Official: Changing the identity of village doctors is treated the same as hospital staff

Medicine Network November 18th, the official confirmation of the identity of village doctors, equal pay for equal work.
Recently, the Wujin District Health Bureau of Changzhou City, Jiangsu Province, the Office of the Preparation Committee and other eight departments jointly issued "on the issuance of Wujin District health personnel strong foundation project implementation program (2019-2023)" notice (hereinafter referred to as "Notice").
"Notice" to further strengthen the construction of the grass-roots talent team, put forward a number of reform measures.
village doctors are included in the status management of the filing system, and the Notice on Equal Pay for Equal Work requires that the preparation of employment plans be arranged in an integrated and, in principle, made up.
to implement the "county management and rural use" system.
to coordinate and dispatch the amount of the establishment of primary health care institutions throughout the region, and strengthen the overall management and use of primary health personnel.
To promote the reform of the management mechanism for medical and health personnel at the village level, to approve the total number of posts and the number of posts in the filing system of medical and health personnel at the village level in the whole district, and to implement dynamic adjustments;
this provision, village doctors can enjoy the same treatment of personnel in the establishment of enterprises as a record-keeping system, and ensure more security.
Rural doctors guarantee treatment by reference to similar personnel in hospitals to promote the innovation and reform of the village-level medical and health personnel management mechanism, into the record-keeping system of management of rural doctors, their basic wages and basic performance wages by reference to the hospital's similar personnel standards, incentive performance pay and its basic public health services, basic medical care, family medical contracts and other work completion, fully reflects the more work, excellent performance and reward.
Existing on-the-job general rural doctors (not reaching retirement age) shall go through the employment procedures according to the temporary employment of the hospital, enjoy temporary employment social security treatment, and increase the treatment of medical insurance, maternity, unemployment, work injury and long-term insurance on the basis of the existing basic old-age insurance treatment.
, according to the local level of economic and social development, reasonably determine the rural doctors quota subsidy standards.
Implementation of the general medical and treatment fee policy, village-level medical institutions daily operating funds, housing construction, equipment acquisition funds and personnel training funds, etc. by the town (street), village (community) to ensure that the town (street), the town (street) to coordinate management, and establish a dynamic growth mechanism.
medical and health personnel at the village level throughout the region are integrated into the scope of medical liability insurance and work injury insurance protection.
village health room targeted students can be hired "university village doctors" to establish public recruitment channels for institutions, within the scope of policy, targeted recruitment in village-level medical institutions for six years and qualified as a practicing physician "university village doctors."
Province is the first promotion area of "university village medicine".
as early as 2011, Hebei Province issued the Opinions on the Implementation of the "Student Village Medicine" Program (Trial) to select medical graduates to serve in rural (town) village medical and health institutions nationwide.
In May this year, the official website of the Shijiazhuang government published an article "Strengthening the construction of the primary health care system in urban and rural areas to promote the sinking of high-quality medical resources to benefit the people", proposed to match the policy of university students village officials, to provide room for progress for college students village doctors, after a certain number of years of work, eligible to apply for targeted recruitment of civil servants, or by the higher general hospital selection.
will be compared with college student village officials to manage, properly solve the professional development space of medical personnel, can enhance the appeal of village-level medical posts, improve the proportion of young people in village health rooms.
to provide learning incentives and living allowances for targeted medical students to increase the efforts of free training of targeted students in rural orders, increase the preparation of plans, and strive to train more than 15 rural targeted medical students per year.
to explore the establishment of a corresponding special subsidy funds for outstanding medical students and medical students with difficulties in learning incentives and living allowances.
strengthen communication and contact with training institutions, and include targeted medical students' academic test scores and comprehensive performance in the reference basis of the entry compilation.
to allow individual or partnership physicians to fully implement the regional registration of physicians in primary-level clinics, and to exercise record-keeping management over other practicing institutions to be practise, subject to the determination of the main practice institution.
to support the second and third-level hospitals in-service backbone physicians to practice in primary health care institutions or open a doctor's studio, in primary health care institutions practice experience can be regarded as physician professional and technical title promotion before the grass-roots service experience.
encourages active physicians, retired physicians or partners in public hospitals to open clinics and outpatient clinics at the urban and rural levels, and their settings are not subject to the planning and layout of medical institutions.
Overtime, duty, night shift and other supplemental performance pay in principle according to the region's institutions performance pay benchmark of 100%-150% master, on this basis, medical personnel overtime, shift, night shift and other outside the normal working hours of the remuneration (failure to arrange rest), according to the region's institutions performance pay benchmark of 15% increase in the total amount of performance pay.
For primary health care institutions with heavy individual tasks, excellent annual comprehensive assessment results and strong financial security capabilities, the total amount of performance pay may be appropriately increased, and the increase shall be controlled at 10-15% of the benchmark of performance pay for institutions throughout the region.
the implementation of the "1 plus X" incentive new model to raise the salary level of general practitioners in township hospitals and community health service centers, so that it is connected with the level of clinicians with the same conditions in district-level public hospitals.
on the basis of the performance pay policy level of primary health care institutions, the total amount of performance pay shall be increased according to about 10% of the benchmark level of performance pay of the unit, mainly for raising the salary level of general practitioners.
Within the approved total amount of performance pay, improve the distribution method, focus on the clinical front line, key positions, business backbone tilt, explore the establishment of a closely linked distribution incentive mechanism with the number of years of service at the grass-roots level, further inferfect the internal distribution, and encourage primary health care institutions to implement the performance pay "1 plus X" incentive new model reform.
medical graduates to work below the township can be transferred in advance to the grade of college or higher academic medical graduates to work in health institutions below the township, can be transferred to the correct grade in advance, transfer to the grade of hourly wages higher than one level.
Provide housing security exploration to integrate qualified primary health personnel into local talent apartments, as well as public rental housing, affordable housing and other housing security systems, to meet the public rental housing and other security housing access conditions of township health hospitals and urban areas to support township health care institutions health personnel to give priority to protection.
can take a flexible and diverse approach, through the establishment of collective canteens, purchase services and other measures to help coordinate the solution of practical problems such as people eating.
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