Point out at curing the working conference of the policy in the whole country in 2009 of Chen Zhu, minister of Ministry of Public Health: Some disciplines such as pathology, infecting, recovering, clinical nutrition shrink day by day, the engineering level lags behind, service ability is reduced, become medical care " wooden barrel " " short board " of China . As the pathologic workers of the hospital at the basic level, I feel this passage a lot of. Combine the reality that dept. of pathology of hospital at the basic level belonged to oneself at present works, have a talk on one's own view. First elect the pathologic accuracy rate of diagnosis in all diagnosis means of hospital high at present, the life of pathological diagnosis is accurate and in time. Is for example a swelling lymph node inflammation on earth? Is it shifting tumour? Lymphoma? Other? No kinds of detection means can obtain correct diagnosis up till now, only depend on pathological diagnosis. Any Hi-Tech can not replace pathological diagnosis. Chinese Medical Association pathologic credit will 13 provinces and cities 629 twoes at home, hospital dept. of pathologies tertiary point out in the survey reports of current situation: The examining amount is insufficient outside the hospital of overwhelming majority second, there is too little cytologic checking amount, not qualified to launch the immunity and organize chemistry; Hardware conditions such as apparatus and house,etc. are insufficient, personnel's composition is unreasonable, so it is of low quality to diagnose it is an inevitable result, face the problem of surviving at all sorts of pressure at present. At Midwest under-developed area, at city level or have insufficient understanding of importance of pathological diagnosis at hospital administrator and clinician at the basic level, primary conditions such as the house of the department, overall arrangement, instrument and equipment,etc. are generally relatively bad, contrast is too big that pathologic personnel's income compares with clinical department, the phenomenon of pathologic talent's gap between generations is serious day by day; The inspecting by ready samples rate of pathology of hospital at the basic level is very low. Great majority leave non- the intersection of clinical medicine and major on doctor or have medical practitioner's credentials, diagnose and carry with technology on the shoulder, the strength becomes the bottleneck which perplexes pathologic development, especially at dept. of pathology of hospital at county level ' The great majority belong to the management of the blood screening test lab) On a person, if he receives a training or asks for leave, dept. of pathology has to close. The new technology of pathology of organizing chemistry, liquid base to be dyed cytologically and specially like the immunity etc. is unable to launch. Dept. of pathology of hospital at the basic level faces hindering a great deal of pressing problems of undertaking sound development of clinical medicine of our country seriously, must cause the attention of the hygiene responsible institutions at all levels and change. To proposing my view actually: 1. Set up pathologic personnel's entry system, rigorously enforce the entry condition, department's scale of operation crosses the small hospital and should not establish dept. of pathology; Dept. of pathology not satisfying the requirements should close. 2.Strive for the specialized license, establish the pathologic centre of regional clinic, by solving the pathologic business in some areas, provide the pathological diagnosis report from the person who possesses pathological attending physician's professional title. At county level the hospital ' Including institute of traditional Chinese medicine) Count according to the real berth, the least have two people's establishment. There should be full-time pathologic doctors to check pathology, the lowest condition should be the above professional training education of clinical medicine and have clinical medical practitioner's qualifications, can't be examined personnel to hold concurrently. Propose specially employing a group of clinical two (-or-three)-year-term college students and training it for the pathologic doctor, examine the professorship to give birth to and train as the pathologic technician, and utilize the economic lever to regulate pathologic employees' income. 3.The prefecture-level hospital should encourage launching the immune group, icy slicing, dyes specially, such inspections as the liquid base is cytologic, should reflect the technological value that pathologic personnel work. 4.Grade hospital evaluate, want, have pathologic expert's participation, should " first ticket is rejected " for hospital that practise fraud . 5.Set up the country, provincial and regional pathologic quality control centre, make the pathologic quality control standard, launch quality evaluation and improvement regularly. 6.Set up pathologic doctor and technical staff's training base at dept. of pathology of hospital of conditional the first, second and third or department of pathology of medical university, the conditional universities and colleges can set up the technological speciality of pathology, train the pathologic technician. Adopt the standardization in one year to train to the personnel at the basic level engaged in the work of pathology now. And check and rate synthetically through the examination, the qualified one is signed and issued " the pathologic training doctor is trained the certificate of competency " by department that Ministry of Public Health authorize . The office of Ministry of Public Health is issued recently <
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