The chronic disease management position is too difficult and I don’t want to do it anymore

If the internal friction in your current position has exceeded the physiological and psychological thresholds you can bear, and you cannot see any growth channels and resource support for six months in a row, it is not a loss to resign directly and change careers.； But if you are just annoyed by the trivial chores in the first few months of joining the industry, it is recommended that you grit your teeth for three months to understand the core resources of the entire process, and then decide whether to stay or leave.

I just arrived at my work station last Wednesday, and before I could take a bite of the hot buns, Aunt Zhang from the district sent me six 59-second voice messages, saying that my fasting blood sugar suddenly rose to 8.7, and I was so panicked that I didn’t know if I had taken the wrong medicine. I just clicked on the voice message here, and there was a notification from the hospital. It popped up and said that in the afternoon, the completeness rate of more than 300 chronic disease files in the first half of the year would be checked, and the missing items had to be filled in on the same day. The phone rang again. It was the family members of the disabled elderly people in the area who were calling to have their blood pressure measured. They were busy all morning without touching their feet until 12:30, and the takeaway was already cold. I lived through this kind of life for a whole year when I first entered the industry, and I know very well the frustration behind the phrase "I don't want to do it anymore."

Xiao Zhou, who joined the community in the same batch, just announced her resignation last month. She is in charge of 2,800 patients with hypertension and diabetes. She requires a follow-up success rate of more than 90% every month and a standardized management rate of 85%. She also needs to find time to record nucleic acid sampling information and maintain order during vaccinations. Last month, because an uncle complained that she made too many follow-up calls, the boss deducted 500 yuan from her to ensure her satisfaction, and she received only 2,900 yuan. When she mentioned her resignation, she said with red eyes that she had studied preventive medicine for five years and was not here to be an operator and do odd jobs. Now she has joined an Internet company that specializes in chronic disease management of diabetes as a patient education specialist. The basic salary is 6k plus patient service performance. Last month, she received more than 9k. She does not have to deal with all kinds of inexplicable supervision and inspections. She is posting content on her circle of friends every day about making sugar-control recipes with a nutritionist. Her condition is much better than before.

Not everyone chooses to run away. Sister Chen, whom I know, has worked in chronic disease management at a community health service center in Tianhe, Guangzhou for 6 years. At first, she complained about difficulties every day, but later she found a way: she divided the patients she managed into groups according to their blood sugar and blood pressure control. She spends one night a week free of charge to talk to everyone about the precautions for diet and medication for half an hour. Sometimes she even makes her own sugar-control recipes and posts them in the group. Gradually, everyone trusts her. Now her patient management rate is over 92% year-round, and she doesn’t have to worry about assessments at all. Last year, she cooperated with the community to open a paid weight management class, specifically for obese patients with chronic diseases. It cost 199 yuan a month, and 40 people were admitted in one session. This alone can earn an extra 20,000 yuan a month. A local health science popularization platform also asked her to do a column. Now people don't want to leave at all, saying that it is much freer than working in a company, and it can really help others.

To be honest, the difficulty of most grassroots chronic disease management positions now is not really due to the high professional threshold - follow-up, medication guidance, file arrangement, as long as you have a relevant professional background, you can get started in two months. The difficulty is that the assessment mechanism in many places is completely out of touch. Reality: You are required to take care of thousands of patients, and you are required to meet all the indicators 100%. You are also required to deal with all kinds of chores that are beyond the scope of eight poles. There is a complete mismatch in power and responsibility, and you make many mistakes. There are ten times more deductions than there are increases. No one can survive it.

If you are currently struggling with whether to stay or leave, why not take a piece of paper and calculate two accounts first: The first is your current monthly income, minus the medical expenses, psychological counseling fees, and commuting costs you spent on this position. Can the remaining money cover your normal expenses? The second thing is that if you stay in this position, can you save enough resources to take it with you? For example, highly sticky patient resources, practical experience in chronic disease management, and quotas for professional title evaluation? If both accounts are negative, don't hesitate and run away. Now, whether it is the medical liaison officer of a pharmaceutical company, the chronic disease operation of Internet medical care, or even the health manager of a private physical examination center, they are better than the chronic disease jobs that are purely grassroots. If you still make a profit after all, then it's better to stay a little longer and have the resources in your own hands. It's up to you to decide whether to stay or leave.

Hmm, to put it bluntly, work is for making money or having fun. If you can’t do either, there’s no need to fight. It’s not a shameful thing to say “I don’t want to do it anymore.” If you really can’t hold on anymore, just take a break and change the track. It’s good, right?