The gap of health care talent at the basic level of township of Shaanxi Province county is up to 50 000

The gap of health care talent at the basic level of township of Shaanxi Province county is up to 50,000
The gap of health care talent at the basic level of township of Shaanxi Province county is up to 50,000
Our province (Shaanxi) The existing higher education system of medical science, its course offered lays particular stress on clinical medicine and training medical science, and lack public health and complete medical science needed badly in countryside; Its education way lays particular stress on teaching and large and medium cities hospital of medical theory to practise, and ignore the technology of health care to train and practise with the rural medical organization; Train objective its lay particular stress on undergraduate course and education with record of formal schooling the above, neglect the intersection of county and the intersection of township and medical anxious junior college student that lacks of health organ. The research report of the decision consultative committee in the province proposes, need one badly to specially train the applicable higher actual conditions which defends skill talents' school to set out from our province for the countryside, on the basis of combining the resources of the school defended of Xi'an, Xianyang, Yanan, elm forest 4, set up the technological institute of hygiene job of Shaanxi. It is the long-term outstanding issue perplexing hygiene industry development of our province that peasants diagnose the illness expensively, difficultly to see the doctor, trace it to its cause, the expert thinks one is the rural health care infrastructure simple and crude apparatus, second, the shortage of technical staff of the hygiene. The hospital of Shangnan county is the country " Second first rate hospital " ,Taking charge of tasks such as the whole county and the peripheral neighboring region masses' medical first aid, personnel training, technical adviser,etc.. In the face of 240,000 total population in the whole county, the task of more than 200 medical personnel of hospital of Shangnan county is rather a bit strenuous. The clinic amount of the hospital of Shangnan county was about 190,000 persons last year, in addition, other tasks which the hospital took charge of, make the medical personnel have to exceed the intensity work. Short of hands, has become one grade of questions that hospital must face in the township of every county. Consultative committee of the decision of Shaanxi Province (hereafter referred to as " The province consults the committee " )One of research reports think according to " the Shaanxi Province hygiene resource distribution standard " whether (Shan be lasted the 134th to be defended by ruled) Regulation - -Every a thousand people dispose, defend 3.97 people, person of skill, (their 2.01 Chinese medicine doctors, the nurse 1.96 people) ,Remove, account for countryside defend the intersection of total number and 1/ 3 the intersection of village and medicine, personnel of skill, the intersection of the whole province and county township two grade worried to lack higher to defend total number, talent of skill, up to 49403 people (Chinese medicine doctor 19540 people their then, the nurse 29863 people) . " lack the doctor, lack the nurse, physicianless skill personnel seem to become normality of the hospital " ,The leader of hospital of a county says, " but this is not the problem that the hospital can solve. " It is the long-term outstanding issue perplexing hygiene industry development of our province that very hard peasant of the hardware diagnose the illness expensively, difficultly to see the doctor, trace it to its cause, the expert thinks one is the rural health care infrastructure simple and crude apparatus, second, the shortage of technical staff of the hygiene. In order to solve this problem, in recent years, the provincial government has taken a series of measure, invest 2,700 million yuan totally from 2005 to 2008 alone, is strengthening the construction of rural hygiene industry constantly, thus make the county, two grades of infrastructure and apparatus of medical health organ of township improve greatly, the new rural cooperative health care system realizes and covers completely 3 years ahead of time. The materials reveal, from 2004 to 2008, the health clinics in towns and townships of a thousand people in the countryside in every the whole province berth count and already rise to 0.87 from 0.64, increase by 36%, the clinic amount of health clinics in towns and townships rises to 18,913,000 persons from 16,870,000 persons, increase by 12.11%; The clinic quantity of the hospital at county level rises to 14,537,000 persons from 10,492,000 persons too, increase by 38.6%, the rural health care industry is relatively developed on a large scale. In 2009, our province will invest 2,158 million yuan, will arrange to build 49 hospitals at county level, 326 health clinics in towns and townships, 410 clinics of village; Implement the apparatus and purchase 89,600,000 yuan, finish purchasing 65,220,000 yuan. Trying horse's central commune hospital in the town in Shangnan county, a president whose surname is He has deep feelings to the improvement of hardware facilities: "Most advanced apparatus one stethoscope in the past, apparatus that should have now have. " " there is the temple that lacks the Buddhist monk " The materials of the department of public health of the province reveal, though the infrastructure of health clinics in towns and townships has obvious improvement, but outstanding hygiene technician's shortage has still outstanding question, it is in exceedingly short more supply to know know the knowledge of preventive medicine and inter-disciplinary talent of the skill clinically as well as. " this is a national universality question " ,Director of province office of department of public health Ge YunFeng says, " everybody is exploring the solution actively. " Consult the survey of Lam Tin, Yongshou, Huanglong, 4 counties of Shiquan of the committee according to the province, county township (town) In the two on duty the intersection of hygiene and technical staff, have to account for 35% (academic credentials above undergraduate there are 5% among them) only academic certificates at or above the junior college level ; Education of special secondary school and personnel without professional education reach 65% (51.6% of special secondary school, there are not 13.3%) . With the improvement of the medical infrastructure of health organ in the basic unit and constant increase of clinic quantity, especially as the modern medical sanitary equipment of the high-tech content is disposed in place successively, " there is the temple that lacks the Buddhist monk " in the countryside , have the intersection of apparatus and nobody use, have patient have the intersection of talent and in short supply further more prominent and more sharp issue that doctor treat. Province consult research report of committee, claim, lack image, examine, Chinese medicine, attend to, public health, the intersection of medical science and higher specialized personnel such as being complete seriously, 1/ 3- -2/ the health clinics in towns and townships of 3 and some medical health organ at county level all have phenomenon that large-scale medical sanitary equipment leaves unused in various degree, a lot of much-needed health care business is unable to launch. Because there are no public health and epidemic disease professional and technical personnel in Huanglong county Health Inspection Institute, about covered with dust for a long time and not launching that air, water quality, food,etc. monitor the apparatus examined; Because there are no professional personnel of Chinese medicine in the institute of traditional Chinese medicine of the county, each clinic of the Chinese medicine training can't be connected and examined normally. The medical graduate's flow direction province consults the investigation of the committee to reveal, set out from the requirement for health care resource hardware which the country disposes in place actually of the end of 2008, cover Lam Tin of 1,065,000 people in the countryside, Quan, Yongshou, Huanglong Shi 4 93 the intersection of county and township of county medical health organ worried to lack various the intersection of professional personnel and 583 people (the intersection of Chinese medicine doctor and 321 people their of academic certificates at or above the junior college level, the nurse 262 people) ,Every a thousand anxious to lack 0.55 people people in the countryside; Therefore calculation, the whole province the intersection of countryside and the intersection of county and township two medical health organ at present worried to lack academic certificates at or above the junior college level, defend 15132 people (the intersection of Chinese medicine doctor and 8254 people their, talent of skill, the nurse 6878 people) . If according to regulation of " the the intersection of Shaanxi Province and the intersection of hygiene and the intersection of resource distribution and standard ", the intersection of the whole province and county township two grade worried to lack higher to defend total number, talent of skill, up to 49403 people then. According to investigating to medical college of Xi'an Communications University, Yanan university medical college, Xi'an medical college, from 2006 to 2008, three schools of annual graduates are 2527 in the average number of people that obtains employment inside the province, among them what stayed in the big city reached 1883 people, and only 644 people go to the county to the medical health organ in the township to obtain employment, only accounts for 34.2%. Since the 2006, get the intersection of Shiquan and medical the intersection of graduates and 77 people that county obtain employment, have only 15 people in the intersection of county and the intersection of township and whom medical health organ obtain employment finally, only accounts for 19%. " stay in the big city and become the choosing first of medical graduate " ,A leader of the hospital of Shangnan county says, " the doctor's cultivation is very long in period, it is very large to invest the cost, the treatment of the big city is better to stay. " There is medical personnel to come to the hospital of Shangnan county to practise every year, " the hospital want to leave some outstanding personnel among them very much too " ,But after mentioning the treatment, the interns have all left finally. It is reported, the medical personnel of the hospital of Shangnan county learns on the job an income is fewer than a thousand yuan, the institute leader admits, even in this poor county, this kind of income is " on the low side " ,But raise the treatment, is the money from He? Shangnan shake director, introduce in the king of county hospital, county hospital annual income enough to keep running well only, the improvement treatment is " A very difficult thing " . From 2004, the hospital of Shangnan county has not entered the medical graduate in a establishment. In 2008, the hospital of Shangnan county will expect to recruit 20 medical personnel, 4 people have only come actually. The except treatment question of structure of the medical education, the expert thinks, have structure question of medical education now, also make the higher reason for defending personnel's gap of the skill in Cheng County township. Since 2005, our province has formed with the medical college of Xi'an Communications University progressively, Yanan university medical college, Xi'an medical college, college of traditional Chinese medicine of Shaanxi are the medical science undergraduate course of the main body, graduate student's higher education system, there are Xi'an, Xianyang, Yanan, 4 health schools at city level of elm forest at the same time. The research report that the province consults the committee thinks, the existing higher education system of medical science in our province, its course offered lays particular stress on clinical medicine and training medical science, and lack public health and complete medical science needed badly in countryside; Its education way lays particular stress on teaching and large and medium cities hospital of medical theory to practise, and ignore the technology of health care to train and practise with the rural medical organization; Train objective its lay particular stress on undergraduate course and education with record of formal schooling the above, neglect the intersection of county and the intersection of township and medical anxious junior college student that lacks of health organ. Though technological institutes of job at city level such as Hanzhong, safe and comfortable, Shangluo,etc. carry on medical junior college education, but its professional scale and quality do not meet the need of the countryside far. According to the request of country, the provincial government has already stipulated clearly: The ones that entered the county in the medical health organ in the township defended skill personnel and should possess the undergraduate course of the university and education above training of the university separately newly; According to this hard and fast rule, the county township is medical a health organ rejects the academic personnel of special secondary school. Headmaster of Xianyang health school Liu WenXi says, from 2006 to 2008, 4 school graduate's actual employment rate defended of our province presents gliding the orbit of 53%- 43% - 39%, and the graduate continues rising year by year according to 22%- 26% - 28% of the ranges in junior college education. The research report that the province consults the committee proposes, need one badly to specially train the applicable higher actual conditions which defends skill talents' school to set out from our province for the countryside, on the basis of combining the resources of the school defended of Xi'an, Xianyang, Yanan, elm forest 4, set up the technological institute of hygiene job of Shaanxi. Defend Liu WenXi, president of school, in Xianyang and introduce, sets up the technological institute of hygiene job of Shaanxi, can and countryside worried to lack higher to defend the intersection of skill and detailed conditions of talent, set out from particularity of medical science, walk in the vocational education roads of a specialization, specializing, scale. Click and stress the rural health care job characteristic from speicality offered to teaching strength, emphasize the applicability, practicability to the countryside of school education, and does not regard vocational education of urban health care as the copy. Meanwhile, Liu WenXi thinks, sets up the technological institute of hygiene job of Shaanxi, while carrying on the education with record of formal schooling of the hygiene professorship to students, can also establish the training base of technical staff of rural hygiene, pass the multiple channel, bear to train the health organ of township of countryside county to be on the job and on duty and defend skill personnel's task actively, in order to make more than 33000 rural hygiene technical staff in the whole province reach the academic level of junior college, promote ability to do contribution as soon as possible. (the intersection of reporter and the intersection of general and pieces of old and holy and better Great Britain Wang)


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