The "post system" for rural doctors is coming! Internal management, monthly salary of 5,000, pay four insurance

Source: Country White Coat

Inclusion is the desire of rural doctors, with the establishment, not only means that the identity of village doctors is truly recognized, but also makes the basic treatment of village doctors guaranteed.

However, the de-establishment of public medical institutions has become the trend of the times, and even at the grass-roots level, even many staff members of health centers cannot enter the establishment, and it is still very difficult for village doctors to formally enter the establishment.

In order to solve this problem, Guizhou Province's Qiandongnan Miao and Dong Autonomous Prefecture innovated the "post system" management of rural doctors, implemented in-staff management for village doctors outside the staff, paid insurance for rural doctors, and guaranteed that the salaries of village doctors were not less than 5,000 yuan.

In recent years, the Majiang County Health Bureau has actively explored new paths for the construction of rural doctors in the new era, continuously improved the career development mechanism of counties, townships and villages, improved the multi-channel subsidy mechanism and pension policy for rural doctors' service income, further mobilized the initiative and enthusiasm of rural doctors, and continuously improved the ability of grass-roots health services.

Innovate the post system for rural doctors

Implement non-staff personnel and in-staff management

Since 2017, Majiang County has taken the lead in implementing the "post system" management reform of rural doctors in the province, strengthening the construction of rural doctors, and improving the capacity of grass-roots health services, which has now been quite effective.

What is the "post system"? Wen Xia, director of the Majiang County Health Bureau, made the following answers:

The post system is to take the township (street) as the unit, allocate the number of posts, posts and positions in the villages under its jurisdiction, and through strict control, openly recruit outstanding medical and health professional and technical personnel to enter the post, implement non-staff personnel and in-staff management, and promote the integrated development of rural areas.

Post management is not a career establishment in the traditional sense, but it is not an ordinary "contract worker" or "temporary worker", entering the post is to participate in the unified recruitment, and the entry and exit of the post needs to be handled in accordance with the prescribed procedures;

In terms of treatment, the treatment of post management and the staff in the establishment of the career are the same, basically no difference, which is the real meaning of the rural doctors' "outside the staff, inside the staff management".

The biggest difference between post management and career establishment is that it is not an "iron rice bowl" in the traditional sense, and whether or not post personnel are renewed needs to be re-evaluated on a regular basis. This is different from the situation in which public institutions are "only in and out". Of course, at present, the number of personnel in the village clinic is generally scarce, as long as the village doctor works seriously and does not make a mistake of principle, he can continue to hire.

The basic salary of the village doctor is set!

2000+3000 per month

Although the post management did not give the village doctor an "iron rice bowl", the basic treatment of the village doctor was guaranteed. After the implementation of the "post system" management reform, the government fixed subsidy for rural doctors has been increased from 1117 yuan / month to 2000 yuan / month, and village doctors can receive more than 800 yuan per month, and they can receive 24,000 yuan a year, which is more than 10,000 yuan more than before.

It is worth noting that the basic salary here does not include various subsidies, coupled with the implementation of the zero difference rate of basic drugs after the sale of subsidies, basic public health service project subsidies, general diagnosis and treatment income, etc., the average monthly subsidy for rural doctors in the county is stable at more than 5,000 yuan, more than 60,000 yuan per year.

The basic salary of 2,000 yuan seems to be very low, but it makes village doctors in other regions envious. At present, village doctors in many areas do not have a basic salary. You can only rely on some subsidies to get by, work more, and lose your financial resources once you suspend business during the epidemic.

Village doctors enjoy social security

Pay four types of insurance

After the implementation of the "post system" management reform, the insurance of rural doctors in Majiang County has also increased from the original two types of insurance to four, namely, urban workers' pension insurance, medical liability insurance, work injury insurance and new rural cooperative medical insurance.

Not only that, Majiang County gives performance appraisal rewards to village doctors who are rated as "excellent" in this year's year-end assessment with reference to the outstanding reward standards for the evaluation of public institution employees. Differentiated subsidies are given to village doctors who have obtained the qualification of practicing assistant physicians or college degrees in village clinics in remote areas.

At present, 63 administrative villages in Majiang County are equipped with a total of 85 "post system" rural doctors, achieving full coverage of rural doctors in administrative village clinics.

In response to this reform, the local village doctor praised it. "After the implementation of the 'post system' reform, not only has our salary level been raised, but the insurance has also increased from the original 'two types of insurance' to 'four types of insurance', which has really solved our worries and made us more at ease to stay in the village clinic and work." Zhao Mingjie, a village doctor in Xianchang Village, Xianchang Town, Majiang County, said.

Wen Xia, director of the Majiang County Health Bureau, said that the treatment of rural doctors has a system guarantee, which not only solves their worries, but also fully mobilizes the enthusiasm of their officers to start a business, they are more confident and more willing to stay at the grassroots level to serve the health of the masses.

Nowadays, the gold content and attractiveness of medical institutions are also declining, in fact, the desire of village doctors for staffing reflects their desire to improve their treatment. In the case that it is impossible for everyone in the village doctor to enter the establishment, as long as the treatment of the village doctor is fully guaranteed, then the village doctor will truly bid farewell to the half-peasant and half-doctor, and his identity has also been fundamentally solved.