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评论:医生短缺如何保障所有孩子的健康--亲民维稳网络舆情监测室
2013-03-11
全国人大代表、首都儿科研究所病毒研究室主任钱渊表示,根据统计每1000个儿童只有0.23个儿科医生,而发达国家是1.36个。对多个医院进行的抽样调查数据显示,儿科医生的人均日门、急诊量达到每个医生50~60个孩子,在高峰时是100个病人。
The National People's Congress/Capital institute of pediatrics virus research director Qian Yuan said,According to the statistics of only 0.23 per 1000 children a pediatrician,While developed countries is 1.36.For multiple sample survey of hospital data show,Pediatrician door per day/Reach every doctor 50 ~ 60 er visits children,In the peak is 100 patients.
带小孩子去看病,绝对是一件令城市年轻父母生畏的苦差,一个字就是“挤”,两个字就是“排队”。挂号、看病、交款、取药、打针……一轮轮的队排下来,一天就过去了。0.23个儿科医生如何保障1000个孩子健康?不排队才怪。
Take children to see a doctor,Is a formidable task for urban young parents,A word is"squeeze",Two word is"Waiting in line".Registered mail/To see a doctor/The item/Take the medicine/An injection...Rounds the team down,A day in the past.0.23 a pediatrician how to safeguard the health of 1000 children?Don't line up to blame.
“儿科医生荒”冰冻三尺,非一日之寒。原因也并不复杂,直指儿科医生的待遇。儿童病种相对单纯,辅助检查少、用药量比较小;儿科收费相对较低,仅按照成人收费相对减少的原则定价;此外,儿科人力成本高。医院若按科室经济收入定绩效,儿科医生、护士的奖金肯定偏低。
"Pediatrician shortage"freezing,Rome was not built in a day.Reason is not complex,Pointing to a pediatrician.Children's diseases is relatively simple,Auxiliary examination less/The relatively small dose;Pediatric fee is relatively low,Only according to the principle of charging adults relative to reduce pricing;In addition,Pediatric human cost is high.If a hospital performance according to the department of economic income,A pediatrician/The nurse bonus is low.
收入少也就罢了,技术、责任、压力反而更大。现在的孩子,多半是独生子女,父母的掌上明珠,捧在手上怕摔着,含在嘴里怕化了,对医务工作者的要求更高。一些年轻父母见不得孩子受一点委屈,小小纠纷便将其发上微博,闹得满城风雨,给医务工作者造成巨大的困境,“8毛钱治好10万元的病”就是一个典型的例子。
Income is less,technology/responsibility/More pressure.Now the children,Mostly only children,The apple of her parents' eye,On a pedestal is afraid of hurt too much,In his mouth was afraid of,Higher requirement for medical workers.Some young parents hide children suffer a little injustice,Small disputes will be its hair,A disturbance,Cause huge trouble to medical workers,"8 cure RMB 100000 yuan"Is a typical example.
圈内人一语双关地将儿科说成“小儿科”,儿科不但在医院不受重视,其学科地位亦受波及,被视为“鸡肋”。为了拓宽专业面,教育部1998年在《普通高等学校本科专业目录》的调整中,将儿科专业作为调整专业,于1999年起停止招生。随后,中国儿科医生的摇篮纷纷关闭。儿科医生的现实困境,最终通过教育市场化的手段,传导到人才培养层面,而人才供应不足又进一步恶化了短缺情况,使得这个行业陷入恶性循环之中。
Insider punningly pediatric said"pediatric",Pediatric values not only in the hospital,Its subject status also are affected,Is seen as a"Chicken ribs".In order to broaden the marketability,The ministry of education in 1998[Professional directory of undergraduate course of common colleges and universities]The adjustment of,Adjust pediatric specialty as a professional,Stop enrollment since 1999.then,The cradle of Chinese pediatrics doctors were closed.Pediatric doctor's dilemma,Finally by means of marketization of education,Conduction to the personnel training level,And talents are in short supply will worsen the shortage,Make this industry into a vicious circle.
儿科医生短缺,和医疗领域存在的其他问题一样,大多是医疗过度市场化、过度依赖市场手段调解医疗服务关系所致。儿童医疗收费偏少——儿科医生待遇差——没人愿干儿科,利益关系如此赤裸地制造了儿科医生供求失衡,值得医疗管理部门反思。在公众增加医疗支出有限的情况下,儿童医疗保健服务呼唤行政手段的介入,需要公共财政的投入,以缓解医患之间的利益对立关系。
Shortage of pediatricians,As well as other problems of the medical field,Mostly medical excessive marketization/Relying too much on market means relationship caused by the mediation of medical services.Treatment of medical treatment charge less, a pediatrician in children - nobody will dry in pediatrics,Interest so naked to manufacture the pediatrician imbalance between demand and supply,Is worth reflecting in the medical management department.In the public increase in health spending co., LTD,Child health care service calls administrative means to intervene,Need of public finance investment,To alleviate doctor-patient relationship between the conflict.
一方面要增加投入,加强儿童医疗保健服务网络建设,保证二级以上综合医院和县级以上妇幼保健院必须设置儿科,并增加儿童专业医院数量;另一方面,加强儿童健康相关科学技术研究,促进成果转化,推广适宜技术;鼓励儿童专用药品研发和生产,完善儿童用药目录。同时,提高儿科医生待遇,加强人才队伍建设,迅速扭转人才紧缺局面。(练洪洋)
On the one hand, to increase investment,To strengthen the construction of children's medical and health service network,Guarantee level 2 or more comprehensive hospitals and health care of women and children at or above the county level must be set in pediatrics,And to increase the number of professional children's hospital;On the other hand,Strengthen children's health related to science and technology research,Promoting the transformation of achievements,Promotion of appropriate technology;Encourage children's drug research and development and production,Improve children's drugs directory.At the same time,Improve the pediatrician,To strengthen the construction of talent team,Rapid reverse talent shortage.(Practice HongYang)
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