Would rather put back 70,000 also want to untie the contract! The problem of "medical shortage" at the grass-roots level should be solved

Grass-roots "medical shortage", these people's hearts are also "panic"!recently, the central media "half-month talk" on the grass-roots "medical shortage" issue of the interview reportSeveral sets of data mentioned in the article, so that the author's mood for a long time can not be restored10 career index, voided 7;would rather pay 70,000 default payments, still have to lift the agreement;county average salary of more than 6000, to the province on the tens of thousands;health hospital 5 million yuan of equipment gray;talent cut off more than 10 years..From the above data can obviously feel that some areas of primary health care hardware and software construction is not optimisticGrass-roots "medical shortage", the problem is what?the policy of free directed students of medicine has attracted a lot of highly educated talents for primary medical institutionsThey are exempt from tuition, accommodation and subvention during their stay in schoolthis seems to be a very attractive condition, but according to the "Half Moon Talk" reported that some people would rather pay 70,000 yuan after graduation default, integrity records into the file of the cost, but also to lift the previous lyning agreementit is clear that school-time benefits alone do not allow post-school graduates to be willing to stay at the grass-roots levelAfter the return of medical free directed students to the grass-roots level, there is still a need to introduce supporting policies to keep thema medical free orientation student in a health hospital in Hebei Province, graduated in 2015 and returned to the grass-roots level after three years of three years of tertiary hospital training he told the author that when they were assigned to temporary workers, they were later told that the health hospital can be tested, but was told not to test This is a study and regulation of training spent 8 years, in the end do not give the preparation also do not allow the preparation of the targeted medical undergraduates, really very wronged later after his communication with the relevant departments, finally completed the procedures these free-to-speak students or other recent graduates are basically post-90s, and the previous century assigned to the older generation of graduates is not the same mentality the development of the era, the medical environment is also changing These graduates, who are now exposed to new ideas, new knowledge and new methods of medicine, are exposed to new medical concepts, but return to the grass roots feel that their perceptions are biased for example, patients would have only to take stuttering medication, but many patients insist on infusion, ask edgy doctors to solve problems quickly If the symptoms do not improve significantly for two days, the doctor is a "mediocre doctor" the methods they learn during school or training may not be appropriate at the grass-roots level, and sometimes patients prefer to opt for "earth methods" treatment spree treatment spree with poor clinical experience and education also in life, the same age of other industry students have a car, career success, these graduates of medical students back to the grass-roots if there is no preparation, low treatment, psychological will inevitably have a difference when faced with the complex environment of primary health care, learning things in the grass-roots play no role, coupled with the rapid development of students and friends around them, these contrasts make some people discouraged now the primary doctor scare and public health care can not be less, the grass-roots physician commune has done a "included in the village integrated management of the current situation of village doctors" questionnaire Data show that 59.39 percent of village doctors income below 2000 yuan, 77.59 percent of village doctors think the workload is heavy, perhaps this situation in the township health hospital can be a little better " originally worked in a health hospital in Hebei, medical examination, poverty alleviation kind of a lot, but the treatment has not much improved In addition, I just want to do my professional, the most pure doctor, and then naked to run to a private hospital." This is a second-level private hospital in Beijing, an orthopaedic surgeon to the author to tell the original words in some areas, the pay and return slots of primary doctors are not quite proportional in addition to the grass-roots doctors confused about the future, panic, grass-roots managers face a very difficult task , a hospital director in Keshan County, Qiqihar City, Heilongjiang Province, confided to the author, "Whether it is directed students or career recruitment of college students, are to the grass-roots hospital as a springboard." "
" and even even the relationship was seconded away, the original unit to pay them a variety of fees, while having to hire some undocumented personnel to work in key positions in medical care She said "temporary workers have a physician (assistant) practice qualification certificate but no documentation, the ability is not guaranteed; "
in Ordos City, Inner Mongolia, ortok flag health committee grass-roots health unit Guo Xingchen also said, "like before they were in the recruitment of medical personnel, now go a lot." The grass-roots level is particularly short of people at present, and there are not even village doctors here "
he believes, "mainly with the grass-roots treatment is not high, medical technology is not developed, heavy workload and other factors, over time led to brain drain." Health care work will pay attention to team awareness, even if you want to do a career, relying on 1-2 people's blood is not feasible "
" in addition, the superior slay of the work all fell in the health hospital, village health room this level, even if a department assigned a work, to the grass-roots level is more than one It is difficult for primary-level doctors to keep people with a number of jobs and their treatment But to solve these problems, we alone department or unit can not do, it needs the government and many other units to coordinate together He said talents are the key to the accelerated development of primary health care, the problem now is not only to "introduce" and "stay", more importantly, "use well" to use the existing talent, so that the people behind to see hope, natural lying will "introduce" "stay" new people, the author thinks the following three aspects are very important 1 Breaking the "ceiling" of the development of primary health care talents
last September, the National Health and Reform Commission held a press conference in Guangdong, introduced the Guangdong Province to strengthen primary health care, deepen the typical experience and practice of county medical reform, especially in Guangzhou Huadu District to explore a can be used for, can be promoted "village stability" path, worthy of learning from all over for example, on the issue of treatment, the primary medical institutions to maintain the nature of the public welfare category unchanged, the implementation of public welfare a kind of financial supply, clear the scope of a type of financial supply (guarantee), the implementation of the grass-roots medical and health institutions guarantee mechanism and compensation mechanism, but in management, allow the primary health care institutions to implement the performance management of public welfare two institutions in the preparation, the implementation of "county recruitment county management town", to encourage the establishment of a "talent pool" system, the establishment and talent can be unified deployment and mobility throughout the county in addition, in addition to the preparation, treatment issues, young people pay more attention to their own career development Hebei Province, this medical free orientation students to the author, in addition to the first three years of standard training, now is basically their own Online to find documents or buy books to learn, and sometimes and the above hospital doctor consultation also for free medical orientation students half summer also said that her hospital almost a year to organize a large-scale training and learning, there is no opportunity to go out to study through these side examples, we can feel that young medical talents are eager to acquire new knowledge, primary medical institutions should keep a close eye on development needs, improve the frequency of further education, learning, lectures 2 Education should not be used as the sole criterion for evaluating grass-roots talent
at present, most of these policies to the preparation and treatment of the preparation, treatment are faced with undergraduate education or above, there are also places to lower the threshold, college education can be this condition, some people with only secondary education but a medical practitioner's qualification will be kept out long time may lead to a phenomenon: high education because there is no certificate to the primary hospital transition, low education has a certificate of recruitment threshold can not come, have to go to private hospitals to work readers said, "primary health care does not need too much complex, profound academic knowledge, since can obtain the qualification certificate of practicing physicians, the explanation is also recognized by the state." "
evaluation of grass-roots talent not only to consider the academic qualifications of this factor, need to be assessed from many aspects Reducing academic qualifications to recruit qualified personnel and the recruitment of highly educated and unqualified personnel need a balance between the development of a standard in line with the evaluation of primary health care personnel 3 The relevant units are connected to speed up the implementation of the policy
half summer said that at the end of last year, their hospital hospital department of the new building has been capped, the new fund-raising room is also in preparation, the heart is very much looking forward to but so long has passed, due to various reasons, the construction progress is slow Maybe he can't move into a new building when his service expires If the hardware facilities and environment can not keep up, even if the doctor came is also "smart woman difficult to cook without rice." the slow progress of the implementation of the policy is indeed a big problem facing the present, half summer to the author revealed, "for participating in the general hospital general standardized training of targeted students, state subsidies 30,000, local subsidies 10,000." When we first started doing this, these people in the 2016 level were said to have followed this policy "
" but we are only in 2019 to release documents, some of the standard training base said that the district issued the list without 2016 students, can not be issued this subsidy; She continued in general, primary health care personnel "cannot come" "cannot stay" not only health hospitals, local health and health bureau, but also the local government and the Bureau of Human Services to coordinate in many aspects, and speed up the pace of policy implementation primary medical institutions as the bottom of the "pyramid" of China's medical institutions, is the most need to stabilize part Only by solving the problem of "medical shortage" at the grass-roots level can we better promote the graded diagnosis and treatment, so that the grass-roots people can enjoy better medical services.