Confirm! National Health Planning Commission: Village doctors turn positive! Health Committee

Village doctors who are "semi-agricultural and semi-medical" will become full members. ......

National clarity

The identity of rural doctors is going to change.

Recently, National Health Commission issued a reply, seeking the response of the Central Organizing Committee, the Ministry of Education and the Ministry of Finance to the Proposal on Strengthening the Construction of Rural Health Team and Promoting Rural Revitalization.

In recent years, rural doctors evolved from "barefoot doctors" have gradually become standardized and professional, but they have not been formally included in the establishment, and it is difficult to get rid of the embarrassment of "being half-agricultural and half-medical".

As the health "guardian" closest to hundreds of millions of rural residents, this dilemma of village doctors should be solved as soon as possible. In this regard, the National Health and Family Planning Commission clearly responded that it is necessary to reform the employment mechanism, change the identity of village doctors, and solve the problem of village doctors' establishment.

This obviously means that the identity problem that has plagued rural doctors for a long time will be solved nationwide, and the era of rural doctors 2.0 is coming soon.

A country doctor inside and outside.

How big is the income gap?

Judging from the current situation, all localities mainly explore the implementation of "rural employment for villages" and implement the identity of village doctors. Some regional policies and financial support have been put in place, and many village doctors have been included in the management of public institutions. The National Health and Family Planning Commission also made it clear that it will actively promote the experience of these advanced areas, so that rural doctors in more areas can enjoy benefits in the compilation.

Generally speaking, according to the current management policy of village doctors, the identity of village doctors is divided into the following categories:

1, establishment of village medical undertakings

Village doctors have the official career establishment of township hospitals, participate in social security of institutions in accordance with relevant regulations, and enjoy the treatment of staff. Pay according to seniority and professional title.

In Chongqing, according to the principle of employing villages in towns and villages, the county took out township hospitals and institutions to formally prepare and recruit village doctors. Rural doctors in Pengshui County said that now the basic salary, performance reward and medical subsidy at public expense add up to nearly 654.38+10,000 yuan every year.

Keqiao District, Shaoxing City, Zhejiang Province has independently established 337 new village clinics, which are open to the outside world and enjoy the same treatment as the medical staff of the community health service center in terms of income distribution and old-age security.

2, the village doctor post system, filing system

Post system and filing system are flexible staffing. Although it is not an "iron rice bowl" in the traditional sense, the treatment is equivalent to the staff in the staff, guaranteed by financial allocation, and can also participate in social security in institutions and institutions.

After the implementation of the post system reform in Zunyi City, Guizhou Province, the monthly income of village doctors reached more than 5,000 yuan, and the monthly income of village doctors in individual village clinics exceeded 1.5 million yuan.

After Wujin District, Changzhou City, Jiangsu Province started the "filing system" for rural doctors, the average number of rural doctors increased by 38,000 yuan a year. The reporter interviewed a local village doctor, and his income rose to 654.38+0.2 million in five years.

3. Part-time employment of rural doctors.

Village doctors are supernumerary personnel employed by township hospitals and enjoy various state subsidies. Units should ensure that they participate in the basic old-age insurance for enterprise employees according to law.

Yuhua District, Changsha City, Hunan Province has incorporated village doctors into the internal staff management of village clinics and health centers, with an average monthly salary of about 7,000 yuan.

Tiandong County, Baise City, Guangxi, provides a basic salary of 3,000 yuan per month for village doctors who are employed in rural areas.

However, judging from the current situation, the treatment and support for such village doctors vary greatly from place to place. Some areas have set basic salaries for such village doctors; However, in some areas, village doctors can only pay endowment insurance for flexible employees.

4. Ordinary and individual rural doctors

Although some village doctors are also managed by township hospitals and undertake the task of public health, they have not signed a contract with township hospitals to hire villages, so they have never enjoyed the treatment of hiring personnel.

According to the report, most of these village clinics have cancelled home visit fees, relying only on basic drug subsidies and basic public health service fees, which cost more than 20,000 yuan a year.

Some clinics that are not included in public health and basic drug management are no different from individual clinics. They can make their own profits and losses through medical treatment and drug price difference, and the income gap is very large. However, under the epidemic situation, such small medical institutions have been greatly impacted and often make ends meet.

It can be seen that the income difference between hiring villagers for rural use and on-board employment or off-board employment may not be as big as expected. However, whether to include "rural employment and village use" has become the income gap between village doctors, which shows the urgency of ordinary village doctors to change their identity.

Countries frequently send articles.

Village doctor enrollment policy will be implemented.

At present, it is still the first step for village doctors to change their identity. Whether entering the career establishment or supernumerary employment, if the labor contract can be formally signed with the township health center, the income of village doctors will be truly guaranteed. Of course, on this basis, it is still necessary to strengthen the recruitment of village doctors, so that capable village doctors can "achieve excellent results."

On the one hand, the National Health and Family Planning Commission clearly wants to promote the local implementation of rural integrated management and the policy of "employing villages by townships" to implement the status of village doctors; On the other hand, the approval of the National Health and Family Planning Commission also means that the establishment of primary medical institutions will sink to village clinics.

In fact, according to the recent policy trends of the country, we can already see that it will become the general trend for village doctors to become full members.

On August 15, the National Health Planning Commission issued the "14th Five-Year Plan" for the development of health professionals, requiring staffing and post integration within the county. According to the needs of serving the population, the total number of medical and health personnel is approved by the region, and all village clinics have equal opportunities to be included.

On July 12, National Health Commission issued the "Several Requirements on Implementing the Party's Health and Health Work Policy in the New Period with Focus on Grassroots Health System", which clearly and dynamically adjusted the total staffing of township hospitals in various counties. Capable rural doctors can obtain the staffing of the health center, and their posts are still located in the village clinic.

A series of national policies have undoubtedly reassured the majority of rural doctors. As village doctors in rural areas, we are extremely eager to solve the establishment problem, raise the basic salary, and really get rid of the embarrassing position of "half agriculture and half medicine" ......