Chinese complete doctor becomes rare resources Examine and make needing to move forward progressively for the first time
The complete doctor had already appeared more than 20 years ago in China, but not been often publicised yet so far. Too many person know complete doctor what do do, too they and low end " hospital of street " person that know Link together. However, as China begins to enter the senilization society, what people need most is not actually the large hospital, but the near complete doctor around.
Beijing is one of the cities that builds complete doctor's team first at home, go through the cultivation of more than 10 years, talent's gap is still enormous, but a lot of places in the central and west regions do not even have condition that train the complete doctor, distance examine promotion and family doctor far away service that make for the first time.
On June 22, Premier of the State Council Wen Jiabao holds the standing meeting of the State Council, determine to set up complete doctor's system. Meeting require, make each the intersection of city and the intersection of community and the intersection of hygiene and service organization and rural health clinics in towns and townships there are qualified complete doctors by 2012; Undergo the efforts of a few years and then, basically form and unify the normal complete doctor's training mode and examine the service mode in the basic unit for the first time, basically realize every ten thousand residents in urban and rural areas have 2 to 3 qualified complete doctors.
What is a complete doctor? World family doctor's organization (WONCA) The definition of him is: Offer the comprehensive medical health service to every person who looks for the medical treatment and health care, arrange for other professional medical-care personnel to offer service of having something to do with for him too if necessary. World Health Organization (WHO) Requiring to complete doctor: Offer high quality, comprehensive, lasting and individual health care; Can make the health care scheme for the patient, choose the measure with better economic benefits; Through effective explanation and advice, launch the health education; Advocate the activity for the promotion of the health on behalf of the community; Manage health resources, utilize the hygiene materials, work in the hygiene system together with individual or organization, meet patients and requirement of the community.
A kind of " balm " Doctor?
"Talk about the complete doctor now, everybody does not know what does do. " It is just weekend on May 22, Liu XiangHong on duty is not so busy, remember that joins in the experience of several decades of complete medical treatment, what she found nowadays about the complete doctor is puzzled to still exist, "can't touch the head, puzzled. "
It is a domestic earlier doctor who contacts the complete idea that 49 -year-old Liu Xiang is red this year, hold a post in one community health Center in Xicheng District in Beijing now, it is actually the complete doctor's behavior with fuzzy image in the society too that she is puzzled to what the complete doctor oriented, and this is exactly one of the reasons for hindering complete development of doctor's team. Third deputy managing director of hospital second clinic Liu WeiWei in Peking University, it is a member of complete medical department of medical science of Peking University that establish on May 9 this year, she hates this: "A lot of people think the doctor not good works as the complete doctor, this job is very pitiful, the impression is very bad. "
Not only industry and educational circles are puzzled, even responsible department of the goverment is like this. At the intersection of Peking University and the intersection of medical science and parts of complete medical the intersection of department and inaugural meeting that hold will it be morning May 11, Deputy Bureau Director, Municipal Health Bureau of Beijing, say address, on stupid tomorrow: "What is the complete doctor's really normal content, now I feel it is not very clear. "
Already been used to pursuing high-grade, precision and advanced medical branch era in one, it is wide but not deep but need the complete speciality with higher cultural and educational quality to require, in addition, the government demands to offer now " Community's medical treatment, keeps healthy, prevents, recovers, health education and birth control " The service of the six in one, this is apt to cause similar " balm " Image misunderstand,this the kinds of impressions is enough make a lot of people not hung back the job.
Liu XiangHong brings students too now, it is the complete doctor's training base that Germany that she belongs to defeats the community health Center, often have a training task. Last year, she was to joining the discovery in 98 questionnaire investigation of this Master degree candidate of clinical medicine speciality of Peking University medical science portion that the community practised from September of 2007 to December of 2009, it is low to community's hospital, cognition degree of complete medical science that clinical medicine grows generally, non- interested, oneself will not be engaged in the work in this respect either after thinking. The intersection of Master degree candidate and the serious inclination, and the intersection of Hong Kong, Macao and Taiwan and student higher than medical science of Mainland, grow to attention and positive intensity of participation that community practise.
"This may be relevant in development and approval degree different from Hong Kong, Macao and Taiwan area of hinterland of our country with complete medical science, in Hong Kong, Macao, Taiwan, complete the intersection of doctor and popularization, obtain employment until income take a lot kind. " Liu XiangHong says.
Transport complete doctor Zhang ShuYuan in the community health station of the storehouse by sea in Dongcheng District, Beijing, this Master degree candidate who will graduate from university from Beijing traditional Chinese medicine in 2009, have an intimate knowledge of this. Though she likes the present complete doctor to work very much, residents' trust lets her quite a fulfillment, but mother feels the grievance for her. " recent years, the students that the young master graduated (become a complete doctor) It is very a lot of, but does not say and very much like, it is still few not to want people that get to the community. " General psychology when Zhang ShuYuan summarizes oneself and classmate and looks for a job originally so, "think competence talent of time get community very, think, read book for many years reach community to be too assigned a job unworthy of one's talents finally so. "
This is not job hunter's one-sided meeting trouble halfway. The survey of more than 6000 citizens of 18 counties will reveal in 2010 in Beijing, resident's attitude toward community's hygiene attendants, service centre (station) It is relatively high from satisfaction such as the own distance, environmental facility of examining area, but generally appraise doctor's professional levels relatively low. An investigation result to 3600 residents in Xicheng District shows, among them only 415 people seek medical advice and choose community's hospital, account for, investigate 11% of crowd only, and overwhelming majority retired ex-employee, choose tertiary resident of hospital account for 65%.
An extremely rare doctor's team
Nine splendid community health stations of Dongcheng District, Beijing are a small building of two storeys, medical use area is more than 200 square meters, can be regarded as very good condition in community's hospital. There are 3 complete doctors here, the nurse is 3, it is a head standing in hygiene that Zhang Xin solicits. Before not seeing Zhang Xin to solicit, imagine here is probably a typical view of community hospital: Old patients appear into, is chatting the daily life with familiar doctors, the ones that do not have large hospital are noisy and crowded, appear the kindred of a kind of neighbourhood.
But Zhang XinZheng is out, he went out to have a meeting. Not returning to the hygiene station until 5 o'clock in the afternoon, his colleagues all came off duty at this moment. In one afternoon, he held 5 meetings without a break. "It is the civilized urban area that is evaluated, it is also the construction of decent practice "He shows reporter him to bring back
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