Public health, home sign subsidy standards are clear!

recently, the Yuanmou County Government of Yunnan Province made public the "Response of Yuanmou County Health Bureau to recommendation No. 85 of the Fifth Session of the 17th National People's Congress of the county."This proposal is the "recommendation on improving the treatment of rural doctors" put forward by Wu Hui, a representative of the National People's Congress. Improving the treatment of village doctors is not only the voice of one place, but also the expectation of millions of village doctors across the country!

five parts of the village medical income source have a maximum monthly income of 8000 yuanYuanmou county government reply mentioned that the current rural doctors' salary income is mainly composed of five aspects:(1) rural doctors financial assistance: poor village health room rural doctors can receive a monthly subsidy of 500 yuan, non-poor village health room rural doctors can receive 450 yuan per month subsidy.(2) Basic drug subsidies: the per capita monthly subsidy for rural doctors in poor village health rooms is 400 yuan, and the per capita subsidy for rural doctors in non-poor village health rooms is 200 yuan per month.(3) Basic public health service subsidies: village health room village doctors can receive 10,000 yuan to 30,000 yuan per person per year subsidies.(4) General medical fee income: registration fee, consultation fee, injection fee (including intravenous infusion fee, excluding drug fee) and medical service cost combined into general consultation fee. There will be differences in income between rural doctors in dam areas and semi-mountain areas according to the number of people who carry out medical services, the number of medical services carried out in the health rooms in mountain villages is relatively small, and rural doctors have little income from medical treatment fees throughout the year.(5) Family doctor contract service subsidy: each person to obtain the subsidy funds according to the number of individual work completed, quality, each year can get 5000-20000 yuan subsidy how much.In total, the monthly per capita income of rural doctors in mountainous areas is about 2500-3500 yuan, the monthly per capita income of rural doctors in semi-mountain areas is about 3500-5000 yuan, and the per capita income of rural doctors in dam area is about 4000-6000 yuan per month (up to about 8000 yuan).

village doctor wants to raise income these five aspects change at least a littleYuanmou County village doctor's income situation can get two information:First, by each local population, environment, economy and other factors, the income level of village doctors has a large difference, monthly income of 8000 yuan only a minority, most of the village doctor's monthly income is still about 3000 yuan. In addition, according to the grass-roots physician commune understand that some local village medical income is even only 1000 yuan.Second, the public health and family doctors in the various subsidies contract subsidies accounted for a relatively large, the base drug subsidies accounted for a relatively small, the general cost of diagnosis and treatment by the geographical impact of strong constraints.From the above tips, the Primary Physicians Commune believes that village doctors need to make at least some changes from the following five aspects in order to raise income in the existing environment.

, into the integrated management of ruralRural integrated management is a major trend, and this policy has more advantages than disadvantages for village health rooms, which are not ideal for carrying out general medical and therapeutic services.   On the one hand, the subsidy of basic public health care and family doctor's contracted services can be used to make up for the medical and therapeutic income, on the other hand, after being integrated into the integrated management of the countryside, the township hospital will handle the old-age insurance for the village doctor.   Second, improve the basic public health and family doctors contract service capacity addition, the village doctors themselves also need to improve the service capacity. Some village doctors have low academic qualifications and low service ability.   For example, Yuanmou county government said that because village doctors are limited by service capacity and level, a lot of work can not be carried out, in accordance with the basic public health services and family doctors contract service assessment work "money to go with the flow" principle, can only be in accordance with its actual amount of services to cash in part of the subsidy funds.

third, standardized management   If you do not want to be integrated into the countryside, and the number of people serving the jurisdiction can be considered, village doctors can open their own clinics, but their own business risks will also become bigger, the core lies in the "standardized management" of the five words.   For example, the grass-roots physician's commune in 2020 at the third China Clinic was informed that Qihe County, Shandong Province, rural doctor Ma Zhen rely on standardized diagnosis and treatment, put an end to experience drug use, with the most economical drugs for patients to solve the problem to win word-of-mouth, word-of-mouth is his best marketing method.   To this day, his clinic "guest price" is still maintained at the level of 50-100 yuan per person, and the annual outpatient volume of hundreds of thousands.

, to carry out chinese medicine special diagnosis and treatment services   In recent years, the development of Traditional Chinese medicine has reached a climax, especially in this year's fight against the new lung epidemic played an important role.   On October 28th, at the "13th Five-Year Plan" health and health reform and development conference, Mao Qun'an, Director of the Planning Department of the National Health and Health Commission, said that in the next "14th Five-Year Plan", the development of chinese medicine will also be an important part and content of our planning, and during the "14th Five-Year Plan" period will be China's Chinese medicine industry into a golden period of rapid development and rapid development.   Although the benefits of Chinese medicine diagnosis and treatment are not considerable by means of infusion, but in the long run, Chinese medicine specialty diagnosis and treatment services have broad prospects for development, we should seize the opportunity.

, to obtain qualifications or improve the qualifications of   At present, the identity of village doctors is difficult to define, their identity is still farmers, has not been included in the establishment of institutions management.   This deviates the working status and nature of the village doctors, which prevents them from enjoying the same treatment as public officials in township hospitals, as well as basic social security such as old-age insurance, work injury insurance and medical insurance.   However, in recent years, many places have put forward priority for village doctors with practising (assistant) qualification certificate, medical practitioner qualification certificate or bachelor's degree or above.   In general, the issue of the income treatment of village doctors, on the one hand, needs the policy to be constantly adjusted, on the other hand, it also needs the village doctors themselves to make changes.
(
The Commune of Primary Physicians)
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