Nanjing has strengthened the construction of grassroots medical and health teams and taken various measures simultaneously.

Lishui District of Nanjing actively explores innovative talent introduction mechanism, improves funding guarantee and strengthens the construction of medical and health teams. Various measures have been taken to strengthen the construction of grass-roots health personnel, introducing 457 grass-roots health personnel and hiring 209 college students as village doctors. There are 1.49 primary medical and health institutions in the whole region, and the number of general practitioners per 10,000 people has increased from 20 1.6 at the end of June to 5. What specific measures have been taken in the construction of primary health care?

Construct a policy system to ensure the "attraction" of talents;

1, implement post management and revitalize staffing resources.

According to the standard of every 10,000 permanent residents 18, the total number of staff in primary medical and health institutions will be re-approved. Through the combination of staffing management, filing management and government purchasing posts, the stock of human resources will be further revitalized. Coordinate the recruitment and introduction of general practitioners and talents in short supply, urgent need and key positions. At the same time, township hospitals are allowed to use supernumerary personnel. The district finance subsidizes the management personnel of the filing system according to the standard of 45,000 yuan per person per year, so as to ensure that the salary is consistent with that of the staff in the same position.

2, the implementation of village medical project for college students, increase the intensity of talent introduction.

Commissioned to train 75 community doctors, and recruited 209 college students in Jiangxi, Shandong, Anhui and other places. The total number of rural doctors in the whole region reached 300, including 22 1 person with college education or above, accounting for 73.6%.

3. Focus on introducing general practitioners around high-quality development evaluation indicators.

The goal of adding 50 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). In the exploration area, we will recruit graduates who are openly recruited to work in grassroots medical and health units after 20 18+ 1, who have a bachelor's degree or above and obtained a certificate of standardized training for general practitioners, and give them a one-time resettlement allowance. The standard is 654.38+10,000 yuan for undergraduate students and 200,000 yuan for master students, which will be distributed equally in five years.

Improve the incentive mechanism to ensure that talents can "stay";

1. Set up a talent fund to enhance employment attraction.

Set up a special fund for medical and health system talents with a total amount of 5 million yuan. Town (street) hospital (community health service center) recruits full-time undergraduate clinical medicine and medical imaging professionals, and after obtaining the qualification of practicing doctors and engaging in clinical work, it will give grassroots work subsidies of 20,000 yuan 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 10,000 yuan per year for five consecutive years. Eligible grassroots medical and health personnel who have obtained higher education will receive a one-time subsidy of 3000 yuan. If you are promoted to a senior title, you will be given a one-time reward of 5000 yuan. Reward 1 10,000 yuan to the standardized trainers 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- 10 years will be rewarded with 3000 yuan per person per year; Those who have worked as general practitioners for 1 1- 19 years will be rewarded with 5,000 yuan per person per year; Those who have worked as general practitioners for 20 years or more will be rewarded 10000 yuan per person per year. Vigorously implement the selection plan of grassroots backbone talents based on general practitioners, and implement the agreed salary system, which is not included in the scope of implementation of performance pay in this unit. Guarantee the treatment of college students' village doctors during the training period. The monthly salary during the pre-job training period is not less than 4,000 yuan, and the per capita financial guarantee before qualification is 60,000 yuan. The basic drug subsidy for village doctors is increased from 800 yuan to 1600 yuan every month, and the basic public health expenditure is increased year by year, ensuring that 40% will go to the village level.

2. Improve the evaluation and employment of professional titles and smooth the promotion channels.

Graduates with bachelor degree or above who have passed the standardized training of residents or public health doctors and worked 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. Persons who have obtained senior titles in general medicine (including general medicine of traditional Chinese medicine) are not limited by the proportion of senior posts and can be employed outside the number of posts in their own units. Special posts are set up for the shortage of talents introduced at the grassroots level, which is not limited by the proportion of the post structure of the unit. College students' village doctors implement integrated management, which is rationally allocated by towns (streets) during the service period, and can flow in town and village medical and health institutions in the whole region after the service period expires. Through open competition and merit-based selection, village doctors who have obtained bachelor's degree or above and professional qualifications will be included in the management of career establishment. 20 19 Recruited 9 college students as village doctors for the first time to join the general practitioner team in the street hospital.

3, the implementation of the "two permits", 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 overall level of performance pay 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, carry out general practitioner training, specialist training, short-term refresher training and appropriate technical training of traditional Chinese medicine, so that 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 accelerate the training of a number of discipline leaders in characteristic departments of grassroots provinces and cities and grassroots health backbone talents of provinces and cities.

2. Actively carry out regional medical work. In 20 19, the District People's Hospital was the core hospital, and six (street) hospitals (community health service centers) formed the District People's Hospital. With the district Chinese medicine hospital as the core hospital, two town (street) hospitals (community health service centers) set up the district Chinese medicine hospital; Build a specialist alliance for women and children, a specialist alliance for traditional Chinese medicine and a specialist alliance for psychiatry inside and outside the region, and set up a 14 doctor workstation 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 style and build a reliable team.

Strengthen the party building work of the medical team and fully ensure the party's absolute leadership over the hospital. Organize and carry out party spirit education and training for new recruits in primary medical and health units. Establish a steering committee for party building in public hospitals, transfer the party organization relationship of township hospitals from territorial to the party committee of district health and health committee, and integrate the party's leadership into all aspects of hospital governance. Ten key measures to improve the five systems of medical services were implemented, and the satisfaction survey of outpatients and discharged patients in third-party institutions was carried out, and the service satisfaction was steadily improved. Make overall plans to do a good job in long-term anti-corruption work and solve outstanding problems strongly reflected by the people, carry out in-depth rectification work and control commercial bribery, and establish a good image of the industry.

In the construction of primary health care in Nanjing, the above measures are aimed at introducing more professional and outstanding talents and encouraging everyone to actively participate in the construction of medical and health teams. In the future, the health care industry will inevitably become an important development field.