A provincial village doctor look forward to the first official: to solve the old-age, equal pay for equal work, subsidies directly allocated to individuals

On September 11th, Henan Provincial Health and Safety Commission issued a heavy-weight document, Opinions on Improving the Incentive Policy for the Protection of Primary Health Care Workers (hereinafter referred to as opinions).
"Opinion" a total of 12 articles, articles exciting! The Commune of Primary Physicians believes that the Opinion should be the most detailed and powerful document formulated in the current provincial document on the treatment of primary health care workers.
I good one: subsidy funds directly allocated to the village health room or village medical account village-level basic public health services funds, basic drug subsidy funds and basic operation funds of the village health room should be "dedicated, quarterly allocation, card issuance, year-end assessment and settlement", may not be with withsered and misappropriated.
the administrative department of health and health in the county (city or district) shall, in accordance with the results of the examination, allocate the above-mentioned subsidy funds directly into the village health room or the village doctor's account in accordance with the provisions.
general consultation and treatment fee (or the portion of medical insurance sharing of the cost of services contracted by the family doctor) shall be paid by the county health insurance department in consultation with the health department.
Good two: this kind of village doctors in accordance with the law to participate in the basic old-age insurance of enterprise workers to have the qualifications of practicing (assistant) doctors to implement the "village employment village", into the unified management of township hospitals, with township hospitals signed labor contracts, in accordance with the law to participate in the basic old-age insurance for enterprise workers, work injury insurance.
other rural doctors to voluntarily participate in the basic old-age insurance for enterprise workers as social flexible employment personnel, and the cost of participation shall be paid by individuals.
reaching the statutory retirement age for old-age insurance for enterprise workers, if the contribution of the old-age insurance for enterprise employees is less than 15 years, they may apply for transfer to the old-age insurance for urban and rural residents and enjoy the corresponding old-age insurance treatment according to the urban-rural old-age insurance bridging method.
Good three: equal pay for equal work, overtime, rural areas, night shifts have subsidies to strictly implement the public welfare and other financial security policies, allowing primary health care institutions (referring to government-run township hospitals and community health service centers / stations, village health rooms) to break through the current level of wage control institutions, independently determine the proportion of internal performance pay.
performance distribution should highlight value-oriented, performance-oriented, more work, equal pay for equal work, excellent performance pay.
Primary health care institutions in the current year medical service income after deducting costs and withdrawal of the balance of various funds, can withdraw more than 60% for the issue of incentive performance pay, can be in the incentive performance pay to set up general practitioner post allowance, overtime allowance, duty subsidy, night shift subsidy, rural subsidies, toxic and harmful subsidies and other sub-projects;
the family doctor contract service fee and general practitioner post allowance allocated within the contracting team are included in the total amount of performance pay management and are listed in the performance pay.
good four: to raise public health, base drug subsidy funds in 2020, not less than 45% of the basic public health services task to the village health room to assume, from 2021 to 50%, and according to the results of the assessment to give the corresponding subsidy funds.
other words, the more public health care the village doctors take on, the more subsidies they receive.
medical insurance to support village doctors to provide basic medical services, in the village health room to carry out outpatient co-ordination, the medical insurance fund in accordance with the provisions of the general medical treatment fees or family doctors contract service fees.
basic drug system subsidies shall be approved according to the number of people serving in village health rooms and the per capita standards of the year, and if the service population is less than 1000, subsidies shall be granted to 1000 persons;
Good five: water, electricity, network use and other expenses of the official subsidies to the village health room daily operation of water, electricity, network usage fees and housing repair, equipment maintenance and other public expenses, as well as medical liability insurance, accident insurance to give appropriate subsidies, the required funds by the city and county finance.
it is strictly prohibited for any department to charge or share fees other than 100,000 state-mandated fees from village health rooms in any name, and no lease fee shall be charged for public property health rooms.
Good six: the income level of primary-level general medicine is equivalent to that of county general hospitals for general practitioners working in township hospitals, combined with working conditions, work tasks and service years and other factors to pay a certain post allowance, financial implementation of subsidies in accordance with the policy.
the income level of primary-level general practitioners is in principle not lower than the average income level of clinicians with the same conditions in local county-level general hospitals, leading general practitioners to take root in the grass-roots level for a long time.
primary health care institutions may reasonably determine the salary level by reference to market prices for the introduction of vice-senior professional and technical posts and full-time undergraduate or above medical personnel, and may implement flexible and diverse distribution forms such as annual salary system and agreed salary system.
"Opinion" each article is very heavy, the grass-roots physician commune only picked the top priority, .