The recent meeting held that to implement the health poverty alleviation project, we must first make up the "short board" of medical services in poverty-stricken areas. As the closest partner with medical services, the problem of providing for the aged in poor areas has also affected the whole body.
The meeting pointed out that first of all, it is necessary to reduce the medical burden of the rural poor, give financial subsidies to the individual contributions of the new rural cooperative medical system, and include all the rural poor in the scope of medical assistance for serious and serious diseases. In addition, it is necessary to implement the policy of "self-payment" for rural poor people after hospitalization in designated medical institutions within the county, and realize "one-stop" instant settlement of various medical insurance assistance. This new measure undoubtedly facilitates the consultation and medical treatment of the elderly in rural poverty-stricken areas.
In the reform of public hospitals in poverty-stricken areas, it is necessary to explore and formulate the method of assessing the total performance salary first, complete the rotation training of rural doctors in poverty-stricken areas before the end of 20 17, and improve the pension benefits of rural doctors.
2065438 In March 2005, the General Office of the State Council issued the "Implementation Opinions on Further Strengthening the Construction of Rural Doctors", requiring all localities to formulate policies for providing for the aged for rural doctors in light of the actual situation and ensure their treatment.
Up to now, all provinces in China have formulated corresponding policies for the aged care and treatment of rural doctors according to the actual conditions in various places.
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1 Inner Mongolia
On October 26th, 2065438+0510/KLOC-0, the government of Inner Mongolia Autonomous Region issued the Implementation Plan for Further Strengthening the Construction of Rural Doctors in Inner Mongolia Autonomous Region (hereinafter referred to as the "Plan"), clarifying that rural doctors who meet the requirements of participating in the basic old-age insurance for enterprise employees can participate in the old-age insurance for enterprise employees according to regulations; Those who do not meet the conditions for participating in the old-age insurance for enterprise employees can participate in the old-age insurance for urban and rural residents at their domicile.
The "Program" clarifies that for rural doctors who have reached the age of 60 for men and 55 for women, and have worked for more than 10 years (including 10 years) and have quit their jobs, all regions should further improve the pension benefits for rural doctors in light of actual conditions, and give them monthly living allowances according to certain standards. The required funds shall be solved by the finance of Union City and counties.
2 Xinjiang
In-service rural doctors who have obtained the certificate of rural doctors or the qualification of practicing (assistant) doctors and signed employment contracts with township hospitals shall participate in the basic old-age insurance for enterprise employees according to the relevant policies for flexible employment, and the insurance expenses shall be borne by the rural doctors themselves. People who are over the statutory retirement age and have worked continuously in rural doctors' posts for more than 10 years can participate in the basic old-age insurance for enterprise employees through individual contributions from rural doctors.
3 Beijing
On April 20 16, Beijing issued an implementation plan to greatly improve the treatment of rural doctors. According to the plan, the salary of rural doctors in Beijing will be increased from 1.600 yuan to 3,500 yuan per month. In mountainous and semi-mountainous areas, on the basis of basic subsidies, each person can receive an additional subsidy of 500 ~ 2000 yuan per month.
At the same time, Beijing will improve the social security policy for rural doctors, encourage and guide eligible newcomers to participate in the old-age insurance for urban employees, and the government will give appropriate subsidies according to the minimum payment standard for flexible employees. Do not meet the conditions, you can participate in the old-age insurance for urban and rural residents in the domicile.
4 Heilongjiang
To improve the retirement policy for rural doctors, the county (city) government should support and guide eligible rural doctors to participate in the basic old-age insurance for employees and urban and rural residents according to regulations. Rural doctors (over 60 years old) will be given policy subsidies after retirement, and local governments will formulate subsidy standards and implementation rules on their own. The subsidy standard should be higher than that of 200 yuan and lower than that of 300 yuan (month), and should be included in the fiscal budget at the same level for protection. For counties (cities) with special difficulties, the provincial government gives appropriate subsidies through transfer payment. To ensure the reasonable income of rural doctors, all localities should comprehensively consider the actual work situation, service ability and service cost of rural doctors and adopt the way of purchasing services to ensure the reasonable income of rural doctors.
5 Jilin
For practicing (assistant) doctors employed in village clinics under the unified management of township hospitals, they shall participate in the basic old-age insurance for employees as required; For rural doctors who are currently practicing in village clinics (holding the Practice Certificate of Rural Doctors), they can participate in the basic old-age insurance for urban and rural residents at their domicile. After obtaining the qualification of practicing (assistant) doctors, they can sign labor contracts with township hospitals and participate in the basic old-age insurance for employees according to regulations; For rural doctors who have reached the age of 60, subsidies and other forms will be adopted to properly solve the problem of living security and further improve the pension benefits. Specific measures shall be formulated separately.
6 Liaoning
On March 20 16, Liaoning province issued the implementation plan on further strengthening the construction of rural doctors in the province. We should implement the multi-channel compensation policy for rural doctors. For the basic public health services provided by rural doctors, the government adopts the way of purchasing services and allocates corresponding funds to rural doctors. For rural doctors practicing in village clinics where the basic drug system is implemented, comprehensive consideration will be given to giving fixed subsidies. Dynamically adjust the subsidy standards of rural doctors in various channels and gradually improve the treatment level of rural doctors; Improve the treatment of rural doctors in hard and remote areas.
For some eligible rural doctors, they can participate in the basic old-age insurance for employees of local urban enterprises as temporary employees of public institutions, pay insurance premiums and enjoy treatment according to the current policy. Rural doctors who are not included in the basic old-age insurance for employees can participate in the basic old-age insurance for urban and rural residents at their domicile. For rural doctors over 60 years of age, according to the length of service, subsidies and other means are taken to properly solve their security and living difficulties.
7 Hebei
Eligible rural doctors need to participate in the basic old-age insurance for employees. Registered rural doctors who are not covered by the basic old-age insurance for employees can participate in the basic old-age insurance for urban and rural residents at their domicile. For rural doctors who have reached the age of 60, counties (cities, districts) should take various forms such as subsidies to further improve the pension benefits for rural doctors. The specific plan is formulated by the county (city, district) government.
8 Henan
2015165438+125 October, the general office of Henan Provincial Government officially issued the Implementation Opinions on Strengthening the Construction of Rural Doctors, which further improved the compensation mechanism for rural doctors. In 20 14 and 20 15 years, all the newly-added rural basic public health service subsidies in 5 yuan were used for rural doctors, and the newly-added basic public health service subsidies will continue to tilt towards rural doctors in the future; Rural doctors provide basic medical services and need to charge general medical fees according to regulations; According to the standard of 5 yuan per registered population per person per year, the village clinics will be given a fixed subsidy for basic drugs, and the required funds will be shared by governments at all levels according to the prescribed proportion; To improve the treatment of rural doctors in hard and remote areas, local finance should increase subsidies.
The "Implementation Opinions" stipulates that all localities should support and guide qualified rural doctors to participate in the basic old-age insurance for employees as required. Rural doctors who are not included in the basic old-age insurance for employees can participate in the basic old-age insurance for urban and rural residents at their domicile; For elderly rural doctors who meet the conditions for receiving living allowance, living allowance shall be paid according to the prescribed standards.
9 Shandong
Support and guide qualified rural doctors to participate in the basic old-age insurance for local employees according to regulations. Rural doctors who are not included in the basic old-age insurance for employees can participate in the basic old-age insurance for residents at their domicile. City, county (city, district) governments can encourage and guide rural doctors to pay according to high grades through various forms.
10 Anhui
Improve the living security mechanism for elderly rural doctors and implement the old-age insurance for in-service rural doctors according to the policy of village cadres. All localities should support and guide qualified rural doctors to participate in the basic old-age insurance for employees according to regulations. For rural doctors who have the qualification of rural doctors, have been engaged in rural doctor work 10 years or more, and have retired from village clinics at the age of 65, a monthly living allowance of not less than 300 yuan will be implemented, and the subsidy funds will be solved by the municipal and county (city, district) governments as a whole. For those who have been engaged in the work of rural doctors for a long time or fail to meet the above conditions, all localities may formulate specific measures according to the financial situation and give appropriate subsidies. The subsidy level shall not exceed that of eligible rural doctors who retire at the age.
1 1 Jiangsu
Support and guide qualified rural doctors to participate in the basic old-age insurance for employees according to regulations; For rural doctors who are older or have left their jobs and are not included in the social endowment insurance, the local government can give appropriate subsidies, and the subsidy standard can be gradually improved.
12 Jiangxi
Support and guide qualified rural doctors to participate in the basic old-age insurance for employees according to regulations. Registered rural doctors who establish or form factual labor relations with township hospitals and village clinics participate in the basic old-age insurance for employees according to regulations, and employers and rural doctors jointly pay the basic old-age insurance premium; Other rural doctors can participate in the basic old-age insurance for employees as flexible employees, and individuals pay the basic old-age insurance premium, and appropriate subsidies can be given where conditions permit. Rural doctors who are not included in the basic old-age insurance for employees can participate in the basic old-age insurance for urban and rural residents at their domicile. The subsidy standard for ex-post elderly rural doctors will be raised to 300 yuan every month, and the required funds will be borne by local finance according to the principle of territoriality.
13 Hunan
Support and guide qualified rural doctors to participate in employee pension insurance according to regulations. Rural doctors who are not included in the old-age insurance for employees can participate in the basic old-age insurance for urban and rural residents at their domicile. The old country doctor gave subsidies for living difficulties.
14 Tianjin
Rural doctors can choose to participate in urban workers' pension insurance or urban and rural residents' pension insurance according to their individual payment ability and willingness to participate in insurance. Rural doctors who choose to participate in the old-age insurance for urban workers can pay the old-age insurance premium according to the provisions of flexible employees in the individual payment window; Rural doctors who choose to participate in the endowment insurance for urban and rural residents can participate in the insurance payment in the streets and township labor security service centers where their household registration is located.
15 Hubei
Eligible on-the-job rural doctors participate in the basic old-age insurance for employees in their personal capacity. Rural doctors participate in the basic old-age insurance for employees, and if the payment is less than 15 years when they reach the legal retirement age, the payment can be extended to 15 years. Among them, if the actual payment period reaches 10 years after the payment is extended for 5 years, the payment can be made to 15 years in one lump sum, and the retirement formalities will be completed, and the basic pension will be received monthly. Give appropriate subsidies to rural doctors who have the qualification of rural doctors, have been engaged in rural doctor work for more than 10 years, and have retired from village clinics. Subsidy standards and specific measures shall be formulated by all localities in light of the actual situation and incorporated into the fiscal budget at the same level for protection.
16 Sichuan
Support and guide school-age rural doctors to participate in the basic old-age insurance for employees according to regulations, and those who meet the retirement conditions receive pensions according to regulations. Rural doctors can also participate in the basic old-age insurance for urban and rural residents in the household registration.
17 Chongqing
On-the-job rural doctors are required to participate in the endowment insurance for urban workers or urban and rural residents. For rural doctors who have reached the age of 60, specific measures shall be formulated separately.
18 Fujian
According to the actual situation, all localities can organize on-the-job rural doctors to participate in the social endowment insurance for urban and rural residents at higher levels, and support and guide qualified rural doctors who have signed labor contracts to participate in the basic endowment insurance for enterprise employees. The specific insurance payment shall be determined according to the relevant regulations, and the payment grade and subsidy standard shall be determined by the municipal and county (district) governments themselves.
19 Guangdong
Rural doctors who are included in the management of township hospitals and work in village health stations until retirement age shall participate in the endowment insurance of government agencies and institutions in accordance with relevant regulations and enjoy corresponding treatment; Rural doctors who are not included in the internal management of township hospitals and have established labor relations with township hospitals participate in the basic old-age insurance for enterprise employees; Those who reach the statutory retirement age shall enjoy the corresponding pension insurance benefits according to the regulations. For rural doctors who have reached the statutory retirement age and have not paid 15 pension insurance to continue to pay, all localities are encouraged to formulate relevant regulations in light of local conditions and give appropriate subsidies.
20 Guizhou
Support and guide qualified rural doctors to participate in the basic old-age insurance for enterprise employees according to regulations. Rural doctors who are not included in the basic old-age insurance for enterprise employees can participate in the old-age insurance for urban and rural residents at their domicile. For rural doctors who have reached the age of 60 and have gone through the withdrawal procedures or retired from their posts, the retirement allowance system will be implemented if they have served continuously for 10 years. The living allowance standard for rural doctors who leave their posts is determined by the county government in combination with the actual situation, and the subsidy funds are solved by the municipal and county (city, district) governments as a whole.
2 1 Hainan
According to the Regulations on Basic Old-age Insurance for Urban Workers in Hainan Province, rural doctors can participate in basic old-age insurance for employees in accordance with regulations. Rural doctors who are not included in the old-age insurance for employees may participate in the old-age insurance for urban and rural residents as required.
22 Zhejiang
Conscientiously implement the national and provincial endowment insurance policies for rural doctors, and effectively ensure that rural doctors enjoy pension benefits according to regulations. Support and guide qualified rural doctors to participate in the basic old-age insurance for employees according to regulations. Rural doctors who are not included in the basic old-age insurance for employees can participate in the basic old-age insurance for urban and rural residents at their domicile. For rural doctors who have reached the age of 60, all localities should take various forms such as subsidies to further improve the pension benefits of rural doctors.
23 Yunnan
Support and guide qualified rural doctors to participate in the basic old-age insurance for employees according to regulations. Rural doctors who are not included in the endowment insurance for employees should actively guide them to participate in the basic endowment insurance for urban and rural residents.
24 Shanxi
Eligible rural doctors participate in the endowment insurance for urban and rural residents, and social pensions are paid to rural doctors who meet the corresponding treatment conditions on a monthly basis. In-service rural doctors who meet the requirements of participating in the endowment insurance for urban and rural residents will continue to enjoy special government payment subsidies according to the standard of 30 yuan per person per month. Further implement the pension subsidy standard for retired rural doctors, and give rural doctors who meet the retirement conditions a living allowance of 100 yuan per person per month (without leaving their posts). Payment subsidies and retirement subsidies, the provincial financial burden is 50%, and the burden ratio of cities and counties is determined by each district and city. Support and guide rural doctors to participate in the endowment insurance for urban workers according to flexible employment.
For areas that have implemented the old-age security benefits for rural doctors and are higher than this standard, the original standard is still implemented. All localities should gradually improve the level of old-age security for rural doctors in light of the local economic and social development level.
25 Shaanxi
Guide and support rural doctors to participate in the basic old-age insurance for urban and rural residents where their household registration is located. Eligible rural doctors can participate in the basic old-age insurance for urban workers according to regulations. Rural doctors who have reached the age of 60 will continue to pay old-age subsidies in accordance with the provisions of the new rural insurance policy for age subsidies, and increase them according to regulations.
26 Gansu
After signing labor contracts and establishing labor relations with township hospitals, rural doctors participate in the basic old-age insurance for enterprise employees according to law, and the township hospitals and rural doctors jointly pay the basic old-age insurance premium according to the prescribed proportion. When rural doctors reach the legal retirement age, they will pay the cumulative fee 15 years and receive the basic pension monthly. Rural doctors' old-age insurance premiums paid by township hospitals are allocated by county-level finance and included in the normal expenditure scope of township hospitals.
At present, the retirement allowance system is implemented for rural doctors who have completed the withdrawal procedures or retired from rural doctors' posts at the age of 60 and have served continuously for five years. Rural doctors' retirement allowance is solved by the basic pension processing age allowance. Specific measures refer to the old-age subsidy measures for substitute teachers.
27 Ningxia
Eligible registered in-service rural doctors can choose to participate in the basic old-age insurance for employees or the basic old-age insurance for urban and rural residents with reference to flexible employees, and enjoy corresponding old-age benefits after retirement.
On the basis of enjoying the basic old-age pension for urban and rural residents, rural doctors who have been registered since the implementation of the Regulations on the Management of Rural Doctors' Practice on June 5438+1 KLOC-0/2004, who are 60 years old and still alive when they leave their jobs, will be given monthly living allowance according to their actual working years as rural doctors. The subsidy standard will be gradually improved with the social and economic development, and the working years will be determined according to the standard. For full-time rural doctors registered since the implementation of the Regulations on the Management of Rural Doctors' Practice on June 5438+ 10/2004, if they are under 60 years of age when they leave their posts, they will be given a one-time living allowance 500 yuan every year according to their actual working years as rural doctors; For rural doctors who have obtained the rural doctor certificate issued by the health administrative department of the local people's government at or above the county level before the implementation of the Regulations on the Management of Rural Doctors' Practice on June 5438+ 10/2004, they have left their jobs and are still alive, and they will be given a one-time living allowance 300 yuan every year according to their actual years of working as rural doctors. Specific subsidy measures shall be formulated by the Health and Family Planning Commission of the autonomous region in consultation with the Department of Finance and the Department of Human Resources and Social Security of the autonomous region.
28 Qinghai
Support and guide rural doctors to actively participate in the basic old-age insurance for urban and rural residents, and give appropriate subsidies to rural doctors in areas where conditions permit. Encourage people who meet the conditions for participating in the basic old-age insurance for employees to participate in the basic old-age insurance for enterprise employees.
201611October151February, those who have reached 60 years of age (including village doctors over 60 years of age) and have worked as rural doctors for more than 5 years, will be paid monthly according to the actual service years. Re-employment or extension of working years after reaching the age of 60 shall not be repeated to enjoy the remuneration of village doctors and living allowances for the elderly; Those who participate in the basic old-age insurance for enterprise employees do not enjoy the old-age living allowance after reaching the age of 60. Old village doctors who have reached the age of 60 before the date of 20 16 1 will not reissue the living allowance for the elderly in the previous year, in addition to paying the living allowance for the current year as required. The living allowance for the old village doctors is shared by the provincial, municipal (state) and county finances in the proportion of 70% and 30% respectively.
Old village doctors over 60 years old will be included in the scope of government's purchase of old-age care services. Among them, old village doctors who live at home and live in old-age care institutions provide old-age care services according to the standards of 150 yuan and 500 yuan respectively.