湖南省公立医院2011年无家属病人欠费1亿多元 Public hospital in hunan province in 2011 patients without family owe 100 million yuan

谁来破解“三无病人”救助难题 Who is going to break"3 without the patient"Relief problem

　　来自湖南省卫生厅的数据显示，仅2011年，湖南全省公立医院无家属病人欠费达1.06亿元，全省的卫生院、社区服务中心此类欠费近千万元。省卫生厅规财处处长李兴彪告诉中国青年报记者，新农合保险、大病医疗保险的建立和普及已让此类问题有所好转，之前的情况更为严重。

Data from the health department of hunan province,Only in 2011,Hunan province public hospital patients without family owe $106 million,The province of the hospital/Community service center such owe nearly ten million yuan.Provincial health department rules wealth in LiXingBiao told reporters following the China youth daily,New farmers and insurance/The establishment of medical treatment of a serious illness insurance and popularity have this problem better,Before the situation is more serious.

　　郴州市第一人民医院院长黄仁斌对此颇为头痛。“每年都有一大笔开支，更要耗费很多精力。”2012年8月11日，该院急诊科接诊了一名流浪病人，出现了皮肤溃疡感染、慢性梗阻性肾功能不全、肾结石等病况。按照医院设立的120急救绿色通道要求，医院给予了急救，稳定病人体征。然而，这位陈姓的贵州籍男子病情好转后却没有离开的意思。此后的几个月中，他一直待在医院继续接受治疗，医院已经花费了近万元。

Chenzhou city's first people's hospital of HuangRenBin very headache."Every year there are a lot of money,More to spend a lot of energy."On August 11, 2012,The hospital emergency department accepts a vagrant patients,The skin ulcer infection/Chronic obstructive renal insufficiency/Kidney stones and other complications.In accordance with the 120 hospital set up emergency green channel,The hospital to give first aid,Stable patients signs.However,,The GuiZhouJi man surnamed Chen's condition improved after didn't mean to leave.After few months,He has been to stay to continue receiving treatment in hospital,The hospital has spent nearly $ten thousand.

　　“这还不是我们接到的此类病人中最麻烦的。”郴州市第一人民医院医务部副主任程光全说，2009年年初，一位27岁的江西小伙子因车祸受伤，头部颈部伤势严重。经医院全力抢救，半年康复治疗后，患者开始清醒，院方才知道其家里只有60多岁的老母亲。设法联系患者母亲来郴州后，其母见到儿子惨状，流着泪对躺在病床上的儿子说，实在没有能力带你回家去，转身便要离开。医院赶紧做其思想工作，并安排了专门房子让她居住，但最终这位母亲还是留下儿子独自离去。

"This is not we received such patients in the trouble."Chenzhou city's first people's hospital medical, deputy director of the ChengGuangQuan said,In early 2009,A 27-year-old jiangxi boy was injured in a car crash,Head neck seriously.The hospital to rescue,Half a year after rehabilitation,Patients began to awake,The hospital didn't know the home only 60 s of the old mother.Tried to contact with mother to chenzhou,Mother son see horror,With tears said to the son of lying in bed,Really have no ability to take you home,Turned to leave.Hospital to do the ideological work,And arrange the special house let her live,But in the end, the mother still son leave alone.

　　“我们又给这位患者继续治疗了两个多月，恢复一定活动能力后，再度与其母亲联系。最后院里开了救护车，4个人随行送到了江西。”程光全称，仅送人这一趟的花费就达8000多元，在整个治疗期间，院方垫付了总计近20万元的费用。

"We gave the patients continue treatment for more than two months,Ability to restore a activity,Again with their mother.The hospital opened an ambulance,4 people traveling to the jiangxi province."ChengGuang full name,Only for this time the cost of 8000 yuan,During the treatment period,The hospital paid the total cost of nearly 200000 yuan.

　　该院党委书记尹辉平介绍说，传统上的“三无病人”多是指无身份证、无家属、无钱的病人，以及街头流浪人员。但近年来，他们医院被动接受的有家属但无支付能力的病人也给医院带来了新难题。程光全告诉记者，医院开设的绿色急救通道，每年为“三无病人”支出数十万元，医院大多将此视作一种社会责任。但对医院来说，最麻烦的是要抽出专门人员来对这类人员进行护理，不堪重负。

The hospital party secretary YinHuiPing said,On the traditional"3 without the patient"Many means no id card/No family member/Patients without money,And the street.But in recent years,Hospital of passive acceptance have their families but have no ability to pay of the patient to hospital has brought new problems.ChengGuangQuan told reporters,Hospital first-aid green passage,For each year"3 without the patient"Spending hundreds of thousands of yuan,Hospital most regard this as a kind of social responsibility.But for the hospital,The most trouble is to take special personnel to this kind of care,Heavy burden.

　　为此类问题头痛的不止是郴州市第一人民医院。更多的医院面对无家属病人，都有一肚子苦水。湘雅二医院急诊科负责人透露，他们基本每个月都会遇到遭人恶意遗弃、精神失常、流浪人员和被群众发现且拨打120急救电话后医院收治的急救病人、110送来的伤病员等无家属患者，除了费用外，还容易引发其他的问题。

For such a headache problem is more than chenzhou first people's hospital.More hospitals face no relatives of the patients,There is plenty to bitterness.Xiangya second nd hospital emergency department person in charge said,Their basic meet every month was malicious abandoned/Mental disorders/Homeless and discovered by the masses and call 120 emergency phone of emergency patients after the hospital/From 110 patients and no family,In addition to the cost,Is also easy to cause other problems.

　　尹辉平说，该院曾接收一个被路人送来的、从18楼跳楼的学生，尽管当时人已经不行了，但医院几个科仍忙乎了一晚上，做检查，做治疗，后因病情太重而抢救无效。几天后，学生家属找上门，称医院抢救不力要索赔59万元。

YinHuiPing said,The hospital has sent here by a passer-by/From 18 students to jump off a building on the floor,Although was exhausted,But the hospital a few families still spend a night,Do check,Do treatment,After the rescue invalid due to illness is too heavy.After a few days,Come to students' families,Said poor hospital to claim 590000 yuan.

　　郴州市第一人民医院的负责人表示，有实力的公立医院都会遭遇这样情况，基本是做了好事也不敢吭声，否则会有更多事情摊到头上。除了费用和人力消耗外，手术的签字问题也非常棘手。虽然按照卫生部的规定可以由医务部代为签字，但实际上，这是有风险的。医院出钱出力，弄不好还要摊上官司。

Chenzhou city in charge of the first people's hospital said,With strength of public hospitals will encounter this situation,Basic is to do the good can't utter a word,Otherwise there will be more things out to the head.In addition to the cost and human consumption,The signature of the operation problem is also very difficult.Although in accordance with the provisions of the ministry of health by medical department to sign it,But in fact,It is a risk.For instance, the hospital,Lane is bad to stand on the case.

　　湖南省卫生厅相关人士向记者表示，目前无家属病人救治的大部分费用由医院承担，省里财政基本没有这部分列支，地市则更不乐观。相关人士建议，在公立医院改革时打破这一难题，对于无家属病人等可以由财政列支。“这是个社会问题，应该由政府统筹解决，健全社会救急机制，制定相应的政策，对这类人员的医疗费用进行补贴。否则医院面对这种消耗，会设法从其他病患身上收回，反而加重了其他病人的负担。”(记者 洪克非)

Hunan province health department relevant personage told reporters,Most of the families are not patient treatment fees shall be borne by the hospital,Province finance basic does not have this part of the payment,Cities are less optimistic.Relevant personage proposal,When in the public hospital reform break this difficult problem,For families with no patient, etc can be disbursed by finance."This is a social problem,Should be settled by the government as a whole,Improve the emergency mechanism,Formulate the corresponding policy,For such personnel of medical treatment charge of subsidies.Otherwise the hospital facing this kind of consumption,Will try to recover from other patients,Aggravate the burden of other patients."(The reporter HongKeFei)