Friday, November 9, 2012

A child sees the doctor six parents accompany and accompany the patient to see a doctor the main forces strengthen the load of the hospital

A child sees the doctor six parents accompany and accompany the patient to see a doctor the main forces strengthen the load of the hospital
In the hospital in China, seldom see the patient going to a doctor alone, on the contrary, always follow the friends of a few relatives by them. These accompany the patient to see a doctor relative accompany in about patient not fulfilling one's duty, run and busy registering, paying the fees, bringing medicines the lastly before running. But this one " L Accompany the patient to see a doctor in the main forces " R While letting patients feel psychological comfort, let a lot of hospitals can't bear the heavy load unintentionally too.
A child sees the disease, six parents accompany
Because 5 -year-old open male genital burns terribly, is taken to BJ Children's Hospital and register to wait by parents early in the morning. During lining up to wait, grandparents, phone to inquire the situation constantly by grandfather, grand-mother of grandmother, hearing the treasure hang-up's sob in the telephone, several old men do not set one's mind at ease, get to the hospital far away big in spite of the snow too, carry, come feeding bottle, toy, urine wet, etc also. Then, the of six people of one family are enclosing a row of seats that children have occupied the waiting room, the anxious old man touched the child's forehead a moment later, went to nurse's platform to urge a moment later, add the child's sob, the whole waiting room seems unusually confused. This is January 3, a scene which the reporter sees in the waiting room of BJ Children's Hospital.
In fact, " L Accompany the patient to see a doctor in the main forces " R Not merely appear in the consulting room of pediatrics. In that reporter visit BJ Union Hospital, the intersection of colleague and hospital, God Temple Hospital, the intersection of Chaoyang and the intersection of hospital, BJ Stomatological Hospital,etc. and a dozen the intersection of hospital and outpatient building, traces of family members spread all over every department to accompany the patient to see a doctor. In outdoor Ultrasonography B of BJ Union Hospital, except the husband, husband's father and mother have all come too. The mother-in-law ignores the nurse's stop while checking, must enter accordingly, say " L Want to see the grandson's situation " . B The doctor of the ultra room tells reporters helplessly with this, in fact the pregnant woman is very healthy, just the routine inspection, can well come alone.
Reporter understand, arrive from several large hospital, under the general situation, waiting room only half the patient, a left one accompany the patient to see a doctor relative . In the department, accompany the patient to see a doctor number of relative two 3 the amount of time of patient even more in pediatrics, gynaecology and obstetrics, operating room, emergency call,etc. especially. Among them, relatives accompany the most manily under four kinds of situations. First, the child falls ill, often set out the whole family " L The grand occasion " ; Second, the unexpected injury takes place to the patient, while having traumatism to send the emergency call; Third, the patient is suspected may suffer from a certain disease, while needing further carrying on medical check; When the patient is carrying on the operation .
The hospital does not welcome to accompany the patient to see a doctor in the main forces
Accompanying the patient to see a doctor in the team as to the huge one, a lot of doctors are very helpless. Among them, the following situations are them the most " L Headache " .
It influences a doctor to diagnose the illness to chip in at will . Zeng Qing, director of office of relationship between doctors and patients of Chinese-Japan Friendship Hospital of Ministry of Public Health, says, a patient has four or five relatives who are accompanied sometimes, ask a medical history, symptom and so on, everybody may fight for and answer, or chip in inquiring nearby it will often delay valuable visit time s. The reporter is following Wei's doctor of stone of oral cavity expert of the pediatrics of BJ Stomatological Hospital to notice while paying a home visit, he hopes parents wait outside, but relatives insist on standing nearby while gathering the treatment. Shi Wei says : " Will influence the child's mood in this case, once touch, the apparatus will hurt the oral cavity; Parents too can disperse attention of doctor in edge second, influence, treat. "
It influences the order of seeking medical advice to make a racket . PLA the intersection of general hospital and Gang Liu, director of fever clinic, tell reporter whether because first the epidemic situation sheds for the previous period, generate heat a very large number of out patient, he when being seen the doctor, relative pop one's head in and look about often, or push away on the door and just enter. Sometimes, relatives dislike waiting time too long, will quarrel with the nurse in the waiting room, even some accompany the patient to see a doctor personnel smoke, make loud noise etc., will cause influence on the order of seeking medical advice.
Take up limited medical resources . The reporter finds in the waiting room of gynaecology and obstetrics of BJ Union Hospital, on the corridor seat not spacious, one platoon can hold six people originally, sit two patient only now, some other pieces of person accompany the patient to see a doctor relative. It is one or two hours that these persons who accompany the patient to see a doctor sit, but let a lot of patients stand and wait. A street cleaner sweeping the hygiene tells reporters: " Some accompany the patient to see a doctor relatives will also leave the newspaper, beverage bottle,etc. behind in the waiting room, sweep for several times each day. Some consulting rooms provide for patient and drink the hot water, people who drink water have many if there are many relatives, the hot water can not be supplied sometimes . "
Relatives understand that but there is medical personnel to accompanying the patient to see a doctor. Doctor of Beijing Chaoyang hospital emergency department Gu Wei is right to accompany the patient to see a doctor the phenomenon has been already customary: " Mostly the situation happens suddenly in the emergency call, the patient is really not all right yet without having people who are accompanied. If catch up with a cerebral hemorrhage patient, relatives have been here, moving will meet trouble. " Wang XiaoBo, head of the outpatient department of BJ Union Hospital, says to this too: " Family someone fall ill everyone worry about, accompany, come, it watches to be human nature too. But if each patient accompanies the patient to see a doctor the number of people can be reduced by a few, overstaffed environment of the hospital can change greatly. "
Relatives are very helpless too to accompany the patient to see a doctor
In the face of the doctor's criticism, accompany the patient to see a doctor the relatives have a stomach misery to want upside down too. Reporter carry on random investigation to nearly 50 client in several hospital, 80% people say, run into accompany the patient to see a doctor relative in phenomenon that waiting room make noise, think the persons who accompany the patient to see a doctor let the hospital seem crowded and noisy. But people generally say, accompanying the patient to see a doctor really belongs to the cannot help but act. On January 6, in Beijing Chaoyang hospital, mother who Ms. Wang looked at and sat on the wheelchair tells reporters: " My mother has been already nearly 80, it is certainly not all right to have the emergency call and see the doctor and depend on an old man of father. The intersection of I and one woman, register, get it filled, pay the fees to have question nothing, need, move words of patient, I deal with, come over either, come out too husband from the unit ' delay '. " L A relative nearby echoes too: " R There are too many people seeing the doctor, run down on all running to register, pay the fees, take medicines, a relative can not take care of over sometimes, let alone having no people to follow . "
XiaoBo Wang and celebrate, say frankly, accompany the patient to see a doctor overstaffed to go to a doctor procedure with hospital not so convenient offering service insufficient to have relation too too. Clinic of much hospitals, getting it filled, checking, paying the fees,etc. is unable to offer the one-stop service, run down on needing running, is lining up constantly, for a patient, by no means easy. There are personnel such as society worker, volunteer,etc. in a lot of foreign hospitals, but there are very few hospitals that can offer this kind of service at home, unless pay certain expenses.
How do clever relatives accompany the patient to see a doctor
The one that had to admit is, under the present medical environment, the patient, especially emergency case " L The single action " R Still have certain difficulties, but the too big flow of the people will undoubtedly increase the probability of cross infection, aggravate the load of the hospital. Then, how to become a clever accompanying the patient to see a doctor person? The experts provide the following suggestion :
Someone must accompany three kinds of patients . Zeng Qing says, someone must accompany old man, children, critical patient, and had better be the young people. But critical patient accompanies the patient to see a doctor the number of people is too largest to exceed 4, generally speaking two or three are enough to deal with various situations. The light disease patient's words, can not be accompanied and accompany, if that accompanied generally one do.
Offer, remember key information . Assistant, president of Chinese Academy of Medical Sciences, Beijing coordinate dean of medical college public health yellow Jianshi say, doctor when the inquiries test, accompany the patient to see a doctor personnel should offer as many as possible message in coordination with patient, including symptom, having illness coming on in time, allergic history, taking medicines,etc.. If accompanied by the many people, need to pay attention to not everybodying trying to get a word in saying together, otherwise not merely unable to offer accurate information, will also delay the time of going to a doctor . After the patient narrate, personnel supplement according to the need to accompany the patient to see a doctor. In the course of seeing the doctor, should how about use, notes all kinds of key message write firm medicine also.
Must look out for patient's physical sign . It accompanies the patient to see a doctor to be skillful too, for example careful to observe the intersection of life and physical sign and condition change of patient, such as mind, breathing, pulse, blood pressure, etc., once find abnormality, report to doctor in time. In addition, accompany the patient to see a doctor personnel should observe every rule system of the hospital, does not upset the order of making a diagnosis, do not smoke, make noise etc., safeguard the environment of going to a doctor together.
Finally, the expert thinks, the hospital should offer more public services. Task that personnel have actually undertaken to be undertaken by the hospital to a certain extent to accompany the patient to see a doctor. If the hospital can let patients have an optimistic view of the disease likewise smoothly and swiftly and conveniently in a situation that nobody accompany, the number of people is known and thereupon reduced naturally to accompany the patient to see a doctor. In addition, there was the one that offered by charge free of the hospital to protect crowds such as the engineering, volunteer,etc. in the foreign hospital, help to lead the patient to see the doctor, this point is worth our drawing lessons from. Have celebrated calling upon finally, has hoped the government can pay attention to the improvement of the public service of the hospital, increase relevant input.
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