1, a serious shortage of health personnel and professional and technical personnel
Scarcity of health personnel and professional and technical personnel has become a constraint on the development of township health centers "bottleneck". Medical and technical personnel training has its own industry characteristics, from training to use its cycle is relatively long. The situation of medical and technical personnel in our township health centers shows low title, low education, unbalanced distribution, a multi-tasking, difficult to assess. Due to the problem of talent, resulting in a part of the health center is difficult to schedule; Second, "small diseases not out of the village, not out of the town" service is difficult to have backbone support; Third, a large number of medical equipment idle, no one to operate; Fourth, sent to higher hospitals for further training can not be arranged; Fifth, the follow-up of professional and technical personnel is difficult to follow, facing the fault; Sixth, the formation of doctor The sixth is the formation of doctors can not be retained, patients are reluctant to come to the vicious cycle of the situation.
2, fewer types of drugs, it is difficult to protect the public's basic medical care.
Since the implementation of the "three unified drugs" in 2010, the township health centers are often in short supply of medicines, the reason is that the supplier delivery is not timely and insufficient supplier supply, some very common, very common drugs, brand-name drugs are not in the "three unified" bidding scope, and even more so in the "three unified" bidding scope, the supplier is not able to deliver the drugs to the township health centers. "Bidding scope, but also some of the winning products appeared to abandon the bidding, the abolition of the bidding products, so often lead to health hospitals without drugs, hospitalized patients often go out to buy drugs, go out to buy drugs to the clinical use of medication has brought a security risk, purchased drugs and can not be reimbursed for the combined therapy, which often require hospitalized patients to be transferred to hospitals or automatically discharged to go to a large hospital to seek medical treatment, so that the hospitals of the Serious loss of patients, the phenomenon of overcrowding in large hospitals, which invariably increases the burden on patients. There is only one drug distribution company, with a single variety, which is unable to meet the patients' needs for medication. Children's medicines, gynecological medicines, cold medicines and medicines commonly used in rural medical institutions, such as Anacin, painkillers, amoxicillin capsules, etc., have not been included in the bidding catalog, and medical institutions do not dare to buy from other channels, which has a great impact on the daily diagnosis and treatment. The shortage of medicines leads to the people are often dissatisfied, complaints, curses, making the doctor-patient relationship more tense.
3, health funding is seriously inadequate.
Lack of medicine, the loss of patients, so that the hospital's income fell seriously, although the salaries of personnel by the financial full payment, but the normal operation of the hospital is very difficult, many hospitals due to the small number of staff to hire more temporary workers, the wages of temporary workers with the socio-economic development and high. Coupled with the importance attached to public **** health services over the past two years, all expenses have been greater. This is also a major constraint on the normal operation of the health center.
4, rural medical team is not stable.
In recent years, with the development of social and economic, rural doctor's income treatment is low, can not meet the needs of a family. The deepening of the health care reform due to the reduction of medical fees, the implementation of zero-differential sales of medicines, rural doctors also bear a large number of public **** health services, and the original alone at home compared to the workload, low income. Rural doctors have been working at the most basic level, can be said to be half-farmer half-doctor, some have been struggling for this for a lifetime, for the development of health undertakings have made a positive contribution, but so far there is still no old-age security, the old have no one to rely on, and so on reasons. More rural doctors have no motivation, and even some rural doctors do not want to do the idea of village health office. Work is also negative, to cope with the work, to the hospital management also brings inconvenience. In addition, some rural doctors are older, young people are not willing to engage in the village health office is also facing a situation of shortage of youth.
Two, to strengthen the primary health care institutions to build the service capacity of the proposal
1, gradually increase the financial investment in health, appropriate to the rural health care tilt.
Medical reform continues to deepen, indeed to the general public has brought benefits, but in the actual operation of the process there are many shortcomings, although the salaries of personnel by the financial full payment, relying on the hospital's income is difficult to use for construction, training, management, incentives, and other costs, not to mention some of the townships and townships of health hospitals because of the infrastructure construction of the problem of some of the debt still exists. Therefore, it is recommended that the proportion of financial investment in primary health care be appropriately adjusted to gradually realize the transfer of township health centers from self-supporting to government-supported health care. Improve the treatment of rural doctors, rural doctors to protect the pension and a series of problems, and strive to rural health and other social undertakings synchronized development.
2, constantly improve the introduction of talent mechanism.
The key to improving the service capacity of township health centers is talent. The region's township health centers currently reflected in the problem focuses on the lack of personnel, the key is the lack of backbone technical personnel constraints on the township health center service capacity of the overall enhancement. To change this situation, it is necessary to increase
Great efforts to train and introduce talents.
One is to establish a mechanism for the introduction of health personnel.
Strengthen the construction of primary medical and health care teams, develop good mechanisms and policies to attract, retain and utilize talents, and strive to build
excellent medical and health care teams to improve the level of service of primary medical institutions. Openly recruit medical and nursing personnel from the community. The introduction of relevant preferential policies to guide and encourage graduates of medical schools to grass-roots employment.
The second is to establish a training mechanism that meets the needs of the grassroots and the characteristics of various types of talent. The main thing is to formulate medium- and long-term training plans. At present, there are many national training programs, and the higher hospitals also give us preferential policies to train talents, but the lack of talent constrains the training of talents in township health hospitals.
Three is to establish a stabilization mechanism for grassroots health talent.
The township health centers are at the grassroots level in rural areas, where life is relatively hard, working conditions are poor, and treatment is low. Township health centers are currently implementing a full salary guarantee system, but in general, it is still relatively low, especially in comparison to teachers obviously have a difference. Especially after the implementation of the national basic drug system, medicine income has decreased. How to stabilize rural health talent, in addition to the importance of, care and other humanistic means to guide, but also to have appropriate incentives to properly improve the treatment of township medical and technical personnel, the long-term in the rural health of the front line of personnel to give recognition and incentives.