原本规定只能提供一般医疗保健的社区医疗服务站，却开设了产科大肆为孕产妇接生，更设有男科、肝病科、激光碎石手术等专科诊疗，并称“专家常年坐诊”，俨然一家综合医院。

Originally provisions can only provide general health care community health service station,But opened a maternity for maternal deliver,Has also set up by/Liver disease families/Laser surgery for gravel college diagnosis and treatment,said"Experts ZuoZhen perennial",Just like a general hospital.

　　汕头市澄海区一家社区医疗机构，长期存在超诊疗范围经营的现象，当地卫生部门从去年以来开展非法行医整治行动，这家社区医疗却始终“屹立不倒”，究竟有何“猫腻”？羊城晚报记者近日进行了暗访。

In the chenghai district of shantou city a community medical institutions,Long-term existence ultra diagnosis and treatment of the phenomenon of business,The local health department since last year to carry out the action of illegal medical practice,The community medical but always"Not stand",how"issue"?The yangcheng evening news reporter recently on the investigations.

　记者现场暗访 Reporter field investigations

　　社区卫生站开设产房 The community clinic open delivery room

　　位于汕头市澄海区凤翔街道侨兴路的“凤翔社区医疗”，是一栋五层高的建筑，远远就看到大门口上方竖着一块大型广告牌，标明该社区医疗服务站的诊疗范围：“妇科、产科、外科、内科、儿科、中医科”，下方还有一行小字“体外碎石：不开刀、无痛苦、恢复快”。

Located in the fengxiang streets in the chenghai district of shantou city QiaoXing way"Fengxiang community medical",Is a building which five stories of the building,He saw far above the shaft with a large billboard,Indicate the community medical service scope of diagnosis and treatment:"gynecological/maternity/surgery/medical/pediatric/Traditional Chinese medicine department",There is a words below"In vitro rubble:Do not operate on/No pain/Rapid recovery".

　　社区医疗的大厅门口只挂了三块牌子，分别是“澄海区凤翔街道卫生预防保健所”、“澄海区凤翔街道妇女儿童保健中心”和“计划生育服务站”。不过一走进大门，门口有导医人员，二楼各科齐全，还设有泌尿外科、皮肤科、肛肠科等专科门诊。

Community medical hall door just hung up the three sign,were"Chenghai area fengxiang streets health prevention clinic"/"Fengxiang streets in the chenghai district of women and children health care center"and"Family planning service station".But entered the gate,The door has DaoYi personnel,Complete various branches on the second floor,Also has the uropoiesis surgical department/dermatologist/Anus bowel division specialist out-patient, etc.

　　走进三楼产科，该楼层分成两个区域，一边是五六间挂“观察床”牌子的病房，每间病房都住有大腹便便的孕妇，医护值班台的“护理病人一览表”架子上，插着16张病人的护理卡片；另一边则是“产房”，走进去，产房、手术室黑着灯，陈设及配套设备看上去很简陋。

Into the third floor maternity,The floor is divided into two areas,On one side is between 6 to hang"Observation bed"Brand of ward,Each ward live have potbellied pregnant women,Medical duty table"To nurse the sick list"shelf,In the 16 a patient's care card;The other side is"Delivery room",Went in,Delivery room/The operating room with the light black,Display and corollary equipment look very humble.

　　记者以家人要生小孩为由，询问如何向医生咨询，一位年轻女护士说医生下班吃饭去了，然后很热心地询问产妇的状况，并指点“羊水破了或者见红了可以先带过来做B超检查一下。有必要就入院”。记者问可以在这里接生吗，女护士肯定地回答“可以”，记者又问：“到这里生跟去华侨医院(澄海区一家公立医院)生一样吗？”“都一样的，反正都是生孩子嘛，肯定会帮你弄好的。”女护士说。

Reporter by the family to have children by,Ask how to consult a doctor,A young female nurse said doctors to dinner after work,Then it is eager to ask the condition of women,And advice"Amniotic fluid is broken or see red can take over doing B to exceed check.It is necessary to the hospital".The reporter asked can deliver here,Female nurse must answer"can",The reporter also asked:"Born here to go to the overseas Chinese hospital(Chenghai district of a public hospital)As born??""Just as,It's born child,Will help you to send the."Female nurse said.

　　有位年轻男子从病房里出来，走到楼道的休息椅上抽烟，记者上前搭话。该男子称自己的朋友是7日来到凤翔社区医疗生孩子的，剖腹产，目前已经交了4000多元医疗费，“很多人来这里生”。记者问这里的接生条件如何，“一般般吧。”该男子还表示，不清楚有社区卫生服务站能不能提供产妇助产服务的规定。

A young man came out from the ward,Walk to the end of this hall on the chair to smoke,Reporter to strike up a conversation.The man called his friend is 7 fengxiang to community health care of children,Cesarean section,Has made 4000 multivariate medical treatment cost,"A lot of people come here to life".The reporter asked the birth condition,"Just so so!."The man says,Don't know a community health service station can provide maternity obstetric service regulations.

　　记者留意到，到社区医疗三楼产科的病人操外地口音的居多。

Reporter noticed,To community medical third floor obstetric patients operating foreign accent is in the majority.

　　记者从凤翔社区医疗2012年5月的《出生医学证明》发放情况登记表中看到，仅5月份便发放了52份《出生医学证明》，而在当月的产房分娩登记簿里，也是密密麻麻地登记了数十个产妇的分娩情况；另外一份孕产妇保健及婚检月报表中则登记了总共有61名孕产妇入院生产。记者发现：所有的登记表，填报单位均为“澄海区凤翔街道卫生预防保健所社区卫生服务站”，并加盖相应的公章。

Reporters from fengxiang community medical May 2012[Birth medical proof]See release condition registration form,Only 5 months and issued a 52[Birth medical proof],In the month of birth register of delivery room,Registration is encircled the dozens of maternity delivery situation;In addition a maternal care and check-ups monthly report is booked a total of 61 maternal admission production.Reporter discovery:All of the registration form,Unit are provided"Fengxiang chenghai district health prevention street community health service station clinics",And build the corresponding official seal.

　卫生部门回应 Health department response

　　社区医疗不得开设产科 Community medical shall not open maternity

　　记者走访澄海城区，找到另外一家社区卫生服务中心———澄华街道澄华卫生院，同样设有产科，但该院有汕头市卫生局颁发的“定点助产技术单位”牌匾，同时被列入新型农村合作医疗定点医疗机构。记者向该院产科医生咨询生小孩的事宜，当提及凤翔社区医疗时，女医生当即打断记者的话头：“那家是私人承包的，不行的！生产、产检肯定要来医院，那些私人门诊查的都没效果的。”

Reporters visited chenghai city,Find another community health service center -- ChengHua street ChengHua health center,The same with maternity,But the hospital have shantou city health bureau issued"Point the skills of midwifery unit"plaque,As the new type of rural cooperative medical care to nod medical establishment.The hospital maternity doctor consultation for children,When referring to fengxiang community medical treatment,Female doctors immediately interrupted conversation reporters:"That is a private contract,no!production/Production must be inspection to the hospital,The private clinic check of all didn't effect."

　　凤翔社区医疗应该是公立的社区医疗服务机构，承担公共卫生保健工作，怎么就成了私人承包的“医院”呢？记者用网络搜索引擎输入“澄海凤翔社区医疗”的关键词，置顶的便是凤翔社区医疗的网站、导医广告，其自我介绍中强调：“凤翔社区医疗是由澄海区卫生行政部门批准成立的一家集医疗、预防和保健为一体的综合性社区卫生服务机构；现开设有妇科、产科、儿科、中医科、内科、外科、男科……特聘请河南、湖南、湖北、江西等省的市、县级二甲医院一批具有丰富临床经验的副主任医师常年坐诊……”而在澄海城区、城乡接合部，不时可以看到凤翔社区医疗的“生小孩”健康热线广告。

Fengxiang community medical should be public community medical service agencies,Take on the public health care,How to become a private contract"hospital"??Reporter in Internet search engine input"Fengxiang chenghai community health care"keywords,Stickies is fengxiang community medical website/DaoYi advertising,Introduce the stress:"Fengxiang chenghai district of community health care is by the health administrative departments approved the establishment of a set of medical treatment/Prevention and health care is a body comprehensive community health service agencies;Now the courses include gynecology/maternity/pediatric/Traditional Chinese medicine department/medical/surgery/By...Especially appointed henan/hunan/hubei/Jiangxi provincial city/A group of dimethyl hospital at or above the county level with rich clinical experience of doctor of vice director of perennial ZuoZhen..."And in chenghai city/Urban and rural copula,From time to time can see fengxiang of community health care"Have children"Health hotline advertising.

　　据了解，从去年6月份开始，澄海区卫生部门便发文部署开展打击非法行医的工作，其工作重点中，便包括了“严肃查处医疗机构超出登记诊疗科目及跨区域开展诊疗活动的行为”。1月8日，记者联系上澄海区卫生局相关负责人，该局陈姓局长在电话中告诉记者，澄海区打击非法行医的工作是很彻底、到位的，去年以来便查处了190多宗案件。当被问及社区医疗超范围经营的问题时，陈局长肯定地表示“目前没有发现这类情况”。

It is understood,From the start in June last year,Chenghai district department of health will dispatch deployment to crack down on illegal medical work,The work of the key,Will include the"Serious medical institutions and beyond registration medical subjects of diagnosis and treatment and cross area to carry out activities".On January 8,,Reporter contact the relevant person in charge of chenghai district health bureau,The bureau chief, surnamed Chen told reporters on the phone,Chenghai area to combat illegal medical work is very thoroughly/In place of,Last year he dealt with more than 190 cases.When asked about community medical overspray management problem,Chen director certainly said"There is no found this kind of situation".

　　社区医疗能否为产妇接生？1月11日，记者从汕头市卫生局得到明确的说法。一位负责人称，目前汕头全市的社区医疗均是公办的，只能提供计生、预防、内科、妇幼保健等基本医疗服务，不得开设产科业务。“社区医疗机构的审批权、日常监管均在县区卫生局，谁审批谁负责，不过我们属于大部门管理，只要有举报反映并经查实，肯定要依法打击。”该负责人表示。 (记者王漫琪摄影报道)

Community health care for women can deliver?On January 11,,Reporters from shantou city health bureau had a clear view.A responsible person,At present the shantou city community health are the public,Can only provide family/prevention/medical/Maternal and child health care and other basic medical service,Shall not open maternity business."Community medical institutions of rights/Daily supervision are in the area of health,Who approval who is responsible for,But we belong to the big department management,As long as there are reports reflect and after the verification,According to law must be hit."This person in charge said. (Reporter wang diffuse jade photojournalism)