Is the overall number of doctors in the country more or less?

  In 2011, the number of practicing (assistant) physicians in China was 2.466 million, and the number of practicing (assistant) physicians per 1,000 population was 1.82. Compared with developed countries such as Europe and the United States, there is a large gap between the number of practicing physicians per 1,000 population in China, and there is a structural imbalance.  In 1999, the number of medical students in general universities exceeded 100,000 and reached 530,000 in 2010. 10 years later, the number of medical graduates has reached more than 3 million. In the face of such expansion, is the overall number of doctors in China more or less? This question does not seem to be difficult to answer. According to the official statement given: the overall number of doctors is currently insufficient. If this is the case, then wouldn’t the problem be solved if medical schools continue to expand and train more doctors?  However, the current situation is that on the one hand, the overall number of doctors is seriously inadequate, on the other hand, a large number of medical graduates can not find a job, and can only give up the profession they have studied for many years and have no choice but to change careers. As you can see, the problem is not so simple.  For a long time, the national situation of a large population and a thin base has been used by some officials and experts as a shield to excuse the people’s demand to promote various reforms and improve the level of social security. However, when talking about the number of doctors in the country, these basic national conditions are often intentionally or unintentionally ignored by them, or even simply shut up about it. You know, China is only a developing country with a per capita GDP of a few thousand dollars, how can the number of doctors per 1,000 people be used as a reference for developed countries in Europe and the United States, where the per capita GDP is often tens of thousands of dollars? What’s more, those developed countries in Europe and the United States each year in public health care investment accounted for several times the proportion of GDP in China, for example, the United States in health care investment each year accounted for about 16% of its GDP. As the governments of these developed countries have played a leading role in establishing a universal health care system, their people’s medical needs have been well met, and the medical market has grown stronger, and the income level, quantity and overall professional quality of medical personnel has naturally risen.  On the contrary, in the past 10 years or so, due to the large number of medical graduates seeking employment, the hiring threshold of medical institutions has become higher and higher, and hospitals above the municipal level have basically stopped hiring undergraduate graduates. Therefore, from the perspective of the medical market, there is no shortage of doctors in China’s cities, and the real shortage of doctors is in the vast number of rural areas and towns where the economic and social development is backward, and these places lacking doctors are not attractive to medical graduates.  These places are unattractive to medical graduates because rural hospitals generally have problems such as lack of equipment, low medical standards and low income. These problems are not solved for a long time, they not only can not attract medical students, but also can not retain the existing talent, and can not meet the growing medical and health needs of the local population. As a result, the “surplus” of medical graduates will have to change careers, and the overall shortage of doctors in China will become more and more serious.  To fundamentally solve the overall shortage of doctors, while a large number of medical graduates can not find a job this anomalous phenomenon, the over-expansion of medical schools is tantamount to seeking fish from a log and quenching thirst.  The relevant departments should first of all fully understand the basic national conditions of China, do not have to pursue the number of doctors by the standards of developed countries, but follow the law of development of the medical market itself, on the one hand, increase the investment in public health care, improve the medical security system, bigger and stronger medical market; on the other hand, to strictly control the scale of medical school enrollment in accordance with the employment situation, to ensure the quality of medical student training, so that the domestic On the other hand, we should strictly control the enrollment scale of medical schools according to the employment situation and ensure the training quality of medical students, so that the number of medical personnel in China can grow with the demand of the market and their overall professional quality can be continuously improved.