China News Service, Fuzhou, January 13 (Reporter Long Min) Village doctors are the "guardians" and "gatekeepers" of rural grassroots health services. They are responsible for basic medical care, basic public health services, and epidemic prevention and control in rural areas. important force.
At the "Two Sessions" of Fujian Province recently held in Fuzhou, many deputies to the National People's Congress and members of the Chinese People's Political Consultative Conference proposed to improve the treatment of village doctors, strengthen professional ability training, and open up the "last mile" of rural health work.
Xu Zhiyang, deputy to the People's Congress of Fujian Province and president of Putian First Hospital, said that the majority of rural residents are elderly, and most of them are chronically ill. Village doctors can keep abreast of the illness status of sick people and give them timely health guidance to avoid delays in their illness. .
At the same time, village doctors increase public awareness of disease prevention and resistance knowledge through health knowledge promotion, and reduce the risk of falling into poverty due to illness and returning to poverty.
In recent years, the rural health work has been developed to a certain extent, but the foundation is still poor and weak.
Lin Rong, a deputy to the People's Congress of Fujian Province and a villager in Chengli Village, Haikou Town, Fuqing City, said frankly that the problem of "distance to see a doctor, difficulty in seeing a doctor, and only minor diseases but not serious diseases" in rural areas has not been effectively resolved.
At present, village doctors are facing difficulties such as insufficient old-age security, serious aging faults and lack of care, weak working ability, and failure to fully exert the incentive effect of the performance-based salary system.
Xu Zhiyang said that most of the existing village doctors have been converted from "barefoot doctors" and have no establishment. Can maintain life, when old age, the biggest worry is the problem of insufficient old-age security.
At the same time, the phenomenon of village doctors aging faults and "not receiving care" is serious.
Zhang Mei'e, a member of the Fujian Provincial Committee of the Chinese People's Political Consultative Conference from Shaxian District, Sanming City, said that taking Shaxian County as an example, among the more than 140 village doctors, only about 20 are under the age of 40.
The village doctor team is older, the level of diagnosis and treatment needs to be improved, and the income and treatment are low.
Xu Zhiyang said that due to poor conditions, low remuneration, and difficulty in recruiting personnel, college graduates from medical schools are reluctant to practice medicine in rural areas. Village doctors are insufficient and unbalanced in terms of the number, specialties, and hierarchical structure. The general age is aging, and the reserve force scarcity.
Zhang Changsong, deputy to the People's Congress of Fujian Province and director of the village committee of Yubang Village, Xiamao Town, Shaxian District, Sanming City, said that the per capita salary of rural doctors is relatively low, and the aging population is serious.
Xu Zhiyang believes that the construction of village doctor teams is still a weak link in rural health work, and further strengthening the construction of village doctor teams and improving the service level of village doctors are still realistic and urgent problems to be solved.
Lin Rong also believes that it is imminent to build a safe, reliable, healthy and orderly transportation system for rural medical personnel.
Xu Zhiyang suggested to realize the professionalization of village doctors, establish a career development mechanism that runs through the upper and lower levels, encourage the transfer of some township health centers, or combine the establishment and filing system management of public hospitals, and make overall arrangements for practicing (assistant) doctors working in village health centers Selecting the best for management; referring to the practice of college student village officials, openly recruit medical graduates as resident doctors in township health centers, so as to attract medical students with junior college degrees or above to take root in the grassroots and inject fresh blood into the village doctor team.
Zhang Changsong suggested that the special subsidy standard for village doctors should be raised, and village doctors should be included in the management of the staff, and policies should be introduced to solve the problem of village doctors' pension security, so as to attract young medical graduates to work in rural health work.
Strengthening professional ability training is also an effective way to improve the service level of village doctors.
Sun Pengming, member of the Fujian Provincial Committee of the Chinese People's Political Consultative Conference and vice president of the Fujian Provincial Maternal and Child Health Hospital, said that village doctors have knowledge of chronic disease management, primary screening, identification, and referral standards and methods for tumors, as well as awareness of infectious diseases. There is an urgent need for training.
In the future, we hope to use "digital" means to deliver these urgently needed training knowledge to the village doctors.
Xu Zhiyang proposed to improve the training plan for village doctors, adopt methods such as centralized training, distance education, clinical training, counterpart support, etc., organize rural doctors to participate in basic theory, basic knowledge and basic skills training, and improve service levels.
Lin Rong suggested that the training system for rural medical staff should be improved, and rural medical staff should be sent to provincial hospitals for training.
"Let the rural 'guardians' and 'janitors' have a decent income and security." Lin Rong suggested that the pension insurance subsidies for temporary employment of rural doctors and grassroots doctors should be increased to retain available people for the grassroots; Temporary workers are paid equal pay for equal work to stimulate vitality and improve work enthusiasm.
Xu Zhiyang suggested to establish a stable salary guarantee system for village doctors, focusing on mountainous and remote areas; at the same time, optimize the performance appraisal management methods for village doctors, introduce a competitive incentive mechanism, appropriately widen the income gap, and fully mobilize the enthusiasm and creativity of village doctors.
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