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Pediatric emergency medical Tingzhen storm behind hope to improve consultation treatment costs – Soh hyuna

Pediatric emergency stop diagnosis storm behind: medical consultation fee – Sohu hope to improve treatment of sick children news. (map) reporter Su Junjie photo reporter behind the investigation "pediatric emergency Tingzhen storm: doctors and nurses to improve the consultation and treatment expenses in the year of the monkey on the eve of the Spring Festival," pediatrician shortage crisis "once again raised public concern. Following a third emergency hospital affiliated to Zhongshan University Luogang school district before the half stop after February 1st, pediatrics, Second Affiliated Hospital of Guangzhou Medical College and other three hospitals "cancel pediatric emergency night clinic (2:00 a.m. 8:00)" notices, the crisis of public debate about pediatric hospital to high tide. What causes the loss of a large number of pediatricians? Relevant departments of the "physicians transferred to pediatricians and other ways to keep the pediatrician? Guangzhou Daily reporter conducted an investigation. The Guangzhou Daily reporter Ren Shanshan, correspondent Huang Rongfang, Xu Yongyi, Bai Tian according to deputy chief of the second hospital of Guangzhou Medical Medical Department Zhong Wende introduction, stop the night of pediatric emergency shishuwunai. Recently there are two backbone turnover in March, we have a pediatrician, sent a senior pediatrician to Western aid, a serious shortage of manpower." Zhong Wende said, there is a reason for the hospital to make this decision is, according to the statistics in January of this year, the average daily volume of pediatric emergency department of the hospital is 137 people, while the average daily volume of pediatric emergency night only 12 passengers. Zhong Wende introduced, before this, pediatric emergency night 3 doctors, two doctors on duty the night is the night, under a doctor on duty. Due to shortage of doctors, plus night emergency patients rarely, the hospital was made to suspend the pediatric emergency night clinic. "This is to ensure that the night can have two pediatric doctor on duty." The so-called "emergency, should only take emergency function." Zhong Wende explained that although the hospital posted a pediatric emergency clinic of the night under the cancellation notice, however, if patients come to treatment, or in accordance with the pre diagnosis triage system pre diagnosis and triage, if in case of emergency, inpatient department on duty will promptly to the emergency room with a pediatrician clinic. In addition, Zhong Wende also said that the temporary cancellation of pediatric emergency clinic is not always equal to cancel the night. "We will monitor, once found the night emergency pediatric needs to be increased, especially after the spring, children with flu increases, we will restore the pediatric emergency night." "Bitter, tired, poor mental stress," No.1 Affiliated Hospital of Zhongshan University pediatric professors analysis, first of all, usually the child is sick, acute onset, rapid change, Department of pediatrics is dumb, their children can not say clearly the illness, parents especially nervous, easily emotional control. Therefore, pediatric medical staff work spirit pressure in particular. Secondly, because fewer doctors, patients, work intensity of pediatric staff is particularly large; third, pediatric health care workers with low income. "But why pediatricians treatment does not put up? Because is the loss of pediatric department!" Zhang Hongyu said, children less medication, treatment and operation less difficulty than adult much in foreign income mainly depends on medical technology services. In China, the medical technology service fees will be artificially low. For example, children live.

儿科急诊停诊风波背后:医护盼提高诊金治疗费-搜狐新闻 生病儿童。(资料图)记者苏俊杰 摄   记者调查“儿科急诊停诊风波”的背后:医生护士盼提高诊金、治疗费   猴年春节前夕,“儿科医生短缺危机”再次引发舆论关注。继一个半月前中山大学附属第三医院萝岗院区的儿科急诊停诊后,2月1日,广医二院等三家医院“取消儿科急诊下夜开诊(凌晨2:00~8:00)”的告示,令这场关于公立医院儿科危机的争论推向高潮。   什么原因导致儿科医生的大量流失?有关部门提出的“内科医生转任儿科医生”等办法能否留住儿科医生?广州日报记者就此进行了调查。   文 广州日报记者任珊珊、黄蓉芳 通讯员许咏怡、白恬   据广医二院医务科副科长钟文德介绍,停开下夜儿科急诊实属无奈。“最近有两个骨干儿科医生离职,3月,我们还要派出一名高年资的儿科医生去粤西帮扶,人手严重不足。”钟文德说,让医院做出这一决定的还有一个原因就是,根据今年1月的统计,该院的儿科急诊量平均每天是137人次,而下半夜的儿科急诊量平均每天只有12人次。   钟文德介绍,在此之前,儿科急诊的夜班需要3名医生,上夜值班是两名医生,下夜值班一名医生。由于医生短缺,再加上下夜的急诊患儿很少,医院才做出暂时取消儿科急诊下夜开诊。“这也是为了保证上夜能有两名儿科值班医生。”   “所谓急诊,应该只承担急救的功能。”钟文德解释,医院虽然贴出了取消儿科急诊下夜开诊的告示,但是,如果有患者来求诊,还是会按照预诊分诊制度进行预诊和分诊,如果真的情况紧急,住院部的值班儿科医生会及时来急诊室接诊。   此外,钟文德也表示,暂时取消儿科急诊下夜开诊并非等于永远取消。“我们会随时监控,一旦发现夜班的儿科急诊需要增加,尤其是开春以后,流感患儿增加时,我们会恢复儿科的下夜急诊。”   “苦、累、穷,精神压力大”   中山一院儿科几位教授分析,首先,通常孩子生病,起病急、变化快,儿科是哑科,孩子自己不能说清楚病情,父母特别紧张,也容易情绪失控。因此,儿科的医护人员工作时的精神压力特别大。其次,因为医生少、患者多,儿科医护人员的工作强度也特别大;第三,儿科的医护人员收入低。   “但为什么儿科医生待遇提不上去呢?因为儿科是亏损科室!”张洪宇说,小儿用药少,治疗操作少且难度比成人大得多,在国外收入主要靠医疗技术服务收费。而在国内,医疗技术服务收费就被人为压低。例如,儿科住院病人查房,一个教授、主治加一个住院医师对一个病人查房,每天只收诊金3元;而在香港,查房分别是成人患者收1000港元,儿科患者收1300港元。   医生呼吁提高诊金   为应对儿科医生短缺危机,国家卫计委先后出台举措,包括降低儿科医师录取分数,内科医生支援儿科。对此举措,医学界并不乐观。“内科直接转儿科属于超范围执业,是违反《医师法》规定的。” 柯志勇教授认为,直接“转岗”会让医疗风险增高。   “要打破儿科医生‘工作累待遇差纠纷多�儿科医生流失,医学生不愿干儿科�部分医院儿科萎缩�留守儿科医生更累纠纷更多’的恶性循环,只能让医生诊金回归其应有的价值。”张洪宇说,按目前国情,一、二甲医院儿科诊金提高到20~30元,三甲医院儿科诊金30~50元才是让儿科不再亏损、留住儿科医生的底线。   越秀区某老牌三甲医院A:近几年来儿科有8人离职,离职者有一半彻底告别医疗行业,有一名被教授们寄予厚望的年轻医生转行去做幼儿园校医。   越秀区某老牌三甲医院B:近年来连续出走儿科医生骨干17人,其中12人于近三年内流失。有3名相继跳槽去广州某高端外资诊所,据称到民营医院的收入是原来岗位的三倍。   天河区某三甲医院A:一连出走7名年轻医生,编制一直没满。目前靠进修医生顶班,但人手依然紧张。   天河区某三甲医院B:因医生离职,分院儿科急诊停诊,总院儿科急诊人手短缺,招聘儿科医生数月未果。   年轻人撤离 儿科靠“老医生”顶着   广医二院儿科急诊室本来需要6名医生,但现在只有5名。钟文德坦承,普通的儿科门诊还返聘了退休的医生才基本满足需要。“我们每年都有1~2名的儿科医生指标,但已连续三年招不到一名儿科医生。”   “你知道我们医院儿科医生的平均年龄是多少吗?”钟文德一脸无奈地说:“41.77岁!而儿科急诊医生的平均年龄,更是达到了42.25岁。”   “有些儿科医生重新考取皮肤科、康复科等执业资格,这已经不是‘人才的正常流动’,因为儿科只流出,不流入。”中山一院儿科张洪宇副主任医师说,流失的医生以年轻骨干居多,且相当多离职的医生彻底告别了医疗行业。   据广医三院医务科相关人员介绍,该院的儿科医护人员都存在着缺口。该儿科每天的门诊量约200~300人次,但现有儿科医生只有35人,护士60人。不包括儿科急诊的儿科医生,每天出诊儿科门诊的医生是3~5个。如果不限号,每个医生一天都要看70~90个病人。医护人员工作强度比较大,每天都是从早上上班忙到下午1时多,中途经常连喝水的时间都没有。相关的主题文章: