In the two - child age, how did the "children's medical" dilemma break?
Shun Net -
Ji'nan times / > March 4th, Ji'nan The consulting room of pediatric emergency director of MCH hospital is filled with children and parents in Liu Zhigang's consulting room. Reporter Guo Yao photo
with the full liberalization of the two child policy, how to protect children's medical care has become a hot topic for the public. At present, although two children have just been implemented soon, the medical and nursing staff of pediatric and obstetrical departments in hospitals have already felt the surging tide of patients. The overload of workload, the lack of manpower, and the return that are not directly proportional to the cost of the work make the health care workers of the two departments physically and mentally exhausted. Recently, the reporter walked into the first line of Pediatrics and obstetrics clinic in Ji'nan, listened to the pain and joy of doctors and nurses, and felt their busy and helpless.
[obstetric]
the old man is old, the mother is not experienced, the nurse can not be one to one guide.Amp; hellip.amp; hellip
Mother: whether the obstetrics and infant health care teacher can
the moon is not in place, the old man is not around, the baby is faced with the croak, and the novice parents are at a loss and anxious. Amp, hellip.amp and hellip are often performed in obstetrics of many hospitals. A few days ago, some members of the CPPCC members made suggestions on the two sessions of the country. They should set up child health care providers to relieve the shortage of medical resources and provide non medical consultation services by professionals. The voice of Ji'nan residents on the establishment of infant health care division in obstetrics and gynecology is also increasing. Parturients are looking forward to having a full-time child health care provider in public hospitals
Chen Yunqing, 36, is still two months before the birth of the baby. This is her second baby. Although she did not seem to have the condition of having two children, the old man was too old to help, her husband was busy, but considering that he could have a companion after the old age, she still insisted on two children. In fact, when the old age is large, the elderly are still doing well. They can help me. I have not been too fond of it. Now the old man can not help me.
if you are producing a few days of hospitalization, you will be able to give one to one guidance. Knowing that public hospitals did not have this service, she turned her attention to private maternity hospitals. But Chen Yunqing was a little bit out of hearing. Private hospitals have maternal and child care specialists, but the price is quite high. The cheapest package is about 20 thousand yuan, and the advanced package is forty thousand or fifty thousand. For our working class, the price of private hospitals is a little too expensive. Chen Yunqing said.
doctors and parents should not only be born but also have a good old
old man. Chen Yunqing wanted to ask for a month's wife, but when she had 4 months to make an appointment with the pre birth date, it was not found. Housekeeping companies say that because this year is the year of monkey, coupled with the release of the second child, a sister-in-law is hard to find. If you can give birth to children in public hospitals at acceptable prices, it will be perfect for someone to give special care and guidance.
in fact, Chen Yunqing's idea is what many young parents think, and is being paid more attention by many managers and parenting experts. Nie Wenying, the assistant director of the maternal and child health care hospital of Ji'nan, said that there were 16 million births in our country each year. After the opening of the second child, it is expected to be born 19 million -2000 million a year. How to let these children get good growth and development guidance in the early days is an important proposition. Good and good.
Nie Wenying said, according to the ideal state, the health of the newborns, the child, although in the obstetrics, the newborn pediatrician should be checked to the bed in time, and found that the abnormal transfer to the child health care department of the ward of the neonatal department should be timely to the baby, to conduct the assessment of the neurobehavior and to guide the pregnant women after returning home. A series of knowledge, such as children's knowledge.
the status of a nurse in the face of more than a dozen parturient care doctors is also short of
but such a state is not easy to achieve in many public hospitals. Cao Fang, an obstetrician head nurse in a third grade hospital, said that the turbulent maternal tide caused by the dual factors of the monkey year and the second child was unexpected. Since the beginning of this new year, she has not had a day's work, every day is like a war, so tired that the whole people will soon collapse. A steady stream of parturients, and many of them are critically ill, are giving blood tests to a pregnant woman. They will be surrounded by fifteen more mothers and six family members. Now we have 38 beds in our ward, 54 women have lived and 15 nurses, but they have to shift to the baby room and take care of the parturient. Every day three or four nurses face more than 50 parturients, and we are all overloaded.
in this case, Cao Fang admitted that she could not make deep communication with her maternity, and could not do one to one service, so that one pair of ten would be very good. Her statement was also confirmed by another doctor: now, not only pediatricians are missing, but also child care doctors. There are more than ten child care doctors in the Department, 6 people a day, and five or six hundred people outpatient. On average, one hundred people receive hundreds of babies.
Cao Fang says, in fact, maternity care and counseling are also done by obstetric nurses, such as bathing, weighing and directing mothers' breastfeeding, but not in depth. And the nurse's job looks cheap. No matter how busy it is, the nursing cost is always 3 yuan, 6 yuan, 9 yuan, and the night shift is more heavy, but one night, the night shift fee is 60 yuan.
but she has reservations about whether a child health care provider can be established. And do not say that people are not enough, the establishment of child health care teachers will inevitably increase the cost of human resources in the hospital, the hospital is willing to be unwilling, for qualified pregnant women do not recognize, the establishment of the standard is what, this is the problem. Cao Fang said that at present, the way in Peking Union Medical College Hospital is that the hospital has its own training in sister-in-law or nurse, the maternal inpatient is not allowed to accompany the family members, can have a sister-in-law or nurse care, the cost in the hospitalization fee buckle. This method is more effective than other child care providers in hospitals.
[paediatrics]
in the face of parents who do not understand, bonuses are small, pediatrician confessed.Amp; mdash.amp; mdash
sleep at home is better than in the Department sleep and stable
8 in the morning of February 28th, spring chill. On the night shift, she returned to the doctor's lounge. Sun Man's (pseudonym) eyes were full of blood. She collapsed on the bed and was too tired to move. This evening, she continued to receive more than 40 small cases, almost no rest.
Sun Man is a pediatrician, this night's night shift 5 days, after the night shift, then go to the ward to rescue the critically ill children is more common. Seeing a doctor is like a war, a transfusion is like an assembly line, a registration is like buying a ticket for the Spring Festival travel. Under the pressure, it is a serious shortage of pediatrician team, and the pay is not proportional to the reward.
tired one day to see seventy or eighty medical signs, mobile phone 24 hours start
8 in the morning just opened, the hospital pediatric consulting room on the vast crowds of children who come to see the doctor and the parents of accompanying diagnosis. There are people everywhere in the infusion area, waiting area and pharmacy. Some citizens even sit on their own pony tie waiting for the call, which is quite similar to the Spring Festival transportation. The nurses picked up the needle for the children one by one, so busy that they did not even have time to go to the bathroom.
our doctor will enter the state of connecting and turning when he is open. The department outpatient service is seven hundred or eight hundred per day, and a doctor can see seventy or eighty people a day, and the workload can be imagined. Doctors and nurses can not rest as much as possible, do not rest, late work or do not work, it is not possible to transfer the doctor from the ward. Sun Man said she had hardly been on duty for many years. When sitting in the clinic, due to the number of patients, it often delays to 1 o'clock or 1:30 at noon. Sun Man's mobile phone is opened 24 hours a day to prevent hospitalized patients with special circumstances or to contact the emergency at any time, whether it is in the middle of the night or on vacation to get to the hospital. I sometimes do not go home for two days in a row. My child will not change his mind and will not describe himself. Sleeping at home is not as good as sleeping peacefully in the Department.
many young doctors are reluctant to come to pediatrics. Apart from their income, too busy is a big reason. They even don't have time to fall in love. Sun Man said she was too busy to take care of her son, once a son had a fever in the school, and the teacher called her to pick it up, but she was always sitting out in the clinic, and her son didn't wait for her three lessons. For this, the son was sad for a long time and thought that his mother did not love him.
pressure doctors make parents check the doctor's ear
parents who are in an impulsive mood are angry with their doctors when they see their children do not get better soon. They are blamed by their parents for becoming a pediatrician's daily routine. Sun Manceng's eye saw a parent rushed into the office and slapped a medical doctor because the doctor did a check when the child was unidentified. There are other children with diarrhea, the body dehydrated, blood vessels will be flat, the needle is a certain degree of difficulty, a few times can be successful, if you do not understand the parents, the doctor will feel that the doctor is not professional, catch up with angry parents, and not do not play nurses. Parents often query the doctors with the information on the Internet. It is very hard to explain. The lack of trust in the doctors makes us helpless. Sun Man said that Pediatrics has become a high-risk area for medical and patient conflicts and medical violence.
Sun Man said, for pediatricians, the support and understanding of their family members brought them a sense of accomplishment, no less than material gain. Pediatrics is also known as the dumb family. Doctors and children usually have difficulty communicating their illness directly. This is the most difficult part of their work. In pediatric emergency, patients have the longest waiting time. There are too many patients, and most of them are high fever, parents feel impatient is understandable, but the doctor does not have a way, can only continue to compress their needs, do not drink water does not go to the toilet uninterrupted visit.
income is less than thousand yuan from other departments, and I can not recruit
honestly. I sometimes have the idea of job hopping. Sun Man admitted that the severity of the loss of pediatricians was much greater than that of other departments. In a period of time, Ji'nan paediatrics community has been a section of.Amp; lsquo pediatric brain drain.Amp; rsquo, a lot of pediatricians have resigned to the sea, as a drug agent, make a lot of money. It's much more comfortable than the hard and hard days of pediatricians.
the doctor's job hopping, the nurse is more flowing. More than 90% of the nurses in Sun Man's Department of Pediatrics are constantly moving. Who would like to work in pediatrics, work the most and get the least money. Adults in other departments have outpatient medical insurance, and the price range of prescriptions is larger. The children do not have out-patient medical insurance, parents of children are their own money, slightly expensive drugs, parents have opinions. Under normal circumstances, I will earn less than 1000 yuan more than the doctors of other departments, sometimes without bonus, not to mention the Commission of drugs and examinations.
lack of manpower also exists in sun man's hospital. Sun Man said that the scale of Pediatrics in hospitals is quite large, and there are three floors, but there are more than 10 doctors in all hospitals. The Department of Pediatrics has applied to a hospital for several years as a pediatrician, but the hospital has not approved it. Fortunately, 4 people were applied last year, and 2 people were granted. And the Department has always wanted to recruit postgraduate students, and has never been able to recruit. The hospital is pushed to the market, the departments of each department earn their own food, the pediatrics make too little income for the hospital, and every year in the hospital economic efficiency section rank the inverse number, the hospital must not pay attention to, not to talk about the people. For example, adults need to take 2 tablets to take medicine, while children only need half a piece of tablets, and naturally prescribe less. The child who receives the treatment is generally a cold and fever, and can not do a big check. How can we talk about economic benefits?
pregnant mother has said
Yuesao is very difficult to invite. The elders are old and hope that public hospitals can set up full-time child health care teachers.
hospital status
bed
Ji'nan / > Ji'nan / > health care institutions with aptitude for midwifery technical services: 55
163122 maternity beds in more than 2400 maternity beds a year and a three a hospital as an example, for example, bed beds 38 parturients are as high as 54.
nursing child care doctor case: a third class hospital nurse: one person serves more than 10 puerperal child care doctors: one person receives nearly one hundred babies every day.
nursing guidance nursing
salary case: a three a hospital a pair of mother to baby care fee of 3 yuan, 6 yuan, 9 yuan of a night shift of 60 yuan a lot of medical staff reflect, pay and return is not directly proportional.
prediction is affected by the phase and full liberalization of the second child. It is estimated that 2016 will become the new year of birth.
Jia Tanghong, director of Ji'nan Health Planning Commission, said this year that the Ji'nan maternal and child health care center and Ji'nan central hospital are planning to increase the number of obstetric beds. In addition, they will increase obstetric technical personnel through various ways such as introduction, deployment and training. Further popularization and standardization of neonatal asphyxia resuscitation skills, improve the ability of clinical emergency response, and ensure the health of newborns.
a sick child is ill, and the family makes
hospital status
Case: a pediatric physician in a public hospital in Ji'nan: 60
one doctor a day to see nearly 80 small medical numbers overloaded every day. According to the data of the pediatric branch of the Chinese Medical Association, 2 pediatricians in each hospital have left their jobs annually.
pressure, high risk, high income and low paediatric surgeons because
should be patiently explained to parents for each patient over and over again, and being blamed by parents is common. Some doctors say the bonus is more than a thousand yuan less than other departments. According to the Chinese health Yearbook, according to the Chinese health Yearbook, in 2012, pediatricians accounted for only 4.3% of the doctors' practice categories, and only 0.4 pediatricians per thousand children were far below the national average water of 2.06 physicians per 1000 population in the same period. Flat. A pediatric director of a hospital in Ji'nan said that the number of outpatients in the Department of Pediatrics last year was around 200 thousand, and the number of outpatients 30 years ago is only 20% now.
2015 Ji'nan Municipal Health Planning Commission directly under the public recruitment plan, Ji'nan health system plan to recruit 213 people, the pediatric post plan has 21 people, accounting for 1/10, of which the Ji'nan city children's Hospital and the Ji'nan maternal and child health care hospital is a large recruit, respectively 12 and 5 people. On the 5 day of
, Premier Li Keqiang proposed in his government work report that we should speed up the training of general practitioners and pediatricians.