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记者调查儿科医生闹“荒”:医生培养机制欠缺--亲稳网络舆情监测室
2012-08-10
交班、查房、上手术、下手术、出门诊、值夜班……这是广东省某三甲妇幼医院外科医生翁乐之(化名)的工作常态。两年来,他几乎隔天一个24小时班,翌日还得做手术。
Approach to、rounds、On operation、Surgery under、The outpatient service、Night......This is a 3 armour hospital maternity and child of guangdong province WengLe surgeon(aliases)Work normal。Two years,He almost the next day a 24 hour class,The following day also have to be operated on。
像翁乐之这样的年轻儿科医生并不少,由于人手缺乏,他们不得不连轴转,日均睡眠不足6小时。与此同时,家长们有形无形施加在儿科医生身上的压力也较其它专科大。
Like the WengLe such young pediatrician and many,Due to the lack of hands,They had to LianZhouZhuan,Average daily six hours of sleep。At the same time,Parents visibly in children's doctors put the pressure on other specialized subject is also big。
结果,“儿科医生荒”从二级医院到三甲医院大面积蔓延。广东省卫生厅副厅长彭炜表示,截至2011年底,广东只有3家专科儿童医院,儿科床位25445张,儿科医生8072人,平均每千名儿童拥有床位1.44张,儿科医生0.46人。
The results,“Pediatrician waste”From 2 class hospital to 3 armour hospital large area spread。Deputy head of guangdong provincial health bureau PengHui said,By the end of 2011,Guangdong only three specialist children's hospital,Pediatric 25445 beds,Pediatrician 8072 people,Average per children have beds 1.44 copies,Pediatrician 0.46 people。
小病号人满为患 Small patient overcrowded
“不管你是发烧,拉肚子,咳嗽,或者是手足口病,都要等6-8个小时!如果你能等就挂号。不能等,请去其他医院!”
“Whether you are running a fever,Have loose bowels,cough,Or is hand, foot and mouth disease,Have to wait for six to eight hours!If you can wait, you registered。Can't wait,Please go to other hospitals!”
“晚上看病也要等五六个小时,但如果不是急病谁会晚上去医院?”日前,广州市民张女士下班发现儿子高烧至39摄氏度,晚上8点多仍然高烧不退,急忙把孩子带到广州市妇女儿童医疗中心珠江新城院区。
“Night to see a doctor to also have to wait five or six hours,But if not acute disease who will go to a hospital at night?”a,Guangzhou citizens, ms. Zhang from work to 39 degrees Celsius son found a high fever,At 8 o 'clock still fever,Quickly took the children to children's medical center of guangzhou women underwent pearl river new town。
结果从晚上8点多到9点半的号全部挂满。张女士只好带着儿子在一旁等,直到凌晨1点多才排上。“起码百来个病人,但医生就只有2个,过了12点就只剩1个医生,估计全部人看完就到天亮了。”
The results from 8 p.m. to 9:30 number more than all hung。Ms. Zhang had to take son at the side, etc,Until 1:00 a.m. to be on the line。“At least come a patient,But the doctor is only 2,12 points with 1 is a doctor,All people finish see is estimated to dawn。”
记者上周夜间探访该医院,晚上7点走进夜诊大厅已经听到阵阵孩子的哭声。4个诊室外都坐满了人,每当一个小病号从诊室走出,其他人马上围在门口探望;候诊的约有五六十名孩子及家长,孩子大多是三岁以下。
Reporters on the hospital visit last week at night,7 in the evening came into the hall to hear the appointment has night the child crying。4 a clinic outside all full of people,Whenever a little out of office from the sick,Others surrounded in the doorway right away to visit;About 60 waiting young children and parents,Most children under three years。
不仅医生少,护士也不多。
Not only the doctor less,The nurse much。
接诊处只有一名护士,既要登记“小病号”的各种信息,又要为他们检查体温,并负责叫号,还得耐心回答各位家长的问题。在她身后的保安甚至也成为了家长们的“救命稻草”:哪里交钱,哪里量体温,哪个诊室在哪里……
Accepts place only a nurse,Both registration“Small patient”All of the information,And for them to check body temperature,And responsible for your turn,Still have to answer patiently to the parents。Behind her in the security or even become parents“Help straw”:Where to make money,Where temperature,Which clinic where...
患者数量猛增,医生数量有限,这种医患比的失衡决定了病人等待是难以改变的事实,尤其在儿科(如图,曾强摄)。于是不管是妇幼专科医院,还是大型综合医院,儿科的小病号总是排上一长串。
Patients number soared,The doctor a limited number,The patient of the unbalance of the decision than patients waiting is difficult to change the facts,Especially in pediatric(As shown in figure,CengJiangShe)。So whether specialized subject hospital maternity and child,Or large general hospital,Pediatric little patient always row on a long list。
“下午4点多来挂号,等了5个多小时才看上医生,晚上10点半才打上点滴,要打三袋,意味着还要等3个多小时。”在中山大学附属第三医院,扁桃体发炎引发高烧的小俊家人无奈地告诉记者,为了看这个病,全家在医院起码耗上7个多小时。
“How to registered at four in the afternoon,For more than five hours to look the doctor,At half past ten in the evening to a drip,Play three bags,Means have to wait more than three hours。”Affiliated hospital of sun yat-sen university in the third,By high fever of small tonsils told reporters in joon family helpless,In order to see this illness,Family in hospital at least seven hours on consumption。
在广东省妇幼保健医院、中山大学附属第一医院、中山大学附属第三医院、深圳儿童医院的走访中,记者发现儿科积压着大量小病号的现象如出一辙,且长期持续。
In guangdong hospital maternity and child care、Affiliated hospital of sun yat-sen university first、Affiliated hospital of sun yat-sen university third、Shenzhen children's hospital in interviews,Reporter discovery with lots of small patient pediatric backlog of similar phenomena,And sustained long-term。
不少医院的分诊台、科室外还挂出“温馨提示”。如中山三院就曾挂出“急诊儿科患者候诊人数约60人,候诊时间约需6个小时,危重病人优先”;深圳儿童医院还贴出曾被网友广泛关注的“最牛告示”:“不管你是发烧,拉肚子,咳嗽,或者是手足口病,都要等6-8个小时!如果你能等就挂号。不能等,请去其他医院!”
Many of the hospital sorting machine、The department also put up“Warm prompt”。Such as zhongshan use was put up“Emergency pediatric patients has about 60 people waiting,The waiting time need about six hours,Critically ill patient is preferred”;Shenzhen children's hospital is still sticking out of the net friend had been extensive attention“Most cow notice”:“Whether you are running a fever,Have loose bowels,cough,Or is hand, foot and mouth disease,Have to wait for six to eight hours!If you can wait, you registered。Can't wait,Please go to other hospitals!”
据了解,随着流感的阵发高峰、三伏天的热浪滚滚,儿科日夜诊、急诊在各大医院均是人满为患,特别是夜、急诊更为凸显。在广州市妇幼,平均每晚有五六百个病号,两三名值班医生应接不暇;在省妇幼,单是新建的番禺院区的外科也床位紧缺,最近晚上收下的小儿病人得睡到该科室住院部内的过道上,还不包括同样人满为患的新生儿科。
According to understand,With flu in peak of hair、A sizzling heat wave of the dog,Pediatric clinic day and night、In each big hospitals are emergency was packed,Especially the night、Emergency more highlights。In guangzhou to the women and children,Every night WuLiuBaiGe patient is average,Two or three doctors on duty have more;The provincial women and children,Single is new panyu of surgical also underwent beds shortage,Recently the children patients take night to sleep to the department in the inpatient department of the aisle,Not including the same too full of new pediatrics。
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