(a) Promote the reform of the management system, the establishment of government-organized primary health care institutions of public welfare management system. Government-organized township health centers, community health service institutions is an important part of the primary health care service system, is a public welfare institutions, to strictly define the functions and tasks, approved staffing, approved income and expenditure scope and standards, transforming the operating mechanism, to ensure that the approved according to the state provisions of the capital construction, equipment purchases, personnel funds and its commitment to the public **** health services for the operation of the funds. To actively promote the township health centers to the administrative village health room under the implementation of the setup, personnel, business, medicines, financial integration management, the village doctor to undertake public **** health services and other tasks to give reasonable subsidies.
(2) to the medical and health system reform as an opportunity to promote personnel system reform, the establishment of the task of setting up a post, the full employment of the employment mechanism. Based on the township health centers, community health service institutions to undertake the task, in accordance with national requirements, combined with the actual situation in our province, a reasonable staffing needs to be approved. Specific staffing by the health administrative department reported to the preparation department approved by the provincial editorial board approved and issued documents. The approved staffing of township health centers and community health service institutions as the basis for their employment and funding allocation.
(3) to promote the reform of the distribution system, the establishment of scientific and fair, reflecting the performance of the assessment and distribution mechanism. Scientific approval of township health centers, community health service institutions work tasks, the establishment of the number of services, quality, effectiveness and residents' satisfaction as the core, open and transparent, dynamic update, easy to operate the assessment mechanism. The health administrative department organizes performance appraisals of primary health care institutions, and financial and personnel departments review the results of the appraisals, which are linked to funding subsidies. In accordance with the requirements of the Notice on the Issuance of Guiding Opinions on the Implementation of Performance Pay for Public *** Health and Primary Healthcare Institutions (Ministry of Human Resources and Social Security [2009] No. 182), an internal distribution incentive mechanism has been established that pays more for more work, rewards better performance, and focuses on tilting the balance toward key positions, operational backbones, and staff who have made outstanding achievements.
(d) Promote the reform of the basic drug system, the implementation of zero-differential rate sales of medicines. Primary health care institutions to implement the national and provincial basic drugs and complementary medicines determined by the relevant provisions (complementary drugs catalog is separately specified). Basic drugs and supplementary drugs by the province unified online centralized bidding and procurement, unified pricing, unified distribution to primary health care institutions, the abolition of drug markups, from March 1, 2010, the implementation of basic drugs and supplemental drugs zero-differential rate sales.
(v) Promoting reform of the security system, establishing a scientific and reasonable compensation mechanism to ensure the normal operation of primary medical and health care institutions. Government-organized primary medical and health care institutions, such as capital construction and equipment acquisition and other development expenditures, by the county (city, district) government in accordance with the development and construction of primary medical and health care institutions development planning and co-ordination arrangements. The operating costs of government-organized primary medical and health care institutions, such as personnel and operational expenses, are met through fees for services and government subsidies, which are approved in accordance with the method of "approved tasks, approved income and expenditure, and performance appraisal subsidies". All revenues and expenditures of government-organized primary medical and health-care institutions are fully incorporated into the management of county-level treasury payment centers. At the same time, each administrative village to establish a village health office, actively explore the implementation of integrated rural management pilot work.
Pilot counties (cities, districts) primary medical and health care institutions staffing competitions are completed, according to the national provisions of the implementation of performance pay; non-pilot counties (cities, districts) to be reformed to be fully rolled out before implementation. Performance pay starting time in accordance with the relevant provisions of the Provincial Office of Human Resources and Social Security.