A large number of doctors have come

Source: comprehensive arrangement of grassroots doctors' Commune Third level medical net bottom cannot break! Many ways to improve the "combat effectiveness" of village doctors, and equip village doctors with motorcycles, refrigerators, Chinese medicine cabinets, medical kits It is not only by improving the technical level and service ability of village doctors that the three-level medical network is built It needs good policies, environment and medical conditions of village clinics, and comprehensive ability of village doctors The mountain is high and the road is remote, which makes it more difficult for poor villagers to go outside to see a doctor In recent years, the state has increased investment to fill the "blank village" of medical treatment, which facilitates the masses to seek medical treatment However, doctors do, but some problems such as difficult distribution and poor storage conditions of drugs arise again How to solve them? Recently, Gucheng County Government of Hubei Province held a distribution ceremony of medical refrigerators in xiaotanshan village, Shihua Town, to distribute medical refrigerators to 268 village clinics "With the medical refrigerator, the conditions for visiting will be much better in the future, which not only saves us money, but also ensures the safety of medication." Yin Weibo, a doctor in xiaotanshan village, Shihua Town, said excitedly The health room of xiaotanshan village is located in a remote area, but it needs to serve more than 3000 villagers around, and the medicine delivered once a week can not meet the demand for medicine Now there are medical refrigerators, such as cephalosporin, fosfomycin, clindamycin and other drugs that need low temperature preservation can be better preserved In fact, in addition to providing medical refrigerators for village clinics, different efforts have been made in recent years to fill in "blank villages", "construction of village clinics" and "improve modern medical skills of village doctors" 1 Equipped with motorcycles and cars for the convenience of village doctors In some remote rural areas, the hillside is steep and the river course is crisscross When it is windy and rainy, the mountain road is muddy and hard to walk In order to facilitate the village doctors to enter the village to carry out diagnosis and treatment and public health services, some conditional areas have provided travel equipment for village doctors For example, Golog Tibetan Autonomous Prefecture issued motorcycles to village doctors in 32 villages of Bama County in 2013; in 2017, Shanghai Jinshan health and Family Planning Commission equipped new energy cars for village doctors in its jurisdiction 2 Provide Chinese medicine cabinet and encourage village doctors to provide Chinese medicine services In recent years, it is a great heat for village doctors to develop the appropriate technology of traditional Chinese medicine In addition, the new policies of traditional Chinese medicine have been introduced frequently in recent years It is not difficult to find a good opportunity for the revitalization and development of traditional Chinese medicine As early as nine years ago, Gansu Province has equipped all the village clinics (2000 in total) with Chinese medicine cabinets This measure is suitable for the popularization of the whole country While the traditional Chinese medicine blooms at the grass-roots level, it can also increase the income of village doctors 3 Provide health administrators to enable village doctors to focus on diagnosis and treatment Village doctors can't stay On the one hand, it's about the treatment and pension On the other hand, it's also related to the heavy daily work Diagnosis and treatment and public health should be handled with both hands In Beijing this year, it was proposed to equip village doctors with "health administrators", so that village doctors can focus on the grass-roots diagnosis and treatment work, so as not to waste the skills of doctors with excellent medical skills and become public health propagandists 4 Equipped with high-tech "diagnosis and treatment package" to increase the confidence of village doctors In the past, the village doctors could only measure the temperature and blood pressure at the door, but they were afraid to treat a patient with chest tightness and headache Last year, Yangshan County in Guangdong Province provided "diagnosis and treatment kits" for village doctors, including remote electronic stethoscope, portable ECG monitor, remote electronic blood glucose meter, remote electronic thermometer, etc It not only improves the diagnosis and treatment level of village doctors, but also increases their confidence 5 Equipped with artificial intelligence doctors to become small assistants of village doctors Yangshan County, Guangdong Province, not only provides village doctors with high-tech "diagnosis and treatment kits", but also provides village doctors with artificial intelligence doctors It is reported that its ability has reached the professional level of doctors above the intermediate level (equivalent to clinical attending doctors) When village doctors come to see a doctor with it, they will have an answer soon after "discussing" with it 6 Improve free training and the level of village doctors Village doctors earn less money, and all kinds of things they spend on studying or studying become a burden to them This year, Beichuan County, Sichuan Province, allocated 2.5 million yuan to cultivate 100 targeted village doctors The government is responsible for the training The main expenses for food, accommodation, transportation and other auxiliary training are donated by social organizations In order to solve the problems of work, life and study of village doctors, great measures have been taken in various areas to cover the three levels of medical network However, the author interviewed several village doctors in relevant places and found some small problems 1 Fill in the "blank village" and select a suitable site In recent years, although the state has increased investment to fill the medical "blank village", the location of health rooms in some villages is not reasonable, some are relatively far away from the villagers, some are far away from the village doctors Therefore, in the process of building village clinics, we should pay more attention to the medical experience of the masses, which is also a reflection of improving the satisfaction of the masses 2 There is a shortage of drugs at the grassroots level, and each link should be circulated Equipped with medical refrigerator can solve the problems of long delivery cycle and drug safety to some extent, but it can not fundamentally solve the shortage of drug use at the grass-roots level Only when the bidding, production, distribution and use of drugs at the grass-roots level enter a virtuous circle can the problem of drug use at the grass-roots level be alleviated 3 Traditional Chinese medicine is in a fever of appropriate technology, and it is suggested to increase relevant income Many village doctors said, "although they have carried out acupuncture, cupping and other services, they have less income in this area, and sometimes an old patient may not receive money It would be better if we could increase this income or include it in the medical insurance reimbursement " 4 There is a big gap in the treatment of village doctors around the country, so we hope to unify the national standard If equipped with cars, the economic situation is not the same all over the country When the news came out, the village doctors in the remote and poverty-stricken areas in the Midwest were envious We hope to launch a unified policy suitable for the benefit of village doctors all over the country.