At last year's two sessions, Qian Xueming, member of the Chinese People's Political Consultative Conference (CPPCC) and chairman of Guangxi Committee of Democratic National Construction Association, expressed concern about this issue, hoping that journalists could personally understand the actual situation of township hospitals. Since last year, reporters have investigated the situation of township hospitals in Hebei Province and Shandong Province respectively, and found that many so-called "doctors" in township hospitals have not received formal medical education, and many "deans" in township hospitals have not even studied medicine for a day. There are many difficulties in retaining talents in township hospitals, which leads to a vicious circle and leads to patients having to go out for medical treatment.
Summary of the National People's Congress's proposals in 20 18
20 18 NPC, CPPCC government work report (full text) 20 18 NPC, CPPCC education reform 20 18 NPC, CPPCC property tax conference 20 18 medical reform 20 18 China will do these 60 major events 20/kloc-0. Two sessions 20 18 public institution reform 20 18 pension increase and tax reform 20 18 teacher salary two sessions
"If township hospitals in developed areas lack qualified doctors, this is a universal problem, and the reasons should be found in the management system." Qian Xueming, who has been concerned about this issue for some time, told China Economic Times reporter that township hospitals should not only give people injections to treat diseases, but also be responsible for public health, epidemic prevention and health care, training village doctors, managing and guiding village clinics. So it's called township hospitals, not township hospitals.
Qian Xueming said that most medical graduates have entered township hospitals, and it is difficult to see the bright future of their personal career development. In addition, the living conditions and working environment in towns and villages are obviously inferior to those in counties and cities, which leads to the reluctance of most medical graduates to enter township hospitals, and even if they do, they will leave. According to Qian Xueming, from 2009 to 20 1 1 year, there were 7,433 health technicians in township hospitals in Guangxi, including 55 14 with professional qualifications, and the turnover rate of township hospitals in Shanglin County was nearly 50%.
How to help township hospitals retain and train talents to better serve the rural people? Committee member Qian Xueming proposed that the reform of county and township medical and health integration should be carried out from three aspects: the management system of hospitals, the training and use of doctors, and the functional transformation of management departments. The specific way is to bring township hospitals into the unified management of county hospitals, and the medical staff of township hospitals are compiled in county hospitals. Medical graduates first undergo clinical probation in county hospitals, and after obtaining the qualification of doctors, they are rotated to township hospitals. After reaching a certain number of years, they will be rotated back to county hospitals to further improve their level and professional titles, and then rotated to township hospitals to maintain different levels of doctors to provide medical services to township farmers all the year round.
At his suggestion, Qian Xueming came to Shanglin County, Guangxi for a pilot project. With the support of Guangxi Health Planning Commission, Shanglin County, Guangxi introduced a reform plan for the integration of county and township medical services, and achieved remarkable results: First, township hospitals have good doctors, which not only facilitates farmers to see a doctor, but also reduces medical costs; Second, the two-way flow of doctors and two-way referral of patients have been realized, which not only makes the township hospitals develop, but also makes the county hospitals develop in an all-round way through resource integration; Third, the health authorities have changed from running health centers to supervising health centers and county hospitals, which not only straightened out the relationship between the two sides, but also strengthened the supervision function.
The National Health Planning Commission made a special trip to Shanglin County, Guangxi in June 1 1, and affirmed the reform plan of Shanglin County and put forward some matters needing attention. On the eve of the two sessions, the reporter learned from Wei Zhipeng, secretary of Shanglin County Party Committee, that since the reform was implemented in Shanglin for three months, the number of patients and medical services received by most township hospitals in this county have doubled compared with the same period last year. Moreover, this reform has been welcomed by the local people, and farmers can get the treatment level of county hospitals in township hospitals.
Qian Xueming summarized the pilot project of Shanglin in Guangxi into this year's proposal and brought it to the two sessions. He hopes that this achievement can be popularized in township hospitals all over the country to solve the problem of farmers' difficulty in seeing a doctor.
In order to build township hospitals and better solve the problem of medical treatment for rural people, Qian Xueming suggested:
First, reform the existing management system of township hospitals. Through the integrated reform of county hospitals and township hospitals, the establishment of doctors is placed in county hospitals. Through similar chain operation, county hospitals can improve the standardized management level of township hospitals and enhance the medical service and public health management capabilities.
The second is to define the public welfare orientation of county hospitals to meet the basic medical service needs of the people. After the integration of counties and townships, it is necessary to define the public welfare orientation of county hospitals, meet the needs of local people for basic medical and health services, and further strengthen the public welfare functions of township hospitals.
The third is to encourage social capital to enter the medical field, accelerate the development of private hospitals and meet diversified needs. Through financial support, preferential policies and other measures, encourage the establishment of high-level, large-scale medical institutions or hospitals to develop in groups, and encourage them to open branches in counties to form large-scale chain operations.
Fourth, government management departments should change their functions and strengthen supervision. With the reform of county and township integration, the relevant administrative departments have changed from "running hospitals" to "managing medical care", becoming the standard setters, operation supervisors and behavioral norms of medical and health services in their respective jurisdictions, which is more conducive to doing a good job in public health and medical services;