The health clinics in towns and townships " Practise medicine illegally " Back: The rural medical personnel is deficient

The health clinics in towns and townships " Practise medicine illegally " Back: The rural medical personnel is deficient
Arrange whether to repair the rural hygiene all scratched up or not in a series of policy? Have caused the doctor of commune hospital of town of larger response in some town of Hunan Province Hunan township " Practise medicine illegally " The matter, has already solved through the negotiation at present. The persons in charge of this commune hospital tell " Liaowang " Newsweek, the department of doctor in charge is " a disciple of a doctor " ,Its assistant just took up a job as a doctor and graduated specially, did not all have medical practitioner's qualification card. After this is exposed, when a group of staff members without practicing qualification card such as thing doctor are required that dismiss from the first line by higher authorities, the commune hospital is close to for the moment " Half paralysed " . This kind of awkwardness is not a fatherless example. In recent years, the facility conditions of the rural medical health organ of China are improved to some extent, but talent's building of contingent is still apparent lags behind, the quantity is insufficient, quality is not high, the team is unstable,etc. the question is comparatively outstanding, become, restrain whom rural medical health organ improve the service, improve the standard from already " The bottleneck " . In June of this year, ministries and commissions such as national development and reform committee, Ministry of Public Health,etc. jointly issue " Opinions on Implementing launching directional medical science of rural order and growing and training work free ", the plan is from 2010, learn the universities and colleges, launch free medical science, born, train, work in higher medicine for three year in succession, the focal point is that health clinics in towns and townships and the following medical health organ train the hygiene talents engaged in complete medical treatment. On December 6, Premier of the State Council Wen Jiabao holds the standing meeting of the State Council, study and dispose the policies and measures of setting up and amplifying medical compensation mechanism of health organ in the basic unit. The meeting should be strengthened to the rural doctor's subsidy through many channels clearly, propose after implementing the basic medicine system, the operating cost of the health clinics in towns and townships which the government holds, urban community hygiene service organization is subsidized through the government and the service charge is compensated. Arrange whether to repair the rural hygiene all scratched up or not in this line of policies? " well-known doctor " Practise medicine mid-August illegally, Hunan the intersection of township and the intersection of city and some the intersection of town and commune hospital accept for medical treatment, fall, injure 11 little space (assumed name), children of year old, of hand carelessly in not playing . Meeting doctor Yang that examines has the clinical experience of dept. of orthopedics for more than ten years, very famous in the locality. He and assistant diagnose little space fracture through the X-ray photograph,etc., subsequently, doctor Yang's assistant resets for its tactics, the X-ray photograph reveals that resets success. In mid-September, institute's subsequent visit comes in the small space, the doctor checks to find its fracture already reset shifts, the doctors reset for continuous tactics two times of small space. The family of little space are afraid the result is not good that the child recovers, do not have medical practitioner's qualification card to expose to doctor Yang and assistant to the local TV station, belong to and practise medicine illegally. This causes greater dispute in the locality. According to the introduction of the persons in charge of this commune hospital, the commune hospital popularizes" shuts in the country newly and agriculturally " Support, set up by financial fund, the whole the intersection of town and about principal organ that 50,000 people seek medical advice and medicine. There is building of more than 1300 square meters in the commune hospital, set up 4 professional departments, but in the workers at their posts 33 people, only 16 people have medical practitioner's qualification cards. The relevant materials in October of this year of Hunan township Municipal Health Bureau reveal, in 818 professional and technical personnels of 18 health clinics in towns and townships of the whole city, 189 people do not have professional title, have operation qualification. And as far as reporter know, located in Hunan, Hunan township with more developed economy, the taking higher than fairly of its operation medical personnel of rural commune hospital. In agriculture and population large province Hunan of middle part, there is not a medical practitioner in about 100 health clinics in towns and townships. According to another statistics, by 2009, in 2176 medical professional and technical personnels on duty of health clinics in towns and townships in Hunan Province, there is no operation (assistant) Cure the quality personnel up to 15000 of teachers more than people, exceeds 30%. The insider tells our publication, besides coastal developed area, the doctors of health clinics in towns and townships " practise medicine without license " It is a lot of local rural hygiene systems " Unmention disease " . The reporter learns, in recent years, it is of common occurrence that the situation of doctors and patients' dispute happens because patient and relative suspected the malpractice in the rural commune hospital. The peasants of some places distrust the health clinics in towns and townships, would rather spend time, spend the large price going to the urban hospital to go to a doctor. Talents " lose blood " Doctor in the health clinics in towns and townships " Practise medicine illegally " Behind,it is rural medical personnel is deficient realistic. The view thinks, the present rural hygiene system has already been formed " introducing, staying, ability can not be improved " Vicious circle. According to the introduction of secretary of Hunan township Municipal Health Bureau Zhu ZhenQiang, recruit 20 doctors of health clinics in towns and townships in plan of last year of Hunan township. Though relax age to 38 years old, promise that can enter the directly subordinated medical organization in the villages and towns when serving in 5, still only employ 18 people finally, and a doctor with medical practitioner's qualification card refuses to register and go to work. It is reported separately, the hygiene system of Hunan Province has nearly 30% health clinics in towns and townships not to even record the medical graduate of old-type opera school throughout the year. In recent years, the department of public health of the province organizes countryside -oriented several times to defend personnel's job fair of the skill every year, but one hundred 80 people reached the purpose with the health clinics in towns and townships each time, there are fewer ones that really reached the hillock. It is job-waiting, unwilling to work for commune hospital too that some graduates prefer staying in the city. Some central commune hospitals of villages and towns have served as for many years the president's Fu GuangWei has said in Hunan, a lot of people regarded health clinics in towns and townships as a participation medical practitioner and had an examination ago " The training base " ,Once criticize success of a text immediately " Job-hop " . Accepting the commune hospital of the small space for medical treatment, 5 nurses take qualification examination recently, among them 3 people already bright speeches will resign when being criticized of a text. One health clinics in towns and townships, district of Dongting Hu, receive a training of, train 37 doctor 5 year, time walk lose 26 people right away 3 year just. Zhu ZhenQiang says, nowadays pattern of floating of professionals of a lot of local hygiene systems, along " nationwide famous hospital - -Province, hospital at city level - -Hospital at county level - -The health clinics in towns and townships " Route,mean this," last first grade first grade " talent quilt ,Lie in " food chain " The health clinics in towns and townships of the bottom, the brain drain is very serious. At present, health clinics in towns and townships people do not train, take money by the intersection of counties and cities and finance mainly, personnel trained to strengthen reach 1400 more than person such as the past 3 years such as city such as township such as Hunan, but talent is possible it train just it is ripe on " Have flown " . Some rural doctors are in order to go down town, abandon file relation and identity ignoring, make many directors of health bureau of counties and cities and hygiene presidents of villages and towns not dare to transport talent training, this leads to the fact again the quality of hygiene hospital's medical personnel of the villages and towns is difficult to improve. The reporter learns, around 2003, a lot of local health clinics in towns and townships implemented the condominium of township of township-run township tube or county, then county-run to defend the intersection of school and graduate, solve children of system worker " carry the intersection of duty and person " that employment arrange for this Pour in in a large amount. This part of cultural foundations of people is relatively bad, it is relatively great to become the qualified medical practitioner's difficulty too. In addition, " the master worker trains an apprentice " for a part Passing on came down " A disciple of a doctor " ,Although there are certain clinical experiences, cultural foundation The operation skill and technique formed weakly and for a long time does not accord with the textbook norm, is restraining them from obtaining medical practitioner's qualification through the examination too. The scarce reality of rural qualified talents of doctors and nurses, reveal the deep contradiction of two yuan structure of urban and rural areas in China. The reporter knows, in Hunan, a lot of monthly salary of health clinics in towns and townships is about 1300 yuan, key doctor (every institute is only two three people) Monthly income only 2000 more than, differ greatly with the intersection of county and at city level the intersection of hospital and five or six ten thousand of annual income per capita. In addition living condition of health clinics in towns and townships very much difficult to attract talents. The reporter sees in some health clinics in towns and townships, medical personnel's dormitory is old and simple and crude, extremely ruined, do not mostly have independent bathroom and kitchen. The health clinics in towns and townships because working properties are special, the medical personnel of first line must nearly all await orders in 24 hours, the worker needs the house. But it is often very difficult for the commune hospital to solve the worker's housing problem, the worker or renting house outside the commune hospital, either the one that lived in is the dilapidated house, or several people and a room. Outside the the health clinics in towns and townships, auxiliary facilities such as the dirty and messy, commercial culture of the street,etc. lag behind, children go to school and lover obtain employment relatively poor terms have. In addition, though the finance at all levels acquired some medical apparatus for the health clinics in towns and townships in recent years, but is far from changing most health clinics in towns and townships and is primitive and backward state is equipped. For example, a lot of health clinics in towns and townships are still using the primitive small-scale non- digital X-ray machine, the result of the formation of image is very bad. Such backward equipment, it is the rural medical personnel that a reason misdiagnosed happens too, this is strengthening the medical personnel's risk of obtaining employment virtually. In recent years " Medicine makes a noise " Under the background of growing in intensity, it is comparatively weak that the rural social security ensures covering efforts, also let some medical personnel working in the health clinics in towns and townships anxious and fearful. It shows, the country pays attention to the system construction of the rural hygiene more and more in recent years that the bright red of task of top priority is shaken strongly, but the task of top priority is to just help the countryside to change the people of health clinics in towns and townships " Lose blood " State. He proposes 4 suggestions: First, manage the financial allocations, two lines of revenue and expenditure. Finance of turning over all the business incomes of the health clinics in towns and townships, appropriate personnel's salary and job funds fully in service item, service content, quantity of service and strength of the health clinics in towns and townships of the financial foundation. Implement the whole cost accounting at the same time, strengthen cost management, control and confirm the total cost of the rural hygiene service strictly, wrap up through establishing the basic service, calculate the cost, control quality to the basic medical part, check the public health part regularly, carry on ways such as the satisfaction investigation,etc. to the peasantry of area under one's jurisdiction to achieve the goal of supervising management. Even can't allocate funds fully, consult the policy to the hygiene service organization of the community of the country, define the properties of public institution that the health clinics in towns and townships are subsidized by the finance, and is undertaken to work and operate the funds together by the finance at all levels according to the serving amount. On this basis, implement the budget in full and work out managing to the health clinics in towns and townships, define that in order to allocate funds to work out properties in undertaking fully, or consult the policy to the hygiene service organization of the community of the country in personnel's identity, define the properties of public institution that the health clinics in towns and townships are subsidized by the finance. Second, strengthen training for a certain area and technical support. While enrolling new students in the annual university, it is difficult with the family, or the examinee of the rural hygiene industry of voluntary service signs a contract, graduate, guarantee to work in the health clinics in towns and townships for more than 8 years continuously according to the contract requirement. To these examinees, can take and replenish while reducing up-to-standard grade, exempting from the tuition and incidental expenses appropriately, offering the university study, apply in forms such as national student loans,etc. preferably, preferred enrollment, trains for a certain area, orientation service. To the personnel on duty of health clinics in towns and townships at present, should adjust the policy appropriately, to there is the one that does not possess and enter for medical practitioner or operation qualifications of assistant and doctor and work in the health clinics in towns and townships or village clinic that defends skill personnelling, launch the education with record of formal schooling of the level of junior college, graduate, allow them to participate in the medical practitioner or qualification test of assistant doctor of operation. Meanwhile, utilize relevant training project funds, launch the health clinics in towns and townships and enter for the operation (the assistant) The doctor qualification personnel are concentrated on training before examination, improve and consult the personnel passing the examination rate. Meanwhile, defend the staff training funds of the skill in the countryside to list in the annual financial budget, guarantee each rural hygiene technical staff had chance that training receives a training every 3- 5, train and bring up " Native well-known doctor " . Third, set up incentive mechanism. Implement the policy welfare of the national regulation to the staff members of health clinics in towns and townships in an all-round way, for instance housing public accumulation fund,etc., meanwhile, promote professional title, children to go to school etc. and design " landscaped roadway " for this colony . If can set up the advanced technological post of hygiene personnel at the basic level to work as the series of evaluation of qualification alone, to the professional and technical personnel working in medical health organs of basic unit such as the health clinics in towns and townships,etc., relax conditions such as the education, qualifications and professional theoretical level,etc. appropriately while promoting the advanced title for technical personnel, and stipulate clearly the post qualifications of professional technique at the basic level are only valid when the health care unit at the basic level works, if work for above- second -class medical organization, should participate in the professional title of the above- second -class medical organization and promote the examination in addition. Fourth, improve the living condition, especially the condition of the house conscientiously. Should revolve round the sun little type of house, worker of health clinics in towns and townships, room build and include in the event construction content of health clinics in towns and townships, construction funds are solved together by finance and worker individual at all levels, take the major part, finance of cities and counties to take little head, commune hospital worker and substitute with interest and let some money for the country, provincial wealth grade in concrete appropriation. The ownership of the house belongs to the health clinics in towns and townships, if the worker must return when leaves the commune hospital. (Author: Su XiaoZhou, Huang Xing's China)

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