20 17 Chongqing rural doctor policy is as follows
People's governments of counties (autonomous counties), municipal government departments and relevant units:
In order to further strengthen the construction of rural doctors in our city, effectively build a solid rural medical and health service network, and promote the equalization of basic public health services, according to the Implementation Opinions of the General Office of the State Council on Further Strengthening the Construction of Rural Doctors (Guo Ban Fa [2015]13), with the consent of the municipal government, we hereby put forward the following opinions.
I. General requirements
Adhere to the basic, strengthen the grassroots and build mechanisms, reform the service model and incentive mechanism of rural doctors in accordance with the requirements of maintaining public welfare, mobilizing enthusiasm and ensuring sustainability, implement and improve the salary, pension and training system of rural doctors, strengthen the supervision of medical and health services, stabilize and optimize the team of rural doctors, comprehensively improve the level of village-level medical and health services, and better ensure that rural residents enjoy equal basic public health services and basic safety, effectiveness, convenience and low price. By 2020, 85% of rural doctors have technical secondary school education or above, 20% of rural doctors have the qualification of practicing assistant doctors or above, and more than 80% of rural permanent residents will establish a contract service relationship with rural doctors.
Second, standardize the management of rural doctors.
(A) clear responsibilities of rural doctors. Rural doctors include rural doctors registered in accordance with the Regulations on the Administration of Rural Doctors' Practice, practicing (assistant) doctors in village clinics and assistant doctors in rural general practice. Mainly responsible for providing basic medical services and basic public health services for rural residents, and undertaking other tasks entrusted by the administrative department of health and family planning.
(2) Rational allocation of rural doctors. Rural doctors practicing in village clinics shall abide by the provisions of laws and regulations such as the Law of People's Republic of China (PRC) on Medical Practitioners and the Regulations on the Administration of Rural Doctors. Personnel who enter the village clinic to engage in prevention, health care and medical services shall have the qualification of practicing (assistant) doctors or rural general practitioners. Counties (autonomous counties) with insufficient number of rural doctors are allowed to enter village clinics on the basis of assessment by local health and family planning departments. In principle, according to the standard of not less than 1 per thousand rural registered population, village doctors are equipped, and village clinics with conditions are equipped with Chinese medicine doctors.
(3) Strengthen the management of rural doctors. Rural doctors should strictly abide by the relevant laws, regulations and policies of the state, implement the basic drug system, strictly implement the technical specifications such as diagnosis and treatment norms and operating procedures, and may not practice beyond the scope. Encourage all districts and counties (autonomous counties) to carry out integrated rural management in combination with the actual situation, carry out contract services between rural doctors and rural permanent residents, provide basic public health and basic medical service packages, establish a relatively stable contract service relationship, and lay the foundation for the implementation of graded diagnosis and treatment system. The service fee is shared by the medical insurance fund, the basic public health service fund and the contracted residents. Increase the promotion of appropriate technologies, encourage rural doctors to provide personalized health services, and charge service fees according to relevant regulations.
(4) Improve the performance appraisal of rural doctors. Encourage adoption under the unified organization of the health and family planning departments of counties (autonomous counties)? Integral system? Quantitative methods, such as regular performance appraisal of rural doctors in township hospitals. The content of performance appraisal includes the quantity, quality, usage, people's satisfaction, learning and training of rural doctors and medical ethics. Basic medical care and basic public health services provided by rural doctors. The assessment results serve as the main basis for rural doctors' practice registration, promotion of professional titles and allocation of government subsidy funds.
Third, strengthen the training of rural doctors.
(a) the implementation of order-based training. Strengthen the free training of order-oriented medical students, focus on training free medical students in three-year colleges and universities facing village clinics, and continue to implement general secondary education for rural medical majors. Free medical students mainly recruit rural students. By 2020, more than 65,438+0,500 medical graduates will be trained for village clinics.
(2) Strengthen on-the-job academic education. Encourage qualified in-service rural doctors to enter secondary and higher medical (health) colleges (including Chinese medicine colleges) to receive medical education. The government gives appropriate subsidies for tuition fees to rural doctors who have participated in education for upgrading their academic qualifications above medical colleges and obtained nationally recognized academic qualifications. By 2020, we will train 1000 rural doctors and 2,000 rural doctors with technical secondary school or college education respectively.
(3) Carry out on-the-job training. Adhere to the monthly meeting system of rural doctors, and provide no less than 2 free trainings for rural doctors practicing in village clinics every year, with a cumulative training time of no less than 2 weeks. Rural doctors with the qualifications of assistant general practitioners and practicing (assistant) doctors in rural areas are trained free of charge in county-level medical and health institutions or conditional central township hospitals every 3-5 years, and registered rural doctors are trained in local township hospitals every 3-5 years. In principle, the training time shall not be less than 1 month. Medical college graduates working in village clinics have priority to participate in standardized training for residents. Rural doctors should learn Chinese medicine knowledge and use Chinese medicine skills to prevent and treat diseases.
(4) Broaden the development space of rural doctors. Township hospitals in the open (assessment) recruitment, under the same conditions, give priority to the employment of qualified rural doctors. Rural doctors will be included in the scope of the title evaluation policy, with specific reference to the relevant provisions of the title evaluation of general practitioners in grassroots medical and health institutions in Chongqing.
Fourth, improve the security policy for rural doctors.
(1) Implementing the multi-channel subsidy policy for rural doctors. All districts and counties (autonomous counties) should fully implement the special subsidies for rural doctors, subsidies for basic public health services, subsidies for general medical expenses, subsidies for the basic drug system, and subsidies for the operation of village clinics, and take the form of government purchase services, which will be cashed in time after performance appraisal to ensure the reasonable income of rural doctors. According to the level of economic and social development and the actual work of rural doctors, the subsidy standards for rural doctors are dynamically adjusted. From 20 15, the proportion of basic public health services and corresponding subsidies undertaken by village clinics should reach 40%. The special subsidy funds for rural doctors shall not occupy the basic public health service funds.
(2) Improve the pension policy for rural doctors. All districts and counties (autonomous counties) should support and guide on-the-job rural doctors to participate in the endowment insurance for urban workers or urban and rural residents according to regulations. Properly handle the problem of providing for the aged for rural doctors who have reached the age of 60, and the specific measures shall be formulated separately.
(3) Establish the withdrawal mechanism of rural doctors. Establish and improve the mechanism for rural doctors to quit when they reach the age and to quit in violation of laws and regulations. Village clinics may, when necessary, rehire practicing (assistant) doctors over the age of 60, assistant doctors in rural general practice or registered rural doctors with outstanding performance to continue practicing. Rural doctors who have been revoked or cancelled their professional qualifications according to law for serious violations of laws and regulations shall be ordered by the health and family planning administrative department of the county (autonomous county) to withdraw.
Five, improve the practice environment of rural doctors
(1) Optimize the service environment of village clinics. Promote the standardization construction of village clinics, rely on the construction of rural public service platforms, livelihood projects, etc., and take public construction and private government subsidies to further support the housing construction and equipment purchase of village clinics. Accelerate the informatization construction, establish an information system with rural residents' health records and basic diagnosis and treatment as the core, and extend it to village clinics to support the linkage of health records and basic diagnosis and treatment information, performance appraisal, remote training and telemedicine. And realize the network operation of village clinics and district/county (autonomous county) health information platforms. The village clinic is equipped with a portable health integrated machine based on the Internet, which is convenient for rural doctors to provide patrol and on-site services for rural residents.
(two) the establishment of rural doctors practice risk resolution mechanism. All districts and counties (autonomous counties) should strengthen the education of rural doctors' sense of responsibility and risk, and establish a working mechanism that adapts to the reality of village clinics and can effectively handle medical disputes and accidents. Establish a medical liability insurance system and a medical risk cooperation mechanism in an all-round way to improve the ability to resist medical risks.
Sixth, strengthen organizational leadership.
The governments of all districts and counties (autonomous counties) should incorporate the work of strengthening the construction of rural doctors into the overall promotion of deepening the reform of the medical and health system, conduct comprehensive research, formulate specific implementation plans in light of local conditions, and seriously organize their implementation. Relevant departments of the municipal government should strengthen coordination, timely study the problems existing in the promotion work, improve supporting policies such as education and training, promotion of professional titles, and treatment guarantee, and establish a work supervision and notification mechanism to ensure the implementation of relevant policies for rural doctors.
General Office of Chongqing Municipal People's Government
2016 65438+1October 4th