由于全市急救资源没联网、急救无标准、老病号压床、患者家属只认某些医院等原因，导致本市出现120把急症患者送到医院后，因急诊没床位不得不继续转院的情况——昨天(19日)，本市一位急诊科医生在网上爆料，一名患者被急救车送了5家医院都未能找到一张急诊留观床位。市卫生局当天表示，正在考虑建设全市急救信息联网系统，届时医院急救床位情况将实时传送到急救中心。

Due to the emergency resources not networking/First aid without/Old patient press/Families with only know some hospitals and other reasons,Cause this city appeared 120 emergency patients to the hospital,For emergency no beds have to continue to turn courtyard - yesterday(19),This city an emergency department doctors in online leaks,A patient is ambulance sent five hospitals have failed to find a emergency staying bed.The municipal bureau of health, said the day,Considering the construction of emergency information network system,The hospital emergency beds will real-time transmission to the emergency center.

紧缺原因一：急救无标准 Shortage causes a:First aid without

　　昨天，东单附近的一家三甲医院的一位急诊科医生在自己的微博上透露，一名患者被急救车送了5家医院都未能找到一张急诊留观床位。而一位120急救人员认为，连续5家医院都没有急救床的情况比较极端，不过120确实曾经遇到过一两家医院都没床的情况。朝阳医院急诊科副主任梅雪在接受采访时说：“我们医院急诊抢救室有16张床位，但是有超过40个病人滞留在急诊；急诊观察室有37张床，滞留的病人达70多人。”

yesterday,Of a nearby hospital emergency department of a doctor in their own micro blog has revealed,A patient is ambulance sent five hospitals have failed to find a emergency staying bed.And a 120 emergency workers think,Continuous 5 hospitals are not first aid bed more extreme,But 120 really once met one or two hospitals didn't bed situation.Chaoyang hospital emergency department, deputy director of the MeiXue said in an interview:"Our hospital emergency intensive-care wards-and 16 beds,But there are more than 40 patients retention in the emergency department;Emergency observation room have 37 beds,Retention of patients up to more than 70 people."

　　据一位不愿透露姓名的业内人士介绍，目前北京市三级医院中大约半数存在急救床位紧张，其中十几家知名三甲医院情况更严重。

According to a did not wish to be named, the personage inside course of study introduces,The present Beijing tertiary hospital about half existing emergency beds nervous,Among them more than ten well-known 3 armour hospital case is more severe.

　　梅雪分析，造成急救床位爆满的原因，一方面是由于人口老龄化带来老年慢性病病人增多，心血管病等急诊病人也相对增多，特别秋冬交替之际，是心脑血管和呼吸疾病突发的高峰期。但急诊室中，也确实有一部分“不急”的病人。“在急诊接诊的患者中，至少有三分之一的病人不需要看急诊，但是由于急诊不受挂号时间限制，不少上班族晚上就到急诊看病。”

MeiXue analysis,Cause the cause of the full emergency beds,On the one hand is due to an aging population brings old age chronic illness patient increased,Cardiovascular disease such as emergency patients is relatively increased,Special qiu dong the alternate,Is cardiovascular and respiratory diseases of the outbreak of rush hour.But in the emergency room,There are part"Don't worry"patients."In the emergency department accepts patients,At least a third of patients do not need care at an emergency department,But because of emergency from registered time limit,A lot of office worker night went to emergency doctor."

　　目前我国没有急诊收治标准，什么情况的病人应该看急诊没有规范。对于急诊究竟该设什么“门槛”，一位三级医院的急诊科医生无奈地表示院方不好判断，“在医患关系比较紧张的当下，医生都怕背‘推诿病人’的黑锅。”

At present our country no emergency patients standard,What circumstance of the patients should see emergency no specification.For emergency should set??????"threshold",A tertiary hospital emergency department doctor helplessly said the hospital bad judgment,"In the doctor-patient relationship more nervous now,Doctors are afraid of back‘Shuffle patients’Boiler of."

紧缺原因二：老病号压床 Shortage causes two:Old patient press

　　业内人士分析，急救床位短缺其实并不完全是由于全市的急救资源少、急救床位配置不够引起的，其根源在于住院床位紧张。据统计，2011年，全国公立医院拥有床位324万张，使用率超过九成；三级医院有床位122万张，使用率为104.2%，且自2008年以来一直保持在100%以上。

Analysis of the personage inside course of,Emergency beds shortage actually not is entirely due to the first aid less resources/Emergency beds caused configuration is not enough,The root cause lies in bed of be in hospital nervous.According to the statistics,In 2011,,The national public hospital has 3.24 million beds,Utilization rate of more than ninety percent;Tertiary hospital has 1.22 million beds,Utilization rate is 104.2%,And since 2008 has been to stay above 100%.

　　目前很多在急诊留院观察、占据床位的病人，病情已进入平缓期，应转入普通病房继续治疗。但很多大医院的住院病床一床难求，非急诊患者需要排一两个月的队甚至要等上半年才能住得进去，即便是急诊患者，一时也难以腾出床位，所以患者只能长期滞留在急诊室，边留观边等床。有的医院仅急诊科的病人压床就达一年以上。

At present a lot of in the emergency department to leave courtyard observation/Occupy bed patients,The illness has entered the gentle period,Should turn to ordinary ward to continue treatment.But many large hospital beds in a bed is hard to find,Non-er patients need exhaust a two months of team in the first half even to wait to live in,Even emergency patients,At that time also difficult to make beds,So the patient can only long-term retention in the emergency room,Edge staying bed edge.Some hospital emergency department patients press only reached more than one year.

　　深究造成医院住院床位紧缺的原因，是由于目前没有建立起治疗、康复、护理相衔接的链条，急缺康复医院和护理医院。北京多数三级大医院拿度过急性期的慢性重症患者“没辙”，由于找不到“下家”，很多度过急性期的行动不便的老年患者只能“赖”在大医院里。

Dig cause hospital beds in reason,Is because there is no established treatment/rehabilitation/Nursing the coherent chain,Urgent lack of rehabilitation hospitals and nursing hospital.Beijing most level 3 big hospitals get through the acute phase of chronic severe patients"Can find no way out",Unable to find"Opponent on the right",Spend a lot of the acute phase of action inconvenience of older patients can only"lama"In a big hospital.

紧缺原因三：家属只认这几家 Shortage three reasons:Family members recognize that only a few

　　其实，急救床位紧张并非所有医院都紧张，供需矛盾突出的集中于十几家大医院，这种紧张在某种程度上也与患者家属的选择有关。

In fact,Emergency beds nervous not all hospitals are nervous,Outstanding contradiction between supply and demand of the focus on more than ten big hospital,This tension in some extent, and with the choice of patients family members about.

　　一位120急救中心工作人员就发现，有时明明知道一家医院没有床位，但家属还是坚决要求把病人送至该医院。“病人点名要去某家医院，我们也没有办法。”其实，急救人员与医院急诊科之间随时保持联系。“我们经常会收到一些医院发来的短信或电话，例如‘安贞医院无床’、‘中日友好医院无床’等，我们把这些信息反馈给患者，但家属还是执意要求去试试运气。”

A 120 emergency center work researchers found,Sometimes know very well without a hospital bed,But families still insist on the patient sent to the hospital."The patient roll call to go to a hospital,We also have no way."In fact,Emergency personnel and hospital emergency departments at any time between keep in touch."We often will receive some hospitals message from or telephone,For example‘Anzhen hospital no bed’/‘The sino-japanese friendship hospital no bed’, etc,We put the information feedback to patients,But families or persistence to try your luck."

　　市卫生局医政处一位负责人坦言，医保报销政策也在一定程度上引导患者看急诊。根据医保报销政策，只要被急诊留院观察，就可以按照住院标准进行报销，比门诊的报销比例要高。

The municipal bureau of health, medical administration place a person in charge said,Medical insurance reimbursement policy to a certain extent, guide the patients to see emergency.According to the medical insurance reimbursement policy,As long as be emergency leave courtyard observation,In accordance with the standard can be in hospital to submit an expense account,Ratio of outpatient expense proportion to high.

　　有医务人员建议全市急救室床位信息能够联网，并实时传送给120急救车。对此，市卫生局应急办负责人表示，本市的确正在考虑建立全市急救信息联网系统。不过急救信息的联网有特殊性，因其变化太快，可能在120运送患者的途中这家医院还有床位，但到达医院时，床位就已经满了。所以这个系统还需要在设计上更加科学和精密。(记者 方芳)

Have medical personnel suggest the first aid room beds information can networking,And real-time transfer to the 120 ambulance.this,The municipal bureau of health emergency do person in charge said,This city is definitely considering the emergency information network system.But first aid information networking distinctness,Because of its changes too fast,May be in 120 patients with carrying on the hospital bed and,But arrived at hospital,Bed to be is full.So this system also need on the design more scientific and precise.(Reporter FangFang)