<h1 class="pgc-h-arrow-right" data-track="1" > [Eight-Point Special] Photo the story of Jiangshan General Medicine</h1>
Original Wang Shiliang 8 p.m. The day before yesterday
The story of Jiangshan General Medicine behind the photo
One morning in August this year, Jiangshan Zhuangyuanli Health Care Hospital was filled with fresh summer grass and trees, and Zhou Zhencang, Xu Kezhen, Zhou Xueqin, etc., admired with great interest a stack of old photos brought by Zhang Yonglong, and felt that it was back to the 1990s when Jiangshan City vigorously promoted the pilot work of general practice...
❀❀❀General medicine into the country
The story begins with the Spring Festival in 1991. That morning, a young teacher named Wu Chunrong from the Jiangshan Health Bureau was appointed by Capital Medical University (hereinafter referred to as "First Medical University") to introduce some students to the People's Hospital for internship. Talking about general medicine during the conversation aroused the interest of Director Zhang Yonglong.
The right one is Yonglong
General medicine is a new medical service model, integrating prevention, health care, medical treatment and rehabilitation, based on biological, psychological and social medicine, facing the family, focusing on the individual, and actively providing worry-free, labor-saving and money-saving health care. The model of general medical services appeared in the 1960s and has been implemented in more than 50 countries and regions. In 1988, the concept was introduced to China, and in 1989, the "General Medicine Association" was established in Beijing, and the Capital Medical College took the lead in setting up the "General Practitioner Training Center", and is seeking pilot units.
Wu Chunrong's words ignited the spark of Zhang Yonglong's thought. He thought that if the general medical service model can be integrated with China's current tertiary health care network, it will be a useful exploration and practice to solve the problem of farmers' difficulty in seeing a doctor and expensive medical treatment. Therefore, the Health Bureau conducted a serious analysis and research, and believed that the model of general medical services is in line with the actual health conditions of Jiangshan and can be promoted on a pilot basis.
Zhang Yonglong has worked in rural health centers such as Shimen, Changtai and Shangyu for 17 years, and has a deep understanding of the lack of medical care and medicine in rural areas. A township generally has only one health center, and to see a doctor, the villagers have to walk a long way, spend time, and affect agricultural work. Therefore, it is not a serious disease, generally can survive and boil, can drag on, the result is often missed the best diagnosis and treatment time, small diseases are dragged into serious diseases. Although there are also "barefoot doctors" in the village, because they have not undergone long-term professional study and the medical level is low, it is difficult to meet the growing medical needs of the villagers.
The idea of the Health Bureau has been valued and supported by the Municipal Party Committee and the Municipal Government. Therefore, Zhang Yonglong contacted the First Medical University through Wu Chunrong to discuss the pilot project of general medicine in Jiangshan. In May 1991, Gu Yuan, head of the General Practitioner Training Center of the First Medical University and associate professor, and four other people came to Jiangsu and decided to identify Sidu Town as the first rural general medicine pilot unit in the country. There are many reasons for this. First of all, the economic development level of Sidu Town ranks in the middle reaches of the Jiangshan Mountains, which has a certain typicality. Secondly, the Sidu Town Government has always attached great importance to health work. Third, Zhou Zhencang, the mayor of the town health, is relatively good at doing mass work, which is conducive to the development of this work.
Zhou Zhencang worked as a soldier and barefoot doctor, passed the provincial health system examination in 1980, and entered the Hejiashan Health Center. In 1984, because of his youth, vitality, ideological emancipation, and strong work ability, the 27-year-old Zhou Zhencang was appointed as the director of health in Sidu Town.
Zhang Yonglong is only 37 years old when he is the director of the Jiangshan Municipal Health Bureau, and he especially appreciates young people like Zhou Zhencang who dare to think and dare to do it. In that year, Zhang Yonglong made remarkable achievements when he was the director of Shangyu Health, which attracted the attention of higher-level organizations. In May 1984, Yan Fuchao, deputy secretary of the Jiangshan County CPC Committee and director of the organization department, and Chen Yanhua, vice minister of Jiangshan County, talked to him successively. On May 11, Zhang Yonglong came to the Organization Department of the Municipal Party Committee, and Yan Fuchao said to him solemnly and solemnly: "According to the needs of the work, the organization has decided to appoint you as the director of the Health Bureau and the secretary of the Party Committee. After going, pick up the burden and do a good job. Believe you can do it. ”
It was the fifth day of the first lunar month, a summer day, and the air was filled with a thick fragrance of gardenia flowers, and Zhang Yonglong understood that the busiest season of the year had arrived.
❀❀❀Step by step
In May 1991 and January 1992, Gu Pan, Liu Xiaoping, Wu Chunrong, and other responsible persons of the General Practice Medical Center of the First Medical University came to Jiangsu in batches to demonstrate the pilot work of general practice and discuss the pilot plan of general practice. The pilot work officially began, such as holding business training for the medical staff of the Sidu Town Health Center; guiding the establishment of health files for community residents, sorting, reviewing, analyzing relevant data, and establishing a database; according to the geographical location, living environment, population flow and patient visiting habits of Sidu Town, the town's 19 administrative villages and 14,000 population were divided into 4 communities, and each community set up a general medical station, and each station was equipped with 3 to 4 general practitioners.
In February 1992, the Party Committee and Government of Sidu Town held a mobilization meeting for the pilot work of general medicine, and Vice Mayor Zhu Yuying attended and spoke. In April 1992, Sidu Town established the General Medical Management Committee and formulated the "General Practice Medical Management of Sidu Town" and the "General Medical Implementation Plan". The pilot work of general medicine was included in the agenda of the municipal government that year and received financial support.
Everything was brand new, there was no experience to learn from, Zhang Yonglong they felt the stones to cross the river. To do a good job in the pilot work of jiangshan general medicine, a large number of qualified general practitioners are first needed. What to do? The Health Bureau has adopted a "send out, please come in" approach. In October 1991, Zhang Yonglong and Hu Hanmin participated in the "National Seminar on Theory of General Practice", went to Beijing to study and recharge, deepen their understanding of general medicine, and establish a cooperative relationship with the General Practitioner Training Center of The First Medical University. In April 1992, Zhou Zhencang, Jin Qiuling, Wu Qinghua and other doctors from Sidu Town Health Center were sent to Beijing to participate in the national training course for general practitioners. What is even more exciting is that through the efforts of Jiangshan Health Bureau, Jiangshan General Practitioner Training Program was included in the national and provincial enrollment plan, and in September of that year, the first batch of general medicine trainees entered the First Medical University and Jinhua Health School for further study, becoming the first batch of general medicine professional medical students in the country.
Everything is ready, borrow the east wind to the clouds. On October 16, 1992, at the inaugural meeting of Sidu Town General Medical Center, Propaganda Minister Lu Hongtao, Vice Mayor Xu Yuning and other leaders of the Municipal Party Committee and Municipal Government attended the meeting to congratulate and hand over the card of "Jiangshan Sidu Hospital General Medical Center" written by Minister of Health Chen Minzhang to Zhou Zhencang.
One on the right is Yonglong, the eighth is Xu Yuning on the right, and the ninth is Hongtao on the right
The pilot work of Jiangshan General Medicine has been solidly promoted, which has attracted the attention of party committees and governments at all levels and all sectors of society. In January 1993 and August 1994, Zhang Zhenjiang, vice president of Zhejiang Medical University, and Li Junwei, deputy director of the Academic Affairs Office, came to Jiangsu to investigate. In April 1996, Yang Yaosun, president of Shanghai Higher Medical School, and three directors of Shanghai Fengxian County Health Center came to Jiangjiang for inspection and exchanges. According to statistics, since 1996, experts and scholars from more than ten provinces, municipalities and autonomous regions such as Shanghai, Jiangsu, Anhui, Henan, Shandong, Jilin and other colleges and universities, as well as relevant leaders of health administrative departments, have come to Jiangshan to inspect and exchange the pilot work of general medicine.
❀❀❀Pass on the scriptures and send treasures
The pilot work of general medicine in Jiangshan City has also received great attention and strong support from the World Association of Family Physicians, and has sent personnel to Jiangsu for inspection and guidance.
Left one Wu Chunrong, left third Zhu Yuying, left fourth Carnelsen, left fifth Xu Renmin, left six Zhang Yonglong, left seven Hu Hanmin
In November 1991, Dr. Canelsen (hereinafter referred to as "Lao Ka"), a Canadian general medicine expert and visiting professor of the First Medical University, accompanied by Wu Chunrong and Liu Xiaoping of the First Medical University, came to Jiangsu to investigate the pilot situation of general medicine. During the inspection, Lao Ka also held a number of academic lectures to introduce the knowledge of general medicine and the development of the world. At the end of the inspection, Lao Ka made a high evaluation of the pilot work of general medicine in Jiangshan City: "The success of the Jiangshan pilot will be of great promotion value. ”
One Yonglong on the right, two old cards on the right
Old Ka is a learned scholar and a personable, cute and handsome guy. One afternoon, the old card toured Jianglang Mountain, suddenly had a whim, wanted to go to the nearby health center to see, Zhang Yonglong asked the driver to turn the car into the jiepai health center. Because it was afternoon, the health center was quiet. Seeing that Dr. Xu Hongxia was reading a book, Lao Ka shouted, "Hello, hello!" Xu Hongxia quickly stood up. Zhang Yonglong followed in, pointed to the old card and introduced: "This is the world-famous general medicine expert old card, you can ask him to sign a name!" Xu Hongxia, who was at a loss, listened, hurriedly found a notebook, opened it, and handed it to her with both hands. Old Ka Yang wrote a few lines of encouragement.
Before leaving, everyone took a group photo to commemorate the occasion. Seeing Dr. Wang's little daughter hiding aside, Lao Ka smiled and walked over, pulled her to his side, crouched down by himself - clicked, leaving a warm photo.
The right one Xu Hongxia, the right three kings praise, the left one Yonglong, the left three old cards
Xu Hongxia still keeps the notebook signed by the old card. Nowadays, Xu Hongxia has been rated as the attending physician and still adheres to the rural areas - Dachen Health Center, serving farmers.
On February 7, 1992, another world general medicine expert came to Jiangshan to inspect and guide the pilot work of general medicine in Sidu Town, he was Li Mengzhi, associate professor of Taiwan Zhongshan Medical College, visiting professor of first medical university, and consultant of the World Association of Family Physicians. Li Mengzhi's work is very pragmatic and grounded. During the eight days in Jiang, four days went deep into Sidu Town to conduct comprehensive training for medical staff on general medicine knowledge and skills, and help solve some problems arising from the pilot of general medicine. Later, Li Mengzhi added his observations and thoughts in Sidu Town to his republished book "Family Medicine and Family Medicine Management".
Li Mengzhi, "Family Medicine and Family Medicine Management"
On December 20, 1992, Yamang, Chairman of the Executive Board of the World Association of Family Physicians and Doctor of Family Medicine of Israel, on behalf of the World Organization of General Medicine, conducted a phased evaluation of the pilot work in Jiangshan. Mr. Yamange came to Sidu Town, went to the village, looked through the villagers' health files, learned about the details of the development of general medical care, and inscribed the inscription "May the Sidu Town General Practice Center become a demonstration center for general practice in rural China". After returning to Beijing, he gave Jiangshan a "1+" impression evaluation of the medical work.
One on the right, Yonglong, and the second on the right, Yamange
The fourth expert to come to Jiangsu to direct the work of general medicine was Shao Yizhang, an Australian-Chinese national. In April 1998, Mr. Shao visited and inspected the First General Medical Station of Fuzhu Street in Sidu Town and the General Medical Station in Xialutou, Xujiang Town. And the inscription for the Sidu Town General Medicine Center: "I hope that the development of general medicine in Sidu Town is getting better and better." ”
The right one Is Weiping, the right third Shao Yizhang, and the right five Zhang Yonglong
Direction is power. Thanks to the guidance and help of these high-level general medicine experts and scholars, the pilot work of Jiangshan General Practice Has always been on the right path, starting early and developing rapidly.
❀❀❀ Fragrant blossoms
In October 1993, Zhang Yonglong, Jin Daxing and other major leaders of the Health Bureau, together with the person in charge of the General Practice Medical Center in Sidu Town, went deep into Fuzhu Street, Xitou Mountain and other places to conduct phased investigation and evaluation of the effects of the general medical pilot, and strived to find problems, standardize procedures, and prepare for the next step of expanding the scope of the general medical pilot.
In July 1995, the Health Bureau decided to start the pilot project of general practice and start the preparation of community general medicine stations. From Sidu Town to Shangyu, Daxitan, Dachen, Fengzu, Zhaojia, Hejiashan, Bowl Kiln, Tangling and other townships, from point to surface, scattered and combined, gradually pushed open, blossoming everywhere.
In the season of Ziwei blossoms, the first batch of general medicine trainees in Jiangshan graduated, including 7 from the First Medical University, 20 from Zhejiang Medical University, 40 from Jinhua Health School, and 20 from Quzhou Health School. On July 30, 1996, the oath of office was held at the Fuyuan Hotel, vowing to volunteer to choose the noble profession of general practitioner, be loyal to their duties, and dedicate themselves to the cause of rural medical and health care. Attending the oath-taking activities were leaders and experts of the Provincial Health Department, Quzhou Municipal Health Bureau, Zhejiang Medical University, Shanghai Medical College and leaders of the four major teams in our city. Zhang Yonglong, director of the Health Bureau, encouraged the graduates: "The countryside needs you. Being a general practitioner will be very hard, I hope that everyone can stick to it, keep the roots, keep the clouds open at sunrise, and the mountains are full of flowers. After the meeting, the graduates rushed to 14 townships and more than 30 general medical stations in Jiangshan to serve 150,000 farmers. On August 3, CCTV News Network reported on the oath of office of general practitioners in Jiangshan City.
From left to right: Jiang Jiangwei, Chen Xingguo, Mao Lixiang, Mao Jianmei
After the meeting, Chen Xingguo, Jiang Jiangwei, Mao Lixiang and Mao Jianmei, four graduates, came to the Jinjia General Medicine Station and the Chen Cun General Medicine Station in Zhao's hometown. Later, the common cause and pursuit brought Mao Lixiang and Mao Jianmei together. Zhang Yonglong was very happy to know and warmly congratulated them. He and his lover Yao Qun were once a pair of village doctors. In 1967 and 1968, Zhang Yonglong, who graduated from Jinhua Health School, and Yao Qun from Jiaxing Health School were assigned to Shimen Health Center. In addition to sitting in the clinic, he often carries a medicine box to the clinic. In particular, there will also be outpatient clinics, there are "three fears": afraid of snakes, afraid of thunder, afraid of the dark. Zhang Yonglong is better, and Haining girl and midwife Yao Qun often need Zhang Yonglong's company. Companionship is the longest confession of affection, and the two become lovers and lovers from colleagues.
Zhou Shaolin, Jiang Aiping and Xu Jian came to Liantang Village in Fengzu Township. The medical station was newly built, and the well in front of the gate was newly opened. When asked, it was the villager Yu Qiang who saw that the general medical station had been built, and in order to facilitate the general practitioners to draw water and water, with the consent of the village, he drilled a well next to the medical station to show their welcome. Later, this well was called the "Love Doctor Well".
Left one Jiang Aiping
With hearts for hearts, Zhou Shaolin repaid the villagers' deep friendship with practical actions. Life is hard but not bitter, simple but not simple. After a period of study and tempering, he gradually grew into an excellent rural doctor. Zhou Shaolin not only sees doctors, but also sings and plays the guitar. Look, a group of children passed by the general medical station after school, surrounding Dr. Zhou and asking him to "come to a song". Dr. Zhou smiled and took the guitar from the wall, and cooperated with the handsome guy with the crispest and loudest voice to come to a soundtrack tenor, and the happy song floated over Liantang Village. In those years, Liantang General Medical Station was also known as a "country music classroom".
In 2000, villagers heard that Zhou Shaolin would transfer to the Fengzu Health Center and went to the health center to "intercede". Finally, a compromise plan was adopted: Zhou Shaolin went to the health center half the time every week, and half of the time was spent at the Liantang General Medical Station.
Right two weeks Shaolin
Zhou Yimin, Jiang Hui, etc. came to the general medical center in Zhenwu Village, Bowl Kiln Township. They found that the villagers had been poisoned by pesticides on several occasions. To this end, they often go to the field to guide the villagers to use pesticides correctly according to the weather, temperature, wind direction, etc., and how to give first aid after poisoning. This is the general practitioner, who not only treats the villagers, but also helps them prevent diseases and keep them healthy.
Right Zhou Yimin, right fourth Xu Hui
Zhang Wenshi and Chen Tianjun came to the Yidujiang General Medical Station in Shangyu Town. Because of the limitations of the conditions, they often use the morning, middle and evening time in the village gate, grain drying field and other places, using text and pictures, see stitches and needles to carry out health knowledge publicity activities. Look, how seriously this woman carrying the child in a floral apron listens!
The right one is Zhang Wenshi, and the right second is Chen Tianjun
Wang Hua was assigned to the Sidu Town General Medical Center. Wang Hua is enthusiastic and cheerful, can speak the Tao, no matter where he goes, there is the center of happiness. On this day, he came to the door of a farmer's house to carefully inquire about the health of the villagers and record them one by one. Journalist Wang Xiaochuan filmed this scene, which was later published on the cover of the third issue of "Half Moon Talk" in 1997.
The second from the right Wang Hua
Xu Kezhen and Zhou Xueqin came to the XitouShan General Medical Station in Sidu Town, responsible for the general medical work in 4 administrative villages, including Xitou Mountain and Xiaxiyan. At the beginning, many villagers looked at these stinking young people with doubtful eyes. Xu Kezhen and Zhou Xueqin are very competitive, and they strive to study the business and improve the business level as soon as possible. Busy is nutrition, bitterness is strength, progress is the best reward for them, and after a period of time they have won the trust of the villagers.
One day in September 1996, a handsome young man carrying a black long-barrel camera came to the medical station, and the accompanying person introduced Wang Xiaochuan, a reporter from Xinhua News Agency, who wanted to go into the village with Xu Kezhen and Zhou Xueqin to go into the village to visit the clinic, and they happily agreed. There is a small river outside Xitou Mountain Village, and in order to avoid detours, they take off their shoes, carry medicine boxes, and walk hand in hand. The river in early autumn is slightly cool, and there are naughty little fish biting their toes and fingers, itching. Only to find that the reporter had come ashore in front of them, holding the camera and clicking at them.
One day in November 1998, someone told Xu Kezhen and Zhou Xueqin: "Your photos were selected for the photo exhibition of the achievements of the 20 years of reform and opening up published by Xinhua News Agency!" This year, Xinhua News Agency selected 50 major historical events such as the reform of Xiaogang Village, the establishment of the Shenzhen Special Economic Zone, and the return of Hong Kong to commemorate the 20th anniversary of reform and opening up in the form of news photos. The 47th photograph of the development of the national health system has a caption:
By 1997, There were 4.4 million health technicians, 1.39 million doctors in hospitals and health centers, and 3.14 million hospital beds, and the basic medical needs of the people were guaranteed. The picture shows Xu Kezhen (first from left), a township general practitioner in rural Jiangshan, Zhejiang Province, and Zhou Xueqin on their way to the clinic. Wang Xiaochuan photographed.
The left one Xu Kezhen, the left two Zhou Xueqin
Unfortunately, the original of this photo was not found, and it was replaced by a photocopy.
❀❀❀ Glory and dreams
In fact, before this, Zhou Zhencang, Wang Hua and other general practitioners had already appeared on the cover of the third issue of "Half Moon Talk" in 1997.
The photo reflects jiangshan's pilot work on general medicine, and there is a cover description of "General Practitioners in the Countryside":
From late August to early September 1996, the first 100 general practitioners in China successively went to 23 general practice medical stations in the rural areas of Jiangshan City, Zhejiang Province, to carry out general medical services, becoming the "protector" of the health of 150,000 local farmers.
General practice refers to those medical workers who work at the grassroots level and are the first to contact patients, who take the family and community as the field of work, and provide comprehensive, continuous and personalized services to patients.
Although the general practitioners in the First General Practice Medical Station in Sidu Town, Jiangshan City, graduated from the Capital Medical University, Zhejiang Medical University, Jinhua Health School and other medical schools respectively, they all studied the same specialty - general medicine, and they were the first batch of rural general practitioners in China. (Wang Xiaochuan)
Appearing on the cover of "Half Moon Talk" sponsored by Xinhua News Agency is the glory of all the workers who have devoted themselves to the pilot of general medical treatment, and the glory of more than 500,000 people in Jiangshan.
Prior to this, Quzhou Daily, Zhejiang Daily, Health Daily, Jiefang Daily, People's Daily overseas edition and CCTV news broadcast programs have also reported the deeds of Jiangshan in carrying out the pilot work of general medicine. Great times have created countless ordinary heroes.
Thorns all the way, flowers blossom all the way. It is not only the media that pays attention to the pilot work of Jiangshan General Practice Medical Care. In October 1996, at the "National Academic Conference on General Practice Management and Education Development" held in Tianjin, Cao Zeyi, president of the Chinese Medical Association, fully affirmed the pilot work of Jiangshan General Practice in his speech at the conference, and arranged the first exchange speech on the article "The Development and Future of Rural General Practice Medical Pilot in Jiangshan City" selected by Jiangshan Health Bureau. During the meeting, Minister of Health Chen Minzhang specially received Zhang Yonglong, Jin Daxing, Zhou Zhencang and other Jiangshan representatives, and encouraged them to continue their efforts and carry out the pilot work of general medicine.
Chen Minzhang on the right, Zhang Yonglong on the right, Zhou Zhencang on the right, and Gu Yong on the right
In May 1997, Xu Jiazeng, then secretary of the Jiangshan Municipal Party Committee, was invited to make an exchange speech entitled "Actively Exploring General Medical Care and Improving the Level of Rural Health" at the provincial health work conference, and the response was enthusiastic.
In 1999, the "Zhejiang Provincial Medical Education and General Medicine Academic Seminar" was held in Jiangshan, and Li Lanjuan, director of the Provincial Department of Health, and scholars and experts from all over the province attended the meeting. Jiangshan general medicine, flowers bloom brilliantly.
❀❀❀is always on the way
In 1998, Zhang Yonglong was appointed vice chairman of the Jiangshan Municipal CPPCC Committee and director of the United Front Work Department of the Jiangshan Municipal Committee, leaving the health system where he had worked for more than three decades; in 2007, Zhang Yonglong retired. Looking back on the past, Zhang Yonglong has always paid attention to the development of Jiangshan's general medical work after retirement. In 2017, Zhou Zhencang also retired and set up a "Zhuangyuanli Health Care Hospital", a field with a strong connection with general medicine. It has been said that a person has three lives: life, life, and mission. Life is innate, life is the trajectory of life, and mission is the meaning of life. For Zhang Yonglong and Zhou Zhencang, general medical treatment is their lifelong mission.
Today, Xu Hongxia, Xu Kezhen, Zhou Xueqin, Zhang Wenshi and other general medical graduates are the backbone of jiangshan's health and medical front. Some of them are the backbone of the business of their units, and some have taken up leadership positions, while Wang Hua, Zhou Yimin, Chen Xingguo, etc. have adapted to the wave of reform and set up clinics, and the "diagnosis and treatment subjects" column of their business licenses is conspicuously written: General Medical Care. Time passes, the times are changing, and concepts are changing, but the faith remains unchanged, the pursuit remains unchanged, and the memory is not old. The lotus ponds, the crooked rivers, the bright moon, the silent villages and the elegant purple weed flowers in their memories are deeply integrated into their lives and appear in their dreams. The untouchable color is called the rainbow, the invisible hug is called the breeze, and what cannot be forgotten is the fiery red years of youth and regretlessness.
From left to right: Zhou Zhencang, Zhou Xueqin, Xu Kezhen, Zhang Yonglong
Time is the narrator of the story, and the photographs record those unforgettable stories. This summer, when I admired the photos sent by Zhang Yonglong one by one, I did not feel the vicissitudes of the next life, but stirred up the sense of mission to tell these stories to more people.
General medicine, always on the road.
Teacher of Jiangshan Middle School in Zhejiang Province
"Eight o'clock in the evening" contributing writer