Siheyuan: The prosperous era starting from being a doctor

Chapter 454: Noblemen and the Rural Doctor Assessment Method

It has been twelve or thirteen years since the "Barefoot Doctor Manual" was written more than ten years ago.

over such a long period of time.

Because the pharmaceutical export business can earn a lot of foreign exchange every year.

And it shows a trend of substantial growth year after year.

Therefore, the country's finances have become much more abundant.

Correspondingly, investment in the medical and health sector has been increased.

The force is much greater than the same period in the previous life.

In the first two or three years, 200,000 to 300,000 barefoot doctors came every year. After simple training, they carried medicine boxes on their backs, held silver needles in one hand and the "Barefoot Doctor Manual" in the other.

We began to take root in rural areas and work hard for the medical health of the general public.

Now.

According to statistics from higher authorities, there are nearly two million barefoot doctors in rural areas.

Especially in the past two years, a large number of educated young people have gone to rural and mountainous areas.

They may not be good at farm work, but their advantages are that they are literate, learn quickly and have flexible brains.

Many young people stepped up and took on the responsibility of saving lives and healing the wounded.

therefore.

After more than ten years of vigorous development, now except for remote areas and a small number of areas deep in the mountains, most other areas.

There is guaranteed to be a barefoot doctor in one village or four or five surrounding villages.

Although their medical skills are not very high, they often need to refer to the "Barefoot Doctor's Manual" when treating patients.

Moreover, many slightly more difficult diseases are helpless.

But most common and common diseases can still be cured.

At the same time, even if difficult and complicated diseases cannot be cured, we can give some suggestions and assist in transferring the patient to the health center in the commune or the people's hospital in the county.

of course.

The increase in the number of barefoot doctors has its advantages, but naturally it also has its disadvantages.

The first is the problem of varying quality.

Many people are forced to do the training, or even just fill in the gaps, and they don't learn much medical skills during the training.

There are quite a few people like this.

Another thing is that many people have no ability to innovate except to treat diseases by rote according to the contents of the "Barefoot Doctor Manual".

Many patients delay their treatment because they blindly follow others’ advice.

There is also the most serious problem.

That is a person with impure intentions.

For convenience or laziness, they do not clean and disinfect the syringes and needles every day.

Many medicines are reused after they have expired.

Many rural people have no idea about these things and can only be fooled.

There should be quite a few of these chaotic phenomena.

It’s just that there was no other way before, so we could only solve the problem of whether or not there was one first.

And now, Wang Mengde feels that the time has come.

With regard to medical reform, it is time to start a major rectification of some medical and health chaos, especially in rural areas.

otherwise.

Wait another ten or twenty years.

Many chaos will penetrate deep into the "bone marrow", and it will be difficult to heal the wound by scraping the bone.

It took about five minutes for President Lu to put down the phone.

He picked up the teacup and drank a few sips of hot tea before standing up and saying to Wang Mengde:
"Comrade Wang Mengde, let's go to the higher authorities to report our work. The leaders have postponed the meeting and are waiting for us."

As he said that, he picked up the cotton jacket hanging on the hanger and put it on.

The two people went out and came outside.

By this time, the secretary had already notified the car class.

Soon, a car drove over.

Not long after, the vehicle stopped in front of the office building of the superior department.

The office staff had been waiting there for a long time.

"President Lu, Vice President Wang, please come this way. The leaders have arrived in the reception room waiting for you."

The staff smiled and led the way on the side.

After hearing this, Wang Mengde knew that his superiors attached great importance to this matter.

Otherwise, he wouldn't have gone to the reception room to wait for his subordinates.

After knocking on the door and entering, he saw the people in the living room, and his thoughts were indeed confirmed.

I saw five or six people already sitting in the room.

In addition to the top leaders of the superior departments, there are several others who are in charge and in charge.

It can be said that they are all leaders with real power.

Seeing them come in, the head of the health department said with a smile: "President Lu, Comrade Wang Mengde, you are here, please sit down and drink some water to warm yourself up."

At this time.

The staff also brought over the tea that had been prepared in advance.

After chatting for a while and drinking two sips of tea, the leader said:
"Just now, before you two came, I informed several other leaders, mainly about the issues just reported.

We all believe that this problem must be resolved as soon as possible and cannot be delayed, otherwise it will cause great harm to the lives and safety of the general public."

“Everyone probably already knows this, so I’ll just say a few words behind closed doors.

Everyone should pay attention to the problems discovered by Comrade Wang Mengde and find solutions.

I will be leaving the medical department in a few months, and I don’t want to leave this trouble to the next person.”

Everyone was stunned when they heard this.

I didn't expect the leader to say such a thing.

In general.

Before the official document confirming the final transfer comes down, the person involved will not directly say that he or she wants to leave.

After all, anything can happen before the dust settles.

of course.

If you think about it carefully, you will understand.

The big leader is expressing his stance.

He left and took a step upward, it was a done deal.

The medical and health system has brought a large amount of foreign exchange income to the country over the years.

It has made the country's finances much more abundant and has also brought great support to all walks of life.

Next.

Wang Mengde then carefully introduced his discovery years ago:

“Dear leaders.

I discovered this problem by accident as well.

To be more precise, this was first discovered by a barefoot doctor in a rural area. Several children and adults in the surrounding production teams were infected with hepatitis B.

He felt something was wrong, so he talked to these patients and accidentally heard that they had all been sick and had injections in the past one or two days.

"So he checked again and found that another patient had received the injection that morning and was also a hepatitis B patient.

So, he had some guesses, and since I was related to his family, he told me about this.”

Wang Mengde did not take credit for himself, but directly attributed all the achievements to Zhou Xiaoli. His achievements were already great and numerous, and he simply did not bother to take away any of the achievements of others.

Moreover.

This little bit of achievement may be of great benefit to others.

But for him, maybe he won’t even write about this in his resume in the future.

“It was actually discovered by a barefoot doctor in a village!”

One of the leaders said in surprise:

"It seems that this barefoot doctor is very attentive and careful about medical matters."

"That's right. Most people would never think that the infection was caused by a needle."

"That's right. Even in some hospitals in Beijing, the doctors might not be able to guess that this is the reason."

"It seems that this is a talented person. It is true that there are talented people among the people."

Other leaders also sighed.

If Wang Mengde discovered this, they would not be surprised at all.

If it is a doctor in a hospital, such as a senior doctor in a county-level people's hospital, then it makes sense.

At the same time, I would like to praise this doctor for his great ability.

But it was a rural barefoot doctor who was able to discover this problem.

You know, this kind of situation must have happened many times in the vast rural areas.

Even big cities are no exception.

But no one noticed this problem.

There are so many doctors and physicians in the country, but none of them is as good as a barefoot doctor who has only received a few months of training and has been practicing medicine in rural areas for a long time.

"This comrade has made a great contribution. After the meeting, we will ask the county-level medical and health department to study it and give him some rewards."

The big boss also recognized Zhou Xiaoli, and then said something to the secretary who was taking notes.

Wang Mengde was very happy when he heard this.

To be honest, most of the barefoot doctors in rural areas are not qualified doctors, and many of them are forced to do so when they have no other choice.

Some people can't even recognize all the characters, and have never attended school for a day.

There are really not many young people like Zhou Xiaoli who have received a few years of education, have a flexible mind, and are good at learning and researching.

If this kind of person is well trained, he can really become a local "famous doctor" in Shahe Commune in the future.

therefore.

Seeing that his superiors were preparing to reward Zhou Xiaoli, he began to have some expectations.

I hope that in another ten or twenty years, this young man will grow up.

Decades later, Zhou Xiaoli became a relatively skilled doctor in Shahe and was appointed deputy director of the town health center.

This is the benefit of meeting a 'noble person'.

The circumstances of life are completely changed because of this.

After the secretary wrote it down, the leader turned around and continued:
"Comrade Wang Mengde, please tell us what you think about this issue first."

This is his habitual consultation.

In the past, Wang Mengde had good solutions to many problems.

Those plans were eventually proven to be suitable for the situation at the time and very feasible.

"Leader, the national medical and health situation has been vigorously developed after more than 20 years.

It has gone from being difficult to get medical care and lack of doctors and medicines in most rural areas to a situation where every production team or two or three production teams has a clinic in most areas. "

"Especially the training of barefoot doctors, there are now nearly two million doctors in rural areas across the country.

It can be said that the situation before liberation where people could only endure illness has changed.”

"But at the same time, some problems have arisen, such as many barefoot doctors who have only received a few months of training or who are not competent enough.

If this happens, it will cause great losses to the lives and safety of the people.

Therefore, I suggest that from now on, the state should gradually standardize the medical ethics of rural doctors and establish a rural doctor assessment method. "

Wang Mengde roughly expressed his thoughts.

The problem of creating something from nothing has been solved, so the next step is naturally the survival of the fittest.

The assessment may be cruel to some people. After all, they have worked hard, but there is nothing they can do about it.

If there is no assessment, there will always be some unqualified people sneaking in.

Moreover, without pressure, more people will just muddle through and not make any progress.

"Standardize medical ethics and supervision assessment methods!"

After hearing this, the leader suddenly fell silent.

In fact, higher authorities have long realized that barefoot doctors who have been trained for several months in a short period of time will definitely have various problems.

But there is no way, because the medical and health conditions in the country were appalling when the country was just liberated.

If we want to ensure that hundreds of millions of people have access to medical care in just twenty years, we have to resort to unconventional means.

As the saying goes, every advantage has its disadvantages.

The consequence of forcing something to happen is a mixed bag of good and bad products.

It will definitely be standardized in the future.

But barefoot doctors have just barely covered most parts of the country. Would a sudden assessment have a negative impact?

This is an issue that he and the medical department need to consider.

Naturally, the other leaders also thought of this situation, and they all frowned, thinking about the gains and losses.

They couldn't help but be careless.

After all, this is a major event that concerns nearly two million barefoot doctors across the country. If we are not careful, it may cause some major incidents.

Of course, they also knew that the two suggestions put forward by Wang Mengde must indeed be implemented.

After thinking for a while, the leader was still a little hesitant. He looked at Wang Mengde's calm face and said:
"This is a big matter, and we need to consult with our superiors first.

By the way, speaking of assessment, do you have an idea in mind? What items should be assessed? Tell me about it. It will be a good time to write a report and submit it to the higher-ups for evaluation."

"Leader, this is what I think. The assessment of rural doctors can be done at the county level. Given the current situation, it would be better to do it once every five years.

The county-level health administrative department shall establish a rural doctor assessment committee to be responsible for the specific implementation of the rural doctor assessment.

The assessment committee is composed of management and technical personnel from the county-level health administrative departments and county and township medical and health institutions.”

Wang Mengde directly stated the assessment method that he had thought of in advance:

“As for the content of the assessment, it can be done from four aspects.

The first is the completion of work tasks, such as the number of children vaccinated in the area in charge, etc. ”

"The other thing is the professional level. For this, we need to formulate assessment standards according to local conditions to comprehensively evaluate a doctor's level of medical treatment."

"The third is the situation of learning and training. I suggest that every two years, these barefoot doctors should go to the township, commune, or county level for training.

The training time can be flexibly controlled according to actual conditions, and can be three to five days, ten days or half a month.

The content of the training is mainly about new technologies and new treatment methods, so that they will not fall behind. "

"The fourth is other content stipulated by provincial and municipal health administrative departments. After all, the situation in each region is different, and some policies and requirements are also different."

Several leaders strongly agreed with the assessment method proposed by Wang Mengde.

Then, everyone discussed and improved some details, which were then compiled into a report by the secretary and reported to the superiors.

It's approaching noon.

When Wang Mengde and President Lu returned.

The senior leader took his hand and said:

"Comrade Wang Mengde, the WHO will send a few patients here in a couple of days. Please take good care of them and pay attention to your safety."

(End of this chapter)