1, health management, family doctors and other services are included in the performance appraisal.
Medical associations or medical institutions should formulate and improve internal performance appraisal distribution methods, comprehensively consider factors such as service quality, ability contribution, technical knowledge, medical ethics, patient satisfaction, etc., and include the completion of health management and family doctors' contracted services in performance appraisal, and the assessment results are linked to the salary of medical staff. Guide medical staff to actively sink to the grassroots level, provide health management services for the masses, and promote the transformation of medical associations or medical institutions from treatment to health.
2. 70% of disposable income is used for the salary payment of medical staff.
It is required to establish and improve the dynamic adjustment mechanism of medical service price. In line with the principle of "first vacating and then adjusting", we will comprehensively consider the total medical expenses and the income and expenditure of the medical insurance fund, and carry out regular price adjustment evaluation. Meet the start conditions, according to the program to start the price adjustment, focusing on improving the price of medical services that reflect the value of technical services, and reducing the price of inspection and treatment of large equipment with high equipment and material consumption.
60%-70% of the disposable income of medical institutions increased by adjusting the price of medical services can be used to pay the salaries of medical staff, and the rest can be used for hospital development. Therefore, after the price adjustment of medical services, the disposable income of medical institutions will increase accordingly, and more than 60% of these funds can be used to improve the salary level of medical staff.
Under this mechanism, the interests of medical insurance, hospitals, medical staff and patients are taken into account, and the adjustment of medical service price is linked with policies such as medical insurance payment and salary system.
3. Set up post allowance, scientific research allowance, night shift allowance, overtime allowance and other items.
Medical associations or medical institutions can independently allocate within the approved total performance pay, and can flexibly set up post allowance, scientific research allowance, night shift allowance, overtime allowance and other items according to the actual situation, and decide the basic performance pay independently. Support medical associations or medical institutions to implement agreed salary or annual salary system for high-level talents. The salary level is determined by both parties through consultation. The agreed salary and annual salary are included in the total salary of the unit, and are not included in the total performance salary management.
All relevant departments should seriously study and solve the new situations and problems in the process of reform, increase supervision over areas where the progress of reform is lagging behind, and guide all localities to simultaneously promote the key tasks of medical reform such as the construction of medical associations, the integrated management of rural areas, and the contract service of family doctors.
After deducting the cost, 70% of the balance will be used to pay the salary of medical staff.
In accordance with the requirements of "allowing medical and health institutions to break through the current wage control level of public institutions, allowing medical service income to deduct costs and extracting various funds mainly for personnel rewards according to regulations", the level and total amount of performance wages of medical associations or public medical institutions are reasonably approved. On the premise of ensuring the quality of medical services, 60%-70% of the medical service income of medical associations or public medical institutions in the current year after deducting costs and withdrawing various funds according to regulations will be used for the payment of medical staff salaries, and the rest will be used for hospital development.
Compared with the linkage of three medical institutions, Hebei put forward the medical price alone, emphasizing the dynamic increase of disposable income of medical institutions by adjusting the medical service price, which is used to promote the development of medical institutions and improve the income level of medical personnel. Through the above four measures, it is believed that the income level of medical staff will usher in a new situation, and the disposable sources will increase, effectively stimulating the overall vitality of medical institutions and using the money to the cutting edge.
The progress of medical reform is inseparable from medical personnel. Only by mobilizing the enthusiasm of medical staff can the achievements of medical reform be truly implemented on patients. With the maturity of the reform of medical insurance payment method in recent years, the medical price has gradually returned to the essence, and the proportion of disposable income of medical institutions has increased, which ultimately benefits patients and medical staff.