Default on village medical subsidies? Government notice: rectification is required before December 10

Source: People's Government of Yunnan Province / Shandong Health News Network Editor: Liu Xiaolin, basic doctors' Commune Government's statement: pay high attention to the full realization of village medical subsidies, and make quick rectification before the 10th of this month! Recently, the people's Government of Yunnan Province released the circular on the allocation of subsidies to rural doctors The people's governments of the States and cities that have been notified shall attach great importance to it, make prompt rectification, and ensure that relevant subsidies for rural doctors are paid in full and on time The rectification shall be reported to the provincial people's Government before December 10, 2019 In July this year, the State Health Commission and the state health insurance bureau jointly held a video conference on strengthening the construction of rural doctors At the meeting, Wang Hesheng, deputy director of the national health and Health Commission, stressed that we should strictly implement the basic public health and zero margin subsidy for drugs According to the spirit of the conference, some provinces and cities have carried out self-examination and self correction on the implementation of the treatment of rural doctors Recently, the Yunnan provincial government released a notice, pointing out that as of October 30, some prefectures and cities still failed to allocate the relevant subsidies to rural doctors in full and on time Basic public health service subsidy funds in 2018: the allocation rate of 5 counties and cities is less than 90%; In 2018, the basic drug subsidy fund: the appropriation rate of three counties and cities is lower than 90%, among which the appropriation rate of one county is 0.00%; In the first half of 2019, the basic public health service subsidy funds: the allocation rate of 13 counties and cities is less than 50%, among which the allocation rate of one county is 0.00%; In the first half of 2019, the basic drug subsidy funds: the allocation rate of 10 counties and urban areas is less than 50%, among which the allocation rate of 4 counties is 0.00% In other words, the subsidies of village doctors should not be withheld without reason However, from the results of the notification, it can be seen that most of the counties and cities can not ensure the full amount, and even the appropriation rate is 0.00% Not long ago, the public notice on further promoting the special rectification and ignoring the work plan that infringes on the interests of the masses issued by Yunnan health and Health Commission mentioned that after the integrated management of villages and towns, in principle, the basic wage paid by township hospitals to rural doctors should not be less than 1200 yuan / month, and at the same time, 40% of the tasks of national basic public health service projects should be undertaken by rural doctors Let the village doctors undertake the basic public health projects, then the corresponding subsidies need to keep up with, and can't let the "horses run and don't feed the horses" In view of the above situation, Yunnan provincial government puts forward two requirements: （1） The people's governments of the above-mentioned States and cities that have been notified shall attach great importance to and promptly rectify and ensure that the relevant subsidy funds for rural doctors are paid in full and on time The rectification shall be reported to the provincial people's Government before December 10, 2019 （2） The people's governments of each state and city should further improve their understanding, implement their responsibilities, comprehensively sort out the problems in implementing the treatment of rural doctors, and ensure that all policies are implemented in place We should seriously carry out the work of screening and resolving the unstable factors of rural doctors to avoid mass incidents In October this year, the people's Daily published an article "where did this subsidy go", which exposed that 6 million village medical subsidies were frozen, and made an in-depth analysis of the problem of village medical income In the article, the relevant staff said that in the details of public health service projects of many village doctors, the workload of many projects was "0" From this we can see a problem, that is, the national policies and funds for the benefit of the people have not been implemented at the grass-roots level A grass-roots public health worker from Harbin City, Heilongjiang Province, told the author that he could understand more in daily life, but sometimes the basic public health work was not put into practice, resulting in waste of capital and human resources How to manage and make good use of the subsidy funds issued by the state so that the village doctors can get income from their work? The author believes that there should be a clear subsidy fund management system and transparent performance appraisal to prevent similar "mass incidents" from happening again On the other hand, the quality of village doctors' work also needs to be improved Some hospitals have said that some village doctors have fraud, poor timeliness, poor follow-up quality, and the masses are not satisfied with their work However, as far as the current situation is concerned, the tasks of village doctors' diagnosis and treatment and public health are relatively heavy, and the specific workload and division of labor still need to be further explored and solved I hope that there will be no "zero workload" or "zero subsidy" in the future.