In fact, village clinics have always served the health of the grassroots, played a very important role in escorting our health, and will certainly play a greater role in the future. So is it reliable to go to the village health clinic to see a doctor? I think this is a lot of people's doubts, so dr. zhang will talk about this topic with you.
Traditionally, we think that most doctors in village clinics may not have studied in regular medical colleges, and a lot of knowledge and medication are obtained through simple training and self-study, but the study and application of some new theories and treatment methods are lagging behind, and even some doctors are transferred from barefoot doctors. In fact, the reality has changed now. At present, many young doctors learn the basic knowledge through systematic medical colleges, practice in regular hospitals for several years, and obtain the certificate of practicing doctor or practicing assistant doctor before they engage in village medicine. Moreover, our country is making great efforts to train them more professionally and let them learn more advanced medical knowledge. So from this perspective, most village doctors are still trustworthy. Therefore, you can still choose the village clinic to see common diseases, frequently-occurring diseases and mild diseases.
However, the medical conditions in village clinics are relatively poor, with little or no medical equipment, let alone large-scale medical equipment. The doctors in village clinics have insufficient experience in treating serious diseases. In this case, it is recommended that you choose a large medical institution. However, everyone may not be able to accurately judge their own situation. At this time, you can rely on the help of village doctors, who are relatively familiar with superior medical institutions and can provide valuable help for your referral.
Therefore, Dr. Zhang believes that village doctors and village clinics have rich experience in treating common diseases and frequently-occurring diseases, such as common cold and fever, so everyone can see a doctor with confidence. However, if it is seriously ill or critical, or if the village doctor thinks it is really necessary, it is still necessary to go to a higher medical institution for treatment.
It is not easy to work at the grassroots level, so I pay tribute to the vast number of rural doctors fighting at the grassroots level!
Rural clinics in China have been established for more than half a century. Can they survive today if they are unreliable? In the early days of China, there was a shortage of hospitals and medical staff, and rural clinics were responsible for the treatment and prevention of common and seasonal diseases of farmers. If there is no village doctor in rural areas, especially in remote mountainous areas, the disease mortality rate will be greatly improved. In our countryside, village doctors are very respected. Their profession is as respected as that of rural teachers, but their income cannot be compared with that of teachers. Village doctors are generally very diligent, no matter day or night, windy and rainy, and cold in summer, as long as there are patients' families knocking at the door, they will be moved by the sound. With him and her is a red "Ten" medicine box and a dog stick.
Although village doctors have the lowest status and the least treatment among medical staff, sparrows are small and complete. Among all kinds of diseases of adults and children in rural areas, rural doctors do not divide subjects. As long as they come into contact with patients, see, smell, listen and feel their pulse, they will immediately formulate treatment plans. Or infusion, or injection, or medication, for some difficult and severe cases, after simple treatment, it will be suggested to go to a big hospital for treatment immediately, and never delay the treatment time.
Rural clinics can only strengthen management and attach importance to support. We should not only care about village doctors politically, but also help them in life, gradually improve their treatment, and create a good environment for village doctors to stay and not leave!
Village clinic is a medical institution set up by doctors and village committees with at least village doctor certificates, which is an important part of county, township and village health network and plays an irreplaceable role in the prevention and treatment of common and frequently-occurring diseases of villagers. They have always been an important force in China's health cause, and have carried out the goal of "minor diseases do not leave the village, common diseases do not leave the village, and serious diseases do not leave the county". For this reason, from our positioning of village clinics, common diseases such as colds can be diagnosed and treated in village clinics for the convenience of patients. However, if there is an emergency or serious illness, you should go to a medical institution above the township health center in time to avoid missing the patient.
Dr. Zheng has many difficulties. As a superior doctor, it is irresponsible for you to say that rural clinics are unreliable. Have you done any research? Have you ever worked at a lower level? Don't think that you are in a superior hospital. If you leave the high-end instrument for examination, you may not be able to surpass the village doctor in diagnosis. As far as our village clinics are concerned, they all have the qualification certificates of national practicing doctors and assistant doctors, and have gone to higher-level hospitals for further study many times, just like your scientific research level. The five of us have about 26,000 outpatient visits every year, so we can be familiar with the diagnosis and treatment of common and frequently-occurring diseases in rural areas, deal with emergency quickly, and be responsible for a lot of work such as public health, health and poverty alleviation within our jurisdiction. Compared with you, village doctors have never been worse at work than you without your rest days and holidays, your senior professional title, your retirement security and your high salary.
Don't underestimate village-level health institutions, let alone village doctors. When I used to work in township hospitals, I often contacted and dealt with them. Because it is an upper and lower medical unit, the patients sent to me need further diagnosis and treatment in order to get more accurate treatment. Often some patients get the same results as them. These doctors run around among the people all the year round, have deep feelings with the people, have medical ethics, experience and good medical skills. That is to say, these people all went to work in township hospitals later. It is because these people have a mass base, clinical experience and medical skills. As the saying goes, small pharmacies also have ginseng, so you must be impressed.
I am a rural doctor, and what I said may represent the voice of some rural doctors.
Rural clinics only undertake some basic medical security of medical institutions, and it is forbidden to do things beyond their own institutional capacity. The meaning of this sentence is that the laws and regulations are clear, and rural clinics can only do some basic infusions (now it is a friendly reminder not to infuse, but it is not enforced), sell medicines, take blood pressure for the people free of charge, monitor the epidemic situation with blood sugar, and then there are public health projects, write files and so on. This is what rural doctors can do. For example, I watched TV news many years ago and reported a case of burn compensation in a clinic. Because a child was badly burned, when I first went there, the township doctor saw that the condition was serious and refused to take it. Later, I let a friend drag it and let the township doctor take it. I can't control the infection if I drop a bottle (there are no good anti-inflammatory drugs for basic drugs in rural clinics). The parents of the children's family immediately turned against each other and said that the township doctors had been cured. They appealed and called the TV station to expose them. Transfer to the hospital to control the condition and then compensate, about 300 thousand. The final conclusion is that it is not illegal, but it is beyond the treatment scope of rural clinics. The mediator went into hiding.
This is a township doctor. The doctor walked on the tip of the knife. Every township doctor has his own professional medical record. However, in the event of an accident, it is the township doctors who are unlucky. Be careful to protect yourself. You still have to take the fall. You can't cure a cold, quack. It's not good to see a doctor just by making money.
I once met a patient who was allergic to levofloxacin. I was so scared that I was sweating all over and my legs were weak. Fortunately, I always had anti-allergic drugs before infusion (the teacher who led the team during the internship said that an infusion bottle should be equipped with a dexamethasone antidote to prevent allergies). After that, I stopped infusion and dried up my Chinese medicine and acupuncture. Every time the dose is small and the course of treatment is long, I am safe. The only thing that is bad for patients is taking medicine for a long time and spending a lot of money. Finally succeeded. Because today's industry, we must protect ourselves in order to do it for a long time.
Please be considerate of rural doctors and understand their difficulties. There is no omnipotent fairy in the world, and there is no omnipotent country doctor. Rural doctors are the lowest class in society. Of course, there are also rural doctors who are no longer good at nature. This also has a lot to do with it. Rat shit spoiled a pot of soup. No one is perfect. It's no problem to see a country doctor.
On June 26th, 1965, Mao Zedong proposed to focus on rural areas. The main manpower and material resources should be put on the prevention and medical treatment of some common diseases, frequently-occurring diseases and common diseases. On September 2 1 of the same year, the Central Committee approved the report of the Party Committee of the Ministry of Health on focusing health work on rural areas. This is the origin of rural clinics. For half a century, rural clinics have undertaken primary medical care and epidemic prevention work in rural areas throughout the country. There are1400,000 rural doctors in China who are committed to hygiene and health. Began to call barefoot doctors, while farming and seeing a doctor, no salary, lack of medicine, and some also used Chinese herbal medicines in mountainous areas to treat the masses. The average life expectancy in China has increased from early forties to 20 17, and that in China has reached 76.7 years. These achievements are inseparable from the efforts of rural doctors.
In recent years, with people's living standards getting higher and higher, they have more and more money in their hands. Go to a big hospital, big or small. Some young people think that village doctors are unreliable, but in fact they are wrong. In recent years, China's graded medical care has not been done well, which has made big hospitals overcrowded. Since the 18th National Congress of the Communist Party of China, with the progress of medical reform, graded medical care has been gradually pushed forward, and doctors have to go to clinics and village clinics first. Minor illness is treated immediately, and serious illness is transferred to the corresponding big hospital through initial diagnosis. In addition, the state has increased the investment and construction of rural doctors, and gradually improved the level of rural doctors from personnel training to infrastructure construction. This makes the medical resources develop in a balanced way. In order to ensure a well-off society.
As long as the doctors in the clinic have medical skills and skills, I suggest you go to the village clinic to see if you are sick! Because it is simple and convenient!
Like me, I am a doctor in the village clinic, a medical practitioner with a general intermediate title, and have been practicing medicine for 25 years. I have education and experience, and can handle common diseases and frequently-occurring diseases skillfully and correctly. It's simple and convenient to come to see me, see a doctor, charge for it, and fill it. Generally, the waiting time will not exceed 15 minutes. Why not? !
Only mowgli doctor to answer this question:
Is it reliable to see a doctor in the village clinic?
First, the role of village clinics.
First-line clinicians are on the scene,
At the scene, I have a say!
From more than forty years of hearing and seeing, I deeply realized the great role of rural doctors; Their role is irreplaceable.
Since its establishment, village clinics have played an important role in the national medical and health network system.
These rural doctors in the most common, grass-roots and worst-paid positions really solve the problem of difficult and expensive medical treatment;
Most people born in rural areas have the experience of seeing a doctor in a village doctor;
It is time-consuming and expensive for the elderly and infirm patients with inconvenient legs and feet to need their children to serve in large hospitals. So they prefer to go to the village clinic to see a doctor, because it is cheap, cheap, convenient and convenient!
It plays an important role in epidemic prevention, disease investigation and health management.
Country doctors go door to door!
Second, what is the level of village doctors?
In more than 30 years of clinical work, I have contacted hundreds of rural doctors and have a deep understanding of their medical level.
Most of them are competent, and they are all born general practitioners.
Their scope of authority:
Diagnose appendicitis; Do some minor operations, debridement, suture, dressing and dressing change;
Venous needle technique is not worse than that of general nurses;
Can diagnose and treat upper respiratory tract infection, bronchitis, pneumonia, etc.
Can effectively treat gastritis, cholecystitis, enteritis, etc.
Have certain diagnosis and treatment techniques for hypertension, diabetes, gout, urinary sensation, gynecological diseases, common infectious diseases and skin diseases;
There are also many rural doctors who can prescribe Chinese medicine.
Have certain ability to distinguish between critical and emergency situations.
……
As mentioned above, it is very reliable to see a doctor within your own ability.
Third, the status quo of rural doctors.
With the retirement of old rural doctors, a group of middle-aged rural doctors have become the backbone of their business.
Unlike some people's imagination, these rural doctors have no professional quality, skills, on-the-job training and continuing education.
Among them, there are many graduates from health schools and junior colleges, as well as secondary school students and junior college students; Many people have licensed assistant doctors and licensed doctors; Many people have the title of attending physician; They have gone through many rounds of training at different levels; They have the same follow-up certificate as those "superior" doctors.
Due to the improvement of residents' economic level and the pursuit of health services, the medical activities of rural doctors are declining.
Patients poured into the tertiary hospital. Is the quality of medical service per minute high?
The policy orientation of big health service makes rural doctors focus on pregnancy management, family signing, follow-up, chronic disease management, mental illness registration, data reporting and other matters.
In any case, rural doctors, like specialists, are all members of the big family of doctors, and they all serve the people's health for life.
Fourth, the balanced development of graded diagnosis and treatment and medical resources.
Rural doctors are an indispensable part of graded diagnosis and treatment. For the balanced development of medical resources, don't ignore the diagnosis and treatment technology of rural doctors.
For half a century, farmers' headaches, brain fever, common diseases, frequently-occurring diseases and infectious diseases (in those years when doctors were short of medicines, plagues, endemic diseases, influenza, measles, mumps, leptospirosis, etc.) were all folk doctors. The village clinics in the local villages all use Chinese herbal medicines, one needle and one handful of grass, and the people have saved many precious lives of grassroots people unilaterally. The life and health of ordinary people at the grass-roots level have been maintained, and only when they get some particularly serious diseases can they go to the county hospital to see a doctor (because in that special era, the traffic was very backward and there was no means of transportation, and people were carrying poles, so it is conceivable how difficult and expensive it was for ordinary people to see a doctor). Thanks to rural grass-roots clinics (then called medical stations), rural doctors overcame unimaginable difficulties and took huge medical risks. Nowadays, young people who can know the hard times in the society, and old village doctors who are over 70 years old will never forget that unforgettable historical era. What does it mean that some people put these words forward as false propositions now? It is nothing more than discriminating, despising, belittling, crowding out and slandering these old village doctors and these folk doctors. The old village doctors were mercilessly abandoned and marginalized by the society, killing the donkey and kicking the bridge. ...