November 18, 2020, Dong'an County, Yongzhou City, Hunan Province, Jingtouxu Town, Shangda Village, Litang Group shuttle a pair of husband and wife village doctor figure, measuring blood pressure, temperature, do physical examination, send medicines ...... by the villagers welcome, here Jingtouxu Town, two adjoining provincial-level poverty-stricken villages Lingguan Village, Shangda Village village doctor Tang Junhua, Wu Yanfang door-to-door service of a microcosm. They are Ling Guan village, on the village of two provincial poverty-stricken village village doctor "husband and wife", husband and wife side by side in the fight against poverty, "health poverty alleviation," the first line, with simple dedication and perseverance to guard the villagers' health.
Tang Junhua, Wu Yanfang belongs to the same Jingtou Wei town on the village people, from 2020, the two school graduates returned to the village doctor, two people, two villages, a medicine chest, a go is 20 years. 20 years, the couple traveled to every corner of the two villages. As the only doctors in the village health center, the couple did their best to serve the patients. Every morning, both of them are in their respective village health center, receiving, injection, medicine ...... emergency priority, the old and weak priority, the poor people to see the doctor to reduce or waive the medical fee depending on the situation. Husband and wife are responsible for the basic public **** health services in their respective villages, basic medical services, family doctor contracting services, health poverty alleviation and other work.
To change the status quo of rural medical backwardness, start with the following aspects.
1, increase the financial expenditure on rural health care.
Medical and health care is related to the immediate interests of the general public, but also related to the coordinated economic and social development. The development of medical and health services, must consider the issue of health equity. On the shortage of rural medical funding, the government's financial expenditure on health care is not enough to make the burden on farmers is too heavy, as well as rural health services, such as the decline in the fairness of the problem, increase the financial tilt of the rural health services to the rural residents of the physical health and living conditions to play an important role in the improvement of the health status. As a purely subsidized investment of consumption funds, the fiscal expenditure on rural health care can increase the personal rate of return of farmers, so that the effective demand for farmers to obtain quality and reliable medical services is guaranteed, thus reducing the burden on farmers and increasing the total social welfare.
2. Strengthen the management of the medical and health care team and improve the service level of medical personnel.
? (1) rationalize the employment mechanism. To establish a health technology talent pool, encourage existing college graduates to work in township health centers, improve their treatment level, such as: wages can be higher set of a grade, promotion under the same conditions of priority, etc., to draw some of the outstanding medical personnel from the county medical units to the countryside to support the medical, to go down with the professional and specialties, and then come up after the training of township field medical personnel, their wages, household accounts, the party relationship is retained in the original unit. The first step is to give priority to the promotion of the promotion.
? (2) to take a multi-pronged approach to strengthen the training of health and technical personnel First, we must strengthen the academic training, there will be no college and secondary education in different forms of medical personnel sent to higher hospitals and medical schools for training; to strengthen the qualification exams, there is no licensed physician, and licensed physician assistant title of the medical and health personnel to conduct exams, so that they can all obtain the title.
3, solidly promote the work of medical reform, rational allocation of health resources.
In accordance with the spirit of the Central Committee, the State Council "decision on further strengthening rural health work", "on the implementation of the reform of the medical and health system," and other documents, the timely reform of the medical and health system of the work of the medical and health system, health care work focused on the rural areas, so that it serves the rural areas, services to the people, in accordance with the "overall planning, step-by-step implementation" principle, to make the medical and health work of the rural areas, so that they can serve the people. In accordance with the principle of "overall planning, step-by-step implementation", bigger and stronger leading (county hospitals), improve the construction of hubs (township health centers), consolidate the grass-roots foundation (village health rooms), build county, township, village three-tiered health service network, so that the allocation of medical and health care resources to the central health centers tilted to achieve the optimal allocation of medical and health care resources to maximize the effectiveness of the play. Integration of village health room, in the township health center location of village health room more than the integration of the population is relatively concentrated, the service radius of less than 5 kilometers of adjacent villages together with a central health room, the township government location (most of the current township government location of the multi-room) is no longer designed for the village health room. Health care is a public **** goods, can only rely on the government to invest funds, integrate resources, optimize resource allocation, to achieve Pareto optimal.