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国务院办公厅关于进一步加强乡村医生队伍建设的实施意见
编稿时间: 2014-07-21 17:12 来源:电竞平台注册【安全购彩】
 

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

 
 
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