Zhejiang deputies: six descend a medical element explains the difficulty _ news

CNS, Hangzhou, January 20 (reporters and Li Mengqing and and Xu Chuyan)-"Fund voted down, medical equipment, moved down and medical personnel to the sink, bed down, claims ratio leans down, outpatients downward turn. "On in Zhejiang Province, recently held two sessions, NPC deputies suggested six health-related elements" roots "in order to ease the current" difficult "issue.

Clinic expert, long queues, and the corridors and beds, hard to find ... ... In recent years, "difficulty" into many people's heart ache.

"The Chinese world 22% and 2% per cent of the world's health resources. "Zhejiang Provincial people's Congress representative, wenling, Taizhou city, Chinese Medical Center (Group), deans, Director Chen Fuchun analysis, total lack of medical resources is" medical care "is an important reason.

Another set of data showed that medical resources are concentrated in the city of 80%, city and 80% of medical resources are concentrated in large hospitals.

"The allocation of medical resources in urban and rural areas is greatly out of balance", Chen Fuchun also mentioned that the medical demand is rising too fast, the existing medical model the disorder has to a certain extent, led to the "difficult". Meanwhile, doctors and nurses work strength, mental stress, such as high risk, work and irregular, led the medical staff have left the college students do not want to choose a medical specialty, the "second generation" discontinued medical resources, further reduced, prospects are poor.

Challenges how to crack?

He gave six medical-related elements "roots" is next to the grass-roots medical institutions, including funds voted down, medical equipment, moved down and medical personnel to the sink, bed down, claims ratio leans down, outpatients downward turn.

Chen Fuchun suggested, the Government should increase financial input, increasing introduction of private capital and create a good environment for the development of private medical institutions. Moreover, the Government has to play well, "resource allocation", strengthening grass-roots health institutions hardware facilities and personnel. However, he said that in the long term, implementation of "blood", that is, increased government input to the primary health care sector, for grass-roots hospital "tailor-made" medical personnel.

"Hospitals have to clear University Hospital (more than two public hospitals) focused on the stubborn disease, critical illness and treatment, community health service institutions are liable for minor illness, diagnosis and treatment of common diseases and the rehabilitation of chronic diseases. "Chen Fuchun recommendations, Division of labor, orderly visit various hospitals to facilitate outpatients down to reasonable, down into the front door of the hospital. Increase the treatment capacity and quality of hospital at home security is the core, to make people at ease.

In addition, Taizhou, Zhejiang Provincial people's Congress representatives, Hospital Director of Gastroenterology, endoscopy center Ye Liping also quite concerned people, "difficulty", and brought the recommendations on classification system of diagnosis and treatment as soon as possible.

"The current situation is hospital overcrowding and difficult to get a bed, eat grain tax community hospital medical staff, having nothing to do. "Ye Liping recommendation grading system of diagnosis and treatment as soon as possible, is done by community physicians contracted with residents, every doctor is in charge of the household or the number of Family Practice doctors doing community diagnosis and treatment of common diseases, chronic diseases, health care and advocacy, risk reduction. (End text)

(Original title: Zhejiang deputies: six medical elements "roots," explains the difficulty)

(Edit: SN054)
January 20, 2014 China News Network
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浙江人大代表：六个医疗元素下基层破解看病难_新闻资讯

　　中新网杭州1月20日电 (见习记者 李梦清 实习生 徐楚焱)“资金向下投，医疗设备向下搬，医疗人才向下沉，住院病床向下移，报销比例向下倾，就诊病人向下转。”在近日召开的浙江省两会上，人大代表建议六个与医疗相关的元素“下基层”，以缓解目前存在“看病难”问题。

　　门诊排长队、走廊加床位、专家号难求……近年来，“看病难”问题成为不少百姓的心头痛。

　　“中国人口占世界22%，而医疗卫生资源仅占世界的2%。”浙江省人大代表、台州市温岭中医医疗中心(集团)主任、院长陈福春分析，医疗资源总量匮乏是“看病难”的一个重要原因。

　　另一组数据显示，我国有80%的医疗资源集中于城市，而城市中又有80%的医疗资源集中于大型医院。

　　“医疗资源的配置城乡极度不均衡”，陈福春还提到，医疗需求上涨过快、现行就医模式无序也在一定程度上导致了“看病难”。与此同时，医生护士工作强度高、精神压力大、行业风险高、作息不规律等，导致医护人员频有离职，院校学生不愿选择医学类专业，“医二代”断档，医疗资源进一步减少，前景堪忧。

　　难题该如何破解？

　　他给出六个与医疗相关的元素“下基层”即下到基层医疗机构中，其中包括资金向下投，医疗设备向下搬，医疗人才向下沉，住院病床向下移，报销比例向下倾，就诊病人向下转。

　　陈福春建议，政府要加大财政投入，加大引入民间资本，为民营医疗机构的发展创造良好环境。再者，政府要发挥好“资源配置者”的作用，加强基层卫生机构的硬件设施和人才队伍建设。不过，他表示，从长远来看，要实行“造血”，即政府加大对基层医疗机构的投入，为基层医院“量身打造”医疗人才。

　　“医院要分工明确，大医院(二级以上公立医院)专注于疑难病、危重病治疗，社区卫生服务机构则承担起小病、常见病的诊疗及慢病康复。”陈福春建议，各医院应分工协作、有序就诊，促进就诊病人回归理性、向下转入家门口的医院。但提高家门口医院的就诊能力和质量安全是核心，才能让百姓放心。

　　此外，浙江省人大代表、台州医院消化内科、内镜中心主任叶丽萍也颇为关注百姓“看病难”问题，并带来了《关于尽快出台分级诊疗制度的建议》。

　　“目前的状况是大医院人满为患，一床难求，而社区医院医务人员吃公粮，无事可干。”叶丽萍建议，尽快出台分级诊疗制度，具体做法是社区医生与居民签约，每个医生分管一定的家庭或人数，由家庭全科医生做社区常见病、慢性病的诊疗、健康保健和宣传，减少患病几率。(完)

（原标题：浙江人大代表：六个医疗元素“下基层”破解看病难）

（编辑：SN054）
2014年01月20日12:50
中国新闻网
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