“小药箱大变化”：中国乡村医生服务转型 "Small box big changes":Chinese rural doctors service transformation

　　血糖仪、血压计、量身高的皮尺……如今乡村医生丁小林的出诊箱里，不再只是应急用的药品和注射器。

Blood glucose meter/Blood pressure monitor/Height of the tape measure...Box of Ding Xiaolin rural doctors visit today,No longer just a case of emergency drugs and syringes.

　　34岁的丁小林是江西瑞昌市范镇源源村的乡村医生，也是村里183户村民的签约服务医生。每个季度，他都要为村里高血压、糖尿病等慢性病患者做一次上门筛查和随访。

34 Ding Xiaolin ruichang city in jiangxi province is fan town village, village doctor,Also 183 villagers signed service doctor in the village.Each quarter,He is for high blood pressure in the village/A chronic disease, such as diabetes for a door-to-door screening and follow-up.

　　“老人家，您的血压又有些高了，要按时吃降压药。”在70岁的村民沈衍昌家中，丁小林为老人量完血压后，嘱咐他按时用药、低盐饮食。

"Old man's house,Your blood pressure is a little high again,To eat blood pressure medication on time."In the 70 - year - old villager Shen Yanchang home,Ding Xiaolin quantity after the blood pressure for old people,Charged him medication on time/A low salt diet.

　　与以往多在诊所给村民看病不同，这大半年来，丁小林经常要进村入户，为村民建立健康档案，为村里65岁以上老人、孕产妇、6岁以下儿童等重点人群做定期体检。

Clinic to see the villagers in more different,The rectified to,Ding Xiaolin often to village and household,For the villagers to establish health files,For people over age 65 in the village/maternal/Children under the age of six key people doing regular physical examination.

　　“如今患有高血压、糖尿病等慢性疾病的村民越来越多，但农村素来重医轻防，大多数农民自我保健意识还很欠缺。”丁小林说。

"Now suffering from high blood pressure/More and more villagers chronic illnesses such as diabetes,But rural areas have heavy medical proof,Most farmers self health care consciousness is still very lack."Ding Xiaolin said.

　　近年来，中国政府面向城乡居民免费提供包括健康档案管理在内的10类41项基本公共卫生服务，基层医疗卫生机构的服务重心也开始向基本医疗和基本公共卫生服务转变。

In recent years,The Chinese government geared to the needs of urban and rural residents provided free of charge, including health records management, 10 class 41 basic public health services,Grassroots medical institutions service also began to focus to basic medical and public health services.

　　2012年，江西、山东等省试点实施乡村医生和村民开展签约服务，以契约形式，规定乡村医生要为签约村民建立居民健康档案，做好妇幼保健、老年人慢性病健康管理、预防接种、传染病和突发公共卫生事件的报告处理等基本公共卫生服务。

In 2012,,jiangxi/Shandong province pilot implementation of rural doctors and villagers to carry out the contract services,In the form of contract,Provisions of rural doctors for signing villagers build residents' health records,Completes the maternal and child health care/The elderly chronic disease health management/vaccination/Reports of infectious diseases and public health emergencies handling and so on basic public health services.

　　“以契约形式固定下来，更能明确村民所应该享有的健康权益，保证村民得到符合标准、规范的基本公共卫生服务。”江西省卫生厅副厅长曾传美说。

"Fixed in the form of contract,Can clear more villagers should enjoy the health rights and interests,Ensure that villagers receive up to the standard/Specification of basic public health services."Jiangxi province health department was appointed deputy director-general of the who ChuanMei said.

　　与此相应，中国政府建立了基本公共卫生服务经费保障机制，2012年人均基本公共服务经费标准为25元，2013年又提高到30元，政府采取购买服务方式给予基层医疗机构补偿，乡村医生承担公共卫生服务也可得到政府补助。

With the corresponding,The Chinese government established the mechanism for ensuring adequate funding for basic public health services,In 2012 the per capita expenditures on basic public service for 25 yuan,In 2013, up to 30 yuan,Government purchasing service grassroots medical institutions compensation way,Rural doctors undertake public health service also can get government subsidies.

　　江西省将40%的基本公共卫生服务任务交给乡村医生承担，另外60%由乡镇卫生院承担。2012年，丁小林每完成一个村民的基本公共卫生服务，都能从政府获得10元的补助。

Jiangxi will be 40% of the basic public health services to rural doctors,The other 60% shall be borne by the towns and townships.In 2012,,Ding Xiaolin complete each villager's basic public health services,Can get 10 dollars from the government subsidies.

　　“去年我一共获得补助7000多元，今年政府工作报告里提到经费标准更高了。”丁小林说。

"Last year I was subsidized 7000 yuan in total,This year's government work report mentioned funds with higher standard."Ding Xiaolin said.

　　为沈衍昌老人检查结束后，丁小林取出出诊箱里的工作日志薄，将老人的血压、心率等情况一一记录，最后由老人按指印确认。

For Shen Yanchang after the old man to check,Ding Xiaolin box out consultation work log sheet,Will the old man's blood pressure/Heart rate, and so on and so forth record one by one,Finally confirmed by the old man the thumbprint.

　　“这样既记录老人病情变化，同时也监督我们的工作完成情况。”丁小林说，年终卫生行政部门将根据工作日志薄抽查、考核各项服务的完成情况，然后核发乡村医生补助。

"This not only record the change of the old man's condition,At the same time oversee the completion of our work."Ding Xiaolin said,Annual health administrative departments will work according to the log thin spot check/The completion of the inspection services,And issued by the village doctor.

　　沈衍昌老人告诉记者，没想到自己还能在家享受到这些健康服务，如今身体不适时，他都会打电话找丁小林问诊咨询。(记者 高皓亮)

Shen Yanchang claus told reporters,Didn't think I can at home to enjoy the health service,Now the body not timely,He will call Ding Xiaolin interrogation.(The reporter Gao Haoliang)