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The author:(作者)delvpublished in(发表于) 2013/10/31 9:31:27 Guangzhou Health Secretary talked about doctors being choked several times very cold
Express News reporter-piao
In recent days a number of violent incidents between doctor and patient, sparking concern at the same time, many health care workers burdened. Yesterday afternoon, the Guangzhou Municipal Health Secretary Chen Yi NI visit Guangzhou TV "face the wind" broadcast its due respect, pained choking on several occasions, she said, families all want patients to cure in the hospital, but doctors can't help sometimes, "even if it is the last finds hospital is at fault, nor should it beat beating atrocities must be zero tolerance. ”
Next doctor was very cold
On October 21, broad medical doctor was injured by patients ' families with two homes, raised the concern in town, there are already two attacker were detained.
Yesterday at the show, was asked about the incident, Chen Yini with emotion. She said that it is not disputes between doctors and patients, is purely vexatious with his hands. After he had visited wounded bears doctor, feeling very sad. When it comes to this, Chen Yini once choked, now take a deep breath before continuing on.
She said that normally heard some family members of patients injuring or even killing the doctor's affair, "this happened on your side, feel particularly chilling. "Chen Yini says, for a long time, day and night observed at healthcare workers in Guangzhou on the line, the pressure of work is very large, even big things happened, everyone feels wronged, but not overly aggressive behavior, the overall situation will continue," I'm deeply grateful to them. ”
Doctors sometimes can't help it
Chen Yini believes that disputes between doctors and patients is the biggest reason is that inadequate communication, in many cases, or doctors may not have explained clearly, or patients unable to understand medical terminology of technical content. And on the other hand, the dual nature of patients for medical, science is not intelligent enough to understand that "they defy, medical, that paid for medical services, a patient came in a healthy person should go out, expectations were too high, but when medical personnel also have a virtually powerless. ”
She says, the medical industry to strengthen the communication between doctor and patient, learn communication skills, improve medical moral and mood, but from the outside, "medical personnel are also vulnerable, patients do not understand, we are very sad. "She says, whether or not a medical dispute, even after medical evaluation was poor hospital errors should not hit" the importance of zero tolerance for hitting, everyone should be baying for such violence, should be dealt with through legal channels. ”
Focus on the issues
1
Swimming pool is dirty because of illegal low cost
Not clearly defined water cycle, depending on water quality monitoring
Presenters, some swimming pools a year to change the water to the public, and repulsive dare to swim, swimming pool water quality monitoring?
In response, Chen Yini with respect, and not simple mechanical provisions "how long will change the water", "a pool even if they are the same size, 10 men and 1000 people trips is not the same, not much time to change the water, but rather to detect targets. "She said, check the General is looking at whether licenses and staff to meet the requirements, the monitoring of water quality the water PH value, may kill bacteria, bacteria in the turbidity etc as required is the operator monitors and records every day.
Director of the municipal health authority said the city licensing pool this year is 301, routine and special supervision and a total of 152, investigation 11 12 penalties, penalties totaling nearly more than 20,000 yuan, "breaches the cost is relatively low. "Says major were punishments based on more than 20 years ago, so punishment is inadequate. Pool penalty is because of residual chlorine is too high.
2
Selling water on the streets pass rate is only 60%
City Health Department recommends "not selling water on the streets again"
The program, journalists make unannounced visits to multiple drinking fountains found in the streets, many drinking fountains shabby rust, or not post monitoring reports, such water to drink? Chen Yini answered simply, she dared not to drink. She said that although water dispenser street sale in the health sector regulators, but has no right to ban. Chiu, Deputy Director of the municipal health Bureau said, selling water on the streets there for historical reasons, its management involves several sectors, water supply for industry and commerce, mainly for its technical testing of water quality in the health sector, improvement by the water supplies Department is responsible for, the unqualified is managed by the industrial and commercial sector, "does not require certification, nor does it need health license".
According to the monitor, water from a pipe the passing rate was 99%, drinking on the street rate was 60%, "would like to urge members of the public, do not reuse water Street. ”
In this regard, Zhou Qian said of the morals commentators, if not banned, when water quality monitoring results can be found unqualified, failed the give it up on "branding" to remind the public? Chen Yini can be considered.
3
Convenience clinic shots
Injections with no apparent irregularities, is to monitor the blind spot
Programming of the journalist, Baiyun district, Tong kai, haizhu district, Stony Brook, more than Tianhe district Tangxia clinic, in the name of the doctor to unannounced visits, results, without exception, been asked to injection, many doctors not hearing even describes the condition, then with reporters hanging shot, "better".
In Tianhe district Tangxia world clinic, for example, when he heard reporters unwilling to injection, doctors became free, "that taking medication, Western medicine is herbal medicine? "Since then, its dispensaries from with pills, but reporters asked several times what the medicine, the other party has avoided answering.
Will gradually clear and reduce clinic
Chen Yini said a heavy heart, a lot of low-income people, may choose a small clinic for economic reasons, "why clinic was shot, ultimately, it is a profit-driven, injection is always high. "Next to troubleshoot these clinics-medical care whether exceeding the scope, but she admits that she" does for the patient an injection, can a shot, you have to say there's a clear violation, either. "Frank, this is to monitor the blind spot.
Clinics for many black people cannot be "Oh come, all ye faithful" question, Dr Tang Xiaoping, Secretary of the municipal public health Bureau said then there really are some black clinics, as well as the some certified clinic, in the latter case, the first established nursing staff are qualified, but then turnover may be unqualified health care workers. At present, integrated clinics in General largely while guiding private capital to hold higher-end specialist medical institutions, to compress a small outpatient living space. Meanwhile, the health authority career through the check points, "repeated violations of a year, after a cumulative score will revoke a license, cleaned and gradually reduced. ”
Councilors recommended tube hard enough
In this regard, the climate appraisal Wan Qingtao recommends that regular clinics are online, available for public inspection, oversight and more intuitive. Morals-councilors Zhou Qian also said that even the clinic doctor registered like a police badge, and the badge that patients knew their identity information, check that "cannot care in public hospitals, private hospitals so loose. ”
"Must be zero tolerance for hitting, everyone should be baying for such violence, should be dealt with through legal channels. ”
-Guangzhou City Health Bureau Director Chen Yi-NI
The scene
"As soon as possible" in the end, how quickly?
Chen Yini twice asking subordinates for rectification
Yesterday at the scene, Chen Yini answer after the heads of relevant areas, "Please respond to. ”
According to reporter undercover investigation, Baiyun District Hospital quarantine order feel free to anyone reading, yuexiu district has passed the working time of MCH hospital, clinic doctors are long overdue. In this regard, according to District Health Bureau went back to management, while the District Health Bureau Secretary Wong said, if late due to personal problems, to be punished in accordance with the system and have to go back and check and then reply.
"The two Secretaries, how long can you respond to rectification of the problem better? "Chen Yi neon apology.
"As soon as we get back into the city hospital, complete the corrective action as soon as possible. "Town, Baiyun district, the Secretary said.
"Can I have a specific time? "Chen Yini asked with a smile.
"Well, for a month. "Hear the answer, Chen Yi neon smiled with satisfaction.
"Tomorrow I will finish this case investigation, and perfecting the system of all medical visits within a week. "The yuexiu District Health Secretary's reply, Chen Yini is very satisfactory.
"Generally asking that I do a timesheet, you offered him my work to do today. "The moderator said with a smile.
(Original title: Health Secretary talked about doctors being choked several times)
新快报记者 黄琼
连日来发生的多起医患之间的暴力事件，引发高度关注的同时，也令不少医护人员心情沉重。昨日下午，广州市卫生局长陈怡霓做客广州电视台“行风面对面”节目，其数度哽咽直言痛心，她称，家属都希望患者能在医院治好，但医生有时也无能为力，“哪怕是最后认定医院有过错，也不应该打人，对打人暴行必须零容忍。”
身边医生被打很心寒
10月21日，广医二院发生一起医生被患者家属打伤的事件，引发全城关注，目前已有两名打人者被拘留。
昨日在节目现场，被问及该起事件，陈怡霓一度情绪激动。她说，这并不是一起医患纠纷，纯粹就是无理取闹打人。事后自己曾去看望被打伤的熊医生，感觉非常痛心。说到此，陈怡霓一度哽咽，要深呼吸才能继续说下去。
她说，平时也听说过一些病人家属打伤甚至杀死医生的事，“这次就发生在自己身边，感觉特别心寒。”陈怡霓说，长期以来，广州的医护人员都日夜坚持在一线，工作压力非常大，即便是发生了这么大的事情，大家尽管感觉委屈，但没有做过激的行为，顾全大局，仍坚持工作，“我要深深地感谢他们。”
医生有时也无能为力
陈怡霓认为，时下医患纠纷最大的一个原因还是在于沟通不足，很多时候，或者医生没有解释清楚，或者患者无法理解医疗术语的技术含量。而另一方面，患者对医疗的双重性、科学的不可知性不够了解，“他们把医疗神化了，认为花钱购买了医疗服务，一个病人进来应该是一个健康人出去，期望值太高，但实际上医务人员也有无能为力的时候。”
她坦言，医疗行业要加强医患沟通、学会沟通技巧、提高医德医风，但从外部来说，“医务人员也是弱势群体，对于患者的不理解，我们很痛心。”她表示，不管有没有医疗纠纷，即使经过医疗鉴定是医院有错差都不应该打人，“必须对打人零容忍，所有人都应该对这种暴力行为群起而攻之，应该经过法律渠道来处理。”
焦点问题
泳池水脏因为违规成本低
未明确规定换水周期，关键看水质监测
节目主持人表示，有的泳池一年才换一次水，让市民心生厌恶不敢去游泳，泳池的水质怎么监控？
对此，陈怡霓直言，并不能简单机械地规定“多久换一次水”，“一个游泳池即使是同样大小，10个人游和1000人游是不一样的，不是定多少时间换水，而是以检测指标看。”她称，检查一般是看是否证照、人员符合要求，对水质的监测则看水质PH值、可杀细菌的量、细菌的含量浑浊度等，按要求是经营者每天都要进行监测并记录。
市卫生监督所马所长表示，今年全市发证的游泳池是301家，日常和专项监督共有152次，立案查处有12宗处罚11宗，处罚总额近2万多元，“违规的成本比较低。”其表示主要是处罚依据是20多年前的，因此惩处力度不够。一般泳池被处罚都是因为余氯过高。
街头售水机合格率仅60%
市卫生局建议“不要再用街头售水机”
节目中，记者暗访多处街头饮水机发现，不少饮水机破旧生锈，或未张贴监测报告，这样的水能喝吗？陈怡霓答得干脆，她也不敢喝。她表示，卫生部门虽然是街头售水机的监管部门，但却无权取缔。市卫生局邱副局长表示，街头售水机的出现有历史原因，其管理涉及到工商、水务几个部门，卫生部门主要是对其水质进行技术检测，整改由水务部门负责，不合格则由工商部门管理，“并不需要发证，也不需要卫生许可”。
而根据监测发现，从管网出来的水合格率是99%，而街边饮水机合格率才60%多，“在这里呼吁市民，不要再用街边售水机。”
对此，行风评论员周谦表示，如果无法取缔的话，能否在发现水质监测结果不合格的时候，给它贴上不合格的“烙印”，以提醒市民呢？陈怡霓表示可以考虑。
利益驱使门诊部动辄打针
打针没有明显违规，是监管的盲点
节目中，记者先后到白云区棠溪、海珠区石溪、天河区棠下多家门诊部，以看病为名进行暗访，结果无一例外被要求打针，不少医生甚至连病情描述都没听完，便建议记者打吊针，“好得快”。
以天河区棠下的济世门诊为例，在得知记者不愿意打针后，医生的态度变得随意，“那吃药好了，要西药还是中药？”其后，其从配药房拿出自配的药丸，但记者多次询问是什么药，对方却避而不答。
将逐渐清理和减少门诊
陈怡霓对此表示心情沉重，不少低收入人群，因经济原因可能会选择小诊所看病，“为什么门诊部一提就是打针，说到底还是利益驱动，打针总是收入高一些。”其称，接下来会去排查上述诊所的医疗行为是否超范围，但她坦承，“对于病人是不是打针，能不能打针，你要说有明显的违规，其实也没有。”其坦言，这是监管的盲点。
对于很多黑诊所市民无法“验明正身”的问题，市卫生局党委书记唐小平表示，当下的确存在一些黑诊所，以及部分不良持证诊所，以后者来说，可能成立之初医护人员都是合格的，但之后人员更替可能都是不合格的医护人员。目前，一般的综合门诊部基本上不批，同时引导民营资本去举办较高端的专科医疗机构，以压缩小门诊的生存空间。与此同时，卫生监督所通过检查进行职业扣分，“一年反复违规的，经过累计积分会吊销执照，逐渐清理和减少。”
评议员建议管得更严些
对此，行风评议员万庆涛建议，能将正规的门诊部都放上网，供市民查阅，监督也更为直观。行风评议员周谦也表示，即便是门诊部也应对医生登记在册，像警察一样有工号和工牌，患者一查工号就知道其身份信息了，“不能公立医院管得那么严，私立医院就那么宽松。”
“必须对打人零容忍，所有人都应该对这种暴力行为群起而攻之，应该经过法律渠道来处理。”
——广州市卫生局局长陈怡霓
■现场
“尽快”到底是多快？
陈怡霓两度追问下级整改时间
昨天在现场，陈怡霓每每自己回答完毕后，都要点出相关片区负责人，“请你再来回应一下。”
据记者暗访，白云区医院的检验单随意放着任人翻阅，而越秀区妇幼保健院已过了上班时间，诊室的医生却姗姗来迟。对此，白云区卫生局一局长表示回去后要加强管理，而越秀区卫生局黄局长则称，如果因个人问题迟到，要按照制度进行惩处，具体要回去查证后再答复。
“两位局长，你们能不能回应多长时间内把这个问题整改好？”陈怡霓不依不饶。
“我们回去之后立刻组织到市里大医院学习，尽快完成整改。”白云区的局长表示。
“能给我个具体时间吗？”陈怡霓笑着追问。
“那么，一个月。”听到回答，陈怡霓满意地笑了。
“明天我会完成这个个案的调查，然后在一个星期内完善所有医疗机构的出诊制度。”越秀区卫生局局长的这番答复，让陈怡霓非常满意。
“通常追问时间表是我来做的，您今天主动把我的工作给做了。”一旁的主持人笑着说。
(原标题：卫生局长谈及医生被打数度哽咽)
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