Black clinic Cheng XinNong shuts by fixed position Third liver epidemic situation refracts the rural clinic messily and alikely

Black clinic Cheng XinNong shuts by fixed position Third liver epidemic situation refracts the rural clinic messily and alikely
On December 3, a personal clinic in Yongcheng is packed with a patient, a baby's disease can only have an intravenous drip at the gate. The misfortune of third liver: " black clinic " Turn into the body and shut the fixed liver epidemic situation of Woyang third to refract the rural clinic newly and agriculturally messily and alikely, many of clinic practise medicine without licences, clinic build face " have money have place " Predicament - key suggestion On November 29, third liver epidemic situation breaks out, so far, more than 200 people have infected third liver already in Woyang of Anhui, most patients have been in Henan to see the doctor in Shen's clinic of building village that investigation shows. The safe problem of medical treatment of rural clinic becomes the focus. Reporter the intersection of Yongcheng and the intersection of city and many of the intersection of village and the intersection of clinic and investigation find Shen floor the intersection of village and clinic existing problem in Henan, exist in the other clinics too. For example the village has no qualification but participate in practising medicine to cure relatives, make a diagnosis and record incompletely, it is unstandard to sterilize the apparatus. Deputy Bureau Director of Yongcheng health bureau left jade set up to media saying to check, involve medical treatment operate links basically Health Inspection Institute. There are two rural clinics in Yongcheng, without a operation licence, medicine of village does not have qualification either, but these two clinics shut the fixed organization newly and agriculturally. The town of Yongcheng new bridge " A room of village one " Promotion unfortunate too,face not having village clinic money predicaments landless. December 3, Zhang Xiao (assumed name) more than 40 years old Stand in front of one's own door. He is a patient this time in the liver epidemic situation of Woyang third. This large man, speak of oneself to make a definite diagnosis of while infecting third liver epidemic situation, he has cried. In nine of this year, October, Zhang Xiao feels uneasy and urinating and turning to be yellow all over. Have an injection, take medicine and does not see the improvement in the village clinic. On October 27, drew blood and tested in a large hospital of Yongcheng, made a definite diagnosis of and infected third liver. He is the same as much affirmation infects the patient of third liver, claims to go to a doctor in Wu WenYi's clinic. Third liver, in the epidemic situation, Wu Wen Shen building the intersection of village and clinic of justice stop, connect, examine, poll already, have not announced the investigation result yet at present. Outside several kilometers, are all the clinic of administrative village by fixed position of hygiene system, some have shut the gate too. This third liver epidemic situation, reveal the safe problem of injection of the clinic at the basic level, expose all sorts of safe hard wound of medical treatment of rural clinic at the same time. The daughter-in-law daughter-in-law Sun is without licences " Practise medicine " According to the regulation, only if technical staff of the hygiene can't be engaged in medical treatment; A plurality of clinics of Yongcheng have no qualification to cure relatives to store in the village " Practise medicine " Person who gather, after third the intersection of liver and epidemic situation break out, Ministry of Public Health expert panel carry on the investigation to context Wu this time. The expert panel required him to offer a patient to go to a doctor to record, but he said a moment later that was " taken away by the person of sanitary control " ,Said again a moment later " Have lost while moving " . In the medical organization, it is the important basis diagnosed, treated that the medical file with intact norm is recorded, it is easy to trace back to patient's situation, judge the basis of responsibility when the dispute take place too. And make a diagnosis and record unstandardly, it is unable to trace the epidemic situation. Reporter's investigation finds, a lot of rural clinics all exist and make a diagnosis to record the unstandard problem. On December 3, in the clinic of ditch village of general term for paulownia, phoenix tree and tung tree of town of Maqiao of city of Yongcheng, several prescription forms are being put on the desk of medicine Li Xing in the village, date is from the end of November to the beginning of December. Recording medicines of several pieces of oral medicine or injection opened briefly on each list. The prescription form is two and unite, one of these is kept by the doctor, another one is sent to patient's hands. But Li Xing's two unites the prescription in one's own hands. He says, has " forgotten " Issue to the persons who seek medical advice. Li Xing's registration form of still going to a doctor of clinic, is registering name, address, ill disease of persons who seek medical advice,etc. above. But the very regular registration form, the intersection of some and 10 over day in succession, 1 people seeks medical advice only every day. The registration form begins from October 21 this year on date, the record before this is " in the old house " . In third the intersection of liver and epidemic situation, have many persons of the infeted claim Shen building the intersection of village and clinic that they go to a doctor, except context Wu responsible for, diagnose in person, daughter-in-law, grandson, Sun of Wu each responsible for making up a prescription, injecting and drawing blood and testing by daughter-in-law and nephew. According to " management rule of medical organization ", it is not that a technical staff of the hygiene is engaged in the work of technology of health care to use, besides rectifying and improving within a definite time period, can impose a fine of up to 5000 yuan; Of a serious nature, revoke " operation licence of medical organization ". Also find in the investigation of Yongcheng, Woyang, in a plurality of local clinics, the kinsfolks who have the rural doctor participate in practising medicine, they do not have any medical treatment, attending to type qualification. The intersection of Yongcheng and the intersection of city and the intersection of Maqiao and the intersection of town and the intersection of general term for paulownia, phoenix tree and tung tree and the intersection of ditch and the intersection of village and clinic, revitalize, too busy to do it as the intersection of village and the intersection of medicine and Li, Li's wife undertakes the doctor's work, have an injection for the patient. The clinic of village of horse's village of town of new bridge of Yongcheng, the wife of medicine of village will help the husband to give patients infusion, take medicines too. Say she, qualification practise medicine oneself let's or not attend to, at defend by school,test by qualification card, doctor of assistant at present, have not got the certificate yet. Even if is a larger clinic in the new city of Yongcheng, the wife who diagnoses the doctor will also help people to diagnose diseases such as cold, angina,etc., and is responsible for the compatibility " Diminish inflammation, resist cold " Medicine. " supervise and does not involve medical treatment to operate " A village clinic of Yongcheng is sterilized with home pressure cooker; Deputy Bureau Director of Yongcheng health bureau Zuo YuAn says, do not basically involve medical treatment to operate links in sanitary control December 3, reporter visit the intersection of Yongcheng and the intersection of city and the intersection of Maqiao and the intersection of town and the intersection of dish and the intersection of garden and the intersection of village and clinic, see, soak swab until iodine bend over, have one turn black, the iodine becomes dry to bend over and condense. This clinic still launches child's atomization treatment, in the home pressure cooker, there are two atomizer piecings finished sterilizing, one of these is disposable goods, the atomizer piecing was not scrubed clean before sterilizing, can see dirt. Outstanding to say Health Inspection Institute, city of Yongcheng, check to these clinic for 3 times this year good fortune Li, medicine of village, recent just more than ten days ago, checking the content includes organization, personnel's qualification, medicines lot number, effective one,etc.. " can read into the medicine form too when checking " . Li FuJie takes out dozens of and enters the medicine form from dispensary desk conveniently, time is from 2009 to November of this year. In one enters the medicine form, are writing into the item, price of medicine and entering the medicine unit. But these of Li FuJie's are entered on medicine form, it is not the clinic of garden village of dish to enter the medicine unit, but the clinic of ditch village of general term for paulownia, phoenix tree and tung tree outside several kilometers. Explanation of Li, " whether others ask where is I, I say the intersection of general term for paulownia, phoenix tree and tung tree and the intersection of ditch and there, write in this way " . The ditch village clinic doctor Li Xing of general term for paulownia, phoenix tree and tung tree claims firmly, Li Fu's outstanding purchasing the medicine form was not taken from the clinic of ditch village of general term for paulownia, phoenix tree and tung tree, they two come and go from having. On the spot, Li revitalizes and dials the other side's telephone to inquire. Later, Li Xing claimed, he inquired the medicines wholesaling firm in the county, the other side told him, " may take it thoughtlessly " . But the entering how the medicine form take to mix of two years for dozens of spans, the other side can not only clearly call. "Checking to the village clinic is generally in the charge of superintendent office of the hygiene, their working function overweights the law-enforcing supervision, it was the environmental sanitation of the qualified and medical place whether the ones that paid close attention had practised medicine, checked the medical articles illegally, operates links and does not basically involve to medical treatment. " The Deputy Bureau Director of Yongcheng Municipal Health Bureau left jade Ann has said to the media like this. The black clinic withholds " Shut newly and agriculturally " Funds Yongcheng Liu floor village and the intersection of village and clinic of village Li have " The operation licence " ,There is no qualification in medicine of village, but they still shut the fixed organization newly and agriculturally so far After third the intersection of liver and epidemic situation break out, Maqiao the intersection of town and Liu floor the intersection of village and clinic close three four day already. The intersection of village and the intersection of medicine and the result of clinic this say person, Municipal Health Bureau of Yongcheng, call at somebody's house on a special trip, tell him " Close several Tianmen first " . When open to business, the other side is not answered clearly. There is what a county hospital authorizes in this clinic " Shut the fixed medical organization in the village newly and agriculturally " Brand. But the qualification that Liu ZongXiao has not practised medicine. 10 years ago, Liu ZongXiao was once a barefoot doctor in the village, but because of hundreds of yuan income for every month, can't support the family. He went out to work as a temporary labourer. Until 2008, after going out to work as a temporary labourer for 78 years, he is invited by the village cadre to take on medicine of village back to the village. The qualification of obtaining employment that obtain the rural doctor, must be through the qualification test, Fang Ke is the credentials of practising medicine. Liu ZongXiao admits, he has not passed the examination. Liu ZongXiao says, he gives the commune hospital in the township thousands of yuan for a director, the other side helps he " operation licence of medical organization " once Have done. But how on earth to do, Liu ZongXiao says, he is not clear either. Subsequently, Liu ZongXiao succeeds in applying for and playing and " shutting the fixed medical organization in the village newly and agriculturally " . " operation licence of medical organization " It is the first instance of one year. Last year, Liu ZongXiao's clinic qualification was " examined " . Though Liu ZongXiao's clinic is not have completely by two cards now, it shuts the function of the fixed medical organization bearing newly and agriculturally yet - -Take the place of shutting the expenses newly and agriculturally of villagers that the finance of township collects. Local villagers say, they will shut the expenses to send newly and agriculturally to the clinic every year. Each villager paid 30 yuan last year, each villager pays 50 yuan this year. The Li 's village outside 5 kilometers, the roll gate in the clinic of this village is closed. Villagers say, " shut the fixed medical organization in the village newly and agriculturally " here ,They shut being new and agricultural the funds to send to here every year. The reporter knocks open the door of the clinic, what is medicine of village do not understand at home, his wife is accompanying the son to surf the Net and play games in the dispensary. In the therapeutic room of the piece all over the place, a man is accepting the infusion treatment. What wife understanding says, the clinic helps the county to withhold the new agricultural money shut, but clinic have the intersection of medical organization and the intersection of operation and licence, where knows not to have a rural doctor's practising certificate. On December 5, understood what is reporter's telephone. What explain he defend school, graduate 2002, learn in the health clinics in towns and townships, there was not medicine of village on the village at that time, the health clinics in towns and townships let him help to do a rural clinic. This year, what knows how to participate in the assistant doctor of the operation and have an examination, if pass the examination, he could be the qualification of practising medicine. A room of difficult problems of a village The town of new bridge " A room of village one " It is difficult to move forward, the village clinic can be used not having, it needs to pay the expenses to apply for the residence base On November 23 this year, Henan Government releases the project implementation suggestion further strengthening rural doctor's building of contingent, determine to take common many ways of building privately, subsidizing in the government etc., realize village clinic and rural doctor are covered completely. Finish the standardized construction of village clinic in an all-round way before the end of 2012. The suggestion proposes, should realize clinic and rural doctor of village of the whole province are covered completely as soon as possible, require each administrative village set up the clinic of a village in principle, every thousand people disposes 1 - 1.2 rural doctors. The above-mentioned several villages which clinics belonged to have already finished " A room of village one " . But the town of new bridge develops unfortunately, 18 administrative villages in this town, will have already begun standardized construction since 2008, from 2008 to 2011 year, can only move forward and build two standardization of administrative village every year. " the largest difficult problem is still money and ground " . A person in charge of commune hospital of garrison post of new bridge says, most original area of rural clinic is small, nonstandard, according to the policy, one room of construction of a village needs to select site and building the room again. According to the local construction expenditure, probably need to invest more than 100,000 yuan. Replenish 20,000 yuan together in state finance and local finance, there is medical apparatus at ten thousands of yuan besides. The rest build room expenses to raise independently. It's time to be responsible for being called, medicine of village is put into too big, some people burdens are very heavy. For selecting site, if involve the village clinic that the old village transforms, can rebuild on the basis of old clinic. But without this transfermation project, need to select site in addition, it is originally very difficult for the county to criticize the land of piece, also pay the expenses of thousands of yuan. " the health undertaking is a public welfare project too, should get support " . It's time to be responsible for being called, the commune hospital in the town once selected site to coordinate the relation in time consuming 5 months for two clinics, successively coordinated through chief of town, secretary, health bureau, Land and Resources Bureau, or even the mayor, secretary of Municipal Committee of the CPC, fail finally. Finally, pass " relation " Have got the index. Build the room and charge as to the residence base, the country prohibits by official order. The reporter contacts the relevant department of government of Yongcheng on this question, they refuse to give an interview. On December 5, the town commune hospital of new bridge is responsible for being called, still 7 villages have not finished standardized construction at present. As requested, must implement a room of village one next year, " No builds the clinic, even if renting must finish " . Director of Henan Province information office of department of public health Zhou Yong says, will not solve the medical problem in the village unless increase input. Save department of public health, put forth effort, build database, to make a diagnosis, record, take, register in the database on the net doctor at present; Also replenish the necessary expenses of medical apparatus of the rural clinic; And should strengthen the relevant training of medicine of village. Staff reporter Meng XiangChao Henan Yongcheng's report

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