Lack of basic general practitioners, lack of top public health personnel
after the epidemic exam, who will be the person chasing the virus
Those who have protected others are in urgent need of protection. After the staged victory in the fight against the New Coronary Pneumonia epidemic, how to "protect" the team of public health talents is an important topic of concern to many representatives at the two sessions of the country. What they care about is how to build a team of primary-level public health service providers with clinicians, disease control personnel and general practitioners as the mainstay.
Wu Hao, a member of the National Committee of the Chinese People's Political Consultative Conference, a professor at the Capital Medical University and a director of the Fangzhuang Community Health Service Center in Fengtai District, Beijing, once served as an expert in the central guidance group, spent 51 days in Wuhan to guide community prevention and control.
Wu Hao remembers that when he first arrived in Wuhan, there were people who were in disorder, and "the domestic rubbish involved in the epidemic was not treated well." Later, he led the members through more than 500 communities and 161 community health service centers, sorted out 1,275 questions and suggestions, and sent them to the central guidance group.
Wu Hao said that at that time, only those general practitioners who knew both clinical and community public health could cope with the current situation. However, the current status of the medical talent team reflected in the epidemic situation is that there is a lack of grassroots general practitioners, and there is also a lack of top talent for public health.
According to the "2019 China Health Statistics Yearbook", as of the end of 2018, the total number of general practitioners qualified by different training models in China was 309,000, less than 9% of the total number of clinicians, and there were 2.2 general practitioners per 10,000. "The number of general practitioners in developed countries is generally close to 30% of the total number of clinicians, and even reaches 50% or more." Wang Songling, member of the National Committee of the Chinese People's Political Consultative Conference and vice president of Capital Medical University, said that among the 309,000 general practitioners, they were obtained through transfer training The qualifications are close to half, and the general practitioners who are on the job have low academic qualifications and insufficient ability to diagnose, treat, and prevent diseases.
On the afternoon of May 21st, at the first "Committee Channel" of the Third Session of the 13th National Committee of the Chinese People's Political Consultative Conference, Wang Chen, member of the Chinese People's Political Consultative Conference and vice president of the Chinese Academy of Engineering, said that strengthening the construction of the public health system is important to focus on the combination of medical and prevention. "Only when medical and defense are integrated can we cope with major challenges more effectively."
Compared with basic medicine and clinical medicine, public health personnel training is more difficult. Prior to this, the Ministry of Education said that it will expand the enrollment of 189,000 postgraduate students this year, including public health and preventive medicine talents, and some schools will expand the enrollment of students at a 1: 1 ratio.
However, Xiong Sidong, deputy of the National People's Congress and president of Suzhou University, said that his research found that many schools were "happy and worried" about this news-"the joy is that the country has begun to attach importance to the construction of public health talent teams, and the worry is that some schools do not have so many specialties. teacher".
Wu Hao, now the chief expert in community health in Beijing, describes the occupation of public health as "the icing on the cake" and "unknown". Wu Hao remembers that 60% of the first batch of more than 3,000 people in Wuhan were community public health personnel, "but not many people are concerned."
The key to the training of public health talents, he believes that "give enough respect", "let different professions have their own development space and professional status, otherwise they will be lost if they are retrained."
In Xiong Sidong's view, the training of public health talents requires multi-disciplinary and multi-level intersections. Comprehensive universities should use multidisciplinary advantages to train composite public health talents. Nor can they be simply added up in terms of educational system, but should take practical ability and job competence as a mainstream direction for talent training. "
In Wu Hao's view, in the future, different talent evaluation systems need to be established to make the talent structure more reasonable. "We need people who do research, and people who specialize in clinical practice."
"Evaluation system is a baton. Every kind of talent is very important, but everyone needs to understand each other. For example, disease control personnel should go to the community for training, and clinical ones should also go to the disease control department to learn basic knowledge such as statistics and flow control Early warning awareness. "Wu Hao said.
China Youth Daily · China Youth Daily trainee reporter Zhu Caiyun reporter Wang Xinxin Source: China Youth Daily