Seeking an article on the current situation and outlook of China's community health service work

On health services and talent cultivation in a harmonious society Chinese Chief Medical Network October 09, 2007 13:43:02 Tuesday 592 Author: Kong Jianglian Author Unit: 330006 Jiangxi Nanchang, Nanchang University School of Medicine "Clinical and Education in Family Medicine" February 2007, Volume 5, Issue 2, Expert Commentary Add to Favorites Talent Cultivation The building of a harmonious socialist society is the It is a major strategic task put forward by the Party from the overall layout of the socialist cause with Chinese characteristics and the overall situation of building a moderately prosperous society in an all-round way. The establishment of a harmonious social health service environment is the basic guarantee for a harmonious socialist society in which the country is rich and the people live and work in peace and happiness. New China's medical and health services have experienced a "lack of medical care and medicines" for more than 40 years of trials and tribulations, and then entered the "lack of medical care and medicines" status quo, we are from a harmonious social health services environment in the end how far? 1 China's urban medical and health service problems - a developing country's problems! The author personally experienced the "lack of medicine" to the rural people of the ordeal. 1971 winter, watched an elementary school student suffering from cerebral hemorrhagic due to the lack of medical treatment and treatment is ineffective and died. In 2005, the author in a combination of urban and rural health clinics, you can see a wide range of hundreds of Chinese and Western medicines, as well as six infusion with temporary beds, but only a rural doctor, both to see a doctor and to inject, issue medicine, change medicine and so on. This situation of "lack of doctors and not too many medicines" is not uncommon in rural areas and urban and rural areas. In contrast, the city's tertiary hospitals are overcrowded, with many professors and chief physicians treating patients with colds and fevers every day. The deformed distribution of medical and health resources, serious shortages and wastage can be seen everywhere in urban and rural areas. "Lack of doctors, not a lot of medicine": "lack of doctors" is a lack of both the number of doctors and the quality of doctors (high-quality medical personnel and high-quality service level). In recent years, although the state has strengthened the construction of health infrastructure, working conditions have improved, the level of equipment has been improved, but the urban community, rural new cooperative medical health personnel quality is not high, the problem of weak capacity is highlighted, especially the lack of grass-roots talent is still relatively serious, and the urban community, the new rural cooperative medical tasks and the requirements of the people are very unsuitable. "Many medicines" refers to China's pharmaceutical industry after more than 20 years of rapid development (annual growth rate of more than 15%) has achieved certain results, since 1998, to rectify the high prices of medicines, the government issued 19 drug price reduction order, involving thousands of drugs, undeniably, has also achieved certain results. However, joint venture drugs, foreign-funded drugs have long dominated the market; high-priced drugs, similar drugs with different names, health care drugs, fake drugs and so on, wantonly expanding the effectiveness of the people; poor quality and high price of the labeled drugs have become the leading profit-making products and other phenomena prevailed. The value orientation dominated by economic interests still prevails. Directly related to the people's health and life safety of special commodities - drugs, it is bound to go wrong, the result is that people still lack of medicine. After several years of medical reform, China's urban medical and health services still exist a large number of problems, such as insufficient investment in government health costs (China's population accounts for 22% of the world's population, while the total cost of health only accounted for 2% of the world's total health costs,); insufficient construction of the public *** health system, hospitals monopolize the information on medicines; drug dealers to manipulate the price of medicines; the patient's choice of doctors; unreasonable growth in medical costs; the established urban workers The coverage of the medical insurance system is small, most of the rural migrant workers who go to the city do not participate in medical insurance, laid-off workers, low-income people, more than 400 million children and primary and secondary school students lack of medical insurance. Many people cannot afford to see a doctor at their own expense (56% of health costs are paid by the individual, 27% by society, and 17% by the government). Society accounts for 27 percent and the government for 17 percent), and each year more than 10 million rural people nationwide become poor or return to poverty because of illness. According to the Third National Health Census, 44.9% of people who are sick do not go to the doctor, and 29.6% should be hospitalized but are not for financial reasons. In recent years, although community health service organizations and new rural cooperative medical care pilots have sprung up, they all have small funding, are more utilitarian, have irrational regional divisions, have varying technical strengths, and do not provide enough protection. Therefore, it is still very difficult to fulfill the "six-in-one" tasks assigned by the government, and there is still a certain difficulty in fundamentally changing the problems of "lack of medical care" and "lack of medical care" for the people in a short time. There is still a certain degree of difficulty. 2 to crack the problem from the central to local has formed a **** knowledge: building a harmonious socialist society! Decision of the Sixth Plenary Session of the 16th CPC Central Committee put forward by 2020, "the rights and interests of the people are effectively respected and safeguarded", "the people live a more affluent life", "the basic public **** service system is more complete", the government is more concerned about people's livelihood, "the lack of medicine," there are still some difficulties. ", the government is more concerned about people's livelihoods, focusing on solving the development problems of the people's most concerned, direct and realistic interests, focusing on the cause of social public ****, promoting the fairness and justice of social medical and health care resources, and focusing on solving the "lack of medical care and lack of medication" for the vast majority of the people, "The vast majority of the population lacks medical care and medication, while the majority of the population lacks medical care and medication. The key to promoting the healthy, rapid and sustainable development of urban community health services and new rural cooperative medicine is talent. Medical personnel resources suitable for urban community and new rural cooperative medical care are the first resource for the State to establish a harmonious social health service environment. Therefore, it is imperative to do a good job of cultivating talents in planning and implementation. In the author's opinion, training work should focus on the quantity and quality of medical staff in primary medical services. 2.1 The quantity of training should be able to meet the needs of urban community health services and rural new types in a short period of time.