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二孩产妇扎堆建档 大医院产床难求小医院闲置

2016-12-25 10:00:35   

记者在广东省妇幼保健院的自助挂号上留意到,产科门诊当天12月14日到12月20日的医生都已全部挂满。“到产科就是要排队和等候。而且挂号也要提前一周。产妇太多了,这里的医生也忙到很晚才下班。”

已是下午4:46,产科的胎心监护室仍有十多位孕妈妈在做检查或是等待。检查完的张凤也在犹豫着是否在省妇幼分娩。“我预产期是2月,医生提醒我很多次了,如果在这里生要尽快预约,怕晚了没床位了。这里加床位是很正常的,还有产妇的床位加在过道上。”

回想起在市妇幼检查,林丽觉得现在的新市医院不用排队太舒心了。“在妇幼检查,我8点多就要出门。排两三个小时队才能见上医生,然后开单。检查完后下周才能拿到结果,还要再跑一次。而这边一小时内就能做完检查。”

林丽选择医院主要通过看网上资料用户评价,以及医院是否乱收费、服务态度等。“大医院看医生就和赶集一样,没有太多时间问问题。而在新市医院,我可以将担心的问题都问一遍,也能得到回答。”

和林丽一样在新市医院听胎心的刘雯在中山大学第三附属医院建档号,但是经常来白云区听胎心。“不想在那边的大医院排队,一般要等上两个小时。在大医院生完孩子也要很快出院,床位太紧张了。”

据《广州各类机构产科占床走势》分析图显示,级别越高,占床比例越高。11月15日~12月14日,I类医院产科占床在25%~40%,而V类 医院产科占床则为95%。据各医院公布的每日床位数据显示,12月14日,无床位的医院均为III 、IV 、V类,如V类的广东省人民医院、IV类的广州市越秀区妇幼保健院等医院均无床位。

广东省卫计委相关负责人告诉记者,当前的主要问题是产科资源存在结构性欠缺。“从地区分布来看,广州市、深圳市、汕头市、佛山市、汕尾市、中山 市、湛江市、潮州市、揭阳市等9市现有产科床位使用率高于全省平均水平,全面二孩政策实施后,可能会出现局部紧缺。从机构层级来看,资源紧缺的状况突出发 生在妇幼保健院和综合性人民医院。2015年,按照每千分娩量配置的产科床位数,乡镇级可以达到36张,妇幼保健机构、综合性人民医院分别只有19张、 21张。2015年,全省有178间乡镇级卫生院、16间社区卫生服务中心全年没有分娩,闲置产科床位412张。”

  合理选择分娩医院

“资源告急的机构主要集中在县级以上妇幼保健机构和人民医院,尤其是广州、深圳、东莞等珠三角地区。按照每张产科床位承接的分娩量来看,妇幼健 康服务机构(53家)是综合性医院(47家)的1.11倍, 是乡镇卫生院和民营医院、中医院(28家)的1.87倍。” 广东省卫计委相关负责人告诉记者。

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