijing. Two hospitals offer the 24-hour pediatric emergency room and there is no clinic on vacation in the whole year, the expert pays a home visit on Saturday day, several 20 berths, annual clinic quantity plans to be up to 100,000 people. According to new the intersection of medical reform and requirement, until characteristic stress and academic the intersection of level and high with perfect function TCM pediatrics make a diagnosis in the center in build 2 to 3 Chinese medicine by Beijing Ministry of Health, the demand of the service of meeting the citizens of Beijing and making a diagnosis for the TCM pediatrics, it is difficult to see the doctor to relieve the north and city south infant of the city. It causes pediatrics to shrink the situation that the establishment that reflects to some hospitals is in short supply, Beijing Municipal Health Bureau says, to the senior pediatrics specialized personnel which the municipal or district government belong to the hospital in short supply or need badly, through recruiting publicly, accord with the regulations of relevant policies and can apply to handle talent introduction; And reach retirement age and high title pediatrics specialized personnel of the health, and was engaged in working second and above general hospital pediatrics clinically in pediatrics, can go through the retired procedure of the delay preferably. The insider says, the pediatrics infant's using medicine amount is small, check simply, the economic benefits are very bad. As to second hospital present visit situation, if increase the pediatrician again, will undoubtedly influence the doctor's enthusiasm. The Ministry of Health should stop to regard single economic benefits as the examination basis. The west garden director Tang XuDong thinks, pediatrics is " mute medicine " ,The child can not say that where oneself feel a pain to come out, need doctor's abundant clinical experience to judge. Pediatrics is not the drawing back edition of adult's department, particularity of pediatrics determines the basic outlet of development of pediatrics lies in strengthening the personnel training of pediatrics. "Pediatrician's question in short, mainly solve by increasing supply. " Zhu ZongHan proposes, passes the coordination of Ministry of Education, Ministry of Public Health and responsible department of the goverment, impel medicine with pediatrics teaching tradition and ability to study the universities and colleges, resume the pediatrics speciality and enroll new students at first, foster the universities and colleges with ripe condition and set up the pediatrics speciality in a more cost-effective manner at the same time. If can maintain and develop professional enrollment scale steadily and increase the hospital pediatrician's establishment scale at the same time, and break through on such as management system of employment assigning, staff training,etc. to some extent, solve the problem of the reserve doctor's source of pediatrics fundamentally. Dai YaoHua proposes, must strengthen the service ability construction of pediatrics at the basic level, sets up and amplifies to a pediatrics resident and trains the system, set up community's pediatrician's team, improve the tertiary system of changing the place of examination, could change children and " flock together " in this way Current situation of going to the large hospital to see the doctor.


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