Friday, June 1, 2012

The network spreads the medical level in Shenzhen and ranks the the strategic hinterland of China 2000 doctors and patients' disputes last year

The network spreads the medical level in Shenzhen and ranks the the strategic hinterland of China 2000 doctors and patients' disputes last year
The network spreads the medical level in Shenzhen and ranks the the strategic hinterland of China 2000 doctors and patients' disputes last year
The medical level in Shenzhen is not so good as " The city of the strategic hinterland of China " ? The net friend sends the card to initiate and discuss warmly, the insider claims the whole medical service level in Shenzhen reaches the average level in the provincial capital " Eight mao door " The disturbance has just gone over, a few days ago, the reporter was in Shenzhen news network " I talk about the thing of Shenzhen " Forum at see neither one model such nor until " whether levels medical of Shenzhen last one of the strategic hinterland of China cities even " in title. The net friend " Exquisite and true " Say, can find out the medical level in Shenzhen is not high from the national tertiary first rate hospital list, much less compared with Guangzhou,a lot provincial capital as hinterland than,have a long way to go capital. He regards market, Jiangxi provincial capital Nanchang market, Hubei market, Hunan provincial capital Changsha of Wuhan of provincial capital of Zhengzhou of provincial capital of Henan as the example, these have more than 10 hospitals of the first, second and third. The issuing of the model has caused the discussing warmly of many net friends, some say " The doctor lacks experience " ,Some say " Lack well-known doctor and famous department " ,Others think and " Shenzhen is not the provincial capital " Have something to do. Whether the medical service level of Shenzhen is as net friend says " Not so good as the city of the strategic hinterland of China " ,The intersection of reporter and Ri Lian come, carry on investigation, and development come, find out about medical level of Shenzhen future from the intersection of our city and current situation, insufficient of health care industry. According to trade personage's analysis, medical level, especially the level of the high-quality medical level, mainly relate to the fact that this city solves the level of serious disease, serious disease. In 2010, the public hospital of the whole city will accept the CD -type case (critical case) for medical treatment Proportion improve to 42.4% since 32.8% in 2005. In the same year, the proportion is 1.16% that the basic medical insurance of the whole city effects an insurance in personnel's strange land and seeks medical advice. ,Drop by 64% compared with 2005. Defend the intersection of people and the intersection of committee and relevant director, say, at present while being municipal, " Serious disease does not go out of Shenzhen " Basically realize. " Eleven five " Since, through implementing " It is small " The development strategy of the hygiene, Shenzhen has already established the medical service system of new city that can meet ten million the medical care demands of the above population, the whole medical service level has reached the average level of the provincial capital. Because the construction period of large-scale medical organization is relatively long, it is estimated 5 years later, the high-quality medical resource will increase by a wide margin in our city. Investigate why are quantity less in hospital of a the first, second and third? The intersection of our city and medical the intersection of resource and the intersection of total amount and from defend people's committee, know first group of such data while being municipal obvious insufficient reporter. At present, there are 114 hospitals in all in the whole city, includes healthcare hospital for women children and training and prevent and cure the institute, every a thousand the intersection of people and the intersection of hospital and berth it counts to be 1.58 (2.75 pieces of the whole country) ,Obviously lower than the average national level, medical resources are obviously insufficient in total amount; A thousand the intersection of population and operation more ' Assistant) 1.59 doctors(the whole country is 1.55) ,Every a thousand 1.19 (the whole country is 1.22), registered nurse of people, ,Just reached the average national level. According to efficiency of medical care,it undertake the whole city doctor per person last person as 13.39 (the whole country and than for 5.8) ,Well-above the average national level. Municipal or district, the sick bed rate of utilization of street hospital is 114.8%, 94.4% and 85.0% respectively. This proves medical organization and hospital personnel working intensity and load are relatively large. It has two Shenzhen that can't reach the average level reason there are only first rate hospitals of 6 of third grade at present, among them healthcare hospitals for women children and Peking University Shenzhen hospital of the People's Hospital of Nanshan District, city are the evaluation not passing the department of public health of the province until the past two years, add original city the People's Hospital, second in city the People's Hospital and city institute of traditional Chinese medicine. This figure is obviously unable with hospital of 53 of the first, second and third of Beijing, hospital of 38 of the first, second and third of Shanghai, hospital of 35 of the first, second and third in Guangzhou compares, can not compare with the provincial capital a lot either. Why can not the quantity of hospital of the first, second and third of Shenzhen reach the average level of the provincial capital? Reporter's investigation finds for two reasons. First of all, according to Ministry of Public Health's request in 1998, Guangdong Province suspended evaluation of the hospital grade, just start this year after 12 years, and most medical organizations of Shenzhen, in order to newly build in the past 10 years. Secondly, defend director of people committee HanPing Jiang, disclose, say at the conference in one the intersection of the whole city and the intersection of hygiene and system while being municipal: " Over the last 10 years, we paid special attention to infrastructure construction, stressed the overall arrangement of the medical organization, solve the problem of basic hygiene resources in short, mainly pay close attention to serving the question of efficiency, do not do enough in giving consideration to quality, efficiency, fair and efficiency " . In basic hygiene service, attract attention in the whole country of achievement that Shenzhen obtains, community's hygiene service has been since running in 1996, amounts to 607 in the society health centre that has already built and run at present, has already realized the whole cover of more than 14 million people. Market, district level hospital want Damien " The the first, second and third " Compared with health centre of the society, the construction period of the hospital is much longer. The reporter knows, since 2005, our city begins to plan and regard forming a team in urban function as the unit to dispose the medical centre in the area, the municipal government takes weak area of resource of the former special zone as the focal point, set up and newly build, relocate 9 tertiary hospitals, expand all public hospitals. Defend the intersection of people and committee, cure the intersection of policy and QingWei Liao, division chief of, say Shenzhen want, utilize the intersection of hospital and grade evaluate opportunity that restart while being municipal, realized the promotion of the medical service quality of existing hospital, in 2015, made all cities, district level hospitals reach " The the first, second and third " Level. That our city run with University of Hong Kong together the intersection of University of Hong Kong and the intersection of Shenzhen and hospital ' Namely market strand hospital) The training that will duplicate University of Hong Kong is unyielding, will introduce advanced management system and talent's echelon, strive to turn this hospital into the domestic and first-class, internationally recognized general hospital within 10 years. " Twelve five " During this time, our city will also support the private hospital to be up to standard and first-class, the standard norm evaluated with the grade promotes the intension of the hospital to promote, put forth effort to build several domestic and first-class private hospitals. When the time comes, Shenzhen " The the first, second and third " The hospital quantity will realize in 20 at least it has a tertiary hospital that the function of each city forms a team, increase by 15,000 berths newly, a thousand people doctors count and is up to 2.6 people, a thousand people sick beds count and reach 3.4, basically solve the insufficient problem of high-quality hygiene resource. Investigation 2 what hospital have no chance with Shenzhen " National top ten " ? It needs time to accumulate to build that medicine defends talent's echelon The ones that contrast heat on the network and spread " The large best hospital of the whole country 10 ranks " ,15 respects such as synthesizing, department of nerve internal medicine, department of neurosurgery, dept. of orthopedics, stomatology department, pediatrics, Shenzhen, hospital and an department are listed on board. Review it with neighbouring Guangzhou of Shenzhen, 18 each hospitals list billboards in glory, among them Zhongshan University attaches to first hospital and Guangdong Province the People's Hospital and ranks the second, 9th respectively in the comprehensive rank, gi medicine of the southern hospital of Guangzhou ranks the first with the whole country in the department. It is reported, in recent years, Shenzhen has set up heavily Some disciplines specially engage the post salary distribution system, lead soldiers in according with remarkable talent, national-level or place grade in our city just the discipline backbone of the condition implement the yearly salary system. " We have introduced some remarkable talents of health care field too, but why not is not there the whole country to call the department sounded? " Does municipal a person in charge who defends people's committee reveals to the reporter, this? Guanidine stir �� of Pu my darling the intersection of good fortune and the intersection of shelf and milk faint Wu mix, let out the intersection of Chu and R stir Pu my darling a reed gathers around and admires wink such as �� Long Ping �� last hays peaceful �� bell-shaped percussion instrument, used in ancient time by troops on march Pian stir light legendary bird with poisonous feathers ferment Hui �� s haphazard �� of Pu 1 my darling stir Li of border of duckweed cough to break out vinegar ��� Jian �� s towerings even to hooks exhausted sift �ˮ� of cherry of clump speak after coughing Bluff the source �� of ��'s shell and flatter �� and have jurisdiction over awls toweringly? One fine standard of doctor how much operation he make only, how many patients does it cure, it depends on group he lead break up after he retire, continue, develop, go down. " There are 53 key disciplines of medical science above city level at present in our city In the model, the net friend " fuyongzhen" Say, the principle should be to see a doctor (the department at least) to see the doctor Public praise,but not watch hospital brand size. Besides the hospital quantity, also build dense integral relation with the training in medical service level. Reporter's investigation finds, before this year, there are 53 key disciplines (save key discipline at city level while examining and approving again) of medical science above city level in our city ,Among them there are 5 national clinical key trainings, including the new born pediatrics of healthcare hospital for women children of the city, two hospitals of dept. of orthopedics, Chinese medicine hepatopathy department, market occupational disease precaution clinic occupational disease subject and hand surgery of Shenzhen overseas Chinese hospital of institute of traditional Chinese medicine of market of market. Take new born pediatrics of the healthcare hospital for women children of the city as examples, at present, the incidence that the neonate suffocates is lower than 1.0%, mortality is dropped to 1.6% to suffocate. ,Already been close to the level of developed country, the competence that in a leading position at home. In the construction project assessment of the national clinical key training of this year, the new born pediatrics of healthcare hospital for women children of Shenzhen becomes the only neonate's specialized national-level clinical key training in South China, have offered a brand-new platform for the fact that the neonate of our city treated and cured the promotion of competence. Take shape progressively " Small disease is in the community, serious disease is in hospital " Seek medical advice system defend the intersection of people and the intersection of committee and relevant director, say, in order to accelerate key discipline and medical talent's building of contingent of our city while being municipal, system that our city trains standardization complete doctor, resident, by the end of this year, recruit and reach 1200 totally. Implement senior training doctor, training project of pace-setter in scientific research, choose the young backbone to the domestic and foreign first-class medical organization to receive a training every year. In addition every hospital improve the intersection of teaching and management system, backbone, discipline of subsidy, bring in vain, teach by strip, have improved group's structure of discipline. Our city has continued accelerating the resident, training doctor and training project of pace-setter in scientific research. Meanwhile, start one group of construction plans of key discipline of the advantage, concentrate the medical superior resources of health organ in the whole city, accelerate key discipline group that fosters one batch and has leading position at home, hospital must finish key discipline according to country, the intersection of province and city and key the intersection of discipline and construction plan ' Group) Construction, evaluate in the cycle, key the intersection of discipline and the intersection of construction and getting up to standard 100% in one. Implement in an all-round way " Propose the quality and enlarge " Strategy, take shape progressively " Small disease is in the community, serious disease is in hospital " Seek medical advice by system rationally,separate as training clinic clinic progressively, by 2015, the total amount of the specialized department clinic of large hospital accounts for more than 70% of the total amount of the clinic. Investigate how on earth 3 nursing level in Shenzhen is? The high-quality care walks in the national forefront and as the saying goes, three points of treatments, seven fen is attended to. It is closely linked with the patient's life and health to attend to the level of quality, is influencing the medical quality of the hospital directly. This year, Ministry of Public Health and State Administration of Traditional Chinese Medicine popularize, attend to services while being good in a more cost-effective manner, require " Return the nurse to the patient " ,It is engaged in the clinical nursery work to let the nurse get back to the sick bed to the maximum extent. City the intersection of nurses association and president, municipal Ma XiaoHua, head of the nursing department of the People's Hospital, tell reporters, at present, the tertiary hospital of Shenzhen has already had 80% of the wards that have launched the high-quality care, second hospital has already been up to 50%, there are 40% too in the first class hospital. " And the requiring to launch only in the tertiary hospital of the country and Ministry of Health of province, on the high-quality care, Shenzhen walks in the forefront in the whole country. " The proportions of doctors and nurses were raised to 1 in 2015: 1.5 ����XiaoHua Ma say nurse to cooperate with doctor work in the past, having injection, it sends medicines to be " The craftsman lives " ; The nurse needs too now " In charge of the bed " ,Let the nursery work be turned into one " The technical profession " . " Now the nurse must understand every day oneself is in charge of the condition of patient of the bed, make and attend to the scheme, including how about reduce complication, how to let the patient recover as soon as possible, all these need the nurse ' one to one ''s nursing. " From defend the intersection of people and committee, learn for let nurse do a good job of basic nursing while being municipal reporter, deserving entrusting makes the related scheme from system, manpower, financial resources, procedure, substantiate, attend to team, nurse of post, while being clinical greatly, serious disease guard nurse and actual berth of ward than 2.5- 3: 1, Compared with real berth the nurse of the public ward should greater than or equal to 0.4: 1,First grade it attends to the intersection of patient and proportion to be whether 60% ward of the above increase nurse's quantity. Adjust and optimize the manpower resource distribution of the hospital, raise the proportion of attending to the team, by 2015, bring the proportions of doctors and nurses up to 1: 1.5. Investigate whether doctors and patients dispute letters and visits from the masses amount 4 drops? Establish, arbitrate institute, turn on national the intersection of beginning and a lot of net friend, think disharmonious relationship between doctors and patients the factor influencing medical level too. It is reported, from 2006, the dispute letters and visits from the masses case of the doctors and patients of our city exceeds 1000 every year. 2009 and 2010, about 2000 dispute cases of doctors and patients which the system of our municipal court accepts every year. In order to construct the harmonious relationship between doctors and patients, the objective and just, fast and high-efficient medical dispute of settlement. In recent years, our city begins to break the new way where a mediating, arbitrating, lawsuit,etc. solved doctors and patients' dispute through many channels. It is reported, 12 public hospitals (include 4 city owned public hospital and 8 districts belong to the public hospital) in our city at present Become the pilot unit that the doctors and patients dispute people mediated. By the first half of this year, these 12 doctors and patients with unit pilot project mediate in the room, 28 dispute mediators of doctors and patients and accept 191 doctors and patients' disputes together in dispute, have already 137 mediated; Accept the masses and consult 483. Since the people mediated the work to start, solve being good the first barrier of doctors and patients' dispute, the pilot hospital " Medicine makes a noise " Incident and doctors and patients' dispute letters and visits from the masses amount drop continuously. The dispute of doctors and patients in Shenzhen set up on October 12, 2010 arbitrates the institute, hold the beginning in the whole country especially. This Hao ZhongGui, Vice President of institute, introduces, " On one hand, Arbitration is to introduce third party's strength in doctors and patients' dispute, can obtain the patient's trust, on the other hand, arbitrating can give up the worry of the hospital too, the hospital fears the damage statement that the patient does not stop. " Arbitrate the institute and is established for one year, receive more than 130 persons of coming to visit and telephone consultation, 70% of the disputes are all dissolved at letters and visits from the masses stage. At present, accept 19 doctors and patients' dispute cases, conclude 14, it is 15 days to wind up the case and accept time limit on average. " The expert settles a lawsuit " Strengthened and believed in the sense not long ago, the gynecological medical dispute took place in Nanshan District, Ms. Li presents the bad reaction after the hospital takes the neck operation of the palace, look for the hospital? �� �� take off fiercely castors extensive servant speech quail towering U arrange �� utter is the � s towering to smell of fish in Yu in �ѡ� to demand school �� study carefully �� Yan fan Chi of evil spirit 1 witch Pu protect �� of after drying up all to heir Chu for the bellies after lasting �� to Yans posthumous Mi climb the intersection of quality and the intersection of Li and oar cover the intersection of ascarid and stunned the south, stop up the intersection of Xi and ��, unload, mill flounder, pay the greedy vertebra brain quail to fear, good for in season? The ones that arbitrate " The expert settles a lawsuit " Make the patient strengthen the sense of believing in. Hao ZhongGui says, arbitrates 24 arbitrators who the institute engaged, all medical expert and lawyer with medical professional knowledge, this is that object, fairness of arbitrating the result have laid a good foundation. The medical expert puts forward the key problem according to the professional knowledge, the therapeutic links to the whole accident will be very clear, can judge accident responsibility fast, avoid going over in the hospital and using " The speciality " Obscure the fact, but the awkwardness which the enforcer can't judge.


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