Rural doctors are health workers with Chinese characteristics and rooted in rural areas. They have long played an irreplaceable role in maintaining the health of rural residents. The following is the 2017 Chongqing Rural Doctor Policy that I compiled for you. I hope it will be helpful to you.
The 2017 Chongqing rural doctor policy is as follows
The people's governments of various districts and counties (autonomous counties), municipal government departments, and relevant units:
In order to further strengthen the city's rural doctor team Construction, 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" (Guobanfa [2015] No. 13), With the consent of the municipal government, the following opinions are hereby made.
1. Overall requirements
Adhere to ensuring the basics, strengthening the grassroots, and building mechanisms, and reform the rural doctor service model and incentive mechanism in accordance with the requirements of maintaining public welfare, mobilizing enthusiasm, and ensuring sustainability. Implement and improve the compensation, pension and training system for 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 welfare. Health services and safe, effective, convenient and affordable basic medical services. By 2020, 85% of rural doctors will have technical secondary school education or above, 20% of rural doctors will have practicing assistant physicians or above, and more than 80% of rural permanent residents will have contracted service relationships with rural doctors.
2. Standardize the professional management of rural doctors
(1) Clarify the responsibilities of rural doctors. Rural doctors include rural doctors registered in accordance with the "Regulations on the Management of the Practice of Rural Doctors", practicing (assistant) physicians practicing in village clinics, and rural general practitioner assistant physicians. They are mainly responsible for providing basic medical services and basic public services to rural residents. Health services, and other tasks entrusted by the health and family planning administrative departments.
(2) Reasonably allocate rural doctors. Rural doctors practicing in village clinics should comply with the provisions of the "Law of the People's Republic of China and the State on Practicing Physicians", the "Regulations on the Practice of Rural Doctors" and other laws and regulations. New personnel entering the village clinic to engage in prevention, health care and medical services should have the qualifications of a practicing (assistant) physician or a rural general practitioner practicing assistant physician. In districts and counties (autonomous counties) where the number of rural doctors is insufficient, personnel with secondary medical professional qualifications are allowed to enter village clinics to practice medicine after passing examinations and assessments by the local health and family planning department. In principle, rural doctors should be equipped at a standard of no less than 1 per 1,000 rural residents, and qualified village clinics should be equipped with doctors of traditional Chinese medicine.
(3) Strengthen the business management of rural doctors. Rural doctors should strictly abide by relevant national laws, regulations and policies, implement the essential drug system, strictly implement diagnosis and treatment specifications, operating procedures and other technical specifications, and are not allowed to practice outside the scope of practice. Encourage all districts and counties (autonomous counties) to implement rural integrated management based on actual conditions, carry out contract services between rural doctors and rural residents, provide basic public health and basic medical service packages, establish relatively stable contractual service relationships, and implement hierarchical diagnosis and treatment system lays the foundation. The service fee is shared by the medical insurance fund, basic public health service funds and contracted residents. Increase the promotion of appropriate technologies, encourage rural doctors to provide personalized health services, and charge service fees in accordance with relevant regulations.
(4) Improve the performance evaluation of rural doctors. Under the unified organization of the district and county (autonomous county) health and family planning departments, quantitative methods such as the "work point system" are encouraged, and township health centers regularly conduct performance appraisals of rural doctors. The performance evaluation content includes the quantity, quality and use of basic medicines provided by rural doctors, including the basic medical and basic public health services provided by rural doctors, the satisfaction of the masses, the learning and training of rural doctors, and medical ethics and practices. The assessment results serve as the main basis for rural doctors’ practice registration, professional title promotion and allocation of government subsidy funds.
3. Strengthen the training of rural doctors
(1) Implement order-oriented training.
Strengthen the free training of order-oriented medical students, focus on the implementation of free 3-year general college medical student training for village clinics, and continue to implement general technical secondary school education in rural medicine. Free medical students mainly recruit students from rural areas. By 2020, more than 1,500 medical graduates from technical secondary schools and junior colleges will be trained for village clinics.
(2) Strengthen on-the-job academic education. Encourage qualified rural doctors on the job to enter secondary and higher medical (health) colleges (including colleges of traditional Chinese medicine) to receive medical academic education. The government will provide appropriate tuition subsidies to on-the-job rural doctors who participate in medical college education or above and obtain nationally recognized academic qualifications. By 2020, we will train 1,000 and 2,000 rural doctors with technical secondary school and junior college medical degrees respectively.
(3) Carry out on-the-job training. Adhere to the monthly meeting system for rural doctors, and provide free training for rural doctors practicing in village clinics no less than twice a year, with a cumulative training time of no less than 2 weeks. Rural doctors with the qualifications of rural general practice assistant physicians and practicing (assistant) physicians can go to district and county-level medical and health institutions or qualified central township health centers for free training every 3-5 years. Registered rural doctors can go to Training at local township health centers, the training time should in principle be no less than one month. Medical school graduates who work in village clinics are given priority to participate in standardized training for residents. Rural doctors should learn knowledge of traditional Chinese medicine and use traditional Chinese medicine skills to prevent and treat diseases.
(4) Expand the development space for rural doctors. When township health centers openly recruit personnel (assessment), they will give priority to qualified rural doctors under the same conditions. Rural doctors will be included in the scope of the professional title review policy, with specific reference to the relevant regulations on the professional title review of general practitioners in primary medical and health institutions in Chongqing.
4. Improve the rural doctor protection policy
(1) Implement the multi-channel subsidy policy for rural doctors. All districts and counties (autonomous counties) must fully implement funds such as special subsidies for rural doctors, basic public health service funding subsidies, general diagnosis and treatment fee subsidies, basic drug system subsidies, and village clinic operation subsidies, and adopt the method of government purchase of services. Cash out in a timely manner after performance appraisal to ensure reasonable income for rural doctors. The subsidy standards for rural doctors should be dynamically adjusted based on the level of economic and social development and the actual work of rural doctors. From 2015 onwards, the basic public health service tasks undertaken by village clinics and the proportion of corresponding subsidy funds should reach 40%. Special subsidy funds for rural doctors must not crowd out 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 urban employee pension insurance or urban and rural residents’ pension insurance as required. Properly handle the pension issue for rural doctors who are over 60 years old, and specific measures will be formulated separately.
(3) Establish an exit mechanism for rural doctors. Establish and improve the mechanism for rural doctors to withdraw when they reach their age or violate laws and regulations. If the village clinic really needs it, it can re-employ practicing (assistant) physicians over 60 years old, rural general practice assistant physicians, or registered rural doctors with outstanding performance to continue practicing. Rural doctors who have seriously violated laws and regulations and whose professional qualifications have been revoked or canceled in accordance with the law shall be ordered to withdraw from the practice by the district or county (autonomous county) health and family planning administrative department.
5. Improve the practice environment of rural doctors
(1) Optimize the service environment of village clinics. Promote the standardized construction of village clinics, rely on projects such as the construction of rural public service platforms and people's livelihood issues, and adopt methods such as public construction, private construction, and government subsidies to further support the construction and equipment purchase of village clinics. Accelerate the construction of informatization, establish an information system with rural residents' health records and basic diagnosis and treatment as the core and extend it to village clinics, support the linkage of health records and basic diagnosis and treatment information, performance appraisal, remote training, telemedicine, etc., and realize the integration of village clinics and Networked operation of district and county (autonomous county) health information platforms. Equip village clinics with portable Internet-based health all-in-one machines to facilitate rural doctors to provide rounds and door-to-door services to rural residents.
(2) Establish a risk-resolving mechanism for rural doctors’ practice.
All districts and counties (autonomous counties) should strengthen the education of rural doctors on their sense of responsibility and risk awareness, and establish a working mechanism that adapts to the actual situation of village clinics and can effectively handle medical disputes and errors. Comprehensively establish a medical liability insurance system and a medical risk cooperation economic mechanism to improve the ability to resist medical risks.
6. Strengthen organizational leadership
All district and county (autonomous county) governments should incorporate strengthening the construction of rural doctors into the overall planning and advancement of deepening the reform of the medical and health system, conduct comprehensive investigations, and combine local realities Develop specific implementation plans and carefully organize and implement them. Relevant departments of the municipal government should strengthen coordination and cooperation, promptly study problems existing in the advancement of work, improve supporting policies such as education and training, professional title promotion, and salary guarantees, and establish work supervision and reporting mechanisms to ensure that policies related to rural doctors are implemented.
General Office of Chongqing Municipal People’s Government
January 4, 2016