It is worked out that the treatment of China doctor at the basic level is low and scarce Think more than half the job prospect is general

It is worked out that the treatment of China doctor at the basic level is low and scarce Think more than half the job prospect is general
Shanxi in urban and rural areas hospital survey and study how third of at the basic level doctor stay guiding drug conduct At time when some hospitals survey and study Shanxi, the reporter asks about that influences stressing the factor most of development of hospital, Vice President of Qinyuan county people's hospital Yang QingFeng says everybody's heartfelt wishes. He says: Introduce high-quality talents, it is difficult! Talent's predicament, is becoming the bottleneck which is influencing the sustainable development of the hospital. Presidents who accept this questionnaire investigation, no matter from hospital at county level, the rural commune hospital, all classify talent's question as the outstanding difficult problem which restrict development without exception. How difficult the question of talent of the medical health organ in the basic unit is, how is the basic state of medical worker of working in the basic unit? The staff reporter is by way of questionnaire investigation, to the intersection of Shanxi and the intersection of Jincheng and high flat city, long to manage, assist the intersection of wall and county and the intersection of Qinyuan and at county level hospital, health clinics in towns and townships, rural medical worker of health station of county, ascertain that understands. Salary and conditions - -It is 30% lower than local worker's average level in 60 valid questionnaires that are retrieved, 41 medical workers coming from the hospital at county level, 14 come from the health clinics in towns and townships, 5 come from rural health station. Among them high flat city and Qinyuan county account for 34% respectively, it accounts for 32% to assist county on the wall. Respondent the mean age is 40 years old, have junior college and the above education account for 81%. According to investigating, the present average yearly wage of 60 medical workers is 24942 yuan, average 29683 yuan for 28 doctors among them, average 20148 yuan for 25 nurses, average 22000 yuan of skill personnel for 7 well-known doctors. 87% of the respondents think, their income is in the medium-sized income in the locality, 13% of the people think incomes on the low side, respondents do not think oneself is the high income crowd. Their self- judgement and official statistics are basically identical. The data that the statistics bureau of Shanxi announces reveal, will manage the average salary of 33418 yuan of the workers at their posts of the whole city of city long in 2010, and what is under the jurisdiction of managing long assists county on the wall and Qinyuan county medical worker average annual pay of 24393 yuan, 27% lower than local average level; The average salary of the urban unit workers at their posts of Jincheng is 40029 yuan, average annual pay of 26040 yuan of high flat market medical worker of Jincheng polled, 35% lower than local average level. The rural doctor of the basic unit especially arouses the attention from reporter the most. In the investigation, high flat rural doctor of city count as, subsidize basically and whom public health serve examine by the piece of work, and basic the intersection of medicine and zero the intersection of difference and subsidy that rate sell, monthly to it subsidizes the standard to be about 1400 yuan. Though the income is not high, the work is not relaxed. 68% respondent think oneself work intensity to be too loud. In the medical worker that is poll, work over 50 o'clock 48% every week, 38% work 40- 50 hour. But medicine of village does not have fixed day off. High flat the intersection of city and the intersection of horse and the intersection of clinic and smooth sharp point Su, Chen Cun of villages and small towns, say: "The thing in the countryside is mixed very much. Every one had children to born, the old man had chronic disease, should keep following up a case by regular visits to; Someone has fallen ill, should respond to at any time too. Though counted as, work, work 24 hour 7 day, every day every week, really very much difficult to guarantee in break. " Chief of traditional chinese medical science administration of Shanxi department of public health Wen Yuan says, " we hope people sink, but present low treatment, can not keep the important reason of talents as the basic unit. " Job prospect - -53% of the respondents think the general investigation reveal, as to the job prospect, 53% of the respondents think the prospect general, 42% express that very promising, 5% of the people say that very pessimistic. It is not the difficult only factor that introduces talents in the basic unit that the treatment is low, even not the main factor. In the respondent, what 68% of the people think with the large hospital goes together and comparing, the greatest disparity lies in professional skill and job are developed, 30% think most large disparity lie in income, 2% think to lie in the social status. Compared with the medical health organ in the basic unit, the large hospital is obviously more attractive to the medical worker. 50% of the respondents think the large hospital have better medical conditions, it is more helpful to professional ability and personal development, if there is an opportunity, hope to go to the large hospital to work; 36% think that it does not matter to work for large hospital in the basic unit; Only 12% of the respondents have partiality for and work the basic unit even more. "A medical undergraduate, graduate, work in the hospital at county level for 10 years, it is still the intermediate professional title mostly. But if his classmates have reached the tertiary hospital, pursue the master degree while working, if if there is an opportunity still can participate in the important scientific research project with a famous tutor. It is likewise 10 years, progress and does not stand comparison. " Vice Chief of Shanxi department of public health Wang Jun comes from doctor, knows the doctor's situation well. He says, " the doctor especially values job value, if professional ability is far got rid of, it is very apt to be anxious to work for basic unit. " It is not only that the doctor meets the need of job value to improve professional skill, it is the patient that rests assured to get on the foundation that the medical health organ in the basic unit seeks medical advice even more. In recent years, put forth effort to improve the service level of the doctor at the basic level in Shanxi. 100% of the medical workers accept various informative professional training every year, for example ask the tertiary hospital expert to go to the basic unit to give lessons, organize the doctor at the basic level to continue the education with record of formal schooling, attends the tertiary hospital and receives a training etc.. Improve the medical worker quality at the basic level through the coordinated cooperation in Shanxi. 2009- In 2010, the related departments organize 38 tertiary hospitals and 88 hospitals at county level of coordinated cooperation; Support the doctor to treat more than 700,000 patients in the hospital in two years. Support the doctor to instruct in words and by deeds to the doctor of the aid-receiving hospital, has improved the medical level of the hospital at county level. Employing mechanism - -It is insufficient to work out, the hospital lacks the initiative In recent years, with the improvement of medical service ability and general cover of new rural cooperative medical service, the hospital door emergency call at the basic level and the persons have all presented greater increasing degree in hospital, relatively insufficient contradictions of professional medical-care personnel are more and more conspicuous. Meanwhile, the establishment standard which the hospital at county level carries out and disparity of actual demand are relatively great. The strength is insufficient or the structure is unreasonable generally exist, in addition, the hospital lacks the independent initiative of recruitment again, it is difficult for the hospital to employ the appropriate staff on the permanent staff enough. Having no choice, some hospitals recruit contracted worker and casual labour in order to relieve hands in shortly. But this investigation reveals, it is not the average annual income of 12376 yuan of medical worker that an undertaking is worked out, almost only half of permanent staff's average level. Low salary, have steady identity, in addition, job development have a disconcerting prospect, cause at the basic level medical organization to be difficult to attract to appropriate talents. There are 204 authorized personnels now to assist the county people's hospital of the wall, Employ 92 personnel. The establishment that has used for many years is the establishment before 30 years. Would not increase 81 people of strength under the energetical support of leading department of higher level until 2010. The administration authority of public hospital is dispersed at present, the bull is managed, communicated and done one's best, questions are many. These questions have been exposed in recruitment more or less too: "Recruiting a doctor is not chosen by hospital, but is taken the place of and employed by the personnel department. " A person in charge of hospital with anonymous requirement says, " it is acceptable not to have practicing qualification to take the place of the personnel that draw, the problem is, have recruited and is not qualified to participate in medical practitioner's examination, how could he become a doctor? " Each there is pros and cons in realistic operation by the system which many departments manage in the hospital. How to promote what is beneficial and abolish what is harmful during medical reform at the basic level? Have proposed in Shanxi " The integrated comprehensive medical reform of the land medical and health of the county " Thinking. Among them, talent integrate, dispose, " go down, can't stay " in the talents at the basic level Question at go on actively explore. To talent being unwilling to sink to the issue of the countryside, the integrated medical reform pilot project plans to regard county as the unit to recruit to the medical personnel at the basic level, personnel's establishment keeps in the hospital at county level, accredit the village within some time, and the rural outstanding medical worker is hopeful to work for hospital at county level. "Protect the medical worker enthusiasm, it is not all right to only depend on raising incomes. The land planted agent in the county realizes that flows up and down, let the medical worker at the basic level see development prospect. " Vice Chief of Shanxi department of public health Wang Jun says. The integrated comprehensive medical reform of medical and health of land of Shanxi county just started. How is the result, still remain to examine. But at least, positive exploration has already begun. (yellow green plum)

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