According to the Voice of China "News" reported that in recent times is the high incidence of pediatric colds and respiratory diseases, around many children have started to appear one after another the symptoms of cold and fever. Parents and schools are worried at the same time, many hospitals are overwhelmed by pediatrics.
Recently, Jiangsu Yangzhou University Hospital, a notice of the Department of Pediatrics, said a lot of helplessness, the content of which is to the effect that: "the hospital pediatrician long-term overload, there have been a number of doctors fell ill, please parents near the choice of other hospitals,". This notice in the local WeChat circle of friends widely circulated, netizens have said, as if to see the pediatricians a haggard face, y feel their exhaustion. What is the situation on the ground?
12:00 noon, it should be time for doctors to rest and eat lunch, however, in the pediatric outpatient clinic of Yangzhou University Hospital West Hospital, still crowded with children and parents waiting in line. The infusion room next to it, but also a hard to find, some parents came at 6:00 a.m., more than 10:00 a.m. before the child hang water.
Hospital pediatrician Sun Jiangming said the peak of this round of pediatric illness has lasted more than a month, the most in the last five years, mostly for respiratory diseases. And their hospitals bear two-thirds of the city's pediatric outpatient capacity, the hospital pediatrics every day to receive more than 2,000 people, the department of more than 40 doctors did not take a leave of absence, the daily working hours are 10 to 12 hours, all the medical staff are working overload, "this month we have added the evening specialist clinic, which can not be helped, because the workload is really too It's huge."
High-intensity work also makes a lot of health care workers body serious overdraft and immunity decline, but the huge volume of outpatient clinics so that health care workers can only bite the bullet, Dr. Sun Jiangming said, five years of peak morbidity, coupled with the full opening of the two-child policy, so that the shortage of pediatricians even more tense, as the notice, the hospital did There are many doctors and nurses tired and sick, issued to persuade patients to other hospitals triage notice is also a helpless move, "many doctors have appeared gastrointestinal discomfort, fever, pharyngitis. But up to now there is no one to take a leave of absence, while the fever, while taking antipyretic drugs, with a mask to continue to work overtime. But after all, human energy is limited, everyone tired can, but can not fall."
The status quo, 26th afternoon, Nanjing Municipal Health Planning Commission held a conference requirements for the recent children's influenza, enterovirus and other high-prevalence infectious diseases, the establishment of pediatrics medical institutions shall not be a shortage of doctors or other reasons to reduce the pediatric outpatient clinic, emergency room staff, but also prohibit pediatrics visits to limit the number of pediatrics to set up a pediatric outpatient emergency room of the medical institutions to ensure that the 24-hour open clinic.
It is understood that every year in November to the next year in January and February is the high season of influenza, but also major hospitals pediatrics and children's hospitals overcrowded season, the child has a disease, parents are always brought to the big hospitals, Nanjing Jianye District Lotus Community Health Service Center Director Yue Qingping frankly, the current community health service center's ability to provide pediatric services in the community health service center is in the untrusted Embarrassing situation, "community pediatrics basically do not see, one is the risk, the second is the doctor can not be recruited. From the current year, the demand is still there, half-day outpatient clinic has about twelve or thirteen, more than 6,000 children in the area, diverted to the Children's Hospital."
The General Office of the National Health and Family Planning Commission and the Office of the State Administration of Traditional Chinese Medicine recently issued the Notice on Doing a Good Job of Ensuring the Quality of Medical Services during the New Year's Day and Spring Festival in 2018. The Notice requires that pediatric medical services be effectively done during the high incidence of winter diseases in children, dynamic monitoring of pediatric outpatient and emergency situations be implemented, personnel strength be reasonably deployed, and no suspension or refusal of treatment be allowed.
On the regulations, the next helpless, Yangzhou University Hospital pediatrics "triage" patient notice is the outbreak of this helplessness: on the one hand is the medical staff overload, on the other hand is the child's parents anxious mood.
How to solve this problem?
In order to solve this problem, December 5 this year, as Jiangsu and surrounding areas of the highest quality children's medical resources, Nanjing Children's Hospital and Nanjing Jianye District Government signed a hospital government cooperation agreement, the future of Nanjing Children's Hospital's general practitioner team will be sunk into the community so that children at home on the enjoyment of homogeneous services. Huang Songming, president of Nanjing Children's Hospital, said: "There are pediatric resources to enhance pediatric resources; if you need to enhance the trust, when necessary, you can volunteer, when necessary, sitting; when the community health service centers have a certain power to solve common problems, why do you have to run far away?15 minutes to reach the community."
In the face of the lack of grass-roots pediatric talent, lack of capacity of the status quo, Nanjing Children's Hospital President Huang Songming, president of the Nanjing Children's Hospital, frankly, the Nanjing Children's Hospital will be set up in pediatrics general practitioner team, in order to promote the hierarchical diagnosis and treatment of children's access to health care efforts, "personnel recruited after three years or even more long after the standardized training, in the future, in addition to the work of this group of doctors in hospitals In the future, this group of doctors will not only work in hospitals, but also work in community health centers for a certain period of time every year. Service homogenization, we can bidirectional referral, common diseases, frequent diseases can be solved in the local primary hospitals."
Finally, I think that in addition to letting high-quality children's health care resources radiate as much as possible to the primary health care institutions, so that patients do not have to go to the big hospitals to pile up, parents also need to have a common-sense understanding of their children's illnesses."