Introduction recently, Hebei Province, four medical linkage reform policy measures have been released, what is the four medical linkage reform? It is to promote the medical, medical insurance, medicine, medical price four medical linkage reform, the purpose is to improve the interest regulation mechanism, properly deal with the relationship between doctors and patients, improve the enthusiasm of medical staff, to solve the problem of the general public to see a doctor.
1, health management, family doctor and other services included in the performance appraisal
Medicine consortium or medical institutions to develop and improve the internal performance appraisal and distribution methods, should take into account the quality of service, ability to contribute to the technical knowledge, medical ethics and patient satisfaction, etc., will be the completion of the health management, family doctor contracting services included in the performance appraisal, the results of the assessment with the The results of the assessment will be linked to the remuneration of medical personnel. Medical personnel are guided to take the initiative to sink to the grassroots level to provide health management services for the public, and to promote the transformation of the medical consortiums or medical institutions from a disease-centered to a health-centered approach.
2, 70% of disposable income for medical staff remuneration
Requires the establishment of a sound mechanism for dynamic adjustment of medical service prices. In line with the principle of the first to be adjusted, steady and orderly, taking into account the total cost of medical care, medical insurance fund income and expenditure, regularly carry out price adjustment assessment, to meet the starting conditions, according to the procedures to start the price adjustment work, focusing on improving the value of medical services reflecting the value of technical services, reduce the high proportion of equipment and material consumption of the price of examination and testing and large-scale equipment and treatment.
The disposable income of medical institutions increased by adjusting the prices of medical services can be withdrawn 60%-70% for the remuneration of medical staff, and the rest for the development of hospitals. Therefore, after the price adjustment of medical services, the disposable income of medical institutions will increase accordingly, and more than 60% of this part of the funds can be used to improve the salary level of medical staff.
Under this mechanism, the interests of health insurance, hospitals, medical staff and patients are taken into account, and the price adjustment of medical services and health insurance payment, remuneration system and other policies are interlinked.
3, set the post allowance, research allowance, night shift allowance, overtime allowance and other items
Medicine consortium or medical institutions in the approved total performance pay for independent distribution, can be flexible according to the actual situation to set the post allowance, research allowance, night shift allowance, overtime subsidies and other items, and independently determine the basic performance pay. Support the medical association or medical institutions for high-level talents to implement the agreement wage or annual salary system, the pay level of both sides to determine the negotiation, the agreement wage, annual salary into the unit's total wages, not included in the total performance pay management.
All relevant departments should seriously study and solve new situations and problems in the advancement of the reform, increase the supervision of areas lagging behind in the progress of the reform, and guide localities to synchronize and promote the construction of medical consortiums, integrated management of villages, contracted services for family doctors, and other key tasks of medical reform.
4, 70% of the balance of the cost deduction for medical staff remuneration
In accordance with the requirements of "allowing medical and health institutions to break through the current salary control level of institutions, allowing medical service income after deducting the cost and according to the provisions of the funds are mainly used for personnel incentives", a reasonable approval of the medical consortium or public medical institutions performance pay level and the total amount. The level and total amount of performance pay for medical institutions shall be reasonably approved. Under the premise of ensuring that the quality of medical services will not be reduced, 60%-70% of the medical service income of the year of the medical consortium or public medical institutions, after deducting the costs and extracting the funds in accordance with the regulations, will be used for the remuneration of medical staff, and the rest will be used for the development of the hospital.
Compared with the three medical linkage, Hebei will be the price of medical care alone, focusing on adjusting the price dynamics of medical services, increasing the disposable income of medical institutions, used to promote the development of medical institutions, and enhance the level of income of medical personnel. Through these four initiatives, I believe that the income level of medical staff will usher in a new situation, the disposable sources increase, effectively stimulate the overall vitality of medical institutions, the money on the knife edge.
The progress of medical reform cannot be separated from the medical staff, only to let the enthusiasm of the majority of medical staff can be mobilized, the fruits of medical reform can be truly implemented to the patients. With the maturation of the health insurance payment method reform in recent years, medical prices gradually return to the essence, the proportion of disposable income of medical institutions to improve, and ultimately will benefit the patients and the majority of medical staff.