INFORMATION – Well ahead of the morning, nearly a hundred people stood outside one of the hospitals in the capital.
They were hoping to make an appointment with a specialist, the opportunity to get the best healthcare in the country. The budget visited a cost-free treatment, ignoring the process to restore the government.
A Beijing resident tried to find his father to see the nervous system. Liaoning, north-northeast of the Democratic Republic of the Congo, needs a second opinion about the girl's disease.
Mao Ning, who assisted her with a doctor at a restaurant, arrived at 4am. It was in the middle of the middle.
"There is no choice – everybody comes to Beijing," Ms. Mao, 40, said. "I think this is an unprecedented process, not just in our national conditions, we do not have to do this, right? There must be a logical system."
Long lines, typical hospital visits in China, are a sign of the healthcare system.
The economic growth in the last three years has shifted from poorer farming economies to the world's second largest economy. Communication system known as & # 39; socialized medicine & # 39; has raised lifelong hope and decreased maternal mortality rates.
However, the system can not fully support China's population of more than one billion people. The greatest opportunities and inequality threaten China's development, social stability and financial health – creating a major challenge for President Xi Jinping and the party.
Then, there are scandals. In July, hundreds of thousands of children were diagnosed with injection Bad vaccines. The news has provoked the public, government's confidence and increasingly discouraging the healthcare system.
While wealthy resources are accessible to the best hospitals in foreign hospitals, most people return to full hospitals. In children, people should rely on village centers, or hundreds of miles to travel to the nearest center.
The country has no functioning healthcare system, the first line of defense and the injury. China has a total of 6,666 people, compared to the global average of 1,500 to 2,000 people, according to the World Health Organization.
Instead of going to a doctor's office or community clinic, people go to hospitals to see a specialist, even physically and mentally ill. During this winter, the flu virus has been introduced in the streets of several hospitals in Beijing, according to regional media.
The hospitals are underpinned and covered. The experts are working, seeing around 200 patients a day.
People are depressed, and some are experiencing violence. In China, the medical attacks are so great that they have a name: "yi nao," or "health disorder."
In 2016, Mr. Xi has introduced a long-term long-term healthcare plan to improve health care since the 1949s. It is known as China Healthy 2030, promising to strengthen hospital hospitals and access equally health care.
The problem of the doctors took rapidly with the Chinese government to cover the massive health problems of the population. Heart disease, stroke, diabetes and chronic lung diseases have 80 per cent of China's death, according to the World Bank's 2011 report.
Mao Qun, a spokeswoman for the National Health Service and Family Plan, acknowledges that hospitals can not meet the needs of the public.
"If you do not get grass roots, then China's health problems can not be resolved," Mr. Mao said. "So what we are doing now is trying to return to the usual region."
All morning, Dr. Huang Dazhi, a senior physician working in Shanghai, is pushing for his home care home, where he is treating up to 40 patients per week. During the lunch period, he jumps up his kit to pick up their medicines and then go back to nursery.
Then, he or she is home to three or four people. On another occasion, he goes to the clinic, where he sees up to 70 patients. At night, he advises high blood pressure and flu patients, referring to his cell phone.
All of these things, Dr. Huang is paid about $ 1,340 a month – almost the same began to be a medical doctor in 12 years ago.
"The social condition of the general practitioner is not high," said Dr. Huang said, wearing Nike's Nike T-shirt and Clothes Clothes his clothes. "It feels there is still a big difference when you compare us with experts."
In the country where pay is respected, people see family doctors as having low status and weaker identity than specialists. About 18,000 doctors, one third of them thought they respected the public, according to the China Medical Research Research Institute, Peking Union Medical College, Brigham and the Boston Women's Hospital, Harvard Medical School, Harvard T.H. Chan School of Public Health and Chinese China.
"There is no confidence in maintaining the basic public health system because good doctors do not go," said Bernhard Schwartländer, senior assistant World Health Organization and former Chinese counterpart. "They can not make money."
China has been widespread, in general, a basic healthcare system. "Bulk Doctors" erupted in the villages by treating minor pain. In urban areas, people have access to healthcare in the health centers run by public companies.
The "Chinese bullying" system has been one of the main achievements of the Commission's integration. In 1965, Chairman Mao, who was concerned with the lack of health care in the bush, advised recruiting among the people of their farms during their farming season (usually worked without farming) and half the duration of treatment for patients. It was not a doctor, but a type of SWAT healthcare. Masks give a short period of training – a few months to a year – and a plastic bag and limited equipment.
The average life expectancy of China has increased from 63 to 1970 from 44 in 1960, according to Theodore H. Tulchinsky and Elena A. Varavikova, the New Public Health writers' booklet about international health care. The maternal mortality rate in rural areas has fallen by 41.3 per 100,000 people from 150 to 100,000 before 1949, according to article 2008 of the World Health Organization. At the same time, child mortality rates dropped to 18.6 per 1,000 since 200.
But the population is being fed so that they can not cure it anytime or anywhere. People needed a referral to see a specialist in the hospital.
In the mid-1980s, the government took on challenges, allowing people to be treated at hospitals. At the same time, China has begun economic reforms that led to the destruction of the entire system. Public support has been greatly reduced, and hospitals need to come up with ways to create benefits.
Since hospitals have started investing in high-tech technology in order to meet their new financial needs, health students are introduced. Many believe that it is a specialist who guarantees a "cat cat", a job that is connected to a large-scale security network, including housing and pension funds.
Dr. Huang first went along the road and " After graduating from a health school in 2006, he began working to work in a hospital in Shanghai.
However, he saw patients suffering from anxiety disorder after removing semen, replacing tubes and replacing medicine. "These things are not really necessary to make people experience," he said.
When Dr. Huang saw articles in the general public, he decided to enroll in the 2007 training program. She was inspired by her husband, "bully doctor" in Mingguang, a town in Anhui, one of the poorest regions in China.
Like a boy, he followed his allegations when they went to the public house to give birth to a baby and offered injections. "After I became a doctor, I realized that the need for people & # 39; the pediatric surgeon & # 39; is still too much," he said.
Corruption and Postponement
In March, a doctor killed the patient. In November 2016, a man attacked a doctor after discussing his daughter's treatment. Last month, Dad struck the baby doctor 15 times after his daughter died shortly after birth. The doctor does not live.
Dr Zhao Lizhong, a physician in Beijing's emergency room doctor, sits on a computer and writing a patient when Lu Fu's knife knocked on his neck in April 2012.
In the past, Mr Lu stopped a piece of Dr. Xing Zhimin, who treated him for a diphtheria, at the Peking University Hospital, who fled from him. Police officers arrested his village, Zhuozhou in the northern province of Hebei, and later on month. Mr Lu was sentenced to 13 years in prison.
"We know that this sort of thing can happen at any time," said Zhao.
The violent situation is the same: the fear of the health system.
She returned to the Deng Xiaoping market in the 1980s. After the government delayed the hospital's subsidy, doctors were forced to find ways to earn money. Kickbacks Many drug companies accepted gifts and patient.
A survey of more than 570 people in Beijing, Shanghai and Guangzhou were held in 2013 in Krissis Chan, a professor of economics at Hong Kong University, more than half said that they and their family members are " "surgeons during surgery in the year 2000-12.
Dr. Yu Ying, an emergency doctor working at the Peking Union hospital, one of China's hospitals, said she had already been a great protector for her profession. Sell, the biggest Twitter site, has recalled the criticisms of doctors called "white animals".
"After receiving the fact, I really have to put myself out," she said.
Dr. Yu said that she heard the doctors, patients taking thousands of dollars from drug companies – "cash into plastic bags."
"In the entire system, most doctors accept red and pink envelopes," she said.
Corruption is radical. GlaxoSmithKline has paid a A $ 500 million fine in 2014, the largest Chinese in that time, to recall the doctors and hospitals that prescribe medicines. Eli Lilly, Pfizer and other global drug addicts have been subject to the same rules of similar behavior.
They all make a violent conflict.
Many hospitals are taking steps to protect their employees. In the southern Guangzhou city, Zhongshan hospital rented a team of experts to teach self-defense skills. The eastern town of Jinan provides private security firms to protect them. Last year, the government pledged to close the police station in the emergency departments, where the majority of victims were exposed.
Mr. Mao, spokesperson for the ministry of health, said despite the number of attacks from health workers seemed stressed, they needed to be set up. Chinese patients sought medical assistance in eight billion cubic meters in 2016, the equivalent figure of the world's population, according to Mr. Hailemariam. Mao. There were about 50,000 health issues at that time, a small part of the total health visits.
"Therefore, our judgment is the patient's patient relationship, the fact is not sad," Mao said.
If Peking hopes to improve healthcare, she needs to persuade the suspicious people to stop the hospital to become a fool.
Looga to help change the culture, China has signed a contract pushing each family to a family doctor by 2020 and subsidies for visiting patients. General practitioners also have the ability to make direct appointments to experienced experts instead of going to hospitals to reach hospitals.
Such measures make it easier for patients to move to higher hospitals without waiting, which may provide additional care from a doctor who knows their history. It can also lower costs, as it is cheaper than public insurance to see a family doctor.
After the government order, Dr. Yang Lan has signed more than 200 patients and protects their health about $ 1,220 per month. From its Office of Health Center in Xinhua, a gang of elderly patients around it, it will continue its patient with a Excel letter written on its computer. She said she remembered her medical history and address.
Dr. Yang Yang, 31, said her technique was so great that many of those who had been depressed, so, "yi nao." She sees 50 to 60 patients a day in seven hours. In the United States, the family doctor has 83 & # 39; Patient & # 39; including 45 hours of work, according to the 2017 United States Academy of Families. That is about 16 patients working for nine hours.
The patient receives something, too – a doctor's time. Dr. Yang Yang is facing a face-to-face story of her patient, or during the call of the home or clinic. It is ready to provide tips on her patients on WeChat, a famous Chinese service. The patient is generally kept in a waiting room and, if necessary, can speak at least 15 minutes.
On the hot summer day, an elderly woman with a white hair went to the clinic. Yang. It has heart and heart disease, Dr. Yang Yang told her to watch what she had eaten. Then, a man with diabetes has fallen. "Yes, you got hair!" Dr. One point, four recruits came into the dressing room Yang & # 39; s, talking about each other.
"I think it is a warm and welcoming," said Zhenghua, patient with diabetes. He sought hospital for treatment, he said, adding, "The time spent spending doctors here is a long time."
The government aims to increase the number of general practitioners up to two or three, and ultimately five, 10,000 people, from now on 1.5. But they also have the opportunity to reach their goals, China needs to train thousands of doctors who do not have the basic care system and a little interest from their lawful work in hospitals.
It forces the hospital specialists to hire a community health clinic weekly to pay for those doctors to do so. They also try to improve the bedroom of doctors with state-supported training programs.
In Shanghai, Du Zhaohui, then head of the Weifang Public Health Service, produced a survey of patients who are vulnerable to evaluating care and professionalism professionals. Doctors have 15 minutes to investigate the patient. Teachers use a checklist to classmate physicians such as making "eye contact" and "properly responding to patient's emotional health."
The latest exam, a doctor, who was connected to the Birkenstock boots, was examining an inadequate patient patient with brain bleeding with a small amount of money, an allergy test.
"This is not the right way," said Li Yaling, head of the science and education department at the center, said tired. She said the doctor was very poor and must use the cotton wool to push the patient's feet to the floor.
Dr. Zhu Shanzhu, a program teacher, said one of the most important problems is that doctors have carried out many physical exams on community centers. Many of them are dependent on medication. The reason for controlling the center is poor, she says.
In 2000, Dr. Zhu plans a training course for general practitioners at Shanghai Hospital in Zhongshan, with the request of his director. The first course was free. No one has appeared.
About two years later, Dr. Zhu, 71, said the training is still insufficient, doctors are not enough time to explore new research and their farming techniques.
"If there is a lot of money, good people will come," she said. "A high level of economic situation will improve the social situation."
The government pledged to increase the wages of medical staff. But Dr. Zhu is not a good prospect.
"All these ministries need to be different," she said. "The issue of the country, you know, is not easy."