CCTV News:There is such a group, which is called "120" in the village by the villagers. They guard the health of the villagers in the surrounding Shiliba village. When someone gets sick, they are often the first to think of. This group is the village doctor. In Sichuan, the reform of village doctors has quietly begun in the plan of rural revitalization.
Village doctors walking at an average altitude of 4,200 meters are lonely and helpless.
Xie Zhourong is a Qiang village doctor in Jubao Village, Xiaoba Town, Beichuan County, Sichuan Province. He has been practicing medicine for 47 years. Xie Zhourong, 66, has passed the retirement age, but if he retires, it will become a big problem for more than 1000 villagers in three surrounding villages to see a doctor.
Xie Zhourong, a doctor at Jubao Village Health Station, Beichuan County, Sichuan Province: If I retire, the people can only go to big hospitals or go to the street to find medicine stalls to buy medicine.
Xie zhourong
According to the statistics of the local health planning department, there are 240,000 people and 310 villages in Beichuan County. Except for the villages where 23 township hospitals are located, there are still 280 villages that need clinics. But at present, there are only 229 village clinics and 235 village doctors, and most of them have reached retirement age. According to statistics before 2016, there are 107 people over 65 who should quit the ranks of rural doctors.
In the local area, the shortage of village doctors is becoming more and more serious, and it is even more difficult to attract young people to be village doctors. One of the important reasons is low income. Take the village of 55 people with the smallest local population as an example, the income of village doctors is very meager. The annual income of village doctors is less than 8,000 yuan, and it is more than 600 yuan a month.
Beichuan county
Reform+improvement to solve the dilemma of village doctors
Not only Beichuan, but also village doctors in almost all areas of China have the problems of old age, low income and poor medical equipment. During the local investigation, the reporter of "Economic Half-hour" found that some old village doctors began to practice, hoping to inherit the cause of village doctors with the traditional method of taking apprentices.
Village doctors are not only seriously lacking in quantity, but also obviously lacking in modern medical skills. It is difficult to solve the problem simply by relying on the help of old village doctors. As early as 2014, the local government launched a targeted training program for 100 rural doctors. From the local rural junior and senior high school graduates, 100 students who are willing to go back to their hometowns to be village doctors after graduation are free of tuition and living expenses, and sent to relevant medical colleges in Chengdu for orientation training for 3 years.
Tang Li, deputy head of Beichuan County, Sichuan Province: The county took out 2.5 million yuan to train 100 directional village doctors. Up to now, 50% of village doctors are young people under the age of 30.
Village doctor training
The government is responsible for training, and the main expenses such as accommodation, transportation and auxiliary training required for training are donated by social organizations. In order to further provide medical assistance, a charitable foundation donated 56 computers and 50 oxygen generators and other medical and office equipment; In Mianyang Beichuan Qiang Autonomous County and Guangyuan Cangxi County, some village doctors aged between 45 and 70 are insured for accident insurance; Insure some village doctors under the age of 45 with major illness insurance. In addition, it is planned to spend 200,000 yuan to reward outstanding local village doctors. Cash rewards are divided into three grades: 1000, 2000 and 3000.
oxygenerator
According to the statistics of local health planning departments in Beichuan, in recent years, health planning departments in Shandong Province and Kecheng District of Zhejiang Province have donated 1.3 million yuan and 1.1 million yuan of medical equipment respectively. At present, all local village clinics have been upgraded and distributed with some modern medical equipment.
Modern medical equipment
Not only the new medical equipment is added, but also the network remote consultation can be realized. No, this village doctor is consulting with the specialists of Sichuan Provincial People’s Hospital through online video.
According to the requirements of the national health planning department, all village doctors should reach junior college or above and obtain the qualification of assistant doctors by 2020. The medical level of village doctors will also be greatly improved.
Remote consultation to see a doctor
In Cangxi County, a national poverty-stricken county, Liu Hui, a college student rural doctor, has been practicing medicine for 20 years. The 43-year-old Liu Hui is affectionately called "Night Light Angel" by the villagers. During the day, Liu Hui went to the village clinic for outpatient treatment, which was watched by both Chinese and Western medicine. Because of the large number of patients, she got up at 5 o’clock in the morning almost every day and worked until around 7 o’clock in the evening.
Liu Hui
Now, Liu Hui is already a deputy chief physician, and he is very famous in the local area. When she first returned to her hometown to start a business, Liu Hui used two old houses in her hometown to open a village clinic, but the medicine had to be bought in towns and villages 7 or 8 kilometers away. Every time he takes medicine, he has to carry it back with a bamboo backpack.
Liuhuilaojia
In this way, a little bit of accumulation and a little bit of development, the villagers gradually developed from a little uneasy at first to acceptance and trust. Because of his excellent medical skills, villagers from Shiliba Village came to him for treatment and prescription. Now, the number of outpatients he sees a doctor every day is more than 20 on average. Because there are more patients who see a doctor and provide more public services to nearby villagers, Liu Hui can get more medical expenses and national public service subsidies, which is more secure than the income of ordinary village doctors. While his income is guaranteed, he is also growing personally. His professional title has changed from the initial assistant physician to the current deputy chief physician. At present, he is pursuing his professional title. Liu Hui, a village doctor, has made more young people see hope.
Tang Li, deputy head of Beichuan County, Sichuan Province: If village doctors have been subsidized by the basic drug system and can’t reach 2,000 yuan per month through public health services and general diagnosis and treatment, the finance will give subsidies so that the monthly salary of village doctors can reach 2,000 yuan. In addition, by purchasing endowment insurance, the worries of young village doctors can be solved. Old village doctors who did not buy old-age insurance and now quit rural doctors have an annual withdrawal subsidy of 1,200 yuan; On-the-job village doctors can buy endowment insurance, and the government will give 40% and 50% subsidies for purchasing endowment insurance according to the purchased endowment insurance.
[Half-hour observation] Medical care is guaranteed and there is hope in the countryside.
In order for rural doctors to provide better medical services for rural people, we must improve technology and treatment.
In the national 13th Five-Year Plan, the government will implement the project of improving the ability of primary health and family planning personnel. According to the plan, 1.4 million rural doctors across the country will receive free training. At the same time, the treatment of rural doctors has also been mentioned on the agenda of reform. In 2018, Guangdong Province implemented the policy of basic salary+personal factor subsidy for rural doctors; Sixian County, Suzhou City, Anhui Province stipulates that the salary level of rural doctors is not less than 3,500 yuan per month. Qinghai Province has improved the multi-channel compensation policy and established the rural doctors’ pension system. 95.1% of the village doctors in the province have participated in the new rural pension insurance, and some areas with better conditions have arranged for village doctors to participate in the employee pension insurance. Rural areas around the country are carrying out reforms around the medical problems in the countryside.
Reform is to create a new world, which is conducive to the well-being of the general public and the improvement and development of the national industry. With the deepening of reform measures, the improvement of the medical level in rural areas and the improvement of the medical system will steadily become a reality, and only by perfecting these necessities in life can beautiful countryside be truly beautiful and truly usher in greater vitality.