Why do the people come to like Beijing and see the doctor?
The side of chief of Beijing Municipal Health Bureau comes to Great Britain to reveal on the 19th, Beijing " expert's number " in one year Only about 1,780,000, but in one year last year, the number of people hoping to be offered high-quality medical treatment service by the expert was 1. 200 million, increase by 12% compared with the year before last. An " expert's number " Originally only need 14 yuan, but a rare " expert's number " Through ticket scalper's hands, can be speculated to 1500 yuan unexpectedly, even high price.
Why so many people in the whole country will go to Beijing to see the doctor, but are not there so many people in the other places? This seem to be one matter of common sense, because people believe in expert, and national medical expert centre in Beijing a few big city mostly. But in ancient times, there are few well-known doctors, do not flock together in the capital either. For example, Huatuo, flat magpie, Li Shizhen,etc. are nearly all itinerant doctor, and although Sun Simiao goes through the King Wen of Sui Dynasty, Tang Taizong, Tang GaoZong and invitation of receiving them constantly, also never gone to Chang An to practise medicine and act as an official, but live in seclusion on too white mountain in all one's life. The patients in all parts of the country have the honor to get their making a diagnosis and giving treatment.
Cannot be taken as proof situation on certainly, it is ancient,when if you can't become by line, change also. But instantly more foreign situation is not like this. Certainly developed country whether well-known doctor and expert flock together on big city, appear, exceed per person greatly the capital diagnoses the illness at the population of proportion too. Each community is too competent to inferior to the expert's complete doctor, the public sees the doctor at first to go to the community to see the complete doctor. The complete doctor can not solve, and then change the place of examination the specialist at a higher level, the disease which the specialist can not solve either, want the expert who book the large hospital again to hold a consultation. This course probably has one or two months. The large hospital does not have the clinic at all, only accept that changes the place of examination. In Japan, because the same mechanism is shunting patients, a few difficult and complicated cases left need lining up to make an appointment and see experts.
It represents shellfish's Chinese defends pointing out that World Health Organization stationed in China: "China's medical system lacks a ' doorkeeper ', but lack a complete doctor, judge whether it is necessary or not before the patient goes to the hospital. There is not this doorkeeper, even if the patient who only needs simple family nursing, also will seek to make a diagnosis and give treatment in the expensive hospital. " Perhaps it has understood by us for a long time that shellfish's Chinese defended the question pointed out, however, the basic problem lies in, how we set up a medical system of community of seeking medical advice nearby of high quality, encourage patients to go to community and the second hospital to cure the disease?
Let the patient believe community's hospital. Change the excessive medical resources that concentrate on to the large hospital into shunting to community and the second hospital. 80% medical resource in our country centre in the big city at present, 30% among them concentrate on the large hospital again, including the expert. However, should change this kind of concentration overall arrangement situation of medical resources, it is not an easy thing to intimidate.
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