村医没“名分”生活艰难 部分人揣执业证出门打工 Village doctor didn't"adoption"Life difficult part chuai practising certificate working out

　　据中国之声《新闻纵横》报道，近日，中国之声持续关注乡村医生在执业过程中所遇到的种种问题。比如补贴款不能及时发放到位、基本药物零差价导致的收入下降等等。

According to the sound of China[News aspect]reports,recently,The sound of China have been paying attention to rural doctors in practice were encountered in the course of a variety of problems.Such as BuTieKuan can't timely issue in place/Essential drugs zero price differentials in income decline, etc.

　　最近，中国之声也不断接到各地村医打来的电话，而他们反映最多、最集中的就是，村医到底是医生，还是农民？或者是有一些医药常识的农民？

recently,The sound of China also constantly received a telephone call from a village doctor around,And they reflect the most/The focus is,The village doctor is a doctor,Or farmers?Or maybe there is some medicine knowledge of farmers?

　　李小楼村位于河南省商丘市梁园区，2010口村民。老魏在这里，已经干了43年的村医工作了。在老魏10多平米的卫生所里，摆放着五张简易病床，床上的被褥一应俱全。但在记者采访的5个小时里，都没有村民来这里看病。老魏说，实行新农合了，村民们都愿意到卫生院去看病，基本药物要零差价销售，卫生所的日子过得很艰难。

Lee house village is located in shangqiu city, henan province LiangYuanOu,2010 the mouth.Old wei here,Have been doing for 43 years of village doctor work.In the old wei more than ten square meters health institute,Put five a simple bed,The bedclothes from soup to nuts.But the reporter the interview in five hours,The villagers didn't come here to see a doctor.Old wei said,Practice new farming combined a,The villagers are willing to go to the doctor to the health center,Essential drugs to zero spread sales,The days of health has a very hard life.

　　老魏：打工的多了，新农合都报销了，一般的都跑卫生院里去了，病号很少，收入少得不能再少了，有时候一个月也只是收个三百、二百的。你条件比不上乡医院的条件，又不能报销，你想谁还来？

Old wei:Work more,New farming together all the reimbursement,General all run health cinema went to,Patient rarely,Less income couldn't be less,Sometimes a month also just accept a three hundred/Two hundred.You can't compare with the condition of township hospital conditions,And cannot submit an expense account,Who do you want to come to?

　　除了给村民看病外，老魏还担负着很多其他的工作。

In addition to the villagers to see a doctor,Old wei will shoulder many other work.

　　老魏：老年病管理、老年人管理、公共档案、妇幼保健、儿童保健，都得乡村医生干，得一家一家的去调查、登记。

Old wei:Geriatric management/The old management/Public records/Maternity and child care/Child care,Have to rural doctors dry,Have a one to investigate/registration.

　　至于国家给的补贴，老魏苦笑了一下，然后给记者算了这么一笔账：

As for countries to the subsidies,Old wei forced a smile,And then to the reporter calculate such a bill:

　　老魏：俺一年四个乡村医生给的不到5000元，卫生局的还扣1380元：医疗完工费600，公共卫生完工费580，合作医疗处方费200，1380。

Old wei:An one year four rural doctors give less than 5000 yuan,Health also button is 1380 yuan:The completion of the medical cost 600,Public health completion cost 580,Cooperative medical prescription fee 200,1380.

　　除此之外，每年还要其它名目的费用：

In addition,Every year and other name objective cost:

　　老魏：再加上消毒监测费、办证还得要钱、医疗废弃物处理再收走600多，还剩多少钱？

Old wei:Plus disinfection monitoring fee/Rush also want money/Medical waste disposal to collect more than 600,Also remains how many money?

　　老魏的情况，并不是个例。记者调查了解到，山东、黑龙江、河北、四川、湖南、陕西等多个省份的村医，都不同程度地遇到了这样的困难——患者流失严重、补贴款难以及时足额到位，村卫生所的运营陷入了困顿之中。在河南村医老魏的卫生所里，记者注意到了一个存放处方的钉子板儿。老魏说，这是用来记录村民是否有欠账用的。

Old wei of the,Is not case-by-case.Reporter investigation understands,shandong/heilongjiang/hebei/sichuan/hunan/Shaanxi and other provinces of the village doctor,Different degree met such difficult - patients erosion is serious/The time and in the BuTieKuan difficult to reach the designated position,The village health clinic operations in the distress of.In henan village doctor old wei health institute,Reporter noticed a deposit prescription of the nail plate son.Old wei said,This is used to record the villagers have greatly used.

　　老魏：还不少呢，扎住左下角的，就是欠账的，扎住中心的，就是给钱的，一天还不能看三、俩个病人，还得有赊账的，习惯性的这样。到你这看病，拿钱也能看，不拿钱也能看。

Old wei:Also many?,Firm living in the lower left,Is of greatly,Firm live center,Is to give the money,One day can't see three/Two patients,Have to have the credit,Habitual such.To you to see a doctor,Take money also can see,Don't take money also can see.

　　都是邻里乡亲，赊欠是难免的。经营困难，使得部分地区的村医，甚至不得不违规经营非基本药物，来补贴收入方面的损失。

Are neighborhood folks,Credit is unavoidable.Management difficult,Make the village doctor parts,Even had to illegal business not essential drugs,To support their revenue loss.

　　四川村医：现在村卫生室里边只有几个品种是基药，其余品种全是非基药。

Sichuan village doctor:Now the village clinic in only a few varieties are base medicine,The rest of the whole variety is base medicine.

　　黑龙江省卫生厅药物政策与基本药物制度处处长梁法兴也表示，目前，部分村医的生活，的确有困难。

Heilongjiang provincial health bureau drug policy and essential drugs system is ChangLiang method and also said,At present,Part of the life of the village doctor,Have difficulty.

　　梁法兴：村医现在的困难有多少呢，房子是自己的房子，给公家服务；我的运营费包括我的电脑使用，水电费，我这都给老百姓服务了，我这怎么办？村医过去挣钱，你现在叫村医归队了，完了之后你就给这么点补助。

Beam method and:Village doctor now how many difficulties?,The house is his own house,To public service;My operating charges including my computer use,utilities,I this to people service,I do?Village doctor to earn money in the past,You now call back village doctor,After you give so dot subsidies.

　　各种困难之下，一些村医还在坚守：

Under various kinds of difficulties,Some village doctor still stick to:

　　村医：作为村卫生室人员，(病人)不是亲就是邻，人也都熟了，也舍不得离开这个地方，心里委屈也要干。

Village doctor:As the village clinic staff,(The patient)Not kiss is adjacent,People are familiar,Also reluctant to leave this place,Heart injustice will dry.

　　而一些地区的村医，则选择改行。河南的村医老魏说，他知道的，就有村医揣着执业证，出门打工的：

And some areas of village doctor,Chooses switching.Henan old wei village doctor said,He knows,There is abundant village doctor practicing certificate,Go out to work:

　　老魏：年轻的乡村医生很少，俺这南边这个，有助理医师证，现在拿着证出去打工，在家没有收入咋弄。

Old wei:The young rural doctors rarely,I this the south,A certificate of assistant medical practitioners,Now take card out job,At home have no income zha get.

　　安徽的一家乡镇卫生院院长也承认，现在，队伍有点散了：

One of the anhui rural hospitals dean admits,now,Team a little loose:

　　乡镇卫生院院长：现在目前我这支队伍里头，62个村医里头，年龄最大的都70多了，有很多都打退堂鼓了，这医改过后两年多吧，先后有十来个人已经走了，不愿意干了，因为待遇太低，并且还存在这么大的风险，工作量还重，导致一部分年轻人现在跳槽的多。

Township health center director:Now I this team inside,62 is a village doctor,The oldest is over 70,There are many have got cold feet,After the reform, it's more than two years,There have been ten to individual had already gone,Don't want to do,Because of low pay,And there is such a big risk,Workload is heavy,Cause a part of young people now job-hopping.

　　黑龙江省卫生厅药物政策与基本药物制度处处长梁法兴坦陈，村医们目前的确有身份的困惑，这需要国家的制度来解答：

Heilongjiang provincial health bureau drug policy and essential drugs system is ChangLiang method and pudong,The village doctor at present have identity confusion,This requires countries to solve the system:

　　梁法兴：村医现在也挺难。村医不知道他算啥。他算农民吧，他又搞医。所以，这也是他们的困惑。他要名分，他想要乡镇卫生院的名分，变成国家的人。这事咱说了不算。他这块网底还不能漏。这些问题，都得去顶层设计以后才能解决它的问题。

Beam method and:Village doctor now also pretty difficult.Village doctor don't know what he is.He is a farmer,,He make medical.so,This is their confusion.He will right,He wants to township health center of all,Become the person.This thing I said is not.He is the WangDe can't leak.These problems,Will have to go after the top design to solve its problem.

　　本月，国务院副总理李克强，在与基层医疗工作者的会谈时提出，乡村医生是整个医疗卫生服务的“网底”，只能加厚加牢，而不能削弱。要帮助他们改善执业条件、解决实际困难，留住他们，保障“网底”不破。

This month,Vice premier li keqiang,In primary care workers put forward the talks,Rural doctors are the medical and health service"WangDe",Only upset and firm,And not weaken.To help improve their practice conditions/Solve practical difficulties,Keep them,security"WangDe"Don't break.

　　目前，一些地方在解决村医的实际困难方面，已经在进行一些有益的探索。江苏逐步将符合条件的村卫生室新补充人员或取得执业(助理)医师资格的人员纳入乡镇卫生院编制统一管理，将乡村医生纳入城镇职工养老保险范围。浙江省今年将下派1000名“大学生村医”，试图解决村医队伍后继无人的困境。有收入、有身份、没有后顾之忧。或许，不久之后，村医们的这些梦想，会逐步变成现实。而健康中国的网底，也会越来越厚实，越来越牢固。(记者肖源)

At present,Some places in solving the practical problems of village doctor aspects,Is in some useful exploration.Jiangsu gradually will meet the conditions of the village clinic new added staff or get practice(assistant)The personnel of the qualifications of doctors in rural hospitals establishment unified management,The rural doctors into town worker endowment insurance coverage.Zhejiang province this year will XiaPa 1000"College students village doctor",Trying to solve the plight of subsequent team no one village doctor.Have income/as/No worries.maybe,Shortly after,The village doctor of these dreams,Will gradually become a reality.And healthy Chinese WangDe,Also will be more and more thick,Is more and more firm.(Reporter XiaoYuan)