How to solve rural medical problems? The " " project has covered 49 national-level poverty-stricken counties, 4,083 administrative village clinics, and 10,742 rural doctors, benefiting 2 million poor households, 303,428 registered households, and 1,114,480 poor people. " On June 4, at the ""Healthy and Warm Heart-Rural Doctors Health Poverty Alleviation Project Reporting Conference and Zheng'an County Rural Doctors Health Poverty Alleviation Project Launch Meeting" held by the Zheng'an County Health Bureau of Guizhou Province, Shanghai Fosun Foundation Rural Doctors This set of figures reported by project director Wang Huibo are the results of the Rural Doctor Health Poverty Alleviation Project (hereinafter referred to as the "Rural Doctor Project") since its launch at the end of 2017 and as of the end of April 2019. However, in the face of 1.5 million rural doctors across the country, There are 30 million poor people, and the rate of falling into poverty or returning to poverty due to illness is 42%. The current coverage of the rural doctor project is still very small. Zhu Wenkui, senior assistant to the president of Fosun and director of the Fosun Foundation, used three consecutive words when summarizing the rural doctor health poverty alleviation project. " " Far beyond imagination": " " China's county conditions are far more complex than imagined, people's expectations for rural medical improvements are far beyond imagination, and the road ahead is far more difficult than imagined. " On April 16, national leaders pointed out at a symposium on outstanding issues of "Two Don't Worry and Three Guarantees" in Chongqing: ""Generally speaking, the 'Two Don't Worry' has been basically solved, and the 'Three Guarantees' still have many weaknesses." link. "" Among the "three guarantees", the issue of medical security is particularly prominent. There is only the last year and a half left to achieve the goal of alleviating poverty in 2020. It can be said that health poverty alleviation has truly entered the "" general offensive" stage. June 4-6 , under the leadership of Deputy Director Zhu Hongming, representatives from Shanghai Fosun Foundation, China Population Welfare Foundation, "Health News" and the medical community braved the high temperatures and visited many towns in Zheng'an and Xishui counties. Health centers, village clinics and poor households have communicated with departments at the county, township and village levels. Although they have seen the achievements of the rural doctor project over the past year, what they have seen more is a huge gap with the actual needs of the grassroots. " "When hundreds of teams compete, the one who strives first will win; when thousands of sails compete, the one who advances bravely will win." As Director Zhu said in his concluding speech, health poverty alleviation still needs to explore new ways. Posted on December 29, 2017. The Star Foundation teamed up with "Health News" when the National Health and Family Planning Commission launched the "Rural Doctor Health Poverty Alleviation Project", trying to solve China's rural medical problems. On the one hand, rapid urbanization has brought about the hollowing out of rural areas, leaving behind Mainly in rural areas are the elderly and children; secondly, the improvement of living standards has caused great changes in the spectrum of common diseases in rural China, and the incidence of ""three high"" chronic diseases has increased rapidly in rural areas. However, it has not been included in the list** * The officially established rural doctor system is seriously "aging". In addition to the large-scale loss of village doctors, the skills of those who stick to their posts are often unable to meet the current needs. With the in-depth development of the fight against poverty in various places, the rate of poverty and return to poverty due to illness has not decreased. On the contrary, health poverty alleviation has become the hardest nut to crack in all poverty alleviation work. Yuan Tao, director of the Health Bureau of Xishui County, Guizhou Province, is deeply aware of the current bottleneck of "low level and difficulty in recruiting" rural doctors. Take Xishui County, which has just taken off its hat, as an example. The education level of its rural doctors is at the medium level in Guizhou Province. After the promotion of the Guizhou Provincial Health Commission’s three-year "Village Doctor Technical Secondary School Study Plan", in 2018, among the rural doctors in the county "This is directly related to Guizhou Provincial Party Committee Secretary Sun Zhigang's great emphasis on grassroots health issues," Zhu Hongming said. ""Secretary Sun was directly transferred to Guizhou from the position of deputy director of the National Health and Family Planning Commission. , the general professional level of rural doctors in other provinces will only become more disparate. ” Despite this, the inspection team found during the visit that most of the existing elderly rural doctors lack motivation to improve their knowledge and skills and obtain professional physician qualifications due to their age; while rural doctors’ positions have poor remuneration, no security, and lack of mobility. It is basically unattractive to young medical graduates. Director Yuan Tao said that Guizhou has begun to improve the problem. On the one hand, it will provide elderly village doctors with pension and other security to ensure that they have no worries after retirement. On the other hand, it will expand the staff. , implement the reform of the village doctor registration system, which will be managed by township health centers. After working for a certain period of time, they can be transferred to township health centers or even county-level hospitals. At the same time, in order to continue to improve the level of rural doctors, rural doctors can be implemented in towns. Continuing education mechanisms in , counties and provinces provide development space for the professional growth of village doctors.
Zhu Hongming, deputy director of the Department of Primary Health and Health, also agrees with this idea. He believes that for some village doctors whose current standards are difficult to improve, their work can focus on public health services, and hope should be placed on younger and more potential village doctors. Station: How does the Fosun Rural Doctor Project deal with rural medical problems? The plan of ""Healthy and Warm Heart-Rural Doctors Healthy Poverty Alleviation Project" is to cover 100 counties, 15,000 villages, and about 30,000 rural doctors by 2020, benefiting at least 30 million people. To achieve this goal, Complex The model promoted by Fosun is "" Resident Poverty Alleviation + 'Five Ones'". Fosun has stationed team members in 38 project counties. They come from various member companies of Fosun Group and will spend one year stationed in the counties. The impoverished county focuses on project implementation. Yan Guoshun is one of the stationed team members. He comes from Nanjing Iron and Steel, a member company of Fosun. He came to Xishui County two months ago to replace the previous team member. Chen Xinyu is stationed. Yan Guoshun’s task is to implement the “Five Ones” project of the rural doctor project in the local area, including: a rural doctor protection project to provide training and insurance; a chronic disease contracting reward package to improve public health service performance. Outstanding village doctors are provided with additional cash rewards; a group of seriously ill patients are identified and rescued; a group of village clinics are upgraded smartly and a group of warm-hearted rural doctors are selected. Going to rural doctor clinics often requires walking on winding roads, and the distance between clinics is also long. It often takes a day to visit a rural doctor. In the past two months, Yan Guoshun's main job has been to visit grassroots medical institutions and organize training for village doctors. , he has established contact with 24 health centers, visited 11 key ones, visited 137 village clinics, visited 167 rural doctors, established 142 village doctor files, and processed for 516 rural doctors in Xishui County Accident insurance. On May 4 this year, Fosun Foundation invited a team of professors represented by Zhang Yun, an academician of the Chinese Academy of Engineering, to organize cardiovascular-related chronic disease management training for rural doctors in Zunyi. Yan Guoshun organized 57 outstanding rural doctors in Xishui County to attend Zunyi participated in the training and study. As of the end of April 2019, Fosun's field team members had visited 575 township health centers and 4,083 village clinics; 6,067 rural doctor assistance files had been established; and 38 doctors had been organized to go to the countryside for free clinics. , conducted free clinics for 1,728 people; issued 10,742 accident insurance policies, 8,566 of which have been activated online; 2,200 critical illness insurances have been underwritten; more than 54 village doctor trainings have been organized, with 6,089 rural doctors participating; a smart clinic has been built 296 rooms, 81 cases of serious illness have been provided online. Upgrade Although Fosun Rural Doctor Project has achieved some results, in the view of Zhang Yifei, Executive Secretary of Fosun Foundation, it needs to be upgraded urgently. After communicating with government departments and experts, Zhang Yifei Five directions were proposed in the report: 1. Depth: On the basis of the "Five Ones" project, how to focus on several counties to completely solve the local health poverty alleviation problem? 2. Relevance: How to be more precise by supporting rural doctors Serving poor households? How to monitor the effect? ??3. Influence: How to make the whole society pay attention to rural doctors as it did to private teachers, so as to truly integrate rural doctors into the *** staff system from the policy level and completely solve the problem What about the treatment of rural doctors? 4. Promotability: How to involve more enterprises, government departments and non-government organizations? 5. Sustainability: How to retain rural medical talents and let young doctors come to work in rural areas? How to form a closed loop of funds so that public welfare projects can operate on their own? Regarding the continuity of staff stationed at the site, Zhang Yifei said, "With the increase in the number of project counties, it is becoming more and more difficult for companies to send people. Therefore, we cooperate with the Youth League Central and Western College Student Volunteer Program to recruit medical graduates to join According to the rural doctor plan, about 40 volunteers will go to the project area this year. ” In addition, Fosun Foundation has high hopes for a project called “Future Clinic”.
Zhang Yifei believes that the general trend of population migration from rural to urban areas cannot be changed. Under this situation, it is unrealistic and uneconomical to allow high-quality medical talents to serve in rural areas for a long time. What should be adopted is to use high technologies such as the Internet and AI. To eliminate the gap between urban and rural health services, the Rural Doctor Project will selectively introduce new portable testing equipment integrating software and hardware to some village clinics this year, expert consultation platforms in first- and second-tier cities, and AI diagnosis and treatment assistants, etc. "Without leaving the village, serious diseases will not leave the county" has become a reality. At the same time, we must explore the funding mechanism for the operation of "future clinics" to improve work efficiency and form a positive funding cycle, so that there is savings in the grassroots health investment of ***, so that Participating village doctors will receive competitive income, so that "Future Clinic" can be promoted in a large area. While solving problems such as rural diagnosis and treatment and public health services, it can also monitor quantitative data on the contribution of village doctors to poverty alleviation. Positive ""This project has attracted attention and support from all walks of life," Zhu Wenkui said at the summary meeting. During the 2018 Heilongjiang Yabuli China Entrepreneurs Forum, the "Top Ten Heartwarming Rural Doctors and Township Health Center Directors of 2018" were released More than 500 guests and volunteers, including Fosun International Chairman Guo Guangchang, attended the launch ceremony. Entrepreneurs were moved at that time. More than 30 private enterprises joined the Rural Doctors Guardian Alliance at the scene. Zhu Hongming, deputy director-general and deputy director of the Office of Poverty Alleviation and Development, expressed full recognition and gratitude to the Fosun Rural Medical Project on behalf of the National Health Commission. "One year has passed in a flash," Deputy Director-General Zhu Hongming recalled in 2018 In June, Guo Guangchang, Chairman of Fosun International and initiator of the rural doctor project, visited Qingjian and Zizhou County, Shaanxi Province to visit the rural doctor project. At that time, Director Zhu served as the deputy mayor of Yulin City *** and the deputy secretary of the Qingjian County Party Committee (with two temporary posts). Year), I accompanied Guo Guangchang during an inspection and dialogue, and learned about this project for the first time. Director Zhu said, "In more than a year, I am very happy to see that the project has expanded to 49 counties and the 'Five Ones' project has been achieved. In order to achieve solid results, Fosun team members at the site integrated with the county health bureaus and thought more and more deeply about the problem. Since the reorganization and establishment of the National Health Commission last year, 'strengthening the grassroots' has become a consensus among all walks of life. While establishing grassroots medical groups mainly at the 'county and township' levels, how to include rural doctors and rural doctors The project is a good supplement and the experience of Fosun Foundation has important reference value. Of course, there is still a long way to go, and a bright future for grassroots health care cannot be achieved overnight. It requires the joint efforts of governments, enterprises, and various social forces. " From June 4 to June 6, Zhu Hongming and Zhu Wenkui also visited a number of county-level hospitals, township health centers, and village clinics in Zheng'an County and Xishui County to conduct an in-depth investigation of the primary medical care situation in Zunyi City. , learned about the progress of the local medical system, the situation of grassroots medical talents, and visited local villagers who were impoverished due to illness. This article was first published: Medical Editor: Tian Dongliang Copyright Statement If this article is original, please contact us for authorization - End - Disclaimer: The above content comes from the Internet, and the copyright belongs to the original author. If there is any infringement of your original copyright, please inform us and we will delete the relevant content as soon as possible.