Some rural clinics of Shaanxi lack input Nobody garrisons in (Fig.)

Some rural clinics of Shaanxi lack input Nobody garrisons in (Fig.)
Some rural clinics of Shaanxi lack input Nobody garrisons in (Fig.)
February 4, village medicine Wu great to give patient make up the prescription to newly-built spacious the intersection of hope and clinic in hoping clinic, Wu Hong cherishes very much The Hope Project has carried on a pilot project in Shaanxi: Build the village " Hope in the clinic " . The accomplishment of these clinics, is well received by peasant. And another reality is, some spacious free consulting rooms, " empty city " so far And treat, can not find a doctor, or the doctor is unwilling to garrison in. Behind the ones that encounter awkwardness in the clinic, it is the rural public health that lacks the long-standing abuse invested, and medical talent's depressed reality. The country is more than 20 years -long to the input of rural health care " Owe a debt " The long-standing abuse is prominent. The local hygiene policymaker calls upon, increase the input in rural public health, very urgent. From the intersection of Shaanxi and the intersection of elm and the intersection of forest and the intersection of city and sub the intersection of continent and the intersection of county town and 30 northwards, a thousand ditch depths of loess plateau of gully Wan, appear in pure white small one-layer floor of an entire body suddenly, in grayish yellow cave dwelling group, extremely striking. Stud with two pieces of pattern on the small floor. "The first is a unified sign of the national medical health organ, the second is pattern of the League flag of the Communist Youth League. " February 4, mulberry the intersection of level ground and the intersection of village and medicine of village Wu great to explain these icon to reporter. Two signs have revealed the properties of the small floor. Last April, the Hope Project took the lead in beginning the pilot project in the sub continent county of the market of Shaanxi forest of the elm, enter the rural health care field. Absorbed in education and helped the Hope Project of more than 20 years, reduce sharply in the rural source of students and under free background of nine-year compulsory education, hope that so as to expand and deepen. Last August, built up 28 and hoped in the clinic in the first batch. After half years, the hope clinic put into operation improved the condition of going to a doctor of rural medical treatment greatly, an awkward reality that can't be avoided is that half hopes the clinic is still " empty city " at present . Medicine of a village is new " The family " On request, medicine Wu Hong in the village has carried on the free physical examination for the old man, has also set up the immunity inoculation file for children The white small floor " Hope in the clinic " ,Medicine Wu Hong that it is the village is new " The family " . In the afternoon of February 4, the patient going to the clinic to see the doctor is in an endless stream. Place of less than 100 meters from here, a black old brick house less than 10 square kilometers. Wu Hong has opened the clinic for 8 years there. "With before little in clinic,there are getting more than half to be more take in cupboard for pieces of room on medicine, place infusion, just sell medicines mainly. " Last August, invested 50,000 yuan, built up " hoped in the clinic " in the mulberry level ground village in the Hope Project ,90 square meters, is divided into the therapeutic room, diagnoses the room, dispensary. Having also mixed the apparatus with the health organ of the county in the province, the disinfecting purple exterior light, making a diagnosis bed, treating the bed, medicine cupboard, filing cabinet, weight to count, another drinking machine. "The condition is much better now, infusion and buying medicines and can be separated. " Say Wu Hong whether build pieces of kangs big also at therapeutic room he,patient of daytime winter can infusion in kang. Wu great to defend school, graduate from Suide 1999, the intersection of mulberry and the intersection of level ground and the intersection of village and only medicine of village at present. The requirement for the management of the clinic as desired, Wu Hong's work of public health of propagating etc. of only offering physical examination of the health, epidemic prevention health care and health education for villager's charge free, can have used the clinic free all the time. Except that his clinic provides service for more than 400 persons of this village, returns to more than 2000 people of 4 villages such as Lao Shi and knocking, Wang LongShan of peripheral radiation,etc.. Wu Hong says the economic benefits are good, can earn nearly 3000 yuan every month now. Wu Hong cherishes one's own one very much newly " The family " . He, already on request in order that the old man has carried on the free physical examination over 60 in the village, have set up physical examination file, have all set up and immunized the file for the children under the age of 6 in the village. "Having lived in the midst of life, the first physical examination. " The old men are very glad in the village. Some old man said, there is this " hospital " ,It is convenient to hang and hang the bottle, had a headache the brain was hot needn't go to the commune hospital in the town. From Hope primary school to hope the clinic is helping to educate, why not help to make medical treatment? The officers of department of public health of Shaanxi Province and the officers of Provincial Party committee of group fit in easily Wu Hong is new " The family " ,It is Shaanxi hope clinic built. On February 9, implement the dark steel introduction of the Deputy Director of the Hope Project office in Shaanxi Province, have already built up and hoped for 34 clinics and hoped in 1 commune hospital in Shaanxi at present. The dark steel engaged in the Hope Project for many years, the word burst out in the mouth at present is not a Hope primary school, but " rural public health " ," new rural cooperative medical service " . From " Hope primary school " Get to " hope in the clinic " ,Transition that dark steel work, stem from the intersection of Shaanxi Province and the intersection of department of public health and leader and one chance that the Communist Youth League lead by Provincial Party committee by Shaanxi " touch " . Will it be April 2006, Shaanxi thoughtful the intersection of county and 13 horse, girl of year old, in accordance with suffer from leukemia while being graceful, give ChunQing Yuan, Governor of Shaanxi Province, write, cry for help letter in being desperate. Yuan makes comments and instructions in the related departments and pays close attention to and helps quickly. The Youth League organization of Shaanxi Province has raised the fund of 430,000 yuan, but unfortunately, have not waited until the hematopoietic stem cell of the mixing type yet, the horse, in accordance with passing away gracefully unfortunately. Also more than 300,000 yuan succoured fund at that time, while it is discussed how to use this sum of money well, group Provincial Party committee determine, respect horse in accordance with graceful last wish, " at spend child like her on, cure the disease " . Department of public health of Shaanxi Province has added extra more than 500,000 yuan, has built up all over the hospital hoped in the sub township of thick raised paths between fields of thoughtful county. In December of 2007, Vice Chief of Shaanxi Province department of public health Fan Bing and Shaanxi secretary of provincial Party committee of the Communist Youth League defend China and jointly unveil for hospital. Does Fan Bing say, " you always help to educate, why not help to make medical treatment in defending China? " "Can enter the intersection of hygiene and field, build one at village level clinic, spend money little, feasibility is very great " . Both sides fit in easily, " hope in the clinic " Therefore at the beginning. Bing Fan introduce, behind the SARS, country strengthen the intersection of county and the intersection of township and magnitude of the intersection of hygiene and inputs 2003, the country is investing larger financial resources to build the health clinics in towns and townships at present, and the village clinic " encounters the blank of state policies " . Reality is in a difficult position, have jurisdiction over in 10 city 1 districts in Shaanxi, 104 involve in agricultural county, there are 27888 administrative villages in all, among them there is no clinic in 4789 administrative villages. The existing clinic, the majority is the barefoot doctor an individual does, more than 90% among them practise medicine at home. "The majority is bad because of the business, house condition, such reasons as the apparatus lags behind, wears out, can't already meet the requirement of the countryside seeking medical advice and public health service. " Fan Bing says. " hope " Taking action after building up 28 and hoping in the clinic, Shaanxi Province will also help build 121 clinics and 10 commune hospitals At the time of the rural medical treatment at the basic level in soldier and others Fan is worried, expansion and promotion question of the Hope Project of defending China and others and thinking deeply. Deputy Secretary of Provincial Party committee of the Communist Youth League Shaanxi Zhang XiaoPing says, for a long time, The Hope Project mainly carries on the helping of educational field, after causing reducing and urbanization of source of students with birth control, the rural source of students is reduced day by day, the rural primary school begins a large amount of merger. " the place to even have has fallen into disuse into a pigsty the Hope primary school " . As " Liang avoid a benefit " Implement and nine-year compulsory education is free, the Hope Project relying mainly on the construction of Hope primary school, student's subsidy project, face innovating and expanding. Zhang XiaoPing says, in " the sub township of thick raised paths between fields hopes in the hospital " Build in the course, on the issue to begin to think deeply and make the transition they. Two departments " Fit in easily " And then, in January of 2008, two departments go to the north of Shanxi Province to investigate. They building a house of 60 to 80 square meters can reach the national sanitary standard, if they calculate, and it is about 50,000 yuans that the cost is needed only. "It is easy for this kind to solicit contributions and build a Hope primary school and cost 250,000 yuan than before too on a small quantity, we think the Communist Youth League can do this undertaking well. " Zhang XiaoPing says. In April in the same year, build " hope in the clinic " The project starts under the circumstances that two departments work in concert. Implement the Hope Project office and put out the hope clinic to offer and take action in Shaanxi Province, and is responded to by the society soon, the group of Wenchang of forest of the elm donates 3 million yuan. According to donor's hope, the pilot project is selected in the sub continent county in one of the poorest counties of forest of the elm, and completed 28 smoothly last year and hoped in the clinic. Wu Gang says, the hope clinic built up " guarantees according to the national hygiene standard room three is separated. The house of the business and house of the life are separated strictly. Seek medical advice basic improvement of terms to be very old, peasant reflect satisfied generally. " He introduces, Shaanxi Province has already raised 10,550,000 of fund, will help build and hope for 121 clinics and hope in 10 commune hospitals. Worries of chief of town let the intersection of chief of town and Fei Cui in a troublesome one, why let the intersection of village and medicine garrison in clinic, have pieces of the intersection of village and him give, find the intersection of village and medicine as sub loud village and town most one of, county of continent, so far, level ground town Miao last continent 28 to hope by 5 at clinic,last king going by chance, ditch, seedling ditches large Jing, lasting house ditch and the depression separately As chief of town, actually Cui Fei was full of expectation to this project, however, now also became one of his troubles. On February 4, asked the operation situation of the clinic, Cui Fei seems very impatient, he says only the beginning that the king went by chance the village has been run, " other 4 have not opened a business yet " . Before this, 3 days, the reporter sees in the Jing 's ditch, hoped for the design of room of the hygiene uniquly, also installed the theft-proof network in the window, but absolutely empty in the room, have not been listed yet either. Ditch village head Ann of the Jing 's is up to the introduction to the hall, the clinic was built up last August, boomed because of the price of building materials, 50,000 yuan that the Hope Project gives is not enough, the locality sticks to 30,000 yuan yet. Fit with hall saying ditch very much remote house Jing, going to the town to have distance of 10 kilometers to diagnose the illness, take the intersection of car and 20 back and forth, have a relative's company again, watch one disease travelling expenses want 40 yuan back and forth. "We look forward to open after clinic build up, see sound either half a year now. " The regret that Ann is up to the hall very, so beautiful a house is unoccupied. According to the cooperative programmes of the Provincial Party committee of group of Shaanxi and department of public health, the Hope Project is responsible for paying the bill and building up the room, then give to health authorities, the latter takes charge of arranging medicine of village and carrying on everyday control. And the sub continent county has made" hoped for the management of the clinic ", has brought the governments of villages and towns into responsibility, require " county hospital, the health clinics in towns and townships, people's government of villages and towns, village committee should strengthen to hoping for the leader in the clinic ", settle personnel, apparatus and relevant problems well properly. " Cui flies then has been trying every possible means to give and hope for medicine of arrangement village of the clinic. There is no medicine of village in the large seedling ditch, Cui Fei sends for and looks for, cure the Zhang Ping mountain after finding the village close to a village. It is unwilling to move to open the beginning, Cui Fei does several jobs, Zhang Cai promises. "How to persuade him? " "Flicker! " Cui Fei says, Zhang PingShan's daughter is married in the large seedling ditch, and the village branch secretary is the relation of relative by marriage, all work, just persuade him. Take the place of home ditch to hope there is no medicine of village to wish to enter in the clinic. Cui Fei has found and opened brilliance of the rising sun of State of Zhao of the clinic in the neighbouring village. Zhao unwilling to move enter whom position lean towards relatively, take the place of the intersection of house and ditch. Cui Fei looks for him several times, he agrees finally " the weather becomes warm and begins to move " . Cui Fei thinks, Zhao's another identity is a village accountant, " gives me this to lead a face" . Another the intersection of village and the depression, Fei Cui say, arrange one ask medicine of village to open up Hailin already, the other side promises to plan to move in spring. However, the reporter gives it while opening up Hailin and phoning on the 9th, she says and has not " decided yet " . To the Jing 's ditch, Cui is very helpless when flying, " has not found yet, has looked for several, it is unwilling to go " . Long-standing abuse and medicine of village run off old doing, the young one does not want to do, but the migration of the people in the countryside, cause the loss of the rural doctor according to the data of the sub continent county hospital directly, 28 clinics already at present " All come into operation " ; What the sub Youth League committee of continent county recommended the reporter is, 28 clinics, 23 pieces of majority built have already come into operation, another 5 subjects have already been built up. The reporter has investigated 20 among them " Have already come into operation " Clinic,it is only 8 pieces village medicine to move into it, and begin to run. The brand-new clinic, offer too free no one wish to use, as to this, the level ground town president of commune hospital Ji Hao of the Miao 's understands: "Five sixty -year-old old doctors, has not earned the money either all one's life, old, will not think of tossing about; The young one is unwilling to do this to be all right, ones that earned in one month are not enough to support the family, can't happen to go out and work as a temporary labourer " . Peasant lack outside the poor current situation that money seek medical advice, in Ji being great to seem, hope clinic encounter " the empty city " ,The back is the depressed reality of rural medical treatment. Business administrator as medicine of village of the whole town, Ji is great and not merely unable in order to hope the clinic looks for medicine of village. One sheet of even his own commune hospitals wither. He talks about 11, doctor of commune hospital at present, only he diagnose alones, " other more than 50 years old, the technology aging " . Ji great to explain after the reform and opening-up, country encourage medical treatment to compete in the market, township hospital doctor can only take place difference salary, the doctor can not survive, reserve a post to do business, work as a temporary labourer one after another. And after 2003 SARS, the country began to pay attention to the input of the hygiene of villages and towns, some doctors came back again, but technology has already fallen into disuse. "The long-standing abuse that medical policy fault caused of more than 20 years in the country, can not mend in one or two years. " "The doctor should support the family too, no one sees the doctor, they can not do either. " The Miao 's introduces, the people in the countryside run off seriously at present, such as the Jing 's' ditch population more than 1000, but two 300 reside at permanently " The old,weak,sick and disabled " ; The number of water palm is village population 1200, at present Permanent resident population is less than 50. The introduction that Ji is great, the average 60% of the people's loss of each village of garrison post of level ground of the Miao 's has been lost. The migration of the people in the countryside, cause the rural doctor to run off directly. Sub continent county director of health bureau Zhang FeiGuo introduces, 550 administrative villages in the sub continent county, there are 430 rural doctors, 327 are among them is authenticated and got the rural doctor's card. In medicine of these villages, about 20% are the aging doctor, " old? Chaff quality regret ��, Kun of mother, hesitate, imitate �� pout bang, pay �� of ���� purine Jiong play with a kind of sedge of �� secretly Is Shu Sha responsible to replace gowns? 0% have rural doctor's operation cards, but medicine of village unwilling to do. The experience of the ditch of the Jing 's of level ground town of the Miao 's is a epitome. Village head Ann is up to the introduction to the hall, there are 3 pieces of medicine of old village originally in the Jing 's ditch. Barefoot doctor An ZhiLiang, not more than 70 years old healthy, no longer sees the doctor; Because the business is not good that fit Baode in medicine of village, moved to the county town to open the clinic several years ago; Another king is surnamed medicine of old village, moved into the town several years ago too. Until the intersection of village and medicine congratulate base, seem, earn yuan of villages January like Wu Hong medicine minority just. It is the sub brick temple town people of continent county to congratulate, is arranged to hope in the clinic in this town of jujube tree soda villages. He has not moved into yet. Just the small clinic was held at home all the time these years to congratulate the base, he said, after reaching two Marches in the village, only more than 200 wife old men are at home, the inquiries test of few someone, " make several hundred yuan in one month, life can not be maintained either " . He says, can not really persevere, " has the intention of changing one's profession too " . 47 -year-old Xue Lei junior college graduates, it is rare medicine of well educated village in the local countryside, has already moved and would rather enter the Huaihe River in the hope clinic of the ditch village of township the Former Qing Dynasty of gulf at present, he says that earns five or six hundred yuan in one month at present, " life does not have anything that is ensured " ,Because does not " want to lose the business " ,Still insisting on. The horse working as a temporary labourer in the forest of the elm graduated from Suide to defend the school in prosperous 1999. Let back by the intersection of town and leader these time, arrange for and garrison in and favour home to pierce the hope clinic of the village. Ma Xin prepares " Move in within one month " . He hears that should do the new rural cooperative medical service (are abbreviate as in the county " Shut newly and agriculturally " )Pilot project of going to the countryside and submitting an expense account. He plans to manage for some time and have a look, " if the cooperative medical service can submit an expense account all right. Just goes out to work as a temporary labourer if not all right " . Hope to be new to solve anxiety and shut the pilot project to submit an expense account agriculturally newly and agriculturally in the village clinic jointly, it is expected to solve the problem of seeing the doctor nearby, also guarantee medicine of village " The cause of disease " ,But how to supervise horse's prosperous new agricultural pilot project of submitting an expense account jointly that hears of problem which become new, have got the confirmation of Vice Chief of Shaanxi Province department of public health Fan Bing. Fan Bing introduces, submits an expense account and limits domestically and newly and agriculturally in hygiene medical organizations of above villages and towns jointly at present, Shaanxi Province shut, strengthen the intersection of clinic and pool, submit an expense account while being agricultural while being new, begin, wipe out fee of clinic in the intersection of village and clinic by pilot project this year. "We think we will launch the clinic to submit an expense account in the most village clinics of the whole province next year. " Rural doctor is full of expecting to this. Clinic of JiGang He commune hospital only 2 from town, press down commune hospital, can wipe out fee of clinic only, most villagers are unwilling to go to the clinic to see the doctor nearby. The village cures the sinus and rises to estimate loyally, 80% of the villagers choose to go to the farther health clinics in towns and townships because of submitting an expense account in clinic. In medicine of 20 villages which the reporter investigates, all regard this pilot project as the straw to clutch at. "Shutting newly and agriculturally if can submit an expense account in the village clinic, facilitate the masses and can attract villagers to see the doctor nearby, maintain our basic cause of disease " . Deputy Secretary of Provincial Party committee of the Communist Youth League Shaanxi Zhang XiaoPing says, they have noticed the difficulty of medicine of village, " has already said to the department of public health of the province, so long as has been listed and hoped for the clinic, it is at village level to begin the pilot project and shut newly and agriculturally and submit an expense account at first " . Zhang XiaoPing says, they notice some situations left unused in hope clinic at present too, he says in moving forward in the future, should guarantee to choose the location first, the village that selects site should guarantee to have doctors to like to garrison in. He mentions, will strengthen the training of medicine of village through the resources of the Hope Project, so as to arouse the enthusiasm of medicine of village. Will also organize medicine to study the university student volunteers of universities and colleges and enter the village clinic to carry on practice and voluntary service through the system of the Communist Youth League at the same time. However, the new agricultural area of shutting pilot project of submitting an expense account of village clinic, may shrink because of supervising the difficult problem. As the policy executor of the basic unit, sub continent county director of health bureau Zhang FeiGuo is that a realistic supervision difficult problem is worried. Zhang FeiGuo says, one grade of medical organizations of many counties, townships happens to defraud of the new agricultural thing that submit an expense account jointly at home. And the village clinic is generally only medicine of a village, can't enter network management yet at present, the difficulty of supervision is very great. He introduces, is making the scheme at present, it is estimated the sub continent took the lead in beginning to implement in the whole country from March. In order to avoid the risk, only plan to select 4 to hope in the clinic to do the pilot project in the county. It is introduced, the supervisory method planned at present is to make the special note; Set up unified medicines in the whole county and ration the centre, control entering the medicine channel of medicine of village; The county shuts the office to often go to the village clinic to transfer and read the case history newly and agriculturally too, through than take precautions against, make the fake, extract, treat, wipe out fee jointly entering the intersection of medicine and document. And Fan Bing believes the village clinic makes the fake the behavior is controllable. He says, will authorize the health clinics in towns and townships to supervise the village clinic, will punish the behavior of making the fake sternly at the same time, once find that revokes the qualification of practising medicine. " I believe that will cherish one's own practicing qualification card very much in medicine of village " . Included in the imagination of public medical treatment " medicine of village has born a lot for the governmented. " Fan Bing thinks, the country should spend greater strength in medical treatment of rural public health "The rural rent was originally very cheap, if is promising, we can make the clinic brightly lit by oneself. Having built up and hoped for the clinic, no one comes to see the doctor, or may go bankrupt. " Medicine of village was congratulated the base and just said. One is unwilling to reveal that does not appreciate the kindness to hoping in the clinic in medicine of village of the name, " building the house is a image project " . He says, the reason why is unwilling to move in, because " the money does not have a lot of, will be managed by the government, do this and do that free " . Fan Bing introduces, the provincial finance of Shaanxi takes out the special fund every year, can enjoy the public health of 60 yuan - 120 yuan to subsidize every month in medicine of village. In the sub continent, it is 100 yuan that this is subsidized. Hope the intersection of clinic and management according to Shaanxi Province, enter, hope the intersection of village and medicine of clinic duty fulfilled to take as follows, propagate the regulation hygienic knowledge of the hygiene, set up old man's health physical examination file, immunity inoculation files of children under the age of 6 and medical file of the regional villagers of the hygiene had jurisdiction over over 60; Development plans prevention and health care services such as immunity inoculation, mother and child care management,etc.; Responsible for the epidemic situation, born and die and report with relevant hygiene information statistics; Assist to launch birth control services; Finish other work,etc. eight duties that the Ministry of Health of higher level assigns. As to the awkward reality of the idle clinic at present, one The country flies to the decision and adopts the iron hand policy, he claims, to arranging medicine of village of the clinic of entering hoping, if does not go, will " revoke its qualification card of practising medicine according to the regulation " ; Will authorize again the rural doctor in 2009, to about 70% of the medicine of aging village and medicine of village of changing one's profession, also revoke the operation card. "Medicine of village has born a lot for the government. " It was out-of-balance that Fan Bing understood remuneration that duty and they obtains that medicine of village takes on. He thinks the country should spend greater strength in medical treatment of rural public health. "The one that leave is all the old,weak,sick and disabled, their medical demand? Make �� school female phoenix �� cut and last �� Ping of Xu 1 ���� Xing �� of �� 1 Ji stir �� tired to if you can't last brother ��, wrap up �� last �� after smelling of fish to Na craftsman sheaths jealouses large in vain ] support �� last thumb ������ forever U Wu It is flat for unreasonable Zhen thin T Shen Dong � to stand tall and upright in �� small house stupidly and add and stir Gem neglect the intersection of Kou and the intersection of Ling and silk consult Yan ��� Li acyl �� postscript Ku hammer �Ӧ� eyebrow worried and beautiful and thin? He thinks, the government should devote more efforts to subsidizing, enable medicine of village to stay in the village, and train through the modern health knowledge to medicine of village, turn their main function to the public health progressively. Fan Bing says, he has already proposed to Ministry of Public Health, it should be equal that the public health of city and countryside is subsidized. Subsidize 4 yuan in public health of per person of the urbanite of our country at present, but there is not one fen of peasant. Fan Bing says, Shaanxi Province village cures per person and serves 800 people, if the national public health is subsidized in place, medicine of each village can be mended 3200 yuan every year, in addition, Shaanxi has already subsidized monthly 120 yuan, medicine of each village can get more than 4600 yuan to subsidize at most every year, " I think that will dote on this undertaking in medicine of village " . Fan Bing introduces, Shaanxi Province is except further popularizing in the hope clinic of the pilot project, the government also plans to take out the special fund, build the village clinic with medicine of village in partnership, encourage villages with better condition to participate in the clinic construction of the village collectively at the same time. "We hope to make the village clinic come back to the collective in the village through these methods, include in the public health system, reflect better their society is public beneficial. " (reporter Yang WanGuo Shaanxi's report)


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