The pediatrics of healthcare hospital for women & children of

The pediatrics of healthcare hospital for women & children of Beijing faces shuffling Heavy " The woman " Light " Young " Become the common fault
"Pediatrics has disease - -The children in Beijing visit the reason in medical difficult position " Series of reports, focus on the in weight " woman " of healthcare hospital for women & children of every county of this city today Light and " young " Lopsided development pattern. Maternity and child care institution pediatrics fall, to a great extent, become the intersection of this city and children seek medical advice difficult accomplice.

131 persons, these are that the healthcare hospitals for women & children of five counties meet the total of examining the infant on day. And the going to a doctor amount daily of BJ Children's Hospital is 6500 persons.

Behind the with a wide gap data, pediatrics in it is the maternity and child care institution of this city is lonely and weak. The healthcare hospital for women & children of every county, originally carry on treating and curing, sanitary important task to the infant of area under one's jurisdiction bearing the weight of, but already ground at various degrees at present " Half incomplete" --Because the profit of gynaecology and obstetrics is high, every healthcare hospital for women & children in weight " woman " Light and " young " ,Pediatrics is desolate day by day, the circumstances cause anxiety.

The maternity and child care institution shuffles again, several is settled.

Visit live

Five healthcare hospitals for women & children

Japan meets and examines only 131 infants altogether

On January 30, the healthcare hospital for women & children of Xuanwu only meets and examines 5 infants in a whole day.

As the first healthcare hospital for women & children of Beijing that was established in 1974, the day of the healthcare hospital for women & children of Xuanwu was unwell, no matter " woman " " young " ," health care " " clinical " ,Their functions are all shrinking day by day. And regard pediatrics as it very, the paediatric ward of the hospital has already been cancelled.

In the face of reporter, Xuanwu the intersection of healthcare hospital for women & children and former the intersection of Vice President and uncle Chen flat for first to sign. At Beijing two Conferences of this year, she stated the ward in strong terms and set up the unreasonable, berth the situation of shrinking seriously etc. has already led to the fact a lot of projects such as health care of children in the maternity and child care institution and medical treatment are unable to develop.

More terrible situation is, in the healthcare hospitals for women & children of other counties, the current situation of valueing gynaecology and obstetrics more than pediatrics is likewise outstanding. Pediatric clinic situation statistics of the healthcare hospitals for women & children of 16 counties reveal, January 30, the healthcare hospitals for women & children and Xuanwu healthcare hospitals for women & children of Chaoyang, Yanqing, Haidian, four counties of Shijingshan, only 8 pediatricians pay a home visit, meet and examine 131 persons totally altogether.

The reporter notices, except pediatric clinic person of the above five hospitals being few and not opening the paediatric ward, have not opened the paediatric ward either in maternity and child care institutions of three counties such as Changping, Mentougou, original Chongwen,etc., meanwhile, compare with obstetrical department and gynaecology with much staffing, with strong technical force, pediatrics seems powerless.

Maximum to connect VS humble Outpatient Area of the examining amount

And the growth of the new developing urban area that one that is with urban population moves outside, the pediatrics demand hurricane of some suburb counties advances by leaps and bounds.

On January 30, the pediatrics of the healthcare hospital for women & children of Tongzhou goes to a doctor and is up to 378 persons, ranks the first place in a contest of healthcare hospital for women & children of county of the whole city 16, but it is here behind that pediatrics is developed and still far thrown by the number of people of visit increased suddenly and violently.

The statistic of the school reveals, the average daily clinic of pediatrics had already topped 800 persons last year, has increased by 4 times compared with 2004, but through " dilatation " two times in succession And then, in the face of being almost 200,000 persons' visit amount completely, compare to whole area of 16,000 square meters of the whole institute, there are the pediatrics examining areas about 800 square meters " Pediatrics " ,Seem humble. Meanwhile, 37 berths take only about 12% of the whole institute's total berth proportion.

Will it be will it be 8:30 morning Monday, reporter see in courtyard this, begin, it registers to be only half an hour from pediatrics, but in infusing in the room, seven or eight parents have held children to line up to wait to puncture already, and is leaving the view room and more than 10 babies are infusing.

At this time, basically have no empty seat in the clinic hall of pediatrics too, besides seasonal influenza, went to a doctor and has not lacked and suffered from the child of the disease of festival in the infant either.

Pediatrics director Cui HuiYing of healthcare hospital for women & children in Tongzhou says, the growth of crowd's blowout type with going to a doctor, originally the visit areas of 3 consulting rooms are after expanding one time, the infant that come to here to go to a doctor " increases accordingly " too ,The number of people doubles up accordingly. No matter the parents of surrounding areas such as suburb of swallow coming because of respect for the fame, Xianghe,etc., the residents of the peripheral community, it is difficult and registering the difficult, in hospital difficult difficult position to face lining up here.

The crux traces to the source

Troika " Lose " Drive

Define the regulation by " management of maternity and child care institution " that Ministry of Public Health issues at the end of 2006, the maternity and child care institution should set up the internal department according to tasks and duties undertaken, among them, the clinical department includes gynaecology, obstetrical department, pediatrics, new born pediatrics, birth control department,etc.. But even to this day, in some maternity and child care institutions of this city, pediatrics has already been totally in the state of the edge, some only depend on a doctor " Keep up appearances " .

Different from present gloomy state, the healthcare hospital for women & children of Xuanwu not merely offers pediatric clinic at the beginning of establishing, there are sick beds of 20 pieces of pediatrics, the pediatrician in the courtyard has the amount of people more than ten too, it is the expert who a patient pursued not to lack among them.

In the intersection of uncle and flat memory Chen, at that time, hospital pediatrics rate of moving in of sick bed higher too, accept much tuberculosis encephalitis, pneumonia,etc. infant for medical treatment, is " heyday " of the pediatrics of the hospital . But since the beginning of the 1990s of last century, after the medical trade was introduced to the market, though every medical organization including healthcare hospital for women & children was still surnamed " common " ,But go on the market-based road respectively, the income situation of every department is tied to personnel's bonus,etc..

"A lying-in woman is from filing in the hospital to produce it in the course of finishing, should accept one kind of inspections of N, among them not lack a lot of available projects at one's own expense " ,The person in charge of maternity and child care institution of one county say, in clinic, no matter check project kind, or medical service price level, gynaecology, and obstetrical department far higher than profit to be low checking project to be little using medicine the intersection of quantity and little pediatrics, in " the economic income determines the department develops " Under the adjustment of the lever, Troika of the maternity and child care institution - -In the woman, produce, child, gynaecology, and obstetrical department raise whip exert oneself hoof, advance side by side, but pediatrics is so mournful as to drop anchor cutting.

This person in charge says, take pneumonia one of the common diseases as examples, in pediatrics, it only has very few several items such as blood routine, liver work to check the project, generally speaking, infant, from admitted to hospitalling to leave hospital, need, cost 2000 to 3000 only, but pneumonia of adult check event to be miscellaneous, the treatment is at least the above in ten thousand yuan too, " a pediatrics monitoring device at fifty or sixty ten thousand yuan, if the infant lacks, can't retract the cost in a year or so " .

Health care and storing the short board clinically

Technical force wither and doctor it runs off a serious one to be malignant to follow in the intersection of patient and small in quantity, pediatrics? Waste to comb chaff and mean occupying and making up = the intersection of drought and mus of compel, let beautiful the intersection of Chinese scholartree and Hui pray the intersection of and latitude flash crisp torr = Lai Qiu is refuted to imitate and punish and fetch and prepare against Yu's frame?

Uncle Chen say maternity and child care institution undertake until at all levels maternity and child hygiene that medical health institution launch serve function checked, examined and appraised to go on in the area under one's jurisdiction not merely while being flat, also carry on the technical training to mother and baby health care, and launch the professional guidance to the medical health institution in the basic unit, offer technical support, "clinical new technology, new renewal of the equipment fast, health care personnel must do, help it launch to the management of organization and guide, work while being clinical often. If only Child Healthcare Dept., having no ward to treat, will limit the development of the health care function undoubtedly, advantage and localization of the healthcare hospital for women & children are just unable to be reflected " .

"Not getting on very well briefly, the function of the healthcare hospital for women & children is clinic and health care, but both different concepts, none of them can be dispensed with, can't replace each other. " Uncle Chen say clinic and health care are different in such aspects as content, development way and the doctor's promotion series of medical care while being flat, if in children's health care, a method to include many kinds of languages train of intellectual development, this is not known by a clinician, but the clinician needs to observe children's condition and adjust the using medicine amount at any time after changing, for health care doctor " Know nothing " .

As numerous infants flock together BJ Children's Hospital and child grind two section hospitals, and two, tertiary hospital pediatrics is shrinking constantly, the pediatrics of the healthcare hospital for women & children fails to escape by luck, most pediatrics clinicians are numerous and complicated " Forsake darkness for light " ,Go to health dept. or administrative department for shelter, this is in insider's view, but " yellow crane has gone for ever " ,it " have getting stricter knowledge of infant's condition and assurance to require because clinician, contact of patient some time, this item ' function ' degradate right away. " It is flat for the old uncle to say.

Therefore a crisis initiated is, without obstetrical department that runs backing of pediatrics, in the face of neonatal rescue, few and calm somewhat.

Some maternity and child care institutions show, produce 200 neonates in its courtyard averagely each time, conduct the situation of rescuing or transferring from one hospital to another on four or five need. As to this, uncle Chen say neonate to suffocate in most common critical situation while being flat, the professional lines of timeliness and apparatus rescued is very important, guarantee needs clinical pediatrics to come. "You had better rescue within one minute, can't exceed 5 minutes at most, it is long, will inevitablely cause the oxygen deficiency in the brain, cause encephalopathy which is short of blood of oxygen deficiency, even die. "

Solve the direction

The pediatrics of healthcare hospital for women & children will be reset

The pediatrics of the maternity and child care institution is developed uneven in temperaturely, what will the localization in the new round of pediatrics of this city is developed and constructed be?

Deng XiaoHong, spokesman of Municipal Health Bureau, showed yesterday, to that existing pediatrics strength has been already stronger, in common people's healthcare hospital for women & children with higher cognition degree, for instance Tongzhou, Shunyi,etc., the Ministry of Health will encourage, support it to develop; In urban area and population less suburb counties, if the local general hospital can already meet local children's visit demand, would not impose it and resume pediatrics, for instance original Chongwen, Shijingshan.

Deng XiaoHong says, the next step, this city will be in the master plan of the medical resources of area, the pediatrics of disposing the maternity and child care institution again is set up, this means, the pediatrics of the healthcare hospital for women & children will face shuffling again, "in a situation that pediatrics develops the advantage, but the pediatrics of healthcare hospital for women & children shrinks seriously in the peripheral general hospital, it is unnecessary to hold on firmly despite extreme adversity, pain, etc. too, but if there is no of the surging pediatrics medical organization in the perimeter, shrinking will resume too again, after all, the public medical organization that the healthcare hospital for women & children is regarded as the government, should meet the masses' demand of seeking medical advice " .

The reporter learns from the healthcare hospital for women & children of Tongzhou, in the new address that has already planned to be finished in the hospital, plan, make, become, have ordinary neonate, serious disease and the intersection of infectious disease and 4 inpatient areas of pediatrics in neonate, comprehensive pediatrics pediatrics, it is about 10,000 square meters that the whole area of pediatric clinic and ward will reach, it is estimated that can meet and examine more than 1000 infants every day. When the time comes, the division of the pediatric clinic department will be more systematic and more overall too.

The healthcare hospital for women & children is heavy " The woman " Light and " young " The change of the current situation, may expect. This edition interviews and writes staff reporter Li QiuMeng

The pediatrics of healthcare hospital for women & children of Beijing faces shuffling Heavy " The woman " Light " Young " Become the common fault