The accident is frequent still can comment the hospital of upper the first second and third- The hospital evaluates that can't do - lifelong system-

The accident is frequent still can comment the hospital of upper the first, second and third- The hospital evaluates that can't do - lifelong system-
Author: Sun, recently, Shanghai according to the intersection of Ministry of Public Health and unified plan, launch the new round of hospital appraise, evaluate by Gang, Yong Gu, will finish promoting the tertiary and reexamination work of third grade hospital in the hospital of part second within the year. Generally speaking, the highest medical quality of the tertiary representatives of first rate hospital. But the real one is when see the doctor and see a doctor, a few " the first, second and third " that many citizens think Fall short of the reality: The malpractice happens again and again, even some low-grade mistakes are often performed. The tertiary hospital grades again, could accomplish around this core of medical quality, does not go through the motions, let the patient really rest assured? The hospital evaluates that can't do " The lifelong system " According to " hierarchical management of the hospital ", the hospital of our country is divided into three ranks, is divided into several grades again rank three. The first class hospital is the hospital or the community health Center of the community, bear community resident's common disease frequently-occurring disease and make a diagnosis and give treatment with the public health service; Second hospital is the medical centre of the area or district level hospital, bear the treatment of the general serious disease; And the hospital also at city level of tertiary hospital, offer the high-level training health care service, and carry out medical higher education, scientific research task, " medicine is taught and ground " Carry on the shoulder. Institute Professor Ma Jin of the public health of Shanghai Communications University says, the hospital grade is managed, it is the need of distributing medical resources rationally. Each performs its own functions in the hospitals at all levels, the patient seeks medical advice hierarchically according to the weight of condition, flow in order. American-European countries basically adopt this kind too " Medical treatment is enclosed " Mode: A medical centre of an area, several nearby subcenters, and every scattered community hospital. In conformity with hospital functions and radiation ability at all levels, the hospital rank is the sign of its comprehensive strength at the same time, and ordinary citizens exactly regard the hospital rank as the range pole, has caught the large first-selected hospital of serious disease. It is reported, the first run hospital of our country evaluates that had finished not commenting again for various reasons over the past 13 years in 1998. Start again this time, inspect once of the capability of existing hospital again. The relevant persons in charge of Municipal Health Bureau say, " accord with the condition and promote, every management not good, medical quality level drops, fail to develop continuously, not reach standard demoting on the delisting. " In the future, every three to five years, will launch periodic evaluation, will break the grade " lifelong system " . It should be that the medical quality and security hospital grade to grade the key again, what do ordinary common people think of this? The reporter has interviewed some citizens at random, answer very much the samely. The hospital should reflect the clinical level of the hospital to grade objectively, offer an authoritative " map of seeking medical advice " to patient ; Represent high-quality tertiary hospital, should fame follows merit, have " gold content " . Somebody proposes sharply, some hospital medical dispute, accident are frequent, and continue keeping in qualification " Tertiary first grade " This signboard? Really, it influences greater medical incident in recent years to review, its spot does not lack the hospital of the first, second and third. Send medicines by mistake from the nurse, mix false medicine to the dispensary, and then gone to the colony courtyard to infect with, the position comes to again to even have an operation and drive by mistake, the thing of letting people not know whether to laugh and cry in patient's belly,etc. that the gauze stays carelessly after the operation, also hear of occasionally. The patient states outright, it is in order that in order to rest assured to get to the hospital of the first, second and third, but often arrange the team for a few hours, the doctor only sees for several minutes, medical care and diagnosing competence but may not be higher than raising, "the first, second and third hospital scale old and people many and medicine your? " Ma Jin says, the domestic hospital grades the authentication similar to the American-European hospital, the ones that were pursued are " The quality of the continuation is improved " . So, though indexes such as scale, scientific research, teaching,etc. are very essential, the key to height of the hospital rank, it should be medical quality and security. Evaluate it is revealed, the new round of hospital evaluates in the test of persons who can stand seeking medical advice, have stressed it to medical quality and requirement of the security. For example set up quality control " a ticket is rejected and made " ,The serious malpractice happens or practise medicine illegally in the hospital the behavior will be demoted soon, if it is a first class first rate malpractice and are fully responsible for, cancel the grade, delist immediately. This evaluation has also introduced JCI for the first time ' The international medical health organ authorizes and unites the committee) The standard, expect to lead hospital and doctor to pay more attention to the medical quality and security through internationally acknowledged patient's safe index system. But the expert says frankly, the existing hospital grades and designs, have certain distances with the expectation of common people. For example the malpractice question which the masses pay close attention to, " become athletes and also become a referee " by Ministry of Health at present . Though the tertiary hospital handle more serious diseases of difficulty, portfolio is by over 10% of the high growth in recent years, the incidence of the accident or dispute will be improved correspondingly naturally. But how about to quantize managing, presume to this one respect medical law as well as accords with " the first, second and third " The standard of the high quality requirement, it is still a blank at present. It is revealed, this time the hospital grades, after the responsible institution makes the standard, are implemented by the employer's organization of the properties of non-government organization specifically. "May be said to assess the mechanism greatly that progresses while introducing the international current third party. " The expert is saying that affirms fully pointing out, still there is strong " semi-official " in the employer's organization at the same time Color, the expert participating in evaluating has countless contacts with every hospital, how guarantee fairness and independence, let, evaluate the intersection of result and must get up for time and citizen and experienced actually test, must also further explore and build the chapter that stand and make, and the persons who mobilize social forces to especially seek medical advice supervise conscientiously.

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