Helplessly looking at talents " Fly " The rural hygiene talent's treatment leaves to investigate

Helplessly looking at talents " Fly " The rural hygiene talent's treatment leaves to investigate
"I to comment, it has to be exactly high professional title last year, but because I worked in the township hospital, monthly income compare with the intersection of county and first class the intersection of hospital and doctor of intermediate professional title, compare with bursts of magnitudes of cadre that work in villages and towns still. " While speaking these words, 46 -year-old Tan Ren is brave and a little low-spirited. He is salt south central hospital doctor Qin in the district of Yancheng, after graduation from Yangzhou medical college, work in this township hospital, 20 solid years, it is first class rare doctors with high title of health organ of villages and towns.
"Doctor of the same professional title, work in the medical organizations of villages and towns, have two 30,000 fewer yuan than in the annual income per capitas in the first class hospital of the county. " South centre director Liu JingChun Qin says, " because the income treatment is low, even if such we are the hospital larger in scale in the villages and towns, it is very difficult to retain staff. Last year, two clinical surgeons left after being admitted to a graduate student, another doctor with riper business transferred to the district hospital. I have worked in this hospital for many years, helplessly walked the person equivalent to the whole hospital looking at in 10 years - -Leaving and losing us have to continue recruiting, wait for their business to be newly ripe, they left. " It is reported, this central hospitals of villages and towns are 102 of worker on the permanent staff at present, but come from just 200,000 yuan every year of financial input. "Depend on the business income completely, it is good not to suffer the loss; If it is that hospital is in debt to lose. In order to retain staff, we try hard to send some to replenish to the ripe doctor of the business, but strength is limited, compared with large hospital, treatment disparity is still relatively great. "
The rural medical organization can not keep people's phenomenon and stand more generally in the first class hygiene of the village in the first class existence of the villages and towns, moreover, the existence state of the doctor at village level makes people worried further.
In Xuzhou rural doctor Qin MingZhen's clinic, the reporter leafs through the prescription record: On November 22, business income is 58 yuan, on November 21, business income is 87 yuan. Lao population of service Qin, probably in 400 people, average each prescription is less than 8 yuan, the net income is 450 yuan every month. Because there are few incomes, Lao Qin planned to go out to work as a temporary labourer last year, but villager, village cadre regarded him as patron saints of the whole village, implore him to stay many times. It is reported, there are more than 600 village clinics, messenger of medicine 1500 of village in doctor Qin's county, their average monthly income of about 300 yuan is to 500 yuan, because the salary is not enough to support the family, more than 100 people have given up practising medicine, working as a temporary labourer already.
Loud rural village, county of water, hospital happy to tell reporter whether rural doctor of town of him get one fen of responsible institution of higher level in 3. "Several years ago at a disturbance of SARS, I busy with three four months day and night, see one fen replenished so far! " He hopes the rural doctor's public health is subsidized and can be put according to people's hair, so can not allow two grades of mechanisms of hospital of county and town to hold back.
"Can not finish wanting money of our cushion newly and agriculturally jointly, we have own few incomes, which the rich cushion? Well, there are prices, sanitary control, sterilize and measure to stretch hands to these ' barefoot doctor 's of us, what life are we? " Doctor Su Bei and Wan YiAn says.
Many doctors at village level reflect, the income standing in hygiene at village level has been mainly taken away by the health clinics in towns and townships, medicine that the health clinics in towns and townships criticize is very expensive, withdraw 15% of the administration expense. In order to survive, some clinics have to raise the price to sell peasants, let peasants hang water not needed to hang, raise medicine with medicine. "Raising medicine with medicine though has raised the enthusiasm of doctor's administration, has reduced the medical ethics reputation of the rural doctor, also lead ordinary people into a trap. " Fang Yue says.
Regional situations of the administration expense are different. One rural the intersection of health station and person in charge tell reporter whether here each clinic to check and ratify according to the whole the intersection of village and each expenses for medicine of 30, the clinic needs to turn over 6% of the administration expense, so, a clinic should submit to the administration expense of 2000 to 3000 yuan in one year. "In addition, there are 4 years, peasants have not sent health project funds of 1 fen to the village to cure on the head. The rural doctor does not have fixed salary, can only hold concurrently and do agricultural work mostly, it is impossible to sit in the clinic serving villagers all day, but if see the doctor at home, is found above, will fine. "
Taixing the intersection of city and one the intersection of village and the intersection of son and mediocre front of a garment of medicine tell reporter whether 16 year old, father of he, work as a barefoot doctor, already 43 year so far, carry medical case to be at someone's beck and call all day, meet great disease and come with villager in the hospital of higher level in person yet sometimes, the old man in the village passes by the last time in the company of him. Flow from the second disease, malaria, filariasis to SARS, the first, he works in the forefront all the time, do not matter and especially protect either. The government lets them these people take qualification examination with some university students now, he has not passed, a few days ago, the person of the health bureau broke that of his on the medical case to take away, forbid him to practise medicine in the village, will fine 5000 yuan.
Some relevant persons in charge of county hospital in northern Jiangsu state frankly the reporter, the medical care responsibility of clinic at village level is large, but the rural doctor of this county has no salary, not has medical endowment insurance, face the serious brain drain, leave no successor. If the rural medical team is unstable, must shake the rural public health and prevent and cure the network.
Doctor of Nanjing University medical college Chinese sweet gum Li say our country serious and enough to the intersection of villages and towns and first class input of health organ; It is sure to subsidize to serve and offers the public health which at village level doctor bear at present, but two defects exist: First, give the rural doctor's guarantee responsibility to the local government, the local governments of some poverty-stricken areas can't well well safeguard the rural doctor's just rights and interests. Second, not limited and subsidized the standard the most low, the local government can give to about 10,000 yuan according to upper limit, also can only for 300 yuan for every year or look for the excuse not to give. For this reason, he proposes building the village clinic to include in government's rigidity duty, defining the rural doctor's identity, let " labour law " benefit this part of crowds.
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