英闻天下——45 How to Make it Easier to See Doctors in Beijing

 　　In some top level hospitals in Beijing, many patients complain it's hard to get a chance to see senior doctors.

 

　　"It's very hard to get registered to see senior doctors at the hospital. Early every morning, I started to wait in front of the registration¹ office, but I still could not get registered. Finally, 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 great pressure of increased workloads². 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 registrations³ from the patients. It's very common for me to see 50 to 60 patients."

 

　　According to chief nurse Zhou Lijuan, Lu's 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 tickets often get angry and ask us why we didn't 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 three 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, that's why he has to finish his consultation⁴ with outpatients on time at noon."

 

　　In order to ensure the operations are done on time in the afternoon, Lu Hai stays in his consulting room from 8:30 am right through to 2:30 pm.

 

　　Wang Dongxuan, an intern⁶ doctor in the hospital says many doctors in the hospital don't drink water when they receive patients, so that they can avoid going to the toilet and save time for more patients.

 

　　Beijing has 25 percent of the country's 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 begun implementing⁷ 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 practitioners⁸, rather than senior physician or specialist with rising cost.

 

　　The Peking Union Medical College Hospital, another renowned⁹ 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.

 

　　In addition, there are also some top level hospitals strengthening cooperation with the lower level hospitals or community healthcare centers, so that patients with chronic¹⁰ diseases could get medical treatment in these institutions near their home, rather than competing for medical service with those 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' expenditure¹¹ for qualified¹² medical service has been lowered. Second, patients 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 implemented¹³ in public hospitals."

 

　　Although these efforts have seen some results, it's far from cutting the queue of patients in top hospitals.

 

　　For CRI, I am Zhang Wan⁵.

1 registration   

n.登记，注册，挂号

参考例句：

• Marriage without registration is not recognized by law.法律不承认未登记的婚姻。
• What's your registration number?你挂的是几号？

2 workloads   

（某一人或组织）工作量，工作负担( workload的名词复数 )

参考例句：

• Project management software can provide such visibility into everyone's skills and workloads. 项目管理软件可以提供这样的能见度到每个人的技能和工作量。
• Doctors have complained of heavy workloads. 医生投诉工作越来越繁重。

3 registrations   

n.登记( registration的名词复数 )；登记项目；登记（或注册、挂号）人数；（管风琴）音栓配合（法）

参考例句：

• In addition to the check-in procedures, the room clerks are customarily responsible for recording advance registrations. 除了办理住宿手续外，客房登记员按惯例还负责预约登记。 来自辞典例句
• Be the Elekta expert for products registrations in China. 成为在中国注册产品的医科达公司专家。 来自互联网

4 consultation   

n.咨询；商量；商议；会议

参考例句：

• The company has promised wide consultation on its expansion plans.该公司允诺就其扩展计划广泛征求意见。
• The scheme was developed in close consultation with the local community.该计划是在同当地社区密切磋商中逐渐形成的。

5 wan   

(wide area network)广域网

参考例句：

• The shared connection can be an Ethernet,wireless LAN,or wireless WAN connection.提供共享的网络连接可以是以太网、无线局域网或无线广域网。

6 intern   

v.拘禁，软禁；n.实习生

参考例句：

• I worked as an intern in that firm last summer.去年夏天我在那家商行实习。
• The intern bandaged the cut as the nurse looked on.这位实习生在护士的照看下给病人包扎伤口。

7 implementing   

v.实现( implement的现在分词 )；执行；贯彻；使生效

参考例句：

• -- Implementing a comprehensive drug control strategy. ――实行综合治理的禁毒战略。 来自汉英非文学 - 白皮书
• He was in no hurry about implementing his unshakable principle. 他并不急于实行他那不可动摇的原则。 来自辞典例句

8 practitioners   

n.习艺者，实习者( practitioner的名词复数 )；从业者（尤指医师）

参考例句：

• one of the greatest practitioners of science fiction 最了不起的科幻小说家之一
• The technique is experimental, but the list of its practitioners is growing. 这种技术是试验性的，但是采用它的人正在增加。 来自辞典例句

9 renowned   

adj.著名的，有名望的，声誉鹊起的

参考例句：

• He is one of the world's renowned writers.他是世界上知名的作家之一。
• She is renowned for her advocacy of human rights.她以提倡人权而闻名。

10 chronic   

adj.(疾病)长期未愈的，慢性的；极坏的

参考例句：

• Famine differs from chronic malnutrition.饥荒不同于慢性营养不良。
• Chronic poisoning may lead to death from inanition.慢性中毒也可能由虚弱导致死亡。

11 expenditure   

n.(时间、劳力、金钱等)支出；使用，消耗

参考例句：

• The entry of all expenditure is necessary.有必要把一切开支入账。
• The monthly expenditure of our family is four hundred dollars altogether.我们一家的开销每月共计四百元。

12 qualified   

adj.合格的，有资格的，胜任的，有限制的

参考例句：

• He is qualified as a complete man of letters.他有资格当真正的文学家。
• We must note that we still lack qualified specialists.我们必须看到我们还缺乏有资质的专家。

13 implemented   

v.实现( implement的过去式和过去分词 )；执行；贯彻；使生效

参考例句：

• This agreement, if not implemented, is a mere scrap of paper. 这个协定如不执行只不过是一纸空文。 来自《现代汉英综合大词典》
• The economy is in danger of collapse unless far-reaching reforms are implemented. 如果不实施影响深远的改革，经济就面临崩溃的危险。 来自辞典例句