Tang Junhua and Wu Yanfang are both from Shangcun in Jingtouwei Town. From 2020, they will return to the village to practice medicine after graduation from school. Two people, two villages, a medicine cabinet, it will be gone in 20 years. In 20 years, the couple have traveled to every corner of the two villages. As the only doctor in the village clinic, the couple tried their best to serve the patients. Every morning, they are in their respective village clinics, receiving counseling, injections and taking medicine ... emergency treatment is preferred, and the elderly, the weak and the sick are preferred. Poor people should reduce or exempt medical expenses as appropriate. The couple undertake basic public health services, basic medical services, family doctor contract services, health and poverty alleviation in their respective villages.
In order to change the status quo of rural medical backwardness, we should start from the following aspects.
1, increase the financial expenditure of rural medical and health undertakings.
Medical and health care is related to the vital interests of the broad masses of the people and the coordinated development of economy and society. To develop medical and health undertakings, we must consider health equity. In view of the shortage of rural medical funds and insufficient government medical and health expenditure, which leads to the excessive burden on farmers and the decline in the fairness of rural medical and health services, increasing the financial tilt of rural medical and health services plays an important role in improving the health and living conditions of rural residents. As a purely subsidized consumption fund, rural medical and health financial expenditure can improve farmers' personal rate of return and ensure farmers' effective demand for high-quality and reliable medical services, thus reducing farmers' burden and increasing total social welfare.
2. Strengthen the management of medical and health teams and improve the service level of medical staff.
? (1) rationalize the employment mechanism. It is necessary to establish a pool of health technical talents, encourage existing college graduates to work in township hospitals, and improve the level of treatment. For example, their salary can be set higher and they can be promoted first under the same conditions. It is necessary to transfer some excellent medical personnel from medical units directly under the county level to support doctors in rural areas, take their specialties and specialties down, and train medical personnel in township hospitals before coming up. Their salaries, registered permanent residence and party member relations should all stay in their original units, and priority should be given to promotion and promotion.
? (2) Walking on multiple legs and strengthening the training of health technicians. First, strengthen academic training, and send medical staff without junior college or technical secondary school education to higher-level hospitals and medical schools for training in different forms; Strengthen the qualification examination, and conduct examinations for medical and health personnel who do not have the professional titles of practicing doctors and assistant practicing doctors, so that all of them can obtain professional titles.
3. Solidly promote medical reform and rationally allocate health resources.
According to the spirit of the Central Committee of the Communist Party of China and the State Council's "Decision on Further Strengthening Rural Health Work" and "Implementation Opinions on Medical and Health System Reform", we should do a good job in medical and health system reform in time, focus medical and health work on rural areas, make them serve the countryside and the people, make them bigger and stronger (county hospitals), and improve the hub construction (according to the principle of "overall planning and step-by-step implementation"). Consolidate the grass-roots foundation (village clinics), build a three-level health service network at county, township and village levels, tilt the allocation of medical and health resources to the central hospital, and realize the optimal allocation of medical and health resources and maximize benefits. Integrate village clinics, and set up central clinics for neighboring villages with relatively concentrated population and service radius less than 5 kilometers when there are many clinics in villages where township hospitals are located. Village clinics are no longer designed in the location of township governments (at present, most township governments are located in multiple rooms). Medical and health care is a public product, and we can only rely on the government to invest funds, integrate resources, optimize resource allocation, and achieve Pareto optimality.