Per capita subsidy for village clinics rose to 10 yuan

On June 23, the “Notice on Doing a Good Job in the 2021 Essential Drug System Subsidy Project” issued by the National Health Commission stated that in order to further strengthen the support for rural doctors, the per capita subsidy standard for village clinics will be increased from 8 yuan to 8 yuan. 10 yuan.

Per capita subsidy for village clinics rose to 10 yuan
Xu Yucai, deputy director of the Shanyang County Health and Health Bureau of Shangluo City, Shaanxi Province, told the Health Times reporter: “A village doctor is assigned to 1,000 people in each village, which will increase from 8 yuan to 10 yuan, which may increase the income of 2,000 yuan per year. Since 2011, the Ministry of Finance has allocated 9.1 billion yuan each year to subsidize basic medical and health institutions and village clinics to implement the national essential medicine system project for 9 consecutive years. On the premise that the total subsidy of the project does not increase, improve the village clinic’s The subsidy standard is the implementation of the policy of’improving the treatment of rural doctors’.”

To increase wages and stabilize income, the state injects a “boosting shot” into village doctors

The “Notice” requires all localities to strictly follow the standards and distribute the corresponding funds to the village clinics in a timely manner. In principle, the implementation is completed in the current year. The subsidy funds of the village clinics shall not be intercepted, squeezed, misappropriated, or detained or detained in the name of performance evaluation. Reduce subsidy funds for village clinics.

A village doctor in Henan province told the Health Times that their current per capita subsidy standard is 8 yuan, but sometimes their wages are deducted due to low service volume and poor performance appraisal. After the release of the “Notice”, they stabilized their income and gave them a “cardiotonic injection”.

The “Notice” mentioned that localities should refine performance evaluation indicators based on actual conditions, and fully consider factors such as the coverage of essential medicines, the proportion of essential medicines, and the amount of essential medicines used on the basis of the number of serving populations and financial resources. Optimize the allocation of project funds.

“In the past, the subsidy for village doctors in some places may have been’egalitarian’ and unfair; it may also be due to factors such as the relocation of villagers, that the amount of village doctors’ services may be reduced; or because the assessment plan for village doctors in some places is not specific and unfair. The fine appearance of the assessment is too random, leading to large deviations in the assessment. Now the “Notice” clearly subdivides the performance evaluation indicators to ensure that the village doctors “work more, get more money”, get relatively fair capital income, and improve village doctors The sense of value and gain of work.” Xu Yucai analyzed.

There are more than 840,000 rural doctors in my country, who are the “guardians” of the health of rural residents

Rural doctors are an important part of our country’s medical and health service team, the “guardian” of the health of hundreds of millions of rural residents, and an important force in developing rural medical and health services and ensuring the health of rural residents. According to data from the National Health Commission, as of the end of 2018, there were 622,000 village clinics in my country, and the villages with village clinics accounted for 94.0% of the total administrative villages. The number of employees in village clinics reached 1.441 million, including 845,000 rural doctors, 381,000 licensed (assistant) physicians, and 214,000 registered nurses and hygienists.

The state attaches great importance to the construction and development of the team of rural doctors. Based on the extensive solicitation of opinions, the State Council has successively issued the “Regulations on the Management of the Practice of Rural Doctors”, the “Guiding Opinions on Further Strengthening the Construction of the Rural Doctor Team” (Guobanfa [2011] No. 31) and the “Regarding Further Strengthening the Construction of the Rural Doctor Team” Policies and regulations such as “Implementation Opinions of the State Council” (Guobanfa [2015] No. 13) require increased investment to ensure the income and treatment of rural doctors, properly solve the problem of rural doctors’ pensions, carry out order-oriented training, and effectively strengthen the construction of the rural doctor team.

There are three main compensation channels for increasing the income level of rural doctors

The “Implementation Opinions” make clear requirements for the treatment guarantee of rural doctors after the implementation of the essential drug system. After the village clinic implements the basic medicine system, there are three main compensation channels for village doctors:

One is to obtain compensation through the provision of basic public health services. With the increase in funding for basic public health services, the income level of rural doctors will also further increase.

The second is to obtain compensation through the provision of basic medical services. After the implementation of the national essential drug system, rural doctors mainly receive compensation for basic medical services by charging general diagnosis and treatment fees. At present, most provinces have introduced general diagnosis and treatment fees, most of which are 5-10 yuan per person. Among them, the New Rural Cooperative Fund pays about 80%, and the rest is borne by the patient.

The third is to provide special subsidies from the finance. The “Implementation Opinions” clarified that it is necessary to comprehensively consider the compensation for basic medical and basic public health services and grant fixed subsidies. In order to guarantee the reasonable income of rural doctors, the “Implementation Opinions” require that with the development of the economy and society, the subsidy standards of various channels should be dynamically adjusted to gradually increase the level of treatment of rural doctors.