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指示解決公院逼爆 林鄭承諾資源配合
17 Jul 2017
(星島日報報道) 今年夏季流感高峰期持續,求診病人「逼爆」多所公立醫院急症室及病房,個別醫院急症室非緊急病人候診時間長達六小時,內科病房輪候時間更達十五小時。行政長官林鄭月娥昨午親到伊利沙伯醫院巡視,並即時指示醫管局制訂方案紓緩情況,承諾政府會在資源上全面配合。醫管局則表示已啟動應變機制,並會增聘兼職人手應對。
林鄭月娥昨午在食物及衞生局局長陳肇始陪同下,到伊利沙伯醫院巡視。她在了解醫護人手和病牀情況後,隨即要求醫院管理局盡快制訂方案,在短期內紓緩有關情況。林鄭月娥說:「如果是資源的問題,特區政府一定全面配合;如果是有錢也聘請不到醫生的話,這就是一個比較難解決的問題。」
據悉林鄭月娥有見近日報道指公立醫院負荷嚴峻,故昨日特意到訪,事前沒有通知醫管局。至於林太昨日舉措是否為醫委會改革鋪路,《施政報告》又會否增加公營醫療撥款,以至醫療是否現屆政府繼教育後第二項將處理的重點議題,消息指林太「沒有想到如此複雜」。
昨日所見,伊利沙伯醫院急症室擠滿候診病人,熒幕顯示下午次緊急和非緊急病人的候診時間逾六小時,內科病房情況「非常嚴峻」,上房平均需等候超過十五小時。威爾斯親王醫院亦有懷疑中風病人等候十小時方能上病房。
據醫管局數字,前日公立醫院急症室求診人次近六千五百人,整體內科病牀使用率為百分之一百一十一,多間醫院高於平均使用率,其中伊利沙伯醫院高達百分之一百二十四、博愛醫院百分之一百二十二、威爾斯親王醫院百分之一百二十。
香港急症科醫學院副院長蕭粵中表示,過去一、兩星期公立醫院急症室的求診人數較平日增逾一成,其中以伊利沙伯醫院屬「重災區」,三至四成求診急症室的病人均屬診症需時較長的緊急類別(Cat 3),主要由於該院覆蓋的區域較大,亦有較多長者居於附近。
醫管局代理行政總監張偉麟形容,過去兩周因流感入院的病人數字出現異常,每日入住內科病房的人數持續十多天高達一千人,為醫院造成壓力。醫管局已啟動流感應變措施,包括增加病牀、提供特別津貼鼓勵醫生銷假上班或延長工時、延後非緊急手術及診症日期等。
他補充,醫管局已增聘三百名新畢業醫生,將於本月加入公院團隊;未來一、兩個月亦會有一至二千名護士入職。食衞局局長陳肇始則表示,醫管局已增聘兼職人手應付工作量,將會密切留意流感高峰期情況,呼籲市民注意健康和衞生。立法會議員陳沛然則認為,公立醫院急症室爆滿並非只是人手問題,更反映醫管局的管理出現嚴重問題,不應將管理不善的責任再次推給前線醫護人員。他建議公立醫院加快騰空復康科或其他部門的病牀,協助接收病人。
蕭粵中亦批評,醫管局不應再以特別津貼鼓勵醫生加班等短期措施試圖應對問題,「醫生都是人,一星期工作四十多小時,可能捱不住」。他認為醫管局長遠而言應做好醫護人手規劃,配合公立醫院需求增聘人手,以便有需要時調動資源應付突發情況。
前線醫生聯盟發表聲明批評,公營醫療體系不勝負荷,源於政府在醫療政策上的短視和欠缺長遠規劃,致前線公營醫生怨聲載道。
聯盟建議政府短期內考慮將部分醫管局服務外判予私營醫療機構,讓公營醫生集中處理危急個案,長遠而言應增加醫療開支,又不反對有限度輸入海外醫生,但需確保有關醫生在公院執業。
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