How is it shoulders second hospital " Shunt " Heavy burden

How is it shoulders second hospital " Shunt " Heavy burden
Staff reporter Yong Sun Gang Gu In order to solve the tertiary hospital emergency case " Press the bed " The phenomenon, Municipal Health Bureau reaffirmed last week: The medical emergency tender is transshipped to the first aid patient, must insist and " send to the institute nearby, fast " Principle. Then, the intersection of door and emergency call go to a doctor peak day such as Linxias, from the intersection of citizen and the intersection of door and close second hospital, how to bear the duty of shunting the patient? How to make a reservation and serve a patient? The reporter interviewed several second medical organization in this city yesterday. Several crowded several of unoccupied tertiary the intersection of door and emergency call of hospital go to a doctor extreme peak, also in the hospital of part second " Perform " . The clinic number of large hospital of China of Xuhui District has increased by 34% compared with the same period of last year, the number of people of the emergency call has increased by 96%, average daily emergency call amount is up to the more than 840th; In only having a infusion room of more than 80 pieces of infusion chair, receive more than 1200 patients every day, the medical personnel " Work day and night " . The central hospital of Putuo district located in northwest corner of Shanghai, emergency call data are even higher than some tertiary hospitals on the door, high day the intersection of clinic and quantity up to 6933 person, the intersection of emergency call and the intersection of quantity and 1695 person most since the August, average daily fluid infusion is up to 3250 persons at most. The east hospital emergency case of city of Yangpu district appears little increasing degree, average daily emergency call quantity is up to the more than 1000th. Big the intersection of director and Jian Yan Hua say coming to go to a doctor patient whether cold generate heat patient mostly, this go to attack the tertiary hospital of difficult and complicated cases mainly while being unnecessary. However, in other second hospital, the house was deserted, the state that nobody shows any interest in is very severe. In one second hospital of northern territory in this city, there is only dozens of in the number of people of the infusion all night, emergency call very crowded other large before midnight such as hospital, fluid infusion indoor but empty and hollow between the the two hospital. Another second hospital is located in the central urban district, because the residents of surrounding area basically move out, doctors have even more than patients sometimes. The homogeneous service is that the key helps the tertiary hospital to shunt a patient, second hospital is duty-bound. The expert says, second hospital should undertake to shunt the important task, can proceed with medical quality, service level two respect. Emergency call ICU quality director of control centre Yang Xing in Shanghai exchanges a professor to think, offers and homogeneous medical treatment of tertiary hospital service for citizen, it is the base of keeping the patient here. At present, there are 112 medical organizations offered medical treatment of emergency call service, more than 30 tertiary hospitals among them in all in Shanghai, the others are all section hospital and the second hospital. Strengthening the disposition with the strength of emergency call constantly, hospital personnel train technology and norm extensively, the hospital improves in every link such as diagnosing, dealing with, using medicine, infusion of emergency call to some extent nowadays; Only from rescuing the respect, the tertiary hospital approaches engineering level of the hospital of part second, citizens can rest assured about the inquiries test nearby. Second hospital makes the service level thoughtfully, it is a large outlet too. In the central hospital in the district of Putuo, in order to guarantee patients are treated and cured as soon as possible, having allocated picked troops and good generals in the courtyard, high age and service seniority doctors are rescuing the room, emergency call to check on every day; The emergency call window of the door strengthens service, strengthen manpower in links such as the preexamination, registering, charging, sending medicines,etc., phenomenon of stopping the patient standing in a long queue. The large ordinary internal medicine department of hospital of China lengthens consulting hour until 7 o'clock at dusk every day, the ward sends two doctors every day, participate in the afternoon emergency call and treat and cure, strengthen and serve strength. Attract the patient by the price of material benefit close to the east hospital of market of Changhai hospital. City east director permit large to show the intersection of door and emergency call of hospital times of expenses most low level all the time in the intersection of Shanghai and all second hospital while being old, ordinary people are willing to come to go to a doctor. Fuzzy must change to make a reservation at present, over 50 second medical organizations of Shanghai develop very differently, some hospital serving amount keeps an equal pace with tertiary hospital, but the portfolio of some hospitals plummets. The insider thinks, it is fuzzy to make a reservation to lead to the fact second hospital develops the unbalanced main crux. Yan Jian says frankly whether second hospital integrates the hygiene centre of the community, or integrate the tertiary hospital, there is not a final conclusion yet at present. Doctor in second hospital, various indexes and tertiary hospitals which promotes the professional title of its do not have obvious difference, " unable to achieve one's heart's desire but unwilling to accept less " Awkward,very easily let brain drain. In addition, non- unified in hygiene centre of the community, the principles of making a diagnosis of second hospital, tertiary hospital, make most patient either choose not cheap, choose reputation to be loud. Give play to " form a connecting link " Second hospital in the efficiency OK ability " Present radiance again " ? The expert proposes: When second hospital is connecting the community, tertiary hospital, its functional demand is being wanted and both had a distinct difference. For example second hospital doctor should train while making a diagnosis and giving treatment at common disease, chronic disease " The exclusive " ,Thus form one's own characteristic. Until from tertiary to second to community " Expert- Training- Complete " Service procedure, the principle of making a diagnosis offered by it should keep unanimity, make the patient perfectly willing and give up the large hospital and go to the small hospital to go to a doctor. Permit oldly largely to think, in order to strengthen the attractiveness of second hospital, can also consider further pulling open the disparity of the fee tertiarily, second to make a diagnosis, lead the patient to make a diagnosis and give treatment nearby with the lever of price.

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