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What kind of institutions are township hospitals and are they well paid?
Generally speaking, township hospitals are institutions in the primary health system.
Health system institutions are mainly divided into fully funded institutions and balance allocation institutions. At present, there are relatively few self-supporting township hospitals and institutions. The main reason is that it is difficult for villages and towns to retain talents. Without the guarantee of public institutions, it is more difficult to attract people, retain talents and stabilize the talent team.
As for the treatment, the staff of township hospitals, like many public hospitals, are divided into two types. Including staff and supernumerary personnel. The staff in the establishment is the staff with the establishment of public institutions, and their salaries are paid with reference to ordinary public institutions, most of which include basic salary, professional title salary and performance related to unit income. This situation is different, ranging from 2,000 yuan to 8,000 yuan, but most poverty-stricken counties in the west have more than 4,000 employees. The income is much higher than that of township civil servants at the same level.
The other is supernumerary personnel, that is, hired personnel. Generally, some township hospitals recruit doctors and nurses to solve the shortage of medical staff. Their wages are mainly distributed by the operating income of the hospital. Half of their wages are not too high, and their welfare benefits will be much worse. Liquidity is also great.
Generally speaking, township hospitals belong to the most basic health system, and the treatment is certainly not as high as that of units at or above the county level, but of course the requirements are lower. The health system is certainly not well treated, with low income and hard work.
1. Township hospitals are public welfare institutions: in the institutional classification reform, township hospitals are public welfare institutions, while public hospitals above the county level are classified as public welfare institutions. This is mainly due to the public service attribute of township hospitals, which undertakes most of the public service functions of rural medical insurance, ensures the implementation of the new rural cooperative medical system policy at the grassroots level, and the implementation of national policies such as rural public health, social medical care and family doctors. Comparatively speaking, its management and profit model is the second, although some township hospitals are famous.
2. Township hospitals are differentiated institutions: according to the way of financial support, township hospitals, like most medical institutions, are differentiated institutions and adopt differentiated career preparation. The proportion of the difference is divided by the local government according to its income and adjusted according to the current situation.
In the classification reform of public institutions, township hospitals are the only public welfare institutions that implement differential supply.
3. In addition to the financial supply guarantee, hospital profits also account for part of the wage income of township health center employees. If the hospital management is poor, the main income is mainly financial support; If the business is in good condition, the proportion of personal income winning bonuses will also increase accordingly. Therefore, from the actual income point of view, the minimum personal income of the official staff of township hospitals is the same as that of the staff of public institutions in the same area. If the health center is well run, the income is higher than that of the staff of public institutions, or even doubled, which is normal.
Township hospitals are subordinate institutions of the Health and Family Planning Commission. Some local hospitals have developed very well and their income is good. Generally, they are institutions in balance allocation, and most of them are institutions in balance allocation.
There are also some local health centers that are particularly poor in development. No one goes to see a doctor and has no income. The salaries of the staff are all borne by the finance. In some places, it has been changed to a fully funded institution.
As for whether the treatment is good or not, there is a big difference in this place, that is, depending on the development of hospitals, hospitals see more patients, have good income and naturally have good treatment. It was confiscated if no one saw a doctor, and the treatment was not good. Of course, extremes meet. If you are poor, please ask the local government to replace you with a fully funded institution, and you will be well treated.
In the past, the income of township hospitals was really low, but now the state promotes family contract doctors and graded diagnosis and treatment. The purpose of the country is to let patients see a doctor at the grass-roots level first. Maybe the income of grass-roots hospitals will be high in the future, but who can say for sure?
First of all, township hospitals belong to medical and health institutions and are generally fully funded. However, many township hospitals can also pay bonuses because of their good performance and high efficiency, but they must be paid within the prescribed scope. Some hospitals find it difficult to retain talents because of low performance and poor treatment. General college students and technical secondary school students are in hospitals, but there are also good hospitals and undergraduates. It's usually in the compilation. My college classmates will go back to their hometown and work in the local hospital.
Generally, hospitals in big cities are good, well-paid and efficient. But in some remote and underdeveloped provinces in the west, it is different. In these western provinces, the treatment of some township hospitals still needs to be improved, and the salary of some hospital staff is less than 3000 yuan a month. If it is a contract system, it is even lower.
Therefore, if you want to get a high salary, you still have to go to developed areas. High salary and high bonus. But in some remote health centers, you still don't know how to use it after you get paid every month, because where there is no money, you will see the mountains every day when you go out. If you want to go out to spend money, you may have to go a long way.
Township hospitals belong to public welfare institutions and are fully funded by the government. As a local hospital, county-level hospitals belong to the second category of public welfare and have poor finance. County hospitals have strong income-generating ability, but the wages they get are much higher than the full salary of township hospitals, which shows that people are hard.
How much is the salary of township hospitals? It's basically the same as the general institutions, except that there are more subsidies from 300 yuan, 200+ years of service (per length of service 10 yuan) and salary for professional titles (the grassroots mixed-duty personnel can't evaluate their professional titles). The salary of our small county in Wuxing is about 4500, and the house price is less than 3000. Actually, it's quite happy.
What are the advantages in township hospitals? First, the salary is good, and the salary is above the average in the county. Second, the work is idle and the pressure is small. But whenever a patient sees a doctor, it is basically pushed to the county hospital. Because of financial support, work performance is not linked to salary. Third, township hospitals have fewer staff, more senior titles and more leisure time. If the title goes up, you can choose to quit.
Therefore, township hospitals are quite good as a public institution, and I wish you good luck! ! !
I am a staff member of township hospitals who has worked for 2 1 year. Township hospitals belong to primary medical units and first-class medical and health units. Now, all workers who can be admitted to township hospitals are paid in full. With the country paying more and more attention to public health work, family contract service and graded diagnosis and treatment. Pay more and more attention to primary medical units. No matter in the evaluation conditions, years, or professional title indicators, there is an obvious tendency in the professional title examination. At present, many employees of county-level medical units will be transferred to township hospitals when there is no hope of evaluating their professional titles.
The work of township hospitals is very hard, and the treatment is now township subsidies, and the salary is more than that of primary medical units. There are also cases of overtime duty at work, but it is much more leisurely than ordinary hospitals.
The state pays more and more attention to training talents for township hospitals. Now there are full-time general practitioners, and thousands of doctors go to grassroots activities to help grassroots doctors. In a word, I think the treatment in township hospitals is ok.
Township hospitals are public welfare institutions.
The classification reform of public institutions has been made clear. In the future, public hospitals and universities at or above the county level will gradually cancel the establishment and become contract management mode, and their personnel will be pushed to the market from the stripping system, but the institutional attributes of the units will not change (basically classified as public welfare category II). After the reform, public hospitals will rely more on the market to survive, and the flow of talents will be more free and smooth.
Although public hospitals above the county level will face market-oriented reforms, township hospitals are immune to this and belong to public welfare institutions. The state will continue to keep township hospitals in the ranks of public welfare institutions, pay more attention to the stability of rural medical policies, and consider its operation second. After all, with the full implementation of the new rural cooperative medical system, township hospitals, as the guarantee institutions of policies, need to bear certain social responsibilities.
Interestingly, although township hospitals are listed as public welfare institutions, they are unique in the balance distribution, and they do not enjoy the full funding policy of other public welfare institutions, which is very different. As balance allocation, the salaries of its staff are partly subsidized by financial support, and the other part is borne by the hospital's own operating income. This has caused the income gap to some extent. Those with good benefits earn 50,000 to 60,000 yuan a month, and those with bad benefits earn 2,000 to 3,000 yuan a month. So, if you want to ask whether township hospitals are effective? Xiao Gong can only tell you, it depends.
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Township hospitals are comprehensive health management and medical prevention institutions established in counties or townships. Its task is to take charge of local medical and health work, organize and lead mass health campaigns and train health technicians. And provide business guidance and consultation to primary medical and health institutions. It is an important link in rural tertiary medical outlets, shouldering the important tasks of medical epidemic prevention and health care, and is an important checkpoint to directly solve the problems of difficult and expensive medical treatment in rural areas.
The types of hospitals are classified according to the level of medical technology:
1 tertiary hospitals mainly refer to large municipal hospitals directly under the national, provincial and municipal governments and affiliated hospitals of medical colleges.
Secondary hospitals mainly refer to general city and county hospitals and provincial-level hospitals, as well as staff hospitals of industrial and mining enterprises and institutions with considerable scale.
First-class hospitals mainly refer to rural township hospitals and urban street hospitals.
With the country's medical reform year after year and the strengthening of graded diagnosis and treatment year by year, the country began to pay attention to the following hospitals and gave great human, material and financial support, so that the treatment of "minor illness without leaving the county and serious illness without leaving the province" is much better than before. If you want to live a stable life, it is still good.
First of all, township hospitals belong to public welfare institutions under the Health Bureau, and the staff inside are divided into those with and without preparation. There is a great difference between the establishment and non-establishment of township hospitals.
As for the treatment, this is related to the population and economic situation of the hospital.
What kind of people are suitable for going to township hospitals?
Compared with the current county-level hospitals, the recruitment requirements of township hospitals will be lower. At present, the clinical specialty of county hospitals basically only needs the undergraduate or master's degree of a good school. At present, the clinical specialty of municipal hospitals basically starts with a master's degree, and the lowest doctor in the top three hospitals starts.
The requirements of township hospitals are relatively low. Clinical undergraduate students can basically enter, and auxiliary departments such as inspection, imaging and pharmacy can basically specialize.
At present, the postgraduate entrance examination in hospitals is too difficult and the study time is long. It takes at least eight years for a bachelor's degree to graduate, and more than ten years for a master's degree and a doctor's degree. So if you can't insist, or your family situation is not very good, it is recommended to go to township hospitals. Especially for medical students who don't want to take the postgraduate entrance examination, it is recommended to take the exam here.
Although the income is not too high, it is generally around 4000. In a place that does not count as a fifth-tier city such as a township, a salary of around 4,000 can also be very happy. But your future quality of life, follow-up development, etc. can certainly not be compared with your classmates studying for a doctorate in a big city.
Of course, if you are going to enter a township health center, I suggest you be admitted to the establishment.
What is the difference between the establishment and non-establishment of township hospitals?
The main difference lies in wages and benefits. Township hospitals are public welfare institutions under the Health Bureau. Therefore, staff salaries are paid according to township civil servants. In addition, there is the income of the hospital itself, so the salary is generally higher than that of township civil servants.
But better than civil servants, it is also an iron rice bowl. There are almost all the unprepared contract workers. There is no financial subsidy, only the salary paid by the hospital. The income of township hospitals is generally not high, so the wages of contract workers are not high either.
Which township hospitals are better treated?
This is mainly related to whether it is a full financial subsidy and the local economic situation. First of all, in remote areas with poor economy, township hospitals in these places are basically fully subsidized, and the income of doctors has nothing to do with the income of hospitals, so they are generally higher.
In areas with average economy, some township hospitals in such places have different financial subsidies, and the income of doctors is related to the income of hospitals, which is generally low.
In areas with good economy, township hospitals in such areas are very good. Although it is a differential financial subsidy, the hospital has a high income, so the doctor's income is also high. Especially contract workers, it's better here.
Therefore, when choosing township hospitals, it is best to consider the above issues.
Finally, let me repeat: at present, due to the lack of basic medical and health resources, the national policy is tilted to this side, and township hospitals may be a good choice in the future.
I have worked in township hospitals for more than 30 years and held leadership positions in the most difficult period of township hospitals. At that time, it was not a balanced allocation of institutions, called self-financing collective institutions. Well-run hospitals are exempt from compulsory starting salary, but all kinds of benefits are almost zero. The leader of a small unit is mobilizing employees to accumulate capital to improve working conditions. Poorly managed units are almost in a state of semi-disintegration, and employees are fragmented. In recent years, the state has begun to pay attention to health, and the funds have increased, but the pattern has been refurbished. With the state's attention to public health, the construction of township hospitals has received unprecedented attention. Various renovations and expansions were carried out in three days. Some township hospitals I know have only been built for less than ten years, and the walls and bricks have been renovated twice. It is said that the color and style do not meet the requirements. However, the treatment of employees still depends on business income, and there is still a big gap between the treatment and other units. In the past, many businesses of disease control departments have been decentralized to township hospitals (mainly free of charge). But now grass-roots hospitals have more regulations, fewer business categories, zero price increase of drugs, and various public health work. I feel that township hospitals have become props for health administrative departments to complete various games, and then the leaders of competent departments can be promoted and rewarded. Our current family doctor system is such a status quo and has no practical significance.
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