Obtain employment to manage the regulation to need to be complete in medicine of township

Obtain employment to manage the regulation to need to be complete in medicine of township
Prosperous cloud Xiao " whether rural doctor obtain employment management rule " implement in the past few years, play an very good role in managing the rural doctor in accordance with the law in all parts, reach and improve rural doctor's professional ethics and professional qualifications, protect the legislative purpose of the rural doctor's legitimate rights and interests. But the author feels in practice of rural doctor's management it should be complete that " regulations " still have several respects. Define the government should guarantee the 30th provision of basic treatment " regulations " of medicine of township, at county level people's government launch prevent from, health care of national regulation public health serve to rural doctor, should subsidize according to relevant regulations. But there is no supporting policy in this regulation at present, the basic unit is difficult to implement. Took Jiangxi Province as examples, the provincial government issued the documents in 2003, proposed " to undertaking and finishing the rural doctor of the health epidemic prevention task " clearly, the health authorities at county level offer the annual per person the subsidy appropriate to a particular job of epidemic prevention of 300- 500 yuan, this funds are by the financial arrangement at county level " . But only 62.73% of the rural doctors enjoy the policy of this subsidy in the whole province so far. The basic treatment of the rural doctor can't get very good guarantee, certainly will influence the rural doctor's enthusiasm. While proposing the country revises " regulations " or makes relevant supporting policies, should stipulate clearly the government must bear the responsibility buying the endowment insurance for the rural doctor and solving the rural doctor's basic living guarantee, in order to remove the rural doctor's worry. The supporting parents of rural doctor ensures necessary funds, the central and west regions should be born together by central authorities, local finance and rural doctor. Among them, the subsidies of the central government are no less than 100 yuan per month, local government forms a complete set on an equal basis. When the condition is ripe, can manage the worker that the rural doctor transferred to the health clinics in towns and townships in unison. Change medicine of township to transform single 12th provision of irrigation ditch " regulations " into assistant doctor of the operation, the rural doctor should possess medical practitioner's qualification or the operation assistant doctor's qualification. According to " the intersection of operation and medicine imitate " and relevant the intersection of doctor and the intersection of examination and the intersection of person who register and requirement for stipulating, most rural doctors do not possess medical practitioner's examination qualification. According to having policies now, by 2010, the above qualification is unlikely that most rural doctors should obtain a operation assistant, but the rural gap between generations of doctor's team that it result will make, or cause most rural doctors to become persons who practise medicine illegally. At present, in 52,000 rural doctors in the whole province in Jiangxi, the assistant doctor of the operation, proportion of medical practitioner are 4.82%. The rural doctor of the clinic of a lot of villages especially pays close attention to participating in the question of the examination qualification of assistant doctor of the operation. They do not think the rural doctor has participated in the examination qualification of the assistant doctor of the operation because the education are low, it is the unreasonable method. I propose, solve this problem, should be in line with stabilizing the team, guarantee the rural tertiary hygiene network " bottom of the network " Non- broken purpose, can to engaged in rural the intersection of medical treatment and 30 year more than rural doctor, adopt " old man's old method " ,Transfer it to assistant doctor of operation directly, and stipulate that can only continue working in the village clinic. In addition, the country should relax the qualification of participating in operation examinations of assistant and doctor appropriately, allow the rural doctor with working experience of more than 5 years to enter for the assistant doctor of the operation and have an examination. Strengthen the training of young rural doctor's education with record of formal schooling at the same time. Strengthen the basic construction of facilities " regulations " of village clinic and does not require the village clinic where the rural doctor works. Analyse on situation in Jiangxi, many village clinic houses are shabby, the apparatus is simple and crude. The provincial finance of Jiangxi subsidizes 200 million yuan to the clinic construction of 20,000 villages in the whole province in two years since 2007. Because a lot of local governments do not have related fund, only depend on the input of the provincial finance, it is still very difficult to build up the village clinic. The village clinic was regarded as the rural tertiary hygiene service network " The bottom of the network " ,Undertaking a large number of public health and basic medical task. Gladly, state revenue subsidize 30,000 yuan to national-level poor county, the intersection of snail fever and the intersection of person who prevail and each the intersection of village and clinic construction of locality since 2008. Jiangxi 112 village clinic benefited altogether, but this piece subsidize surface to be too light, propose country adhere to the intersection of village and public service property of clinic further, define in accordance with the law the governments at all levels guarantee to the support policy of clinic construction of the village there is a standard village clinic in each administrative village. Continue, launch the intersection of township and medicine train the intersection of work and the intersection of " the regulations " and 31st provision, rural training funds of doctor should be listed in the financial budget at county level. To the outlying poverty-stricken areas, the local government above city level in the setting up area should support appropriate funds. In fact, because such reasons as the finance at county level is tense, the rural doctor of Jiangxi trains the funds to be begun to talk about listing in financial budget. But since this year, the provincial finance of Jiangxi has arranged to subsidize the rural doctor to train at 1,500,000 yuan every year on the basis of putting into the centre, have carried on on-the-job training to over 50,000 rural doctors in the whole province in batches for four years in succession. Propose the country should stipulate the local government give equivalently and form a complete set while training the funds to all parts, the methods of training should be further improved, targets can consider dividing layer, training time should be flexible too. If there is only a rural doctor in some villages, in order to retain staff, can give and responsible for organizing health authorities at county level of training to have certain flexibility, let rural doctor through theory study and practise, combine together, have an examination and examine the way to combine together while being clinical, improve professional skill and basic skill constantly. There are eight operation rules about rural doctor of service act " regulations " further standardizing medicine of township, but less specific to the rural doctor's requirement with behavioral operation. By the look of actual conditions, many village clinic service act unstandard, some have infectious disease register copy, the intersection of infectious disease and epidemic situation, lack newspaper or fail to report, sterilize products, exceed term of validity for instance, the disposable medical articles used fail to deal with according to the regulation, the medical wastes are handled and has not recorded etc.; Some are out-of-range to practise medicine, the prescription is written unstandardly, many rural doctors abuse antibiotic and hormone, the great infusion becomes routine,etc.. Standardize the rural doctor's service act, has already become a very urgent important work, advise Ministry of Public Health to issue policies with behavioral operation such as the rural doctor's great infusion of the norm,etc.. Meanwhile, at all levels health authority want, solve because organ's internal function divide the work, and it is difficult to form the situation with joint efforts to supervise to cause to the rural doctor, take the measure of integration of departments and regions at different levels, manage the rural doctor's team well synthetically. The hygiene administrations at all levels should defend the department to do work such as rural doctor's entry, clinic construction of the village well agriculturally; Release links such as " operation licence of medical organization ",etc. from the village clinic while curing the policy department, hold and close from source, the norm of writing etc. of writing out a prescription is implemented to the village clinic; Women and children, disease accuse of department's wanting to instruct the rural doctor, launch mother and child care and disease in accordance with the law Such jobs as the disease is prevented and cotrolled; France should supervise the department to devote more efforts to supervising to the rural doctor's service act, is the norm sterilized? Does the quilt official document or note ostrich stir products and hold in the mouth ��'s meal disconnected Shang Qun of ��'s sister-in-law of decayed tooth of thumb �� rose of short iron rod with 4 edges and pay � nurse's �� fold shape ��? (Author's unit: Department of public health of Jiangxi Province)

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