Study On Barefoot Doctor System

Barefoot doctors are rural health workers, they are recommended by the poor peasant and not full-time, after a certain period of training with a primary health care knowledge and skills in the people’s communes production brigades during “Cultural Revolution”. In a relatively long period of time after the founding of People’s Republic of China the national economic was backward, lack of doctors and medicines in rural areas, health care was not optimistic. Faced with this phenomenon, the leaders of the Communist Party of China and State made effective instructions in terms of hygiene, prompting large-scale urban medical and health resources to the countryside. Barefoot doctors emerged, which economic could support it, farmers could use them and retain in the rural, and they had been long-standing in the countryside.The article is divided into five parts. The first part mainly introduces the research significance, status and methods, consider studying the barefoot doctor system has important theoretical and practical significance. The second part discusses the reasons of the barefoot doctor system: promoting of government and supporting of Comrade Mao Zedong, the contradiction between the national economy and people’s medical needs, the uneven distribution of medical in urban-rural dual structure and health resources and the establishment of rural people’s commune, humanistic care and a sense of belonging. These factors impelled the establishment in line with the prevailing historical conditions and the basic medical and health system that can solve the problem of rural health in China. The third part describes the development and change of the barefoot doctor system process, including the origin the history, development and extinction, consider that the barefoot doctor system originated in the fifty or sixty’s of the last century, 70 years after during the period of development reached a peak, barefoot doctor system didn’t meet the countryside with the rural reform in 1978, the Ministry of Health announced that it would no longer use the term in 1985. The fourth part describes the barefoot doctor system a complete set of operation mechanism, including selection, training, assessment, management, and treatment, consider that barefoot doctor system operating mechanism including under the cooperative medical management, by the commune, a brigade of production brigade layers of selection, community health center would organize regular barefoot doctor training, cooperative medical care system to complete the management and assessment, job content mainly included preventing and cure diseases, pharmaceutical herbs, maternal and child health care, treatment implementation work-point system on behalf of the reward. The fifth part analyzes the historical significance and the existing problems of the barefoot doctor system, with new delivery instructions deeply, pointing out that the barefoot doctor system after the abolition of Chinese rural grassroots health workers face less, low pay, low service coverage of a series of difficulties, rural areas need a similar to the barefoot doctor system health care service system to meet the most basic health care, the medical needs of the broad masses of peasants.Today, the new rural cooperative medical system is being implemented, studying development of the barefoot doctor system, sorting out the background and development, clarifying its organization and management, and it has great practical significance. At the same time, we should think the abolition of the barefoot doctor system, giving objectives and obtaining impartial and comprehensive evaluation, having a certain reference to the current state of rural health the construction of security.