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According to media reports, a total of 278 primary health care workers in Guangzhou resigned or left their jobs in 2019.
Zhou Wei, a member of the Guangzhou Municipal Committee and director of the Tianhe District's Cheye Street Community Health Services Center, said that their center has 61 staffing units, but only 31 staff members, the empty staff rate of 49.2%.
Liu Fangfang, a member of the Guangzhou Municipal People's Political Consultative Conference and deputy director of the Finance and Industry Committee of the Standing Committee of the Haizhu District People's Congress, believes that guangzhou's existing preparation resources are not being used well, and that it is time to increase the enrolment rate of primary health care services and increase the public recruitment of primary health care workers.
so, what is the empty rate? Can the grass-roots establishment retain talent? What is the empty editing rate? Literally, the vacancy rate is the number of understrations divided by the number of staffing.
According to the policy, the number of beds in medical institutions is usually determined according to the number of beds available to the service population, the more number of beds there are in the medical service population, the number of beds in primary health care institutions is generally controlled at 1.0-1.2 per 10,000 people; In general, the more beds in medical institutions, the more the number of establishment, the higher the level of medical institutions, the higher the proportion of establishment, the ratio of the number of staff in the third-level hospital to the number of beds is usually 1.5:1, the second-level hospital is 1.3:1, the first-level hospital is 1.1:1.
According to this ratio, the general primary health care institutions (community health service centers or township health hospitals) are about 1.1-1.3 per thousand people, for example, a community has a resident population of 30,000 people, its community health service centers should be 33-39 people, the establishment department can be set in any number, such as 35 people.
if the community health service centre had 20 staff, its empty staffing rate would be equal to 15 divided by 35, or about 42.9 per cent.
four main reasons for the grass-roots difficult to stay one is not going down.
many places have taken many approaches in recent years, it is still difficult to attract talent to the grass-roots level.
usually take the approach of free order orientation training, institutions, such as recruitment.
In order to attract talent to the grass-roots level, give a lot of preferential policies, such as compensation for tuition fees, pay home fees, floating salary level, 1-2 years in advance promotion to intermediate titles, directly to the formal establishment, but still difficult to attract talent under the grass-roots level.
can't stay.
In order to retain talent, many places take a lot of "mandatory" means, such as requiring grass-roots service providers to implement 5-6 years of compulsory service period and signed an agreement, service period is not yet full, can not flow upward, if the default will be blacklisted, recorded in the integrity file, affect re-employment, and so on, some also have to bear the breach of contract, but still difficult to retain people.
is useless.
Because of the small service platform of primary health care institutions, many young people hope to have a better platform for rising, not only to improve their medical level and ability, but also to make their own ability to get better play, but at the grass-roots level these are more difficult to obtain.
many young people are reluctant to stay at the grass-roots level.
Especially in recent years, basic medical and health services at the grass-roots level have a heavy task, poor conditions, and a great deal of time and energy for primary health care workers have been "wasted" on the form-filling report, which makes the grass-roots people always want to flee.
fourth is low pay.
is also the most important point that the grass-roots can't keep people.
, pay is necessary for life and the embodiment of human value.
Recently, there is a county medical community model, is also recognized by the state as advanced medical reform, but its medical community in the primary medical institutions medical staff wages are not even half of the county hospital staff, which does not include the gray income gap.
, it can be seen that the remuneration of primary health care workers can not be compared with higher hospitals.
you be able to retain talent by giving it to the grassroots? Through the above analysis, the grass-roots is not attractive to retain people, for many reasons, but also very complex.
Although the establishment is no longer so attractive and there is already a general trend in the establishment of public health institutions, it still has many benefits attached to it, and there is still some charm in the establishment, which can still be a form of treatment and welfare.
so giving money is still an attractive trick.
but anything good tends to have a downside.
it's like a siege, people come in, people outside want to go in.
The same is said of the establishment, no one wants to have and has the establishment of people sometimes want to come out but not free, such as you have the establishment in public hospitals, is the system of people, want to practice more or free practice is not so easy, and no preparation, there are good places can always go by their own sex.
Therefore, the attempt to recruit people through a variety of ways, through the solution of formal preparation attractive, perhaps only a temporary way, to really let people stay, more is the need to give people fair and generous pay and good career development platform, so-called equity is the income and people around more reasonable;
.