Local New Deal: Increase the proportion of public health subsidies Village medical minimum protection of 3500 yuan

Medicine Network December 4th - A comprehensive solution to the problem of rural doctors is under way.
December 1, the Office of the People's Government of Guixi City, Jiangxi Province, issued a Notice on the Issue of the Implementation Measures (Trial) for Rural Doctors in Guixi City (hereinafter referred to as the Measures).
The Measures system provides for the selection of rural doctors, treatment guarantee and village health room management, and further improves the service capacity and level of rural doctors by straightening out the management mode of rural doctors, regulating the function of health room configuration, establishing an exit mechanism for rural doctors' access, solving the treatment of rural doctors through various channels, and continuously improving the attractiveness of rural doctors' posts.
the status of village doctors: the "Measures" for individual transfer of self-employed workers to township hospitals require the transformation of the status of rural doctors.
Each village health room shall be allocated a certain number of public welfare rural doctor posts in accordance with the relevant requirements, and the rural doctors (i.e., rural doctors practising in the public health rooms of property rights, the same between them) shall be integrated into the unified management of the township health hospitals where the administrative divisions are located, and the employment relationship shall be established with the township hospitals.
approved by the Municipal Health and Health Commission, rural doctors and township hospitals signed employment labor contracts, the status of the transformation from individuals to township health hospitals self-employed workers, that is, "village employment."
are not employed (including village doctors who previously practise in public health rooms of property rights) and rural doctors who do not wish to work in village health rooms are encouraged to practise in the place of registration in accordance with the law after obtaining the corresponding qualifications.
township health hospital and the village health room under its jurisdiction are the same legal person, the legal person by the head of the township health hospital, only the establishment of the person in charge.
The conditions of employment of village doctors are relaxed: under 60 years of age, holding the qualification of rural doctors to participate in the employment of the basic conditions are: registered by the provincial health and health committee, male village doctors aged 60 years old, female village doctors under 55 years of age, healthy, and meet one of the following qualifications, personnel may participate in the employment.
(1) qualified as a practicing physician or as a practicing assistant physician (including a township practicing assistant physician) ;(2) qualified as a rural doctor, has been practising in the township jurisdiction for nearly three years, or has practiced in the public village health room of property rights for nearly three years;
A rural doctor who has the qualification of practicing (assistant) physician may directly employ a person who meets the conditions for selection, and if he or she is qualified as a practicing physician or a practicing assistant physician (including a township practicing assistant physician), he or she may be directly employed after passing the examination by the Municipal Health and Health Commission;
the rural doctors employed by the township hospitals shall adopt a unified distribution method and implement the principle of local and near distribution.
township hospitals and the employment of rural doctors, the two sides signed the Labor Contract in accordance with the relevant provisions of the Labor Contract Law of the People's Republic of China.
increase the proportion of subsidies for village doctors and raise funds for basic public health projects for rural doctors.
gradually increase the proportion of funding for basic public health projects for rural doctors,including the required new services, by 2 per cent per year on the current 40 per cent basis and by 48 per cent over a four-year period, thereby increasing the attractiveness of rural doctors' posts.
subsidized village health room 30,000 / year, for the village doctor to buy four insurance, medical liability insurance "Measures" for the village health room, village doctors to provide perfect financial security.
municipal finance to fully guarantee rural doctors' public health post subsidies and the implementation of the national basic drug system supporting funds, the annual per capita subsidy standards are 2100 yuan, 3000 yuan.
City finance according to the standard of 30,000 yuan per room per year arrangement of public welfare subsidies (including the original annual operating expenses of 10,000 yuan per room), of which 20,000 yuan is mainly used for health room repair or renovation, information construction and rural doctors performance pay gap, and another 10,000 yuan for the general hospital for rural doctors in its jurisdiction to buy social insurance (including old-age insurance, work injury insurance, unemployment insurance, medical insurance) and medical liability insurance.
to continuously improve the township and village outpatient co-ordination of medical insurance quota City Health Insurance Bureau every year timely and full subsidies to rural doctors family doctors signed up to the health insurance co-ordination fund. More than
public health project funds, financial subsidies or supporting funds, as well as family doctors signed a medical insurance co-ordination fund, in addition to each room of 10,000 yuan per room of public welfare subsidies allocated from the municipal finance to the relevant medical community general hospital, the other by the relevant municipal departments in accordance with the procedures allocated to township hospitals, by township hospitals to coordinate the use, through wages and other means of regular distribution to rural doctors.
Township practicing assistant physicians and above to raise the basic salary of 1680 yuan per month (according to the latest release of the provincial and municipal minimum wage dynamic adjustment), with the qualifications of practicing assistant physicians (including township practicing assistant physicians) on this basis of 200 yuan per month, qualified as a practicing physician on the basis of the rural doctors floating 400 yuan per month.
Performance pay consists of two parts: first, income from basic medical services, including other medical service income such as general medical expenses, settled once a month, the implementation of more work and more, the full distribution to the village health room of rural doctors; All financial assistance funds, net of the remaining part after the monthly payment of basic salaries for rural doctors, shall be settled once a year in the village health room, and shall be paid in full according to the results of the year-end performance appraisal, and the specific performance distribution plan shall be formulated by the township hospitals in the light of the actual situation.
The income of rural doctors can not be less than 3500 yuan / month remote mountain village health room, due to the existence of small population, transportation inconvenience and other factors, rural doctors income treatment is difficult to be fully guaranteed, for the city health committee confirmed and assessed qualified remote mountain village health room, rural doctors basic wages and performance pay to implement a minimum guarantee, not less than 3500 yuan per month.
the rural doctor's place of residence if it is other villages or townships outside the township, each person may be given a monthly transportation subsidy of 200-300 yuan.
establish a rural doctor social insurance policy to address the social insurance and medical risks of rural doctors.
rural doctors who implement "village employment and village use" shall participate in the basic old-age insurance for enterprise workers in accordance with the law, and shall be insured and treated by employers and individual rural doctors in accordance with the basic old-age insurance policy of enterprise workers.
If a rural doctor buys old-age insurance on his own before he is hired, the township hospital shall continue to purchase old-age insurance for him in accordance with the current unified insurance type and unified contribution standard;
if the employment of rural doctors who have reached the state statutory retirement age is less than 15 years old, according to the old-age insurance system, the individual shall be transferred to the insurance until the contribution has reached 15 years, and the old-age pension shall not be paid on a monthly basis from next month.
with my consent, you may also choose to transfer all the funds of the personal account of the old-age insurance before retirement to the accounts of the old-age insurance of the urban and rural residents, and enjoy the treatment of the policies related to the old-age insurance of the urban and rural residents after retirement.
the period of employment, the township hospital shall participate in the work injury insurance, unemployment insurance and workers' medical insurance in accordance with the policy, and pay in full and on time.
strengthen the risk prevention of medical responsibility of rural doctors.
health care committee unified organization, the village doctors used in the village, unified medical liability insurance, in order to protect the normal practice of rural doctors.
part of the individual compensation for medical accidents involving rural doctors shall be carried out in accordance with the relevant provisions of the Medical Union.
to increase training opportunities for rural doctors Rural doctors to arrange at least one day a week to study in township hospitals, to learn basic public health knowledge, infectious disease prevention and control knowledge and chronic disease management knowledge, and to effectively improve the level of public service capacity.
township hospitals may send outstanding rural doctors qualified as practicing physicians or practicing assistant physicians to the general hospital of the medical community or township hospitals for free further study, which shall, in principle, be not less than 1 month.
medical college graduates who work in village health rooms give priority to the standardized training of residents.
Guixi City attaches great importance to the implementation of the "village employment village", the municipal government set up a "village employment village" leadership group, the group leader by the mayor, the deputy head of the deputy mayor as the deputy mayor.
municipal medical management committee should set up inspection and notification mechanism, strengthen daily supervision and inspection, to ensure that the relevant policies of rural doctors to achieve practical results.
such a comprehensive and specific "village employment" program, so that the solution to the problem of rural doctors has made a big step forward.
there are many remaining problems in the rural doctors' ranks, as long as the working methods are proper and the conditions are right, the problems can be better broken one by one.
through a sound mechanism and multi-channel financial security, so that village doctors work more and more, old and dependent, is to improve the attractiveness of rural doctors post, straighten out the key way of rural doctors management.
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