People's Daily health client Mao Yuanyuan
At the beginning of 2022, Guangdong and Hebei provinces recently introduced relevant policies and measures on the remuneration of medical personnel and non-staff personnel.
"The establishment standards of public hospitals are seriously lagging behind and have not been implemented, the proportion of non-staff personnel is relatively high, accounting for 51% at present, and the value of medical personnel and technical labor services has not yet been fully reflected." Xu Shuqiang, director of the Department of Structural Reform of the National Health Commission, pointed out at a press conference in July 2021.
Guangdong Province: The proportion of medical staff expenditure will increase to about 45% by the end of 2025
At the end of January 2022, Guangdong Province, Guangdong Province, issued the "Guangdong Province In-depth Promotion of the Experience of Sanming City, Fujian Province, deepening the implementation plan for the reform of the medical and health system", which mentioned that it is necessary to deepen the reform of the salary system of public hospitals, and strive to increase the proportion of personnel expenditure to public hospital business expenditure to about 45% by the end of 2025 under the premise of ensuring balance of revenue and expenditure; coordinate the distribution relationship of personnel in different positions, and consider the remuneration of personnel inside and outside the staff. Complete the remuneration incentive and constraint mechanism for the main responsible persons, and maintain a reasonable relationship between the remuneration level of the main responsible person and the remuneration level of other responsible persons and employees of the unit.
Encourage the exploration of the target annual salary system for all employees. Encourage and support qualified areas to learn from the Sanming practice, reform and improve the total salary approval method of public hospitals, calculate the total salary of hospitals based on medical service income (excluding drugs, consumables, inspections, and acceptance inspections), implement the target annual salary system for all employees, improve the work point system, informatization, and open performance appraisal system, and maintain the public welfare of public hospitals.
Residents are waiting for medical insurance reimbursement procedures in the Sanming Medical Security Fund Management Center in Fujian Province. Photo by Xinhua News Agency reporter Jiang Kehong
Hebei Province: Gradually digest non-staff personnel and incorporate them into the establishment management
A few days ago, the Hebei Provincial Health Commission issued the "Work Plan for Promoting the Experience of Medical Reform in Sanming City, Fujian Province", which mentioned that it is reasonable to formulate and implement staffing standards for public hospitals and establish a dynamic verification mechanism. Make full use of the establishment resources, in accordance with the principle of "ensuring basic medical care, protecting public health, and protecting discipline leadership", gradually digest the existing non-staff employment of professional and technical personnel, for those who meet the conditions, fully consider their medical experience, performance, contributions, etc., through open recruitment and other strict and standardized procedures to select the best hire, into the establishment management.
Within the total amount of approved salaries, public hospitals can adopt a variety of ways to distribute independently, and can independently set up salary items such as post allowances, scientific research allowances, night shift allowances, overtime allowances, etc. that reflect the characteristics of the medical industry, labor characteristics and post value. Gradually increase the proportion of personnel expenditure to the business expenditure of public hospitals, and gradually increase the proportion of fixed salaries.