Our country lacks the pediatrician and exceeds 200 000 Train the blank of mechanism for 12 years

Our country lacks the pediatrician and exceeds 200,000 Train the blank of mechanism for 12 years
Our country lacks the pediatrician and exceeds 200,000 Train the blank of mechanism for 12 years
Children visit the reason in medical difficult position "Pediatrics has disease - -The children in Beijing visit the reason in medical difficult position " Series of reports, will pursue to start the reason in children's medical predicament from the whole city and even national aspect in an all-round way today. The improper and omission of decision of government department and planning, can hardly absolve oneself of the blame. Two major children medical organizations can't bear to shoulder a heavy task, " pediatrics resumes to make " in second hospital It is not smooth to carry out, the pediatrics of healthcare hospital for women children at all levels attaches undue importance to one thing to the neglect of the other, these are not " satisfied all over " for this city children's medical treatment while being complicated Disease. Study carefully its " focus " ,It is the decision of government department and improper and omission of planning. The data revealed, the pediatrician of our country only increased 5000 people within 15 years, pediatrician gap more than 200,000 people, the pediatrics hospital only accounts for 0.52% of the total number of hospitals. The whole country is like this, Beijing is the same. Behind the out-of-balance figure, talent's shortage of medical matters of prominent pediatrics, government put into insufficiently, relevantly and plan the omission " three cases of crime " . This edition interviews and writes staff reporter Li QiuMeng The national gap of medicine of talent's shortage exceeds 200,000 China cures Zhu ZongHan, president of SCTE's pediatrician's branch, to point out, in 2008, there will be 61,700 pediatricians in the whole country, but 0 is 230 million to 14 -year-old children, the proportion is about 0.2598 pediatricians / a thousand children. Consult 1.4558 pediatricians / a thousand children's proportions in U.S.A., our country still lacks more than 200,000 pediatricians at least, " even divide goal quantity in half and need to increase the pediatricians about 10,000 persons every year the following 10 years " . Zhu ZongHan says, a depressing fact is, over the past 15 years, pediatricians of the whole country have only increased 5000, in recent years, the pediatrician's increase has stayed cool especially, " task of top priority, will set up to a pediatrician as soon as possible and train the mechanism, otherwise after old doctors retire, who comes to carry on? " Because most of children can't express one's own pathologic characteristic accurately, more fragile than the adult, so pediatrics is commonly called as " The mute department " ,So higher medical risk exists, it is more consummate to need doctor's engineering level. Pediatrician's source is cut off " the pediatrician lacks the source now, almost have no hope improved ", pediatrics is not to discuss that is developed, but how to maintain " ,Zhu ZongHan claims, in 1998, Ministry of Education was in order to widen the speciality one, in the adjustment of " bachelor degree catalogue of university and college ", , as adjust the intersection of pediatrics and speciality professional to stop enrolling new students since 1999, in fact has cut off the pediatrician's steady source. This means, over the past 12 years, the new pediatrician of our country has trained a blank of mechanism. Zhu ZongHan says, at present, the pediatrician's source, study the professional graduates of clinical medicine of the universities and colleges in first, medicine at all levels, second, study to the specialized graduate student of pediatrics, third, other second disciplines or tertiary discipline graduate students, persons who choose pediatrics to obtain employment for various reasons. The former arranges to be considerably less than the original pediatrics speciality in the pediatrics teaching at stage of the universities and colleges far, only possess the most elementary pediatrics knowledge, and the number of the latter two only takes very small proportion, they at pediatrics a certain only for moderate breeze discipline in (pediatrics, internal medicine department, last speciality) Or other second discipline (internal medicine department, surgery, ophthalmology department, dept. of dermatology,etc.) Have studied very narrow professional knowledge. In other words, if think of the medical graduate engaged in pediatrics, only behind finishing reading the preclinical medicines of 5 years, Fang Ke chooses the training base of pediatrics and carries on the 3 - year long academic program again, "in other words, almost in ten years can train a pediatrician, this obviously can't meet pediatrician's now demands " . Bright red one contain the introduction to train fewer than 2,000 every year in the whole country, at present, over 60 children's section hospitals including BJ Children's Hospital are undertaking to train the pediatrician's function in the whole country, but because itself already in the overload operation state, each hospital can only train the pediatrician to be about 30 persons every year, "can only train the pediatricians about 1800 persons every year in the whole country, it is still not enough to satisfy the gap of talents of our institute, how to output strength for the general hospital? " The pediatrics director Cui Hong of Friendship Hospital says, though the hospital has plan of extending pediatrics, but it is very difficult to find the experienced pediatrician, " if employ the this year's graduate, can't use at least 2 years " . Cui Hong is proposed, if on the premise of guaranteeing training quality, regards developing better general hospital of the training base in pediatrics as, not only can relieve the pressure of the section hospital also help graduates familiar with the environments and characteristics of the general hospital as soon as possible, to grasp is faster too. Zhu ZongHan thinks, trains in our country's pediatrics training under the system and situation not complete of system, train the difficulty of the pediatrician who is qualified to be quite great. Put into not ample expressway of 2 kilometers =A hospital Zhu ZongHan says, as to the whole country, the average expenses which builds a pediatrics hospital are 2 hundred million, build expressway of 2 kilometers in other words. Build 200 kilometers of expenses in expressway, can reconstruct 100 houses of pediatrics hospital in the whole country. If compared with orbit traffic construction which some cities develop in a more cost-effective manner at present, add the higher factor of the price of land, it equivalent to builds a children's hospital to build a kilometer of expenses of subway. Several years ago, it was about 700 million yuan that a gleam of cities such as Beijing, Shanghai,etc. built a kilometer of expenses of subway, and the price of land of Beijing, Shanghai is relatively expensive, newly build the expenses of a pediatrics hospital and keep an equal pace with a kilometer of expenses of subway of construction. "More important that build a kilometer of subways and which one is compared to build a children's hospital? Though this has no comparativity, build the pediatrics hospital and should put in the equally important position at least. " The eyes are seeing the general hospital in recent years through the newly-built outpatient buildings, inpatient buildings constantly, building the way of the branch to develop fast, lower pediatrics hospital of the whole income has not caused the attention of the governments at all levels yet, Zhu ZongHan has expressed oneself indignantly. It is difficult for scientific research project not to obtain funds, support " the intersection of children and disease seldom can classify national great scientific research project as not merely, and in the public health field, it is very low to children healthy concern degree, Israel and China cured the SCTE to launch the supervision on national children's growth as the example in a few years in succession, all association raise funds to go on so far, can not get the support of the national cost of scientific research " ,Contain seeming in the bright red one, the government has put into insufficiently and already hampered pediatrics' progress. He proposes, twelve five of the countries should list the development and construction of pediatrics in the health care while developing while planning, while setting up children's section hospital actively, resume the pediatrics function in the general hospital, "pediatrics was ignored all the time, no matter medical education, or respects such as medical organizational construction,etc. are ignored. Hope through we and media's breathing out in many ways Appeal for, the undertaking development of pediatrics can cause enough attention of the government " . Secretary of Peking University first hospital Liu XinMin thinks too, supports recovery and construction of the pediatrics of tertiary hospital, ? ���Ӧ� oh Peng general �� degree octogenarian �� waste all defend dai, ids after standing tall and upright narrow �� admire orphan invade firewood food sacrifice life for falcon to �� plan paralysis �� s wilfuls fierce last U department that pavilion of squids after standing tall and upright �� refinedly for the Gous after coiling up by old manning particularly Mi Endure ���� silk's bed. Gou, scar of ��, rattle away Hu attack the intersection of �� and the intersection of sword and �, servant of ��, mean hanging down �� On land Lei of tomb �� abundant Cong of �� material careless � rose spoil � in the sand frequently all The low bank? Plan to only account for 0.52% of total number in the pediatrics hospital of the omission Zhu ZongHan says, pediatrics is not a traditional training, but comprehensive discipline of children's medical science of 0 to 14 years old, involve all respect that children make a diagnosis, the intersection of adult and the intersection of image and department, department of anesthesia, guard room,etc. in the department in the general hospital, not only without child's specialized monitoring device, but also personnel have not received the training for pediatrics, not suitable for developing pediatrics in a more cost-effective manner. "The exhaustive one check and is treated only there are the section hospitals, so should make great efforts to build the section hospital of pediatrics, the pediatrics of the general hospital is only the supplement of the section hospital " ,Zhu ZongHan introduces, at present, there are 68 children's hospitals (the government run 48 among them) in all in the whole country ,It is 13,000 of hospital total number 0.52%, in terms of berth, it is 258224 that the national pediatrics berth is counted, only accounts for 6.4% that the national total berth counted. Zhu ZongHan says, though the medical resources of pediatrics have awkwarded already at present, but our country does not have master plan and long-term goal of development of pediatrics yet at present. This year, China cures the pediatrics branch of the SCTE the gap to the medical resources of national pediatrics will be investigated, " see how many pediatrics hospitals, how many pediatricians it will cost on earth " . Medical resource should " Follow people " Women and children of Municipal Health Bureau and mental hygiene Lu �[, division chief of place say, under the situation of the medical resources of pediatrics in short supply at present, how carry on reasonable effective adjustment and overall arrangement, make limited medical resource give play to function that maximize seem particularly important. Take maternity and child care institution as examples, it sets up pediatrics and should be confirmed according to the master plan of the medical resources in the area, "if there are two children's section hospitals in Xicheng District and Chaoyang District, can well meet the infant's visit demand in the area, the maternity and child care institution then in its area under one's jurisdiction does not need to set up pediatrics, the pediatrician can also supplement correspondingly to the locality with the demand. Vice versa. " The relevant medical reform personage in this city says, with the moving outside of population of key district of city, development and improvement of densely populated intensity of the peripheral new city, the overall arrangement of existing urban medical care can't already meet residents' demand of seeking medical advice. This personage claims, medical resources were provided service, ought to " follow people " ,In a situation that population moves outside at present, ought to follow the demand, increase corresponding medical care in the densely populated area. As to this, camp's director Sun PeiYun shows too, sets up the regional pediatrics with stronger capability to make a diagnosis in the centre in the eligible county with iron, may relieve the pressures of two section hospitals.


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