Introduction Recently, the policies and measures for the linkage reform of four hospitals in Hebei Province have been released. What is the linkage reform of four hospitals? It is to promote the linkage reform of medical care, medical insurance, medicine and medical price as a whole. The purpose is to improve the interest control mechanism, properly handle the relationship between doctors and patients, improve the enthusiasm of medical staff, and solve the problem of seeking medical treatment for the masses.

1. Health management, family doctors and other services should be included in the performance appraisal.

Medical associations or medical institutions should formulate and improve internal performance appraisal distribution methods, comprehensively consider factors such as service quality, ability contribution, technical knowledge, medical ethics and patient satisfaction, and include the completion of health management and family doctors' contracted services in the performance appraisal content, and the assessment results should be linked to the salary of medical staff. Guide medical staff to take the initiative to sink to the grassroots level, provide health management services for the masses, and promote the transformation of medical associations or medical institutions from treating diseases to health.

2. 7% of disposable income is used to pay medical staff

It is required to establish and improve the dynamic adjustment mechanism of medical service price. In line with the principle of "first vacating and then adjusting", taking into account the total medical expenses and the income and expenditure of the medical insurance fund, we will regularly carry out price adjustment evaluation. If the starting conditions are met, we will start the price adjustment according to the procedures, focusing on raising the price of medical services that reflect the value of technical services and reducing the price of inspection and treatment of large-scale equipment with high equipment material consumption.

6%-7% of the disposable income of medical institutions increased by adjusting the price of medical services can be used for the salary payment of medical staff and the rest for hospital development. Therefore, after the price adjustment of medical services, the disposable income of medical institutions will increase accordingly, and more than 6% of these funds can be used to improve the salary level of medical staff.

under this mechanism, the interests of medical insurance, hospitals, medical staff and patients are taken into account, and the adjustment of medical service price is connected with policies such as medical insurance payment and salary system.

3. Set post allowance, scientific research allowance, night shift allowance, overtime allowance, etc.

Medical associations or medical institutions can make independent distribution within the approved total performance pay, and can flexibly set post allowance, scientific research allowance, night shift allowance, overtime allowance and other items according to the actual situation, and decide the basic performance pay independently. Support medical associations or medical institutions to implement the agreed salary or annual salary system for high-level talents. The salary level is determined by both parties through consultation. The agreed salary and annual salary are included in the total salary of the unit and are not included in the total performance salary management.

all relevant departments should seriously study and solve the new situations and new problems in the process of reform, increase the supervision of areas where the reform progress is lagging behind, and guide all localities to simultaneously promote the key tasks of medical reform such as the construction of medical associations, the integrated management of rural areas, and the contract service for family doctors.

4. 7% of the balance after deducting the cost is used for the salary payment of medical staff

According to the requirements of "allowing medical and health institutions to break through the current wage control level of public institutions, allowing medical service income to deduct the cost and withdraw various funds according to regulations, it is mainly used for personnel rewards", and the level and total amount of performance salary of medical associations or public medical institutions are reasonably approved. On the premise of ensuring the quality of medical services, 6%-7% of the medical service income of medical associations or public medical institutions in the current year after deducting costs and withdrawing various funds according to regulations will be used for the payment of medical staff salaries, and the rest will be used for hospital development.

compared with the linkage of the three medical institutions, Hebei puts forward the medical price separately, emphasizing on increasing the disposable income of medical institutions by adjusting the price dynamics of medical services, so as to promote the development of medical institutions and improve the income level of medical personnel. Through the above four measures, I believe that the income level of medical staff will usher in a new situation, and the disposable sources will increase, effectively stimulating the overall vitality of medical institutions and using the money to the cutting edge.

The progress of medical reform cannot be separated from medical staff. Only when the enthusiasm of medical staff is mobilized can the fruits of medical reform be truly implemented on patients. With the maturity of the reform of medical insurance payment method in recent years, the medical price has gradually returned to the essence, and the proportion of disposable income of medical institutions has increased, which will eventually benefit patients and medical staff.