It is not convenient for eighty-percent of the netizens to call seeking medical advice Sixty percent of the patients examine and select the large hospital for the first time

It is not convenient for eighty-percent of the netizens to call seeking medical advice Sixty percent of the patients examine and select the large hospital for the first time
It will be qualified in 2009 " The medical reform is annual " . This year, with " new medical reform scheme " Finish finally,if you can't make an appointment, register, not basic by catalogue issuing, increasing the input in community's hospital the floating above the surface of water of new policies on medicine, China " medical reform " Ice-breaking trip finally again set sail. Just, what changes have all these really brought to handle common people's disease? How much has complaint of the difficulty and high cost of getting medical treatment been really reduced? On the occasion of the end and beginning of the year, " life Times " unites the health channel of Sohu net, 39 health networks and introduces the large-scale investigation together - --" how much is 2009 your seeking medical advice used to changing " ,See how common people and expert says.
Why does the medical reform let people feel landing is silent
This investigation has 2073 net friends' participation together, 67.7% of the people among them are at the age of 30-50, men account for 55.48%, women account for 44.53%.
Asking about " You think that it is more convenient to see the doctor than before this year " When, only 11.6% of the persons investigated must answer, 88.4% of the people think that is more convenient than before. In " you think what the most substantial change is to see the doctor this year " In a question, 36% of the interviewees think " the medicine price drops, more medicines enter the medical insurance " Let it receive benefits biggest, occupy the seat of honor, policy that push away mainly this year, substantially as improving community's hospital medical facilities, make an appointment, register, see the doctor all-purpose card, watch after being ill paying, releasing medical treatment,etc., exceeding 20% first, 60% of the patients will still choose the large hospital to examine for the first time too.
"The investigation shows making the preliminary effect thoroughly of medical reform policy, but prove too such profound problems as medical care, imbalance between supply and demand, common people are used to seeking medical advice remain as before at present. " The medical reform Wang HuFeng, director of research center in China of Public Managerial College of the People's University of China says to " life Times " reporter.
Over these years, medical reform give somebody really " whether loud thunder have and raindrop little " Landing silent it sense. Wang HuFeng thinks, " medical reform " Always can't let people feel indebted as if it were received in person, the reason may have two respects. First, the medical reform is a progressive course, the contradiction complicatedness of the medical field, interests conflict are numerous, all problems of two or three years of extravagant hope are solved not very realistic. Second, the difference that the reform judges while having. In the past, we paid attention to the in-house reform even more, and ignored the feeling of common people. Bring medical treatment from the community and say, the country puts into very big on hardware facilities, but talent's construction and service ability can not catch up with, the material benefit that common people experience is not very obvious. This reminds us to pay attention to common people's seeking medical advice and experiencing while making, carrying out in policy afterwards.
And subsidiary Vice President of Beijing institute of traditional Chinese medicine Wang XiaoMin of Capital University of Medical Sciences analyzes that is thought, medicine price drop, approve degree reflect, see the doctor expensive reality greatly most, make an appointment, register to patient, really save the tired bitterness, but it is adjusted by the way, the reality of medical resources in short has not changed, so that it is difficult for the majority to enjoy material benefit.
However, chief of Ministry of Public Health institute for economic research Professor Zhang ZhenZhong thinks, the main target of this investigation takes the young and the middle aged as the core, and the implementation target of the focal point of the medical reform is patient, the middle-aged and elderly people of chronic disease this year, it may be one of the reasons which present this investigation result too. "But can't prove still there is not progress in the medical reform in view of the above. What's more, the investigation demonstrates some policies of medical reform have already been used to exerting an imperceptibe influence to the seeking medical advice of common people at the same time. "
It is used to actually changing silently seeking medical advice
The investigation reveals, nowadays, 22.95% of the people have not been towing again yet while being uncomfortable, goes to look so long as sick; The habit that 36.4% of the people have changed the morning to see the doctor, choose the afternoon, evening, weekend or see the VIP clinic; More than half person can not agree to the disease to go to the large hospital, 23.18% of the people think that should finish and basically check first and then go, 29.35% of the people say the small hospital goes again well, the large hospital solves difficult and complicated cases after all.
Choose respect in doctor, have 40% people " wash experts go once seeing the doctor " still ,Have 20.3% people willing to look for large ordinary doctor of hospital after all, have 25.7% the intersection of people and first visit look for the ordinary doctor, subsequent visit looks for experts again. In " will be chosen what time goes sees the doctor " When, everybody will not go in the morning as a swarm of bees either, have nearly 40% people, reasons such as the peak in order to branch off to see the doctor, letting the the time to diagnose the illness become more abundant,etc., will choose to go to the hospital to see the doctor on weekend, in the evening or in the afternoon.
"One of the difficult reasons that any disease wants to be read by the big expert to result in seeing the doctor, but because expert resources are limited after all, then many seeks medical advice and used to being forced to change, so that the method of seeing the doctor prones to reason gradually. This is absolutely a good thing. " Wang XiaoMin says for example when to choose to let the expert see pathological change wisely, not concentrating on seeing the doctor in one time slot as a swarm of bees, it is all very good. But Zhang ZhenZhong thinks, this reflects that medical reform has made certain result especially this year in fact. "Medical reform most old change in community and countryside this year, because convenient degree raise and expense lower, a lot of common people have come into community's hospital, make the distribution of medical resources more and more rational, this is very pleasant. "
Cost the minimum money to cure the disease
Make the experts startled most, it is that " you still hope which the hospital offer conveniently " A question. The result reveals, " the healing solution cost performance that the doctor provides for patient is a bit higher " Rank the first, accounts for 49.7%. Secondly it is that a medicine price is a bit cheaper, accounts for 25.8%, it is a bit more convenient to register (13.3%) ,The doctor has quite a lot of attitude again (11.2%) .
"The person paying close attention to cost performance is far higher than the person paying close attention to doctor's attitude, this really makes us surprised. " Wang HuFeng says, this fully proves common people feel it is difficult to see the doctor that it is expensive to see the doctor deeply, hope to reach curative effect to maximize with the minimum money. To make a diagnosis, lack, unify norm is high and low treat often, and on a lot of domestic doctor, and great prescription, doctor that produce often retract the intersection of person who spike and scandal, furthermore let common people not have bottom on the heart.
And should solve this problem, provided that that needs to solve the overstaffed current situation of large hospital. As to this, community's hospital has been offered the great expectations. But while asking about the reason not choosing community's hospital, the doctor has too bad level to rank the first, accounts for 51.83%; The others are successively " The medical facilities condition are too bad " (35.05%) ,Claim for charge at random (10.28%) ,The attitude is not good (2.86%) . "Curative effect is what the patient pays close attention to most, so the task of top priority is the service level of improving community's doctor as soon as possible. " Zhang ZhenZhong thinks too, this needs self-containment and maturity of supervision mechanism of hospital, doctor. Secondly, the convenient intensity that the patient seeks medical advice. Besides making an appointment and registering, improving construction of community's hospital,etc., the more important thing is to improve the detail,
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