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Barefoot doctors: Difference between revisions

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Created page with "thumb|A barefoot doctor performs acupuncture on a man '''Barefoot doctors''' were healthcare providers who underwent basic medical training and worked in rural villages in China. They included farmers, folk healers, rural healthcare providers, and recent middle or secondary school graduates who received minimal basic medical and paramedical education.<ref name=":4" /><ref name=":3" /><ref name=":15" /> Their purpose was to bring health..."
 
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[[File:BarefootDoctor.jpg|thumb|A barefoot doctor performs acupuncture on a man]]
[[File:BarefootDoctor.jpg|thumb|A barefoot doctor performs acupuncture on a man]]{{Stub}}
'''Barefoot doctors''' were healthcare providers who underwent basic medical training and worked in rural villages in [[China]]. They included farmers, folk healers, rural healthcare providers, and recent middle or secondary school graduates who received minimal basic medical and [[paramedic]]al education.<ref name=":4" /><ref name=":3" /><ref name=":15" /> Their purpose was to bring healthcare to rural areas where urban-trained doctors would not settle. They promoted basic [[hygiene]], [[preventive healthcare]], and [[family planning]] and treated common [[disease|illnesses]].<ref name=":16" /> The name comes from southern farmers, who would often work barefoot in the rice paddies, and simultaneously worked as medical practitioners.<ref name=":4" />
'''Barefoot doctors''' were doctors who treated impoverished farmers in rural villages in the [[People's Republic of China]] starting in the 1960s, until 1985. Created to address a critical deficiency in rural China's healthcare access in a short period of time, they typically received only three to six months of training; the idea being that after being educated in the basics, they could increase their level of education over time.<ref>{{Citation|author=Daqing Zhang, Paul U Unschuld|year=2008|title=China's barefoot doctor: past, present, and future|quote=China’s long struggle with rural coverage for health care goes back to the early part of the 20th century. However, these early efforts were seen at that time as unsuccessful. Although the Government tried to draft private practitioners into the rural medical service corps, delivery of health care was still scarce after 1949. Health-care expenditure for 8·3 million that for 500 million peasants in 1964. After Mao Zedong criticised the urban bias of medical services and pointed out the stress placed on rural areas in 1965, mobile teams of doctors from urban hospitals were sent to deliver health care and train indigenous paramedics.
In 1968, the programme of barefoot doctors was introduced by the journal Red Flag as a national policy focused on quickly training paramedics to meet rural needs. Most barefoot doctors, who graduated from secondary school education, practised after training at the county or community hospital for 3–6 months. Hence medical coverage in the countryside rapidly expanded. However, the barefoot doctors, who generated their work points with medical services just like agricultural work (ie, their income was counted by transferring time for medical service to similar time for agricultural work,) were not at par with the regularly trained doctors and their incomes were 50% lower. Despite a low level of service in terms of technique and medical instruments, the barefoot doctor programme effectively reduced costs and provided timely treatment to the rural people.|publisher=The Lancet|doi=10.1016/S0140-6736(08)61355-0}}</ref>


In the 1930s, the [[Rural Reconstruction Movement]] had pioneered village health workers trained in basic health as part of a coordinated system, and there had been provincial experiments after 1949, but after Mao Zedong's healthcare speech in 1965 the concept was developed and institutionalized.<ref name=":14" /> China's [[health policy]] began to emphasize the importance of barefoot doctors after Mao Zedong's June 26 directive, and, in 1968, the barefoot doctors program became integrated into national policy.<ref name="zhang">{{cite journal|vauthors=Zhang D, Unschuld PU|date=November 2008|title=China's barefoot doctor: past, present, and future|journal=Lancet|volume=372|issue=9653|pages=1865–1867|doi=10.1016/S0140-6736(08)61355-0|pmid=18930539|s2cid=44522656}}
== References ==
</ref>  These programs were called "rural cooperative medical systems" (RCMS) and worked to include community participation with the rural provision of health services.<ref name="carrin">{{cite journal | vauthors = Carrin G, Ron A, Hui Y, Hong W, Tuohong Z, Licheng Z, Shuo Z, Yide Y, Jiaying C, Qicheng J, Zhaoyang Z, Jun Y, Xuesheng L | display-authors = 6 | title = The reform of the rural cooperative medical system in the People's Republic of China: interim experience in 14 pilot counties | journal = Social Science & Medicine | volume = 48 | issue = 7 | pages = 961–72 | date = April 1999 | pmid = 10192562 | doi = 10.1016/S0277-9536(98)00396-7 }}
<references />
</ref>
[[Category:Stubs]]
 
[[Category:People's Republic of China]]
Barefoot doctors became a part of the [[Cultural Revolution]], which also radically diminished the influence of the [[Ministry of Health of the People's Republic of China|Ministry of Health]], which was filled with Western-trained doctors. Still, barefoot doctors continued to introduce scientific medicine to rural areas by merging it with [[traditional Chinese medicine|Chinese medicine]].<ref name=":4" /> With the onset of market-oriented reforms after the Cultural Revolution, political support for barefoot doctors dissipated, and "health-care crises of peasants substantially increased after the system broke down in the 1980s."<ref name="zhang" /> Despite the fact that the official barefoot doctor system came to an end, the legacy of the barefoot doctors inspired the 1978 [[World Health Organization]] conference on [[primary health care]] and the resulting [[Alma Ata Declaration]].<ref name=":1" />
[[Category:Healthcare]]
[[Category:Doctors]]

Latest revision as of 17:44, 11 August 2026

A barefoot doctor performs acupuncture on a man
This article is a stub. You can help improve this article by editing it.

Barefoot doctors were doctors who treated impoverished farmers in rural villages in the People's Republic of China starting in the 1960s, until 1985. Created to address a critical deficiency in rural China's healthcare access in a short period of time, they typically received only three to six months of training; the idea being that after being educated in the basics, they could increase their level of education over time.[1]

References[edit | edit source]

  1. ↑
    “China’s long struggle with rural coverage for health care goes back to the early part of the 20th century. However, these early efforts were seen at that time as unsuccessful. Although the Government tried to draft private practitioners into the rural medical service corps, delivery of health care was still scarce after 1949. Health-care expenditure for 8·3 million that for 500 million peasants in 1964. After Mao Zedong criticised the urban bias of medical services and pointed out the stress placed on rural areas in 1965, mobile teams of doctors from urban hospitals were sent to deliver health care and train indigenous paramedics.
    In 1968, the programme of barefoot doctors was introduced by the journal Red Flag as a national policy focused on quickly training paramedics to meet rural needs. Most barefoot doctors, who graduated from secondary school education, practised after training at the county or community hospital for 3–6 months. Hence medical coverage in the countryside rapidly expanded. However, the barefoot doctors, who generated their work points with medical services just like agricultural work (ie, their income was counted by transferring time for medical service to similar time for agricultural work,) were not at par with the regularly trained doctors and their incomes were 50% lower. Despite a low level of service in terms of technique and medical instruments, the barefoot doctor programme effectively reduced costs and provided timely treatment to the rural people.”

    Daqing Zhang, Paul U Unschuld (2008). China's barefoot doctor: past, present, and future. The Lancet. doi: 10.1016/S0140-6736(08)61355-0 [HUB]