记者随机调查七成市民支持开夜诊午诊 但23家三甲医院仅有不到一半开设 Reporter random survey seventy percent citizens support open night diagnostics noon diagnosis but 23 home 3 armour hospital only less than half open

　　对于上班族、学生族、需要年轻人陪同看病的老人们来说，工作日“不是没时间看病，就是有时间也看不上病”。记者街头随机采访市民显示，七成以上表示支持医院开设午间门诊和夜诊。但理想与现实之间的距离究竟有多远？

For an office worker/Students' family/Young people need to see a doctor was accompanied by the old people,Working days"Not don't have time to see a doctor,Is there is time and despises disease".Reporter street random interview people display,More than seventy percent said the hospital outpatient service support to open at noon and night diagnostics.But the distance between the ideal and the reality how far?

　　记者采访了解到，目前只有屈指可数的医院坚持大部分专科在午间和夜间开诊；有的医院目前只保留部分科室开设午诊、夜诊；有的医院甚至已经“偃旗息鼓”。在工作日里，患者能享受到怎样的医疗服务？为此，记者到市内多家医院一探究竟。

Reporters learned,At present, only can be counted on one's fingers hospital adhere to the most junior at high noon and night begin;Some hospitals currently only keep some departments set up noon diagnostics/Night diagnosis;Some hospitals have"11-year old".In the days,Patients can enjoy how to medical service?therefore,Reporters in the city to look at what is more hospitals.

　小调查：医院开午诊、夜诊 超七成市民认同 Small survey:Hospital open noon diagnosis/Night diagnostics super seventy percent citizen identity

　　对于工作日去医院看病的问题，记者随机采访了20位市民。有15人表示“由于工作时间固定，有病需要请假看诊”；4人表示“上班时间自由，可随时看病”；1人表示身体很好，几乎从来没上过医院。

For the problem of working days to go to the hospital,Reporter random interviews with twenty people.15 people said"Due to the time fixed,Sick to leave appointment";Four people said"Free time going to work,May at any time to see a doctor";One person said the body is very good,Almost had never been to the hospital.

　　“如果医院开设午间门诊和夜诊，你怎么看？”有15人表示“支持，有必要开设”，5人认为“没必要，一般不会在这两个时段看病”。

"If the hospital outpatient service open at noon and night diagnostics,What do you think?"15 people said"support,It is necessary to set up",5 people think that"No need to,Generally not in these two period of time to see a doctor".

　　“午诊、夜诊是否要求专家号？”9人表示“不要求”；3人表示“视情况而定，小病不需要专家，特殊病种要求主任或者教授”；8人表示“要求有专家号”，其中有5人表示愿意接受挂号费提高，“毕竟医生牺牲了不少自己的休息时间。”

"Noon diagnosis/Night diagnosis whether to ask ZhuanGuHao?"Nine people said"Does not require";Three people said"depends,Ailment don't need experts,Special diseases or professor, director of the requirements";Eight people said"Require a ZhuanGuHao",There are five people says it is willing to accept the registration fee increase,"After all, the doctor sacrifice a lot of his time to rest."

工作日没时间 普通病人挤占急诊资源 Working days don't have time to ordinary patients use emergency resources

　　10月底一个周五的晚上7时许，罗女士带着女儿芳芳到越秀区某三甲综合医院看急诊。芳芳发烧已经两天了，“昨天到急诊科，护士说还没到39℃。病没看上，只能回家休息。今天下午开始高烧，但白天上学不敢请假看病。只能晚上过来看急诊。”从事服务业的罗女士无奈地告诉记者，送女儿回家后她还要赶去上班。“如果有午间门诊，我中午就可以带女儿过来。”

The end of October a Friday night at about seven,ROM. Lady with a daughter fangfang to a top yuexiu district general hospital care at an emergency department.Fangfang's had a fever for two days,"Yesterday to the emergency department,The nurse said haven't to 39 ℃.Disease are not,Can only go home and rest.This afternoon began to high fever,But the day school can't leave the doctor.Only night come and see the emergency."Engaged in the service of the ROM lady reluctantly told reporters,Send daughter came home she will get to work."If there is a clinic at noon,At noon I can take my daughter come over."

　　多家医院的急诊科都反映，特别是在夜间，急诊资源经常被非急诊病人占用。以广州医学院附属第二医院为例，前一天下班后到翌日上午8时这一时间段内，急诊就诊者约有200人，高峰期可达400人。“医院人手肯定是不够。”该院急诊科副主任江慧琳坦言，“至少一半以上的急诊就诊病人可以缓到第二天再看专科”。但是，医院不能剥夺患者看病的权利，但接纳该部分病人又会造成本来有限的急诊资源被占用。

Several hospital emergency department reflect,Especially in the night,Emergency resources are often not emergency occupancy.In the 2nd affiliated hospital of guangzhou medical college as an example,After work the day before to the next day morning 8 this period,Emergency issued about 200 people,Peak can be up to 400 people."Hospital hands must be not enough."Deputy director of the hospital emergency department JiangHuiLin said,"At least more than half of the emergency clinic patients could be delayed until the next day to look at college".but,Hospitals are not deprived of the rights of patients to see a doctor,But accept this part of patient and will cause was limited emergency resources occupied.

23家三甲医院过半没开午诊、夜诊 23 home 3 armour hospital half didn't open noon diagnostics/Night diagnosis

　　针对市民开设午诊、夜诊的需求，近日，记者走访了市内23家三甲医院，其中10家医院开设了夜诊，但其中只有2家是大部分专科投入运作，其余8家医院夜诊只有1~5个科室开诊。另外，有4家医院开设有午间门诊。而午诊、夜诊均没开设的医院有12家。

For citizens to open noon diagnostics/Night clinical needs,recently,The reporter interviewed the city and home 3 armour hospital,The 10 hospital opened the night diagnostics,But of which only two are most specialized operation,The rest of the eight hospitals night diagnosis only 1 ~ 5 departments begin.In addition,There are four hospital outpatient service opened at noon.And noon diagnosis/Night diagnostics are not set up hospital a dozen.

　　上世纪80年代，广州市第一人民医院就开设了夜诊和午间门诊，至今已运行20多年。该院门诊部主任王燕说，目前除了极个别专科不安排值班外，其他科室都安排有1位医生值班，夜诊和午间门诊主要是“专科号”。

In the 1980 s,Guangzhou first people's hospital is opened the night diagnosis and clinic at noon,Now has to run for many years.The hospital outpatient department director wang said,At present in addition to the extremely individual college not arrange duty outside,Other department to arrange one a doctor on duty,In the middle of the night diagnosis and clinic is mainly"College,".

　　不过，“午间门诊和夜诊只占门诊量总数的1%，这实际上没有经济效益。”王燕表示，医院更注重的是社会效益，首先是缓解急诊科的压力，还方便了远路而来的病人；此外，多年来附近部分居民习惯了在午间或者晚间看病。

but,"At noon and night clinic diagnosis MenZhenLiang account for only 1% of the total,This, in fact, no economic benefit."Wang said,The hospital is paid more attention to social benefits,The first is to alleviate the pressure of the emergency,Also makes it easier for long way of the patient;In addition,Some residents near years used at noon or evening to see a doctor.

　午诊夜诊打“专家”牌 医院门庭若市 Noon clinical diagnosis play night"experts"Kind of hospital brand

　　广医二院在上世纪90年代就在多个专科设立夜诊，后来把就诊少于10人的专科夜诊逐渐取消，如今只保留发热门诊和内科夜诊。该院门诊部主任许浦生表示，之所以只剩两个专科的夜诊，是为了避免资源浪费。因为除了门诊医生，还要对导诊、挂号、治疗、收费、取药、检验等部门进行人力配置。不过，医院会根据流量、季节和病人的就诊需要，对夜诊和午诊进行“动态调整”。

GuangYi two yuan in the 1990 s in many college set up night diagnostics,Then the medical less than ten people specialized night diagnostics cancelled gradually,Now only keep fever clinic and medical night diagnostics.The hospital outpatient department director XuPuSheng said,Is there are only two college night diagnostics,In order to avoid the waste of resources.Because in addition to the clinic doctor,Also need to DaoZhen/registered/treatment/charge/medicine/Inspection and other departments to human configuration.but,The hospital will according to flow/Season and patients need to see a doctor,To night diagnostics and noon diagnostics for"Dynamic adjustment".

　　位处火车站附近的某三甲医院在多年前曾开设夜诊，但后来由于就诊人数较少，有的科室甚至没有人就诊，因此取消。

Located near the railway station in a hospital many years ago to open night diagnostics,But then a less because of the number,Some departments no one even see a doctor,cancelled.

　　目前多数医院不开夜诊、午诊，主要原因就是投入太大，但午诊、夜诊真的无利可图吗？

At present most hospitals don't open night diagnostics/Noon diagnosis,The main reason is that investment is too big,But noon diagnosis/Night diagnostics really no profit?

　　省中医院乳腺科主任医师刘鹏熙教授从2003年参与夜诊工作至今，一晚平均要看50~60位病人，“夜诊非常饱和。”他还试过把18时开始的夜诊时间提前到17时，最晚时22时才下班。

Provincial hospital of traditional Chinese medicine breast department chief physician, professor LiuPengXi from 2003 to participate in night diagnostics work so far,A late average to see fifty to sixty patients,"Night diagnosis very saturated."He also tried to and at the start of the night time diagnosis in advance when to 17,When the night and had to work in.

　　省中医院门诊质量总监李穗华介绍，午诊、夜诊能分流门诊高峰，同时，很多慢性病病人难以在急诊得到全面诊治，存在自行用药的风险，推行午诊、夜诊也保证了医疗质量和诊治的连续性，降低医疗风险。

Provincial hospital of traditional Chinese medicine outpatient service quality director LiSuiHua is introduced,Noon diagnosis/Night diagnostics can shunt outpatient peak,At the same time,Many chronic diseases patients in the emergency treatment is difficult to be fully,Existing self-medication risk,Implement noon diagnosis/Night diagnosis and to ensure the medical quality and continuity of diagnosis and treatment,Reduce the medical risk.

　　那夜诊和午诊是否会出现门庭冷落的情况？“不会。医院夜诊安排各科2~3名正、副高专家坐诊，内科更有8~10位专家，最大限度发挥专家群体效应。”李穗华说。据统计，大德路总院平时门诊量约11000人/天，夜诊量800~900人/天，午诊和“拖班诊”2000人/天。每位专家每晚能保证有30~40位的就诊量。

That night diagnostics and noon diagnostics will swing in the situation?"Won't.The hospital night diagnostics arrangement under the name is 2 ~ 3/Subtropical high ZuoZhen experts,Medicine is more 8 ~ 10 experts,Utmost develops the expert group effect."LiSuiHua said.According to the statistics,At ordinary times, perfect road institute MenZhenLiang about 11000 people per day,Night diagnosis of 800 ~ 900 people per day,Noon diagnosis and"Drag class diagnostics"2000 people per day.Each experts to ensure every night has 30 ~ forty of JiuZhenLiang.

　　然而，推行夜诊、午诊，“牵一发而动全身”，涉及门诊医生的安排和医院运行体系的调整，不得不考虑成本和管理问题。李穗华表示，除了经济效益，还要考虑社会效益。此外，医院也有“开源节流”的举措，同时夜诊也会推出一些针灸等治疗来吸引病人。

however,Implement night diagnosis/Noon diagnosis,"Domino",The arrangement of the doctor in clinic and hospital operation system adjustment,Have to consider cost and management issues.LiSuiHua said,In addition to economic benefits,Consider social benefits.In addition,Hospital also has"Open source throttling"move,At the same time night diagnostics will also offer some acupuncture therapy to attract patients.

支招患者 Move patients

　　可找住院部医生就诊 Can find in-patient department doctor to see a doctor

　　卫生部2010年2月出台《关于改进公立医院服务管理方便群众看病就医的若干意见》，其中提到“鼓励医务人员积极从事晚间门诊和节假日门诊”，但并未要求强制执行。

The ministry of health issued in February 2010[About the improvement of public hospital service management the convenience of the masses of the hospital several opinions],The mentioned"Encourage medical staff actively engaged in the evening outpatient clinic and holidays",But did not ask for enforcement.

　　“最重要的是把患者的就医需求放在首位，理顺病人不同时间段的就医渠道。事实上，不少医院会采取一种灵活的做法。”广州军区广州总医院门诊部主任杨槐表示，“除了急诊外，非急诊患者在中午和夜间也能就医，患者可以在急诊科挂号或病房护士站挂号，在住院部找到相关的值班医生就诊。”这道不少患者未必知道的“虚掩”的门，也是部分医院解决午间和夜间就诊的“法宝”。

"The most important is the demand of patients go to a doctor in the first place,Straighten out the different period patients go to a doctor channel.In fact,Many hospital will take an agile approach."Guangzhou general hospital of guangzhou military region, director of the outpatient department YangHuai said,"In addition to the emergency,The emergency patients at noon and night can also go to a doctor,Patients in the emergency department registered or ward nurse station registered,In the inpatient department found related to see a doctor the doctor on duty."This way many patients may not know"XuYan"door,Is also part of the hospital at noon and night to solve seeking"weapon".

　　杨槐称，如果没有就医需求，医生白白坐一个晚上，是浪费医疗资源的做法。他认为，只要午间或夜间有一定的患者群，医院都会考虑专门开设相关门诊。(文/记者莫冠婷)

YangHuai says,If there is no medical needs,The doctor sat for a night,Is the practice of medical resources waste.He thinks,As long as at noon or night has certain patient group,The hospital will consider opening related special outpatient service.(Wen/reporter MoGuanTing)