Weigh! The CPPCC National Committee held a meeting to solve the treatment of village doctors

Source: cppcc.com Organized by: Liu Xiaolin, a community of grassroots doctors The CPPCC National Committee held a symposium to propose new solutions to the problems of village doctors' resignation, low wages at the grassroots level, and difficulty in promotion Recently, the CPPCC National Committee held a two-week Consultative Forum on the theme of "promoting a healthy China strategy" At the meeting, how to improve the ability of medical and health services was a topic discussed by the committee members Among them, the resignation of village doctors aroused great concern of the CPPCC National Committee, and was mentioned again and put forward new solutions Not long ago, 36 village doctors in Zhusha Town, Tongxu County, Henan Province resigned In the same month, a new report on resignation of 28 village doctors in dagangli township was revealed on the Internet, which attracted great attention of the CPPCC National Committee When Xu Fengqin participated in the investigation of the education, science, health and Sports Committee, he found that the superior hospitals in the medical association played a very limited role in helping the grass-roots institutions, and the grass-roots medical and health institutions were not guaranteed enough in terms of salary and salary, promotion of professional titles, etc., and the problem of "difficult to stay" was widespread In 2019, there were two provinces where rural doctors resigned collectively She suggested that we should establish a long-term mechanism of "post-2020" to prevent poverty caused by illness and return to poverty, and improve the construction of grass-roots health talents With the hierarchical diagnosis and treatment and the strengthening of the grass-roots level, the "inverted pyramid" phenomenon of China's medical system structure has been gradually reversed But it is undeniable that rural primary medical care is still the weakest link in the whole medical system How to build the bottom of the "pyramid" is also proposed at this meeting "To solve the problem of poverty caused by illness and returning to poverty due to illness in rural areas, especially in poor rural areas, is of vital importance to the quality and effectiveness of poverty alleviation and healthy China's construction." Said Xu Fengqin To solve this problem, rural doctors are the main force of rural medical services, so it is urgent to solve the worries of rural doctors In addition, the meeting also said that resources should be tilted to the weakest areas, as well as the use of health insurance funds According to Zhang Guangqi, since the 18th National Congress of the Communist Party of China, the health insurance reform policy has been precisely regulated, but there are still some problems, such as the imperfect supervision mode, the waste of medical resource allocation caused by disorderly medical treatment, and the policy obstacles to the retention of medical insurance fund balance Zhang Guangqi suggested broadening the scope of medical insurance fund use, strengthening the use supervision, implementing the "first diagnosis at the grass-roots level", and vigorously promoting the intervention of commercial insurance in medical insurance reform, so as to provide sufficient and efficient support for the implementation of the health China strategy Is there any hope for village doctors? Do you want to stick to the clinic or leave to run a private clinic? I believe this is the confusion of most village doctors The author found that many village doctors with license chose the latter to run their own individual clinics and pharmacies Because they think that even if they stay in the health room, their status is "a farmer with only one skill", and problems such as status and status are still unsolved In fact, no matter from the state's encouraging policies for rural doctors in recent years or the trend of the number of village clinics turning this year, rural medical and rural doctors are developing in a good and regular direction At the meeting, it also put forward the development focus of primary medical care in the future If the village doctors who choose to stay in the village health room can do so 1 Carry out patriotic health campaign in depth In his research, Zhang Guangdong found that the incidence rate of chronic diseases such as hypertension and diabetes in rural areas was a blowout trend He suggested that we should "get through the last kilometer", establish and improve the four-level health education system of cities, counties, townships and villages, carry out in-depth Patriotic Health Campaign at the grass-roots level in rural areas, and create a professional health science popularization platform in various forms Cannot do without two levels of health education in rural areas, on the one hand, it requires the village doctors to set an example, and influence their people in their own good lifestyle; on the other hand, it is to play the advantage of Internet plus on the basis of popularizing science knowledge, and do well in the management of chronic diseases among the people from various aspects and forms 2 Give full play to the advantages of traditional Chinese medicine in treating diseases The strategy of healthy China emphasizes prevention first, which is the area where TCM can give full play to its advantages in treating disease In addition, the state has also clearly put forward requirements that by 2020, 70% of village clinics will have the service capacity of traditional Chinese medicine Therefore, village doctors must transform, actively carry out the appropriate technology of traditional Chinese medicine, and give priority to the grass-roots market We will build up specialty, difficulty and key specialty, and build up our own reputation 3 Improve the ability of cancer prevention and treatment In human diseases, cancer is the biggest "roadblock", and rural areas are the high incidence areas of cancer in China At the meeting, committee member Xing nianzeng proposed to strengthen primary and secondary prevention and improve the long-term mechanism of cancer screening and early diagnosis and treatment In addition, at this year's two sessions, Ma Xiaowei, director of the national health and Health Commission, proposed six aspects of cancer prevention and treatment, of which the second and third are closely related to the vast number of village doctors.