The State Council stepped in to crack the village medical problems wide into strict control mode open!

Medicine Network June 29th, the bulk of the introduction of talent, high standards of management personnel, rural doctors professional qualification system ushered in a major change, village doctors "wide and strict control" model began.Recently, Premier Li Keqiang chaired an executive meeting of the State Council and decided to reform and improve the vocational qualification system for rural doctors, so as to facilitate theemploymentfor graduates of relevant majors in colleges and universities.This measure directly shortens the waiting time for college graduates to find primary medical posts, reduces the cost of employment, and hits the occupational pain point of rural doctors.At the same time, the meeting requested that new rural doctors should be well trained on the job, strengthen the supervision of practice, and implement incentive policies such as subsidies.In this way, the threshold for employment of rural doctors has become lower, but the management and supervision of rural doctors are gradually strengthening, "wide and strict control" model has been opened.Rural doctor stylisty, 3
large "wide-entry" initiative
1
, college graduates test-free the State Council executive meeting decided to promote reform and improvement of rural doctors in 16 provinces, including Hunan, Guangdong, Guizhou and other countries, to allow clinical medicine and other related professional full-time college education and clinical practice of new graduates, including non-employment graduates still in the career period, visa-free application for rural doctors .　　It was pointed out that in response to the huge demand of rural areas to enrich the new force of rural doctors, to increase the relevant weak links to make up the board, is to make up the historical arrears, promote the employment of college graduates and other measures .　　"There is a shortage of professionals such as clinical medicine and veterinary medicine in China, but due to poor academic and practice links, this part of the school has been clinically trained college students, after graduation still need to spend a lot of energy to review the examination, after passing to obtain the qualification of practice We must speed up the elimination of the unreasonable employment threshold in this area, and do everything possible to provide greater convenience for the employment of college students The Prime Minister said .　　At this particular time this year, the impact of the outbreak has made the weak link of primary care more prominent .　　The national initiative is a two-way effort, not only to break the barriers to employment of college graduates, but also to fill the gap in the rural doctors team, greatly enhance the grass-roots epidemic prevention and medical new forces .　　2
, relax the age requirements of education
in recent years, in view of the average age of rural doctors, education level is uneven and other special circumstances, local recruitment rural doctors, gradually abandon the academic qualifications, age "one size fits all" and other rigid requirements, become more humane .　　Such as the recent Inner Mongolia Health and Health Commission issued a letter, the Flag County Sumu township medical and health institutions recruitment conditions again relaxed to 40 years of age .　　In addition, the recruitment of Sumu Township Health Hospital has been employed for 5 years and can be competent for professional and technical positions or senior professional titles of professionals, according to the needs of the job further relaxed to 45 years of age, the minimum academic qualifications can be reduced to secondary schools (including technical schools) .　　The city of Zhaoyuan, Shandong Province, also stipulates that new rural doctors over the age of 50 years old may be relaxed to secondary school education or above .　　To different age groups set the corresponding academic requirements, which is more in line with the actual situation of the rural doctors team, so as not to let some experienced old village doctors because of academic qualifications were rejected .　　3, medical graduates "first on duty, then test" this year in order to ease the pressure of employment, the state requires some posts college graduates can "first on duty, then test", such as teachers, veterinarians, nurses and other related posts .　　In the field of medicine, in fact, this policy has gradually begun in the last two years In order to shorten the employment time of medical graduates and reduce the cost of employment, there are already many places to implement .　　Medical graduates with full-time college education or above will be recruited to work in village health rooms, the implementation of the "county employment" or "village employment" system, after the appointment need to specify the time to obtain practicing (assistant) physicians and other relevant qualifications .　　For those who have not obtained the qualification of practicing (assistant) physician or the assistant physician in a rural general department during the five-year registration period, the labor contract shall be terminated in accordance with the provisions .　　This approach can greatly shorten the employment time of medical graduates, break the unreasonable employment threshold, and speed up the strength of supplementing primary health care talents .　　4 major "strict control" measures to improve the overall level of the village medical team
the national "tube" reform of the idea is to cut the red tape on the simple, put the tube combined, optimize the service To be included on looser terms, and then to be managed with more stringent regulation, can enter does not mean once and for all .　　1 The Prime Minister's instructions to strengthen the supervision of rural doctors' practice At the executive meeting of the State Council, on the one hand, proposed to allow college graduates to apply for the registration of rural doctors' practice, on the other hand, the Prime Minister pointed out that the pre-job training of newly recruited rural doctors and veterinarians should be done well and practice supervision should be strengthened .　　This requirement is also in line with the state-introduced reform of the system, relaxing access conditions, but does not mean to reduce job requirements After entry will face strict and standardized professional supervision, never allow abuse of the situation .　　2
, the establishment of rural doctors clearance system
compared with the past rural doctors loose management model, now the rural doctors team is to the formalization, close development Most areas have started or have established systems for the dismissal of rural doctors who violate the rules .　　For rural doctors who have been out of the post of rural doctor for a long time, have failed to obtain examination for 2 consecutive years, have illegally taken all kinds of special funds, have major medical and health accidents or have serious medical ethics problems, the department of health health will revoke their "village doctor's practice certificate" and order them to withdraw from the village health room practice .　　3
, the degree of rural integration deepened
rural integration is a close-knit county medical community is a part of the implementation of the degree of rural integration has been deepening over the years The treatment of rural doctors is also more perfect, at the same time, the village health room is no longer an independent legal entity unit, and gradually become a township health hospital dispatch agency .　　Village health room has become a branch of the health hospital, which is not only a change of signboard, but also a change in identity and attributes Village health room will be used as a branch, all aspects to accept the hospital-style management .　　Village doctors are no longer "self-employed", but with the township health hospital signed a labor contract, change the status, become "village for use" of rural doctors, the job must be subject to the requirements and management of the hospital .　　4
, practice (assistant) physician transformation accelerated
in many places to implement the rural doctors to become "village use" system, not all rural doctors are "contract workers", in the village health room for a long number of years, high level of business, the masses reflect well and obtain a practicing assistant (village general practitioners) and above the practice of rural doctors, township health hospitalwill free up a certain degree of career establishment, give priority to recruitment .　　This is in line with this year's Central No 1 document put forward the "allowing all local health institutions to make good use of the existing resources of the establishment of health institutions, township health hospitals can give priority to the employment of qualified village doctors" requirements, I believe that this will also accelerate the next few years village doctors to practice (assistant) physician transformation pace .　　The implementation of the incentive policy for rural doctors' subsidies has been strengthened
if only "wide-access and strict control", it is only in the "getting in" aspect, and it is fundamental to solve the problem of "staying" talents, to improve the treatment of rural doctors and to stabilize the ranks of rural doctors .　　The Prime Minister called for a good pre-job training for new rural doctors and veterinarians, strengthening supervision of practice and implementing incentive policies such as subsidies .　　In this year's basic public health service project work notice, also further improved the rural doctors public health subsidies allocated, requiring that the way of proportional advance, according to the results of performance evaluation timely allocation of the corresponding subsidy funds, strictly prohibited without any reason deduction .　　Article 56 of the Law on the Promotion of Basic Health Care and Health, which came into effect on June 1, also stipulates that the State shall strengthen the construction of rural medical and health teams, establish a career development mechanism that runs up and down the county, and improve the multi-channel subsidy mechanism for the service income of rural medical and health personnel and the old-age policy .　　Through the recent national treatment of rural doctors, coupled with legislative support, I believe that the next village doctor's career development and treatment level will be more protected, at the same time through the "wide and strict control" way, the rural doctors team to grow faster, the overall level of capacity has been improved, and gradually become a new generation, new knowledge, new weather professional medical team .