The large hospital in the capital does not have vacation the clinic is observed

The large hospital in the capital does not have vacation the clinic is observed
Staff reporter Yan � Small long holidays for June 14, the Dragon Boat Festival first day. Accumulate the puddle hospital in Beijing and register the hall, the patient coming to register and see the doctor jostles each other in a crowd, the number of people is not inferior to on ordinary days. At 30 past 7, the reporter sees, has registered the long team and already marked " register from 4 on festivals or holidays " separately Window zigzag ago arrange to if you can't get, register outside hall. About 1 hour later, 754 pieces of number (including expert's number) On the quilt rapidly " Digest " Lose. Announce formally with scheme of medical reform of Beijing of June 12, some tertiary general hospitals of this market try for the whole year the work without clinic on vacation is further pushed away too. On this action, reporters are interviewing the hospital without clinic on vacation partly. Patients are mostly student and going to work clan's " we forget it is festivals or holidays today. Our couple still talk in whispers on the road, whether the hospital will have a holiday, we will make a trip in vain far away big. Look, came to see suddenly, the clinic of the hospital shone and held. " Aunt Sun of Fengtai district of Beijing couple get to Beijing and accumulate the puddle hospital to register early in the morning if live. Aunt Sun say the intersection of son and the intersection of hand and the intersection of injury and fracture not long ago of her, send hospital to after the emergency call, the doctor adviced for two days and changed dressings later at that time. "Running into that has a holiday in festival, the clinic on vacation. Otherwise on so hot a day, the son is unable to change dressings to endure torture very much. " Go through the similar one with aunt Sun, there are working clan Ms. Zhuang. She tells reporters, all the time, the working clan like her have had " face a difficult choice " to see the doctor to the hospital . First, busy at ordinary times, it is difficult to ask for leave in work hours; Go the hospital diagnose the illness, make, check on weekend or festivals or holidays, generally there are only doctors on duty of emergency calls in the hospital, it is difficult to see experts. "I come will it be over 6 o'clock morning, hang up No. 60 just now. Symbol it want originally it expert will hang,it arrange to a the first 10 pieces generally but expert symbol as,has to hang I by numbers ordinary. So long as can take a fancy to the disease on vacation. " Ms. Zhuang says. Accumulate He Liang, Vice President of puddle hospital, to tell reporters, this institute has analyzed and discovered after the patient's characteristic of going to a doctor on weekend and festivals or holidays in Beijing, most of crowds are student and working clan to go to a doctor, work or can't ask for leave to study busily at ordinary times; Keep, see the doctor or accompany the intersection of old man and person written a prescription to diagnose the illness take major part very much two-day weekend. Hospital design, have clinic to congratulate good to introduce institute this introduce to clinic on vacation does not will it be a whole day, will it be half a day Sunday Saturday 2005 vacation according to the intersection of supply and demand and state. At present, the clinic quantity in sun is about 1000 persons on Saturday, it is 1/4 of clinic quantity everyday of work. May of this year begin, this institute opens clinic on two-day weekend and festivals or holidays. The open department opens as usual on weekend and festival on all is in workday, adjust the intersection of medical personnel and quantity dynamically according to the intersection of patient and quantity, send and examine a doctor as to some the intersection of clinic and the intersection of quantity and loud department again, increase the related auxiliary examination project at the same time, meet demands of seeking medical advice on festivals or holidays of masses. He Liang says: "We took the clinic amount of May of this year and did the contrast last year, found the clinic played a certain role on weekend, the clinic amount rises to 7090 persons of this year from 6295 persons of last year. " Vice President of Ministry of Public Health Chinese-Japan Friendship Hospital Peng MingQiang says, Chinese-Japan Friendship Hospital has been since there was not vacation clinic to pursue in 2006, day the intersection of clinic and quantity during the festivals or holidays, improve to at present nearly 3000 person turning on 1500 person examining, the patient going to a doctor totally during festivals or holidays of every year is up to 200,000 persons. Beijing Chaoyang hospital that has been waiting the clinic in the whole year for 9 years in succession, the serving amount is equivalent to 45%~80% at ordinary times on festivals or holidays day of clinic, the clinic of one day on Sunday is up to 4200 persons sometimes. This Yan Yong, head of the department of medical administration of institute, says, this institute pays a home visit a doctor serves the state investigation to reveal, the quantity is 11.1% of workday on festivals or holidays that the expert pays a home visit, the ordinary number of hanging out on festivals or holidays is 55.6% of workday, the number of expert hanging out on festivals or holidays is 25% of workday. "Not having vacation, the clinic facilitated a patient on the earth very much, the hospital should analyze the relation of demands that resources and the patient seek medical advice of weekend that can be offered conscientiously. " Yan Yong says, takes Beijing Chaoyang hospital as examples, all training nonlocal case of the clinic on festivals or holidays drops, taking local demand as the core, students and the working clan are in the majority; The patient specializing in writing a prescription is in the majority, the auxiliary examination demand is slightly reduced than on ordinary days. These suggestions cure the skill department and can lack some personnel and provide service. "The doctor works strenuously when being flat, originally exist objectively on the doctor resources in short supply. So, have no clinic on vacation to seem particularly important to design according to the supply and demand state. " Yan Yong says, for this reason, Beijing Chaoyang hospital has taken categorised control measures. For example the intersection of advantage and training, the intersection of clinic and the intersection of quantity and loud training strengthen and offer the clinic on festivals or holidays at ordinary times; The demand little trainings of clinic are offered for quite a while or some festivals or holidays, and realize progressively that provides service in a manner to make an appointment and make a diagnosis; The training that some clinic demands are less, department's doctor is seriously insufficient adopts and listens to class' system, register the room and call out the department and provide service to the clinic when the patient seeks medical advice demands. How the doctor dies greatly to arouse the enthusiasm that it has no clinic on vacation that the medical worker happens, also a difficult problem in front of hospital. The doctor says frankly, the overtime work without clinic on vacation is subsidized and inferior to to 1% of the incoming. Also the doctor says, because busy and rare at ordinary times reunites with family, would like to gather with them more during weekend or festivals or holidays. Accumulating the secretary of puddle hospital in Beijing has clear introductions hard, it is the patient that it is oldest and benefited not to have vacation clinic. Though the hospital takes the way in which labor service replenishes to encourage the doctor, the medical worker relies on the self- spirit of utter devotion to meet patient's demands in fact. The reporter knows too in the interview, the clinic on two-day weekend happen without working overtime and subsidizing to some doctors of hospital, just take the measure of break tour to remedy. But to " There is matter in home too " Doctor come because it say, can't change one's shift to get leave later getting more enough obviously. Beijing Municipal Health Bureau cures the policy Qiu DaLong, division chief of and says, in term of the angles of health authorities, can not give and try not to have any economic compensation of hospital or doctor of the clinic on vacation. The doctor especially doctor of the tertiary hospital has also undertaken tasks such as the coordinated cooperation, the public health event happens suddenly to rescuing,etc. besides own work, they will spend weekend break going out and examining, reflect the spirit that the doctor devotes oneself more. The hospital should combine one's own situation, allocate the medical human resources rationally, adjust a medical worker and have holidays by turns dynamically, rehire the retired doctor, in order to meet the masses to see the doctor at break demand of seeking medical advice. The expert has experts to seek medical advice to grade in order to promote the patient to analyze, most key general hospitals and section hospitals of Beijing, it seeks medical advice the patient is not merely limited to the citizens of Beijing. Try, have vacation clinic, though doctor make die greatly, on the intersection of Beijing area and annual 120 million person Examine the delivery volume of quantity and 1,780,000 experts number to look, even arrange for even more doctors to be difficult to resist patient's huge demand of seeing the doctor. So, have no vacation to pursue the final purpose of the clinic is not through the difficult problem of solving ordinary people to see the doctor of this way, "the more important thing is what a medical resource of rational arrangement it is, prevent undue concentration and stand-by of medical resource of medical resources from wasting. " Qiu DaLong says: "We not merely need the hospital through launching measures such as two-day weekend and festival clinic,etc. and expanding service time, improve medical resources and supply ability, need the patient to release the demand of going to a doctor rationally too, cooperate and promote grading and going to a doctor in order, raise the utilization efficiency of medical resources. " In addition, every large hospital of Beijing has already pursued and booked the system of making a diagnosis, the government department calls upon ordinary people to form the consciousness of going to a doctor and making an appointment first, seeking medical advice in order according to condition level progressively, change to wait in the clinic of the hospital in order to wait at home, trying hard to make sure the community examines for the first time and subsequent visit reservation.

|