Latest document: Opportunity to regularize non-staff medical staff at the grassroots level

In October last year, the State Council's leading group for medical reform issued a document on the in-depth promotion of Sanming's medical reform experience.
At the end of the same year, the State Council issued another document, which clearly stated that the work related to the promotion of local Sanming experience would be scheduled on a quarterly basis, and the progress of each task and the completion of indicators would be tracked and tested item by item.

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In mid-April this year, the state will check for the first time the "work" of promoting Sanming's medical reform experience in various places.
How will the localities implement it? On February 7, the Shaanxi Provincial Health and Health Commission issued the "Notice on Printing and Distributing the Work Plan for Deeply Promoting the Experience of Sanming City, Fujian Province and Deepening the Reform of the Medical and Health System" (hereinafter referred to as the "Plan")
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As the first document in the field of medical reform in Shaanxi Province, the "Plan" has specific plans, indicators and incentive mechanisms, and its importance is self-evident
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In terms of primary health care, what impact and changes will it bring to medical workers? Existing non-staff personnel, providing opportunities for regularization.
In terms of preparation, the "Plan" mentioned that a dynamic adjustment mechanism for staffing should be established, and pilot explorations such as the preparation filing system and the "compiling pool" should be carried out according to different situations
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Make full use of the compilation resources, in accordance with the principle of "guaranteeing basic medical care, ensuring public health, and ensuring the guidance of disciplines", gradually digest the existing non-staff hired professional and technical personnel, and select the best candidates through strict and standardized procedures such as open recruitment, and include them in the department.
Preparation management
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Last year, the State Council also made it clear that the total number of staff in township health centers will be dynamically adjusted every five years based on the proportion of the serving population of about 1‰
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Revitalizing the existing medical resources in rural areas and attracting talents into rural areas is a key step to stabilize the development of primary medical institutions and to learn from the experience of Sanming's medical reform
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In terms of salary increases and self-allocation of salaries, the "Plan" makes it clear that all localities can reasonably increase the total performance salary according to different levels and different types of hospitals after deducting costs according to the medical service income of the year and drawing various funds according to regulations.
amount, not included in the total approved base
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Focus on increasing the supervision, inspection and reporting of the implementation of various subsidy policies for village doctors, and seriously investigate and deal with violations of the interception, misappropriation, and embezzlement of village doctor-related funds
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In addition, public hospital salaries will also have the autonomy of distribution, and flexible and diverse forms of distribution such as annual salary system, negotiated salary system, and project salaries can be implemented for key positions and urgently-needed positions, high-risk positions and high-intensity positions, and high-level talents.
According to the requirements of different job responsibilities, independently set up remuneration projects that reflect the characteristics of the medical industry, labor characteristics and job value
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On the premise of ensuring the balance of income and expenditure, reasonably determine the proportion of personnel expenditure in the business expenditure of public hospitals
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This also means that under the protection of the policy of Sanming Medical Reform, it can ensure that everyone's wages and income are steadily increased and paid in a timely manner
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Recruiting and expanding, Sanming Medical Reform will do this.
Stabilizing the establishment and salary, recruiting talents and expanding medical institutions are also of great significance to the implementation of Sanming's medical reform experience
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The "Plan" proposes that under the overall planning of all relevant units, comprehensive consideration should be given to the establishment of medical and health institutions of different types and natures such as comprehensive and specialized, public and private, and rational distribution of medical resources at the provincial, city, county, township and village levels.
Functional positioning of medical and health institutions at all levels
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The grass-roots medical and health service system will be integrated into the overall strategy of rural revitalization, and the community health service centers (stations) and township health centers will be supported in the new construction, relocation, reconstruction and expansion
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Timely update the old and outdated basic medical equipment in township hospitals and village clinics
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At the same time, it is clear that by 2022, the county-run TCM medical institutions will be basically covered, and all community health service centers and township health centers will be equipped with TCM halls and TCM physicians
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By 2025, the medical treatment rate in the county will reach 90%, the grassroots consultation rate will reach 65%, and the proportion of diagnosis and treatment in grassroots medical and health institutions will be higher than the national average
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As my country's health care industry has entered a stage of high-quality development, the path of medical reform has become clearer.
All localities are taking greater efforts and more practical measures to further strengthen the linkage of the reform system.

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It is worth looking forward to how the experience of Sanming's medical reform will be integrated
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