1、In some top level hospitals in Beijing, many patients complain its hard to get a chance to see senior doctors.Its very hard to get registered to see senior doctors at the hospital. Early every morning, I started to wait in front of the registration office, but I still could not get registered. Final
2、ly, I had to spend several hundred yuan to buy a registration ticket from a scalper.To get a registration ticket in the hospital is extremely difficult. The number of doctors is far from adequate.When patients complain about their difficulty in getting medical services, doctors say they are under gr
3、eat pressure of increased workloads. Lu Hai is a senior doctor at Beijing Tongren Hospital. He usually receives more patients than he can see.Actually chief doctors like me are required to see 15 outpatients within half a day, but, I have to see more than that, as there are many more extra registrat
4、ions from the patients. Its very common for me to see 50 to 60 patients.According to chief nurse Zhou Lijuan, Lus colleague, although doctors like Lu Hai have to do so much extra work each day, it still falls short of meeting the demands of patients.These patients who failed to get registration tick
5、ets often get angry and ask us why we didnt give them extra registration opportunities, and many of patients complain because they have no idea about the doctors work and schedule. For example, today doctor Lu receives outpatients in the morning, but in the afternoon, he is scheduled to carry out th
6、ree inpatients operations. As these inpatients are asked to stop eating and drinking several hours before the operation, the doctor has to be on time for their operations, thats why he has to finish his consultation with outpatients on time at noon.In order to ensure the operations are done on time
7、in the afternoon, Lu Hai stays in his consulting room from 8:30 am right through to 2:30 pm.Wang Dongxuan, an intern doctor in the hospital says many doctors in the hospital dont drink water when they receive patients, so that they can avoid going to the toilet and save time for more patients.Beijin
8、g has 25 percent of the countrys medical resources, and patients from all over China come to Beijing to seek medical treatment. That only makes the situation worse.How to make better use of the limited medical resources in these top level hospitals? Medical reform is absolute necessary.Beijing has b
9、egun implementing its program of public hospital reforms since July 2012. The Beijing Friendship Hospital eliminated its 15 percent drugs mark-up, and introduced a medical care service fee which various according to the seniority of doctor. The measure aimed to encourage more patients seeing general
10、 practitioners, rather than senior physician or specialist with rising cost.The Peking Union Medical College Hospital, another renowned general hospital in Beijing, has started a 24-hour appointment registration service since August 2012, to ease the morning stress of high numbers of registrations.I
11、n addition, there are also some top level hospitals strengthening cooperation with the lower level hospitals or community healthcare centers, so that patients with chronic diseases could get medical treatment in these institutions near their home, rather than competing for medical service with those
12、 patients in critical condition in top level hospitals.Mao Yu, deputy director of the Beijing Hospital Authority says results at these public hospitals are looking good so far.First, through public hospital reform, patients expenditure for qualified medical service has been lowered. Second, patients
13、 have become more satisfied with the medical service, as communication between patients and medical workers has been increased. In addition, big changes have been seen in hospital management, such as position management and performance management being implemented in public hospitals.Although these efforts have seen some results, its far from cutting the queue of patients in top hospitals.For CRI, I am Zhang Wan.