GUOBANFA〔2015〕13HAO
GESHENG、ZIZHIQU、ZHIXIASHIRENMINZHENGFU，GUOWUYUANGEBUWEI、GEZHISHUJIGOU:
XIANGCUNYISHENGSHIWOGUOYILIAOWEISHENGFUWUDUIWUDEZHONGYAOZUCHENGBUFEN，SHIZUITIEJINYIWANNONGCUNJUMINDEJIANKANG“SHOUHUREN”，SHIFAZHANNONGCUNYILIAOWEISHENGSHIYE、BAOZHANGNONGCUNJUMINJIANKANGDEZHONGYAOLILIANG。JINNIANLAITEBIESHIXINYILUNYIYAOWEISHENGTIZHIGAIGESHISHIYILAI，XIANGCUNYISHENGZHENGTISUZHIWENBUTIGAO，FUWUTIAOJIANXIANZHUGAISHAN，NONGCUNJUMINJIBENYILIAOWEISHENGFUWUDEGONGPINGXING、KEJIXINGBUDUANTISHENG。DANYEYAOKANDAO，XIANGCUNYISHENGDUIWURENGSHINONGCUNYILIAOWEISHENGFUWUTIXIDEBORUOHUANJIE，NANYISHIYINGNONGCUNJUMINRIYIZENGZHANGDEYILIAOWEISHENGFUWUXUQIU。ANZHAOSHENHUAYIYAOWEISHENGTIZHIGAIGEDEZONGTIYAOQIU，WEIJINYIBUJIAQIANGXIANGCUNYISHENGDUIWUJIANSHE，QIESHIZHULAONONGCUNYILIAOWEISHENGFUWUWANGDI，JINGGUOWUYUANTONGYI，XIANTICHUYIXIAYIJIAN。
一、总体要求和主要目标
（一）总体要求。坚持保基本、强基层、建机制，从我国国情和基本医疗卫生制度长远建设出发，改革乡村医生服务模式和激励机制，落实和完善乡村医生补偿、养老和培养培训政策，加强医疗卫生服务监管，稳定和优化乡村医生队伍，全面提升村级医疗卫生服务水平。
（ER）ZHUYAOMUBIAO。TONGGUO10NIANZUOYOUDENULI，LIZHENGSHIXIANGCUNYISHENGZONGTIJUBEIZHONGZHUANJIYISHANGXUELI，ZHUBUJUBEIZHIYEZHULIYISHIJIYISHANGZIGE，XIANGCUNYISHENGGEFANGMIANHELIDAIYUDEDAOJIAOHAOBAOZHANG，JIBENJIANCHENGYIZHISUZHIJIAOGAO、SHIYINGXUYAODEXIANGCUNYISHENGDUIWU，CUJINJICENGSHOUZHEN、FENJIZHENLIAOZHIDUDEJIANLI，GENGHAOBAOZHANGNONGCUNJUMINXIANGSHOUJUNDENGHUADEJIBENGONGGONGWEISHENGFUWUHEANQUAN、YOUXIAO、FANGBIAN、JIALIANDEJIBENYILIAOFUWU。
二、明确乡村医生功能任务
电竞平台注册（SAN）MINGQUEXIANGCUNYISHENGZHIZE。XIANGCUNYISHENG（BAOKUOZAICUNWEISHENGSHIZHIYEDEZHIYEYISHI、ZHIYEZHULIYISHI，XIATONG）ZHUYAOFUZEXIANGNONGCUNJUMINTIGONGGONGGONGWEISHENGHEJIBENYILIAOFUWU，BINGCHENGDANWEISHENGJISHENGXINGZHENGBUMENWEITUODEQITAYILIAOWEISHENGFUWUXIANGGUANGONGZUO。
（SI）HELIPEIZHIXIANGCUNYISHENG。SUIZHEJIBENGONGGONGWEISHENGFUWUDESHENRUKAIZHANHEJICENGSHOUZHEN、FENJIZHENLIAOZHIDUDEZHUBUJIANLI，GEDIYAOZONGHEKAOLVXIAQUFUWURENKOU、FUWUXIANZHUANGHEYUQIXUQIUYIJIDILITIAOJIANDENGYINSU，HELIPEIZHIXIANGCUNYISHENG，YUANZESHANGANZHAOMEIQIANFUWURENKOUBUSHAOYU1MINGDEBIAOZHUNPEIBEIXIANGCUNYISHENG。
三、加强乡村医生管理
（五）严格乡村医生执业准入。在村卫生室执业的医护人员必须具备相应的资格并按规定进行注册。新进入村卫生室从事预防、保健和医疗服务的人员，应当具备执业医师或执业助理医师资格。条件不具备的地区，要严格按照《乡村医生从业管理条例》要求，由省级人民政府制订具有中等医学专业学历的人员或者经培训达到中等医学专业水平的人员进入村卫生室执业的具体办法。
电竞平台注册（LIU）GUIFANXIANGCUNYISHENGYEWUGUANLI。XIANJIWEISHENGJISHENGXINGZHENGBUMENANZHAO《ZHONGHUARENMINGONGHEGUOZHIYEYISHIFA》、《XIANGCUNYISHENGCONGYEGUANLITIAOLI》DENGYOUGUANGUIDING，QIESHIJIAQIANGXIANGCUNYISHENGZHIYEGUANLIHEFUWUZHILIANGJIANGUAN，CUJINHELIYONGYAO，TIGAOYILIAOWEISHENGFUWUDEANQUANXINGHEYOUXIAOXING。
电竞平台注册（QI）GUIFANKAIZHANXIANGCUNYISHENGKAOHE。ZAIXIANJIWEISHENGJISHENGXINGZHENGBUMENDETONGYIZUZHIXIA，YOUXIANGZHENWEISHENGYUANDINGQIDUIXIANGCUNYISHENGKAIZHANKAOHE。KAOHENEIRONGBAOKUOXIANGCUNYISHENGTIGONGDEJIBENYILIAOHEJIBENGONGGONGWEISHENGFUWUDESHULIANG、ZHILIANGHEQUNZHONGMANYIDU，XIANGCUNYISHENGXUEXIPEIXUNQINGKUANGYIJIYIDEYIFENGDENGQINGKUANG。KAOHEJIEGUOZUOWEIXIANGCUNYISHENGZHIYEZHUCEHECAIZHENGBUZHUDEZHUYAOYIJU。
四、优化乡村医生学历结构
（八）加强继续教育。各地要按照《全国乡村医生教育规划（2011—2020年）》要求，切实加强乡村医生教育和培养工作。鼓励符合条件的在岗乡村医生进入中、高等医学（卫生）院校（含中医药院校）接受医学学历教育，提高整体学历层次。对于按规定参加学历教育并取得医学相应学历的在岗乡村医生，政府对其学费可予以适当补助。
（JIU）SHISHIDINGDANDINGXIANGPEIYANG。JIAQIANGNONGCUNDINGDANDINGXIANGYIXUESHENGMIANFEIPEIYANGGONGZUO，ZHONGDIANSHISHIMIANXIANGCUNWEISHENGSHIDE3NIANZHIZHONG、GAOZHIMIANFEIYIXUESHENGPEIYANG。MIANFEIYIXUESHENGZHUYAOZHAOSHOUNONGCUNSHENGYUAN。
五、提高乡村医生岗位吸引力
（SHI）TUOKUANXIANGCUNYISHENGFAZHANKONGJIAN。ZAITONGDENGTIAOJIANXIA，XIANGZHENWEISHENGYUANYOUXIANPINYONGHUODEZHIYEYISHI、ZHIYEZHULIYISHIZIGEDEXIANGCUNYISHENG，JINYIBUXIYINZHIYEYISHI、ZHIYEZHULIYISHIHEYIDIANJINGPINGTAIZHUCEXIAOBIYESHENGDAOCUNWEISHENGSHIGONGZUO。GULIGEDIJIEHESHIJIKAIZHANXIANGCUNYITIHUAGUANLISHIDIAN，ANZHAOGUOJIAZHENGCEGUIDINGDECHENGXUHEYAOQIUPINYONGJUYOUZHIYEYISHI、ZHIYEZHULIYISHIZIGEDEXIANGCUNYISHENG。
电竞平台注册（SHIYI）GUIFANKAIZHANXIANGCUNYISHENGGANGWEIPEIXUN。GEDIYAOYITUOXIANJIYILIAOWEISHENGJIGOUHUOYOUTIAOJIANDEZHONGXINXIANGZHENWEISHENGYUAN，KAIZHANXIANGCUNYISHENGGANGWEIPEIXUN。XIANGCUNYISHENGMEINIANJIESHOUMIANFEIPEIXUNBUSHAOYU2CI，LEIJIPEIXUNSHIJIANBUSHAOYU2ZHOU；GEDIKEXUANPAIJUYOUZHIYEYISHIHUOZHIYEZHULIYISHIZIGEDEYOUXIUXIANGCUNYISHENGDAOSHENG、SHIJIYIYUANJIESHOUMIANFEIPEIXUN；XIANGCUNYISHENGMEI3—5NIANMIANFEIDAOXIANJIYILIAOWEISHENGJIGOUHUOYOUTIAOJIANDEZHONGXINXIANGZHENWEISHENGYUANTUOCHANJINXIU，JINXIUSHIJIANYUANZESHANGBUSHAOYU1GEYUE。XIANGCUNYISHENGYINGXUEXIZHONGYIYAOZHISHI，YUNYONGZHONGYIYAOJINENGFANGZHIJIBING。DAOCUNWEISHENGSHIGONGZUODEYIDIANJINGPINGTAIZHUCEXIAOBENKEBIYESHENGYOUXIANCANJIAZHUYUANYISHIGUIFANHUAPEIXUN。
六、转变乡村医生服务模式
电竞平台注册（SHIER）KAIZHANQIYUESHIFUWU。GEDIYAOJIEHESHIJI，TANSUOKAIZHANXIANGCUNYISHENGHENONGCUNJUMINDEQIANYUEFUWU。XIANGCUNYISHENGHUOYOUXIANGZHENWEISHENGYUANYEWUGUGAN（HANQUANKEYISHENG）HEXIANGCUNYISHENGZUCHENGTUANDUIYUNONGCUNJUMINQIANDINGYIDINGQIXIANDEFUWUXIEYI，JIANLIXIANGDUIWENDINGDEQIYUEFUWUGUANXI，TIGONGYUEDINGDEJIBENYILIAOWEISHENGFUWU，BINGANGUIDINGSHOUQUFUWUFEI。FUWUFEIYOUYIBAOJIJIN、JIBENGONGGONGWEISHENGFUWUJINGFEIHEQIANYUEJUMINFENDAN，JUTIBIAOZHUNHEBAOZHANGFANWEIYOUGEDIGENJUDANGDIYILIAOWEISHENGFUWUSHUIPING、QIANYUERENQUNJIEGOUYIJIYIBAOJIJINHEJIBENGONGGONGWEISHENGFUWUJINGFEICHENGSHOUNENGLIDENGYINSUQUEDING。XIANGCUNYISHENGTIGONGQIANYUEFUWU，CHUANGUIDINGSHOUQUFUWUFEIWAI，BUDELINGXINGSHOUQUQITAFEIYONG。JIADASHIYIJISHUDETUIGUANGLIDU，GULIXIANGCUNYISHENGTIGONGGEXINGHUADEJIANKANGFUWU，BINGANYOUGUANGUIDINGSHOUQUFEIYONG。
（SHISAN）JIANLIXIANGCUNQUANKEZHIYEZHULIYISHIZHIDU。ZUOHAOXIANGCUNYISHENGDUIWUJIANSHEHEQUANKEYISHENGDUIWUJIANSHEDEXIANJIE。ZAIXIANXINGDEZHIYEZHULIYISHIZIGEKAOSHIZHONGZENGSHEXIANGCUNQUANKEZHIYEZHULIYISHIZIGEKAOSHI。XIANGCUNQUANKEZHIYEZHULIYISHIZIGEKAOSHIANZHAOGUOJIAYISHIZIGEKAOSHIXIANGGUANGUIDING，YOUGUOJIAXINGYEZHUGUANBUMENZHIDINGKAOSHIDAGANG，TONGYIZUZHI，DANDUMINGTI，KAOSHIHEGEDEFAFANGXIANGCUNQUANKEZHIYEZHULIYISHIZIGEZHENGSHU，XIANDINGZAIXIANGZHENWEISHENGYUANHUOCUNWEISHENGSHIZHIYE。QUDEXIANGCUNQUANKEZHIYEZHULIYISHIZIGEDERENYUANKEYIANGUIDINGCANJIAYISHIZIGEKAOSHI。
七、保障乡村医生合理收入
（SHISI）QIESHILUOSHIXIANGCUNYISHENGDUOQUDAOBUCHANGZHENGCE。GEDIYAOZONGHEKAOLVXIANGCUNYISHENGGONGZUODESHIJIQINGKUANG、FUWUNENGLIHEFUWUCHENGBEN，CAIQUGOUMAIFUWUDEFANGSHI，BAOZHANGXIANGCUNYISHENGHELIDESHOURUSHUIPING。
电竞平台注册DUIYUXIANGCUNYISHENGTIGONGDEJIBENGONGGONGWEISHENGFUWU，TONGGUOZHENGFUGOUMAIFUWUDEFANGSHI，GENJUHEDINGDERENWULIANGHEKAOHEJIEGUO，JIANGXIANGYINGDEJIBENGONGGONGWEISHENGFUWUJINGFEIBOFUJIXIANGCUNYISHENG。ZAI2014NIANHE2015NIANJIANGNONGCUNDIQUXINZENGDERENJUN5YUANJIBENGONGGONGWEISHENGFUWUBUZHUZIJINQUANBUYONGYUXIANGCUNYISHENGDEJICHUSHANG，WEILAIXINZENGDEJIBENGONGGONGWEISHENGFUWUBUZHUZIJINJIXUZHONGDIANXIANGXIANGCUNYISHENGQINGXIE，YONGYUJIAQIANGCUNJIJIBENGONGGONGWEISHENGFUWUGONGZUO。
WEIKAIZHANXIANGCUNYISHENGHENONGCUNJUMINQIANYUEFUWUDEDIFANG，DUIYUXIANGCUNYISHENGTIGONGDEJIBENYILIAOFUWU，YAOTONGGUOSHELIYIBANZHENLIAOFEIDENGCUOSHI，YOUYIBAOJIJINHEGERENFENDAN。ZAIZONGHEKAOLVXIANGCUNYISHENGFUWUSHUIPING、YIBAOJIJINCHENGSHOUNENGLIHEBUZENGJIAQUNZHONGGERENFUDANDEQIANTIXIA，KEXUECESUANQUEDINGCUNWEISHENGSHIYIBANZHENLIAOFEIBIAOZHUN，YUANZESHANGBUGAOYUJICENGYILIAOWEISHENGJIGOUYIBANZHENLIAOFEIBIAOZHUN，BINGYOUYIBAOJIJINANGUIDINGZHIFU。GEDIYAOJIANGFUHETIAOJIANDECUNWEISHENGSHIHEGETIZHENSUODENGNARUYIBAODINGDIANYILIAOJIGOUGUANLI。
DUIYUZAISHISHIJIBENYAOWUZHIDUDECUNWEISHENGSHIZHIYEDEXIANGCUNYISHENG，YAOZONGHEKAOLVJIBENYILIAOHEJIBENGONGGONGWEISHENGFUWUBUCHANGQINGKUANG，JIYUDINGEBUZHU。DINGEBUZHUBIAOZHUNYOUGESHENG（QU、SHI）RENMINZHENGFUANZHAOFUWURENKOUSHULIANGHUOXIANGCUNYISHENGRENSHUHEDING。
SUIZHEJINGJISHEHUIDEFAZHAN，DONGTAIDIAOZHENGXIANGCUNYISHENGGEQUDAOBUZHUBIAOZHUN，ZHUBUTIGAOXIANGCUNYISHENGDEDAIYUSHUIPING。
（SHIWU）TIGAOJIANKUBIANYUANDIQUXIANGCUNYISHENGDAIYU。DUIZAIGUOJIAYOUGUANBUMENGUIDINGDEJIANKUBIANYUANDIQUHELIANPIANTEKUNDIQUFUWUDEXIANGCUNYISHENG，DIFANGCAIZHENGYAOSHIDANGZENGJIABUZHU。
八、建立健全乡村医生养老和退出政策
（十六）完善乡村医生养老政策。各地要支持和引导符合条件的乡村医生按规定参加职工基本养老保险。不属于职工基本养老保险覆盖范围的乡村医生，可在户籍地参加城乡居民基本养老保险。
电竞平台注册DUIYUNIANMAN60ZHOUSUIDEXIANGCUNYISHENG，GEDIYAOJIEHESHIJI，CAIQUBUZHUDENGDUOZHONGXINGSHI，JINYIBUTIGAOXIANGCUNYISHENGYANGLAODAIYU。
（SHIQI）JIANLIXIANGCUNYISHENGTUICHUJIZHI。GEDIYAOJIEHESHIJI，JIANLIXIANGCUNYISHENGTUICHUJIZHI。QUEYOUXUYAODE，CUNWEISHENGSHIKEYIFANPINXIANGCUNYISHENGJIXUZHIYE。
九、改善乡村医生工作条件和执业环境
（十八）加强村卫生室建设。各地要依托农村公共服务平台建设等项目，采取公建民营、政府补助等方式，进一步支持村卫生室房屋建设和设备购置。加快信息化建设，运用移动互联网技术，建立以农村居民健康档案和基本诊疗为核心的信息系统并延伸至村卫生室，支持新型农村合作医疗即时结算管理、健康档案和基本诊疗信息联动、绩效考核以及远程培训、远程医疗等。
（SHIJIU）JIANLIXIANGCUNYISHENGZHIYEFENGXIANHUAJIEJIZHI。JIANLISHIHEXIANGCUNYISHENGTEDIANDEYILIAOFENGXIANFENDANJIZHI，KECAIQUXIANYUNEIYILIAOWEISHENGJIGOUZHENGTICANJIAYILIAOZERENBAOXIANDENGDUOZHONGFANGSHIYOUXIAOHUAJIEXIANGCUNYISHENGDEZHIYEFENGXIAN，BUDUANGAISHANXIANGCUNYISHENGZHIYEHUANJING。
十、加强组织领导
（ERSHI）ZHIDINGSHISHIFANGAN。GEDI、GEYOUGUANBUMENYAOJIANGJIAQIANGXIANGCUNYISHENGDUIWUJIANSHENARUSHENHUAYIYAOWEISHENGTIZHIGAIGEZHONGTONGCHOUKAOLV。GESHENG（QU、SHI）YAOZAI2015NIAN3YUEDIQIANZHIDINGCHUTAIJUTISHISHIFANGAN，BINGBAOGUOWUYUANYIGAIBANGONGSHI、WEISHENGJISHENGWEI、FAZHANGAIGEWEI、JIAOYUBU、CAIZHENGBU、RENLIZIYUANSHEHUIBAOZHANGBUBEIAN。
（ERSHIYI）LUOSHIZIJINTOURU。XIANJIRENMINZHENGFUYAOJIANGXIANGCUNYISHENGDUIWUJIANSHEXIANGGUANJINGFEINARUCAIZHENGYUSUAN。ZHONGYANGCAIZHENGHESHENGJIRENMINZHENGFUDUIXIANGCUNYISHENGDUIWUJIANSHEYUYIZHICHI，JINYIBUJIADADUIKUNNANDIQUDEBUZHULIDU。GEJICAIZHENGYAOJISHIZUEXIABOXIANGCUNYISHENGDUIWUJIANSHEXIANGGUANJINGFEI，QUEBAOZHUANKUANZHUANYONG，BUDEJIELIU、NUOYONG、JIZHAN。
电竞平台注册（ERSHIER）KAIZHANDUDAOJIANCHA。GEDIYAOQIESHIWEIHUXIANGCUNYISHENGDEHEFAQUANYI，YANJINYIRENHEMINGYIXIANGXIANGCUNYISHENGSHOUQU、TANPAIGUOJIAGUIDINGZHIWAIDEFEIYONG。DUIZAINONGCUNYUFANGBAOJIAN、YILIAOFUWUHETUFASHIJIANYINGJICHULIGONGZUOZHONGZUOCHUTUCHUCHENGJIDEXIANGCUNYISHENG，KEANZHAOGUOJIAYOUGUANGUIDINGJIYUBIAOZHANG。GEDIHEYOUGUANBUMENYAOJIANLIDUCHAHETONGBAOJIZHI，QUEBAOXIANGCUNYISHENGXIANGGUANZHENGCEDEDAOLUOSHI。
GUOWUYUANBANGONGTING
2015NIAN3YUE6RI
