Health Department of Fars News Agency: It was Shahrivar 1401 that the director of Bijar health network announced a strange news and sounded the alarm of doctor shortage again. He claimed that in order to provide an emergency doctor in this city, they had to call doctors from rural health centers. He considered the cause of this problem to be the completion of the plan of the previous doctors and added: since the beginning of the year, 5 doctors in the city have left the place due to the completion of the plan period. Despite repeated follow-ups, we have managed to attract only one doctor.
But the problem of shortage of doctors in Kurdistan province is not limited to Bijar city. As far as a few days ago, the Vice President of Health Affairs of Kurdistan University of Medical Sciences also expressed his concern regarding the supply of doctors to perform family medicine in Diwandara, and noted: Considering the facilities of the private sector and other sectors, there are about 13 doctors, seven midwives and three We have a shortage of health care workers. In May of this year, at the same time as the implementation of the family doctor, the bitter news of the shortage of doctors was heard more. So that the health managers at least in the provinces of Tehran, Isfahan, Lorestan and Zanjan mentioned the lack of doctors as the main obstacle to the implementation of this plan. This is despite the fact that so far, only one city from each province has implemented the family doctor plan.
The achievement of the 13th government in solving the shortage of doctors
In 1400, with the inauguration of the 13th government, the Supreme Council of the Cultural Revolution began to work and reduced the concerns by issuing a decree in January of the same year. Based on this resolution, the country’s medical admission capacity will be increased by 20% annually within four years. In the first year, 1600 medical students were recruited through this decree. But now, on the eve of the second year of implementation of this decree, the Ministry of Health claims that no amount has been allocated by the Program and Budget Organization for the implementation of this decree. In this regard, Dr. Bagheri Fard, Deputy Minister of Education of the Ministry of Health, said: “Students need laboratories, dormitories, etc. to study. We hope that the necessary funds will be provided to the universities in the coming year. If the infrastructure is not provided, the quality of education will be impaired.”
The Program and Budget Organization of the country also announced in the announcement: With the allocation of 1,730 billion tomans of educational space credits in the health sector, the capacity to accept medical students will increase in 1402.
The Center for Public Relations and International Affairs of the Program and Budget Organization also added: This amount of increase is emphasized in the implementation of the Supreme Council of the Cultural Revolution and with the aim of accelerating the development, completion and equipping of the educational and teaching environment in order to increase the capacity of accepting students in the fields of medicine and dentistry. has taken.
The bitter experience of implementing the law to establish educational justice
The approval of the Supreme Council of the Cultural Revolution is not the country’s first step to improve the state of the health system. In 1992, the parliament passed the law on establishing educational justice, and decided that 30% of the medical admission capacity should be allocated to students from deprived areas every year. With the implementation of this law, the distribution of doctors in the country would be balanced and people’s access to medical services would be fair.
At the same time, since the beginning of the year, this law was neglected and in the best case, i.e. 2014, only 17% of the capacity was allocated to it. Finally, according to the 1401 national entrance exam selection booklet, the share of this law has decreased to about 6% of the medical acceptance capacity. Due to the lack of work of the Ministry of Health in fulfilling the law of educational justice, it is feared that the decision to increase the medical capacity will also suffer the same fate in case of the continuation of indifference by the Program and Budget Organization and the Development Deputy of the Ministry of Health. Because this plan must be applied for at least four consecutive years to be fruitful. Now, with the increasing aging and retirement of more than 35,000 doctors in the next 20 years, it should be seen how the country’s health system will be able to protect its 40-year achievements?
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