The rural doctor has " Three looks forward to "
Staff reporter Cao Zheng " instruction on further strengthening rural doctor's building of contingent of General Office of the State Council " announced on July 14 is proposed, there are clinics and rural doctors in every village at the end of 2011. What a policy of improving the rural doctor's compensation, supporting parents, training,etc., improve the operation environment, ensure rural doctor's rational treatment level, all have clear answer in " instruction " correspondingly. A lot of rural doctors say, the country issued " instruction " to display the attention to the rural doctor when being interviewed by reporter. But, what kind of influence can be on earth brought to their life as to the policy, rural doctors are anxious and expecting. Implement the basic medicine system - -Wish the compensation policy to implement a rural doctor in Liaoning Province to tell reporters as soon as possible, the county that he belonged to has already implemented a difference rate of medicines at the beginning of of 2010, his income will be reduced by 30 yuan every day, mainly support by fee of infusion, berth fee,etc. now, the country has not subsidized in this respect. " instruction " requires all parts after the village clinic implements the basic medicine system, subsidize the rural doctor specially, subsidize competence and subsidy level to the local village cadre to connect. In addition, also give other several compensation channels clearly, including the basic public health service provided for rural doctor, according to the real work load, arrange the fund from national basic public health service funds, buy the way to serve to subsidize through the government; The basic medical care provided for rural doctor, make the fee standard of generally making a diagnosis rationally and pay the method newly and agriculturally jointly, mainly pay through individual and shut funds to pay and compensate newly and agriculturally. "Speak very well, does not carry out on being afraid in policy. " This rural doctor says, the compensation of the just rural doctor of Ministry of Public Health issued the file in the past, but because implement it uncompletely, let them rejoice too soon. For example, the policy of the rural doctor of financial support of the public health has been already clear, but reporters have interviewed 30 rural doctors, nearly 1/3 of the people say, have not led the public health that the locality promises to subsidize the funds. Even in receiving the rural doctor that replenishes, someone worries. A rural doctor in Shenyang says, the subsidy given to him is according to a person's standard of one yuan of one year, "there are 1450 villagers in our village, then subsidize 1450 yuan. The veterinarian is still subsidizing 5000 yuan every year now. " A county hospital chief in Hubei says to reporters, there may be certain difficulty in the implementation of " instruction " too. Because file clear, rural doctor compensate and support parents policy and the intersection of village and the intersection of clinic and the intersection of construction,etc. and the intersection of and necessary fund by the financial commitments at county level, the poor county that he belongs to is " The 'mouth-feeding' budget " ,In addition, does not have rigid examination index to the government, so will probably be " put backward " . Have expert say " make a diagnosis fee generally " that mention under " the instruction " ,Has mentioned while implementing the basic medicine system in the health clinics in towns and townships too, but still there is not a clear standard that is issued so far, " generally make a diagnosis and take " Upset people to the real compensation of the rural doctor. Control measures are more thinning - -Wish to supervise and fine " instruction " few to strengthen the management responsibilities of the administrative department at county level more, require the health authorities at county level to supervise its service act and medicines instrumentation,etc.. In addition, departments such as the hygiene, finance, price at county level,etc. should strengthen and subsidize the supervision that the funds used to the rural doctor and village clinic, supervise it to standardize accountant's checking and calculating and financial administration, disclose medical care, medicines charging item and price. "The government strengthens management, we support firmly. " There are that doctor say reporter on one of Hunan Province, " but government can standard against administrative penalty and amount of money standardize too? " This newspaper once reported before this, medicine of village reflected, some county medicines supervised the department and required medicine of village to do medicines and enter to purchase registering, only the invoice is no good. And has to work a busy schedule, once fail to register and is found and will be fined five or six hundred yuan in medicine of village. In the place to have, Price Bureau will too not have been stuck well,etc. with the label the reason fines the village clinic. Mention in " instruction " " Improve the information-based level of village clinic " ,Also upset some rural doctors. "Making the informationization, we must buy various hardwares such as the computer, thousands of yuan is not small numbers. " Rural doctor says to reporters, hear there is special subsidy on this in the government, but in the county that he belongs to, are all that rural doctors pay the bill by oneself, everybody has many complaints. " the " mentions " of instruction is forbidden to the rural doctor's collecting, expenses of national regulation of apportionment in any name, create the good operation environment for rural doctor " . The rural doctor says, there can be more thinning regulation to issue to look forward to this. The policy falls to support parents - -Wish identity issue can define " the instruction " support parents to whom rural doctor pay close attention to the fact most the question has been responded. "it if you can't want all parts, combine by basic old-age pension systems socials new and rural ( Hereafter referred to as and protect newly and agriculturally) Promotion,it is protect newly agriculturally participating in doctor not to last ones that last condition, release the pension to the rural doctor qualified to assuare newly and agriculturally treatment is got. The regional government can take the various forms of subsidizing etc., settle old age rural doctor's guarantee and badly off problem well properly, the concrete way is combines and makes actually by the local government. " Ministry of Public Health has shown too, should encourage the conditional locality supported by local government, rely on the new rural social basic old-age pension system, set up for the rural doctor and is higher than supporting parents and ensuring the system of general peasant's treatment. Rural doctor says, " instruction " has actually reduced the standard. It says, the rural doctor's identity question is basically insoluble at present though there are experts before this, so the government can only take the method to make changes according to specific conditions to attempt to solve the rural doctor's problem of supporting parents. But write out this regulation in " instruction " in black and white, or initiated the rural doctor's conjecture of one's own identity again. "The rural doctor can only participate in and maintain newly and agriculturally old, whether mean the government has already asserted the rural doctor is peasant's identity? " Rural doctor says, they all discuss this question on the net these days, "if it is really such, the rural doctor's enthusiasm will be influenced much. " Before this, once experts called upon, with the development of social economy, " let peasants handle peasant's disease " The need of development of already no longer suitable present rural hygiene, the identity problem that he calls upon the government to solve the rural doctor progressively according to the principle that the classification advances. It is terrified to identity question, spreading in the rural doctor's team. The reporter finds on network forum and exchange platform that rural doctors comparatively concentrated, have already opened Start to have rural doctors to discuss the question of changing one's profession. Henan rural doctor Ma WenFang, as a deputy to the National People's Congress, has received a large number of telephones and messages from rural doctor. "I know you are very disappointed, but everybody wants to believe, our efforts and devotion will have the result, believe what the country will answer for us. " He say " a lot of the intersection of township and medicine feel to prospect slim, but I hope you can wear at one's own post, more difficult bitterness, we can't let the villagers lose the doctor around them. "
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