Shanghai 1-60 old sick bed supply and demand " A ridiculously inadequate effort to save a grave situation "

Shanghai 1-60 old sick bed supply and demand " A ridiculously inadequate effort to save a grave situation "
Shanghai 1-60 old sick bed supply and demand " A ridiculously inadequate effort to save a grave situation "
In it is difficult to diagnose the illness citizen for a great deal of behavior,sick bed one bed difficult to be can be rated as to asks old "in being difficult difficult " . The newest statistics, 14 million household register population in the whole city, 60 years old and the above old population are up to 3,157,000 people, accounts for 22.5%. According to calculating, there are nearly twenty percent that can not take care of oneself in the old man, support parents to what has been armed with professional medical attendance the berth has enormous demands, and supply and a ridiculously inadequate effort to save a grave situation actually. How to improve the state of the old sick bed in short supply as soon as possible as the medical reform is being advanced constantly, let citizen looked after properly in the old age, get good medical care, Ann enjoy old age? In order to settle down the old man " Step on the broken iron shoes " Recently, in worried that the reporter's friend Xiao Chen fell into. The grandmother of his family is 85 years old, apoplexy is sent to the first aid of the hospital at the end of last year. The emergency ward is overstaffed, the old man is too first-class to live in the ward in three days in the stretcher bed of the corridor. Through the treatments of nearly two weeks, the condition has been controlled, but the hospital tells at this moment, waiting to enter the ward behind the patient spends critical days, should leave hospital at once, spare the sick bed " " Patient. Everybody has worried: The grandmother though the life has no supposition, the brain stem leaves sequela, the speech is unclear, the half of body is not obedient either, leave hospital and go home immediately, in case what if the condition is repeated? Recover and train, attend to, how should the ordinary people without medical skill go on? In order to settle down the grandmother properly, little Chen and household begin to look for everywhere. Contact second hospital in the district first, both ones run and say the berth has been already full, wait for two or three months at least; Though community health Center have, recover facilities and doctor, there is no ward. They contact the old people's home again, there are berths in although the old people's home, it is unable to bear medical attendance. Xiao Chen has also consulted the mechanism of supporting parents of the high side of home, the facilities there are complete, but the price is up to as many as ten thousand Januaries. Look for earnestly, find one facility get through, charge reasonable the intersection of nursing and institute too at last. Attending to the institute and lying in the outer suburbs, nowadays Xiao Chen comes and goes more than 80 kilometers everyday, meet and send off mother who has already retired to attend to the institute and look after the grandmother by car. Meanwhile, he " registered " in several nearer hospitals ,When transferring from one hospital to another once there are berths. Support parents berth imbalance between supply and demand sharp experience of Xiao Chen absolutely not case. Shanghai that is strengthening in the senilization intensity constantly, the nursing for the aged and medical care demand for recovering rise sharply, relevant data reveal, the whole city attends to the demand of the sick bed in supporting parents and is up to more than 610,000 persons every year, among them more than 540,000 persons need recovering after suffering from heart cerebrovascular diseases, always slow propping up, diabetes, senile dementia or brain stem apoplexy, the nearly 70,000th person condition is more serious, need attending to completely. And according to research that Shanghai Municipal Health Bureau carried on last year, up to the end of 2008, this city have nursing for the aged 54 of institute, check and ratify total berth only for 6640 (open 10342 actually) . 1: 60,The imbalance between supply and demand is unusually sharp. "History owes account too much. " The insider says frankly, the medical resources in Shanghai are more abundant in total amount, per person's doctor counts and the berth can satisfy the demands to count, but the structure is unreasonable, the gynaecology, pediatrics, spiritual disease subject resource are insufficient, it was the hospital of nursing for the aged that lacked most. East China hospital nerve physician Zuo Gang says, the scale of hospital of Shanghai is expanding constantly in recent years, but pay close attention to the expansion of the treating sick bed even more, and neglected the increase of the supporting parents sick bed. The shortage of the berth that and supported parents, has offsetted the facility that the treating berth increases conversely, the old patient of tertiary hospital can not rotate out, the reason is it possible that " goes home worriedly, always protect the institute can not enter " . On the other hand, though resources are so " hard-to-get " ,But under the background of fact that it is insufficient to put into needing the hospital to solve survival and development by oneself the government, the hospital of nursing for the aged " Profitless " ,The social each side holds enthusiasm of attending to the organization " The depression " . It is reported, in courtyard of more than 50 nursing for the aged of Shanghai at present, what the government does not replenish for one fen accounts for more than 40%, there is deficiency more to even replenish, it is the normality to attend to the institute and lose and manage. Shanghai east president of nursing for the aged institute Hu Dong root say at present, medical insurance it compensates to be each 102 one day such as berth, and including medicine, the intersection of person who treat, attend to and real medical cost, cost 150 yuan at least. In order to fill the gap, the hospital has to make an issue of compressing the cost of manpower, "can continue, drive, go down, keep now already getting difficult berth these, acquire apparatus, it launches scientific research to be extravagant hope nearly. " Expecting the government to replenish specially according to the estimation by family planning department of population, by 2020, old population will be up to 30% in Shanghai 60. The expert proposes, should put out the valid measure in adjusting the medical resource structure, improving compensation mechanism to the limit, expire by in conformity with being turbulent correctly " The senilization tide " Lasting enlargement that brings, to attending to recovering the demand for the sick bed. Hu Dong says root, to the undertaking of nursing for the aged, the related departments of the government can put out the supportive measure of two respects. First offering space. The administrative department can be through adjusting resources, help to attend to the hospital to expand and hold ability. Second the medical insurance is supported. If the patient is increasing constantly, the medical insurance must increase correspondingly while paying, should increase the annual total value of the medical insurance appropriately, the ones that remove and attend to institute's development " The inhibition " . "Attend to the sick bed to list in the government and replenish specially? " Hospital of many of nursing for the aged say, many at present to support parents the organizations are all replenished according to the berth by the government, and likewise the nursing institute with public service property, should enjoy similar compensation. Institute carries out president Professor Ma Jin and says Shanghai Communications University's public health, organization's insufficient phenomenon of supporting parents of nursing which the government runs exists too in Australia, the solution is to encourage the private capital to hold the non-profit-making organization of nursing for the aged, the government serves and reciprocates people through buying again, its successful experience can be drawn lessons from. The expert has medical organizations of part second that is in " having enough " to point out in the urban area, at present in fact State, can consider, make the transition, for attend to hospital, increase, attend to, support parents proportion of berth hospital these, thus meet the relevant demand in the area. As to the doctor of second hospital, can make certain favorable policy, encourage them to be engaged in the work of old medical attendance. Author: Sun Gang takes care of swimming


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