Lack the bad money of people The current situation of hospital of poor county of Shanxi refracts medical resources out-of-balancely
Lack the bad money of people The current situation of hospital of poor county of Shanxi refracts medical resources out-of-balancely
Electric question of July 31 of www.chinanews.com Taiyuan: Graduating from university would rather become medical representatives and does not become a current situation of hospital of doctor's poor county of Shanxi to refract medical resource out-of-balance author Li Pengs and fly to the earliest medical dispute of Shanxi of China and mediate the committee Person will one location staff member say there are busy very on she. The Shanxi Xi person in charge of a hospital of the county raising one's hand to one's forehead in joy once topping 55 million in a finance of the whole county seems, medicine it transfers committees to be should busy, want busy a period of time more. Under current the intersection of input and condition and the intersection of talent and predicament, at county level hospital brain drain serious and finance put into can't change immediately while being enough, bury unavoidable medical hidden danger, very particularly poor county. Lacking people in August of 2010, the doctor of Shanxi Xi county people's hospital causes a ligature woman's death because of misoperation, the intersection of the dead and relative enclose, stop up hospital, furnish wreath, break glass extreme behavior until and county town not strong bubbling with noise, with the compensation office of the school finally. The medical dispute is nearly inevitable. In the view of dragon of this Li Xi, Vice President of institute, the medical personnel taking healing the wounded, rescue the dying as bounden duty, engaged in including high risk not conforming, high strength work extremely with it, the potential safety hazard is unavoidable. "Doctor have weekend festivals or holidays, be a whole morning at least the next day after being on duty will it be 24 hour one day, be regarded as, the working time of one year of our medical personnel can be up to 440 days " ,Li XiLong says. Xi county people's hospital have 240 medical personnel in all, more thanth berth, but in the intersection of perimeter and Daning and with forever, rich the intersection of roof beam and the intersection of city and unanimous about 200,000 people Lu of coal even serve, average daily the intersection of clinic and the intersection of quantity and 300 the intersection of Xi and county people's hospital of people it deserves to be called to be kind hospital in the intersection of Linfen and the intersection of city and several the intersection of mountain and county, especially gynaecology and obstetrics. But president and king have not sense of superiority at all red to build, talents can not introduce, it is the question that he rather perplexes to stay, this is exactly an important reason causing the above-mentioned medical personnel to work overloadingly too. The reputable doctors would all retire, failed to pass this year for the qualification test of medical practitioners of 4 university students that Xi county people's hospital recruited in the county last year, this lets the king build and get angry very much red: "Do in the test again this year, salary lower 10%, 1000 yuan of award admitted to. " Wang JianHong really has a reason to worry about, ones that graduates this year reach letting to be high and can not test medical practitioner's qualification until next year, can get the qualification until the year after next, it can't be on duty that there is no medical practitioner's qualification can't do the operation without can write cases can not prescribe ng, can only lay hands for the doctor forever. " it takes 5 years at least to train the doctor who can see the general disease, the pace-setter in scientific research can not come out at all in a ten years eight years " ,Wang JianHong knows, if people can not be admitted to in four years, that means something, but what he worried about most is not this one. People walk to the height, can understand, but can't accept. Whom JianHong Wang afraid most to look like Yao, city of Linfen, the intersection of district and one institute more thanth doctor moved on to the turbulence such as the tertiary hospital and took place on oneself suddenly not long ago, this have a extremely strong one to be arduous to train someone test a graduate student several year infective just like pestilence, someone has gone to the hospitals or tertiary hospitals of province and city. Stay as to emotion people, undertaking stay people, treatment stay people's strategy, Wang JianHong does not embrace any hope: "What emotions do others and your national-level poor mountain county have? The university students of this county graduate from without coming back. Besides, keep people in undertaking, it is just a head of the department that the hospital at county level endures to the end, reach tertiary hospital become pieces of expert too maybe in the future, treatment stay people, some can solve and work out, some can not solve, incomes are only more than 1000. So a lot of medicine professional students would rather work as medical representatives after graduating, it is unwilling to go to the hospital at county level to work as a doctor. " Comparatively speaking, the day of Xi county people's hospital is fairly better. Reveal, let the president nearly go frantic with the retirement of the only anaesthetist of the People's Hospital forever according to being close to the personage of Xi county hospital, and only more than 60 people's the People's Hospital of Daning, anaesthetizes head of the department and director and takes two posts alone, though the income is relatively a bit higher, people's energy is limited, if things go on like this there must be hidden dangers. Difference though the intersection of money and medical representative work hard, generous the intersection of repayment and sufficient to make the hospital at county level same and work hard medical personnel admire very much. According to the introduction of Wang JianHong, but the average salary of the medical personnel of Xi county people's hospital is about 2000 yuans, the only doctor who deserves to be called the expert of the high professional title of the whole institute, a got in month salary just exceeded 3000. In a taxi driver's eyes of county town of Xi county, it is the favour of more than half months that lives. High 10 over years such as I such as JianHong Wang, moon enter 2700, like him the intersection of medical personnel and about 10 more than people, the others are not so good as especially. The graduate that drew newly, has not been admitted to only 800 yuan of license of practising medicine yet, can enjoy department's bonus and wait to meet with permanent staff after being admitted as the license, only over thousands of yuan. Li XiLong quotes the media and reports and teases and says, 1,400 million people in the whole country, 6 million doctors, is likewise monopoly industry, doctor's income but it is 1/2 of the civil servant, 1/4 of the power system, 1/7 of CNPC. Association's president of Chinese hospital Cao RongGui says on the 14th Chinese director forum held in May of this year, 90% of the hospitals at county level in the whole country in debt manage. Wang JianHong analyzes, should send medical personnel to and receive a training or buy the apparatus, but on so much money, can only pay out wages and solve the food problem first, want development to borrow money, the hospital with many external debt mostly put into infrastructure construction, it buys the apparatus too that there are few external debts. Perhaps can come from chief of Xi county hospital news of HongXing Zhai slow some like this uneven psychology slightly July, the whole county medical salary of system 100% to release in full amount in the future, though the intersection of Xi and the intersection of county people's hospital and 2/3 of the on the permanent staff salary of persons can only get 80% before this, but " some level land counties can not even send to so many Xi counties " ,Wang JianHong is quite content with one's lot. Hong Kong ends in another's hospital of strength and manages the village of professor of research center strongly according to information known by it, the hospital of each county obtained government finance and put one's back into and accounted for 5%- 10% of gross income of hospital. Cao RongGui points out, it is relatively low in specific gravity that the government allocates funds to take the expenditure of the hospital, can't compensate the hospital in full amount, it is difficult to avoid trending towards the profit that the hospital wants survival and development. That medical dispute of the page first Xi county people's hospital is criticized a doctor for being due to not receiving the covert payment. But reality is, this has been national-level for the whole year of 2010 of poor county but the fiscal revenues will be just 55 million, it takes 200 years to wipe out and does not drink and worth the business income in one year of Taiyuan Iron and Steel Co. group. Without industrial industry's pillar, agriculture is in order to be mainly harassed by the natural calamity frequently, is still at the starting stage It is too weak to produce two, an only family is hopeful to take on for gold the second the coking coal colliery has not returned to work yet because of Shanxi coal's integration of the resources, on if you can't allow by TianShun on county magistrate, say economics and society be taken place the whole county at 2010 government work report? Take care of head of glue of �� Rather sweet �� Chen ��? 19 counties and cities have ranked already from 115, 116 108 who will have risen to 2010 and 87 in 2006 separately. The cake is so big, and in 2011 years, the institute of traditional Chinese medicine of Xi county relocated and already scratched more than 13 million yuan. Suffer from widowedly and also suffer from uneven Vice Chief of Shanxi department of public health Wang Jun to point out, " difficult to see the doctor " Old complaint lie in medical there are unreasonable on resource distribution,originally" how general often " of hospitals at the basic level can digest (frequently-occurring disease, ordinary disease, common disease) ,Have gone to the large hospital in the city. "Though home gate is convenient, common people see the doctor but worried. " It is high and flat that a proverb spreads in Jincheng: Bei Ping, have to get peace to be (long to manage city one the intersection of the first, second and third and hospital) money at being rich ,The non- serious one is high and flat, can detect the one of the above-mentioned psychologies spot. " needn't actually" ,Wang JianHong regards Xi county people's hospital as illustration: "It is early in a situation that there was not CT technology in 1982, we have already succeeded in operating operation of opening cranium, can hold the chest and do operations such as cancer of the esophagus,etc. 5 years later, there were patients who performed the operation more than 10 years ago now, the situation is very good, the medical personnel who performed the operation that year was still here. " Wang JianHong has an intimate knowledge, he thinks this relates to the fact that nowadays common people's living conditions are relatively rich, having got tumour, the heart ruthlessly, all run to the large hospital of big city, the large hospital is as crowded as a market, there are very few callers in the hospital at county level. In this case, not merely cause and see the doctor the expensive bad impressions of ugly disease, even lead to the fact there are few hospitals at county level because of cause of disease, there are few incomes, the government puts into few, and then brain drain, the vicious circles of apparatus and medical treatment backward in technique. Wang JianHong quotes a the speech expert's datum and claims, 70% medical resource centre in the big city there are large hospitals. This means covering 30% medical resource that the hospital of county at the basic level of 80% of the people in the whole country wants to rob the food left. Medicine is improved into the deep water, the medical resources in urban and rural areas are distributed uneven disparity in urban and rural areas that produces, even the disparity between the county lands has already got the attention of the national aspect. Ma XiaoWei, Vice Minister of Ministry of Public Health, says at working on-the-spot meeting of the coordinated cooperation of hospital in urban and rural areas held in Shijiazhuang on July 16 of 2009, in three years, through the way of coordinated cooperation of tertiary hospital, will make the hospital of county of the whole country reach second first rate level. It is time to realize the goal this year. Because of finance being tense, Linfen city choose, assist Fen, Hongdong,etc., have economic county of ability take the lead in reform march towards to 2 first first, the intersection of mountain and county such as the intersection of Xi and county, Daning, Ji County on should early birds catch the worm. Realize only for one year with,etc. 6 county from the goal forever. The berth is greater than or equal to 250, the number of people of degree of the above-mentioned master of technical staff of hygiene is greater than or equal to second first rate hospital standard of 6's, Xi county people's hospital lacked as to the people wealth two, how will realize the way of its leap, it is really big challenge. (End)
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