Threshold 1: Qualification and registration are the most important. "Village doctors are not good!" Seeing the newly promulgated Regulations on the Management of Rural Doctors' Practice (hereinafter referred to as the Regulations), Fu Jiabin, a rural doctor who opened a clinic directly in Diaoguan Town, Shishou City, repeatedly lamented. Fu Jiabin, 55, has been a rural doctor for more than 30 years. At first, like all "barefoot doctors", he walked through the fields with a hoe in his left hand and a Red Cross medicine box on his right shoulder. "Before which tube what diploma qualifications? As long as you can prick the needle, you can be a village doctor, and the veterinarian will be a village doctor. " Fu Jiabin said. After decades of development, this "barefoot" army, including Fu Jiabin, has evolved into today's rural doctors, a unique rural health team in China, and built a huge rural medical and health network. "Rural doctors have great responsibilities, but in the past we had a headache for the management of rural doctors." Lv Jun, director of Shishou Health Bureau, said that before the promulgation of the regulations, there were no special laws and regulations to regulate the management of millions of rural doctors, and there was no reliable basis for the qualification of rural doctors. In order to rectify this uneven team, the city conducted a collective examination for all rural doctors in 2000. Among the eliminated 100 village doctors, there are many "father-son shops" and "husband-and-wife shops", some of which have no medical quality at all, and some are purely quacks. Lv Jun said that the promulgation of the "Regulations" not only gives managers a law to follow, but also is expected to really change the chaotic situation of rural doctors. Because the "Regulations" clearly stipulates that: the state implements the practice registration system for rural doctors, and the health administrative department of the county-level people's government is responsible for the practice registration of rural doctors; After obtaining the practicing certificate, rural doctors can engage in prevention, health care and general medical services in the employed village medical and health institutions; Those who have obtained the practice certificate of rural doctors without registration are not allowed to practice, otherwise they will face legal punishment. Threshold 2: The practice rules shall not be less than the wall of Yujiapeng Clinic in Jiaoshanhe Township, Shishou City. The list and price of essential drugs are clear at a glance. "The medicine is uniformly distributed by the town health center, and the official seal of the town health center is also stamped on the medicine box. It is absolutely impossible to make fraud." Xu Liangpeng, a doctor in the clinic, often patiently explains to villagers who come to see a doctor. Xu Liangpeng is telling the truth. In order to standardize the behavior of rural doctors, the city has unified the channels for purchasing medicines in rural clinics, and also requires rural doctors to "have vouchers for taking medicines, prescriptions for taking medicines, medical bills, and detailed income and expenditure". There are no rules, Fiona Fang. Xu Liangpeng understands that if the city does not formulate these practice rules, as before, clinics will fight price wars with each other and even buy fake drugs to earn "black money", and farmers will suffer. When he carefully read the new regulations, he found that the regulations were stricter and more detailed than the detailed rules formulated by the city, such as the "three prohibitions" clearly stipulated in the regulations: rural doctors should not reuse disposable medical devices and sanitary materials in their practice activities, and used disposable medical devices and sanitary materials should be disposed of according to regulations; Rural doctors shall not issue medical certificates that are irrelevant or inconsistent with the scope of practice, and shall not carry out experimental clinical medical activities; The health administrative departments of the people's governments of provinces, autonomous regions and municipalities directly under the Central Government shall, according to the general medical service scope of rural doctors, formulate a list of essential drugs for rural doctors, and rural doctors shall use drugs within the scope specified in the list of essential drugs for rural doctors. "With this spell, we are more at ease when we see a doctor and take medicine." Lao Fu, a farmer who is seeing a doctor in a health center, is full of expectations for the new "Regulations" to be implemented soon. "Farmers can not only get benefits, but also have a say in whether rural doctors are qualified." Wang Yuxin, director of the Diaoguan Town Health Center in this city, said that the Regulations stipulate that the assessment of rural doctors should fully listen to the opinions of the villagers' committees and villagers where rural doctors practice. Threshold 3: Training and assessment should be based on the training and assessment of rural doctors. Shishou City ranks among the best in the provinces. Even so, Lv Jun still thinks that the professional training of rural doctors is "not enough". He said that due to the constraints of realistic conditions, rural doctors have basically assumed the duties of "general practitioners", and they are responsible for general diseases regardless of internal medicine and surgery. Without knowledge, medical accidents or disputes are likely to occur. In order to avoid this situation as much as possible, the Organization clearly stipulates that rural doctors should receive training and take part in an assessment at least once every two years. Those who pass the exam can continue to practice, and those who fail the exam must apply for a second interview within 6 months. "Training assessment is not a hurdle, but the cost is the real hurdle." Lv Jun said that last year, the bureau spent 1 10,000 yuan to train rural doctors and distributed them to more than 400 rural doctors in the city. Each of them only has 25 yuan's training fee, and the difference is paid by the village doctors themselves. Fortunately, the new "Regulations" also stipulates that the training funds for rural doctors who undertake public services such as prevention and health care stipulated by the state should be included in the county-level fiscal budget. "I'm afraid it's a bit difficult to get a share of the county-level budget that is not plentiful." Lv Jun is worried that this rule will lead to the embarrassment of "only thunder and no rain". But with the improvement of rural medical system, people's quality is always the first. Lv Jun appealed that the government should first increase investment in the professional training of rural doctors. Only when millions of rural doctors are better trained and have more medical knowledge can we better weave a "health net" for 900 million farmers in China.