The rural state of using medicine causes anxiety What

The rural state of using medicine causes anxiety What disease is left alone to use without exception " Three plain soup "
Staff reporter Fu ZiMei

Rural medical resources are insufficient with wasting coexisting

"I am in an experience in the countryside of Liaoning, with deep impression so far. " Mentioning the rural state of using medicine, Zhang JiChun, professor of pharmacy of BJ Union Hospital is worried.

That is a pale young woman, four or five bottles of great infusion of antibiotic of writing her name are put on the desk in the consulting room, there are penicillin, very beginning spore's Qusong, oxygen Fluorine sand star, first nitre thiazole,etc., Zhang JiChun asks not understanding what disease she has got, why jointly use so many intravenous injection antibiotic? The patient says it is weak, dizzy all over after the induced abortion. "Spend nearly 2000 expenses for medicine already, but doctor very responsible, make me to be steady and sure. " The patient's words let Zhang JiChun not know whether to laugh and cry. She relies on the experience of taking up a job as a doctor for more than 30 years to infer, this woman is postoperative anaemia, only need to supplement iron pharmaceuticals appropriately, it is enough to cost ten or twenty yuan. Not only totally unnecessary to use antibiotic in a large amount, but also the enormous waste.

Another time is surveyed and studied in Shaanxi, Zhang JiChun sees the hospital at the basic level abuses the terrible intensity of hormone. One at the basic level the intersection of dispensary and doctor of hospital fill whom one box No. 10 Branch load with in the rice and loose ' A hormone medicine) Seal off one by one, concentrate on putting for subsequent use in a big box. One continues a number in spring, there is No. 67 Branch. This makes her very strange, medicines of a inner wrapping belong to differently and produce the batch, can't mix and put, it is unable to be traced back to otherwise once go wrong. Second, hormone uses stipulating strictly, coordinate the large such a hospital in Beijing, can not use up a box either in one month, can the hospital at the basic level use so many? It is very surprised in spring that the answer of that dispensary doctor lets one continue: Can use up at one night! Originally, in the basic unit, especially countryside, the fevered patients of every cold, should all use hormone.

Reporter reach Anhui, Henan, Hubei, Jiangxi and other places interview rural administration, see in the health station of the village ill peasants are in the intravenous injection without exception. It is reported cold, cough or suffer from diarrhoea, use " the three plain first soup " without exception Namely the phenomena of antibiotic, hormone, vitamin, glucose parenteral solution are quite general in the countryside. Peasants see a disease, at least three or four hundred yuan, thousands of yuan at most, are nearly all the expenses for medicine. Can say needing intramuscular injection oral a correct one make a diagnosis and administration should by JiChun Zhang, can intramuscular injection need the vein instil. So long as cold is drunk water, have a rest, refusing to obey medicines can fully recover.

In addition children take adult even quite general medicine have. Zhang JiChun says, children are not adults narrowing it, their organ has not reached maturity yet, the toxic supersession to medicine is not so good as adults far, should use children specialized medicines. But in the countryside, are " reduced by half and taken " It is very common to even take according to adult's dosage, can't look small to damage rural children's health.

These typical examples reflect the unreasonable general state that use medicine of countryside. "On one hand, peasants are afraid of falling ill, scorning for the disease is often shown as and can not afford medicines. On the other hand it is unreasonable to exist extensively and use medicine and excessively use medicine. Not only reduce curative effect, initiate side reaction, impair one's health, but also wasted hygiene resources, cause medical resources to waste coexisting insufficiently seriously and seriously, has brought the heavy financial burden to peasant. " Zhang JiChun is very the worry.

The system drawback of raising medicine with medicine is stressed even more

"Lead to the fact the unreasonable main reason to use medicine is that rural medical resources are deficient, rural doctor's quality is very different, knowledge is deficient that peasants use medicine. " The national food medicines press spokesman of supervision bureau Yan JiangYing says. The reporter knows, in the countryside, some rural doctors are only qualified for nurse, some only have handed down experience of taking up a job as a doctor, have few specialized personnels really receiving an education in regular medicine and pharmacology. The continued education and training after obtaining employment is very deficient too, level and quality demand urgently to improve.

In the countryside, the system drawback of raising medicine with medicine stresses even more, endanger bigger too. Because it is insufficient to put into, the countryside lacks the qualified doctor, lack the advanced medical apparatus as diagnosing the means auxiliarily, have to depend on drug therapy. If things go on like this, forming a and curing the desease is the pattern of making a diagnosis of selling medicine. For keep manage and livelihood, use medicine, use heavy dose of antibiotic, abuse hormone, use intravenous injection,etc. to be quite general generally jointly rural doctor. As time passes, peasant used to unreasonable method of doctor too, form countryside to be unreasonable to use medicine state that all faces the fearful with no fears, it endangers and expands day by day too.

Meanwhile, peasant scorn disease for, hope these should do the trick, result expect very high to use medicine. The more old in using medicine amount the doctor is, the more peasants think the doctor shoulders the responsibility, forms the deep-rooted mistaken idea of using medicine.

The reporter knows from the national medicine bad reaction centre, in all medicines bad reactions, abuse the intersection of bad reaction and proportion that antibiotic initiate reach half, rank first. City of this and countryside combine indifference.

The traditional medical consumption idea demands urgently to change

"The task of top priority is to popularize the relevant knowledge of using medicine, change and correct the bad consumption idea. " The national food medicines Deputy Bureau Director of supervision bureau Li JiPing says, will pass extensive propagation and education, help rural residents to form the consciousness of saving medical resources, reducing the hospitalization cost, understand basic common disease, knowledge of using medicine rationally of the frequently-occurring disease, the ones that contain medicines are excessively used and the unnecessary hospitalization cost is consumed progressively.

"Attention methods of extremely propagating the knowledge of using medicine in peasants and wanting. " Yan JiangYing says, should try to popularize the knowledge of using medicine with peasant's friend's form loved by all, language which peasants can understand constantly, the film is a very good carrier. It is reported, the film of the relevant content has been already shown in the countryside extensively.

Secondly, deal with the rural doctor and implement the entry system, only could serve as a doctor by the personnel of regularization, systematized specialized education. The continuing education of the rural doctor is very important, should arrange for the rural doctor to participate in the training in respects such as clinical application,etc. in a planned way, improve the rural doctor's professional ability.

Moreover, should strengthen the national public financial input power on rural medical care constantly. Change the situation that the rural health organ raises medicine with medicine from system, eliminate the unreasonable system reason to use medicine. Build the health care system and slope to the countryside especially, narrow the disparity in urban and rural areas. Adopt the effective method, encourage the graduate of medical college to serve the countryside, launch the long-range medical diagnosis service, help the rural doctor to improve and diagnose competence.

In addition, treat guide and prescription to restrain from behavior of using medicine of the rural medical worker of the norm through making the standard, reduce the unreasonable phenomenon of using medicine.

The rural state of using medicine causes anxiety What disease is left alone to use without exception " Three plain soup "