Lishui District, Nanjing has actively explored innovative talent introduction mechanism, improved funding guarantee, and strengthened the construction of medical and health teams, taking various measures to strengthen the construction of grassroots health talents, introducing 457 grassroots health talents and hiring 29 college students as village doctors. The number of primary medical and health institutions in the region has reached 149, and the number of general practitioners per 1, people has increased from 1.6 at the end of 216 to 5. What specific measures have been taken to build primary medical and health care?
Establish a policy system to ensure that talents are "attracted":
1. Implement post management and revitalize staffing resources
Re-approve the total staffing of primary medical and health institutions according to the staffing standard of 18 people per 1, permanent residents. Through the combination of staffing management, filing management and government purchasing posts, the stock staffing resources will be further revitalized. Coordinate the recruitment and introduction of general practitioners and key talents in short supply, urgent need and key positions within the total amount of preparation. At the same time, township hospitals are allowed to use supernumerary personnel. The district finance subsidizes the filing system management personnel at a rate of 45, yuan per person per year, so as to ensure that they are paid the same salary as the staff in the same post.
2. Implement the village medical project for college students and increase the introduction of talents.
75 community doctors were commissioned to train, and 29 college students were recruited in Jiangxi, Shandong, Anhui and other places. The total number of rural doctors in the whole region has reached 3, including 221 with college education or above, accounting for 73.6%.
3. Focus on high-quality development assessment indicators and introduce general practitioners.
The goal of adding 5 general practitioners every year, making an annual job demand plan, implementing rolling recruitment, and giving priority to general practitioners who have passed the standardized training of general practitioners (assistants). After January 1, 218, graduates who have been openly recruited to work in grass-roots medical and health units, have a bachelor's degree or above and obtained a certificate of standardized training for general practitioners will be given a one-time settlement subsidy. The standard is 1, yuan per undergraduate and 2, yuan per master's degree, which will be paid equally in five years.
Improve the incentive mechanism to ensure that talents can "stay":
1. Set up a talent fund to enhance the job attraction.
set up a special fund for health care system talents with a total amount of 5 million yuan. The town (street) hospitals (community health service centers) recruit full-time undergraduate clinical medicine and medical imaging professionals, and after obtaining the qualification of practicing doctors and engaging in clinical work, they will be given a subsidy of 2, yuan for grassroots work every year for five consecutive years; Full-time undergraduate preventive medicine and medical laboratory professionals, who have obtained the qualification of practicing (practicing) and engaged in professional-related work, will be given a subsidy of 1 thousand yuan per year for five consecutive years. Eligible grassroots medical and health personnel who have obtained a higher education will receive a one-time subsidy of 3, yuan for their tuition fees. A one-time reward of 5 yuan will be given to those who have been promoted to senior titles. Reward 1 thousand yuan to the standardized training personnel of general practitioners who have obtained the qualification during the training period. Those who have worked as general practitioners in primary medical and health institutions for 7-1 years will be rewarded with 3 yuan per person per year; Engaged in the work of general practitioners for 11-19 years, each person will be rewarded with 5 yuan per year; Those who have worked as general practitioners for 2 years or more will be rewarded with 1, yuan per person per year. Vigorously implement the selection plan for grassroots backbone talents with general practitioners as the mainstay, and implement the agreed salary system, which is not included in the scope of implementation of performance pay in this unit. To ensure the treatment of college students during the training of village doctors, the monthly salary during the pre-job training period is not less than 4, yuan, and the financial guarantee is 6, yuan per capita before obtaining the qualification. The subsidy for basic medicine for village doctors is raised from 8 yuan to 16 yuan per month, and the basic public health expenditure is increasing year by year, and 4% of it is guaranteed to go to the village level.
2. Improve the evaluation and engagement of professional titles and smooth the promotion channels.
graduates with bachelor's degree or above who have passed the standardized training of residents or public health doctors and work in primary medical and health institutions will directly take the intermediate title examination, and those who pass the examination will be directly employed with intermediate titles, regardless of the number of titles. Personnel who have obtained senior professional titles in general medicine (including general medicine of traditional Chinese medicine) are not limited by the proportion of senior posts, and can be employed beyond the number of posts in their units. For the shortage of talents introduced at the grassroots level, special posts are set up, which is not limited by the proportion of post structure of the unit. Village doctors for college students shall be managed in an integrated way, which shall be reasonably allocated by the town (street) during the service period, and may flow in the town and village medical and health institutions in the whole region after the service period expires. Village doctors who have obtained bachelor's degree or above and professional qualifications have been included in the career establishment management through open competition and merit-based. In 219, 9 college students' village doctors were hired for the first time to enter the general practitioner team of street hospitals.
3. Implement the "two permits" and improve the total performance pay.
comprehensively consider the performance appraisal, personnel structure, funding sources and other factors of the completion of public welfare objectives and tasks in primary medical and health institutions, and further improve the total level of performance wages in primary medical and health institutions.
Strengthen the allocation of resources to ensure the "good use" of talents:
1. Strengthen business training and enhance professional ability.
establish and improve the training system for primary health personnel, and carry out general practitioner training, specialized disease training, short-term refresher training and appropriate technical training of traditional Chinese medicine, so that all clinical frontline medical personnel can receive rotation training. Standardize the training of general practitioners (assistants). Select professional and technical backbones to focus on training, and speed up the cultivation of a number of discipline leaders in grass-roots provincial and municipal characteristic departments and grassroots health backbone talents in provinces and cities.
2. Actively carry out regional medical work. In 219, the District People's Hospital will be the core hospital, and six (street) health centers (community health service centers) will form the District People's Hospital medical work; With the District Hospital of Traditional Chinese Medicine as the core hospital, and two town (street) hospitals (community health service centers), the District Hospital of Traditional Chinese Medicine is formed; We will build a specialist alliance for women and children inside and outside the region, a specialist alliance for traditional Chinese medicine and a specialist alliance for psychiatry, and set up 14 doctoral workstations in the town (street) community health service center (health center). The sinking of high-quality medical resources has promoted the system transformation, mechanism transformation and development transformation of township hospitals, and greatly improved the ability and level of primary medical services.
3. strengthen the construction of party building style and cast a reliable team.
strengthen the party building work of the medical team and fully guarantee the absolute leadership of the party over the hospital. Organize and carry out party spirit education and training for newly recruited personnel in primary medical public health units. Set up a steering committee for party building in public hospitals, transfer the relationship between party organizations in township hospitals from territorial to the party committees of district health committees, and integrate party leadership into all aspects of hospital governance. We implemented five systems and ten key measures to improve medical services, and conducted a survey on the satisfaction of outpatients and discharged patients in third-party institutions, and the service satisfaction was steadily improved. Make overall plans to do a good job in the long-term anti-corruption work and solve outstanding problems strongly reflected by the people, carry out in-depth rectification work and control commercial bribery work, and establish a good image of the industry.
With regard to the construction of primary health care in Nanjing, the above measures are all aimed at introducing more professional and excellent talents and encouraging everyone to actively participate in the construction of medical and health teams. In the future, the medical and health care industry will inevitably become an important area for development.