@ migrant workers, what should I do if the "class flavor" is too heavy? Teach you a few tricks to "taste"

Original Pudong CDC U Health

Seeing that this week’s working day is over half.

Do you have endless meetings every day?

And endless ppt

Still replying to work WeChat after work.

Often feel a kind of unspeakable fatigue?

This shows that your concentration of "Banwei" has exceeded the standard!

What exactly is "Banwei"?

Xiao u believes that the "class smell" related to health is to describe a sense of fatigue that is hard to dissipate when going to work.

From the perspective of traditional Chinese medicine, it is the sub-health state of the body caused by high-intensity work mode and job burnout, which is mainly manifested in the symptoms of strong liver fire, disharmony between spleen and stomach, stagnation of qi and blood, lack of yang, dry eyes, shoulder and neck pain, etc., similar to the "five strains and seven injuries" in traditional Chinese medicine.

Don’t underestimate this "class flavor"

According to a survey by the World Health Organization, about 75% of the people in the world are in a sub-health state.

Bad behavior, diet and mood caused by work pressure will have an impact on health. Without restraint and coordination, qi and blood will be blocked, bones and muscles will be damaged, and five internal organs may also be damaged.

Today u takes you to use Chinese "medical beauty"

Moist spirit goes to "class taste"

Restore one’s vitality

Acupoint massage

01

ocular region

Facing the screen of computer and mobile phone for a long time, your eyes are often dry and sore, which shows that your eyes are overtired!

Pressing and kneading specific acupoints around the eyes can dredge the meridians and relieve fatigue quickly.

Commonly used acupoints: Tianying, Yuyao, Temple, Sibai, Cuan, Sizhu, Jingming and Chengqi.

02

Shoulder neck

Working at my desk all day and playing with my mobile phone, the "rich bag" is getting bigger and bigger, and my shoulders and neck are getting stiff.

Remember to exercise your shoulders and neck properly every hour or so.

Holding Jianjing point can effectively relieve shoulder fatigue; You can also tap the Dazhui point for 5-8 seconds each time and repeat it for 3-5 times, which is helpful to dredge the neck meridians and relieve pain.

03

waist

Commuting for a long time in the morning and evening, sitting in the office for a long time during the day, crossing your legs for a long time, and your iron waist can’t stand it!

Pressing and rubbing Shenshu points on both sides with both hands has the effects of tonifying kidney, benefiting qi and strengthening waist and knees;

Massage on Weizhong point can dredge meridians, dissipate blood stasis and promote blood circulation, and relieve symptoms such as waist pain and lower limb radiation pain caused by lumbar disc herniation.

Press for 3 ~ 5 seconds each time, lasting for 3 ~ 5 minutes.

Eight-deficiency method

Eight Deficiencies refers to eight parts of the human body where pathogenic factors of zang-fu organs are most likely to gather-two armpits, two cubits’ nests, two groins and two popliteal nests. Frequent slapping helps to dredge meridians and regulate qi and blood.

During the break, pat each part with your palm or meridian hammer from top to bottom for 5-10 minutes until it is slightly hot.

Timely regimen

Winter diet should be based on warm food, such as mutton, walnuts, red dates, etc., which is helpful to the storage of yang in the body; It is not advisable to eat cold food, such as cold drinks and cold dishes, so as not to damage the yang of spleen and kidney;

Eat less spicy, greasy and irritating foods to avoid excessive consumption of body fluids.

Emotional conditioning method

Traditional Chinese medicine believes that emotion is closely related to the function of five internal organs.

Winter corresponds to the kidney, so it is extremely important to maintain the kidney, and the kidney can be full of energy and quick thinking.

In addition, the decrease of sunshine in winter is easy to cause anxiety, depression and other negative emotions. We should treat external changes with a normal heart, keep a good mood and be a person with stable emotions.

More sunshine, moderate exercise and slight sweating are appropriate.

You can choose Tai Ji Chuan, Baduanjin, jogging, yoga and other soothing exercises to relieve the anxiety caused by "class flavor".

Xiao u thinks

Moderate balance between work and life

Is to find a good medicine to remove the "taste of class"

I hope everyone can do it.

Exquisite migrant workers full of energy and enthusiasm ~

-References-

[1] Chen Yuchun. Chinese medicine to protect the eyes, cultivate a healthy vision [N]. Medicine Health Care News, 2024-01-26(005).

[2] Tian Shaofei. Acupoints far away from shoulder and neck strain [J]. Reading books is beneficial-seeking medical advice, 2023,(09):17.

[3] Wuhan First Hospital. Get rid of the "class flavor" tips, code quickly! https://mp.weixin.qq.com/s/Pc0Vt2OlwWNi0e93yo9wZw

[4] Wei Yulin, Yang Kaiguo. Study on the theory and method of TCM in winter health preservation [J]. chinese medicine modern distance education of china, 2024,22(07):155-157.

Chen Yaping. Application of TCM constitution identification in health management of sub-healthy people in physical examination department [J]. Journal of TCM Management, 2023,31(15):108-110.

Written by | Huang Ling, Department of Traditional Chinese Medicine (Department of Health Education)

Audit | Yu Siyu Xiao Shaotan

Edit | U editorial department

Original title: @ migrant workers, what should I do if the "class flavor" is too heavy? Teach you a few tricks to "taste the class"

The National Cultural Relics Industry Vocational Skills Competition held 219 "cultural relics doctors" to compete on the same stage.

CCTV News:Protect cultural heritage and promote the spirit of artisans. Today (March 25th), the National Cultural Relics Industry Vocational Skills Competition was held in Taiyuan City, Shanxi Province. 219 contestants from all over the country competed on the same stage, making traditional skills pass on from generation to generation.

There are six events in the competition, namely, wood restorer, clay restorer, ceramic restorer, mural restorer, metal restorer and archaeological digger. Each event has two links: theoretical assessment and practical operation. Movable cultural relics restored in the competition, such as metal cultural relics, ceramics and murals, are all originals. In the division of metal cultural relics restorers, what Ma Tengfei from Shaanxi wants to restore is a bronze reed of the Western Zhou Dynasty.

In fact, it is not a new attempt to restore with real cultural relics in the vocational skills competition. In 2018 and 2021, National Cultural Heritage Administration held two national cultural relics vocational skills competitions, which built a platform for practitioners in the cultural relics industry to display their skills and learn from each other.

Cyndi Luo, Director of Science, Technology and Education Department of National Cultural Heritage Administration:Because China is a veritable cultural relic country, we have a lot of cultural relics that need to be restored urgently, but the skilled talents matched with it are actually far from enough. They have to endure loneliness and sharpen their swords for ten years to learn a skill. We also want to let the whole society know more about the profession of restorers and their craftsmanship through this competition.

China is a world-recognized ancient civilization, with more than 760,000 immovable cultural relics and more than 100 million pieces (sets) of cultural relics. Holding competitions is an important way to cultivate cultural relics skilled personnel.

Fan Zaixuan, the referee of the National Cultural Relics Industry Vocational Skills Competition, mural color plastic cultural relics restorer division:Now it is gratifying to see that many young people come to participate in the competition and engage in skill competitions. It is indeed a very happy thing.

Li Qi, the referee of the National Cultural Relics Industry Vocational Skills Competition for ceramic cultural relics restorers:Through this contest, people with different experiences communicate together, cheer up together, find a sense of mission, and thus strengthen their determination to continue.

The soil is "poisoned" and stinks. Residents nearby feel dizzy and vomiting (Figure)

The soil is "poisoned" and stinks. Residents nearby feel dizzy and vomit.

The soil is "poisoned" and stinks. Residents nearby feel dizzy and vomit.

The soil is "poisoned" and stinks. Residents nearby feel dizzy and vomit.

The soil is "poisoned" and stinks. Residents nearby feel dizzy and vomit.

  Since the middle of last month, the villagers’ homes in Baziqiao Village, Yexie Town, Songjiang District, have begun to smell, and some villagers have also experienced discomfort such as dizziness and vomiting.

  For the sake of safety, the seven most seriously affected villagers were resettled by the Yexie Town Government to live in the nearby Zhang Ze Town Hotel. What puzzles everyone is that most of the surrounding areas are farmland. Where does this smell come from? After investigation by Songjiang District Environmental Protection Bureau, it was found that the smell was emitted from a reclaimed enterprise land.

  Now it is in the core area with the strongest stench, and in the soil covered by rain film, the soil color is white and yellow and mixed with non-degradable plastic bottles. The whole range blocked by colorful flags behind me stinks, and the downdraft not far away is a residential area.

  After sampling and testing the soil and groundwater on site, the environmental protection department found that the data were seriously exceeded.

  Xu Rong, director of Songjiang District Environmental Protection Bureau, said that the water does contain dichloromethane, which exceeds the standard by 1,240 times and its toluene by 9.8 times. They also monitored the air, and dichloromethane in the air exceeded the standard by 40 times. Toluene exceeded the standard by 15 times.

  According to reports, this land used to open some small private workshops.

  Ding Zhong, secretary of the village committee of Baziqiao Village, said that it was originally the second chicken farm in Zhang Ze Town, and this chicken farm was probably stopped in the early 1990s. It has been 20 years since the local government leased it to a private enterprise to set up a factory. Some are small processing plants and sewing machine processing plants.

  Will it be a legacy of these small private workshops? The environmental protection engineer who participated in the land pollution survey said that it was initially determined that the pollutants were oily organic compounds.

  The reporter found that "Shanghai Yuhong Oil Products Co., Ltd.", which is separated from the polluted land by a wall, is an oil storage base. So, could it be that this enterprise has stolen or leaked oil? After investigation by the environmental protection department, no evidence of direct evasion was found. The villagers are worried that the polluted groundwater will affect their farmland.

  Residents nearby said that (the vegetables planted) should be sold for others to eat, and they were worried that they would get sick after eating them.

  On May 28th this year, the State Council issued the Action Plan for Prevention and Control of Soil Pollution, referred to as "Soil Ten Articles" for short. Article 7 stipulates that according to the principle of "whoever pollutes will treat it", the unit or individual that caused the soil pollution should bear the main responsibility for treatment and restoration. However, what is embarrassing is that the land like Yexie Town has been polluted. It is estimated that the treatment may take several years and the cost will be millions. However, it is obviously too late to treat and repair it after the culprit is identified. Therefore, the town government can only undertake the governance and restoration work first. At present, the relevant departments have built a greenhouse the size of a football field on the polluted land to purify and filter the irritating gas before discharging it. The soil remediation plan is also under review and is expected to be introduced one month later.

  Huang Zhongming, chief engineer of Shanghai Textile Energy Conservation and Environmental Protection Center, said that they may solidify and stabilize it and fix it in one place to reduce its toxicity. On the other hand, it may be ectopic (repair), that is, dig it away. Fill in the new qualified soil again.

  The environmental protection department said that the accountability for the incident will not stop, and an in-depth investigation is currently being conducted on the oil residue treatment of Yuhong Oil Company.

  Xu Rong, director of Songjiang District Environmental Protection Bureau, told reporters that they also collected soil in the enterprise. Well drilling and groundwater extraction were also carried out. If the pollution factor matches, it can’t get away with it. If it doesn’t match, they will find something else. Will it be buried by others, or stolen or buried? In addition, according to the seriousness of the pollution situation, they will hand it over to the public security for accountability.

  I hope that the culprit of soil pollution in Yexie Town can be arrested as soon as possible. In fact, compared with air and water pollution, soil pollution is more hidden, and its remediation cycle is longer, more difficult and more costly. With the release of the State Council’s "Ten Articles of Soil", Shanghai will also strive to introduce specific implementation plans within this year. By then, the city will carry out a detailed investigation on the soil environment. On the basis of finding out the family background, on the one hand, it will control soil pollution from the source, on the other hand, it will focus on the reuse of industrial land, formulate standards and promote soil remediation.

Promote the "one leader leading, two wings driving, and global cooperation" to achieve results, promote the breakthrough development of county economy, and raise the high-quality development floor of

  It is necessary to highlight one leader and build the main engine of high-quality development in the province. Wuhan should be positioned as a national central city, a core city in the Yangtze River Economic Belt and an international metropolis, and further highlight its primacy in the central region. Municipalities should strengthen the awareness that "nine cities are one city" and actively integrate into the city circle. Wuhan and Wuhan city circle should be led by radiation to promote the high-quality development of the whole province

  It is necessary to speed up the two-wing drive and build an important support for the province’s high-quality development. Xiangyang and Yichang should unswervingly shoulder the responsibility of "two wings" central cities, build important regional central cities in China, and promote the development and integration of the two wings.

  The coordinated development of the whole region, the gap lies in the county, the potential lies in the county, and the key lies in the county. It is necessary to fight a tough battle and overall battle for county economic development, consolidate the important cornerstone of coordinated development of the whole region, and raise the bottom plate of high-quality development of the whole region.

  Industry and enterprises are the core support of county economy, and strong industry and strong enterprises make the county strong. We must do everything possible to cultivate leading enterprises and strengthen leading industries with characteristics. We should dare to be good at "making something out of nothing", "making something out of nothing" and "being superior in China", not making excuses for backwardness, but only finding ways for development, and speeding up the cultivation of market players and characteristic industries in the county.

  It is urgent to promote agricultural industrialization, focus on key agricultural industrial chains, with provincial leaders as chain leaders, increase investment, promote at a high level, support leading agricultural enterprises to become bigger and stronger, and promote the high-quality development of county economy with agricultural industrialization.

  The development we pursue must be the development that completely, accurately and comprehensively implements the new development concept, the development that adheres to the general tone of striving for progress through stability and takes high-quality development as the theme, the development that adheres to ecological priority and green development, the development that truly benefits people’s livelihood and solidly promotes common prosperity, and the development with high quality, good efficiency, excellent structure and sustainable development.

  Hubei Daily News (Reporter Li Baolin, Zhou Chengsi) On April 2nd, the provincial regional development layout and county economic work promotion meeting was held. Ying Yong, secretary of the provincial party Committee, attended the meeting and stressed that it is necessary to conscientiously implement the spirit of the Fifth Plenary Session of the 19th CPC Central Committee and the two sessions of the National People’s Congress, thoroughly implement the spirit of the important speech made by the Supreme Leader General Secretary when he visited Hubei and participated in the deliberation of the Hubei delegation, and further implement the arrangements of the Seventh and Eighth Plenary Sessions of the 11th CPC Central Committee and the provincial economic work conference, so as to promote the regional development layout of "one leader leading, two wings driving and global coordination" to become effective, promote the breakthrough development of county economy and accelerate the "completion".

  Wang Xiaodong, deputy secretary of the provincial party Committee and governor, presided over the meeting and delivered a speech. Huang Chuping, Chairman of the Provincial Political Consultative Conference, and Wang Ling, Party Secretary and Executive Deputy Director of the Standing Committee of the Provincial People’s Congress, attended the meeting.

  Li Lecheng, member of the Standing Committee of the Provincial Party Committee and executive vice governor, interpreted the Implementation Opinions of the Provincial Party Committee and the Provincial Government on Promoting the Regional Development Layout of "One Leader Leading, Two Wings Driving and Global Cooperation", Opinions on Accelerating the High-quality Development of County Economy in the Province and Opinions on Cultivating and Strengthening Leading Enterprises in Agricultural Industrialization, and reported the assessment of county economic work in the province in 2020.

  Ying Yong pointed out that the implementation of the regional development layout of "one leader leading, two wings driving and global coordination" is an important measure for our province to make a good start in the 14 th Five-Year Plan, a concrete action to implement the national strategy, promote the accelerated rise of the central region and the coordinated development of urban agglomerations in the middle reaches of the Yangtze River, and a long-term plan to enhance Hubei’s comprehensive strength and development potential.

  “‘ One master ’ It is the layout of regional development ‘ Longtou ’ , is the province’s development of yan zhen ‘ Touyan ’ We must unswervingly become bigger and stronger. " Ying Yong stressed that it is necessary to highlight one leader and build the main engine of high-quality development in the province. Wuhan should focus on the positioning of a national central city, a core city in the Yangtze River Economic Belt and an international metropolis, further highlight the city’s primacy in the central region, make every effort to build "five centers", and effectively enhance the functions of scientific and technological innovation strategy, high-end factor agglomeration, market hub and opening up to the outside world. It is necessary to realize the integration of "1+8" Wuhan city circle into the same city, accelerate the development of planning, transportation, science and technology, industry and people’s livelihood, jointly build an on-track city circle, and vigorously promote the construction of Optics Valley Science and Technology Corridor with East Lake Science City as the core; Municipalities should strengthen the awareness that "nine cities are one city", actively integrate into the urban circle, and start from the people’s livelihood services that the masses are most concerned about and feel most directly, so as to promote urbanization. Wuhan and Wuhan city circle should be led by radiation to drive the province’s high-quality development.

  Ying Yong stressed that it is necessary to speed up the two-wing drive and make "Xiang Shi with God" and "Yi Jing Jing En" an important support for the high-quality development of the province. Xiangyang and Yichang should firmly shoulder the responsibility of "two wings" central cities, promote the acceleration of economic development, improve urban functions and regional influence, and build an important regional central city in China. It is necessary to promote the integration of the development of the two wings, effectively promote the spatial combination, transportation connection, market linkage and industrial connection of the two wings, and promote the development of the two-wing urban agglomeration from point to surface, connecting into pieces and sectors. It is necessary to strengthen the supporting role of the two wings in the development of the whole province, rely on the Hanjiang ecological economic belt, and build a high-quality development economic belt with emphasis on industrial transformation and upgrading and advanced manufacturing; Relying on the Yangtze River Economic Belt, we will build a high-quality development economic belt featuring green economy and strategic emerging industries.

  "The coordinated development of the whole region, the gap is in the county, the potential is in the county, and the key is in the county." Ying Yong emphasized that it is necessary to fight a tough battle and an overall battle for county economic development, consolidate the important cornerstone of coordinated development in the whole region, and raise the bottom plate of high-quality development in the whole region. It is necessary to speed up the urbanization construction with the county as an important carrier, "borrow the momentum" from the engine of the central city, "make the town a real node", "make the great article of rural revitalization" excellent "and vigorously expand the space for county economic development. It is necessary to strengthen the strength of the county, improve the functions of the county, and promote population concentration, industrial agglomeration, functional integration and factor intensive. Scientifically draw up county planning. It is necessary to promote the integrated development of counties and central cities, and build an integrated development layout with financing in cities, investment in counties, research and development in cities, manufacturing in counties, and supporting in cities and counties. It is necessary to promote the leading role of strong counties, strengthen policy guidance and support, form an echelon of county development, and realize the promotion and quality improvement of more top 100 counties. It is necessary to effectively link the achievements of consolidating and expanding poverty alleviation with rural revitalization, and promote the organic integration of rural revitalization and county development.

  "Industry and enterprises are the core support of the county economy. Strong industries and strong enterprises make the county strong." Ying Yong stressed that it is necessary to do everything possible to cultivate leading enterprises and strengthen leading industries with characteristics. We should dare to be good at "making something out of nothing", "making something out of nothing" and "being superior in China", not making excuses for backwardness, but only finding ways for development, and speeding up the cultivation of county market players and characteristic industries. It is necessary to expand the block economy, network economy and private economy, introduce head enterprises, cultivate leading enterprises, gather supporting enterprises, and drive the formation of "one county, one product" and "one industry, one product" to create a number of industry leaders, invisible champions and "specialized and innovative" small giant enterprises. It is urgent to promote agricultural industrialization, focus on key agricultural industrial chains, with provincial leaders as chain leaders, increase investment, promote at a high level, support leading agricultural enterprises to become bigger and stronger, promote the high-quality development of county economy with agricultural industrialization, and promote the transformation of our province from a province with large agricultural output to a province with strong agricultural industry.

  Ying Yong stressed that it is necessary to stimulate the vitality of county development with institutional and institutional innovation, and to be motivated, dividends and vitality to reform. It is necessary to deepen the reform of empowering and strengthening counties, and resolutely delegate all the power matters that can be delegated to counties and cities. It is necessary to continuously enhance the function of opening up and build a new open economic system at a higher level. It is necessary to break bottlenecks, focus on solving financing problems, and promote economical and intensive land use. It is necessary to optimize and improve the assessment mechanism, give full play to the incentive and spur role of the assessment results, and form a strong atmosphere of grasping development and being proud of development. It is necessary to select and strengthen the leading bodies of counties and cities, especially the principal positions of the party and government, and select and make good use of leading cadres who speak politics, understand the economy, want to be an official, can be an official and succeed in their work around the top priority of development.

  Ying Yong emphasized that the development we are pursuing is led by science and technology and driven by innovation. We should put innovation at the core of the overall development and solidly promote the construction of a strong province through science and technology. It is necessary to continuously optimize the business environment and be a "shop assistant" who is "responsive and has nothing to worry about". The development we are pursuing must be a development that completely, accurately and comprehensively implements the new development concept, a development that adheres to the general tone of striving for progress while maintaining stability and takes high-quality development as the theme, a development that adheres to ecological priority and green development, a development that truly benefits people’s livelihood and solidly promotes common prosperity, and a development with high quality, good efficiency, excellent structure and sustainable development. We must never cheat and make a fuss about figures.

  "Seek the long-term and do it now." Ying Yong stressed that it is necessary to act quickly and implement it in the spirit of nailing. Conservative thinking, outdated ideas and complacency are often the beginning of backwardness. It is necessary to break through the ice with ideas, make good use of the key measure of reform, and promote a better combination of effective market and promising government, so as to promote effective market for promising government and make the market play a decisive role in resource allocation. Each city and state should find a correct position and play a role in the regional development layout of the province, so as to be aware of the responsibility, take responsibility for the body and perform the responsibility. All departments directly under the province should fully support it, form a joint force, consistently implement it, and carry out a blueprint to the end. We should seize every minute and take the initiative to make practical moves, do practical things and seek practical results with the state and style of "fighting, grabbing and being practical". All work is going to solve problems, to solve problems, to achieve goals and effects, to fully promote the regional development layout to become effective, the county economy as a whole jumped, and to greet the 100 th anniversary of the founding of the party with excellent results.

  Wang Xiaodong said that only when the county is strong can the province be strong. It is necessary to strengthen the sense of crisis, responsibility, mission and urgency in grasping the regional development layout and county economic work from a political, strategic and overall perspective. Only when the mechanism is alive can the county be alive. It is necessary to provide high-quality institutional supply, creatively promote the implementation of policies and measures, improve the differentiated assessment and evaluation mechanism, and make good use of the "new troika" of reform, opening up and innovation to stimulate the vitality of the county economy. Only when the concept is ahead can we lead the development. We should take the new development concept as a baton and a traffic light, plant industries with characteristics and advantages according to local conditions, play a good role in "characteristic cards", "advantage wars", strive to be "special students" and "blue chips", compare the strength of industries, discuss heroes by projects, attract investment to see the level, and make the county wonderful, add color to the region and help the province shine.

  The main responsible comrades of Wuhan, Xiangyang, Yichang, Yidu and Zaoyang made speeches on implementing regional development layout, accelerating the development of county economy and promoting agricultural industrialization respectively.

  The Standing Committee of the Provincial Party Committee, leading comrades of the Standing Committee of the Provincial People’s Congress, the provincial government, the provincial CPPCC, the president of the provincial court, and the procurator-general of the provincial procuratorate attended the meeting.

  The meeting was held in the form of video conference, with sub-meeting places in cities, counties and counties.

There are still many fetters for doctors to practice more, so it is suggested to delete the "practice place" in the law on practicing doctors.

(Health Times reporter Qiu Yue)He Lin, deputy to the National People’s Congress and deputy director of the Institute of Health Education of Guizhou Provincial Center for Disease Control and Prevention, suggested that the "place of practice" in the Law on Medical Practitioners should be deleted, and doctors should be allowed to practice more, so as to make up for the technical weakness of primary hospitals and improve the uneven distribution of medical resources.
"The ideal is full, and the reality is still quite skinny." Song Hui (a pseudonym), an attending physician in the Department of Orthopaedics of a 3A hospital in Nanchang City, Jiangxi Province, told the Health Times reporter that doctors have been practicing for many years, but in reality, doctors still have to meet the needs of patients by privately "flying knives". "Experts are flying all over the country, and they can’t register in all parts of the country. In addition, in the face of their doctors going out to practice more, although the hospital will not stop it, for doctors, this is still the’ secret’ that is best not to say. "
Information picture. Xie Xuejiao
There are 260,000 doctors practicing in many institutions in China, and these departments are common.
Li Xin (pseudonym) is an obstetrician in a third-class hospital in Beijing. According to her, it is common for doctors in obstetrics and gynecology, pediatrics and some departments that do not involve medical insurance to practice more. Doctors usually use weekends to visit other medical institutions, and many private hospitals will take the initiative to find experts from public hospitals to establish cooperation.
Multi-point practice of doctors refers to the behavior that qualified medical practitioners are employed to practice in more than two medical institutions after being registered by the health administrative department. The registration places of clinical practitioners are divided into provincial administrative regions. According to the existing regulations, clinical practitioners can apply for up to three majors in the same category as the scope of practice for registration.
In 2009, according to the Opinions of the State Council, the Central Committee of the Communist Party of China on Deepening the Reform of Medical and Health System, the former Ministry of Health issued the Notice on Issues Related to Doctors’ Multi-point Practice, which was piloted in some areas. In 2014, the former National Health and Family Planning Commission and other five ministries and commissions jointly issued "Several Opinions on Promoting and Standardizing Doctors’ Multi-point Practice". According to this regulation, doctors only need to apply to the administrative department that approved the practice of the institution to increase their registration, instead of applying to the health administrative department for registration through the original medical institution. Simply put, doctors have the initiative to start multi-point practice in their own hands, and they don’t need to ask for opinions from the unit as before.
On October 28th, 2020, Yu Xuejun, deputy director of National Health Commission, introduced that during the 13th Five-Year Plan period, the Measures for the Administration of Physician Practice Registration was revised and promulgated, and a regional registration system for physicians was established. The practice place was changed to "provincial or county-level administrative divisions", and doctors were "registered once, and the region was effective", so they could practice in multiple institutions. In addition to the main practice institutions need to be registered, doctors can practice in other institutions for the record.
According to the data released by National Health Commission, there are currently 260,000 doctors practicing in multiple institutions in China.
Doctors’ practice should break through geographical restrictions, and "flying knife" should be standardized management.
Information picture. Zhang yangshe
In recent years, the term "flying knife" has appeared in the surgical field, which refers to the behavior of doctors using their rest time to go to other medical institutions for surgery privately. To some extent, this method has alleviated the problem of lack and uneven distribution of medical resources in some grass-roots areas, but at the same time, it has become one of the reasons for medical disputes because of lack of norms.
"Although many people have high hopes for doctors to practice more, hoping to realize the flow of doctors and alleviate the uneven distribution of medical resources, there are not many doctors who actually put them into action in reality. First, the procedures are relatively complicated and may not meet the actual needs. Second, situations like’ flying knives’ cannot be included in the scope of multi-point practice, which is precisely the needs of many patients." Song Hui told the Health Times reporter.
In 2019, a video of "The Doctor Accepts the Patient’s 10,000 Yuan Red Packet Privately" once caused quite a stir. The incident originated from the fact that a family member of a cerebral infarction patient first agreed to accept "flying knife surgery", and then secretly recorded the video of the private payment transaction with the surgeon and reported that the doctor accepted the red packet.
"It is the fundamental problem that doctors need to solve to get better diagnosis and treatment for patients in areas with limited medical resources.’ Flying knife’ was originally a win-win thing, but it was often a good thing with good intentions." Song Hui said that according to the current method of selecting one or two fixed-point practitioners, it is not suitable for the demand of "flying knives". "There are only a few experts, but there are patients in need all over the country, and it is impossible to concentrate on medical institutions where several doctors practice at fixed points, and this demand is very common in surgery."
Li Xin also believes that "flying knife" can help patients avoid traveling and fatigue, and it also allows doctors to get a certain amount of labor remuneration in their spare time, which is a "win-win" thing. However, at present, management is indeed not standardized, and rules should be clearly formulated and the cost standard should be given reasonably, instead of letting doctors carry the pot of "receiving red envelopes".
He Lin said that doctors should use their spare time to "fly knives", which should be supported and protected, while getting reasonable remuneration and benefiting more patients. "We can drive all over the country with a driver’s license. After years of study and accumulation, the doctor has obtained a medical practitioner’s license. Why should he be confined to one area and one hospital? What we should think about now is how to manage the phenomenon like’ flying knife’ reasonably. "
Doctors’ resources should belong to the whole society, and multi-point practice should be liberalized to achieve "three wins"
According to the regulations, doctors who are willing to practice more need to file in the medical institutions that practice more, and then apply to the local health administrative department, and can practice more after approval.
"However, this method still has some difficulties in practical operation. Although it is not allowed to pass this unit for multi-point practice now, doctors will still worry about affecting their development in this unit." Song Hui said.
Li Xin told reporters that from the hospital’s benefits and management issues, although the hospital leaders do not oppose practicing more for their doctors, it is not realistic to want them to give a green light. "Some hospitals stipulate that the director of the department should not practice more on weekdays, and the director of the department does not necessarily agree that his doctors will go out and will use attendance to get a card. In addition, taking our obstetrics department as an example, the number of pregnant women has dropped significantly in the past two years, and the hospital ordered that doctors should not take patients to private hospitals. These are actually some invisible obstacles. "
He Lin pointed out that practicing in the registered practice place, that is, the medical institution, has been implemented for more than 20 years, which seriously does not adapt to the development of the current healthy China strategy and cannot satisfy people’s yearning for a healthy life. "As a high-quality and scarce resource of a country, doctors should not become the’ private property’ of a hospital, but should belong to society and the country, and should play a greater role in safeguarding people’s lives and health."
"Let go of multi-point practice, for primary hospitals, more experts can be invited to come to the clinic to improve the medical technology level of our hospital in on-site teaching; For ordinary people, they can hang up the expert number without going to the big hospital, which can solve the problems of difficult and expensive medical treatment; For doctors, reasonable mobility can encourage medical staff to study their business, improve their medical technology and get reasonable remuneration by virtue of their medical skills. Therefore, the effect of’ win-win-win’ can be achieved by amending the law on medical practitioners and liberalizing multi-point practice. " He Lin said.
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