How much do rural doctors earn a month?

The basic salary and performance salary of rural doctors are guaranteed at a minimum of 3,500 yuan per month; The annual per capita subsidy for public health posts is 2 100 yuan; The annual per capita subsidy for supporting funds for the implementation of the national essential drug system is 3,000 yuan. ......

This time, the Notice of the Office of the People's Government of guixi city on Printing and Distributing the Implementation Measures for Rural Doctors in guixi city (for Trial Implementation) (Gui Fu Ban Zi [2020]161No.) (hereinafter referred to as the Notice) put forward many specific measures to improve the treatment of rural doctors and defined "rural doctors for villages".

Define the minimum income of rural doctors, and part of them will be paid on a monthly basis.

It is clear in the notice that the salary of rural doctors consists of two parts: basic salary and performance salary. The basic salary is 1.680 yuan per month (dynamically adjusted according to the latest minimum wage standards issued by various provinces and cities). Rural doctors with the qualification of practicing assistant doctors (including township practicing assistant doctors) float to 200 yuan every month, and rural doctors with the qualification of practicing doctors float to 400 yuan every month.

Performance pay consists of two parts: first, basic medical service income, including general medical treatment fees and other medical service income, is settled once a month and paid in full to rural doctors in village clinics; Second, the basic public health project funds and all financial subsidies, after deducting the basic salary of rural doctors every month, are settled once a year in the village clinic and paid in full according to the results of year-end performance appraisal. The specific performance distribution scheme shall be formulated by township hospitals in combination with the actual situation.

At the same time, in order to ensure medical and health services in remote areas, the Notice has increased support for clinics in remote mountainous villages. The basic salary and performance salary of rural doctors in rural clinics in remote mountainous areas confirmed as qualified by the Municipal Health and Health Commission are guaranteed at a minimum of 3,500 yuan per month. Rural doctors who live in other villages or towns in this town can be given a transportation subsidy of 200-300 yuan per person per month.

Clarify the income channels of rural doctors and purchase insurance in an all-round way.

The provisions of the Notice on the income of rural doctors are very detailed. After giving the income standard, the source and amount of each income are further refined, including:

(1) Increase the funds for basic public health projects for rural doctors. Gradually increase the proportion of rural doctors' national basic public health project funds (including new service funds), on the basis of the current 40%, increase by 2% every year, and reach 48% after four years, thus improving the post attractiveness of rural doctors.

Other rural doctors in health centers may not engage in basic public health services or enjoy subsidies for basic public health projects.

(2) Implement the provisions of financial support. The municipal finance fully guarantees the subsidies for rural doctors' public health posts and the matching funds for the implementation of the national basic drug system. The annual per capita subsidy standard is 2 100 yuan and 3,000 yuan respectively. The municipal finance arranges public welfare subsidies according to the standard of 30,000 yuan per room per year (including the original operating cost of 1 10,000 yuan per room per year), of which 20,000 yuan is mainly used for clinic repair or renovation, information construction and performance-based salary compensation for rural doctors, and another 1 10,000 yuan is used for the Medical General Hospital to purchase social insurance (including old-age insurance, industrial injury insurance, unemployment insurance and medical insurance) for rural doctors within the scope.

(3) standardize the income of basic medical services. After the implementation of the national essential drug system, general medical fees will be charged according to regulations. Actively encourage village clinics to carry out Chinese medicine services and obtain reasonable Chinese medicine income or other medical income.

(4) Continuously increase the amount of rural and village outpatient medical insurance. The Municipal Medical Insurance Bureau timely and fully subsidizes rural doctors and family doctors to sign the medical insurance pooling fund every year. Village clinic is a designated medical institution for medical insurance outpatient network reimbursement. Actively explore the reform of the payment method of the outpatient co-ordination fund of medical insurance, continuously improve the total amount of outpatient co-ordination, implement the medical insurance policy of "budget management and balance retention", and change the use of outpatient co-ordination fund from "treatment" to "health".

The above-mentioned public health project funds, financial subsidies or matching funds, and family doctors signed the medical insurance pooling fund. Except for the public welfare subsidy of 1 10,000 yuan per room per year, the municipal finance allocates it to relevant medical general hospitals, and the rest is allocated to township hospitals by relevant municipal departments according to procedures, which are used as a whole by township hospitals and paid to rural doctors on a regular basis through wages.

Clear the exit mechanism, and those who fail the examination will be retired!

In order to enhance the vitality of rural doctors and strengthen the assessment while ensuring their income, the Notice stipulates that rural doctors will be dismissed and withdrawn from village clinics after being audited by township hospitals and reported to the Municipal Health and Health Commission.

1, male village doctors are 60 years old (including 60 years old) and female village doctors are 55 years old (including 55 years old);

2. Incompetence in year-end assessment for two consecutive years;

3 do not obey the work arrangements of township hospitals and are unwilling to undertake public health work;

4. Disobeying management, working part-time in other units, or continuing to engage in medical services at home;

5. Failing to implement the charging standards stipulated by the state, violating the price policy and withholding business income without permission;

6, in violation of the provisions of the family planning policy, illegal abortion, abortion, ring removal, ligation and non-medical need for fetal sex identification;

7. During the employment period, he is adversely affected by party discipline and political discipline, or he is investigated for criminal responsibility for illegal crimes;

8, health or other reasons should not continue to work;

9. Failing to participate in free on-the-job medical continuing education such as online and offline village medical training and off-the-job study arranged by the Municipal Health and Health Commission, medical institutions and township hospitals without reason;

10, in the event of a major public health emergency, did not seriously perform their duties or failed to complete the tasks assigned by the Township People's Government.

The Circular also pointed out that the number of rural doctors dismissed or revoked in towns and villages should be employed in time according to the above conditions and procedures, and priority should be given to rural doctors with the qualification of practicing doctors or practicing assistant doctors (including township practicing assistant doctors).

There is an important tendency in guixi city's "Notice", that is, the level of employment and treatment of rural doctors is closely related to their practice certificates. Not only rural doctors with doctor's qualification certificate are given priority in recruitment, but also rural doctors with doctor's qualification certificate can raise 200 yuan to 400 yuan in salary verification.

This reminds the majority of rural doctors that obtaining a practicing certificate will become the basic threshold for rural doctors in the future. Whether you are self-employed or employed by the system, you must strive to improve yourself.