Medical network - December 21, 128 on-the-job worker, side staff 61 people, the annual turnover of nearly 25%, as of the end of November 2016, center when the balance is RMB 490000.
Above, is in Shanxi Province xi 'an beilin dongguan south street community health service center (hereinafter referred to as south street east sector of suiyeh near the town center) personnel and financial situation, and general status of grassroots medical institutions: after "the reform", received a significant boost grassroots health institutions service ability, workload significantly increased, but the shortage of staff, side staff ratio is high, the stress of spending problems.
Whether it is a "new medical reform" proposed the establishment of the diagnosis and treatment of new order, or in August of this year the national health and health conference put forward from "treatment" to "health" as the center, all need to improve grassroots health institutions (hereinafter referred to as grassroots medical institutions) service ability, completes the disease screening, prevention and common diseases, frequently-occurring disease diagnosis and treatment.
How to blend in all policies "to" health, shaanxi was the first to hand over the paper and lead to national health development planning commission.
On December 14 to 16, 21st century business herald reporter in shaanxi more research, found that the first to be born in the province, "great health" grassroots medical institutions medical facilities tend to be complete, gradually establish a basic medical coverage network.
But at the same time also company: as the functions of grassroots medical institutions is more and more rich, grassroots medical staff task is getting heavier and heavier. At the same time, the side flow, personnel shortage, economic operation burden still plagued by problems such as grassroots medical institutions.
Personnel, funds problem is still at the grass-roots level
The dongguan, deputy director of the center of the south street a told 21st century economic report, issued in accordance with the health system performance measures, dongguan south street center workload significantly increased, but determined by the formulation of personnel arrangement does not change, the stress center staff.
16, the reporter understands in the center of dongguan south street, with the advancement of new medical reform, the center of the family doctor signing rate has reached 50% of the district key crowd, signed a total of 8600 people. And the center actual participation in family doctor team's medical staff of 30 people.
But the family doctor service only a small part of the work for the center. Look from the function, the center of 45 events to take 13 categories of basic public health services and basic medical services such as health physical examination, diagnosis and treatment.
High pressure lies in the side personnel ratio, liquidity. Center staff told reporters that the public health service departments have more than 20 people, many jobs are "a post a person". But more than 20 people, the only eight people is members, more stable. Side personnel once leaving because of one's deceased father grind or transferred to the superior hospitals, means that no one to take the corresponding work.
In addition to the grassroots medical institutions promotion, technology promoted hard outside, treatment is also important reasons. According to the center staff, the center in accordance with the technical title to determine treatment. Just graduated obtainment of undergraduates in 2000 yuan a month, intermediate title with senior titles in 5000 yuan. 70% of the treatment is a fixed salary, 30% is performance-related pay.
First is the proportion of fixed salary and performance salary allocation is not reasonable. These people believe that merit pay 50% can really inspire center medical personnel's enthusiasm. Second, is to improve treatment level.
It is difficult for dongguan center south street, because on-the-job 128 employees, 61 side personnel need to center on the salary, and the remaining 30% of the 67 on-the-job in staff personnel salary also has a center.
21st century economic report the reporter understands, dongguan south street center of income from the basic public health services, in staff personnel expenditure, drug income (zero rate is no credit after "making money"), diagnosis and treatment of income outside, rent and other business income.
The center in January 2016 to November's revenue was $14.41 million, including medical income is 7.53 million yuan, with annual income of about 1 million yuan of special outpatient methadone maintenance treatment center.
On spending, drugs and consumables for 5.02 million yuan, water and electricity, and other expenses for 3.62 million yuan in fixed assets, personnel expenses for 6.26 million yuan. From the staff a, hire personnel spending is 2.49 million yuan, according to 30% in staff personnel shall be borne by the center to calculate wages, spending 1.13 million yuan in staff personnel. Two need to spending by center of conceit personnel is about 3.62 million yuan.
Remove the special fund is special, the basic public health services USA medical consumables income, funding and the center need through the medical and the rent and other business income maintenance personnel funds and hydropower and other expenses. The reporter understands, by the end of November 2016, the center when the balance is RMB - 490000.
Grassroots medical institutions how to long-term running?
How in the case of functions of grassroots medical institutions is more and more rich, ensure the long-term operation?
Shaanxi province who planning commission deputy director Chen told 21st century economic report, shaanxi on security personnel at the grass-roots level, at the grass-roots level for 2000 people a year for five consecutive years. Orientation training for the grassroots order. And use the subject leaders to cultivate backbone.
But the reporter visited ankang municipality hanyin, Mr. Ditch town found, because do not leave people, these methods can't solve the problem of lack of personnel at the grass-roots level.
These towns and townships and dongguan south street community health service centers, is trying to get prepared as a springboard. Chen said that he found in the basic research, some grassroots backbone older, not prepare the test. Into the establishment, and is not to stay in the local staff.
"The problem is who plan department powerless", Chen told 21st century economic report, health reform to promote and further people club department coordination is needed.
Problem is it is impossible to completely solve cases, whether, from the perspective of the protection base treatment, to leave a person at the grass-roots level? Xi 'an beilin who plan bureau deputy director Zhang Wusheng told 21st century economic report, the relevant policies are being researched at present.
Reporters found at the grass-roots level in the treatment of ascending some flexible practice.
To practice the "integration of county-rural health", that is, the village doctor management standardization hanyin county as an example, hanyin county health statistics bureau director Chen told reporters, before HanYin will assume part of the public health service function outcome for the village doctor, just rely on diagnosis and treatment make ends meet by the past into the government's public health service income triple security funds, merit pay, diagnosis and treatment. Before "monthly salary can reach 5000 yuan," Chen said.
A village doctor tells a reporter, "integration of county-rural health", after the hand in 4000 yuan monthly income, compared with the past has increased greatly.
But Chen said, before even the towns and townships doctor guarantee is in 5000 yuan monthly income, not solve the problem of promotion, basic technical ability can't improve the doctor, still stay at the local level. |
