Beijing rural doctor job subsidy

The Beijing Municipal Government’s executive meeting has reviewed and approved the “Beijing Municipal Implementation Plan on Strengthening the Construction of Village-level Medical and Health Institutions and Rural Doctor Teams”. Before the end of this year, rural doctors will be transferred from personnel management to post management, and the monthly government subsidy is planned to increase from 1,600 yuan to 3,500 yuan. By the end of 2019, every village in this city will have a clinic, achieving full coverage of village-level medical and health services.

There is at least one village doctor for every 1,000 people in the village. By the end of 2014, there were more than 4,600 registered rural doctors*** in the city. The relevant person in charge of the Municipal Health and Family Planning Commission said that for a long time, rural areas have faced problems such as a lack of medical resources, as well as an aging team of rural doctors, a lack of successors, and low remuneration. In order to improve the capacity and level of village-level medical and health services, the Municipal Health and Family Planning Commission, together with the Municipal Finance Bureau, Human Resources and Social Security Bureau and other departments, drafted the "Beijing Implementation Plan on Strengthening the Construction of Village-level Medical and Health Institutions and Rural Doctor Teams". According to the plan, by the end of 2016, all rural doctors in this city will be subject to on-the-job management. The Municipal Health and Family Planning Commission explained that rural doctors originally implemented personal management and the system guarantee was not perfect. The change to post management will be conducive to the healthy development of the rural medical industry. The plan clearly states that village doctor positions are composed of practicing physicians, practicing assistant physicians and those holding the "Rural Doctor Practicing Certificate". The method of employment can be labor dispatch, which generally forms a model of "district-specific posts, personnel dispatch, township management, and village use". Each agriculture-related district government determines the exit age for village doctors on its own, and establishes an exit mechanism for village doctors in response to violations of relevant regulations on physician practice, failure to pass assessments, etc. The plan clearly stipulates that village doctor positions should be set up at a standard of no less than 1‰ of the rural service population, which means that there is at least one village doctor position for every 1,000 people in the countryside. Village doctors can also provide family doctor-style contract services with farmers in their jurisdiction.

Medical services cover 847 "blank villages". Currently, there are 847 "blank villages" for medical services in this city, that is, there are no village-level medical institutions and medical personnel. With reference to the national "one village, one room" and the city's grassroots health service requirements, Beijing will achieve full coverage of village-level medical and health services by the end of 2019. The plan requires that in principle, each village related to agriculture, namely the 13 districts except Dongcheng, Xicheng, and Shijingshan District, should set up a village-level medical and health institution, such as a community health service station, village clinic (station, station), etc. Lord. Villages with a large population or scattered residents can add new ones as appropriate; villages with a smaller population or smaller areas can be jointly set up with neighboring villages. The district government is responsible for the housing construction, equipment purchase, and information construction of village-level medical and health institutions, and appropriately subsidizes the water, electricity, heating and other expenses required for the operation of medical institutions. At the same time, subsidies for rural doctors are arranged through government purchase of services, and village collectives and other social forces are encouraged to participate in and support the construction and operation of village-level medical and health institutions. In addition, village-level medical and health institutions implement the city's essential drug policy and achieve centralized procurement, unified distribution, and zero-margin sales of essential drugs.

Village doctors’ remuneration is growing dynamically. To retain village doctors, remuneration is the key. In order to attract more medical personnel to serve in rural areas, this city decided to improve the treatment of village doctors and implement a dynamic growth mechanism. Starting this year, the government subsidy standard for village doctors will be increased from 1,600 yuan per person per month to 3,500 yuan. According to the different situations in mountainous and semi-mountainous areas, each agricultural-related area can increase the subsidy by 500 yuan to 2,000 yuan on the basis of the basic subsidy. This means that the monthly subsidy for village doctor positions in difficult mountainous areas is expected to reach 5,500 yuan. Among them, 40% of the subsidy amount will be paid monthly, and 60% will be released after passing the assessment. The plan proposes to improve the social security policy for rural doctors and encourage qualified newcomers to participate in urban employee pension insurance. The government will provide appropriate subsidies based on the minimum payment standards for flexible employment personnel. Those who do not meet the conditions can participate in urban and rural residents’ pension insurance in their place of residence. The elderly who have been included in the city's urban and rural residents' pension insurance will receive an appropriate increase in subsidies. In addition, qualified village-level medical and health institutions will be included in the scope of designated medical institutions under the New Rural Cooperative Medical System, and real-time settlement will be implemented.

Village doctors give priority to recruiting retired doctors. The plan has been determined, and village doctors can be replenished through various forms such as open recruitment, order-oriented training, and the dispatch of higher-level medical institutions. The open recruitment targets retired medical staff, medical school graduates, and other personnel with qualifications such as practicing assistant physicians or above. Among them, priority will be given to recruiting retired medical staff. The dispatch of higher-level medical institutions means that district-level hospitals and township community health service agencies dispatch appropriate personnel to assume rural doctor positions based on actual conditions. Targeted training will make full use of the resources of Beijing's higher medical schools, select rural youth who meet the training conditions, and train medical students for free according to rural orders, and train medical college graduates in a targeted manner. After graduation, students become licensed assistant physicians and are hired to work as rural doctors. According to the actual situation of Beijing Higher Medical College, the enrollment plan is appropriately tilted towards the free training of medical students in rural areas. The plan proposes that new personnel entering the village doctor position should have a medical college degree or above and a practicing assistant physician or above qualification. This city adopts government incentives to encourage on-the-job personnel who do not have a college degree or above to participate in clinical medicine or rural medicine majors offered by higher medical schools; encourages on-the-job personnel who hold the "Rural Doctor Practicing Certificate" to pass national examinations in accordance with regulations Qualification of practicing assistant physician. Before the end of 2019, the number of village doctors in this city will be fully staffed. According to the plan, by the end of 2020, the proportion of village doctors with a college degree or above will increase from the current 8.6 to 30, and the proportion of those with qualifications such as practicing assistant physicians or above will increase from the current 6.5 to 30.