打不死的小强？号贩子的儿子“子承父业”了

2016-09-02 李子君健康界

东北女孩怒斥“黄牛”事件如同撕开了医疗体制的一个“口子”，让百姓“看病难”的现状毫无遮掩地摆在了人们面前。北京的职能部门随即迅速做出反应，从2016年年初开始，北京市各大医院各重点科室都有了大动作：取消现场挂号，严禁医生加号等举措逐步推行。作为眼科和耳鼻咽喉头颈外科翘楚的北京同仁医院更是重磅推出：“深入挖掘内部潜力”，取消任何形式的加号，不限普通门诊号，延长专家出诊时间，并且“保证所有挂出号源都能

东北女孩怒斥“黄牛”事件如同撕开了医疗体制的一个“口子”，让百姓“看病难”的现状毫无遮掩地摆在了人们面前。北京的职能部门随即迅速做出反应，从2016年年初开始，北京市各大医院各重点科室都有了大动作：取消现场挂号，严禁医生加号等举措逐步推行。作为眼科和耳鼻咽喉头颈外科翘楚的北京同仁医院更是重磅推出：“深入挖掘内部潜力”，取消任何形式的加号，不限普通门诊号，延长专家出诊时间，并且“保证所有挂出号源都能当天看完”。

8月31日，首都医科大学附属北京同仁医院(下称“同仁医院”)举行相约守护“回头看”座谈会。在会上，医院相关部门负责人对打击号贩子、不限号等问题回答了部分体验者的问题。从谈话中不难看出，遏制号贩子、理顺医疗秩序，还有很长路要走。

保卫处副处长：当年我入职的时候号贩子还没结婚，现在他儿子都成号贩子了

同仁医院眼科和耳鼻喉科的学科水平在国内几乎无人能出其右，在聚集了大批优秀专家的同时，也会吸引全国的患者奔赴同仁医院。不少疑难重症患者甚至从与医院相隔不足两公里的北京火车站一下车，就直奔同仁医院而来。他们只有一个心愿，就是尽快见到北京最牛的专家，哪怕额外加价数百元挂号也心甘情愿。优质医疗资源的稀缺，给了号贩子巨大的生存合理性。对于同仁医院来说，遏制号贩子，无疑是一场“持久战”。

“我来同仁医院20多年了，当年入职的时候那名号贩子还没结婚，现在他的儿子都成号贩子了。”提起这些困扰自己20多年的人，同仁医院保卫处副处长孙亮沮丧地摇了摇头，多年来他看着号贩子从夏利、捷达，奔驰再到宾利，一直在换车，可见号贩子早已借此营生赚得盆满钵满。孙亮坦言，医院总共有70多名安保人员，其中半数工作是内保，只有少部分力量负责对付号贩子，尽管不愿就此放任，但打击力度不足也实属无奈。

这是一场旷日持久的“战争”，医院保安能做的仅仅是“轰”，这源于安保部门并没有执法权。“猫鼠游戏”中的“猫”疲于奔命，“鼠”也绝不会坐以待毙。盘踞在同仁医院周边的号贩子经过多年“发展”，早已壮大成拥有系统分工的专业组织。

“现在他们气焰越来越嚣张！”孙亮对号贩子的行径无比气愤。8月22日早上7点，几名号贩子一跃占领了医院内部的自助挂号机试图抢号，安保人员在阻止过程中与号贩子发生冲突，一名联防队员遭到号贩子拳打脚踢还被咬了几口，血流如注的队员随即报警，但当晚号贩子就被派出所释放，连队员的医药费都要医院自己承担。

遏制号贩子需提升信息化建设

事实上，为了科学安排就医流程，医院在不断地优化挂号渠道，提供多种预约挂号方式。但由于医院挂号系统并未与公安部门联网，号贩子可以用虚拟身份证抢走号源，患者向其购买号源时，号贩子再在自助挂号机上退掉号，用患者身份证挂号。这一进一出的瞬间，给了号贩子无数甜头。

与会人员提出，改变这种现状，首先要让医院与公安部门联网，也就是挂号人的个人信息必须是真实的。其次医院信息化建设要提速，比如每天放号时间不固定，让号贩子没有规律可循，或者退掉一个号的同时，号池内不能马上多出一个号，要随机预留一些等待的时间。

不限号的那些医生现在还好吗？

从2016年2月17日开始，同仁医院实行不限眼科、耳鼻咽喉头颈外科普通号源，早上7点至下午4点半均可挂号；为了保证所有挂出号源都能当天看完，医院延长眼科、耳鼻咽喉头颈外科专家门诊出诊时间。同时，鼓励初诊患者通过北京市统一预约平台及微信平台进行预约挂号。当时，这一创举被业内部分人士看做是“自杀式的饮鸩止渴”。半年过去了，医院运行得还好吗？

“门诊量完全在医院可承担范围之内，过去平均每名医生半天看20位患者，不限号以后，增加到23个左右。”同仁医院门诊部副主任田玮告诉健康界，为了服务更多患者，医院不断挖掘医生潜力，包括增加住院部医生出诊次数等，因此并未出现积压患者现象。

同仁医院副院长张罗此前曾表示，眼科和耳鼻喉科门诊运行一直平稳，专家平均接诊人数基本持平。此前有种理解，不限号就是患者无论排多长的队，都可以在当天见到医生，这是一个误区。以眼科为例，同仁医院每天眼科普通号峰值是700个，如果在挂号时间段号已经挂满，就会帮助后来的患者预约第二天或第三天的号，也就是保证患者一定能约得上号，而不是当天能看病。

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2016-09-05 1e0d99ddm02(暂无匿称)

天天医改，把票贩子改改也行！

50 0
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2016-09-05 1e0d99ddm02(暂无匿称)

我们这里不挂号！

62 0
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2016-09-05 1e0d99ddm02(暂无匿称)

这个应该命令禁止！

49 0
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2016-09-05 1e0d99ddm02(暂无匿称)

号贩子也打持久战！

55 0
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2016-09-05 meiliwuxian

没从源头治理，怎么效果都不会好

50 0
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2016-09-05 1771ae4158m

学习了好

28 0
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2016-09-04 茶马古道

严厉谴责！

0 0
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2016-09-04 zhangjiqing

#号贩子#

30 0
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2016-09-04 gyczyxy

唉～～～

0 0
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2016-09-03 风中野草

期待更好的政策

30 0