National clear
Village doctor status to change
Recently, the National Health Commission issued a letter of reply, after consulting the Central Editorial Office, the Ministry of Education, the Ministry of Finance, in response to the "proposal on the strengthening of rural health health workforce to help promote the revitalization of the countryside" to respond. In recent years, the evolution of the village doctor from the "barefoot doctor", gradually towards the formalization and professionalization, but has not been formally included in the establishment, it is difficult to get rid of the "half-farmer, half-doctor" embarrassment. As the closest health "guardian" of hundreds of millions of rural residents, the plight of the village doctor should be resolved as soon as possible. In this regard, the National Health Commission clearly responded, to reform the employment mechanism, change the identity of the village doctors, and solve the problem of village doctors. This clearly means that the identity problem that has long plagued village doctors will be solved nationally, village doctors 2.0 era, to come.Non-staffing village doctors
How big is the income gap?
From the current status quo, the main exploration around the implementation of the "township hired village use", to implement the identity of the village doctor. Some regions have policies and financial support in place, and many village doctors have long been included in the management of the institution. The National Health Commission has also made it clear that it will actively promote the experience of these advanced regions, so that more areas of the village doctors to enjoy the benefits of the program. In general, according to the current management policy of the village doctor, the village doctor status is divided into the following categories:1, career establishment of the village doctor
The village doctor has the official career establishment of the township health center, in accordance with the relevant provisions of the social security of the institutions to participate in organs and institutions to enjoy the treatment of the personnel within the program. Specifically, according to the work of the seniority and title to implement the salary. Chongqing City, in accordance with the principle of village employment, the county to take out the township health center institutions formal establishment recruitment of village doctors. Pengshui County village doctors said that now the basic salary, performance incentives, public **** health subsidies, etc. counted together, to reach nearly 100,000 yuan per year. Keqiao District, Shaoxing City, Zhejiang Province, alone for the village health office to increase the establishment of 337, open recruitment for the community, in the distribution of income, pension security and other aspects of the jurisdiction of the community health service center with the medical staff to enjoy the same treatment.2, post system, filing system village doctors
post system, filing system is a flexible staffing, although not in the traditional sense of the "iron rice bowl", but treatment is equivalent to the staff, by the financial allocation of security, but also to participate in the authorities The first step is to make sure that you have a good understanding of what you are doing and how you are doing it. After the implementation of the post system reform in Zunyi City, Guizhou Province, village doctor monthly income of more than 5,000 yuan, individual village health center village doctor monthly income of more than 15,000 yuan. Wujin District, Changzhou City, Jiangsu Province, the first village doctor "filing system", ordinary village doctors an average of 38,000 yuan a year, the reporter interviewed a local village doctor, five years of income rose to 120,000 yuan.3, supernumerary employed village doctor
village doctor for the township health center employed supernumerary personnel, enjoy the national subsidies, the unit should be guaranteed by law to participate in the basic pension insurance for enterprise employees.Yuhua District, Changsha City, Hunan Province, the village doctor into the village health center health center internal personnel management, average monthly salary of about 7,000 yuan.
Tiandong County, Baise City, Guangxi Province, the village doctor for the township employed village monthly basic salary of 3000 yuan more. But from the current situation, there are large differences in the treatment of such village doctors around the support. Some regions have set a basic salary for such village doctors; however, in some areas the employed village doctors can only pay flexible employment pension insurance.4, ordinary, individual village doctors
A part of the village doctors, although also subject to the management of the township health hospitals, public health tasks, but due to the township health hospitals did not sign a "township hired village with" contract, so do not enjoy the treatment of hired personnel. The release reports that most of these village health centers have canceled their clinic fees and rely only on basic drug subsidies and basic public **** health service fees, down to more than 20,000 yuan a year. And some not included in the public health, basic medicine management of the health room and individual clinic is no different, can be through the diagnosis and treatment and drug price difference to self-financing, income gap is very big. But under the epidemic, this kind of small medical institutions have been greatly impacted, often can not make ends meet. It can be seen that the difference in income between those who are employed in the same village and those who are employed outside the organization may not be as great as it seems. However, whether or not to be included in the "rural village" has become a gap in the income gap between the village doctors, which shows the urgent need to change the identity of the ordinary village doctors.State frequently issued documents
Village doctor into the policy will be landing
From the current point of view, the village with the village is still the first step in the village doctor to change the identity. Whether it is into the establishment or supernumerary employment, if you can and township health hospitals formally signed a labor contract, the village doctor's income will really have a guarantee. Of course, on this basis, still need to increase the strength of the village doctor into the program, so that the ability of the village doctor "merit merit". On the one hand, the National Health Commission is clear to promote the local implementation of the integrated management of villages and "township employment village" policy, the implementation of the identity of the village doctor; on the other hand, the National Health Commission's reply, also means that the preparation of primary health care institutions will be sunk to the village health room. In fact, according to the country's recent policy trends, we can already see that village doctors will become the trend. On August 15, the National Health Commission issued the "14th Five-Year Plan" for the development of health care personnel, requiring the implementation of the integration of the preparation and positions within the county. According to the needs of the service population and other needs, the total number of authorized medical and health personnel by region, each village health office has equal opportunity to enter the organization. On July 12, the National Health Commission issued the "health system to implement the grass-roots focus of the new era of the party's health and health work guidelines," clearly dynamic adjustment of the total staffing of township health centers in each county, capable of village doctors can be examined in the health center establishment, the position is still located in the village health room. A series of national policies, undoubtedly let the majority of village doctors eat a pill. As a village doctor running around the countryside, we are incredibly eager to solve the problem of preparation, improve the basic salary, really get rid of the "half-farmer half-doctor" embarrassing identity .......