Issued by the Central Government: the highest subsidy for local village doctors is 5500 yuan / month

Source: Beijing Municipal Health Committee Star Road of medical reform, landing place In December 2019, the central government issued a document calling on the whole country to learn from the experience of Sanming medical reform in Fujian Province, and the star road of medical reform will soon be copied across the country According to the instructions of the document, by the end of December 2019, all provinces shall formulate and promote the experience of medical reform in Fujian Province and Sanming City, deepen the work plan of medical reform, clarify the specific tasks of local cities and relevant departments, and organize the implementation How to promote and learn this road? Now, the answer comes from Beijing On January 7, 2020, Beijing Municipal Health Committee issued the notice of "work plan on promoting the experience of deepening the reform of medical and health system in Fujian Province and Sanming City in combination with the actual situation of this city" (hereinafter referred to as the notice), which defined 23 main tasks of deepening medical reform in the next stage How to land is as follows: We will improve the leading and coordinating organizations for medical reform at the district level, and the leading comrades of the Party committee and the government, or one of them, will serve as the leader of the leading group for medical reform Further improve the working mechanism of medical reform The completion of the task of medical reform is listed as an important part of comprehensively deepening the reform and the performance appraisal of the government's objective management In accordance with the principle of performance priority, further strengthen the concept of performance management in public hospitals, promote the implementation of cost budget performance research in public hospitals, and promote the establishment of a new performance cost budget management model with budget arrangement, cost verification, standardized fund use and performance-oriented comprehensive evaluation Adjust the expenditure structure of public hospitals' financial subsidies, change the focus of support from hardware investment to enhance the soft power construction of public hospitals, increase the investment in personnel training and discipline construction, and encourage hospitals to improve their own medical business capacity and medical research incubation In the national version of the notice, the village doctors are strictly regulated It is required that in 2020, the National Health Commission and all provinces should strengthen supervision, inspection and notification, promote the implementation of various subsidy policies for rural doctors in all regions, and shall not intercept, misappropriate or squeeze the relevant funds for rural doctors We should encourage local governments to take effective measures to properly solve the problem of rural doctors providing for the aged This requirement continues to be reinforced in the Beijing notice According to the notice, it is required to strictly implement the government purchase service policy for rural doctors, and urge relevant agricultural related areas to timely implement the government subsidy standard of 3500-5500 yuan per month for rural doctors Promote the Township Community Health Service Center to further strengthen the management, training and assessment of rural doctors, and constantly improve the service ability of rural doctors Further consolidate the achievements of full coverage of medical and health services at village level, provide services for remote villages that are not suitable for building village level health institutions through patrol, encourage high-quality medical resources such as secondary and tertiary medical institutions to participate in the patrol of low-income villages and provide technical support for rural medical and health services Ensure that on-the-job rural doctors participate in the endowment insurance for urban employees or urban and rural residents, and promote the timely implementation of the pension living subsidy policy for retired rural doctors in rural areas Shortly after Beijing's announcement, Guangdong Provincial Health and Health Commission also released today the notice on Guangdong Province's action plan to promote the experience of deepening the reform of medical and health system in Fujian Province and Sanming City, in which, in terms of strengthening the construction of village medical team, it studied and formulated the entry and exit mechanism of rural doctors We will promote the reform experience of "village stability" in Huadu District, Guangzhou, and strengthen the integrated management of township and village medical services Increase the training scale of rural order oriented medical students Under the "Huadu mode", the average annual wage of the basic medical staff in Huadu District of Guangzhou has increased 4 times It can be seen that from the national to the local level, the construction of the village medical team has attracted great attention, and the treatment and guarantee of the village medical team urgently need to be solved With the clear attitude of the country, the relevant measures will be implemented in various places in succession On the basis of the performance appraisal of the third level public hospitals, the performance appraisal of the second level public medical institutions will be carried out in 2020 We will strengthen the management of drug use catalogues in medical institutions, actively play the role of drug administration committees, and promote rational drug use in medical institutions For chronic diseases such as hypertension and diabetes, long-term prescription drugs should be used to explore the realization of the combination of drugs in vivo We will optimize the revenue structure of public hospitals and reasonably increase the proportion of medical service revenue to medical revenue by carrying out centralized and volume procurement of medical consumables, adjusting the price of medical services, deepening the reform of medical insurance payment methods, and strictly monitoring the use of medical consumables Closely monitor the proportion and change of medical service income of public hospitals, and report the monitoring results of the previous year to the Secretariat of the leading group of medical reform of the State Council before the end of March every year In 2020, we will comprehensively promote the reform of salary system in public hospitals on the basis of pilot projects Pilot hospitals should implement internal distribution autonomy, improve internal distribution methods, and establish a scientific and reasonable salary distribution mechanism Each district summarizes and analyzes the experience of the pilot work, and further improves the pilot implementation plan and supporting rules In combination with the actual overall consideration of the operation, assessment, revenue and expenditure of district public hospitals, each district has formulated a scientific assessment and evaluation index system for public hospitals, and strengthened the overall application of assessment results We will give full play to the demonstration, breakthrough and driving role of the reform pilot, carry out the construction pilot of a close medical association, strive to practice the integrated management of medical services, public health and information systems in the Medical Association, get through the elements of personnel, funds, business, medical equipment and information, and optimize the allocation and utilization efficiency of medical resources Strengthen the construction of TCM consortia in the region, improve the service capacity of TCM at the grass-roots level, and facilitate the access of patients to TCM services nearby Encourage the exploration of vertical cooperation service modes such as close medical association, implement the total payment of medical insurance fund, strengthen the supervision and assessment, and share the surplus and reasonable overspending Explore prepayment of part of medical insurance funds to medical institutions according to the agreement (Municipal Medical Insurance Bureau, municipal health committee, municipal traditional Chinese medicine bureau)