两会代表建言“儿科医生荒” 提高待遇是当务之急

2016-03-08 Jeffrey MedSci原创

今年两会,面对社会广泛关注的“儿科医生荒”问题,政府工作报告给予了回应,报告中表示要“加快培养全科医生、儿科医生”。两会代表、委员也就此问题提出了建议,认为提高儿科医生待遇、留住人才已是务之急。“儿科医生荒”的背后2015年以来儿科医生紧张、人才缺乏、儿童看病难等问题成为公众关注的热点,广州、上海、南京等地还先后曝出医院儿科停诊限诊的消息。儿科风险高、压力大、待遇低,导致儿科医生人才严重流失,行业

今年两会,面对社会广泛关注的“儿科医生荒”问题,政府工作报告给予了回应,报告中表示要“加快培养全科医生、儿科医生”。两会代表、委员也就此问题提出了建议,认为提高儿科医生待遇、留住人才已是务之急。

“儿科医生荒”的背后

2015年以来儿科医生紧张、人才缺乏、儿童看病难等问题成为公众关注的热点,广州、上海、南京等地还先后曝出医院儿科停诊限诊的消息。儿科风险高、压力大、待遇低,导致儿科医生人才严重流失,行业吸引力不断在下降。全国每千名儿童仅有0.53名儿科医生,儿科医师数量已经严重不足。

全国人大代表、江西省儿童医院护理部副主任胡梅英告诉记者,截至2014年底,全国医院共有25860家,其中儿童医院仅99家;全国儿科床位占床位总数的5.6%,但面对的是占全国人口总数18%的儿童,儿童医院一床难求、儿科医护人员超负荷运转状况十分突出。

全国人大代表、江西省卫计委主任李利表示,我国高等教育从1998年开始改革,在《普通高等学校本科专业目录》调整中取消儿科系招生,采用宽口径培养临床医生后,愿意从事儿科的人越来越少。

提高待遇,提高行业吸引力

对于儿科医生紧缺,代表们均建议国家从加大对儿童医院建设投入、加强儿科医师培养、提高儿科医务人员待遇等方面着手,破解“儿科医生荒”。

“如果儿科职业风险高、负担重、待遇低、医患矛盾多的现状不改善,人们为什么要选择做儿科医生?就算学了这个专业,日后也会改行。关键还是在于提高儿科医护行业的吸引力。”胡梅英建议,提高儿科医务人员待遇,在职称评定、薪酬分配等方面给予倾斜,让临床医学毕业生愿意选择和从事儿科专业,减少儿科医生的流失,稳定儿科医生队伍。同时,她还建议,有关部门应针对儿科的工作量、服务成本,尤其是人力成本明显高于其他成人科室的实际,合理提高儿科诊疗服务的收费标准,加快建立更为合理的儿科服务价格体系。

全国人大代表、重庆医科大学附属儿童医院副院长李秋表示,近期统计我国每个儿科医师接诊人次是其他医生2.4倍。“政策层面上增加儿科医师的职称、晋升、收入的支持力度。”李秋表示,从儿科专科设置等学科发展方面增加投入,引导其他医学专业的人员转行成为儿科医师;增加儿童专科医院的数量或扩大儿童专科医院规模。要保障儿科医生的合理待遇,充分调动儿科医生从事儿科工作的积极性,缓解目前儿科医生转行转岗较多的问题。

对此,全国人大代表、江西省卫计委主任李利也建议,教育部门应鼓励有条件的院校尽快恢复本科儿科专业招生,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,保证儿科医师的稳定来源和培养质量。全国人大代表、首都儿科研究所研究员钱渊的建议是开源节流:从“恢复儿科系的本科生招收”和“保护好现有儿科医生存量”的两个方面进行努力。

“尽管恢复本科招生可以储备儿科后备军,但是破解儿科医生荒,根本之策还是要建立以行业需求为导向的医学人才培养供需平衡体系,改善现有不合理的儿科医护待遇,稳定现有队伍,不断吸引新的人才补充。”上海第二军医大学第三附属医院生物信号传导研究室主任医师、全国政协委员王红阳在聚焦儿科困境时阐述了自己的见解。

全国政协委员、原卫生部副部长黄洁夫则表示,大医院的挂号难和儿科医生短缺等问题,说明医改还需要进一步推进,分级就诊制度需要逐步落实,公立三甲大医院的医疗资源应该进一步下沉,充实到基层医院去。

除了提高待遇,代表和委员们也认为应该加快儿科医生的流动性,全国人大代表,江西省卫计委主任、党组书记李利认为,要在3-5年内取消儿科编制限制,让医院根据实际情况自行决定所需儿科医生,让更多的人愿意成为儿科医师。

MedSci整理自新华社、央广网、中国江西网-江西手机报

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    2016-04-22 wei834766788

    呵呵呵了!!

    0

  3. 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    2016-03-11 三三五五

    待遇加风险资金,儿科护士也难

    0

  5. 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topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTLRP2D8sTDxkrGNjMqwyLUGd9Wbt6L0Yw9goia4ibPGLEx48lF9kvw86FKicbdWemTqujrf6K5WPIic8g/132, createdBy=69a11636814, createdName=ssummer, createdTime=Wed Mar 09 15:55:00 CST 2016, time=2016-03-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=68281, encodeId=8b616828150, content=呵呵, beContent=null, objectType=article, channel=null, level=null, likeNumber=97, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTLRP2D8sTDxkrGNjMqwyLUGd9Wbt6L0Yw9goia4ibPGLEx48lF9kvw86FKicbdWemTqujrf6K5WPIic8g/132, createdBy=69a11636814, createdName=ssummer, createdTime=Wed Mar 09 15:55:00 CST 2016, time=2016-03-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=68282, encodeId=511368282b5, content=呵呵, beContent=null, objectType=article, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTLRP2D8sTDxkrGNjMqwyLUGd9Wbt6L0Yw9goia4ibPGLEx48lF9kvw86FKicbdWemTqujrf6K5WPIic8g/132, createdBy=69a11636814, createdName=ssummer, createdTime=Wed Mar 09 15:55:00 CST 2016, time=2016-03-09, status=1, ipAttribution=)]
  7. [GetPortalCommentsPageByObjectIdResponse(id=1989346, encodeId=933e198934622, content=<a href='/topic/show?id=02a6210617a' target=_blank style='color:#2F92EE;'>#两会代表#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=21061, encryptionId=02a6210617a, topicName=两会代表)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f65b226, createdName=circumcision, createdTime=Thu Feb 16 02:49:00 CST 2017, time=2017-02-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=80416, encodeId=0c8f80416c6, content=呵呵呵了!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=174, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=078f1661649, createdName=wei834766788, createdTime=Fri Apr 22 11:52:00 CST 2016, time=2016-04-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2030606, encodeId=83a8203060659, content=<a href='/topic/show?id=819c2809199' target=_blank style='color:#2F92EE;'>#儿科医生荒#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=28091, encryptionId=819c2809199, topicName=儿科医生荒)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTI5V6pBDhhleaA9ZQaNgImyx09qqFom6WIvSGdUoWfKiaWCiaeUfnXMRECAMPA81Wkd4EOicrPibOTudQ/132, createdBy=b9382500209, createdName=ms6127405442416114, createdTime=Fri May 27 21:49:00 CST 2016, time=2016-05-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=68615, encodeId=aeaa6861558, content=待遇加风险资金,儿科护士也难, beContent=null, objectType=article, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=df9e1651052, createdName=三三五五, createdTime=Fri Mar 11 13:41:00 CST 2016, time=2016-03-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1385829, encodeId=7e63138582963, 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=26, 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=Thu Mar 10 05:49:00 CST 2016, time=2016-03-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1440116, encodeId=2a601440116c8, content=<a href='/topic/show?id=dd405036656' target=_blank style='color:#2F92EE;'>#待遇#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=50366, encryptionId=dd405036656, topicName=待遇)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c0c04702222, createdName=zjshifan_98647307, createdTime=Thu Mar 10 05:49:00 CST 2016, time=2016-03-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1629004, encodeId=8ece162900444, content=<a href='/topic/show?id=98c7346e779' target=_blank style='color:#2F92EE;'>#医生荒#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=34677, encryptionId=98c7346e779, topicName=医生荒)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=d64321261393, createdName=日月, createdTime=Thu Mar 10 05:49:00 CST 2016, time=2016-03-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=68280, encodeId=3fee68280ad, content=呵呵, beContent=null, objectType=article, channel=null, level=null, likeNumber=126, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTLRP2D8sTDxkrGNjMqwyLUGd9Wbt6L0Yw9goia4ibPGLEx48lF9kvw86FKicbdWemTqujrf6K5WPIic8g/132, createdBy=69a11636814, createdName=ssummer, createdTime=Wed Mar 09 15:55:00 CST 2016, time=2016-03-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=68281, encodeId=8b616828150, content=呵呵, beContent=null, objectType=article, channel=null, level=null, likeNumber=97, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTLRP2D8sTDxkrGNjMqwyLUGd9Wbt6L0Yw9goia4ibPGLEx48lF9kvw86FKicbdWemTqujrf6K5WPIic8g/132, createdBy=69a11636814, createdName=ssummer, createdTime=Wed Mar 09 15:55:00 CST 2016, time=2016-03-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=68282, encodeId=511368282b5, content=呵呵, beContent=null, objectType=article, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTLRP2D8sTDxkrGNjMqwyLUGd9Wbt6L0Yw9goia4ibPGLEx48lF9kvw86FKicbdWemTqujrf6K5WPIic8g/132, createdBy=69a11636814, createdName=ssummer, createdTime=Wed Mar 09 15:55:00 CST 2016, time=2016-03-09, status=1, ipAttribution=)]
    2016-03-10 日月
  8. 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topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTLRP2D8sTDxkrGNjMqwyLUGd9Wbt6L0Yw9goia4ibPGLEx48lF9kvw86FKicbdWemTqujrf6K5WPIic8g/132, createdBy=69a11636814, createdName=ssummer, createdTime=Wed Mar 09 15:55:00 CST 2016, time=2016-03-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=68281, encodeId=8b616828150, content=呵呵, beContent=null, objectType=article, channel=null, level=null, likeNumber=97, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTLRP2D8sTDxkrGNjMqwyLUGd9Wbt6L0Yw9goia4ibPGLEx48lF9kvw86FKicbdWemTqujrf6K5WPIic8g/132, createdBy=69a11636814, createdName=ssummer, createdTime=Wed Mar 09 15:55:00 CST 2016, time=2016-03-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=68282, encodeId=511368282b5, content=呵呵, beContent=null, objectType=article, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTLRP2D8sTDxkrGNjMqwyLUGd9Wbt6L0Yw9goia4ibPGLEx48lF9kvw86FKicbdWemTqujrf6K5WPIic8g/132, createdBy=69a11636814, createdName=ssummer, createdTime=Wed Mar 09 15:55:00 CST 2016, time=2016-03-09, status=1, ipAttribution=)]
    2016-03-09 ssummer

    呵呵

    0

  9. 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topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTLRP2D8sTDxkrGNjMqwyLUGd9Wbt6L0Yw9goia4ibPGLEx48lF9kvw86FKicbdWemTqujrf6K5WPIic8g/132, createdBy=69a11636814, createdName=ssummer, createdTime=Wed Mar 09 15:55:00 CST 2016, time=2016-03-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=68281, encodeId=8b616828150, content=呵呵, beContent=null, objectType=article, channel=null, level=null, likeNumber=97, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTLRP2D8sTDxkrGNjMqwyLUGd9Wbt6L0Yw9goia4ibPGLEx48lF9kvw86FKicbdWemTqujrf6K5WPIic8g/132, createdBy=69a11636814, createdName=ssummer, createdTime=Wed Mar 09 15:55:00 CST 2016, time=2016-03-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=68282, encodeId=511368282b5, content=呵呵, beContent=null, objectType=article, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTLRP2D8sTDxkrGNjMqwyLUGd9Wbt6L0Yw9goia4ibPGLEx48lF9kvw86FKicbdWemTqujrf6K5WPIic8g/132, createdBy=69a11636814, createdName=ssummer, createdTime=Wed Mar 09 15:55:00 CST 2016, time=2016-03-09, status=1, ipAttribution=)]
    2016-03-09 ssummer

    呵呵

    0

  10. 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    2016-03-09 ssummer

    呵呵

    0

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半个医生千名娃,儿科医生“荒”在哪?

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