The Study On Rural Doctors’ Current Status And The Key Technology Of Social Support In Southwest Mountain Area

According to the results of secondary research data, workers of the WHO HumanResources Department claim that both the developed and developing countries imbalancesin the distribution of health resources in different areas is becoming increasingly seriousdue to political, economic and natural factors. Strengthening the culture and workingconditions to support community health workers in rural and remote areas should becomethe core mission for realizing the United Nations Global primary health care updateframework.China’s southwest mountain area covers Chongqing, Yunnan and Guizhou, and with avast population. Rich natural resource is a great potential for the development of China’smountain area. In recent years, with the reform and opening up, and the improvement ofcommunity culture and economy, the optimization and reconstruction of the health servicemodel received concerns of the community. In order to sustain National Science andTechnology Commission research project, the research team studied the economicdevelopment level, the special geographical environment, demographic characteristics andhealth resources of mountains area. The exploratory focuses on the health personnel culture,key technologies of the new health services research, social and technical support to createa scientific and feasible approaches and methods, thus to provide the basis for the healthservices in remote mountainous areas, to break the limit of the geographical environment.The effective integration of social resources is conductive to share the results of medicalmodernization.One of subjects of this study is "the new model and key technologies of rural publichealth services ". Rural doctors of Chongqing’s Kai County, Yunnan Pu’er, Ruili conductedthe prevalence survey and qualitative study, which involves307people from15townships and125villages. The analysis of the current situation can further integrate the telemedicinedemands of the remote mountainous areas, the introduction of the computer on BP neuralnetwork technology can establish the intelligent diagnosis system and Internet connection,thus to treat the children with rash and fever illness to use. The results are as follows:1. The basic situation, cluster sampling in the pilot areas, access to the282validquestionnaires,91.9%efficiency. male161, female121, and their average age is36.8±9.5years; educated to secondary school (high school) degree, accounting for58.9%; theproportion of doctors’ qualifications to practice (Assistant) is low, only11.0%. Southwestmountain area’s health services have weak technology and are still facing a talent shortage.2. The daily work is complicated, the pressure of rural doctor is heavy, and thequality of work is limited. The work involves nine tasks the referral, healthmanagement, immunization, maternal and child health and health education. The dailyworking hours is10-12hours, accounting for48.6%.88.3%of people think that the "self-rated basic competence has some discrepancy" good "work: visits, referrals,immunization and health management; self-rated as a" general "work includes commontreatment, prevention and treatment of infectious diseases, health education, maternaland child health; self-rated "poor" is first aid; the work of the primary difficulties is tomake a correct diagnosis, accounting for73.8%.3. Rural doctor training is out of the touch of actual demand.56.3%) of townshiphospitals are concentrated teaching;100%content is related to health regulations, publichealth (95.5%) and clinical skills (89.0%).75.1%of rural doctors’ ability are improved. themain impact involved in the rural doctors participate in the training of “Economicproblems"(61.3%). The initiative needs of rural doctors is Technical training.at the countylevel health institutions, presided over the training (33.1%), above-level guidance ofdoctors (32.3%), web-based training (30.1%), clinical studies (23.8%). Take the initiative toseek training: clinical skills (94.0%), Chinese medicine (61.0%) and public health (53.2%).4. Rural doctors are not satisfied with the status quo of economic income, workenvironment conditions and social support widespread sentiment. The average monthlyincome of village doctors is1000-1500Yuan (44.0%);80.2%of rural doctors are notsatisfied with the current income; demand for social support mainly includes four aspects:①policy support: includes, integration administration, health establishment, personnel training, to enhance the treatment of protection;②technical support includes the sharing ofhealth resources and skills training,③financial support: includes establishing the specialfunds for training, increasing the input in the construction of village clinics, enhancing thesubsidy standards of clinics;④emotional support involves the higher level institutions andleaders’ concern, masses trust and society respect).5. Based on377cases of clinical pediatric rash and fever illnesses samples,intelligent diagnosis system PCA based on BP neural network receives13main factors arereceived according to disease, build the structure of13-9-7, three-layer BP network model,the average diagnostic accuracy rate of the training set is98.47%, the average diagnosticaccuracy rate of the validation set is92.93%, the average diagnostic accuracy rate of thetest set average is92.65%; measles and rubella, sensitivity index is81.94%-86.96%;rubella positive predictive value is60%, which show that the system has a higherdiagnostic ability to identify children with rash and fever illness. The system has beensuccessful trial in the pilot area by the network connection.