Monday, September 10, 2012

" it is asked that a bed is difficult " in the obstetrical department How to relieve

" it is asked that a bed is difficult " in the obstetrical department How to relieve
While it is full that staff reporter Sun Gang takes care of much section hospitals of of obstetrical department of the swimming Shanghai, tertiary delivery room of general hospital, but the obstetrical department which some hospitals open is desolate. The statistical data of Municipal Health Bureau reveal, 3300 actual open berths of obstetrical department of the whole city at present, each lying-in woman calculates in 3- 5 days in hospital on average, can meet 230,000 people and give birth to the demand in one year, and the whole city was born in 187,000 people altogether in 2009. Though the total amount of resource of obstetrical department has enough and to spare, the obstetrical department of different hospitals is uneven in temperature. This is that nowadays citizen feel " It is asked that a bed is difficult " Even " it is difficult to give birth to the child " Key point. Have in where the intersection of the northern part and one the intersection of district and central hospital this it will be empty obstetric table, obstetrical ward fit up. It is reported, there are more than 40 this courtyard of obstetric tables last year, it was larger in the district level general hospital, but the rate of utilization of the berth has not been high all the time, wander up and down about 50%. Nowadays because the reason berth of fitting up etc. is reduced to 24, nearly reduce by half, but not " in short supply " ,Moon meet produce in 90-100 people, basically " can grow after coming " . In some district central hospitals located in fringe area, the sick bed of obstetrical department is not tense in turnover, go to a doctor number of people with " Baby boom " Arrival increase accordingly. In addition, there are over 1600 obstetric tables in this city, are mainly distributed in second general hospital, first class hospitals and private medical organizations of some suburb counties. Besides central hospitals of a few districts and outside pregnant and parturient women's par production of public service properties, it is in that there is much obstetrical department of these hospitals " Can't have enough " State. Why is it uneven in temperature The railway carriage or compartment is a berth why is on one side " Rob the broken head " ,But berth idling of railway carriage or compartment on one side? Outwardly, it is the pregnant and parturient women that " vote with the foot " Result. Living standards are generally improved, and " only grow one " nowadays ,It is good that the general others in Shanhai will be chosen the condition naturally, reputation large loud hospital or second section hospital. Even in the areas of outer suburbs, peasants no longer but go to the municipal district hospital to give birth to the child in the commune hospital of the town nearby as before. It is reported, a dozen lie in first class medical organization of suburb county to offer the obstetric table in this city, but often many when being idle, few when being busy. The expert points out, the obstetric table is uneven in temperature, the key still lies in high-quality resources are insufficient, equal competence of melting of development of health undertaking such as mother and child care are not high. First class and even the reason why the obstetrical department of hospital of part second is desolate, because technical force limitation, staffing are insufficient, can only often connect the person who examines natural labor, if pregnant and parturient women cut open the palace and produce or have complication, have to have and rotate; A series of the antenatal one is checked, because the apparatus is limited, the level is inferior to the tertiary hospital, it is obviously one today to bear quality to pay attention to more and more " The soft rib " . Shanghai last year statistics show lying-in woman cut open palace produce already reach 50% - 60% , No wonder large hospital and section hospital will be overstaffed, and there are over thousands of berths in although the other hospitals, but as a statistical total amount figure, in fact not fully give play to the role of shunting rationally. Since in short supply, why not accelerate the development of the obstetrical department in the large hospital? The insider says frankly, the hospital needs to come from my keeping running, developing continuously the income. The obstetrical department has a big risk like pediatrics, the income is low. Dept. of orthopedics, oncology department on the ground as a swarm of bees of many hospitals of nowadays, it is for the generous income of its back to be many, " the condition is insufficient but had too " . In contrast to its distinctness, but the obstetrical department of some general hospitals is shrinking constantly. Get rid of " increment " Also " grade " Municipal Health Bureau says, the public health work of the women and children of Shanghai is accelerating development constantly in recent years, advanced stage that pregnant and parturient women's mortality has kept equal to developed country with the index of neonatal mortality two major for many years. In order to reply" Baby boom " The obstetrical department berth brought is in short supply, this city is in " twelve five " that will implemented soon While planning, on the premise of keeping the total number of obstetrical department berths steady, will increase the obstetric table of large hospital and section hospital appropriately, merge the obstetric table of the first class medical organization and hospital of part second, pass the structural adjustment, realize the resource dilatation of high-quality obstetrical department. The expert points out, " it is asked that a bed is difficult " to really solve obstetrical department ,Also " grade " ,Namely take the road to development in pluralism to citizens' different demands. The intersection of Shanghai and obstetrical department a hard-to-get one the single ward most and specially needs to serve instantly - -Many medium-sized families above income, would rather often have another more several ten thousand yuan, let pregnant and parturient women enjoy " munificent treatment " . But according to the regulation, the hospital be unable to exceed 10% specially needing the proportion, and if the obstetrical department of public hospital is open to specially need more, also certainly will push the already insufficient space, unfair to other pregnant and parturient women's compositions. Propose to this expert, can specially need the public hospital at present to serve " strip " ,Many ways come to improve the obstetrical department to specially need to serve including encouraging private, Sino-foreign joint venture etc., meet the crowds of pregnant and parturient women with the extra need of a part. The public hospital one " With all strength whole-heartedly " The mother and child care task directed against the ordinary crowd, get rid of and expand the resources of high-quality obstetrical department, the more important thing is to strengthen the input to second obstetrical department of general hospital, make its professional skill keep up with the tertiary medical organization gradually, may solve existing the intersection of obstetrical department and full, the intersection of ward and insufficient state, let " born children " No longer become a difficult matter.

|

No comments:

Post a Comment