No village doctor in 10 years?

There will be no village doctor in 10 years! Is it alarmist? Recently, the People's Daily, sponsored by the head of the People's Daily, published a series of reports on the issue of rural doctors, which attracted the author's attention.
especially "10 years later, there will be no medical treatment in the village" this article let the author feel the same way.
cites data showing that there were fewer than 1.1 million village doctors in the country before 2016, 970,000 in 2017, 900,000 in 2018, 790,000 in 2019 and another 50,000 in the first half of this year.
at this rate, more than 10 years later, I am afraid there is no medical treatment in the village.
through verification, "People's Livelihood Weekly" reporter noted that the above data and the current number of village doctors in the country basically coincide, as for "10 years later there is no village medical treatment", there have been similar judgments in the industry.
, is the Minsheng Weekly story alarmist? Although in recent years from the state to the local government are introducing a document to strengthen the construction of rural doctors, but it is undeniable that there are still some problems in the development of rural doctors.
From the situation of the ranks of rural doctors, low education, lack of hope for promotion, income instability, poor treatment, difficult to raise funds, poor practice environment, age, psychological pressure is not small, old-age insecarcerary, can not find a successor, etc. , have become the impact of this group's growth and development of the roadblock.
author has been calling for attention to the village medical problem for many years, but the effect of improvement is not obvious.
the source of income seems to be many village doctors or not satisfied? If we analyze the sources of income of village doctors, we find that there are many ways.
basic medical income (base drug zero price subsidy, general medical treatment fee), basic public health fund subsidy income, family medical contract income, village health room annual quota subsidy ... And village health can also reimburse residents' medical insurance, which can attract residents to seek medical treatment.
you not be satisfied with the revenue from so many sources? The reason, or because all kinds of income is not stable, is basically called "subsidy".
and the results of various assessments are linked, so the final funds to the village doctor is not satisfied.
problem of base medicine has not been properly solved, resulting in less subsidies for the use of base medicine is also less, the base drug is not attractive to retain patients, the cost of diagnosis and treatment is less.
it is difficult to sign up for a paid family doctor, and this piece of income is very low or even negligible.
so if you count the real sunshine income, village doctors are very few.
because of the low income of the sun, some local village doctors in disguise "looking for money".
such as in recent years exposed in some local village health room fraud incidents occur frequently.
the use of non-base drugs instead of base drugs, fictitious diagnosis and treatment projects, etc. , have a negative impact on society.
Old-age insurance needs to be strengthened and perfected Although the relevant policies require village medical income and old-age care to be treated in accordance with village cadres, but the actual implementation of the situation is not common, some places have been delayed or have been introduced the old-age policy for the elderly village doctors are not good, the enthusiasm of village doctors has been hit.
Not long ago, for example, a rural doctor in a mountainous county in the central province released his voice through an online social platform: "I am 53 years old, in the village for more than 20 years as a village doctor, the county policy is that we have exceeded the age of old-age insurance, so nothing to say, let us automatically withdraw, and so we 60 years old to 400 yuan a month."
s practice is very hurt our self-esteem..." In fact, in the current situation of the shortage of young village doctors, these 50-year-old village doctors have become the main force in the village medical team.
if these people don't want to do it, the village medical team will be even more unstable.
many effects to be improved the number of village medical team is decreasing, has attracted the attention of relevant departments.
especially in view of the need for health and poverty relief work, local regulations require the elimination of village doctors blank spots, so have called for the establishment of standardized village health rooms to supplement village doctors.
village health room hardware is easy to meet, but only the village medical personnel problem has become a difficult problem.
some provinces have adopted targeted free recruitment of college students, and even secondary school students to supplement the village medical team.
this, the number of people who can stay is not as good as expected.
villages in rural areas with slow progress in village medical problems can not be effectively resolved, mainly identity issues.
in recent years, some advanced areas of medical reform have created a rural employment system of the Medical Commons, which is considered to be a favorable measure to stabilize the village medical team, and this kind of program has also been affirmed by the state.
Because the more remote and difficult areas of village medical income may be better, relying on their own income is difficult to retain village doctors, so only in accordance with the health hospital staff equal treatment, even according to the geographical location, environmental differences to give reasonable subsidies, it is possible that someone is willing to stay in the post.
but this kind of village-hired measures to promote slowly, really put in place not many places.
also believe that this measure is a strong measure to stabilize the village medical team, all places should be implemented as soon as possible.
to the current village doctors in the village from the academic qualifications, qualifications, professional ability and other aspects of assessment and selection, according to the local needs of the number of village doctors merit-based admission, the number of insufficient can also be recruited to the community.
can stabilize the number of village doctors and improve the quality of rural doctors.
village doctors are indispensable but need to change as long as the countryside does not disappear for a day, rural doctors are indispensable.
rural areas, the more elderly and chronically ill people are left, and the greater the need for rural doctors to ensure their basic health care and public health care.
are carrying out beautiful rural construction, building hardware has been upgraded, but health care is more to improve up.
a village doctor who had won the trust of villagers in several surrounding villages with his ability and good service, especially those most trusted by the elderly.
he is also a few kilometers of hard-working rural doctors, and later because of income dissatisfaction, old-age insego, after several trade-offs, decided to give up the village medical profession to go out to work.
local old people learned that the village doctor went out, and the children in the field said that no one for them to see a doctor, they are sick how to do ... The author around such examples and many, all regrettable.
of course, the stability of the village medical team is not a certain department can do a good job, need the attention of all levels of government.
hope that in the near future, the treatment of village doctors has been truly changed to become a respectable profession, the village medical team no longer face the dilemma of disappearing!