zh-cn	问：为什么武汉会发生医疗资源挤兑？ 
en-us	Q: Why were health care resources overloaded in Wuhan? 

zh-cn	答：2020年1月中旬开始，武汉发生医疗资源挤兑不是由于当地日常医疗资源供给水平不足。
en-us	A: Starting from mid-January 2020, medical resources were overloaded in Wuhan. This was not a result from insufficient supply of local medical resources in the city. 

zh-cn	2018年，武汉市每千人医院床位数为7.48个 ，高于中国平均水平（6.03） ，也高于美国及部分经济合作与发展组织国家 。
en-us	In 2018, Wuhan had about 7.48 hospital beds per 1,000 people , while the whole country had about 6.03 per 1,000 on average . The number of hospital beds per 1,000 people in Wuhan is actually higher than that in the United States and some OECD countries. 

zh-cn	现有分析表明，武汉发生挤兑主要有四方面原因： 
en-us	We think the following four factors contribute to the overloading of healthcare system in Wuhan. 

zh-cn	一是经过一个月的积累和发展，大量未确诊患者的病情加重，集中需要医疗服务。
en-us	First, after one month's accumulation and development, the conditions for a large number of unconfirmed patients worsened. These people need intensive medical services. 

zh-cn	武汉最早病例出现于2019年12月初，但在新冠肺炎疫情尚未被发现的情况下，许多被感染者并不自知，因此未立即就医。
en-us	The earliest case in Wuhan emerged in early December 2019, but many infected people were not aware of the disease when the outbreak had not been discovered, so they did not seek medical treatment immediately. 

zh-cn	随着患者病情加重，在身体不适且难以自愈的情况下，大量患者集中到医院寻求诊治。 
en-us	With the aggravation of conditions and difficulty in self-healing, a large number of patients flocked to hospitals for testing and treatment. 

zh-cn	二是疫情暴发恰逢流感高发期。
en-us	Second, the outbreak coincided with a high incidence of influenza. 

zh-cn	新冠肺炎暴发于冬季，正是流感等季节性传染病高发时期，此时医院呼吸科和发热门诊已经人满为患。
en-us	The outbreak of COVID-19 occurred in winter, when seasonal infectious diseases such as influenza were in high incidence. Even if there was no outbreak of the epidemic, respiratory departments and fever clinics at hospitals are usually overcrowded during this period. 

zh-cn	大量新冠肺炎患者涌入进一步增加了医院的诊疗压力。 
en-us	The influx of a large number of COVID-19 patients further increased the pressure of hospitals in diagnosis and treatment. 

zh-cn	三是分级诊疗体系不健全，导致患者集中前往大医院就诊。
en-us	Third, the hierarchical diagnosis and treatment system is still incomplete in Wuhan, which resulted in the concentration of patients in a number of large hospitals. 

zh-cn	武汉市尚未实行严格分级诊疗，大型医疗机构往往是公众就医的第一选择，而社区卫生服务中心等基层医疗机构则无人问津。
en-us	Wuhan has not implemented the strict hierarchical diagnosis and treatment system, and large-scale medical institutions are often the first choice for the public to seek medical treatment, while community health services center and other primary health institutions are not visited. 

zh-cn	疫情暴发后，大量患者集中涌入大医院发热门诊就诊，导致患者、家属等人群之间交叉感染频发，进一步加剧医疗资源挤兑。 
en-us	After the outbreak, a large number of patients swarmed into the fever clinic of large hospitals, resulting in frequent cross-infection among patients, family members and other groups, further exacerbating the issue of overloading. 

zh-cn	四是未知病毒使公众感到恐慌。
en-us	Fourth, the unknown virus makes the public panic. 

zh-cn	未知病毒的突然出现和快速传播在疫情暴发初期使大量民众感到恐慌，在有效信息有限的情况下，公众往往将新出现的冠状病毒与非典病毒联系在一起，进一步加剧了人们的不安全感。
en-us	People panicked at the early stage of the outbreak due to the sudden emergence and rapid spread of the virus. When lacking effective information, the public often associate novel coronavirus with SARS, which further aggravated people's sense of insecurity. 

zh-cn	受恐慌情绪支配，大量出现疑似症状的患者集中涌向医院就诊，导致医院出现超负荷运转，进一步加剧挤兑。 
en-us	Dominated by panic, numerous patients with suspected symptoms swarmed into hospitals for treatment, resulting in overwhelmed operation of hospitals and Wuhan’s health system. 

zh-cn	此外，由于疫情暴发早期防护不到位，一部分医护人员也感染了新冠肺炎，这也加剧了医疗挤兑。
en-us	In addition, due to inadequate protection at the early stage of the epidemic, some medical personnel were also infected, which also worsened the overloading situation of hospitals in Wuhan.