" The book from heaven " Director of health bureau

" The book from heaven " Director of health bureau can not understand the case history Sigh over the medical ethics and atmosphere question with feeling
Hear of before say with feeling medical ethics and atmosphere and the intersection of hospital and problem of management ", never expect seriously in this way "

Doctor clinic come late leave early, " Number is held " " the bed is held " Collude from both within and without, the doctor " The book from heaven " Even director of health bureau of case history sighs and can not understand by oneself The chief of Guangzhou Municipal Health Bureau was yellow and bright and strong yesterday, Guangzhou the intersection of medical college and the intersection of hospital and the intersection of board of trustee and evergreen to act as a guest director municipal government check unhealthy tendencies and malpractices the intersection of " communicate, have you, decent practice of demarcation line, discuss " and TV programme that host of running etc., face straightly one by one a reporter investigates the medical ethics and atmosphere collected and problem of management of hospital secretly in earlier stage, say with feeling that " heard of before, had never expected seriously in this way " ,Stating outright the hygiene system of Guangzhou need become more meticulous and manage.

Document / reporter He XueHua

The phenomenon one: " the bed is held " " number is held " Collude from both within and without

Mr. Liang's grandson's high fever is quite some time, begin to line up in the hospital at 4 o'clock before dawn for several days, discharge into 10 o'clock everyday, is told without the berth, having no choice, he has to get through " the bed is held " listed outside the hospital door ,Have never expected under the circumstances that it has led, " there is not a berth the first day for year " to do the procedure well within 20 minutes and live in unexpectedly and was known ased In-patient dept.,cost 1000 yuan.

Respond: Plan to realize and book and register and see examining in three years

"Hear of early, has never expected this kind of phenomenon is so serious! " This it is chief of Guangzhou Municipal Health Bureau yellow bright strong first that respond, claim oneself hear, have one the intersection of mountain area and children line up one night too, arrange it until number is crowded and goes by force by the big fellow.

Yellow to say, Guangzhou is discussing to make the hospital of the whole city and make an appointment and register the system at present while being strong while being bright, plan all the intersection of platform and hospital realize, make an appointment, watch, examine within 3 years, " make an appointment, come on, see the doctor 8 o'clock 8 o'clock. " And to the one present at present " The bed is held " , " number is held " The question of colluding from both within and without, he thinks he wants to cooperate with other functional departments, make the special measure to attack, but the internal problem should be solved even more.

The phenomenon two: The doctor comes late and leaves early seriously in clinic

Even able to register, it is irritated that the doctor of seeing the doctor etc. is enough for people. Reporter Lian Ri comes to visit 4 hospitals, find a doctor goes out and examines and not merely " greatly gets late " ,Even not to get to come off duty and catch up with the patient.

Hospital turn on, examine time for afternoon 14: 30~17: 00, But a hospital thoracic surgery clinic 15: 05 doctors will come; Second family 14: 00 full patients of row, the doctor just appears half an hour later too; The third family doctor does not diagnose simply, hide in the therapeutic room the patient of chatting etc. looks for; Fourth 16: 30 doctor move light.

According to investigating live, the patient is too long in most discontented waiting for the time to diagnose the illness, and is dealt with at will when it's one's own turn to see the doctoring.

Respond: Want, divide 50% the intersection of clinic and quantity from large hospital into, flow to the health organ at the basic level

See the reporter investigates the scene taken secretly, the chief of Guangzhou Municipal Health Bureau is yellow and bright and strong to speak and sigh over with feeling: "Late, chat these situations hear of to some extent. " While criticizing the doctor, enough resource a reason too.

In order to solve waiting for the overlong problem in the time to diagnose the illness, yellow bright strong suggestion, the patient staggers in first-class rush hour of morning, week and seeks medical advice.

The phenomenon three: Small careless mistake

On June 15, a patient went to one hospital of Li Gulf district to hold medicine of the infusion for two days, fail once on the same day, take medicines and treats and infuse in hospital only next day, finish, find medicines what oneself need just. Explain, the nurse has not sifted checking in the procedure that checks according to the management system of the hospital according to the hospital.

Respond: 30,000 persons of average daily clinic " Do not make mistakes " It is a hope

Yellow and bright and strong to show, the medical dispute which Guangzhou receives every year or complaining about 1000 letters and visits from the masses, 96% are finished. " we hope that there is not any mistake on the medical behavior " ,But annual clinic 110 million person in quantity like Guangzhou, it sees the doctor to be 3~4 person Wan each day, do not " make mistakes " It can only be a hope to existing systematic management level of medical treatment of hygiene. Hope the hospital summarizes and clears up the loophole, improve the service quality, improve the medical level.

The phenomenon four: Excessive treatment and antibiotic are abused

Cold of Guangzhou citizen Mr. Zhao go to the hospital to see the doctor, though propose taking medicine without having an injection, but the doctor opens two boxes of spore's infusion of very beginning, it is uncomfortable to appear until Mr. Zhao inject, just write a prescription for him to come back home to eat. According to the data that the department of public health of the province offer, every large hospital antibiotic rate of utilization is more than 60%, the medium and small hospital may be more than 70%, but about 30% in the practical rate of antibiotic of American-European developed country.

Respond: Sign the responsibility contract and accuse of the use of antibiotic severely in Guangzhou

It shows, abuse the situation as to antibiotic, antibiotic, there are no relevant statistical data in Guangzhou that yellow and bright and strong. However, Guangzhou really exists and abuses the situation. He thinks, excessive to use antibiotic, will bring a lot of questions to society and patient. According to the arrangement of Ministry of Public Health, Guangzhou will control and abuse antibiotic firmly this year, all medical units of the whole city should sign the responsibility contract, guarantee it according to the standard, according to the need, according to the usufruct, control the use of antibiotic strictly.

The phenomenon five: The case history is lively and vigorous like chicken's intestines

Take over and investigate reporter Lian Ri secretly and come in five or six copies of clinic case history of every large hospital of the whole city, Guangzhou Municipal Health Bureau chief yellow to say frankly enteric word of chicken " understand " really while being strong while being bright ,Guangzhou the intersection of medical college and hospital the intersection of board of trustee and director evergreen to say " oneself can reluctantly think too, but the certain writing is hasty and careless for patient " .

Respond: May solve to reduce 1/3~1/2 of the patients

Evergreen to show, " book from heaven " appears The reason of the case history is that doctor's work load is large, secondly it is that doctor's personal writing ability is bad, and it is one of the solutions that Guangzhou implements the electronic case history of the informationization progressively. Yellow and bright and strong and thinks, it is used to outside getting rid of the work load and young doctor now, and question of doctor's cognition of ones that write, " but tell the truth, reduce 1/3 or patient of half, may solve this problem " .

The phenomenon six: Shine patient's personal secrets

The intersection of citizen and father of Miss Li invite symbol, Professor of dentistry, before the one week, never expect, come out diagnose a disease an intern, still it is facing toward Mr. Li more than 80 years old and take a picture for more than ten minutes to send for another intern, relative and patient say after protesting, the professor has come out, it is once that takes a picture. Finish patting and let them just register and have the tooth pulled out in addition.

Respond: The hospital implements according to making a diagnosis the card is fetched and tested singly

Yellow to think others browse case history test single, the intersection of intern and teaching or leave, fetch the intersection of teaching and the intersection of materials and the intersection of sample,etc. and related to patient's personal secrets situation while being strong while being bright, doing so all the time in the past, but with the enhancement of citizen's sense of self-protection, really put forward the requirement of management of finely melting to hospital. If can't take a photograph of and record patient's exposed health or position without authorization, is used for requesting for agreement to patient in teaching use. Hospitals have already begun to implement according to making a diagnosis in Guangzhou the card is fetched and tested the single new method.

" The book from heaven " Director of health bureau can not understand the case history Sigh over the medical ethics and atmosphere question with feeling