See pediatrics like snoring

“Currently during the peak of summer treatment, children and parents are flooding into the Beijing Children's Hospital. Doctors and nurses continue to be overloaded. The hospital tried its best to increase the capacity for admissions, but it still faced tremendous pressure for treatment. CCTV "News 1+1" reports that the current Children's Hospital is seeing illnesses like fighting and registering for the Spring Festival. The dean Ni Xin reluctantly said that we have worked hard to the limit. It is understood that compared with the same period of last year, Children's Hospital Daily Clinic Volume increased by nearly 20%, but the number of hospital doctors has not changed.” (CCTV August 18)

From the “playing the floor and paving through the gates” to the “opening of the registration hall, the parents throw their feet and fly desperately”, this is only a part of the registration process, which shows that the smoke is filled with fierce competition. “It is like playing crickets and registering for the Spring Festival.” It seems to be no joke. It is more realistic.

It should be said that Beijing Children's Hospital is not unprepared and unprepared for the peak of summer medical treatment. However, despite the adoption of three major countermeasures: in space, as far as possible to expand the use of medical housing; in time, advance registration time, optimize the treatment process, so that patients can be treated in the shortest possible time; in terms of personnel, and even require doctors to open early Clinics, increase night clinics, night expert clinics. However, although the hospital can be said to have resorted to all the stops and used the words of the dean to say “have tried hard to reach the limit”, it has still failed to change or even alleviate the embarrassing situation of “seeking a doctor like fighting”.

In fact, it is actually more than just patients who are sympathetic to “seeing a doctor like a war”. The doctors are not always on the battlefield every day. Many doctors and friends of the author are jealous of the patients who are rushing around every day. As a result, there is no shortage of fear and even excessive mental stress in the treatment. From the Beijing Children's Hospital, the daily outpatient amount increased by nearly 20%, while the number of hospital doctors did not change. Regardless of how to expand the treatment space and find ways to optimize the diagnosis and treatment process, in fact, it has not changed the objective reality of the unequal number of doctors and patients. It is only the hospital that is unilaterally doing its best. “I’m afraid to visit the doctor” I’m afraid it will continue to “fight.” "Going down, the battle situation will be even more tragic.

So, is it not necessary to increase the establishment of doctors in children's hospitals?

On the surface, this countermeasure seems to be targeted. But the reason why Beijing Children's Hospital will encounter the peak of summer treatment, and this peak has a higher and higher trend, in fact, is the excessive concentration of professional medical resources. If the response is only to continue to increase the concentration of medical resources, the consequences will only be a vicious cycle that will intensify and will not fundamentally change the situation. In reality, the size of large hospitals in big cities is getting bigger and bigger, but the situation of difficult medical care has not been eased. The public even feels that the difficulty is increasing. This is in fact evidence.

To some extent, children from all over the country rushed to Beijing to find ways to squeeze into a children's hospital. What is exposed behind this phenomenon is precisely the imbalance and irrational distribution of medical resources. From the statistics of the hospital, it is not difficult to see the problem. Among the outpatients with 10,000 person-times a day, about 3,000 children have a fever and common cold, and about 3,000 children with critical illnesses from across the country and in Beijing. In addition there are 3,000 people who have visited other hospitals, but parents do not trust, and then go to the Children's Hospital diagnosed. If it is necessary to have more than 3,000 children in other regions, then the medical needs of 3,000 children with fever and flu should be fully met in the community. For those who are transferred from other hospitals because parents are not confident about their illness, Why these hospitals did not play an effective role in diverting children, it touches on reflection.

In theory, if medical resources can be allocated according to needs, and there is a close patient-distribution mechanism between specialized hospitals and general hospitals, the rational allocation of medical resources is to cope with the excessive concentration of patients and smooth the peak visits. The symptomatic drug.

Based on this, "seeing a doctor like fighting a snoring" is merely an "effort" for the hospital. It is still far from the "limit." In addition to increasing the supply of medical resources, the rational allocation of medical resources is the fundamental solution to this "war".