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Written by: Chen Qianting
2019-11-28 20:34
Last updated: 2019-11-28 20:36The shortage of public hospital beds is not new. The occupancy rate of medical beds has been high for a long time. The medical occupancy rate of leading hospitals reached a daily peak of more than 100% during the peak of influenza last winter.
The Hospital Authority announced today (28th) that the calculation method for the occupancy rate of medical beds will be changed. Short-term beds that were only open during the winter peak will become permanent beds and count the number of beds, which is equivalent to opening short-term beds on 365 days a year. , Think that the new plan will more clearly reflect the workload of colleagues.
The Chairman of the Hong Kong Nurses Association and the Legislative Council Member of the Health Services Li Guolin directly criticized "playing with numbers" and held that "speaking is useless." The authorities should focus on the staffing ratio. If it is calculated how many beds are occupied, more staffing should be arranged. He also considers that the current midnight calculation is inaccurate and fails to reflect the true workload of the front line.
Zhang Zifeng hopes that the new plan can fully reflect the feelings of colleagues. (Photo by Li Enci)
The medical bed occupancy rate was previously announced during the peak winter service period. The hospital bed occupancy rate at midnight was used to calculate the internal medicine occupancy rate of each hospital. Due to the oversupply of hospital beds in Hong Kong's public medical system, the occupancy rate was often "unlimited", and from 100 to It ranges from 130%, which means that the ward with its 40 beds has extra beds to 44 to 56. The above winter flu peak period is an example. From December 20 last year to May 31 this year, the medical occupancy rate of 163 days exceeded 100%, and the occupancy rate of 99 days was severely "exploded." , The occupancy rate exceeds 120%.
"Short-term beds become sun beds for regular beds, open for 365 days"
Zhang Zifeng, Chief Executive Manager (Internet Operation) of the Hospital Authority revealed to the media today that the formula for calculating the medical occupancy rate in the past has changed. The new occupancy rate will divide the number of medical patients (including shunting to other specialties) by the number of medical beds. . Zhang Zifeng acknowledged that the classification of previous beds was more complicated, including "short-term beds" and "temporary beds". However, this year, "short-term beds will be turned into regular beds for 365 days." Reflect the hardship situation ", expecting the new changes to fully reflect the feelings of colleagues.
`` Short-term beds '' have only been open for 4 months in the past
Looking back at the hospital's past definition of hospital beds, "short-term beds" refer to the beds that have been continuously added during the peak of winter flu. The peak of winter flu usually lasts for 4 months, and "temporary beds" are added to meet the needs of ward operations. However, the new change this year is to turn "short-term beds" into "conventional beds", that is, a certain number of beds are no longer "short-term".
A public hospital physician said in an interview that the "short-term bed" that was added during the flu last winter is still in use and cannot be taken out at all.
Li Guolin blamed the Hospital Authority for its responsibility to provide services after calculating the number of patients. (Profile picture)
Nursing Association: The current calculation of midnight occupancy does not reflect the actual situation
Li Guolin, chairman of the Nursing Association, who has repeatedly criticized the hospital ’s bed occupancy rate as having "accurate numbers" believes that it has always been one thing to strive for, that is, the ratio of nurses to patients should be reasonable and a nurse who meets international standards For 6 to 8 patients, instead of the 1 to 12 patients surveyed by the Nursing Association earlier. He pointed out: "Speaking is useless, and counting the number of patients will return a lot of staff." The HA has the responsibility, not "playing with numbers."
The current occupancy figure is calculated based on the midnight occupancy rate of medical beds. Li Guolin quoted front-line health care as saying that most of the outpatient and admission activities were performed during the day or at noon. The calculation of the midnight occupancy rate is inaccurate and cannot be reflected at all. On the front line, the authorities need to change this cut-off time.
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