Five big problems stand in the hygiene at village level in my eyes

Five big problems stand in the hygiene at village level in my eyes
Five big problems stand in the hygiene at village level in my eyes
Sichuan Province the intersection of Longchang and county the intersection of CPPCC and Li moist author unite defend the member of the CPPCC National Committee of the circle by some medicine recently, stand to some at village level hygiene current situation go on make investigations, finding villaging hygiene standing, having some to be solved problem urgently also. No rational enough that the overall arrangement. Because population distribution, economic condition, business income and former health clinics in towns and townships reform system, lead to the fact the overall arrangement standing in hygiene of village is not very rational. Stand in order to pursue the economic benefits, select site at the place where village gets this near the playground town one after another in most village hygiene, there are playground towns within the range of fewer than one sq. km.ing, there are hygiene websites of more than 10 villages. After the former health clinics in towns and townships reform system, run hygiene standing or individual clinic in some workers of health clinics in towns and townships towns or urban areas present, this increases the urban hygiene standing and quantity of the individual clinic even more. Inconvenient in those traffic, the side distant mountain village where the economic condition is bad, stand relatively less in hygiene, even many villages are a blank. The function is given play to and offsetted. As network bottom and foundation of the rural tertiary medical prevention and health care network, stand and should rely mainly on preventing in hygiene of village, prevent and cure and combine. Its main function should be to do the basic prevention and health care in this area under control well actively, the handling of public health emergency, report, education and birth control services of recovering, make a diagnosis and give treatment the intersection of slight injury and light disease for peasant, make, punish and change the place of examination, escort tentatively to worried serious difficult patient. But because some units of understanding that the public health belong to social public beneficial undertaking are fuzzy, engaged in defending assuaring the work does not have any economy that is replenished. On the contrary, the personnel -proof subsidies of beast at village level are all implemented better, cause social relevant colonies to generally think " the people's air defense is not so good as beasts to defend " . So, several rural doctor, to defending assuaring that there are opinion and view in work free, for the prevention and health care the effective development working, plan immune effective implementation, meet an urgent need to reflect the balanced development with comprehensive service ability has brought certain adverse effect. The mechanism of management is not smooth. Though the intersection of county and hygiene, medicine supervise with the intersection of villages and towns and the intersection of in the center and commune hospital standing have management system and measure to the intersection of village and hygiene, it is operated by way of individual operation but because stand in hygiene of village, and it is polyhedral and wide to click, hygiene, medicine supervise and the management of the commune hospital of centre is often too far away to be helped, it is very difficult to cover all; In addition governments at all levels and department lack essential basic construction input, put forward the requirement more, care that supports it little, cause the management function to weaken, often have the list is by no means exhaustive, " solve one problem only to find another cropping up " And the perfunctory phenomenon takes place. The doctor has different quality. Because several rural doctor have not been trained regular medical science, what the big in recent years, special secondary school student supplemented to the rural doctor's team is few, it is very outstanding to cause the problem that lower, professionaller structure of the comprehensive medical level of the existing rural doctor's team is unreasonable. Stand in the hygiene of village that we survey and study in 1218 existing rural doctors, 78 people obtained operation doctor's qualification, accounts for 6.4%; Only 116 people who obtain operation qualifications of assistant and doctor, accounts for 9.5%, except that in the urban operation, say to be very few in rural operation. All rural doctors in the rural operation, professional ability is different, the majority lacks corresponding knowledge and skill such as preventing, health care, health consultation. It is insufficient to put the infrastructure into. The intersection of county and at village level hygiene that we survey and study it stands to be operation in individual way, lack self- delayed effect of development often, in addition Party Committee, government at all levels realize deviation and financial difficulty on, lead to the fact it is put into seriously and insufficiently that the infrastructure stands in the hygiene of village. It shows concretely as follows: Facilities are outmoded, still only using " third one "s such as the stethoscope, thermometer, sphygmomanometer,etc. of 90% It is disease that the patient makes a diagnosis and gives treatment; Area of house of business is not enough, the majority fails to make sure " room three is separated " ,Some are even renting production team's old rooms of cob wall, dilapidated houses in period the past; Defending personnel's knowledge of the skill can't be upgraded to age in time. Investigation, analysis of the current situation of the development through standing to the hygiene at village level, I propose the following suggestions. 1.Make management system in order, solve the problem that administrative structure and management function are fuzzy especially. First, the commune hospitals of centres of villages and towns row one slice of management systems there are a lot of disadvantages, the emergency is managed for guidance, the hygiene administrative responsibile institution in the county manages all health clinics in towns and townships directly, take shape: County office - -Health clinics in towns and townships - -Management system standing in hygiene of village. Have so already helped to lighten burden and pressure of the commune hospital in the centre of one block of districts, can arouse the enthusiasm of all health clinics in towns and townships effectively, avoid being " in charge of and pay no attention to " each standing in hygiene of village even more Emergence of the phenomenon. Second, explore the integrated management mode of town village standing in hygiene of village actively, define the responsibility in the government, village committee stand and manage in the hygiene, overcome " only use and leave alone " Emergence of the phenomenon. To in urban area and the intersection of field and at village level the intersection of hygiene and station of town, can alteration stand for street or the intersection of community and hygiene on the basis of exercising restraint in setting up, individual clinic, avoid causing to society and misunderstanding. 2.Should pay attention to accomplishing " Four combination " . In management and construction standing in hygiene of village, hygiene administrative responsibile institution of the county, villages and towns Party Committee, the government and village " two committees " ,Should all pay attention to construction stands in new rural construction and hygiene of village to combine together; The rural doctor obtains employment and returns to the employment of graduates of university, junior college and special secondary school of the township and combines together; Select, send off and bank up the rural doctor with earth and love the strong-willed young man whose rural medicine defends the undertaking for combining together; Allocate being of the family planning of the village specially or village cadre and choosing the outstanding rural doctor and combining together. 3.Strengthen personnel's management. Should continue insisting and improving the past entry making, organization's examination and approval system, responsibility investigation, medical quality and security of those effectual personnel are supervised and guided and made etc., cooperate with the related departments to attack and practise medicine illegally sternly, purify the rural medical market. Meanwhile, plan according to personnel training, carry on multi-channel, multi-form continuing education to the rural doctor, improve the rural doctor's ideological and ethical standards and engineering level of the business constantly. 4.Strengthen government's responsibility and input, offer essential financial support for construction and development standing in hygiene of village. First, according to public beneficial principle of hygiene industry, county, the intersection of township and two finance should allocate special funds in a planned way every year, used in inconvenient traffic those, economic the intersection of condition and bad outlying rural capital construction and basic medical device layout that hygiene stand, especially does not there is not a blank village standing in hygiene of village at present. Second, carry out the central authorities, spirit of the State Council conscientiously, is engaged in the public health event of prevention and health care, treatment to replenish the rural doctor, guarantee countryside defend, protect, work necessary funds, turn back " people's air defense not so good as beasts prevent from " Awkward situation. Third, make the relevant policy and place the focal point of medicine and health work on the countryside, encourage, have medical practitioner, the intersection of operation and nurse practitioner and doctor of operation assistant medical worker all kinds of of qualification reach rural hygiene stand, work.


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