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href="/xywy/yxtqs/">医讯同期声</a></span></h1> <div id="i2i2jyu4k" class="pa_0_5_0_10"> <h1 class="Content_title" id="hh"> <span id="a" style="">镇痛分娩是基本需求应纳入医保</span> </h1> <script>/*jQuery('#hh').width(jQuery('#a').width());*/</script> <div id="i2i2jyu4k" class="Remark"> <span>2017年09月13日 09:25 | 来源：<a target="_blank">新京报</a></span> <span id="i2i2jyu4k" class="fr"> <div id="i2i2jyu4k" class="bdsharebuttonbox"><a href="#" class="bds_more" data-cmd="more"></a><a href="#" class="bds_qzone" data-cmd="qzone" title="分享到QQ空间"></a><a href="#" class="bds_tsina" data-cmd="tsina" title="分享到新浪微博"></a><a href="#" class="bds_tqq" data-cmd="tqq" title="分享到腾讯微博"></a><a href="#" class="bds_renren" data-cmd="renren" title="分享到人人网"></a><a href="#" class="bds_weixin" data-cmd="weixin" title="分享到微信"></a></div> <script>window._bd_share_config={"common":{"bdSnsKey":{},"bdText":"","bdMini":"2","bdMiniList":false,"bdPic":"","bdStyle":"0","bdSize":"16"},"share":{}};with(document)0[(getElementsByTagName('head')[0]||body).appendChild(createElement('script')).src='http://bdimg.share.baidu.com/static/api/js/share.js?v=89860593.js?cdnversion='+~(-new Date()/36e5)];</script> </span><span id="i2i2jyu4k" class="fr">分享到：<img src="/images/fx.jpg" /> </span> </div> <div id="i2i2jyu4k" class="text_box"> <p align="center"> <p style="text-indent: 2em; text-align: left;">“分娩之痛”不仅不是“必要的”，而且是人类所能感受到的最高级别的疼痛之一。</p><p style="text-indent: 2em; text-align: left;">据新京报报道，镇痛分娩早已在世界上存在了100多年，进入我国也已半个世纪，但目前尚未普及。2015年国家卫计委中国人口宣传教育中心主办的“快乐产房，舒适分娩”项目活动稿件中称，“据估算，在中国镇痛分娩不到10%”。</p><p style="text-indent: 2em; text-align: left;">镇痛分娩在医学上是指使用各种方法使分娩时的疼痛减轻甚至消失。不过一般来说，镇痛分娩多是指麻醉师采取麻醉剂减轻产妇分娩的痛苦。</p><p style="text-indent: 2em; text-align: left;">镇痛分娩在国内难以普及，根据许多专业医生的观察，主要原因就在于国内麻醉医生偏少、镇痛分娩手术收入低。</p><p style="text-indent: 2em; text-align: left;">据悉，我国麻醉医师数量严重缺乏，大概只有8.5万人。在欧美国家，麻醉师配备的比例一般是每万人2.4个左右。按照这个比例，国内至少需要30万-50万的麻醉师。不过值得注意的是，尽管国内的麻醉师严重缺乏，全国麻醉专业招生人数却在减少。</p><p style="text-indent: 2em; text-align: left;">这一不符合供需规律的现象的出现，原因可能在于麻醉师在国内医疗市场中的尴尬地位：他们缺少自主议价能力。</p><p style="text-indent: 2em; text-align: left;">镇痛分娩没有统一定价，不过按照一些公立医院的定价，一次镇痛分娩收费只是在原有的自然分娩收费基础加收200元。虽然阵痛超过两个小时，每小时可以加30元，但一般来说，整个费用也不会超过500元。更有些一线的医生透露，有时候一个麻醉师在一台七八个小时的生产手术中仅仅能收入60元左右。</p><p style="text-indent: 2em; text-align: left;">相对于那些更加轻松、风险低、时间更短的手术，如此低廉的定价，对于一个麻醉师来说是“划不来”的。这导致医院在推广镇痛分娩时没有动力，也导致麻醉师不太愿意主动推荐镇痛分娩。</p><p style="text-indent: 2em; text-align: left;">要解决这个困境，其实有必要适当提高镇痛分娩中麻醉师的收入，在传统定价机制的基础不妨增加一些市场化的手段，使得医院和麻醉师有更加充分的自主议价能力。</p><p style="text-indent: 2em; text-align: left;">当然如此一来，势必会加重生育费用，而且如果市场价格过高，也会“吓退”那些低收入家庭。要解决这个困境，这就不得不提另外一个阻碍镇痛分娩普及的重要原因，即镇痛分娩在全国未普遍纳入医保。</p><p style="text-indent: 2em; text-align: left;">目前虽然有少数一些地区在考虑将镇痛分娩纳入社会保障项目，比如广州，当地社保局已经有专门的文件支持镇痛分娩，但总体而言，大多数地区依然在徘徊和犹豫。主要原因在于，人们拿不准“镇痛分娩”是基本医疗还是高规格医疗，是基本需求还是非基本需求。</p><p style="text-indent: 2em; text-align: left;">这涉及对妇女“分娩之痛”的认识问题，也涉及对于产妇权利的保障问题。过去困于保守理念的影响，许多人并没有太重视产妇的分娩痛苦，甚至有人认为这是一种生产过程中“必要的痛苦”。</p><p style="text-indent: 2em; text-align: left;">不过现在普遍的共识是，“分娩之痛”不仅不是“必要的”，而且是人类所能感受到的最高级别的疼痛之一。所以无论从保护妇女权益考虑，还是从保障基本的生育权角度考虑，都有必要将镇痛分娩视为一项基本需求，并且纳入医疗保障项目之中。</p><p style="text-indent: 2em; text-align: left;">在制度上为产妇减轻分娩之痛，某种程度上，体现的也是与妇女共担分娩之痛的理念，是对生命本身的尊重，也是一个社会的文明走向更加细腻的体现。</p><div style="margin: 25px 0px 0px; padding: 0px; position: relative; height: 70px; color: rgb(64, 64, 64); font-size: 18px; line-height: 36px; white-space: normal;"></div> </div> <p class="Editor">编辑：王慧文 </p> <div id="i2i2jyu4k" class="Paging"> </div> <p class="Keyword">关键词：镇痛分娩麻醉师医疗市场</p> <h1 class="pv_title_2 mt_15"><a href="/index.shtml" target="_blank" class="more mtb_14">更多</a><span id="i2i2jyu4k" class="t" id="a3"><a href="/index.shtml"><img src="/images/xg_t1.jpg" /></a></span></h1> <div id="i2i2jyu4k" class="pa_0_5_0_10"> <ul class="Related_ul bh_150"> <li><a target="_blank" 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