Hospital official establishment, contract system, temporary workers! Three major differences! (excerpt)

Let me say a few words: there are essential differences inside and outside the establishment.

To put it simply: those who are not prepared are enterprise employees, and those who are prepared are national cadres. Now on the surface, in many places, their income is almost the same (of course, most of them are still different). Only provident fund is different from medical insurance and pension! Of course, you will say that doctors don't rely on wages as their main income, but this is the fundamental difference. Provident fund: In many places, there are no supernumerary funds at all, or very few. The supernumerary funds are generally 1, 200 yuan/month (participating in the file), which is also a lot of money! This is only visible. You can't see the next two now. Medical insurance: there are many supernumeraries, but only enjoy the basic insurance for urban residents. They still have to pay a lot of money to see a doctor, such as joining fee/self-funded/commission. Outpatient treatment can only be deducted from the medical insurance card, and it will be gone after use. But when the supernumerary cards are used up, a certain amount can be reported. The difference in hospitalization is even greater. Extra staff should pay 40% by themselves. We are all doctors, so we need to know how much it costs for ordinary medical insurance patients to see a doctor. The salary of the staff is basically reimbursed by 95-99%, which is equivalent to the former public medical care, which is the current civil service treatment. Pension: the difference is even greater. Supernumerary retirement is equivalent to the treatment of enterprise retirees now, and supernumerary retirement is the treatment of civil servants (national cadres) now. Our workers retired less than 2,000/month, and the nurses in our department retired more than 4,000. Our old director is now 5000, which seems to be close to 6000. In addition, the salary of retirees is higher. Who will pay more? The above is the correct news that my wife inquired about when she was transferred, which is basically the case in the whole country. Therefore, I advise my colleagues not to believe such words as "our internal and external employees are treated the same" and "our internal employees are treated the same". If you have the strength, you must strive for the establishment. One more thing: there is another important difference between staffing and non-staffing: people who can never hold any administrative positions! Please pay attention to those comrades who are interested in developing in this field. One of my classmates told me with tears that he graduated from the master's degree in 2005 and was not prepared. In 2007, he wanted to compete for a deputy director of an administrative department (ordinary doctors don't do administration), but he was admitted by an undergraduate with a junior qualification, just because he didn't prepare it, not a national cadre! ! I don't know if people who haven't compiled can take the group independently in clinic. Comrades who have news about this should tell us.

Experience 1:

"Personnel agency" and "establishment" are two different things, and there is no meaning of belonging or not. You don't need to see someone reply that the personnel agency is not in the establishment. That statement is wrong. To put it simply: personnel agency is only a way to manage files, and it has nothing to do with whether it is compiled or not. Personnel agents may not be staffed or staffed. What is not compiled, that is, the contract, is called the "personnel agency contract system", and this, that is, the conventional personnel agency does not compile. Simply put, it is called: contract staff, such as the most typical: Union Medical College Hospital affiliated to Tongji Medical College, Huazhong University of Science and Technology. All doctors and masters who stay in school for five years sign contracts every three years. They want to "join the team" and can only become full members after they reach the subtropical high school. Therefore, even if you have been an attending for five or six years, as long as it is not a subtropical high school, the provident fund will be several hundred dollars (it has recently increased). Of course, in this case, there is no difference between wages and bonuses and regular employees. After three years, the hospital will sign you again and will not refuse you casually. Don't worry; Second, the personnel agency has its own staffing, which is also called "mobile staffing". This situation is better, and it is also the way that almost all units now declare that they have "staffing", that is, your file is in the talent market, but you enjoy welfare benefits such as career staffing, provident fund, pension and medical insurance. , and the so-called "real staffing" is similar (maybe they are sometimes worse). It's just that your file is managed by the talent market. Not in the hospital. You can quit at any time, and the hospital can't control it. This is typical of many hospitals in Tianjin, such as Tianjin Cancer Hospital or General Hospital. Third, what many people now call "real establishment" is very rare for new employees, mainly concentrated in the hands of veteran cadres and hospital leaders and backbones. In fact, the welfare benefits are not worse than the second one or a little more (maybe some units will be much more, so I won't talk nonsense), but your file is only in the hospital. In this case, I'm afraid it's hard for you to jump ship, because you are completely out of the hospital and can't leave. I don't know if you understand, hehe. . .

Experience 2:

After reading so much, I also want to say a few words. The following is what I have observed in two years' work: 1. The state announced that public institutions began to raise wages, and those with wages began to raise wages. Even if the country announced the increase in 1 February, they will make up all the increase from this year1month. Hospitals without wages will discuss it first. This discussion will take half a year at the earliest, and the previous one will not be replenished for you, which will lead to thousands of inspections. At least the house price in my city is more than one square meter. 2. The salary of editors is 300 to 400 more than that of those without editors. I only know the elementary level. Some editors also have housing provident fund and medical insurance, but without editors, there is no housing provident fund, and medical insurance is paid by themselves. The most basic medical insurance for urban residents, the reimbursement ratio and scope are different. 3. If the editing level is not good, the leader will try to change your job. If you quarrel or even fight with the leader, the leader will not dare to dismiss you at will. At most, he will change you to a place where no one wants to go, and you can leave without making up excuses. No one will say that he will never get sick and there will be no natural and man-made disasters. If a disease that can be taken seriously is not made up, it will only cost more than making up, but if it is not good, for example, if you are a surgeon and lose your hand in a disaster, you will let the hospital without editors continue to support you, while the hospital with editors will change jobs or not go to work, but still get some money. Don't be blinded by the same treatment. It is good to be fair in many cases. For many people, whether to go to a place where editors don't make money is their own personal value orientation. I think the purpose of the landlord's discussion here is to tell you the difference between editing and not editing. As for whether editing is important or not, I don't think it is necessary for me to say that everyone understands it, or those officials should get one for their children. In the past, they took an examination of a good unit, and later they took an examination of civil servants. As far as I know, recruitment is to fill in a cadre resume, and the state will issue preparation cards to some of the staff. It doesn't matter whether your household registration is at work or not. The above is what I know, and I hope it will be useful to everyone. In addition, each place may be different, and each unit may also be different. Specific analysis of specific problems.

Edited on 2017-11-05.