I registered in the eyes of hard


today to see friends Bowen” spell try any 4 days number of experts for the child hanging ” article aroused the concern of many users and comments. Many netizens are condemning number dealers, questioned the hospital, patients with compassion, as if already registered difficult is the Health care system the outstanding problems. Registering with a doctor really so difficult?

topic in-depth, first year of study in Beijing to talk about my personal experience during the on some of the difficult things about registered

event I; I arrived in Beijing did not How long, one expert from out back one day I encountered that one of my patients with liver abscess that we came today from the doctor with him, and the purpose is to see how we treat or need any further treatment other of. Good recovery, he said, continue to follow our treatment regimen on it. The patient went to Beijing just before I was discharged from my clinical cured. Discharge, there are still pieces of liver ultrasound film, I told them no problem of liver abscess, liver abscess healing process massive shadow is often the case, does not require special treatment, like a few months. But patients are worried, so come on to Beijing.

case 2; I am a friend of a concealed penis obese The children see a doctor in Beijing Children's Hospital of Urology, the excessive number of children to the hospital, also visited our hospital, treatment, consistent with the views – clinical observation on it. Parents or not can rest assured that the hanging is not on the number of Beijing, asked me to find a specialist to see. I found an authoritative experts showed him the results, just as continued observation. This time, the patient was relaxed, the parents said, “That we can rest assured.”

case 3 One of my colleagues introduce a second degree hypospadias surgery patients to the Beijing Children's Hospital, registration problems, let me help find experts to look at. I see that it is relatively simple hypospadias, our hospital is to be completed this operation, and results are good. But the parents have more economic power are also demanding that, they think Beijing operation. This busy and I helped to introduce the expert to his exclusive team for several months before surgery.

Event 4 A friend of family illness, think of Beijing doctor. Want me to hang number of experts in a specialist hospital. I came to understand the registration situation one day earlier. One to inquire, I was really surprised. The hospital's number of experts look at this disease to midnight 2 , 3 point line can be linked only to the basic guarantee, and after a morning 5 point of luck. I was on my mind buzzing, even if I have to line up three points, have to my residence to the hospital for an hour, I basically slept the other night. I truthfully to my friend returns the registered difficult situation, okay, then for various reasons, that my friend gave up visits to Beijing.

In addition, we need every year there are a few recommended treatment of patients transferred to Beijing children. Basically the following situations First, do we have this equipment, conditions, and technology can not meet the treatment of certain diseases, this situation is often little. Second, some of the difficult and complicated disease, low incidence, clinical inexperience, but as a number of specialist hospitals in Beijing, due to the wide scope of income clinic for these diseases, see The more, clinics rich experience, the optimal treatment for patients, to a higher level hospital. Such as urethral trauma fracture after the children, some of the late rare tumor. But more often poor prognosis of some diseases, the doctors are not efforts to curry favor with the disease. Treatment of high risk. Moreover, once the adverse outcome, the parents hard to accept, deterioration of doctor-patient relationship is easy to upgrade. In this case, that the patients can go to Beijing to better access to treatment, doctors can relieve the pressure; or require a higher and more difficult for parents to communicate in our hospital where the result of poor treatment of the event, parents difficult to accept. In both cases, the big hospitals in Beijing, even if the same complications occur, the same poor prognosis, patients tend to accept the parents heart. Because they knew that he has been perhaps the best treatment of the domestic.

to add up the above circumstances, I clearly know each transfer patients in Beijing also so few cases (apart from my time in Beijing that are special, usually every year will not exceed 3 cases). But if every physician to switch to Beijing over the past year several patients so that the total figure is still very alarming. Someone once joked that “Beijing Children's Hospital is for all of China's children see the doctor.”

have to admit, most patients see a doctor went to Beijing in the local or provincial the provincial capital of specialist hospitals is likely to be effective diagnosis and treatment. However, for various reasons, they chose the same as they direct that “one step” in the hospital. Once a patient consultation I went to Tianjin, Beijing Children's Hospital for a hernia surgery, ask me. I strongly advised him to the nearest treatment because of minor ailments such as hernias, a general hospital does well enough. The need to go to Beijing farce?

I think the uneven distribution of medical resources, difficult to use properly is registered major factor. Because of this imbalance, the patients will want to find “good” hospitals, clinics, and good hospitals are always there. There's Hospital level ever in the country's leading. As long as the imbalance of medical resources, there will be “select hospital care of.” Visits a certain extent, reflect the difficulty is the so-called quality of health care resources “scarce.” I myself have great experience, such as surgery of hydronephrosis, we do really well, can confidently say that any one hospital better than the domestic poor. Some patients can parents do not take into account our operation. Some go to the hospital, surgical quality is not better than us, or even worse than we are. Sometimes I will ask the parents of these children why the detour is not on our hospital operations, people often respond very simple, people would think that Shanghai, Beijing, senior experts, specifically which high-level experts, they probably did not know before departure. Sometimes patients are often directed at Beijing, Shanghai to go, rather than directed at a specific diagnosis and treatment information to the.

For a limited so-called limited” high-quality medical resources ” , a limited number of experts, No. traffickers appear almost impossible to avoid. No. We all hate mongers, can actually make a limited number dealers only redistribution of medical resources, and does not add more medical resources. That is, if there is 30 the individual to hang a limited 20 expert number, then the number with or without dealers, end all 10 individuals not linked to number of experts.

I was in Beijing, I know the mother of a director of chronic disease, named another hospital to see a number of experts. The director of special usually busy, well-known higher. And he is very easy to advance in that hospital Tuo Shuren linked to the expert's numbers. But he did not choose Tuo Shuren way. But early in the morning to the hospital for registration, not to the place where there are number of registered dealers to strike up a conversation that can provide the number of experts, but must add 200 dollars hard costs. Director who said nothing, from the hands of traffickers to buy a number of experts required number. And said to myself back then say thank you to the dealer number. Then talk about the matter, the Director said that the reason he did not say hello because Tuo Shuren earlier he felt that the little things do not want to trouble others, and to say thank you because traffickers No. No. traffickers to help him do his own can not do. He had neither the time nor the energy to hang Expert No. morning queue.

want to come too, just like home, bought a barrel of bottled water is not necessary personally carry home, as long as the pay hydrotechnic one or two dollars is enough. Similarly, many people also have the same needs, their own convenient registered, or their willingness to pay for the line. I think this is understandable. At least I would rather spend several hundred dollars belonging to someone to line up, not wanting his team ranked the night. As long as those “No. traffickers” to comply with public morals, not to jump the queue, is not no one commissioned before the “total pit”, at least I can accept this phenomenon.

from another angle, number of experts No. traffickers to sell to some extent experts can respond to this issue of market value. Number of different experts should the market have different prices? Whether market forces can be difficult to improve registered a phenomenon? Deny the existence of demand for different health care market, is tantamount to self-deception. I think at least for the price adjustment or re-distribution of medical resources in a practical way. While this is definitely not the best way.

it plainly, the registered hard as” hard to go to school, “” Spring Festival tickets difficult “and so on, basically one of those resources can not meet the demand caused. When an expert one day there 20 a number, and only 15 a patient when looking for him, wanted him hard to hang not underestimate the number of experts.




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