每年500万给基层,村医将有这些变化!

2017-09-13 于小渔 基层医师公社

近日,贵州省人民政府办公厅下发《贵州省提升基层医疗服务能力助力脱贫攻坚三年行动方案(2017—2019年)》(以下简称《方案》),明确规定省财政每年安排500万元引才奖励基金支持各地引进急需人才,并且对基层待遇、职称晋升、硬件建设、中医药服务能力等多方面进行了完善和调整,贵州基层面貌将迎来崭新变化。

近日,贵州省人民政府办公厅下发《贵州省提升基层医疗服务能力助力脱贫攻坚三年行动方案(2017—2019年)》(以下简称《方案》),明确规定省财政每年安排500万元引才奖励基金支持各地引进急需人才,并且对基层待遇、职称晋升、硬件建设、中医药服务能力等多方面进行了完善和调整,贵州基层面貌将迎来崭新变化。



《方案》工作目标

到2019年,县、乡、村三级医疗机构疾病诊断、治疗、康复护理和管理能力全面提升,基层医疗服务能力达到全国平均水平;县级公立医院为龙头、乡镇卫生院(社区卫生服务中心)为枢纽、村卫生室(社区卫生服务站)为基础的基层医疗服务体系健全完善,“基层首诊、双向转诊、急慢分治、上下联动”分级诊疗制度有效运行,基层群众看病就医获得感和满意度明显提升。

随着分级诊疗的推行,基层医疗机构的职能正在逐渐转变,贵州本次的《方案》的目的同样是为了实现基层尽快尽好地向康复护理、预防疾病方向转变,从而在分级诊疗当中使基层能够接得住、跟得上。

了解了目标,下面让我们来看一看基层具体将有哪些变化:

1、每年拿500万吸引基层人才

《方案》提出,推动优秀人才向基层流动。加大基层引才力度,省财政每年安排500万元引才奖励基金支持各地引进急需人才,3年培养引进副主任医师等专业技术人才2000名。

同时,完善人才下沉促进政策,县级及以上医疗卫生机构卫生技术人员在晋升职称前,都需到相应基层医疗单位服务固定时间。

另外,对到乡镇卫生院工作的高级专业技术职务人员、医学类专业全日制硕士研究生给予每人每月1500元生活补贴;对到乡镇卫生院工作的全科住院医师规范化培训合格的本科生给予每人每月1500元生活补贴;对到乡镇卫生院工作的医学类专业全日制本科毕业生并取得相应执业资格的给予每人每月1000元生活补贴。

2、村医待遇与学历、工龄、职称等挂钩

之前江苏省宿迁市对村医的优惠政策引发了不小的震动,大家都羡慕的不行,这次贵州也有行动了。此次贵州在乡村医生考核方面,与宿迁极为相似。

《方案》中提到,要加强绩效考核,建立与村医学历、工龄、资质、职称、服务质量和数量及群众满意度密切挂钩的村医待遇动态调整机制。

这与宿迁市的政策方向是一致的。宿迁市规定乡村医生的个人要素补贴为学历、工龄、资质、职称、职务。如下:


(宿迁市个人要素补贴)

所以,你考的证、进修的学历、晋升的职称都可以化为真金白银装进口袋。

之前是宿迁市,现在是贵州省,相信这样的好政策推向全国的日子不远了,村医要涨工资了!

3、中专学历覆盖所有在岗村医

根据《方案》要求,贵州将在3年内每年招收6000名基层在岗卫生技术人员开展学历提升教育,2017年中专学历教育覆盖所有未取得中专学历的在岗村医。

这样,村医学历不够以及参差不齐的状况将得到很大改善,这对于村医的个人提升以及基层医疗水平的提升都有着重要的提升作用。

另外,2018年县级卫生技术人员大专以上学历超过95%、乡级超过85%,45岁以下执业医师力争全部达到本科以上学历。

实施基层人才岗位履职能力培训计划,每年对全省所有1602名乡镇卫生院院长(社区卫生服务中心主任)开展不少于5天40个学时、1602名骨干人员开展不少于30天240个学时和所有在岗村医开展不少于10天80个学时的免费轮训(培训、进修)。

4、基层中医诊疗量达到诊疗总量的20%

此次《方案》对于基层的中医诊疗量也做了硬性的规定:到2018年力争实现80%以上的乡镇卫生院(社区卫生服务中心)设立中医综合服务区(中医馆),以苗医药为代表的民族医药研究和临床力量得到明显加强。

到2019年,90%乡镇卫生院和社区卫生服务中心提供6类以上中医药服务。基层医疗卫生机构中医诊疗量达到诊疗总量的20%。所有县级中医医院设置治未病专科。

也就是如果看了10个病人,那么其中有2个病人是医生运用中医知识来诊治的。可见中医将来在基层的运用将越来越多,大家务必抓紧时间多学习中医适宜技术方面的知识。

5、着力加强基层硬件建设

提升村卫生室标准化建设水平,完善村卫生室诊室、治疗室、观察室、公共卫生室和药房设置,鼓励有条件的村设立康复室,全面配置健康一体机。

2017年为全省所有乡镇卫生院和政府办社区卫生服务中心配置DR、全自动生化分析仪、彩超、心电图机、血球计数器、尿分析仪、电解质分析仪等数字化医疗设备,建设远程会诊室、影像室、心电图室、检验室、规范化数字预防接种门诊和县级远程医疗中心“五室一中心”,实现乡镇卫生院远程医疗全覆盖并全面投入运行。

政策是越来越好,但能否百分百实行、完整落实,就要看各地各部门的具体配合了。我们希望将来到手的待遇和保障能和文件中写的一样好,也希望这样的好政策能在全国越来越多的地方推行开来。

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    2017-09-14 午后阳光

    谢谢提供的学习机会

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=243979, encodeId=920d2439e94e, content=谢谢提供的学习机会, beContent=null, objectType=article, channel=null, level=null, likeNumber=76, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/07/20/71f2c82f2515186c4d565a27af9ac6f3.jpg, createdBy=84562001987, createdName=午后阳光, createdTime=Thu Sep 14 16:43:39 CST 2017, time=2017-09-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=243919, encodeId=17c9243919bd, content=效果怎么样.观望一下, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Q3auHgzwzM4o2XVpJ6449yqDsjibydI5HnJ8MibGxNn4HZiaZib0bdfibbwoz3KQrIyN9AGxq36ZlZRNicYlPfOOWMtwgsajY6mGNFiaPclFdowjD0/0, createdBy=97bd1338592, createdName=清风拂面, createdTime=Thu Sep 14 12:28:29 CST 2017, time=2017-09-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=243557, encodeId=ccfd24355e91, content=不错的.学习了.谢谢分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NdqKgfW3nMpOkC3jXxiaW2po0PtglY5ZuVjERqKADW4HyMI8bcZXWlKgH7tEP9ULBoBzuQMibia4pr1s9rQPqLvqQJ/0, createdBy=e8c02060444, createdName=中医痴, createdTime=Wed Sep 13 11:58:29 CST 2017, time=2017-09-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=243544, encodeId=83aa243544a6, content=好好学习.多看看, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=45101626056, createdName=忠诚向上, createdTime=Wed Sep 13 11:55:18 CST 2017, time=2017-09-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=243535, encodeId=d7be24353523, content=超厉害的说, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Q3auHgzwzM7GibvIBibibnnnvpajk2stlDF5oichYahI6Bia8uxeTBFoPbdoHWebyXf9eal9FNgUF2lNcrwoZicM3BvQ/0, createdBy=a3742066385, createdName=戒馋,懒,贪, createdTime=Wed Sep 13 11:22:51 CST 2017, time=2017-09-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=243502, encodeId=f8942435025e, content=村医的政策好了, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/04/24/1c2dbd6706e64df33befd6663f1d6b37.jpg, createdBy=94f61661779, createdName=lyh994, createdTime=Wed Sep 13 07:59:39 CST 2017, time=2017-09-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=243430, encodeId=f44a24343012, content=谢谢分享学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2017/04/21/72142930668371951a41ef4ea4b233e6.jpg, createdBy=dcbc1715228, createdName=刘煜, createdTime=Wed Sep 13 05:59:43 CST 2017, time=2017-09-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=243402, encodeId=0a0324340278, content=很好.学习了.很有帮助., beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzUn81b5CF5ibVPib8jWI92iciaxmqGHlwruOnK4SVZykd4iahqo1hicklIibyZoxm55X7EM8BW9eX1h1hQ2/0, createdBy=8aa81937526, createdName=李东泽, createdTime=Wed Sep 13 01:15:31 CST 2017, time=2017-09-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=243398, encodeId=64b3243398fe, content=好事, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/09/07/a9772c74ffd6edc03a7f9af07b4747f6.jpg, createdBy=b3722138742, createdName=sunfeifeiyang, createdTime=Wed Sep 13 00:37:25 CST 2017, time=2017-09-13, status=1, ipAttribution=)]
    2017-09-14 清风拂面

    效果怎么样.观望一下

    0

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    2017-09-13 中医痴

    不错的.学习了.谢谢分享!

    0

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    2017-09-13 忠诚向上

    好好学习.多看看

    0

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    2017-09-13 戒馋,懒,贪

    超厉害的说

    0

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    2017-09-13 lyh994

    村医的政策好了

    0

  7. [GetPortalCommentsPageByObjectIdResponse(id=243979, encodeId=920d2439e94e, content=谢谢提供的学习机会, beContent=null, objectType=article, channel=null, level=null, likeNumber=76, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/07/20/71f2c82f2515186c4d565a27af9ac6f3.jpg, createdBy=84562001987, createdName=午后阳光, createdTime=Thu Sep 14 16:43:39 CST 2017, time=2017-09-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=243919, encodeId=17c9243919bd, content=效果怎么样.观望一下, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Q3auHgzwzM4o2XVpJ6449yqDsjibydI5HnJ8MibGxNn4HZiaZib0bdfibbwoz3KQrIyN9AGxq36ZlZRNicYlPfOOWMtwgsajY6mGNFiaPclFdowjD0/0, createdBy=97bd1338592, createdName=清风拂面, createdTime=Thu Sep 14 12:28:29 CST 2017, time=2017-09-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=243557, encodeId=ccfd24355e91, content=不错的.学习了.谢谢分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NdqKgfW3nMpOkC3jXxiaW2po0PtglY5ZuVjERqKADW4HyMI8bcZXWlKgH7tEP9ULBoBzuQMibia4pr1s9rQPqLvqQJ/0, createdBy=e8c02060444, createdName=中医痴, createdTime=Wed Sep 13 11:58:29 CST 2017, time=2017-09-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=243544, encodeId=83aa243544a6, content=好好学习.多看看, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=45101626056, createdName=忠诚向上, createdTime=Wed Sep 13 11:55:18 CST 2017, time=2017-09-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=243535, encodeId=d7be24353523, content=超厉害的说, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Q3auHgzwzM7GibvIBibibnnnvpajk2stlDF5oichYahI6Bia8uxeTBFoPbdoHWebyXf9eal9FNgUF2lNcrwoZicM3BvQ/0, createdBy=a3742066385, createdName=戒馋,懒,贪, createdTime=Wed Sep 13 11:22:51 CST 2017, time=2017-09-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=243502, encodeId=f8942435025e, content=村医的政策好了, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/04/24/1c2dbd6706e64df33befd6663f1d6b37.jpg, createdBy=94f61661779, createdName=lyh994, createdTime=Wed Sep 13 07:59:39 CST 2017, time=2017-09-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=243430, encodeId=f44a24343012, content=谢谢分享学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2017/04/21/72142930668371951a41ef4ea4b233e6.jpg, createdBy=dcbc1715228, createdName=刘煜, createdTime=Wed Sep 13 05:59:43 CST 2017, time=2017-09-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=243402, encodeId=0a0324340278, content=很好.学习了.很有帮助., beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzUn81b5CF5ibVPib8jWI92iciaxmqGHlwruOnK4SVZykd4iahqo1hicklIibyZoxm55X7EM8BW9eX1h1hQ2/0, createdBy=8aa81937526, createdName=李东泽, createdTime=Wed Sep 13 01:15:31 CST 2017, time=2017-09-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=243398, encodeId=64b3243398fe, content=好事, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/09/07/a9772c74ffd6edc03a7f9af07b4747f6.jpg, createdBy=b3722138742, createdName=sunfeifeiyang, createdTime=Wed Sep 13 00:37:25 CST 2017, time=2017-09-13, status=1, ipAttribution=)]
    2017-09-13 刘煜

    谢谢分享学习了

    0

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    2017-09-13 李东泽

    很好.学习了.很有帮助.

    0

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    2017-09-13 sunfeifeiyang

    好事

    0

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