How to solve rural medical problems? The project has covered 49 national poverty-stricken counties, 4,083 administrative village clinics,10,742 rural doctors, benefited 2 million poor families, and established 303,428 filing cards, with114,480 poor people. On June 4th, Wang Huibo, Director of Rural Doctors' Project of Shanghai Fosun Foundation, reported that the Rural Doctors' Health Poverty Alleviation Project (hereinafter referred to as "Rural Doctors' Project") started at the end of October17 and ended in 2065433. However, in the face of 6.5438+0.5 million rural doctors and 30 million poor people in China, the rate of poverty caused by illness and returning to poverty is 42%, and the coverage of the rural doctor program is still very small. Zhu, senior assistant to Fosun President and director of Fosun Foundation, used the words "far beyond imagination" when summing up the rural doctors' health poverty alleviation project: "The situation in China county is far beyond imagination, the people's expectations for rural medical improvement are far beyond imagination, and the difficulties in the future are far beyond imagination. On April 16, the national leaders pointed out at the symposium on the outstanding problems of "two worries and three guarantees" in Chongqing: "Overall, the" two worries "have been basically solved, and there are still many weak links in the" three guarantees ". Medical security is particularly prominent in the "three guarantees", and it is only the last year and a half before the goal of comprehensive poverty alleviation in 2020 is realized. It can be said that health poverty alleviation has really entered the stage of "general attack". On June 4-6, representatives from Shanghai Fosun Foundation, China Population Welfare Foundation, Health News and medical circles, under the leadership of Deputy Director Zhu Hongming, braved the high temperature to visit several township health centers, village clinics and poor households in Zheng 'an and Xishui counties, and exchanged views with county, township and village departments. Although they have seen the achievements of the rural doctor project for more than a year, they have seen a huge gap with the actual needs of the grassroots. " "A hundred people struggle for the flow, and the contender is the first; Qian Fan strives for success, and the brave will win. "As the directors said in their concluding remarks, health and poverty alleviation still need to explore new ways. On February 29th, 2065438+0717, Fosun Foundation joined hands with Health News to launch the "Health Poverty Alleviation Project for Rural Doctors" in an attempt to solve the rural medical problems in China. On the one hand, the rapid urbanization has brought about the hollowing out of the countryside, and the main people left behind in the countryside are the elderly and children; Secondly, the improvement of living standards has greatly changed the pedigree of common diseases in rural areas of China, and the incidence of "three high" chronic diseases in rural areas has risen rapidly. However, the rural doctor system that has not been formally compiled is seriously "aging". In addition to the large-scale loss of rural doctors, the skills of those who stick to their posts are not suitable for the current needs. With the deepening of the fight against poverty in various places, the rate of returning to poverty due to illness has not decreased, but has increased. Healthy poverty alleviation has become the most difficult "hard bone" in various poverty alleviation work. Yuan Tao, director of the Health Bureau of Xishui County, Guizhou Province, is deeply touched by the bottleneck of "low level" of rural doctors. Take Xishui County, which just took off its hat, as an example, its rural doctor education level is at a medium level in Guizhou Province. With the promotion of the three-year "Learning Plan for Rural Doctors in Technical Secondary Schools" of Guizhou Provincial Health and Health Commission, the academic level of rural doctors in the county reached 100% in 20 18. This is directly related to the fact that Sun Zhigang, secretary of Guizhou Provincial Party Committee, attaches great importance to primary health problems, Zhu Hongming said. Sun was directly transferred to Guizhou from the position of deputy director of the Health Planning Commission, and the general professional level of rural doctors in other provinces will only be worse. Nevertheless, during the visit, the delegation found that most of the existing elderly rural doctors lack the motivation to improve their knowledge and skills and obtain professional doctor qualifications because of their age; However, rural doctors are poorly paid, insecure and lack mobility, which is basically unattractive to young medical graduates. Director Yuan Tao said that Guizhou has begun to improve this problem. On the one hand, it is necessary to provide old-age security for elderly village doctors to ensure that they have no worries after retirement. On the other hand, expand the establishment, implement the reform of village doctors' filing system, and be managed by township hospitals. After working for a certain number of years, you can transfer to township hospitals or even county hospitals. At the same time, in order to continuously improve the level of rural doctors, the learning mechanism of rural doctors in towns, counties and provinces can be implemented to provide development space for rural doctors' professional growth. Zhu Hongming, deputy director of the primary health care department, agrees with this idea. He believes that for some village doctors whose current level is difficult to improve, their work can be based on public health services, hoping that they should be placed on younger and more potential village doctors. How does the Fosun rural doctor program serve rural medical problems? "Healthy Heart-Rural Doctors' Health Poverty Alleviation Project" is planned to cover about 30,000 rural doctors in 100 counties and15,000 villages nationwide by 2020, benefiting at least 30 million people. To achieve this goal, Fosun's model is "stagnation poverty alleviation+"Five Ones ". Fosun has stationed permanent team members in 38 project counties, who come from the member enterprises of Fosun Group and will be stationed in poverty-stricken counties for one year, focusing on project implementation. Yan Guoshun is a member of the accredited team, from Nanjing Iron and Steel and a member of Fosun. Two months ago, he just got married for two months and came to Xishui County to replace the last player, Chen Xinyu. Yan Guoshun's task is to implement the "five ones" project of rural doctor project in the local area, including: a rural doctor security project, training and insurance; A package contract reward for chronic diseases, which provides additional cash rewards for rural doctors who have performed well in public health services; Find a group of seriously ill patients and carry out rescue; The wisdom of a group of village clinics has been upgraded, and a group of warm-hearted rural doctors have been selected. Xishui has rugged terrain, narrow cultivated land and scattered rural population. It is often necessary to take Panshan Road to the village doctor's clinic, which is far away. It often takes a day to go back and forth to see a country doctor. In the past two months, Yan Guoshun's main job has been to visit primary medical institutions and organize village doctor training. Establish contact with 24 hospitals, focusing on 1 1, visit 137 village clinic, visit 167 village doctor, and establish 142 village doctor file, which is Xishui county. On May 4th this year, Fosun Foundation invited a team of professors, represented by Zhang Yun, an academician of China Academy of Engineering, to hold a training on cardiovascular related chronic diseases management for rural doctors in Zunyi, and Yan Guoshun organized 57 outstanding rural doctors from Xishui County to attend training and study in Zunyi. By the end of April, 2065438+2009, Fosun residents had visited 575 township hospitals and 4083 village clinics. Establish 6067 files of rural doctors' assistance; Organize 38 doctors to go to the countryside for free clinic, and conduct free clinic for 1728 people; Issued accident insurance policies 10742, of which 8566 were activated online; Critical illness insurance has covered 2200 copies; Organized more than 54 trainings for rural doctors, with 6089 rural doctors participating; 296 smart clinics were built, and 8 1 case of serious illness was rescued online. Upgrading Although the Fosun Rural Doctor Project has made some achievements, it needs to be upgraded urgently according to Zhang Yifei, Executive Secretary of Fosun Foundation. After communicating with * * * departments and experts, Zhang Yifei put forward five directions in the report: 1. Depth: On the basis of the "Five Ones" project, how to focus on several counties and thoroughly solve the local health poverty alleviation problem? Second, relevance: How to serve poor households more accurately by supporting rural doctors? How to monitor the effect? Third, the impact: how to make the whole society pay attention to rural doctors as it did to private teachers in the past, and really bring rural doctors into the staff system of * * * from the policy level to completely solve the problems of rural doctors' treatment? 4. Extensibility: How to involve more enterprises, * * * departments and non * * * organizations? 5. Sustainability: How to retain rural medical talents and let young doctors work in villages and towns? How to form a closed loop of funds and let public welfare projects operate independently? Regarding the permanence of resident staff, Zhang Yifei said, "With the increase of project counties, it is more and more difficult for enterprises to send personnel. Therefore, we will cooperate with the Central and Western College Student Volunteer Program of the Communist Youth League to recruit medical graduates to join the rural doctor program. About 40 volunteers will go to the project area this year. In addition, Fosun Foundation has high hopes for a project called Future Clinic. Zhang Yifei believes that the general trend of population migration from rural areas to cities cannot be changed. In this situation, it is unrealistic and uneconomical to let high-quality medical talents serve in rural areas for a long time. More importantly, high-tech means such as Internet and artificial intelligence should be adopted to bridge the gap between urban and rural health services. Therefore, this year, the rural doctor project will selectively introduce new portable testing equipment, expert consultation platform and AI diagnosis and treatment assistant combined with software and hardware in first-and second-tier cities in some village clinics, so that minor illnesses will not leave the village. At the same time, it is necessary to explore the fund mechanism for the operation of "future clinics", improve work efficiency, and form a positive fund cycle at the same time, so that the investment in primary health care can be saved and the participating village doctors can obtain competitive income. Only in this way can the "future clinic" be widely promoted, and the quantitative data of village doctors' contribution to poverty alleviation can be monitored while solving the problems of rural diagnosis and public health services. Zhu said at the conclusion meeting that it is certain that this project has received attention and support from all walks of life. During the China Entrepreneur Forum on 20 18, Heilongjiang Province, "20 18 Top Ten Warm-hearted Rural Doctors and Dean of Township Hospitals" was released. Guo Guangchang, chairman of Fosun International, and more than 500 guests and volunteers attended the launching ceremony. At that time, entrepreneurs were moved, and more than 30 private enterprises joined the alliance of rural doctors and guardians. On behalf of the National Health and Wellness Committee, Zhu Hongming, deputy director of the Primary Health Department of the National Health and Wellness Committee and deputy director of the Poverty Alleviation Office, fully affirmed and thanked Fosun's rural medical project. A year passed quickly. Deputy Director Zhu Hongming recalled that in June, 20 18, Guo Guangchang, chairman of Fosun International and founder of the rural doctor program, visited Qingjian and Zizhou counties in Shaanxi Province. At that time, the director was appointed as the deputy mayor of Yulin City and the deputy secretary of Qingjian County Committee (for two years). He talked with Guo Guangchang and got to know the project for the first time. The directors said, "Over the past year or so, I am very happy to see that the project has expanded to 49 counties, and the" Five Ones "project has achieved solid results. Fosun's residents' group members have been integrated into the county health bureau, and have been thinking more and more deeply about this issue. Since the reorganization and establishment of the Health and Health Commission last year, "strengthening the grassroots" has become the knowledge of all walks of life. At the same time, how to include rural doctors is a good supplement, and the experience of Fosun Foundation has important reference value. Of course, there is still a long way to go, and the bright future of primary health care cannot be achieved overnight. It also needs the joint efforts of * * *, enterprises and various social forces. From June 4th to June 6th, Zhu Hongming and Zhu and his party also visited many county hospitals, township hospitals and village clinics in Zheng 'an and Xishui counties, conducted in-depth research on primary medical care in Zunyi City, learned about the promotion of local medical institutions and primary medical talents, and visited local villagers who were poor due to illness. This article starts: Editor in charge of medical field: Tian Copyright Statement. If you need to reprint this article, please contact authorization -End- disclaimer: the above content comes from the network and the copyright belongs to the original author. If there is any infringement of your original copyright, please let us know and we will delete the relevant content as soon as possible.