The characteristic of primary medical services is that most of them are middle- and low-income people, which requires our doctors to undertake mostly non-profit services. From the perspective of the medical service system, our government is gradually improving the system, and government investment is also increasing year by year; from the perspective of the medical security system, our government is also increasing efforts to improve it, and investment in medical insurance is also increasing, and health education And health promotion work is getting better and better. But how can we effectively reduce the medical expenses of middle- and low-income families? Personally, I think it is urgent to improve the professional level of grassroots doctors.
Analysis of the current situation of grassroots doctors: 1. A medical student comes to work in a grassroots hospital after graduation. Unlike a large hospital, he can get the guidance, help and guidance of superior doctors. Everything must rely on his own book knowledge to serve patients. Diagnosis, treatment, and clinical work experience are all accumulated slowly by oneself. Compared with doctors in large hospitals, progress is slower; 2. Primary medical equipment is simple, medicines are single, and some diseases lack diagnostic basis, which limits the diagnosis and treatment of primary doctors; 3. , Due to various reasons, the leaders of grassroots hospitals do not pay enough attention to sending doctors to higher-level hospitals for further training. In other words, grassroots hospitals do not have a complete doctor training system and assessment system. Ultimately, this resulted in a slow improvement in the professional level of grassroots doctors, and long-term laziness and slackness, which also led to some doctors lowering their requirements for themselves. He is undisciplined at work, not self-motivated, does not take the initiative to learn new theoretical knowledge, and does not understand the current diagnosis and treatment concepts. What is worrying is that the overall medical level of primary hospitals is declining and they cannot better serve the community.
Some personal suggestions: 1. The hospital should continuously strengthen the professional learning of medical staff. It cannot be just a formality, but can take various forms of learning, such as: regular three-based examinations, that is, examinations of basic skills, basic knowledge, and basic theories, to assess some content related to daily work. In spring, you can test some diagnosis, treatment, rescue, logistics support, rehabilitation training, etc. related to cardiovascular and cerebrovascular diseases; in summer, you can test some diagnosis and treatment of summer infectious diseases, epidemic reporting, epidemic control, blocking of transmission routes, logistics support, etc. In autumn, we will test some knowledge on the diagnosis, treatment, prevention, and health education of digestive system diseases; in winter, we will test more on the diagnosis and treatment of nervous system diseases. Some discussions can also be carried out based on the functions of each department in the hospital. For example, nursing will test the care of some diseases and psychological care, emphasizing the overall concept; how the logistics support staff can do a good job in logistics support for all employees, always has one string in their minds. How to prepare for war? How to provide logistical support during first aid work. 2. Strengthen the reward and punishment system. Brainstorm, hold some competitions, encourage advanced people, and create an atmosphere of diligence and motivation, which will help improve overall work ability and better strengthen community functions. 3. Improve the doctor training system and regularly select doctors who are diligent, motivated and have a strong sense of responsibility to go to higher-level hospitals for further studies. 4. Actively contact higher-level hospitals, implement a two-way patient referral system, and invite doctors with high medical standards from higher-level hospitals to regularly visit community hospitals for ward rounds, sitting in lectures, or holding case analysis meetings, or lectures, etc.
The improvement of medical standards is a long, step-by-step, and unremitting process, and it is also a complex process involving various factors. This requires our leaders to attach great importance to It is necessary to have a development perspective and seek long-term effects. The concept of doctor training should be deeply planted in the mind and reflected in every aspect of daily work.
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