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熊思东委员:儿科医生成“苦差” 培养应超前谋划长期育才

2016-03-04 刘巍巍 新华社

“国内儿科医生缺口一直很大,加大对儿科医生的培养已成为当务之急。”作为医卫界别的全国政协委员,苏州大学校长熊思东对儿科医生缺口忧心忡忡。在他看来,只有通过系统性的规划和顶层设计,超前规划儿科医生培养,才能堵住这一缺口。谈及眼下国内儿科医生紧缺原因,熊思东分析认为:“全国无论大小城市都面临儿科医生短缺难题,这是体制和机制的问题。收入低、压力大、风险高,是造成儿科医生匮乏的主要原因。现在一个孩子生病,

“国内儿科医生缺口一直很大,加大对儿科医生的培养已成为当务之急。”作为医卫界别的全国政协委员,苏州大学校长熊思东对儿科医生缺口忧心忡忡。在他看来,只有通过系统性的规划和顶层设计,超前规划儿科医生培养,才能堵住这一缺口。

谈及眼下国内儿科医生紧缺原因,熊思东分析认为:“全国无论大小城市都面临儿科医生短缺难题,这是体制和机制的问题。收入低、压力大、风险高,是造成儿科医生匮乏的主要原因。现在一个孩子生病,通常有四五个家长陪着,当这么多双眼睛盯着一个儿科医生的时候,任何细微的差错都会被无限放大。儿童疾病变幻莫测,在几小时甚至几分钟内病情就可能发生急剧变化,治疗风险特别大。再加上部分家长对医生的不理解、不认同,导致儿科医生的压力非常大,医学院校毕业生也因此不愿当儿科医生。”

针对这一问题,目前国内很多医院着手建设“儿科医联体”,即通过一家专业的儿科医院来带动多家综合性医院的儿科部门,例如复旦大学附属儿科医院就对相应综合性医院中儿科专业比较弱的部门进行了覆盖支持。熊思东认为,“儿科医联体”建设是一条可行之路,建议在更大范围内推广。

更为治本的办法,则是通过系统性的规划和顶层设计,超前谋划好儿科医疗卫生人才培养。“医生的培养不同于其他行业,其专业化、行业化决定了其不能像其他行业那样可以跨行业吸收,必须主要依靠医学院校专门培养,且培养一个医生的周期很长,至少需要8年。我认为,对培养医疗卫生人才的数量应该制定一个长期规划,提前筹谋、提前实施。”熊思东说。

熊思东说,对儿科医生的评价标准也应有所转变,更倡导儿科的公益性而非经济效益。各类保险则应对儿科医生和儿科疾病给予更多支持,这样才能让儿科医生这个原来没人愿意干的苦差事,吸引更多人才加入。

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  1. [GetPortalCommentsPageByObjectIdResponse(id=83219, encodeId=a7e083219e3, content=儿科目前是个烫手的山芋, beContent=null, objectType=article, channel=null, level=null, likeNumber=148, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=73441710184, createdName=明崖, createdTime=Thu Apr 28 21:14:00 CST 2016, time=2016-04-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=67714, encodeId=501c6e71477, content=难, beContent=null, objectType=article, channel=null, level=null, likeNumber=160, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=078f1661649, createdName=wei834766788, createdTime=Sun Mar 06 23:59:00 CST 2016, time=2016-03-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=67493, encodeId=4b536e4933a, content=还是在做表面文章, beContent=null, objectType=article, channel=null, level=null, likeNumber=115, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2d331664955, createdName=老段, createdTime=Sun Mar 06 09:52:00 CST 2016, time=2016-03-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1385825, encodeId=4f1613858255d, content=<a href='/topic/show?id=8d8e2808e9e' target=_blank style='color:#2F92EE;'>#儿科医生#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=71, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=28087, encryptionId=8d8e2808e9e, topicName=儿科医生)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a5712500001, createdName=晓辰, createdTime=Sun Mar 06 07:49:00 CST 2016, time=2016-03-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=67394, encodeId=85716e3947d, content=只从边上挠痒痒,不去中心去除病灶,然后一个劲的喊,病的好严重,我们尽力了。。。无语了, beContent=null, objectType=article, channel=null, level=null, likeNumber=141, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7d571658461, createdName=大于菲菲, createdTime=Sat Mar 05 18:52:00 CST 2016, time=2016-03-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=67270, encodeId=93806e2708e, content=不从根本上解决问题, beContent=null, objectType=article, channel=null, level=null, likeNumber=122, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e4371683642, createdName=文医生, createdTime=Sat Mar 05 09:09:00 CST 2016, time=2016-03-05, status=1, ipAttribution=)]
    2016-04-28 明崖

    儿科目前是个烫手的山芋

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=83219, encodeId=a7e083219e3, content=儿科目前是个烫手的山芋, beContent=null, objectType=article, channel=null, level=null, likeNumber=148, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=73441710184, createdName=明崖, createdTime=Thu Apr 28 21:14:00 CST 2016, time=2016-04-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=67714, encodeId=501c6e71477, content=难, beContent=null, objectType=article, channel=null, level=null, likeNumber=160, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=078f1661649, createdName=wei834766788, createdTime=Sun Mar 06 23:59:00 CST 2016, time=2016-03-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=67493, encodeId=4b536e4933a, content=还是在做表面文章, beContent=null, objectType=article, channel=null, level=null, likeNumber=115, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2d331664955, createdName=老段, createdTime=Sun Mar 06 09:52:00 CST 2016, time=2016-03-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1385825, encodeId=4f1613858255d, content=<a href='/topic/show?id=8d8e2808e9e' target=_blank style='color:#2F92EE;'>#儿科医生#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=71, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=28087, encryptionId=8d8e2808e9e, topicName=儿科医生)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a5712500001, createdName=晓辰, createdTime=Sun Mar 06 07:49:00 CST 2016, time=2016-03-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=67394, encodeId=85716e3947d, content=只从边上挠痒痒,不去中心去除病灶,然后一个劲的喊,病的好严重,我们尽力了。。。无语了, beContent=null, objectType=article, channel=null, level=null, likeNumber=141, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7d571658461, createdName=大于菲菲, createdTime=Sat Mar 05 18:52:00 CST 2016, time=2016-03-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=67270, encodeId=93806e2708e, content=不从根本上解决问题, beContent=null, objectType=article, channel=null, level=null, likeNumber=122, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e4371683642, createdName=文医生, createdTime=Sat Mar 05 09:09:00 CST 2016, time=2016-03-05, status=1, ipAttribution=)]
    2016-03-06 wei834766788

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=83219, encodeId=a7e083219e3, content=儿科目前是个烫手的山芋, beContent=null, objectType=article, channel=null, level=null, likeNumber=148, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=73441710184, createdName=明崖, createdTime=Thu Apr 28 21:14:00 CST 2016, time=2016-04-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=67714, encodeId=501c6e71477, content=难, beContent=null, objectType=article, channel=null, level=null, likeNumber=160, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=078f1661649, createdName=wei834766788, createdTime=Sun Mar 06 23:59:00 CST 2016, time=2016-03-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=67493, encodeId=4b536e4933a, content=还是在做表面文章, beContent=null, objectType=article, channel=null, level=null, likeNumber=115, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2d331664955, createdName=老段, createdTime=Sun Mar 06 09:52:00 CST 2016, time=2016-03-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1385825, encodeId=4f1613858255d, content=<a href='/topic/show?id=8d8e2808e9e' target=_blank style='color:#2F92EE;'>#儿科医生#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=71, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=28087, encryptionId=8d8e2808e9e, topicName=儿科医生)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a5712500001, createdName=晓辰, createdTime=Sun Mar 06 07:49:00 CST 2016, time=2016-03-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=67394, encodeId=85716e3947d, content=只从边上挠痒痒,不去中心去除病灶,然后一个劲的喊,病的好严重,我们尽力了。。。无语了, beContent=null, objectType=article, channel=null, level=null, likeNumber=141, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7d571658461, createdName=大于菲菲, createdTime=Sat Mar 05 18:52:00 CST 2016, time=2016-03-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=67270, encodeId=93806e2708e, content=不从根本上解决问题, beContent=null, objectType=article, channel=null, level=null, likeNumber=122, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e4371683642, createdName=文医生, createdTime=Sat Mar 05 09:09:00 CST 2016, time=2016-03-05, status=1, ipAttribution=)]
    2016-03-06 老段

    还是在做表面文章

    0

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    2016-03-05 大于菲菲

    只从边上挠痒痒,不去中心去除病灶,然后一个劲的喊,病的好严重,我们尽力了。。。无语了

    0

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    2016-03-05 文医生

    不从根本上解决问题

    0

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儿科医生不够内科凑,要当心执业医师法律问题

“儿科门诊事件,卫计委再出大招:儿科赚钱少——儿科医生辞职——儿科医生少——儿科开不下去了——卫计委通知内科顶上去——内科医生辞职——内科人少了——内科开不下去了——卫计委通知外科顶上去——外科没人了——卫计委通知牙科顶上去——医生都没了——卫计委联合农业部通知兽医顶上去——农业部丢不起人辞职了——司法部“卫计委你TMD别看我!老子不会让法医顶上去的!”以上是网上流传的一个段子,如果真这样可能

儿科本科时隔17年将恢复招生

近年来,儿科医生荒的警告不绝于耳。而随着两孩生育政策的放开,这一话题进一步为公众所关注。面对儿科医生短缺的难题,国家卫计委与教育部协调恢复儿科本科招生便是其中一项重大举措。2月24日,国家卫计委科教司副司长金生国称,今年7月起,中国医科大学、重庆医科大学等8所高校将举办儿科学本科专业。“教育部将加强儿科学科专业建设,将儿科学专业化教育迁移,力争到2020年每省(区、市)至少有1所高校举办儿科本

政协委员提案:儿科发展不好的医院,评级一票否决

在2016年四川省两会期间,华西都市报连续报道的“儿科医生荒”现状,引起了省政协委员们的热议。2月24日,教育部高教司副巡视员宋毅回应:教育部将儿科学专业化教育前移,力争到2020年每省(区、市)至少有1所高校举办儿科学本科层次专业教育。在全国政协委员、四川省人社厅副厅长罗良娟看来,高校开儿科本科专业还是解决不了儿科医生荒问题,她正式递交了一份《关于加大儿科医生培养和使用》的提案,建议把儿科发展纳

拿什么来拯救中国“儿科医生荒”?

儿科“医生荒”持续蔓延在医疗界早已是旧闻,儿科医生不赚钱,医生纷纷抱怨并离职,“全面放开两孩”政策无疑将加剧这种短缺。就看一封一位儿科医生的自白:一个娃娃看病,五六个大人盯着我11月24日,周末,我下午1点过才吃上午饭,没扒几口,就放下了碗筷,又有家长带着咳嗽的患儿来看病了。从医5年来,早已习惯了没有周末的生活。经常清早8点就赶到医院坐诊,一直要工作到第二天中午12点。连续工作的30小时,不断有家

这些科室医生每月多得1000元补助!

日前,福州市出台了《福州市公立医院综合改革实施方案》,方案指出将给予急需紧缺专业儿科及公共卫生专业艾滋病、结核病、麻风病、精神卫生等医护人员每人每月不低于1000元补助。儿科医生荒继续在全国蔓延,面对短缺问题,多位政协委员呼吁要提高儿科医生待遇。儿科医生风险大、压力大,若不及时改善待遇,真的很难摆脱儿科医生不断流失的恶性循环。每人每月1000元的补助给儿科医生带来了一丝希望,但相对于严重短缺问题似

多位政协委员呼吁:提高儿科待遇

广东省政协委员,中山大学附属一院教授秦鉴日前在采访中提出:我国儿科医生缺口近17万,然而,“二胎”政策全面放开后,儿科医生的供需矛盾会愈加严峻。因此,他建议:深化医改,加大投入,政府要提高儿科医生的待遇;同时,希望政府能够大力发展基层儿科建设,让儿科常见病都能在基层解决,缓解儿科门诊人满为患的现状。入冬以来,“儿科门诊爆满”,“儿科门诊排队六七小时以上”,“儿科门诊医生吃不上饭,连续加班”等等新闻

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