In 2020, the phenomenon of village doctors' difficulties needs to be reversed

Village doctors are the net bottom of medical and health services They undertake the tasks of clinical medical treatment, public health services, family doctors signing contracts and other tasks of the residents in the area They build a health barrier for the villagers to prevent and treat diseases They are the healthy gatekeepers of the masses Their important role is self-evident, but village doctors are hard, tired and hard to be Will this turn around in 2020? Dr Yang, male, 65, is a mountain doctor He works as a village doctor in three administrative villages There are 568 in village a, 200 in village B and 190 in Village C, a total of 958 Most of the villagers with good economic conditions have moved to the county town, and most of the people left on the mountain are the elderly The township hospital requires village doctors to hold at least 6 health education lectures every year in accordance with the national basic public health service standards, and also requires at least 20 participants each time The current situation is that there are only more than 50 old people left in village B, who live in many natural villages One natural village lives in three or two households Dr Yang finally called a dozen people together, and the health care staff said that there were not 20 people, not counting At one time, more than 20 people were finally called in Dr Yang not only had to give lectures but also had to find someone to take photos When he told us that he couldn't take photos in class, he couldn't take photos in class He had to choose an "old man who is a little smart" to help take photos Every time he finished the lecture, he felt tired physically and mentally Township women and children assigned the village doctor the task of distributing folic acid Lao Yang always couldn't do it, because there were few people in the village, who were able to buy houses outside and move to the city The old man and mother-in-law were left in the village Lao Yang didn't know who to distribute folic acid to? Dr Yang's medical technology and service attitude are well known in the local area Dr Yang feels that in recent years, his health is not as good as before, some jobs are not competent, and his age has exceeded the retirement age of the country Lao Yang wanted to quit, but no one took over He said that he sincerely hopes that a young doctor can pick up the job, and he can quit at ease There are more than 2000 people in Dr yuan's village Last year, a new health room was built in the village, but it hasn't been shaved white The water, electricity and heating are not matched It will cost 230000 yuan to live in it When the village built a health center, the money for building houses was not paid to the head contractor, who now holds the key The village cadres of Dr Sun's village are not willing to let Dr Sun live The reason is that Dr Sun didn't pay a penny for you to live in after the construction The head of the village thought that the income of the village doctors was owned by the village doctors, and asked Dr Sun to pay part of the building expenses Dr Zhang's village health center is built on the edge of the village It's a long way from the village It's inaccessible in the daytime, sparrow in the door, and inconvenient at night Dr Zhang would rather see the villagers in his house than go to work there These phenomena are currently faced by village doctors and cannot be solved Village doctors feel helpless and helpless Every year during the physical examination, village doctors should call each other door to door in advance, and those who don't have a phone call say it face to face The next day, we need to get up early and broadcast on the loudspeaker to remind the elderly not to eat, and go to the township hospital or village health room on an empty stomach for physical examination There are many old people who have the habit of eating something in the morning and have to make another appointment to check it Some of them, no matter what, just don't have a physical examination There are many reasons why the elderly do not want to participate in physical examination, which can be summarized as follows: 1 The elderly are old and inconvenient to move They need the care of their children's families, but they don't want to disturb their children 2 The old people feel that their physical quality is always good and they are unwilling to have a physical examination The old people's original words are: "I eat and drink well and don't need to be examined"; 3 There is no time to participate in physical examination due to the endless agricultural work in the field; 4 I just checked it in a large hospital; 5 If the disease is found out, the treatment requires the money of Hua'er's daughter If not, it will appear that the child is not filial; 6 Not willing to take blood for fear of pain 7 From the psychological point of view, people often do not value the services provided free of charge After the physical examination results come out, the doctors in the health center and village doctors will inform the elderly again, feed back the physical examination results to them, and carry out rational medication, one-to-one health guidance, etc The public health personnel and village doctors in the most basic level of township health centers are the backbone of implementing public health services They have a lot of routine work every day, such as updating the residents' health records, first diagnosis and blood pressure measurement for 35 years and above, slow disease follow-up, etc in addition, they also need to see a doctor, hold a meeting, train, accept supervision and inspection, verify the medical insurance information, and various temporary work, so much work , a person can't be busy at all, so he has to hurry up the project and do it Village doctors often encounter some work that can't be completed in a short time but is very urgent, such as "urgent, be sure to return relevant information before x point, this activity will be included in the annual assessment" and other similar notices, which makes people nervous These emotions are also in the eyes of the supervisors of the hospital and the CDC, but there is nothing they can do to show understanding 1 The price of some basic drugs is on the high side Although village doctors sell with zero profit, the price is still higher than that of drugstores The villagers don't understand, "you lied to ghosts, the drugstore only sold 18 yuan, you sold more than 26 yuan, also said to lose money"; 2 The public health service shall take photos to prove the authenticity of the work In public health service, in order to verify the authenticity of the service, village doctors are required to take photos Follow up should be photographed, a lecture should be held, a supervisor should be photographed, a training should be photographed, a promotional color page and a book should also be photographed Village doctors joked: village doctors have to work part-time as photographers, so they can do everything 3 Relatives and friends didn't borrow money, so they didn't trust them If relatives and friends come to borrow money, they often can't It's not that village doctors are stingy, but that they are really short of money On the one hand, the villagers have a lot of credit for seeing a doctor, and this platform, that network, medical garbage, etc all have to pay money, but others think that the village doctors earn money all day, but they say they don't have money, which is too shameful Just because these phenomena exist objectively, all walks of life should give more support and cooperation to village doctors, and do not let village doctors fight alone on the road of health management Therefore, the author suggests: 1 Establish a government coordination mechanism to solve the problem of village health room construction, so that the village medical service has a position and energy 2 Establish the admission and exit mechanism for village doctors, reserve talents for the health department, and let the old village doctors withdraw safely;