Many people over the age of 60 and 70 have heard of the term “blackfoot doctor”, but many do not know much about young people under the age of 30. What's dr. Barefoot? What's the score? Why is it gone
In the early 1950s, life expectancy in the country was only 35 years, and in the early 1970s it rose rapidly to about 68 years, almost doubling. A special group — barefoot doctors — is required to achieve such bright results。
I. What is a “doctor with barefoot”
The barefoot doctor model, which was born in 1965, was quickly rolled out throughout the country under the highest directives “to focus health care on rural areas”, i. E. “directive 626”。
At that time, 85 per cent of the country's health care was concentrated in urban areas above the county level, serving about 10 per cent of the population; about 15 per cent of the health care capacity remained, serving 90 per cent of the rural population, and the health care structures and clients were “significantly inverted”。
At that time, how could the country rapidly increase its health-care capacity and improve rural health services? The state has set up a road “from the masses to the masses” to train, on a short-term basis, a large number of people with a certain level of cultural knowledge and medical care, to be enriched in rural areas。
The proportion of medical services is roughly as follows: each 300 to 500 social workers, with a doctor, ensures that every village has a doctor and that the general population is able to deal with the disease in the near future, so that it does not become a major disease。
The selection of barefoot doctors comes mainly from three categories of people: knowledgeable young people who go up the hill, children of rural medical families, and farmers who are literate and have some knowledge of chinese medicine. After several months of intensive training, they returned to their villages to conduct “on call” medical services。
Dr. Barefoot's working model is in fact a “half-worker”: daily health clinics, farming needs and rapid delivery of services when medical needs arise. Since, in most cases, medical treatments are carried out in the fields on bare feet, they are slowly referred to by the public as “the barefoot doctor”。
Ii. What is dr. Barefoot's historical status and achievements
Dr. Barefoot is a kind memory of the older generation and a general existence of “family members”, specifically “yes”:
1. Monuments. If the people's army is called the “most lovely person”, and the village teacher is called the “springs/candles”, then the barefoot doctor is “to the sun”, indicating both its contemporary context and its optimistic state。
There is a rumour: dr. Barefoot speaks to the sunflower, and everyone in the poor country exaggerates。
2. Imaged. It now appears that dr. Barefoot “has a lack of culture, a lack of equipment on his hands, a lack of good medicine in his medicine kit” and that the whole image of “earth + poor + poor” was, at that time, an expert who belonged to the “goldless” and even referred to as the “savior of life”. His visit, which is “snarled at the delivery of medicines at home, staring at the insatiableness of the family and paying for the hardship of the family”, has not yet become obsolete。
A poem bears witness: a silver needle cures every sick, a heart warms thousands。
3. Delegates. Many of the elderly remember that doctors with barefoot are well represented everywhere, known as wang guijin, wong xiaoxiang, and the master of peace. There are two films reflecting dr. Barefoot, spring slim and red rain。
The song is testimony to the fact that the young and the young, the young and the young, have come out of the spring and come to the sun, and have taken the red medicine box, with a long class。
4. Quantity. The number of barefoot doctors in the country reached 1. 56 million in 1977, according to the national health sector statistics. In addition to barefoot doctors, there are health interventions such as rural cooperative medical care and rural level referral systems。
This is evidenced by the fact that dr. Barefoot's aunt, who can grow the land with herbs on her back, comes in the wind, takes care of herbs, takes care of her own。
5 - miracles. The primary contribution of our modern country to the world's medical cause is not against disease, but rather against cancer. Who has specifically visited my country to evaluate dr. Barefoot as “the only model for addressing health finance in developing countries” and as “a universal achievement in low-income countries”。
The book attests to this: the book that has so far had the greatest global impact in the country is the handbook for barefoot doctors. The book has been published in more than 1. 2 million copies nationwide, translated into over 50 languages, printed in millions of copies and is still in use in asia and africa。
Iii. Why is there disagreement at this stage about the polarization of dr. Barefoot
There is a great deal of emotion and platitude towards dr. Barefoot, and it is the rural population over the age of 50 and 60, while others do not rate dr. Barefoot very well
With regard to the type of medical practice, it is difficult to define the type of doctor who is not chinese or western, the absence of a strict clinical concept of sterileness, the lack of specialization in medical treatment, and the deterioration of modern medicine。
In terms of medical qualifications, it is considered that barefoot doctors have a low level of education and that it is difficult to pass a qualification test, essentially “unlicensed” to “smuggle” modern medicine, with high risks。
In clinical practice, there have been a number of cases of maltreatment and mistreatment by barefoot doctors, particularly in rural areas where there have been numerous cases of deafness, tetracyclic teeth, disability, meningitis or the misuse of chinese medicine to cause liver and kidney damage。
At the medical level, last year, at the peak of the new crown, barefoot doctors used high doses of antibiotics + antivirals + hormonals + defunct drugs to fight the epidemic, which many doctors have slain as “human life”。
On the whole, it is inconceivable to look at dr. Barefoot in the modern light because of his poor qualifications, his multiplicity of fish dragons and his medical responsibilities。
Why did dr. Barefoot disappear
1. The clients of dr. Barefoot have changed. In the past, dr. Barefoot had been associated with the production group division, acting as a “worker + doctor”, which had naturally affected the basis of dr. Barefoot's business as it had left the historical stage。
2. There has been a marked decline in the rural service population. From the 1990s to the present, a large number of rural workers have been working outside the country, mainly the elderly and children left behind. As in the past, barefoot doctors are no longer able to feed their families by growing land and visiting clinics。
3. Dr. Barefoot is clearly present on the modern board. Barefoot doctors tend to treat minor illnesses clinically, but it is difficult to compare the examination and treatment of serious diseases with those of class origin. However, many qualified modern doctors are largely unable to reach rural areas for long-term service。
4. In modern times, there have been a number of misdiagnostic problems with barefoot doctors, which have spread over the internet and have led to negative perceptions。
V. What do you think of dr
The doctor would like to state in the simplest sense:
If you were sick now, a barefoot doctor would probably be wondering if you were trying to make me feel bad。
If you were ill 40 or 50 years ago, dr. Barefoot would have treated you a dozen miles, and you'd probably have tumbled your head to thank dr. Barefoot。
The central message is that the evaluation of medical issues must not be divorced from the contemporary context. Once you see the past with modern visions, you'll find that there's a lot of danger, a lot of error, and you'll survive。
How's dr. Barefoot? It would not be good to measure by the level of doctors at the present sancha hospital. The question is: where did you find so many doctors in sana hospital decades ago? Do we have so many regular doctors
Dr. Barefoot is like a bowl of corny, muddy rice mixed up in the famine years that makes it difficult to swallow back the teeth, but can solve the problem of starving people. A bowl of fragrance and fragrance rice was good, but not at that time。
Finally, dr. Barefoot addresses some of these issues: rural health literacy, prevention of infectious diseases, assistance in the eradication of schistosomiasis, and vaccinations. For 40 or 50 years, what plague has originated in rural areas
