In fact, the village health center has been serving the grassroots health and has played a very important role in protecting our health, and will certainly play a bigger role in the future. So is it reliable to see a doctor in a village health center? I think this is a lot of people's doubts, Dr. Zhang will talk to you about this topic.
Traditionally, we believe that most of the doctors in the village health center may not have gone through formal medical school, a lot of knowledge and medication are obtained through simple training and self-study, for some new theories and treatments of the learning and use of lagging behind, and even some of the doctor is a barefoot doctor to turn to. In fact, the current reality has changed, and many younger doctors are now engaged in the work of village doctors only after learning the basics through systematic medical schools, practicing in regular hospitals for a few years, and obtaining certificates for practicing doctors or assistant practicing doctors. Moreover, our country is making great efforts to provide them with more specialized training so that they can learn more advanced medical knowledge. So, from this point of view, most of the village doctors are still trustworthy, so people can still choose the village health center to see the general common and frequent diseases, and the disease is relatively mild.
However, village health centers are relatively poor in terms of medical conditions, with little or no medical equipment, let alone large-scale medical equipment, and village health center doctors are not experienced in treating major illnesses and serious illnesses, so it is recommended to choose a large-scale medical institution. However, you may not be able to accurately determine your own condition, so we can rely on the village doctors to help us. Moreover, the village doctors are relatively familiar with the higher level of medical institutions, and they can provide valuable help for your referrals.
Therefore, Dr. Zhang believes that village doctors, village health centers, have a wealth of experience in treating common and frequent diseases, such as common colds and fevers, so you can rest assured that you will be able to receive treatment. However, in the case of major illnesses, critical illnesses, or when the village doctor thinks you really need it, you still need to go to a higher level of medical care.
Grassroots work is not easy, and here we also pay tribute to the vast number of village doctors fighting on the grassroots front!
China's rural health center establishment has been more than half a century, if not reliable can survive to today? In the early days of China's scarcity of hospitals and shortage of medical personnel, rural health centers carried the burden of treating and preventing farmers' common illnesses, seasonal diseases, and so on. Without village doctors in rural areas, especially in remote mountainous areas, the mortality rate of diseases would be greatly increased. In our rural areas, village doctors are highly respected, and their profession is as highly regarded as that of village teachers, while their income is not comparable to that of teachers. Village doctors are generally hard-working, regardless of the time of day or night, rain or shine, as long as there is a knock on the door from a patient's family, he or she will hear the sound of the door. The only thing that comes along with it is a red "ten" box and a dog stick.
Although the village doctor is the lowest status of medical personnel, the treatment of the least practitioners, but the sparrow is small, all the elements. In the rural areas, the village doctors are not specialized in the various diseases of children and adults, as long as they come into contact with the patients, they will immediately make a treatment plan by looking, smelling, listening, and checking the pulse. They will give the patient an infusion of fluids, injections, or medication, and will recommend that he or she go to a major hospital for treatment of some difficult and serious illnesses after simple treatment, never delaying treatment.
Rural health center can only strengthen the management, pay attention to foster. The village doctor not only political care, life to help, treatment should be gradually improved, to create a village doctor can stay, do not want to go, do not want to go a good environment!
The village health office is the villagers around, by at least hold a certificate of rural doctors doctors, the village committee set up, engaged in the prevention and treatment of common diseases and diseases of the medical institutions, is the county, township, village health network is an important part of the three-tier, the villagers of the prevention of common diseases and diseases and the treatment of the irreplaceable role has been an important force in our country's health, the implementation of the "small diseases do not go out of the village, common diseases do not go out of the township, the village health office has been an important force in our country. The goal of "keeping minor diseases out of villages, common diseases out of townships, and major diseases out of counties" has been implemented. In this regard, from the perspective of our positioning of village health centers, general common diseases such as colds can be treated in village health centers for the convenience of patients. But if you have an emergency or a serious illness should be timely to the township health center above the medical institutions, so as not to miss the patient.
Dr. Zheng hundred high, you as a superior doctor said in the village health room to see a doctor is not reliable, is irresponsible statement, you have done research? Have you done it at the lower level? Don't think that you are in the higher level hospital is how how, you left the high-end instrument examination, not necessarily in the diagnosis of the village doctor over. As far as our village health office is concerned all of us have national licenses for practicing physicians and physician assistants, and all of us have gone to higher level hospitals many times for further training and study, which is the same level as what you are certified to do. We five annual outpatient consultation of about 26,000 people, the common diseases and diseases in rural areas can be familiar with the diagnosis and treatment of emergency first aid can be quickly dealt with, and at the same time is responsible for the jurisdiction of the public **** health and health poverty alleviation and a lot of work, the village doctor compared to you just do not have your rest days and holidays, not your senior title, not your retirement protection, not you get a high salary, the village doctor's ability to work in no way worse than you. You're not as bad.
Don't underestimate the village health organizations, and don't underestimate the village doctors. I used to work in the township hospital, often contact him (her), and he (she) they deal with, because it is on the lower level of the medical unit, the patients sent to further diagnosis and treatment, in order to get more accurate treatment. Often part of the patient to get the results basically with him (her) they are the same, this part of the doctor running around in the middle of the people for many years, and the people have a deep affection, and have medical ethics, experience, medical skills level is also very good. That is, this part of the people later into the township hospital work, is because these people have a mass base, have clinical experience, have medical skills, there is a saying that the small drugstore also has a big ginseng, so he (she) they must be melon eye to eye.
I am a village doctor, what I said may represent a part of the village doctor's heart.
The village health office in the medical institutions only undertake some of the most basic medical protection, prohibited to do more than their own institutional capacity behavior. The meaning of this sentence is that the laws and regulations are clear that the rural health center can only do some basic infusion (now is a friendly reminder not to infusion, has not been enforced), selling drugs, common cold, for the people to measure blood pressure for free, blood sugar to monitor epidemics, and then it is the public **** health projects, write files and so on. That's what a rural doctor can do. For example, many years ago, I watched TV news reports a health center to treat burns compensation case, because a child burns particularly serious, the first time to go, the township doctor to see the seriousness of the disease does not pick up, and then find a friend to drag the relationship between the township doctor begged to pick up a vial of down infection control, (rural health center basic medicines do not have good anti-inflammatory drugs). The child's parents immediately turned their backs on the country doctor to cure bad, sued, called the TV station to expose. Transferred to a hospital to control the condition and then is the compensation, about more than three million. The final conclusion is not illegal, but beyond the scope of treatment in rural health centers. The person who begged for mercy hid and disappeared.
This is the village doctor. A doctor walking on the tip of the knife. Every village doctor has a medical record that belongs to his specialty. However, once the accident, the bad luck is the country doctor. In order to protect themselves carefully. They also have to take the blame. A cold can not be cured, quackery, just make money do not properly see the doctor.
I met a patient who was allergic to levofloxacin once, and I was so scared that I was sweating and my legs were soft. The good thing is that I will have an anti-allergy drug before the infusion (when the internship team teacher said a vial with a dexamethasone antidote to prevent allergies) from then on to stop the infusion, dry my traditional Chinese medicine plus acupuncture. Smaller doses per session, longer sessions, I'm safe. The only bad thing for the patient is that it takes longer to take the medicine and costs more. In the end it works. Because in this industry today must protect themselves in order to do it for a long time.
Please be able to sympathize with the country doctor, understand the pain of the country doctor. There is no almighty god in the world and there is no almighty village doctor. The countryside doctor is the lowest level of society. Of course, there has been no part of the nature of the countryside doctor is really bad. This also has a lot to do with the fact that a rat turd spoils the pot of soup. No one is perfect. The first thing you need to do is to look for a doctor who will be able to help you.
On June 26, 1965, Mao Zedong proposed to put the focus of medical and health work in rural areas. The main human and material resources should be put on the prevention and medical treatment of some common, frequent and ordinary diseases. On September 21 of the same year, the Central Committee approved the report of the Party Committee of the Ministry of Health on putting the focus of health work on the countryside. This was the origin of rural health centers. For half a century, rural health centers have been responsible for primary health care and epidemic prevention in rural areas. More than 1.4 million village doctors throughout the country have devoted themselves to the cause of health. In the beginning, they were called barefoot doctors, who saw patients while working on the farms, with no salary and few medicines, and some of them also utilized herbal medicines from the mountainous areas to treat the general public. So that China's per capita life expectancy, from the early years of the founding of the country more than forty years to 2017, China's per capita life expectancy of 76.7 years. These achievements are inseparable from the efforts of village doctors.
In recent years, as people's living standards are getting higher and higher, more and more money in their hands, regardless of the size of the disease, see a doctor to go to a large hospital, some young people feel that the village doctor to see a doctor is not reliable, in fact, it is not right, over the years, our country's hierarchical health care to do a bad job, so that the big hospitals are overcrowded. Since the 18th National Congress with the process of health care reform, graded health care is also gradually pushed, see a doctor to go to the clinic first village health center. Minor illnesses are treated immediately, and major illnesses are referred to the appropriate large hospitals through the initial diagnosis of the condition. In addition, the state has increased the investment and construction of village doctors, from personnel training, to infrastructure construction, and gradually improve the level of village doctors accordingly. In this way, medical resources will develop in a balanced way. The only way to do this is to have a well-rounded society.
As long as the doctors in the health center have medical technology, there is a level, I recommend that you go to the village health center to see the disease! The reason for this is that it is simple and convenient!
Like me, a village health center doctor, practicing physician, general practitioner intermediate title, twenty-five years of medical practice, education, experience, can skillfully and correctly deal with the general common diseases and frequent occurrences, come to me here to see a doctor, simple and convenient, to see a doctor, charge, dispensing, all I am a person, the general waiting time will not be more than fifteen minutes, why not do it?
Dr. Wuji answers this question:
Is it possible to see a doctor in a village health center?
First, the role of the village health center.
The first-line clinicians are on the scene,
On the scene, I have the right to speak!
More than forty years of hearing and seeing, y appreciate the significant role of village doctors; their role is also irreplaceable.
From the establishment of village health centers to the present, village health centers have played an important role in the national health care network system.
These village doctors in the most mundane, the most basic level, the most poorly paid positions, the real solution to the problem of difficult and expensive to see a doctor;
Most of the rural-born people, have the experience of seeing a doctor in the village doctor;
The elderly and frail patients, legs and feet are not convenient, to go to the big hospitals need to be served by their children, time-consuming and money-consuming, and therefore more preferential to see a doctor in the village health office, the reason is: cheap, inexpensive, convenient. The reason is: cheap, cheap, convenient, convenient!
It plays an important role in the prevention of epidemics, disease screening and health management.
The village doctors go from house to house!
Second, what is the level of village doctors?
In more than thirty years of clinical work, I have contact with hundreds of village doctors is there, their medical level of feeling quite deep.
Most of these village doctors are competent in their own work, and they are natural general practitioners.
Their range of competence:
Diagnose appendicitis; do some minor surgical operations, clearing, suturing, bandaging, changing medicines;
Intravenous needle technology is no worse than that of the average nurse;
On the upper sensation, bronchitis, pneumonia, etc. can be diagnosed and treated;
Gastritis, cholecystitis, enteritis, etc. can be effectively dealt with;
On high blood pressure, Diabetes, gout, urinary tract infections, gynecological diseases, common infectious diseases, skin diseases, etc. have certain diagnosis and treatment techniques;
A number of rural doctors can prescribe traditional Chinese medicine.
There is some ability to identify critical illnesses.
......
As mentioned above: it is still reliable to see patients within their capacity.
Three, the current situation of rural doctors.
With the retirement of the old batch of rural doctors, a group of middle-aged rural doctors have become the backbone of the business.
It is not as some people imagine that these rural doctors have no quality of practice, no skill in practice, no post training and secondary education.
Among them, there are a lot of health school, college graduates, there are a lot of secondary school students college students; many people have assistant practitioner certificate, practitioner's certificate; there are many people have the title of attending physician; they have gone through a number of rounds of different levels of training; and they are the same as those who are "higher" doctors have the certificate of continuing education.
Medical activity by rural doctors is declining today due to the population's rising economic standards and increased demand for health services.
Patients are flocking to the tertiary hospitals, and the quality of health care is high by the minute?
The big health service policy orientation, so that rural doctors are focused on: pregnancy management, family contracting, follow-up, chronic disease management, mental illness registration, data reporting and other matters.
In any case, rural doctors and specialists are members of the family of doctors, all for the people's health services throughout their lives.
Four, hierarchical diagnosis and treatment and the balanced development of medical resources.
Rural doctors are an indispensable part of the hierarchical diagnosis and treatment. For the sake of the balanced development of medical resources, don't waste the diagnosis and treatment skills of rural doctors.
For half a century farmers have had a headache, common diseases, multiple diseases, infectious diseases (in those years of lack of medicine, the plague rampant infectious diseases endemic disease epidemic ravaged the influenza pandemic, the measles pandemic, the mumps epidemic, the leptospirosis epidemic, ...... the years) are folk doctors local village health center village doctors with Chinese herbal medicine, one of the most important thing is that the village doctors can be used in the village health center. Doctors with Chinese herbs, a needle and a grass, folk prescription prescription I do not know how many grass-roots people's precious lives, to maintain the grass-roots people's lives and health, in addition to a number of special serious serious illnesses may go to the county hospital to see a doctor (because of that special era of transportation is very backward, there is no use of any means of transportation, are shoulder backed and carry the sliding rod of the era, you can imagine how difficult for the people to see a doctor to see a doctor is expensive) thanks to the people to see a doctor to see a doctor to see a doctor to see how prominent). Thanks to the rural primary health centers (called medical stations at that time), village doctors overcame unimaginable difficulties and took great risks in medical treatment. Nowadays, young people in the society can't know about those hard times, but the old village doctors who have passed the age of old age will never forget that period of history which is y engraved in their hearts. What does it mean when someone puts forward these words as a pseudo-proposition? It means nothing more than discrimination, contempt, disparagement, marginalization, stigmatization and suppression of these old village doctors and these folk doctors. The old village doctors are being abandoned and marginalized by the society relentlessly to kill the donkeys and destroy the bridges. ......