The rural doctor's current situation of Jiangxi is investigated: The identity expects to reorientate awkwardly

The rural doctor's current situation of Jiangxi is investigated: The identity expects to reorientate awkwardly
The rural doctor's current situation of Jiangxi is investigated: The identity expects to reorientate awkwardly
Northwest new doctor of village health station Zhang ZhenHuang Peng of town of Longnan county goes to the countryside and makes a round of visits Reporter Hai Bo takes the photograph [The core is pointed out ] to our province (Jiangxi) The countryside has a large population, the rural doctor planted in the vast countryside for a long time is playing a difficult with the substitution role in safeguarding the masses of rural resident's health. With the promotions thoroughly of rural economic system reform and medical reform work, the rural doctor's team has developed and presented new situation and new question, become the focus that people pay close attention to. Not long ago, " instruction on further strengthening rural doctor's building of contingent " which the country issued, as to what a policy of improving the rural doctor's compensation, supporting parents, training,etc., improve the operation environment, ensure rural doctor's rational treatment level,etc., all have clearer answer. In the face of these brand-new policies, how rural doctors thought about, do they have any concrete suggestion? How on earth is their existence state, could take occasion to change one's own destiny, promote basically health care of the masses served at the same time and ensure competence? The reporter has investigated further in Ningdu county at this point. Devotion Footprints spread all over and defend persistently " wear straw hat, shoulder and carry medical kit, both hands callus, two foot mud " --Before half a century, the rural doctor that enlivens in the countryside was considered as the great invention with Chinese characteristics. Having passed by in half a century, the rural doctor is still bearing basic public health and medical care function, it is that peasants are healthy " Defend people " . "I am on the way to people's family of disease. " At 10 past 6 on September 26 early morning, the cool breeze is breezy, while putting through the telephone of the east of village rural doctor Lai Wen of loose lake of Ze township of bamboos, person's family of disease to 2.5 kilometers is catching by motorcycle him. When the loose health station of lake village saw Lai WenDong, it has already been 30 past 8 a.m.. His whole face is dark, the smile is straightforward and good-natured, reveal and sweep the bottom of a trouser leg which wetted him in the morning, the motorcycle just came to a complete stop and had not found time to have breakfast yet, gather around several ill villagers at one's side. He, while giving the free time when villagers hung the bit, has introduced his work to us at once. Been engaged in the work of rural doctor already for 23 years in the east of 43 -year-old Lai Wen, his father is the rural doctor too, over sixty years of age now can only stay at home and help to diagnose. The serivce object of the health station is about 4000 people, the duty of the east of Lai Wen is to offer medical treatment in power service, cooperate the health authorities of higher level, do general survey of the health, disease well the public health of preventing and controlling etc. serve. In these decades, no matter in the nine periods or severe winter, or scorching Xia Ri, their father and son always must arrive to let, also insist on going to each village group to make a round of visits voluntarily every day. Lai WenDong says, they are doctors closest to villager, it is their bounden duty that the patient gets treating and curing as soon as possible. Though work hard, their father and son are very gratified. Villager respect them very much, no matter where does it go, everybody call them one " rely doctor " cordial . Run into some meal, villagers are always striving to invite them to dinner. Villagers say, the footprints in these decades of their father and son are stepped on all over every threshold of the loose lake village, it is the healthy patron saint walking in the field. At present, there are 872 rural doctors in the whole Ningdu county, the overwhelming majority is all the age bracket people above middle age, generally have decades " Medicine age " . They should assist the relevant department to finish a large amount of public health work besides taking charge of the work of generally making a diagnosis of countryside, they defend the villagers' health persistently with every footprint. However, they have not worked out formally, there is no salary. Perplexed The identity is awkward " The coordinate " Difficult to look for will it be afternoon September 27, watch, rain, we to " block " in brave the intersection of leather and paddy field of house once What is he lives, he is rushing to get in the late rice. As a rural doctor, the 56 -year-old Zeng Yong's leather must perform two roles well at the same time - -Doctor and peasant. The once brave leather was the people of village of leftover of bolt of cloth of Ze township of bamboo, 20 years old began individual practise medicine in the village. Ministry of Public Health cancels " Barefoot doctor " After the appellation, he has been admitted to the rural doctor's practising certificate, has opened a health station in the village, by " barefoot doctor " Have turned into " Rural doctor " . Because he has only a rural doctor's practising certificate, have not obtained the doctor's practicing qualification card, this has been destined he can only see the doctor within the range of village of leftover of bolt of cloth. "Old, old, learn to farm. " Talk newly that shuts the change of the income after the pilot project agriculturally, a face of once brave leather is helpless. Before 2006, because there were many patients, the income is more than 3000 yuan each month, he can not find time to be in charge of other things at all, several mu of fields of the family rent kind to others. The whole county began to shut the pilot project newly and agriculturally in 2006, hereafter, villagers had township commune hospital submitting an expense account to go to all go to to see the doctor, the patient getting to the health station in the village greatly reduces, he has about 1000 yuan only each month, can only eke out a living. "Teacher working at a school run by the local people and veterinarian all become a full member, just have our rural doctors left. " Have always said until this topiced, the eye socket is suffused with red slightly, " I meant not to do, but is afraid the rural doctor leaves no successor. In addition, I have endowment insurance, see the doctor, pay a home visit, have source of revenue right away. Do not really know what life can not do in a few years. " Because the identity of the rural doctor is still peasants, " supernumerary person " regarded as hygiene system ,As the team prones to senilization, it is becoming more prominent that the endowment insurance lacks the question. The old doctor has retreated, the young doctor can not supplement in, the rural doctor's team leaves no successor, rural tertiary hygiene serve the intersection of network and bottom of network, face people move broken threat of network. How to solve rural doctor's basic treatment and problem of supporting parents properly, already extremely urgent. Expectation Do not reorientate again " The barefoot " The reporter notices in the interview, the rural doctor survives the pressure is strengthened day by day, the team is becoming more unstable, have already become influencing and bottleneck restraining development of rural hygiene work, the root cause of this problem lies in the rural doctor's basic treatment and endowment insurance problem can not be solved for a long time. In fact, in recent years, Ningdu county is solving the rural doctor's basic treatment and is " looked after properly in the old age " The question has issued the relevant policy. On the basis that the provincial finance allocates to each rural doctor's epidemic prevention health care subsidy of 1800 yuan of every year, the county finance offers the health station of each village subsidy of 360 yuan every year again. In addition, determine a post and is trained and irregular to train to all rural doctor every year in the county, and is allocated a computer by hygiene of each village. On July 14, the country issues " instruction on further strengthening rural doctor's building of contingent ", have reflected the attention to the rural doctor of the country. But, what kind of influence can be on earth brought to their life as to the policy, rural doctors are anxious and expecting. The destiny of the rural doctor's colony, yes Have denied and stood it again to on the turning point of history? Have discussed one's own view to a lot of rural doctors of " instruction ". "Look forward to can to ' forbid, collect to rural doctor in any name, expense outside the the apportionment national regulation, create the good operation environment ' a string issue more thinning regulation for rural doctor. " "We not only hope to be looked after properly in the old age, hope to be approved. " The 69 -year-old rural doctor of Ze village of bamboo Ze township bamboo hangs on to be on from practising medicine and beginning to the present, pay close attention to rural destiny of doctor all the time, issue of " the instruction " let, hang on should the on old man has seen that say good-bye " barefoot " in one's remaining years Hope. (reporter Liao HongPeng and Yan ChaoHui)


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