From the patient's point of view, the so-called difficulty in seeing a doctor is actually difficult to seek medical treatment in a large hospital and to see a well-known doctor. It is not difficult to go to a primary hospital for medical treatment and see a general practitioner. In the case of distrust of primary medical ability, patients should go to large hospitals to find experts regardless of their difficulties. This irrational medical treatment has increased the cost of personal medical treatment and the waste of quality medical resources. Expert resources that are scarce can not be used in the cutting edge. To solve this problem, we must unblock the combination.
First, you should go to a big hospital when you see a doctor.
It is difficult to see two kinds of diseases. The first is the difficulty of absolute medical treatment: it is difficult to see a doctor because of the absolute shortage of medical resources. It is difficult to meet the needs of basic medical and health services because of lack of medical care. It is currently occurring in remote rural areas with poor economics, inconvenient transportation and sparsely populated areas in the central and western regions. The second is the difficulty of relative medical treatment: due to the lack of quality medical resources relative to the needs of residents, it is difficult for patients to go to large hospitals to see experts. This is the main form and characteristics of current medical difficulties.
The practice of “small illnesses and big doctors†on the one hand caused the primary medical resources to be idle, and on the other hand, the hospitals were nervous, and they were always in a “wartime stateâ€.
The function of a large hospital is to look at serious illnesses, do research, and cultivate talents. If the situation of overcrowding has not been improved, the advantages and due role of large hospitals cannot be realized. Under the circumstances that the people's medical needs are constantly increasing, some large hospitals have even embarked on the wrong path of disorderly expansion, and county-level hospitals, community health service agencies, township health personnel, and rushing to work, the quality of medical care has become difficult. Guarantee.
According to statistics, 80% of the high-quality medical resources in the whole society are concentrated in large cities. 80% of the high-quality medical resources in large cities are concentrated in several high-level hospitals. The high concentration of medical resources is an important reason for the difficulty of seeing a doctor. If we continue to expand high-grade hospitals, new high-quality resources will be further concentrated in high-grade hospitals in big cities, forming a siphon effect. The city's large hospitals not only siphon high-level doctors in primary hospitals, but also siphon patients, the grassroots will be further weakened, and it is difficult to see a doctor. The problem will be more serious.
In people's minds, doctors in large hospitals are skilled, medical equipment is more advanced, and care is more in place. Patients and their families can be more assured. However, it should be noted that the "overload" situation of the extra bed in the corridor every day and the overtime work of the medical staff will make the big hospital unable to eat. The services that the patients can enjoy will inevitably be discounted. In addition, the crowds may increase the number of hospitals. Risk of infection. At the same time, some grassroots hospitals are “not enough to eatâ€, and over time will form a vicious circle – the bigger and stronger the hospitals, the brain drain of grassroots institutions, and the lack of development. By then, the problem of people's medical difficulties and expensive medical treatment will be further aggravated.
In fact, a large proportion of patients who visit a large hospital are common patients, and there is no need to go to a large hospital. This has, to a certain extent, played a role in inducing the difficulty of seeing a doctor in a large hospital and seeing a doctor. Looking back, have you ever ran through a big hospital that was full of people because of a cold and a fever? In fact, it is really a thankless task to get together in a big hospital because of common diseases.
First of all, it takes more money to go to a large hospital than to get it at the grassroots level. Because the registration fee, nursing fee, bed fee, drug fee and other pricing itself is much higher than the community hospitals, plus the policy of medical insurance according to different proportions of reimbursement, common small problems to the large hospital treatment, spend more money It's easy to understand.
Case:
Because the child's body immunity is relatively weak, several respiratory infections occur every autumn and winter season. Ms. Zhang from Jinan City, Shandong Province, took her children to run through different hospitals in the provincial capital. Ms. Zhang is a caring mother. She compared her child's medical records in different hospitals. The same common disease treatments and procedures in different hospitals are basically the same. Even the drugs are similar, but the treatment costs can be different. A lot: For example, infusion therapy for pediatric bronchitis, the average daily cost in a top three hospital is more than 300 yuan, in a secondary hospital is more than 200 yuan, and community hospitals near home only need less than 150 yuan.
Secondly, it is laborious and costly to go to a large hospital for medical expenses. I believe that many people have seen the "big scene" of long queues in large hospitals. It is hard to hang up the numbers. Waiting, checking, taking medicine, paying fees, every link must be waiting in line. These times add up, The time spent on medical treatment and treatment is much longer. It takes a day to see an outpatient clinic. If it is in a community health service center such as a community health service center or a township health center, the time cost of seeing a doctor will be greatly reduced, and a lot of tossing will be avoided.
Another point that has to be said is that the chance of cross-infection in a large hospital will increase greatly. The daily average outpatient volume of many top three hospitals has broken through 10,000. Especially in the season of high incidence of infectious diseases such as influenza, in the crowded and mostly patient environment, even if protective measures are taken, it is still very easy to “catch upâ€. Imagine if you want to see the gastrointestinal disease is not optimistic, but accidentally infected with a cold, it is a bit worthwhile.
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