Big move! It is strictly prohibited for health hospital personnel to second village doctors who fail to qualify and will be suspended from practising.

Recently, Taiyuan City, Shanxi Province, health care committee issued "on the further strengthening of rural primary health care services notice", the local primary medical institutions ushered in a comprehensive shuffle.
It is worth noting that this document of Taiyuan City is different from similar notices in other cities, which can be said to fully reflect the strong attitude of local functional departments to strengthen primary health care reform: qualified institutions or personnel are re-tasked, improve performance, do not meet the requirements, directly stop practicing qualifications.
This medical reform document has typical representative significance, the primary physician commune pick the key content for everyone to organize the following: performance can be improved to 5 times such institutions health hospital in the staff is strictly prohibited seconded to superiors in the construction of rural health personnel, the local functional departments "under the hard trick", recruitment, retention of two not wrong.
recruitment: according to the township hospital required professional and technical personnel vacancies, in accordance with the principles of openness, fairness and fairness, the organization of open recruitment.
to make active use of the township hospital D.S. special post plan to supplement the township hospital general practitioners.
employment in township hospitals, priority may be given to the employment of qualified rural doctors.
: Township hospitals in the compilation of professional and technical personnel are strictly prohibited secondment to higher-level medical and health institutions or other institutions to work.
the work needs to be seconded, the county health administrative departments must be approved, and reported to the same level of social departments for the record, the overall proportion of secondment in the county shall not exceed 5% of the total number of editors.
township hospitals can break through the current level of wage regulation and control of institutions, the overall level of performance pay can be raised to the local non-income full allocation of the total performance of institutions 5 times.
pay should be approved at the same time to be tilted towards sparsely populated, hard and remote areas, and staff should be encouraged to move to remote township hospitals.
village health room to buy services system to meet the standards of village doctors to stop practicing qualified rural doctors to implement "village employment."
the village health room service shall be purchased by the township health hospital, and the village health room and the village doctor shall be managed by agreement.
Township Health Hospital, in accordance with the functional orientation of the village health room, signed an agreement with the village health room for the purchase of basic medical care, basic public health services and other related services, and agreed on the relevant workload and work indicators, subsidy standards and means of punishment for violation of the agreement.
for village health rooms and village doctors who do not meet the relevant work requirements, township hospitals may not renew the purchase of service agreements, and county-level health administrative departments may suspend their rural doctors' qualifications.
the village doctors to implement the village assessment of township management twice the masses of unqualified people will no longer renew the rural doctors to implement the "village assessment of rural management."
relying on the integrated reform of county and township medical institutions, the integrated management of the village health room through the township health hospital is the main content of administration, personnel, business, medicine, performance, etc.
township hospitals should coordinate the village committee to organize an annual meeting of villagers' representatives to review the service situation of rural doctors, and the results of the evaluation should be used as an important basis for the performance appraisal of rural doctors and the renewal of service agreements.
for rural doctors who have failed the public's evaluation for two consecutive years, township hospitals may not renew the purchase agreement for services, and county-level health administrative departments may suspend their rural doctors' qualifications.
To carry out three covert visits to village health room services will be seriously dealt with to establish the village health room service information "three publicity" system, in the village committee or village health room prominent position to publicize the relevant service information, to facilitate the masses to accept services and supervision.
First, the publicity of rural doctor information, including name, contact information, service time and form, work status (on-the-job, out, visit, training, meetings, etc.);
to take the "four not two straight" approach to the village health room services from time to time to carry out covert visits, township-level once a week, county-level once every half-month, the municipal level once a month.
For rural doctors who have made three consecutive covert visits and who have no valid reasons and who have strong reactions from the masses, the township hospital may terminate the purchase of service agreement, and the county-level health and health administrative department may suspend its qualifications as a rural doctor, and if the circumstances are serious, they may be transferred to the disciplinary inspection and supervision department for investigation and treatment.
village doctors are qualified as practicing (assistant) physicians plus subsidies for at least 1 qualified practicing (assistant) physician and general practitioner in each health hospital, and at least 1 qualified village doctor or practicing (assistant) physician in each village health room.
through the rural doctor post subsidy differential compensation mechanism to encourage rural doctors to obtain the qualifications of practicing (assistant) doctors, and strive to the end of 2021, rural doctors with the qualifications of practicing (assistant) doctors to reach more than 50%.
rewards and punishments, to a certain extent, to improve the awareness of the crisis and opportunity of primary health care workers.
in the able, mediocre, the fittest of the fittest in the use of the mechanism, Shanxi Taiyuan has made an important step.
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