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What do these two permissions mean?
20 17 Ministry of Human Resources and Social Security issued the Guiding Opinions on Carrying out the Pilot Work of Salary System Reform in Public Hospitals. In order to reasonably determine the salary level of public hospitals, the concept of "two permits" is put forward: medical and health institutions are allowed to break through the current salary control level of public institutions, and medical service income is allowed to be mainly used for personnel rewards after deducting costs. For public hospitals with high-level talents, heavy public welfare objectives and tasks, heavy scientific research and teaching tasks, and outstanding performance evaluation results, the salary level should be appropriately raised. Establish a dynamic adjustment mechanism, steadily improve the salary level of medical staff, and mobilize the enthusiasm of medical staff.

legal ground

Opinions on guiding the pilot reform of the salary system in public hospitals (II) Reasonably determining the salary level of public hospitals.

According to the local economic development, financial situation, workload, service quality, completion of public welfare objectives, cost control and performance appraisal results, and 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 costs, and withdrawing funds according to regulations to be mainly used for personnel rewards", the financial department reasonably determines the salary level and total performance salary of public hospitals on the basis of the existing level, and gradually increases medical expenses such as medical treatment fees, nursing fees and surgery fees. For public hospitals with high-level talents, heavy public welfare objectives and tasks, heavy scientific research and teaching tasks, and outstanding performance evaluation results, the salary level should be appropriately raised. Establish a dynamic adjustment mechanism, steadily improve the salary level of medical staff, and mobilize the enthusiasm of medical staff.