Raise the practice threshold of village doctors and implement the "service salary system"

Source: Sixian Health Committee Organized by: Zhongying, a community of grassroots doctors New measures will be introduced in one place, and the education, qualification, treatment and management of village doctors will change Recently, the government affairs open platform of Sixian Health Committee of Suzhou City, Anhui Province released the report on the drafting of "Implementation Opinions on Further Strengthening the construction of talent team in primary medical and health institutions in Sixian county" (hereinafter referred to as "implementation opinions") In order to stabilize the medical talent team at the basic level, the implementation opinions put forward a series of management measures in terms of education background, establishment, training, treatment and pension By 2025, the number of grassroots health workers per thousand permanent residents shall be more than 4, and the number of staff in township health centers and community health service centers shall be no less than 1.5 per thousand service population, of which the proportion of professional and technical staff in township health centers shall not be less than 90% of the total number of employees in the unit, the proportion of public health staff shall not be less than 25% of the professional and technical staff in the unit, and the number of general practitioners shall be 10000 More than 3 residents; Village doctors should have more than one person per 1000 population, and at least one village doctor or practicing (Assistant) doctor with practicing qualification should be employed in each village health office All village doctors are medical professionals and technical personnel with a secondary school degree or above It can be found that there have been more than one unified requirements for village medical education For example, Yunnan Province proposed in 2018 that by 2020, all practicing doctors under the age of 45 in county-level public hospitals will have bachelor's degree or above, more than 95% of medical technicians in township hospitals will have college degree or above, and 100% of village doctors will have secondary school degree or above The implementation opinions require that the problem of "difficult recruitment" be effectively solved Take out no more than 30% of the recruitment plan of township hospitals in the county, and open recruitment to the public For the non staff, if the document is to be submitted to the township health center, but the medical needs cannot be met, the township health center shall apply and report to the county health and Health Committee for unified organization of recruitment of non staff The "county recruitment and township management" shall be implemented for the external recruitment personnel In addition, improve the recruitment system of village doctors The recruitment of village doctors shall be carried out by "county recruitment, township management and village use" Township hospitals shall report the number of village doctors who are absent to the County Health Committee for unified organization of recruitment according to the number of village doctors approved by village offices, and the remuneration shall be guaranteed by township hospitals Implement rotation training plan Every year, 100 key doctors and 200 rural doctors are trained in turn by stages and in batches Establish network teaching mode A health distance education platform was set up, and online training results were included in the annual performance appraisal of rural doctors We will improve the system of off job training Relying on the county medical community mechanism, the implementation of village medical into the township, township medical into the county off-site training Support the promotion of educational level Encourage grassroots doctors to improve their academic level by participating in Higher Education in line with the practice access policy 1 Comprehensively improve the salary standard of medical and health personnel in township hospitals Strictly implement the performance award method, and according to the provincial regulations, the funds with the balance of income and expenditure of township health centers not less than 50% must be used for personnel performance award 2 Guarantee the development treatment of medical and health personnel in township hospitals For those Township doctors, nurses and public health personnel who have been rated as the "top ten" in the city for two consecutive years, priority can be given to the work of municipal, county-level general hospitals and county-level public health departments 3 Ensure the remuneration of village doctors Establish the service salary system Township hospitals implement performance appraisal on the village clinics and village doctors, and determine the monthly service salary of each village doctor according to the appraisal results 4 Guarantee the development treatment of village doctors The newly recruited village doctors are all under "hospital management", and the qualified township hospitals are encouraged to arrange medical and health personnel to work in the village clinics Village doctors who have been rated as "top 100" in the city's annual assessment for three consecutive years can be transferred to county-level general hospitals or township hospitals according to their professional qualifications.