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部分三甲医院儿科被指沦为摆设 不能输液做检查--亲民维稳网络舆情监测室
2012-12-17

  门前排长龙,患儿频折腾,家长很苦恼—— Door long queues,Messing with frequency,Parents very much distressed --

  医院儿科可别成了“摆设科” Hospital department of pediatrics don't become"Decoration department"

  4个小时、5.5个小时、7个小时……这组时间数字,是最近几位家长带着孩子看病的候诊时间。入冬以来,气温骤降,患儿激增,儿童医院、各区县妇幼保健院和二级医院的儿科门外,孩子的咳嗽声、哭闹声此起彼伏。而一些三级甲等大医院,虽已按卫生部门的要求恢复了儿科,却沦为“摆设科”,既做不了检查也输不了液,有的周末都不开诊。面对就诊高峰,根本帮不上忙。

Four hours/5.5 hours/Seven hours...This group of time digital,Recently several parents take their children to see a doctor's waiting time.Since winter,Air temperature pelter,Surge in children,Children's hospital/Each area county maternal and child care service centre and secondary hospital department of pediatrics door,The child's cough/Crying sound to break out.And some of the big three level of first-class hospital,Although according to the requirements of the department of health has restored pediatric,But a"Decoration department",Not only do the inspection also lose not the solution,Some weekend begin.In the face of a peak,Don't help.

  遭遇 encounter

  守着大医院却输不了液 Keep the big hospital but lose not the solution

  市民赵先生的儿子一直咳嗽,吃药几天不见好,上周末突然发高烧。看孩子直打蔫儿,他赶紧带着孩子奔了医院。紧赶慢赶,差5分钟11时在通州区妇幼保健院挂上了号。

The son of Mr. Zhao citizens have been coughing,A few days to take medicine not good,Last weekend all of a sudden high fever.The children DaNianEr straight,He hurriedly took the children ran the hospital.hurried,Poor 5 minutes 11 in tongzhou district maternal and child care service centre on the number.

  “一看序号,我都绝望了。”赵先生说,手里的号已经排到400开外了,但看看叫号器上的显示,才排到100号。分诊台的值班护士拿过挂号条扫了一眼,便说:“下午下班前来吧,一下午都看不上!”此时,七八个诊室内,医生都没闲着,为患儿看病个个忙得满头大汗。

"A look at number,I despair."Mr Zhao says,His number has already been scheduled to 400 the away,But look at the cry of the device on the display,Just row to no. 100.FenZhen Taiwan clerk received registered a swept one eye,said:"In the afternoon to work it,Were all afternoon!"At this time,Within seven clinic,Doctors are not idle,See a doctor for children are busy full head big sweat.

  与此同时,贺女士也带着生病的孩子到通州区妇幼保健院求医。一见人多,性急的贺女士拉起正在发烧的孩子的手就走了。“我想着潞河医院也有儿科,就奔了那儿。”结果,贺女士在那里遇到的也是一大厅的候诊患儿和家长。

meanwhile,Ms royal also took the sick child to tongzhou district maternal and child care service centre seek medical advice.See more people,Quick-tempered royal lady pull up is a fever of the child's hand and went away."I think lucheng river hospital also have pediatric,It ran there."The results,Ms royal there is a waiting hall children and parents.

  “其实,我们家附近就有一家三甲医院,还有一家二级医院分院,都有儿科,可就是看不了我孩子的病。”她告诉记者,他们家附近的东直门医院东区,儿科只能开药,不能打针输液,检查也只是大夫用听诊器听听肺音。而另一家设有儿科的医院周末干脆没有医生出诊。

"In fact,Near our house there is a hospital,And a secondary hospital branch,Have pediatric,But can't see my children's disease."She told reporters,Dongzhimen hospital near their house east,Pediatric can prescribe,Cannot give or take an injection infusion,Check is the doctor stethoscope and listen to the lung sound.And the other with a pediatric hospital weekend simply no doctor house call.

  

压力 pressure

  儿童医院输液患儿增四成 Children's hospital infusion with forty percent increase

  一进入12月,北京儿童医院的呼吸科就“如期”迎来了就诊的高峰,门诊输液患儿数量日均突破1500人次,较平时增加40%左右。

A into the December,Beijing children's hospital respiratory medicine is"duly"Ushered in the peak to see a doctor,Outpatient infusion with number 1500 people daily breakthrough,A usually increase by about 40%.

  由于输液患儿太多,医院空间有限,导致患儿等候时间长,许多家长神情焦虑。院长倪鑫下令启动应急措施,将输液等候区也临时改为输液区,同时将二层连廊也辟为临时输液区,以增加输液座位。12月4日仅用了不到两个小时,79个座椅和输液吊轨就安装完毕;医院还从心脏中心、耳鼻喉头颈外科、感染科、内分泌遗传代谢中心调配了护士支援输液室,并且启动计时护士制度,每天按时间分四个班次,每班次有两名志愿报名的护士轮值。但即便如此,输液观察室的护士们仍然天天忙得脚不点地,处于超负荷工作状态,听说多名护士已经累得病倒了。

Due to the infusion children too much,Hospital space is limited,Children to wait for a long time,Many parents, looking worried.Dean NiXin ordered start emergency measures,Will infusion waiting area also temporary to infusion area,At the same time, the second floor corridor also into a temporary infusion area,In order to increase infusion seat.On December 4, in only less than two hours,79 seats and infusion crane rail is deployed;The hospital is from the heart center/Ent head and neck surgery/Infectious disease/Endocrine genetic metabolic center allocate the nurse support infusion room,And start the timer nurse system,According to the time points every day four divisions,Every time a two volunteer registration nurse rotation.But even so,Infusion observation room nurse were still busy every day to feet don't,In a state of work overload,Heard that many nurses have tired get ill.

  尴尬 embarrassed

  一个人带孩子看不了病 A man took the kids can't see the disease

  儿科人满为患,不仅因为孩子多,而且哪个宝宝看病都是全家“总动员”。有的一家四五口齐上阵:你看孩子,他负责排队挂号,进进出出,好不热闹。家长们也很无奈:不想都来医院,可一个人带孩子看病,简直就是“不可能完成的任务”。

Pediatric packed,Not only because the child,And what is the family doctor baby"General mobilization".Some a four of five neat go into battle:You see the child,He is in charge of queue up to register,In and out,Very lively.Parents are also very helpless:Don't want to come to the hospital,Can a person take children to see a doctor,It is"Mission impossible".

  上周五一大早,东方医院儿科输液室只有四五个患儿,家长却有十几个,都是替孩子占座来的。“这儿还有座,呆会儿人一多,更不好找地儿了。”一位带孩子的老人麻利地抢到最后两个空位,连忙催促女儿:“赶紧给孩子交费拿药去,别耽误工夫!”

Early in the morning on Friday,Oriental hospital department of pediatrics infusion room only four or five children,Parents have a dozen,For children are accounted for the seat."There is a,A much later,More not seek's room."An old man with the child's brilliant grab the last two vacancy,Hurriedly rush daughter:"To give the child to pay for their medicine,Don't delay time!"

  半小时后,输液室里的孩子越来越多,21个座位坐得满满的。孩子小得有人陪,可怜的家长们或站或蹲,原本狭小的屋子更加拥挤。一会儿,一位两鬓斑白的老太太举着点滴瓶,把孙子扶进了屋,见根本没地儿坐,急得直央求:“哪位好心的叔叔阿姨给我们让个座吧!”直到有人起身,老人才“发狠”地冲孙子说:“明天一定得让你爷爷先来占座。”

Half an hour later,Infusion room children more and more,21 a seat to sit full.The child is too small to be someone to accompany,Poor parents or standing or squat,Originally narrow room more crowded.For a while,A liangbinbanbai old woman holding a bottle,The grandson and into the house,See no place to sit,Urgent to keep:"Which kind uncle aunt to we let a seat it!"Until someone got up and,The old man didn't"Make a determined effort"Rush grandson said:"Tomorrow must let your grandpa come first of seat."

  记者了解到,为了医疗安全,儿科有个特殊规定,即家长不能拿着处方带患儿到社区医院输液,如患儿得了肺炎,家长每天都得到医院履行一遍挂号、看病、开药这套程序。“挂号、交费、取药,每次都要重新排队,每个队都是一条长龙,要是一个人带孩子,又得照顾孩子,又得在人群中挤来挤去,还不得急疯了?”一位家长有感而发。

The reporter understands,In order to the safety of medical treatment,Department of pediatrics has a special provisions,That parents can't take prescription take children to the community hospital infusion,Children such as pneumonia,Parents every day to get hospital once registered/doctor/Prescribe this program."registered/fee/medicine,Every time want to line up,Each team is a long dragon,If a person with children,And to take care of the children,Again in the crowd to squeeze will be squeezed,Still not been mad?"A parents deeply touched.

  分析 analysis

  综合大医院儿科不给力 Comprehensive large hospital department of pediatrics don't give force

  采访中记者发现,儿童医院和各区县妇幼保健院之所以人满为患,是因为很多综合大医院的儿科无法接诊需要进行生化检查和输液的患儿,导致有的家长不得不带着患儿舍近求远,扎堆在那十几家医院就诊。在某医院儿科,医生明确对记者说:“看病可以,但输液不行,我们没有儿科护士,也没有那么细的针头。”

Interview reporter discovery,Children's hospital and each district and county of maternity and child care centers are packed,Because a lot of comprehensive hospitals of the pediatric cannot accepts the need for biochemical inspection and infusion of children,Lead to some parents have to cooperate with the children,Gather together in the dozens of hospital.In a hospital department of pediatrics,The doctor clearly told reporters:"The doctor can,But not infusion,We have no pediatric nurse,Also not so fine needles."

  为了缓解孩子看病难,市卫生部门早在去年就要求所有二级以上综合医院恢复儿科门急诊,分流儿童医院和妇幼保健院的就诊压力,有条件的还应设置病房。到去年年底,全市二三级综合医院已全部设立儿科,其中12家大医院全面恢复儿科。

In order to alleviate the child to a doctor,The municipal public health department as early as in last year requires all secondary above general hospital pediatric this recovery,Split the children's hospital to see a doctor and maternal and child care service centre of pressure,Conditional still shall set up ward.By the end of last year,The second level 3 general hospital has established all pediatric,The 12 big hospital comprehensive recovery department of pediatrics.

  但连日来记者通过暗访发现,有些三甲大医院的儿科水平参差不齐,像同仁医院的儿科门诊就拥有两个儿科诊室和一个抽血室,中午休息时间仍至少有一名大夫坐诊,在接近下午上班的五分钟内,先后有十余名就诊患儿及其家长前来等候。而有的医院儿科设置不健全,在医院的门诊目录和官方网站的科室目录中,根本找不到儿科。

But in recent days reporter through the investigations found,Some of the big three different levels of pediatric hospital,Like tongren hospital of the pediatric clinic has two pediatric clinic and a ChouXieShi,Noon break time is still at least a doctor ZuoZhen,In the afternoon to work five minutes,There have been a more than ten name children and their parents to wait for.And some hospital department of pediatrics set is not sound,In the hospital outpatient service directory and the official website of the department in the directory,Can't find pediatrics.

  上周四下午,记者在西城区的一家三甲大医院看到,虽然门诊楼三层设有一个贴着“儿科”标牌的诊室,但大门紧锁,门边附有一则提示:“儿科患者请到妇产科门诊就诊。”当记者询问能否给一个三岁肺炎孩子看病并采取输液等治疗时,医务人员建议记者转去儿研所或儿童医院:“我们药房儿童的药并不多,急诊也不能给孩子输液,建议您去更专业的儿童医院,以免耽误孩子。”

On Thursday afternoon,Reporter in xicheng district of a large hospital see top,Although outpatient service building three layer with a stick"pediatric"Plate office,But the gate lock,The door with a tip:"Please go to the pediatric patients in the department of obstetrics and gynecology outpatient clinic."When a reporter asked whether they can give a three years old pneumonia children see a doctor and take the infusion treatment,Medical researchers suggest reporter turned to ErYanSuo or children's hospital:"Our pharmacy children's medicine is not much,Emergency can't give children infusion,Suggest you go to more professional children's hospital,Lest delay children."

  业内人士表示,由于儿科经济效益不佳风险又大,不少综合医院儿科大多是为评级或是完成上级的相关要求而设立的。“孩子有个小病小灾还能应付,一旦需要进行复杂检查或精细确诊就露了馅儿。”不少患儿家长呼吁,公立医院应该加强儿科及配套的诊察、治疗科室力量,担负起应尽的社会责任,别让儿科成了“摆设科”。 本报记者 王东亮 贾晓燕 方芳 实习生 杨馨媛

The personage inside course of study says,Due to the economic benefit of pediatric poor risk is big,A lot of general hospital department of pediatrics are mostly for rating or complete superior and the establishment of the relevant requirements."The children have a minor illness can cope with the disaster,Once the need for complicated inspection or fine diagnose will uncover the pie."Many parents called for,Public hospital should strengthen the pediatric and related consulting/Treatment department power,Shoulder due social responsibility,Don't let pediatric became"Decoration department". Our reporter WangDongLiang JiaXiaoYan FangFang YangXinYuan interns


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