It is difficult to relieve and see the doctor The complete doctor's building of contingent plays an important part in overall situation of medical reform

It is difficult to relieve and see the doctor The complete doctor's building of contingent plays an important part in overall situation of medical reform
It is difficult to relieve and see the doctor The complete doctor's building of contingent plays an important part in overall situation of medical reform
The complete doctor refers to accepting the new doctor of special training of complete medical science The complete doctor of basic unit of our country is scarce, cause the difficulty and high cost of getting medical treatment to a certain extent By 2020, such multiple channels as our country will train through job-transfer training and resident's standardization train 300,000 complete doctors " suggetion on deepening the system reform of the medical and health of the State Council of Central Committee of the Communist Party of China " is proposed, regard basic health care system as the public products to provide for the whole people, realize everybody enjoys the basic health care service by 2020. And strengthen the complete doctor's building of contingent, it is to realize everybody and enjoy the basic route of the basic health care service, relieve the masses " The difficulty and high cost of getting medical treatment " Significance action. The complete doctor is basic health care system " The gatekeeper " It is difficult for the specialist to meet residents' basic health care demand. In the mankind meets practice of disease challenge, specialized branch of domain of health care is thinning day by day, the technical requirement is improving constantly too. Large hospital, specialist and high-new medical combination of technology, regard disease as centre, divide the intersection of training and way made a diagnosis to go on into, give play to ultimate attainment of reaching. Should say these kind " the skill industry specializes in " Method last therapeutic effect. However, one of the key contents of the human development is to promote the health, but not merely treat disease. The treatment mode taking disease as the centre can't totally meet the contemporary living beings - psychology - requirement for the social medical mode, because aging population, life style are unreasonable, or the health problem that single function produce that many kinds of factors such as high pressure are common that living environment is bad, spiritual that it is difficult to deal with. Meanwhile, because the specialist meets patients that examines every day numerous, the contact time of they and each patient is short and getting used to relying on medical apparatus and medicines to make a diagnosis and give treatment, thus has generally ignored it to the patient's cultural and educational care, it is difficult to set up long-term, close relation with the patient. These factors are not only unfavorable to the making a diagnosis and giving treatment to manage with healthy long-term track in time of patient's condition, also become one of the important reasons why relationship between doctors and patients is tense. Represented by specialist to make a diagnosis the mode is instead of regarding people's health as the centre with disease, can't totally meet the people's basic health care service demand. The complete doctor is resident's health and hospitalization cost " The gatekeeper " . The complete doctor refers to accepting the new doctor of special training of complete medical science, provide convenience in the basic unit, basic, economic, valid, continuous comprehensive health care service, carry on the life, health and disease all-round responsibility type management. The appearance of the complete doctor has filled in the deficiency of the high training biomedical mode, it is the important component of the health care personnel at the basic level. In main developed countries such as Britain, Australia,etc., the complete doctor has been given health care services and medical insurance two systematic " gatekeepers " Duty. The complete doctor is offering the comprehensive health care service of regarding people as the centre, pay attention to the function in respects such as the prevention and health care, utilizing hygiene resources rationally, launching chronic disease and managing, controlling the hygiene expenses,etc., already been extensively approved by various circles of society. World Health Organization and world family doctor organization points out in a cooperative file: "If not the health care system of any country regards accepting the complete doctor of good training as the foundation, destined to demand the high cost. " The complete doctor of basic unit of our country is scarce, cause " the difficulty and high cost of getting medical treatment " to a certain extent . According to relevant research, most health problems can be solved in the basic unit. But of our country complete doctor seriously insufficient in quantity, damage whom basic health care serve can get to a great extent. Meanwhile, such problems as low, wearing out, clinical experience of knowledge structure with low professional title is deficient that existing complete doctors generally have education. In a lot of in the human eye, complete doctor understand a bit each department " the balm " that master Doctor, its professional skill can't obtain residents' trust on the whole. Urban and rural residents often have to seek something far and wide when it is within reach to the large hospital to go to a doctor when ill, cause the hygiene resources at the basic level to leave unused, the large hospital is overstaffed, influence the whole utilization efficiency of hygiene resources, also produce " It is difficult to see the doctor " One of the main reasons of the phenomenon. In addition, because the large hospital makes a diagnosis the expenses often differ greatly with the medical health organ of basic unit, as to the excessive use which the large hospital serves, have aggravated a patient and disease financial burden of the whole society, have caused to a great extent " It is expensive to see the doctor " Question. Should increase the content medical reform of complete medical science in teaching progressively to pay close attention to the complete doctor's building of contingent as soon as possible. In the course of deepening the system reform of the medical and health and advancing, our government sizes up the situation, strengthen at the basic level the intersection of health care and the intersection of building of contingent and pendulum that take complete doctor as the focal point in the outstanding position. The near future, departments such as the committee of national development and reform,etc. successively issued " team's construction plan of health care at the basic level taking complete doctor as the focal point ", a series of important files such as " Opinions on Implementing launching directional medical science of rural order and growing and training work free ",etc.. By 2020, such multiple channels as our country will train through job-transfer training and resident's standardization train 300,000 complete doctors, form a health care team at the basic level that quantity is suitable for, with higher with rational structure quality progressively, basically satisfy " Small disease is in the basic unit " Manpower support require. To the current situation of the rural health care at the basic level with especially deficient manpower, our country still specially proposes implementing rural orientation and training the project free, the focal point is that health clinics in towns and townships and the following medical health organ train the hygiene talents engaged in complete medical treatment. The issue of these important files, has brought the complete doctor's building of contingent up to the unprecedented height, it is realized that the ones that help the completion of the service system of health care of our country and system reform goal of the medical and health are gradual. In-depth reform should strengthen the cultivation of the complete doctor in a more cost-effective manner. In the world, the professional medical-care personnel made up by different national famous medical education experts educate the independent committee to call upon, the medical education should be changed from job education to the education taking the patient and community at the basic level as the centre in the 21st century. At home, the associated documents already issued require the higher medical education according to the demand for talent of hygiene at the basic level, adjust enrollment scale and professional structure, train complete medical teachers in a more cost-effective manner, and define the complete doctor's cultivation route and mode. Under the new situation, the higher medical education of our country should change and only lay particular stress on the method to train the large hospital specialist, increase the content of courses of complete medical science in teaching course progressively as soon as possible, fully give play to the role of studying the universities and colleges in higher medicine in the complete doctor cultivation respect, research and solve critical problems such as complete medical teaching material, teachers,etc.. Under the situation difficult to put in place in an all-round way in the complete doctor trains short-term, study the universities and colleges and should give full play to the speciality in higher medicine Completely categoried clinical teaching resources and advantage such as being experienced, participate in complete job-transfer training and standardization of doctor train actively, improve the complete doctor's professional skill and professional accomplishment conscientiously. Improving the complete doctor's social status and complete medical science of the income level in the 20th century, 80 generations were introduced to our country on later stage, develop slowly in the past dozens of years. An important reason is, the complete doctor's treatment is bad, approve one degree of low, post supporting policies is not improved etc. in the society. If these problems can not be solved, not only it is difficult for the quality of the complete doctor of future to get the assurance, the stability of the complete doctor's team will be influenced too. So, while strengthening the complete doctor in a more cost-effective manner and training, should pay attention to innovation and construction of the employing mechanism, the complete doctor examines the policy of making, contracting and making etc. for the first time, define complete doctor's status and function in the service system of the health care through making. In addition, also need to set up effective incentive mechanism and make the preferential policy in respect of working out on complete doctor's salary, social security, evaluation of professional titles, post etc., improve the social status, income level and post attractiveness of the complete doctor, such as guarantee complete doctor's income level is not lower than the large hospital specialist, included the post of complete doctor in the basic unit in the undertaking and worked out etc., in order to attract more outstanding talents to substantiate to the post of complete doctor in the basic unit. Strengthen the complete doctor's building of contingent, concern the overall situation and masses' vital interests of medical reform, the task is great and urgent. Fully arouse the strength of various fields, it is that the society trains the complete doctor that needs badly to be positive, serve the people better, it is a great cause that work is in the contemporary generation, profit is in the future thousands of years. (author is a managing Vice President of Peking University)


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