Break the big pot of rice This hospital doctor scored 6000 yuan a month

Source / Shandong Satellite TVfinishing / grass-roots physician commune feather"do more and do less, on the death wage" phenomenon basically disappeared in this health hospital, the doctor's monthly income reached 6000 yuan, what is the trick?Hu Jinhua, a nursing undergraduate, graduated last year and came to work at Taoyu Central Health Hospital in Donggang District, Rizhao City, Shandong ProvinceNot only because of her hometown here, attracthering her also has a good salaryHu Jinhua said: "Performance plus wages almost more than 6000, light performance to reach about 2000, my classmates have in Jinan side, Qingdao, wages are similar, I think there is no sense of loss." "
Taoyu Center Health Hospital doctor Chi Lili said: "Before is more dry less a kind, on the death pay, especially the kind of slightly more difficult disease number, can not take risks without risk, pushed to the county hospital." "
the motivation of primary health care workers, there is an important potential factor is doing more and doing less is the sameThe same treatment of eating pot rice, so that the down-to-earth dry loss of energy, murky water fish took advantage of the cheap, the overall medical resources are not effectively used, the steady development of primary health care has been limitedthis phenomenon has changed significantly since the introduction of the "one-class supply-type management" system of township hospitals and community health service centers in Rizhao In 2019Wang Lei, head of the reform section of the Health and Sanitation Commission of the city of, said that according to the policy of financial assistance for public welfare institutions, all expenditures should be fully protectedIn accordance with the performance management measures of the second class of institutions, medical income, after deducting expenditure on medicines and sanitary materials, is allowed to increase the proportion of incentive performance pay by about 30%policy is in place, and not only is it being implemented, but similar initiatives are being taken in other parts of the countryWhether it can be implemented in place, so that the source of health hospital talent to live, the key is how to ensure that the performance incentive is fair and reasonablePerformance incentives that cannot be quantified have the problem of poor execution"It is controversial, our posts are too fine and too complex, all posts are not easy, need to do more than a lot of time, so that a big contradiction, the big dispute when to find my office, not good to distribute this money, must give each post to find a balance point." "
to solve this problem, Taoyu Central Health Hospital to develop a set of performance incentive distribution methods, to general outpatient as a standard quantity, including working time, technical content, technical difficulty, work risk four indicators, while refining 500 service items", like a general emergency compared to a general clinic, is 2.37 standard workloadSimilar to the oral department (tooth-set), because it is a more complex process, calculated to be 109.2 general outpatientQiao Weidong, director of taoyu center health hospital, saiddistribution method will also be based on the quality of the work done, the workload increase and decrease, quality and quantity combined, and finally come to the total performance of each person, to achieve more work and moreWith a systematic incentive mechanism, the annual outpatient volume of Taoyu Health Hospital has increased from 16,000 in 2016 to more than 70,000 nowThe local government plans to invest 100 million yuan, plan 100 acres of land, the construction of a new hospital area of health hospitals, when completed, will reach the scale of secondary hospitalsat present, in addition to Shandong in the primary medical institutions to implement a category of supply, two types of management, there are Guangdong, Hainan is also implementing similar initiativesIn terms of results, good results have been achievedgood experience needs to be popularized, the implementation of the existing problems in the process should also be perfectedFrom the above cases, we see that the early stage of adaptation is hit by bottlenecks, which also provides reference to the relevant institutions management: although the policy starting point is good, but the location of the site of the use of local conditions is the core of the problem.