一个儿科医生平均一天要接待一百个患儿。目前在河南，儿童看病难，医生工作量大。造成这种现状的原因就是，儿科医生紧缺。对此，省卫生厅下发通知，要求各省辖市都要建设一所儿童医院。但是，另一个现实是，硬件建起来后，人员从哪里来？

A pediatrician average day will receive one hundred children.At present in henan,Children see a doctor difficult,The doctor workload big.Cause this kind of present situation of the reason for this is that,Pediatricians shortage.this,Provincial health department issued a notice,Request various municipalities are to build a children's hospital.but,Another reality is,Hardware after built,People come from?

现状 status

儿科病房一床难求 Pediatric ward a bed is hard to find

　　3岁的丁丁因感冒引发肺炎，被父母从驻马店带着赶到郑州市儿童医院。到医院后他们发现，这里人满为患。排了一个晚上队后，丁丁才算住进了病房。

3 years old tintin because of cold cause pneumonia,From other areas by the parents with children's hospital of zhengzhou city, arrived.To the hospital after they found,Here people.Row a night after the team,DingDingCai calculate live into the ward.

　　事实上，儿科就诊紧张的并不只有郑州市儿童医院一家。走访中记者发现，在省妇幼保健院、郑州市妇幼保健院、省人民医院、郑大一附院等，儿科门诊都是人满为患。

In fact,Pediatric clinic tension is not only a children's hospital of zhengzhou city.Reporter found that the visit,In the provincial maternal and child care service centre/Maternal and children health care centers of zhengzhou city/Province people's hospital/ZhengDa YiFuYuan, etc,Pediatric clinic are packed.

　　数据表明，省妇幼保健院、郑州市妇幼保健院、郑州市儿童医院三家医院的儿科医生加起来也不到600人，而三家医院平均每天的儿科门诊量加起来却有5000多人。

Data show that,Maternal and children health care centers of provincial/Maternal and children health care centers of zhengzhou city/The children's hospital of zhengzhou city, three hospitals of the pediatric doctor can add up to less than 600 people,And three hospitals on an average day of the pediatric MenZhenLiang but add up to more than 5000 people.

　　儿科医生紧缺已成一个不争的事实，而这种情况，在全国也普遍存在。资料显示，15年来，全国儿科医生仅增加了5000人。

Pediatric doctor shortage has become an indisputable fact,But this kind of situation,In the national is widespread.Data shows,15 years,The national pediatric doctor only increased by 5000 people.

　　在美国，每千名0～14岁的儿童拥有1.36个儿科医生，而我国只有0.26个。按1∶1000的比例估算，我国儿科专业医生缺口逾20万。“即使将美国的儿科医生配置数量的目标减半，未来10年我国每年仍需要增加1万名左右的儿科医师。”中国医师协会副会长、儿科医师分会会长朱宗涵曾在接受采访时表示。

In the United States,Every 0 ~ 14 years old children have 1.36 a pediatrician,And our country only 0.26.According to the proportion of 1:1000 estimated,Our country pediatric professional gap of more than 200000."Even if will be the United States of the pediatric doctor configuration number of target by half,China in the next decade, still need to increase every year about 10000 of pediatricians."The Chinese medical doctor association vice President/Pediatricians club President ZhuZongHan once said in an interview.

原因 reason

纠纷多、待遇低、压力大吓退儿科医生 Disputes more/Low salary/Pressure big scare pediatrician

　　儿科医学硕士毕业后，26岁的小林放弃了去一所二甲医院当儿科医生，而选择了成人内科，“儿科医生纠纷多”。

Pediatric master of medicine after graduation,26 year old Lin gave up to a dimethyl hospital when the pediatrician,And the choice of a adult medicine,"Pediatricians more disputes".

　　“一个孩子生病，经常会有四五个家长陪伴。每个人想法不一样，很容易产生矛盾。”省妇幼保健院生长发育科门诊负责人、内分泌博士王伟已经当了19年儿科医生，谈及儿科医生的工作，她也用了“不容易”三个字来形容。

"A sick child,Often there will be four or five parents to accompany.Everyone thought different,Very easy to produce the contradiction."Provincial maternal and children health care centers of growth and development in out-patient clinic/Endocrine doctor wang wei has been a pediatrician 19 years,About children's doctors work,She also used the"Not easy to"Three words to describe.

　　除了纠纷多外，省妇幼保健院院长张展还给出了另外两个原因：待遇低、压力大。

In addition to the more disputes,Provincial maternal and child care service centre dean kowalski b r. correction also gives another two reasons:Low salary/Pressure big.

　　“孩子用药很少，比如，目前小儿内科平均住院病人花费不到2000元，而成人科室至少要在四五千元。”张展认为，在“以药养医”的制度下，儿科的盈利很少，相应医生的奖金也少。在这种情况下，儿科医生的工作量却比成人医生大，“孩子不能准确描述自己的病情，儿科医生要靠经验来判断，这就无形之中增加了临床工作量”。在张展看来，在同样的病情下，治疗护理一个孩子的工作量是成人的3倍。

"Children rarely use,For example,At present pediatric medicine average inpatient cost less than 2000 yuan,And adult department should be at least four or yuan."Kowalski b r. correction think,in"To raise the medical medicine"system,Pediatric earnings rarely,The corresponding doctor's bonus also less.In this case,Pediatric doctor workload than adults but doctors,"The child cannot accurately describe your illness,Pediatricians should rely on experience to judge,This is aeriform in increased clinical work".In kowalski b r. correction seems,Under the same condition,Treatment nursing a child's workload is three times as much as adults.

对策 countermeasures

建儿童医院重开儿科专业 To build the children's hospital to restart pediatric professional

　　“当前，儿童医院建设是我省医疗服务的薄弱环节。”省卫生厅医政处相关负责人说，基于这种现状，日前该厅特意下发通知，要求原则上每个省辖市建设好一所二级以上儿童医院，有条件的市可以独立建设儿童医院；目前尚未设立的可与市级妇幼保健院合并建设，增挂儿童医院牌子。各县(市)原则上不设立儿童医院，重点加强县(市)人民医院儿科建设，切实完善服务功能。

"The current,Children's hospital medical service in our province construction is the weak link."Provincial department of medical administration in the relevant person in charge said,Based on the present situation,Recently GaiTing have issued a notice,Requirements in principle every cities build a second class above the children's hospital,Conditional city can independent construction children's hospital;At present have not set up with the municipal construction of maternal and children health care centers of merger,Add hang children's hospital brand.counties(city)In principle not to establish the children's hospital,We will focus on developing county(city)People's hospital department of pediatrics construction,To improve the service function.

　　采访中，记者了解到，为拓宽儿科医生的专业面，从1999年开始，我国借鉴美国经验，停止了儿科专业招生，只在研究生培养阶段有儿科专业方向。

interview,The reporter understands,To broaden the range of the pediatrician,Begin from 1999,Our country by learning from the American experience,Stop the pediatric professional recruitment of students,Only in postgraduate training stage have pediatric professional direction.

　　“儿科专业取消后，新的为全国培养儿科医生的机制长期没有建立起来。”郑州大学教务处副处长俞海洋说，儿科并到临床医学专业后，学生们在学习期间以接受成人医疗教学为主，专门针对儿科医疗教学的内容非常少，使得学生对儿科特点和相关知识了解不够，再加上这个专业待遇低、压力大、纠纷多，使得很多学生不愿意从事儿科。俞海洋称，他们也不断接到几个附属医院反映儿科医生紧缺的情况，他们也曾想重开儿科专业，但无奈目前的政策还没放开。 (大河报 记者李晓敏文平伟图 )

"Pediatric professional after cancellation,New for the national culture pediatricians mechanism long-term not established."Zhengzhou university, deputy director of the office YuHaiYang said,Pediatric and to clinical medicine professional after,The students are learning to accept during adult medical teaching primarily,Specifically for the department of pediatrics medical teaching content is very little,Makes the student to the pediatric features and related knowledge is not enough,Plus the professional low salary/Pressure big/Disputes more,Makes a lot of students do not want to be in pediatrics.YuHaiYang says,They also constantly received several affiliated hospital reflect pediatricians shortage situation,They also wanted to reopen pediatric professional,But helpless current policies haven't let go. (The river news reporter LiXiaoMin WenPing wei diagram )