Hebei new measures for medical reform! Four ways to raise the income level of medical personnel

Editor: Zhong Ying
Recently, the leading group of Hebei Province to deepen the reform of the medical and health system issued "on the centralized procurement and use of drugs as a breakthrough to further deepen the four-doctor joint reform and improve the interests of the regulatory mechanism" (hereinafter referred to as "measures")the Measures to promote the reform of the four medical links of medical care, medical insurance, medicine and medical prices, improve the mechanism of interest control, properly balance the relationship between the interests of the government, hospitals, medical personnel and patients, improve the enthusiasm of medical personnel, and better solve the problem of medical treatment for the massescompared with the three medical links, Hebei will put forward the medical price separately, emphasizing the adjustment of medical service price dynamics, increase the disposable income of medical institutions, to promote the development of medical institutions, and improve the income level of medical personnelmeasures call for the establishment and improvement of the dynamic adjustment mechanism of medical services pricesin line with the principle of first take off, steady and orderly, comprehensive consideration of the total cost of medical care, medical insurance fund income and expenditure, regular lying evaluation, to meet the start-up conditions, according to the procedure to start price adjustment work, focus on raising the value of medical services reflecting the value of technical services, reduce the high proportion of equipment consumption inspection and inspection and large-scale equipment treatment pricesthe disposable income of medical institutions that have increased as a result of adjusting the price of medical services, 60-70% can be withdrawn for the payment of medical personnel' remuneration, and the rest for hospital developmenttherefore, after the adjustment of the price of medical services, the disposable income of medical institutions will increase accordingly, and more than 60% of this amount of funds can be used to raise the wage level of medical personnelunder this mechanism, the interests of medical insurance, hospitals, medical personnel and patients are taken into account, so as to realize the convergence of the price adjustment of medical services with policies such as medical insurance payment and compensation systemreasonable approval of the performance wage level and total amount of medical association synodors or public medical institutions in accordance with the requirement of "allowing medical and health institutions to break through the current level of wage control in public institutions, allowing medical service income to deduct costs and withdraw funds in accordance with the provisions, mainly for personnel incentives"under the premise of ensuring that the quality of medical services does not decrease, 60%-70% of the medical service income deducted from the cost of medical services in the current year and 60%-70% after the withdrawal of funds in accordance with the provisions, and the rest is used for hospital developmentmedical association or medical institution should formulate and improve the internal performance appraisal distribution method, comprehensiveconsideration of service quality, capacity contribution, technical knowledge, medical ethics and patient satisfaction and other factors, health management, family doctor contract service and other completions included in the performance appraisal content, the results of the assessment and medical staff compensation linkedguide medical personnel to actively sink the grass-roots level, provide health management services for the masses, and promote the transformation of medical complexes or medical institutions from treatment-oriented to health-centeredmedical association or medical institution shall, in the form of an independent distribution within the total approved performance salary, decide on its own the basic performance salary by setting up the post allowance, scientific research allowance, night shift allowance, overtime allowance and other items flexibly according to the actual situationsupport medical associations or medical institutions to implement the system of agreed salary or annual salary for high-level talents, the salary level of the two sides to determine, the agreed salary, annual salary into the total unit wages, not included in the total performance of wages managementmeasures stressed that the relevant departments should seriously study and solve the new situation and problems in the reform, increase supervision and supervision of areas where the reform progress lags behind, and guide all regions to simultaneously promote the construction of medical associations, integrated management of rural areas, family doctors contract services and other key tasks of medical reformthrough these four initiatives, I believe that the income level of medical personnel will usher in a new situation, the increase in disposable sources, effectively stimulate the overall vitality of medical institutions, the money used on the knife edge the progress of medical reform can not be separated from medical personnel, only let the enthusiasm of the majority of medical personnel to mobilize, the fruits of medical reform can be truly implemented to patients With the maturity of the reform of medical insurance payment method in recent years, medical prices have gradually returned to their essence, and the proportion of disposable income in medical institutions will increase, which will eventually benefit patients and medical personnel (original title: Health and Health Commission issued a notice, 4 major measures to the medical staff to raise wages!) )