Rural responsibility doctor " Wrap up medicine to the family " It is difficult

Rural responsibility doctor " Wrap up medicine to the family " It is difficult
According to the reports of newspaper, from the second half of 2007, Jiangyin of Jiangsu begins to explore that sets up the community (village) Doctor's system of responsibility, more than peasants in the whole city 800,000 all become beneficiaries of the family health care contract. If their family health file has special messenger's dynamic management; Chronic disease patients such as hypertension, hyperlipemia and diabetes,etc., can enjoy and follow up a case by regular visits to and serve fixedly to the doorstep; Need to establish the hospital bed set up at a patient's home, connection in hospital and book the persons who pay a home visit, also special messengers are responsible for. This kind like on " Family doctor " Professional for medical care,last families rural fast. This kind of method of Jiangyin, not merely get the abundant affirmation of the Ministry of Health of higher level, also receive the praise of the various circles of society. (Xinhua Journalism Website of August 4) On the associated documents of market of Jiangyin, the rural doctor is named " community's responsibility doctor " ,They make house calls through offering, set up family's health file, sign the family health care contract, launches chronic disease and manages, organizes developing the activity of various informative health education,etc., provide the whole prevention and health care service for community resident. In the country, peasants are more willing to call them " rural responsibility doctor " Or " wrap up a doctor " . According to 3000- 5000 people, service radius of 1.5 kilometers, requirement which can be reached in 15- 20 minutes of walking, Jiangyin has set up 32 community health Centers in the whole city, 192 hygiene service stations at village level, the service coverage rate of the rural hygiene is up to 100%. And the personnel with assistant doctor of the operation and the above qualification while standing in hygiene at village level, or the personnel with rural doctor's qualification, hold a part-time job and bear " community's responsibility doctor " Duty. But the present question is, the existing rural responsibility doctor of Jiangyin is only 636 people, but the peasants who signed with them family health care contract have exceeded 800,000. This means, average each responsibility doctor wants the target who bear the health and intervene the duty to exceed 1257 people. Under the pressure of the deficiency of the human resources, the rural responsibility doctor of Jiangyin can only pay close attention at present key crowds such as rural chronic patient, pregnant and parturient women, children, disability personnel,etc.. Should say, what the rural medical and health condition faces is awkward at present, far above these. Because most rural rural doctors of now are from the barefoot doctor " Turn round " And come, not only age is generally partial and large, and medical knowledge also wears out day by day, their operation skill faces the subject that improve again even more. So, it is necessary to take measures to analyse and explain these questions: On one hand, should increase the input into public finance of the rural medical organization, strengthen and manage to the goal of the rural public health service item, improve the hardware level of rural health care resources. On the other hand, select and appoint the outstanding medical practitioner in the city and substantiate the rural health organ and hold a post, " pass on experience " well ,Train one's own health care talents for the village, meanwhile, pay attention to attracting more outstanding health care talents to enter the hygiene medical organization at the basic level, the more important is that takes measures to do a good job of the talent capacity of the rural health care. If Shanghai trains community's doctor for a certain area now, young people enter the medical college and school for 3 years after graduating from the high school, community's hygiene post work that then gone back, this offers the guarantee passway for the fact that the hygiene service field of the community input the fresh blood. We can say, if you want to let more public health serve, benefit all grassroots, a lot of subjects are worth exploring, a lot of real need of work does solid work and does even more. Jiangsu Wu learn to fit

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