China - Hospital Emergency rooms overcrowded - experts ask patients with minor ailments to go to clinics instead - Shanghai

[sharon sanders]

machine translation

Three hospital emergency change "squeeze clinic"
At 02:19 on February 12 2014 Changjiang Daily Microblogging I have something to say
　　Three hospital emergency change "squeeze clinic"

　　Changjiang Daily News prescribe emergency room, emergency room cold, commuting to the emergency room ......

　　WASHINGTON (Reporter Hu Dream) "knew to wait for so long, we do not see the emergency." 7:00 last night, take the kids to see the emergency of Wu said, during the day, the thought that fewer emergency room at night people, literally and so after work only to the hospital, I did not expect a lot of people still. Festival and now each hospital emergency summit yesterday, many doctors call for non-emergency conditions do not take up emergency resources, otherwise the emergency change "squeeze diagnosis" patients need emergency care, they are not an effective treatment.

　　Case: sixty Daddy emergency department is open only antihypertensive drugs

　　Yesterday, the 63-year-old Chen dad went to a top three hospital medical clinic and saw people queuing up more, he turned to look for the emergency department physician for treatment. Chen thought dad was ill and the doctor, "embattled" I did not expect Chen dad said, just want the doctor to give him a few bottles of antihypertensive drugs only, which allow doctors dumbfounding.

　　Recently, an emergency department physician microblogging is forwarded multiple times: "These days the hospital emergency room overcrowding, and I propose, cold and fever yet reached 38.5 ℃, not to the emergency merry; drunken love to make trouble, not to emergency Sapo; during the day diagnosis of the disease, not to the emergency room. emergency lifesaving, please do not occupy other people's lifeline ...... "has been endorsed by many health care professionals.

　　Reporters recently visited the three "top three hospitals' emergency department learned that the emergency department does have a lot of patients are actually not in a hurry. Because many are not empty during the day, evening look before choosing an emergency.

　　Problem: the lack of screening of triage, doctors difficult to coordinate

　　"Emergency department staffing is limited, even if not all doctors do not shift enough rest." A top three hospital emergency department official said that the emergency department can not refuse patients, registration procedures, fees and general outpatient little difference, still watching the emergency queuing, speaking first come first served.

　　Reporter visited found that many hospital emergency department doctor and the general order of the same department, there are few hospital systems, screening of triage, unless very urgent situations encountered, otherwise expect to hurry to see sick patients, Doctors also difficult to coordinate.

　　In addition, according to the three "top three hospitals' emergency department estimates that about 40% of the patients went to the emergency department are not really needed aid.

　　Health sector is divided into four emergency patients, third and fourth grade are not life-threatening, but it does not indicate these patients can not see the emergency. "But if you really need to rescue, the doctor could not get away, unimaginable consequences, emergency resources are accounted for, everyone has the potential risks." An emergency department physician bluntly.

　　Response: Look at the grassroots level in patients with minor illnesses, increase subsidies

　　Yesterday, came to a large hospital in Hankou Wang said, had wanted to give a lift to see a doctor, but seeing overcrowded emergency medicine, could line up more than half an hour, they quickly retreated to the window number, ready to return to community health centers to see a doctor.

　　During this year's Spring Festival and the Festival, because fever patients to see a lot of emergency, in which the majority of children. Parents Ms. Zhang said, a sick child to the emergency room are basically sending emergency regardless of time, relatively easy, but it is getting crowded.

　　Experts call for patients to look at a minor illness in primary health care institutions, in addition to free registration fee, but also increase subsidies, and increase the level of primary care clinics, especially in some of the items need to be inspected to be synchronized, so that patients can self-triage to the grassroots, not go to large hospitals "squeeze clinic."

　　Children's Hospital of Tongji, (this hospital is located in Shanghai) many parents take their children to see the emergency department. The reporter Fu Jian photo

　　(Original title: three hospital emergency change "squeeze clinic")

http://news.sina.com.cn/o/2014-02-12/021929439761.shtml

[sharon sanders]

Re: China - Hospital Emergency rooms overcrowded - experts ask patients with minor ailments to go to clinics instead - Shanghai, Zhejiang province

The author of the original statement was apparently made by an emergency room doctor in Zhejiang on February 10, 2014. It has been forwarded many times and used by other provinces with local notes like the article above.

City three hospitals: "emergency" why to "squeeze clinic"

China Network Binhai New: www.022china.com time: 2014-02-10 09:51:22


Xi'an Children's Hospital emergency disease in the region, many children in the infusion. CFP

"These days the hospital emergency room overcrowding, and I propose, cold and fever yet reached 38.5 ℃, not to the emergency merry; drunken love to make trouble, not to emergency Sapo; during the day for treatment of disease, not to emergency lifesaving emergency, please. Do not occupy other people's lifeline ...... "Zhejiang Provincial People's Hospital emergency department physician Tu Jianfeng, deputy director can not remember, he made this micro letter was forwarded many times. He told reporters, extremely severe congestion in the emergency department, many large hospital emergency department into "emergency no hurry," the awkward predicament, department medical staff overwhelmed.

In mid-January to late, this reporter three hospitals in Hangzhou, several provincial investigation.

Overburdened emergency room

Since the beginning of winter, the amount of the emergency door in the Second Affiliated Hospital, Zhejiang University School of Medicine record highs, the weekend is overcrowded. January 19 7:00 pm, the reporter saw at the hospital, 19 fixed beds has long been filled, aisles plus five beds. Chen said the nurse as red, then it will be difficult to have an extra bed emergency patients.

Succession after night, chief duty Wang Zhikang hospital has been coordinating triage patients in the emergency room, the condition is relatively stable patients into wards. This is no easy task, this time most of the members of the ward is full.

Reporters saw in another case with several hospitals here exactly the same. Zhejiang Province as the largest three first class Children's Hospital, Children's Hospital of Zhejiang University (Zhejiang Medical children referred to the hospital) medical strength, many patients have come here from other provinces. At 10:00 on January 23, when the reporter arrived the hospital, in front of the road has been a vehicle, the crowd packed the hospital the parents are holding kids, because the infusion room full, some parents were holding a bottle sitting helpless bed side. This is an old school district, emergency department space is small, only 5 beds, when no hospital beds, doctors can only allow parents to rescue the child in his arms. Emergency department main Renzhang Chen told reporters the United States, 2013 emergency department attendances reached 267,000, up to 1,000 people a night emergency capacity.

"The evening before midnight, emergency department arranged 10 doctors, even so, every doctor depends on the patient 80 or so, simply become 'night clinic' desperation, the emergency room can arrange for a doctor. Standard count, our department has more than doubled overload. "Zhang Chen said the United States," the hospital is only 850 beds, four to five hundred children each day waiting for admission, retention problems we are more serious emergency department. "

Zhejiang Provincial People's Hospital emergency department nurse 石爱丽 said, the number of hospital emergency room visits per year to 10,000 increments, up to 15 million passengers last year, and sometimes the emergency room at full strength, and critically ill patients, doctors can only patient on the floor of the CPR.

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