The stability village cures the team and needs the favorable policy badly

The stability village cures the team and needs the favorable policy badly
Hebei Baoding Municipal Health Bureau Yang Ying Wei's sub lemon
For a long time, the rural doctor has given peasants relife with the simple, practical, low priced treatment technology, but with the passage of time, the rural doctor of older generation withdraws from the historical stage gradually, what a steady and existing rural doctor's team and supplementing the hygiene talents at village level in time, need the favorable policy of the government badly.
The quantity drops suddenly
Disqualification of practising medicine of the majority
The rural doctor's quantity drops. Since the eighties of last century, the rural doctor's quantity has dropped suddenly. For instance, rural doctors of Hebei have been already 90609 rural doctors by 1983, medical orderly 63695 people reduce rural doctor several 71058 people (junior college and the intersection of education and 1943 people the above among them by 2006, 47717 people of special secondary school and special secondary school level) , medical orderly 1980, have reduced by 21% and 96.9% separately. The reduction of the rural quantity of doctor's team, make the health organs at village level of all parts lack medical worker's situation to aggravate.
The rural doctor's education are on the low side. The rural doctor examined and registered the statistical data to reveal, 71058 people rural education of doctor's team of Hebei were generally on the low side in 2006, academic certificates at or above the junior college level is 1943 people, only accounts for 2.73%; Special secondary school and the following education account for 97.27%. Serve the investigation result according to the fourth national hygiene to reveal, in the hygiene hospital's medical personnel of the villages and towns, special secondary school and proportions of personnel following with without education are up to 63%, are up to more than 90% in the health organization at village level especially.
Rural doctor's age ages. According to investigation, 71058 people rural doctor's whole age aging phenomena of Hebei were more serious in 2006, the rural doctor over 50 accounts for 53.76%.
Qualification that a considerable amount of rural doctors have not practised medicine. Hebei some city, in the 3727 doctors in the more thanth health clinics in towns and townships, only 839 possess rural doctor's practicing qualification, accounts for 22.5%, that is to say that 2888 people do not accord with the operation requirement of health clinics in towns and townships, accounts for 77.5%. In the village the clinic aspect this proportion is but also high, this question is a general phenomenon in the whole country.
The rural doctor faces many new problems
The situation is complicated. Rural doctor's team of the vast rural area " The identity " , it is complicated and various for the role, most rural doctors are inherit from history, changed from the former barefoot doctor. With the development of economy, rural doctor, for survive and develop, some still village clinic residing at locality, some are engaged in the hygiene service station in the village by the health clinics in towns and townships, some has opened the individual clinic by oneself. All these have strengthened difficulty to rural doctor's management.
Impact on rural doctor of a price differential of medicines. Rural doctor serves the the masses of rural area, his income comes from the health care and serves incomes mainly, and the medical care of rural area is cheap, the price differential of medicines is main sources of their income. According to the statistics made by the departments concerned, the income from sales of medicines accounts for more than 80% of their gross income. Serve the gradual implementation in the rural area of policy of a price differential of medicines with the urban community's hygiene, to rural doctor taking price differential of medicines as main income, it is undoubtedly " rice bowl " which makes a clean sweep of them .
Shut the income that the system has influenced the rural doctor newly and agriculturally. Shutting the system newly and agriculturally stipulates that can only use family's account fund of the clinic to shut to peasants in the village clinic to join, if join and shut peasants and carry on the expenses that infusion,etc. treat in the village clinic but can't submit an expense account. Have reduced the rural doctor's income on very large limit like this.
The finance lacks input. Though, the rural doctor is regarded as our country county, township, network bottom of the medical system of tertiary hygiene of village, bearing the important duty of offering basic medical treatment and public health service for countryside, but some places are difficult so far to implement any subsidy.
The rural doctor needs the favorable policy badly " Help "
First, problem of solving the rural doctor and supporting parents properly. Should study and establish the rural resident's basic old-age pension system that can cover the rural doctor in work and social security department. Can adopt oneself to make some, the township (village) In mend by some,it is at all levels finance last way a bit last fund problem.
Second, personal income of the rural doctor of financial subsidy. Country, provincial ' Market) , the county is tertiary the finance should be according to certain proportion, according to rural doctor's service ability, amount of the work load, sure the subsidy of number.
Third, solve the rural doctor's practicing qualification problem. A lot of rural doctor practise medicine licence now, they are in " illegality " Practise medicine, but villagers are due to them. Ministry of Public Health should make having an examination and authorize the mechanism in unison to the actual conditions of rural doctor. Departments such as hygiene of province and city, education, personnel, establishment, finance,etc., should research and solve rural doctor's practicing qualification and corresponding treatment problem. According to the file requirement of Ministry of Public Health, by 2010, the rural doctor of overwhelming majority needs to have operation qualifications of assistant and doctor. However, have the rural doctor's relatively low proportion of operation qualifications of assistant and doctor at present. Should organize, train, carry on in line with rural doctor, examine, give them release, practise medicine licence, help them to become the legal doctor.
Fourth, offer the good training environment to rural doctor. The governments at all levels create conditions for the rural doctor accept training is educated, on the basis of offering education and training free, it is offered allowance such as delaying work, traffic, board and lodging rationally that appropriate, establish " not having financial burden " for the rural doctor Academic environment,is it rural to guarantee it join doctor train rate and training quality.
Fifth, set up rural doctor's steady supplementary mechanism. Should take the comprehensive measure, train, foster the new rural doctor's team actively, and set up steady supplementary mechanism. Should work out the rural doctor qualified to employ in the health clinics in towns and townships through increasing in time, supplement to the post of hygiene at village level to give the treatment guarantee.
Sixth, government make the preferential policy and attract outstanding talents to substantiate the rural doctor's team. On one hand, attract the graduate of medical college to go to the countryside to serve, can already solve university student's employment problem, can also improve the whole ability quality of the rural doctor's team. On the other hand, adopt and train the hygiene service talents at the basic level for a certain area, as to those wishes it is high school graduates of peasant's health service, given a recommendation by the village committee, health authorities examine, sign the agreement, the city (the county, city, district) The finance offers the special fund to the medical college to study, graduate, go back to the village to serve, departments such as the personnel, finance,etc. solve their establishment, treatment problem.
Seventh, clinic, commune hospital realize the fair play on the policy. The health clinics in towns and townships utilize shutting the advantage on the policy newly and agriculturally, has broken the fair play of village clinic and commune hospital, make peasants not have free choice doctor
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