The income of doctors in China is mainly composed of wages and bonuses. Salary is based on career establishment, related to length of service and education, including post salary, salary scale salary and some subsidies. In the overall income of doctors, the proportion of salary is about 1/4. Bonus is brought by the performance of the department, which is related to the benefit of the department itself. In addition, some experienced doctors can sit outside the hospital and earn extra-salary income.
Problems existing in township hospitals;
1, the infrastructure construction and equipment level of township hospitals are still not optimistic. Although the construction of township hospitals has been vigorously carried out, the infrastructure, hospital capacity and appearance of some township hospitals have changed greatly.
However, due to the lack of long-term investment, most hospitals have limited self-development ability and are unable to update their own equipment and rebuild their houses. They only rely on project funds to build houses and can't afford equipment. Some county (city) district-level matching funds have not yet been put in place. There are still dangerous houses in township hospitals, and most of them still lack equipment. It is still an arduous task to completely change the appearance and backward equipment of township hospitals.
2. Survival in the cracks: the technical equipment is not as good as the superior-hospitals above the county level, and the flexibility is not as good as the village clinic, such as price, credit and familiarity.
3, the mechanism is not alive, poor management. Some hospitals still follow the employment mechanism and distribution mode in the planned economy period, and the enthusiasm and subjective initiative of employees have not been fully exerted. Some county-level health administrative departments have neglected to guide the management of township hospitals, which has affected the construction and development of township hospitals to some extent. There are too many people and too few people who are really capable.
4. The management of personnel, business and funds in township hospitals is not thorough, and the financial subsidy policy and measures to solve the expenses of retirees are not effective enough, and their enthusiasm is not high.
In some counties (cities), the rural medical and health budgets of township hospitals have declined instead of increasing, and the social public health funds such as disease control, health supervision, maternal and child health care and health education are still seriously insufficient. The financial input varies from place to place, and there is no appropriation here. It is said that it is not as good as the original township management. It can be said that hospitals are unmanned units.
5. Wages and benefits are low, and graduates of some regular colleges have to deal with various exams, forms and continuing education.
6. Over-the-counter drugs are sold casually in pharmacies, but you can prescribe them without obtaining the qualification of a doctor. The administration doesn't know how many hospital directors are elected, and most of them are appointed by the Health Bureau.
7. The orientation of township hospitals is to earn money to support their own medical institutions, rather than rural public health institutions that undertake rural primary health care, disease control and health supervision, and manage village clinics and rural doctors.
At the same time, some functional departments always set the construction of township hospitals as "improving the ability and level of medical services", put forward unrealistic development goals and requirements, and lost the public health functions that township hospitals should have.
The mistake in this direction has brought the wrong message, that is, "the reason why township hospitals make money is because they lack the ability to make money", which further increases the neglect of the public health function of township hospitals and increases the difficulty for township hospitals to get out of the predicament.
The above source: People's Daily Online-Do doctors earn a high salary?
Source: Baidu Encyclopedia-Township Health Center