The Fujian Provincial Health and Health Commission announced the handling of the proposal, and clarified the treatment, pension and training policies of village doctors in the province.
Multiple subsidies
Solve the income of village doctors and provide for the aged
According to the "Nine Measures on Enriching Primary Health Forces and Stabilizing Medical Staff" issued by Fujian Province, the personnel expenses of primary medical and health institutions in the province include basic salary, basic performance salary and "five insurances and one gold". Village doctors who serve in village clinics naturally belong to grassroots doctors and should undoubtedly enjoy this treatment.
For a long time, village clinics have no basic salary, which has seriously hit the enthusiasm of village doctors. Fujian Province has clearly established a post allowance for rural doctors, with provincial financial subsidies per person per year 1200 yuan. Cities and counties set their own subsidy standards.
For example, Fuzhou grants a subsidy of 500- 1500 yuan per person per month, and village doctors who have been practicing medicine for 30 years or more can receive an additional 5,000 yuan per year. Sanming, the birthplace of medical reform, innovated the "annual salary system of village doctors" and set the basic annual salary of village doctors at 65.438+10,000 yuan.
Basic performance pay is the subsidy that village doctors are familiar with. The specific criteria are as follows:
1, basic drug subsidy for village health centers: 6- 10 yuan per agricultural registered population.
2. Subsidy for basic public health services: the per capita resident population of 84 yuan in 2022 will be paid according to the assessment results.
3. General medical expenses: 5- 10 yuan/time.
In terms of five insurances and one gold, Fujian Province has not yet achieved the coverage of all village doctors. However, in view of the pension problem that village doctors attach most importance to, Fujian clearly subsidizes the pension insurance for in-service village doctors and retired village doctors.
All on-the-job village doctors can voluntarily participate in the basic old-age insurance for urban enterprise employees as "flexible employees", and the government and individuals each contribute part of the money. After retirement, you can adopt the old insurance money.
Rural doctors over the age of 60, on the basis of enjoying the basic old-age insurance for residents, are given monthly living pension subsidies by the county finance. In other words, if you are not eligible to participate in the endowment insurance for enterprise employees, you can get the dual subsidies of ordinary endowment insurance and government subsidies.
Next, I expect Fujian to pay five insurances and one gold for village doctors, so that they can be treated on the next level!
Government donation
Free textual research and academic qualifications of rural doctors
At present, medical technology is developing rapidly and people's health level is constantly improving. Village doctors also hope to keep learning, improve their professional ability and service level, and better serve the rural people. Because rural doctors are located in a certain corner of the countryside, they have limited time and energy, so it is difficult to get systematic training opportunities.
To this end, Fujian Province issued the "20021-2023 Work Plan for Training and Improving the Ability of Rural Doctors in Fujian Province", entrusting universities and experts to conduct on-the-job training for rural doctors. In 2022-2023, 2000 rural doctors will be trained offline for free every year to improve their professional ability.
Training has two purposes, textual research and academic qualifications, which is the ambition of village doctors.
On the one hand, in Fujian Province, in-service rural doctors (including rural general practice assistant doctors) who intend to apply for the qualification of practicing assistant doctors are given special training in theory and clinical practice skills to help them pass the exam smoothly.
On the other hand, Fujian Province also encourages in-service rural doctors to participate in academic education to promote the academic qualifications of rural doctors.
The village doctor went to study and train. What if the patients in the village are worried? The Fujian Provincial Health and Health Commission also provided a solution, which sank the high-quality talent resources by sitting in the clinic, expert rounds, itinerant inspections, etc., solved the problem of difficult medical treatment for grassroots people and reduced the burden of diagnosis and treatment for village doctors.
Progress in the proposals of the two sessions
Please disclose it to the village doctor in time!
This reply from the Fujian Provincial Health and Health Commission not only responded to the concerns of the deputies, but also announced the latest policy trends to the majority of rural doctors in time, giving everyone a reassurance.
It is the second half of the year, and the proposals of the two sessions have already been submitted to the responsible departments at all levels and are being processed intensively.
How is the proposal of the two sessions progressing? Presumably this is a problem that everyone is very concerned about. Jacket search provincial government websites, summarized as follows:
Guangdong: Rural doctors are allowed to be included.
The Guangdong Provincial Health and Health Commission made it clear in its reply that the recruitment restrictions for rural doctors should be released, allowing rural doctors to enter the county "establishment pool", and at the same time raising the subsidy standard for doctors in village health stations to 20,000 yuan per administrative village.
Guangxi: Pay five insurances and one gold for village doctors.
The Health and Wellness Committee of Guangxi Autonomous Region made it clear in its reply that four prefecture-level cities in the province/KLOC-0 have adopted the system of rural employment and village use, and all village doctors have been brought into the unified management of hospitals, paying five insurances and one gold.
Sichuan: Solving the problem of providing for the aged by village doctors in the whole province
In the reply, the Sichuan Provincial Health and Health Commission made it clear that before the end of the year, cities (states) issued policies related to rural doctors' participation in basic old-age insurance, and steadily solved the problems left over from the history of elderly village doctors.
Chongqing: Solving the Treatment of Village Doctors and Providing for the Aged
The Chongqing Municipal Health and Health Commission clearly stated in its reply that the reform of "employing rural doctors for village use" should be implemented, and some rural doctors should be included in the establishment, so as to improve the on-the-job income level of rural doctors and pay endowment insurance for rural doctors.
It can be seen that the two sessions have really attracted the government's attention and attention to village doctors, and many places are gradually implementing the proposal on village doctors to solve the practical difficulties of village doctors.
During the two sessions, the deputies at all levels truly represented the village doctors, exposed everyone's plight, and put forward suggestions for solving our treatment, which undoubtedly inspired the majority of village doctors.
Now that the enthusiasm of the two sessions has dissipated, what village doctors really care about is when these long-standing problems can be truly solved and when the treatment of village doctors can be truly improved.
I hope that all localities can learn from Fujian and Guangdong provinces, publicize the implementation of the proposals of the two sessions in a timely manner, and earnestly implement the treatment of village doctors! Village doctors can't look forward to the two sessions every year, and they will burst into tears after the meeting!