The rural doctor trains the mechanism to take the opportunity of medical reform to set up

The rural doctor trains the mechanism to take the opportunity of medical reform to set up
The high gentle jade, with the deepening of the system reform of the medical and health, all parts round " protect the basic, strong basic unit, build the mechanism " ,Advance and ensure the institutional improvement by basic medical treatment in a more cost-effective manner, 5 great reforms that the basic medicine system is implemented, the service system construction of health care, basic public health at the basic level are served equally and melted and the public hospital reform is the focal point. However, by the look of reality of the reform at the basic level at present, the rural doctor's team is undermanned and wearing out at the age, leaving no successor, have already become a big bottleneck which has advanced the medical reform, has influenced the process of the medical reform and promotion of service ability of health care at the basic level directly. Rural current situation of doctor team personnel enough medicine of Jiangsu Province turn money lake county of pilot county into an example seriously, 11 of the whole county press down ' Centre) Commune hospital authorize work out 426 people, have only 259 people actually, empty to group 167 people into; Only defending 223 skill personnel altogether, only there are 20 people in average each town, cause a person to hold several jobs concurrently, be busy with several subjects, carry several classes. Because some commune hospitals lack the ob-gyn, it has been already unable to set up obstetrical department to connect and produce. The whole county 118 piece village ( Occupy) The committee, more than 250,000 agricultural populations, only have 391 people of medicine of village on duty, among them more than 50 people are used to the town (the centre) Commune hospital. In fact medicine of a village and less than 3 villages on average, but should bear the health care service of several sq. km., two 3,000 people. Though telephone, traffic very convenient, some old weak ill incomplete pregnant the intersection of peasant and pieces of body temperature of thinking etc., examine pieces of still difficult blood pressure. Age wear out in the on duty the intersection of village and medicine seriously, 156 people, account for 39.9% of the total number over the 50; Among them there are 8 people over man 60, there are 4 people over woman 55. And medicine of these villages is " Barefoot doctor " Come from, in " raise medicine with medicine " System get off,last continuing education chance more. Carry on in every town commune hospital of this county of serious exhausted people and already employed and can not cure and study the specialized graduate of universities and colleges' clinical medical treatment for two years in succession, employ and can not defend the nurse that the school graduated from regularly. The village cures the team and has not entered people for many years. Lack the speciality not specially training the rural doctor in the speicality offered of training mechanism's medicine to study the universities and colleges so far, in addition, the treatment is not implemented, support parents and has not ensured, so that the fault appears in the rural doctor's team. In recent years, though one batch of arrangements select the superior to medicine to learn the planned number that the universities and colleges train from graduating high school graduate for a certain area while saving, recruit some students, but it is difficult to enroll new students, the threshold is high, " a slow remedy can not meet an urgency " Question. Especially student these can study have, may make operation qualification, get when use really, exist too a lot unknown. Because personnel training needs certain cycle, related mechanism and preferential policy, so we must take the opportunity of medical reform, set up to the rural doctor with rational science rapidly and train the mechanism, guarantee the rural doctor's team has qualified successors, guarantees peasants can enjoy the most basic public health service. Strengthen the measure that the township cures the team 1. The governments at all levels should pay close attention to the rural doctor's building of contingent. The rural doctor is in the most forward position of rural medicine and health work, it is the network bottom of a rural health care service network. Can't protect their hard-working basically, leave in the strong basic unit and dedicate unselfishly. Though after implementing the basic medicine system, have already offered them some status and will certainly be subsidized, and implemented the endowment insurance, but its attention degree is not also far matched with the requirement for protecting the basic, strong basic unit, display and implement the respect uncompletely,etc. in personnel's property defining yet, duty not very clear, basic treatment specifically. Rural doctor belong to peasant, belong to doctor on earth, village clinic should non-governmental or state-run on earth, it needs participation of the rural doctor to protect the basic, strong basic unit, peasants can leave questions such as the service of the rural doctor,etc., need governments at all levels and hygiene responsible institution to research and solve conscientiously. 2.Medicine should offer the rural doctor's speciality while studying the universities and colleges, specially train the rural doctor. Especially set up the speciality, arrange course, implements and enrolls new students according to the needs of reality of rural medicine and health work at the basic level, the practical talents training the rural public health at the basic level to serve and need badly especially, train and have " Master many skills while specializing in one " Doctors complete,is it rural without being can competent ated to train health care services, it be lasted peasantry health care the " the barefoot doctors " of demands daily . To rural doctor's area and former revolutionary base areas in exceedingly short supply, should increase the enrollment plan, train for a certain area. 3.Administrative responsibile institution should reduce the hygiene appropriately " The threshold " ,Relax the rural doctor's entry condition. By the look of function of pressing down at present, medical health organ of village, it has mainly regarded family and resident as the serivce object, offer prevention from suffering from the diseases and control service, the diagnosis, treating, changing the place of examination and serving of common disease, frequently-occurring disease, woman's children, health service of the elderly, disabled person, rehabilitation service and health education. According to peasants' statement, can " have an injection, hang water, examine blood pressure, rescue patients to wrap up in medicine of village, some medicines are held in the little pain of little disease, simple acupuncture and moxibustion feels pulse to put up " All right. Seeing that the rural doctor's team lacks people seriously at present, the administrative responsibile institution of the hygiene should give lenient treatment even more, relax the entry condition appropriately. So long as know ABC, will basically operate, have basic skills, can allow its operation on duty. Then continue educating through strengthening, promote their actual ability to work. 4.The related departments should issue the policy, the graduate leading and encouraging medicine to study the universities and colleges to the basic unit, get to the countryside, serve peasant. Issue the policies and measures and train the rural doctor as training the officer of university student's village, and the policy should be favourable more loosely, than the officer of university student's village. Because the doctor's cultivation needs certain cycle, it is too short, it is apt to become a mere formality. As to engaged in health care serve, achieve certain service life, outstanding university student that makes an outstanding achievement and are well received by masses in basic unit and countryside, should prepare for the postgraduate qualifying examination, promote, promote, raise wages, house, children attend etc. for the sure one preferably, favourable in many aspects, letting medicine study the university students of the universities and colleges not only like to come to countrysides, but also can work contentedly in the countryside, move ahead. (Author's unit: County people's hospital of gold lake in Jiangsu Province)

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