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媒体称农村医改难题须关注 人才短缺服务差--亲民维稳网络舆情监测室
2012-12-03
农村医疗卫生基础仍十分薄弱,面临诸多问题亟待关注解决,主要有以下几个方面:
The rural medical and health foundation is still very weak,Facing many problems to be pay attention to solve,Mainly has the following several aspects:
农村医疗人才资源短缺 Rural medical talent resources shortage
由于闽北地处偏远山区,基础配套设施薄弱,经济、文化、医疗水平落后等劣势,造成闽北留不住现有优秀的医技人才,更无法吸引外来的医技人员,导致卫生服务质量不高。
Due to the north is located in the remote mountain area,Weak basis supporting facilities,economic/culture/Medical level backward disadvantage,Cause and north cannot keep existing excellent medical talents,Unable to attract more foreign medical technician,Lead to health service quality is not high.
南平市政协委员、光泽县医院院长张求水反映,光泽县6所乡镇卫生院和社区卫生服务中心人员编制总数为142名,在编在岗86人,缺编56名,取得执业资格的临床医生只有32人,具有中级职称的仅20人。连年招聘卫生技术人才,却年年招聘难,招不到人。今年乡镇卫生院公开招聘14个岗位,只能开考6个辅助医技岗位,而6个临床医生岗位和2个药剂岗位因无人报名而无法招聘。后继乏人的问题严重困扰着乡镇卫生院的正常运转,现有医务人员均身兼数职,工作担子重,省上组织的全科医师培训都无法抽调人员参训,导致公共卫生服务质量还处于初级水平,医疗技术水平得不到有效提升。
Nanping's political consultative conference (CPPCC)/Gloss county hospital director zhang asked for water reflect,Gloss 6 county rural hospitals and community health service center staff for a total of 142,Enrolled on-the-job 86 people,Vacancy 56 name,Professional qualifications to clinical doctors only 32 people,With intermediate title only 20 people.In successive years recruitment health technical personnel,But year by year recruitment difficult,Recruit no one.Township health center this year the open recruitment and jobs,Only KaiKao six auxiliary medical post,And six clinical doctor post and two agents post with no one to sign up to recruitment.The lack of serious problems troubling the normal operation of township health center,The existing medical personnel all multitasking,Work load heavy,The provincial organization general practitioner training can transfer personnel participation,Lead to public health service quality is still at the primary level,The medical technology level are not effectively improve.
村级卫生基础设施薄弱 Village-level health weak infrastructure
南平市政协委员、光泽县副县长肖光彪反映,乡镇卫生院建设力度加大,卫生院业务用房和医疗设备等方面有了较大改善。而村卫生所的建设滞后,许多卫生所业务用房不达标,大部分村卫生所基本的医疗设备不齐全,难以全面承担基本的诊疗服务职能。
Nanping's political consultative conference (CPPCC)/Gloss county deputy magistrate XiaoGuangBiao reflect,Township health center construction has been strengthened,Health center business occupancy and medical equipment has been greatly improved.And the village health clinic construction lag,Many clinic business occupancy not standard,Most of the village health clinic basic medical equipment is not complete,Difficult to fully accept basic medical services function.
抗生素滥用问题十分突出,医疗方式和手段存在严重的“西化”现象。医生为了自身的利益,大多采用西医手段治疗,患者图方便也喜欢看西医和输液。许多农村卫生所根本没有中医房,作为国粹的中医备受冷遇。此外,文化程度较低的群体极度缺乏基本的卫生保健常识,生活习惯十分不科学,健康状况堪忧。
Antibiotics abuse problem is very outstanding,Medical mode and means there are serious"westernization"phenomenon.The doctor in order to its own interests,Most of the western medicine treatment means,Patients chart convenient also like to see western medicine and infusion.Many rural health clinic no room of the traditional Chinese medicine,As the quintessence of traditional Chinese medicine is cold shoulder.In addition,Cultural level is relatively low group extreme lack of basic health care, common sense,Habits is not scientific,Health as poor.
“
"看病难”、“看病贵”问题依然存在 See a doctor difficult"/"The doctor your"Problems still exist
首先,由于大部分优质医疗设备和执业医师都集中在县级医院,农村特别是乡、村两级卫生人才和设备的不足,造成许多疾病就医还得往城里“跑”。一些常见病本可以在家门口的卫生所就医,但由于目前新农合尚未覆盖到村级,农民看病要到乡镇卫生院才能享受医保,对此,年龄大的和行动不便的群众深感不便。
First of all,Since most high quality medical equipment and medical practitioners are concentrated in the hospital at or above the county level,Rural especially township/Village two levels of health personnel and the shortage of the equipment,Cause many diseases doctor still have to go to the city"run".Some common diseases could in the doorway clinic doctor,But because the present new farming together has not covered village,Farmers a doctor to township health center can enjoy medical insurance,this,Older and action inconvenience people deeply inconvenience.
其次,由于治疗费用大幅提高,农民看病报销的比例不高,自费部分让农民难以承受。如小小的痔疮和阑尾切除手术,除去报销部分农民仍要负担2000元左右,大病就更让年收入十分有限的闽北农民无力承担,常常出现因病返贫,给扶贫开发工作带来新的压力。(陈文)
secondly,Because treatment costs increase,The proportion of farmers a doctor to submit an expense account is not high,At one's own expense part to let farmers hard to bear.Such as small piles and having your appendix removed,Submit an expense account to remove part of the farmers still have to burden 2000 yuan or so,A serious illness are more let income is very limited and north farmers cannot afford,Often appear poverty due to illness,Poverty alleviation work to bring new pressure.(there)
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