Chinanews.com client, Beijing, July 15 (Reporter Zhang Ni) "Small illnesses do not go out of the country, serious illnesses do not go out of the county" This is the desire of many grassroots people to see a doctor.
In recent years, under the impetus of a series of policies, the quality of grassroots health resources and health services have been continuously improved. At the same time, grassroots medical institutions are still facing challenges such as a shortage of talents and insufficient service capabilities.
Data map: Village doctors carry out diagnosis and treatment.
Photo by Zhang Tianfu
The siphon effect of big hospitals is obvious. Primary medical institutions are facing the dilemma of talent reserve
A few days ago, the theme activity of "New Health Journey Caring for Grassroots" sponsored by People's Daily Online/People's Health and supported by GE Healthcare China was officially launched in Beijing.
In the start-up activities, the development status of primary medical institutions has attracted the attention of industry experts.
What is the current status of primary medical discovery in China?
According to the latest "Statistical Bulletin of my country's Health Development in 2020" issued by the National Health Commission, at the end of 2020, there were 16,804 county-level hospitals, 1,887 county-level maternal and child health care institutions, 2,025 county-level disease prevention and control centers, and county-level centers for disease prevention and control. There were 1,770 sanitation inspection stations, and the total number of sanitation personnel in the four types of county-level sanitation institutions reached 3.364 million.
Comparing the data from the previous year's bulletin, the total number of health personnel in county-level hospitals and county-level health institutions has increased significantly.
Nevertheless, facing the siphonic effect from large hospitals and some of its own development constraints, grassroots hospitals still have many challenges in terms of talent reserve and training.
"Three years ago, we recruited clinicians for postgraduates or above. Since last year, postgraduates have not been reported to our county-level hospitals. This year, even undergraduates will not be easy to recruit." Yang Nan, Secretary of Laizhou Maternity and Child Health Hospital of Yantai City, Shandong Province The problems encountered in recent years were described at the meeting.
According to him, Laizhou Maternity and Child Health Hospital in Yantai City, Shandong Province is a county-level maternity and child health hospital and a tertiary hospital. It is well-known in the local area. Even so, the development of the hospital is still subject to many constraints.
In Yang Nan's view, this is caused by the large demand for talents generated by the expansion of hospitals above the prefecture level, which is the siphon effect of large hospitals.
This is the same feeling shared by many people in the industry.
Experts at the meeting said that the siphon effect means that among the grassroots personnel, good people run to the big hospitals, and the patients are also siphoned to the big hospitals.
Most large hospitals are expanding, with more and more patients, and fewer and fewer patients at the grassroots level.
In the opinion of experts, since the deepening of the medical reform in 2009, the primary health service network has been consolidated, the number of beds has increased year by year, and the scale and quality of health personnel have been continuously improved, but at the same time challenges still exist.
"The shortcomings and deficiencies of health professionals are still the bottleneck restricting the development of the grassroots level." Qin Jiangmei, a researcher at the Health Development Research Center of the National Health Commission, analyzed.
Qin Jiangmei said that the number of grassroots health workers is insufficient, the allocation of public health and nursing staff is relatively low, and the lack of attention to the construction of township health teams still exists.
Data map: People are consulting during the free clinic.
Photo by Sun Ying
How to solve the development problem?
Experts: increase grassroots investment and make good use of the resources of higher-level hospitals
In the face of development difficulties, how can we realize the vision of "small illnesses can't leave the country, serious illnesses can't leave the county"?
In the opinion of experts, measures such as increasing investment in primary medical institutions and building a medical community are critical.
Xie Shihua, deputy dean of Ruijin Hospital of Traditional Chinese Medicine in Ganzhou, Jiangxi Province, said that because the benefits of primary medical institutions are still relatively low and it is difficult to retain talents, many problems must be solved, including increasing investment in primary medical institutions, strengthening medical service capabilities and medical services. Level construction and so on.
"The government must do a good job of medical responsibility, increase investment in primary medical institutions, improve the environment for medical treatment, improve the problem of aging and backward equipment in primary medical institutions, improve the treatment of medical institutions, so that primary medical staff can work with peace of mind." Xie Shihua said.
He emphasized that primary medical institutions should also strengthen their internal strength. They should strengthen their medical service capabilities and medical service levels, improve the quality of medical services, improve service attitudes, optimize medical procedures, and pay special attention to talent training and talent introduction.
In addition, experts also suggested that, as a primary-level medical institution, it is necessary to make good use of the high-quality medical resources of higher-level hospitals through various means such as the construction of medical communities, so that the high-quality resources of higher-level hospitals can sink.
Make good use of the superior hospital's talents, technology, scientific management and other advantages to achieve the level of homogeneity between the basic hospital and the superior hospital.
Qin Jiangmei believes that it is necessary to improve the strategic position of grassroots medical and health care. In addition, it is necessary to increase support for medical insurance policies and tilt more toward the grassroots.
The reporter learned that, at present, medical institutions and enterprises are also taking action.
The “New Health Journey Caring for Grassroots” activity launched this time will focus on the old and remote areas in more than 10 provinces including Jiangxi, Yunnan, Sichuan, Guizhou, and Fujian.
In the next year, we will continue to carry out public welfare projects such as disease public welfare screening and health education, grassroots physician talent training, service and technology application exchanges.
(Finish)