Why is there a phenomenon that hospitals can't recruit people?

Why can't hospitals recruit people who are dissatisfied and can't? Senior talk about personal experience:

Nowadays, it is generally understood that small counties are economically underdeveloped and far from developed economic zones or big cities.

Half a month ago, I once again went to the small mountain county town under the jurisdiction of this city, which is located in the mountains.

The registered population of the county is only 6.5438+0.7 million, and the urban population is more than 50,000. In addition, more than 60,000 people live scattered in thousands of square kilometers of mountainous areas in Fiona Fang, and more than 60,000 people have left their hometowns for many years to make a living or emigrate.

The county hospital is a second-class general hospital with more than 300 staff. I didn't hear the siren of the ambulance all morning, and the emergency department staff was always on standby, and few patients came to see the emergency department. There are few people who pay the registration fee for outpatient service, and there are not many people who take medicine at the outpatient pharmacy window. The whole outpatient hall is very empty.

I looked at the dental clinic. The attending doctor is a young doctor, and two patients are waiting outside.

Portraits and profiles of hospital experts are posted on the wall pillars of the outpatient hall. There are not many sub-high and above titles, and some doctors with intermediate titles are clinical directors.

Last year, the business income was more than 70 million, which was the least among the local county-level general hospitals. Compared with some local township hospitals with dense population and located in the main roads, there is a gap.

It is not that the local government does not attach importance to it, nor is it that the hospital does not work hard. The population base is too small, the economy is underdeveloped, and the development of hospital business is definitely slow, which can't keep up with the development speed of the surrounding economically developed county hospitals. People who want it don't want to come, and many people who don't meet the requirements want to go in. Of course, the worst is much better than the township hospitals below.

When I was free from work, I chatted with a senior otolaryngologist in the hospital. He admits that underdeveloped economy and small population are the main reasons why hospitals can't develop. Patients with better conditions will go to county-level cities that are more than two hours' drive away for medical treatment. In addition to a 3A hospital, there are three 3B hospitals, and their strength is there.

I believe that many small county hospitals similar to those described in this paper will encounter similar development difficulties.

In this case, is the treatment higher? In fact, the money I get every month is far less than the income from working in economically developed county hospitals. In ethnic minority areas, although subsidies are a little more, they are far from replacing hospitals to generate income themselves. After all, doctors have to earn their own money.

In order to change the shortage of doctors in small county hospitals, many ways have been explored over the years. Even if there are successful experiences, it is difficult to copy them, and the situation varies greatly from place to place.