JINRI,GUOWUYUANBANGONGTINGYINFA《GUANYUJINYIBUJIAQIANGXIANGCUNYISHENGDUIWUJIANSHEDESHISHIYIJIAN》(YIXIAJIANCHENG《SHISHIYIJIAN》)。XIANJIEDURUXIA:
一、《实施意见》出台的背景是什么?对进一步深化医改有什么重要意义?
电竞平台注册XIANGCUNYISHENGSHIJUYOUZHONGGUOTESE、ZHIGENYUGUANGDANONGCUNDEWEISHENGGONGZUOZHE,CHENGDANZHEGUOJIAJIBENGONGGONGWEISHENGFUWUYIJICHANGJIANBING、DUOFABINGDECHUJIZHENZHIDENGJIBENYILIAOFUWU。XINZHONGGUOCHENGLIYILAI,WOGUOXIANGCUNYIWURENYUANDUIWUJINGLILE“MINJIANLANGZHONG”、“CHIJIAOYISHENG”、“XIANGCUNYISHENG”SANGEJIEDUAN。DUONIANLAI,XIANGCUNYISHENGZHAGENNONGCUN,FUWUNONGMIN,AIGANGJINGYE,GANYUFENGXIAN,CHONGFENTIXIANLEXIANGCUNYISHENGDEJISHIQINGHUAI。
DANGZHONGYANG、GUOWUYUANSHIFENZHONGSHIXIANGCUNYISHENGDUIWUDEJIANSHEHEFAZHAN,GUANXINXIANGCUNYISHENGDEGONGZUO,GUANIANXIANGCUNYISHENGDESHENGHUO。ZAIKAIZHANYANJIUHEDIAOYANDEJICHUSHANG,GUOJIAWEISHENGJISHENGWEIHUITONGYOUGUANBUMENQICAO《SHISHIYIJIAN》,BINGZHENGQIULEYOUGUANBUMENHEDIFANG、XIANGCUNYISHENGDAIBIAOHEZHUANJIAYIJIAN。2015NIAN1YUE19RI,GUOWUYUANCHANGWUHUIYISHENYITONGGUO《SHISHIYIJIAN》,YAOQIUWEIXIANGCUNYISHENGDAJIAN“LIUDEZHU、NENGFAZHAN、YOUBAOZHANG”DEWUTAI。《SHISHIYIJIAN》DECHUTAI,JIANGJINYIBUJIAQIANGXIANGCUNYISHENGDUIWUJIANSHE,TISHENGCUNJIYILIAOWEISHENGFUWUSHUIPING,ZHULAONONGCUNYILIAOWEISHENGFUWUWANGDI,CUJINJICENGSHOUZHEN、FENJIZHENLIAOZHIDUDEJIANLI,GENGHAODIBAOZHANGNONGCUNJUMINXIANGSHOUJUNDENGHUADEJIBENGONGGONGWEISHENGFUWUHEANQUAN、YOUXIAO、FANGBIAN、JIALIANDEJIBENYILIAOFUWU。
二、《实施意见》提出加强乡村医生队伍建设的主要目标是什么?
《实施意见》指出,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。通过10年左右的努力,力争使乡村医生总体具备中专及以上学历,逐步具备执业助理医师及以上资格,乡村医生各方面合理待遇得到较好保障,基本建成一支素质较高、适应需要的乡村医生队伍。
三、《实施意见》包括哪些内容,有哪些新举措和亮点?
ANZHAOSHENHUAYIGAIDEZONGTIYAOQIU,BENZHEXIANGCUNYISHENGDUIWUGENGHAODIFUWUYUNONGCUNJUMINHEJIANKANGFAZHANDEYUANZE,GENJUXIANGCUNYISHENGDEGONGNENGDINGWEIHEZHIZERENWU,《SHISHIYIJIAN》CONGRENCAIPEIYANG、JIAOYUPEIXUN、SHOURUDAIYU、YANGLAOBAOZHANGDENGFANGMIANTICHUXIANGGUANZHENGCECUOSHI,JINYIBUBAOZHANGXIANGCUNYISHENGDAIYU,JIAQIANGXIANGCUNYISHENGDUIWUJIANSHE。
电竞平台注册《SHISHIYIJIAN》JIQIANGDIAOZHUAHAOXIANYOUZHENGCEDELUOSHI,RUYANGEXIANGCUNYISHENGZHUNRU、QIESHILUOSHIXIANGCUNYISHENGDUOQUDAOBUCHANGZHENGCE,YOUYOUXINDEJUCUO。YISHIJIANLI“CUNLAICUNWANG”HOUBEILILIANGPEIYANGZHIDU。SHISHINONGCUNDINGDANDINGXIANGYIXUESHENGMIANFEIPEIYANG,LUOSHIMIANXIANGCUNWEISHENGSHIDE3NIANZHIZHONG、GAOZHIMIANFEIYIXUESHENGPEIYANG。MIANFEIYIXUESHENGZHUYAOZHAOSHOUNONGCUNSHENGYUAN。ERSHIJIANLIXIANGCUNQUANKEZHIYEZHULIYISHIZHIDU。ZAIXIANXINGDEZHIYEZHULIYISHIZIGEKAOSHIZHONGZENGSHEXIANGCUNQUANKEZHIYEZHULIYISHIZIGEKAOSHI,KAOSHIHEGEDEFAFANGXIANGCUNQUANKEZHIYEZHULIYISHIZIGEZHENGSHU,XIANDINGZAIXIANGZHENWEISHENGYUANHECUNWEISHENGSHIZHIYE。SANSHIJIANCHITONGGUOGOUMAIFUWUQUEBAOXIANGCUNYISHENGHELISHOURUDEYUANZE,ZAI2014NIANJIANGNONGCUNDIQUXINZENGDERENJUN5YUANJIBENGONGGONGWEISHENGFUWUBUZHUZIJINQUANBUYONGYUXIANGCUNYISHENGDEJICHUSHANG,2015NIANXINZENGDERENJUN5YUANJIBENGONGGONGWEISHENGFUWUBUZHUZIJINRENGRANQUANBUYONGYUXIANGCUNYISHENG,YONGYUJIAQIANGCUNJIJIBENGONGGONGWEISHENGFUWUGONGZUO。
四、《实施意见》提出加强乡村医生管理,主要包括哪些内容?
电竞平台注册JIAQIANGXIANGCUNYISHENGDEGUANLI,DUIYUBAOZHANGNONGCUNJUMINHUODEANQUAN、YOUXIAO、FANGBIAN、JIALIANDEJIBENYILIAOWEISHENGFUWUJUYOUZHONGYAOYIYI。《SHISHIYIJIAN》CONGSANGEFANGMIANTICHULEJIAQIANGXIANGCUNYISHENGGUANLIDEJUCUO:
YISHIYANGEXIANGCUNYISHENGZHIYEZHUNRU。ZAICUNWEISHENGSHIZHIYEDEYIHURENYUANBIXUJUBEIXIANGYINGDEZIGEBINGANGUIDINGJINXINGZHUCE。XINJINRUCUNWEISHENGSHICONGSHIYUFANG、BAOJIANHEYILIAOFUWUDERENYUAN,YUANZESHANGYINGDANGJUBEIZHIYEYISHIHUOZHIYEZHULIYISHIZIGE。ERSHIGUIFANXIANGCUNYISHENGYEWUGUANLI。ANZHAOZHIYEYISHIFA、《XIANGCUNYISHENGCONGYEGUANLITIAOLI》DENGYOUGUANGUIDING,QIESHIJIAQIANGXIANGCUNYISHENGZHIYEGUANLIHEFUWUZHILIANGJIANGUAN,CUJINHELIYONGYAO,TIGAOYILIAOWEISHENGFUWUDEANQUANXINGHEYOUXIAOXING。SANSHIGUIFANKAIZHANXIANGCUNYISHENGKAOHE。KAOHEDEZHONGDIANSHIXIANGCUNYISHENGTIGONGDEJIBENYILIAOHEJIBENGONGGONGWEISHENGFUWUDESHULIANG、ZHILIANG、QUNZHONGMANYIDUYIJIXIANGCUNYISHENGXUEXIPEIXUNDENGQINGKUANG。
五、《实施意见》对乡村医生的教育培训有哪些要求?
JIAQIANGXIANGCUNYISHENGHOUBEILILIANGPEIYANG,JINYIBUTIGAOXIANGCUNYISHENGDEFUWUNENGLI,SHIDANGQIANJIAQIANGXIANGCUNYISHENGDUIWUJIANSHEDEPOQIEYAOQIU,YESHI《SHISHIYIJIAN》DEZHONGYAONEIRONG。ZAITIGAOXIANGCUNYISHENGFUWUNENGLIFANGMIAN,YAOQIUANZHAO《QUANGUOXIANGCUNYISHENGJIAOYUGUIHUA(2011-2020NIAN)》,YITUOXIANJIYILIAOWEISHENGJIGOUHUOYOUTIAOJIANDEZHONGXINXIANGZHENWEISHENGYUAN,DUIXIANGCUNYISHENGMEINIANMIANFEIPEIXUNBUSHAOYU2CI,LEIJIPEIXUNSHIJIANBUSHAOYU2ZHOU;MEI3-5NIANMIANFEIZUZHIXIANGCUNYISHENGDAOXIANJIYILIAOWEISHENGJIGOUHUOYOUTIAOJIANDEZHONGXINXIANGZHENWEISHENGYUANTUOCHANJINXIU,YUANZESHANGBUSHAOYU1GEYUE。WEIJINYIBUTIGAOJUYOUJIAOGAOSUZHIXIANGCUNYISHENGDEFUWUNENGLI,《SHISHIYIJIAN》ZHICHU,KEXUANPAIJUYOUZHIYE(ZHULI)YISHIZIGEDEYOUXIUXIANGCUNYISHENGDAOSHENG、SHIJIYIYUANJIESHOUMIANFEIPEIXUN。
ZAITIGAOXIANGCUNYISHENGXUELICENGCIFANGMIAN,GULIZAIGANGXIANGCUNYISHENGJINRUZHONG、GAODENGYIXUE(WEISHENG)YUANXIAO(HANZHONGYIYAOYUANXIAO)JIESHOUYIXUEXUELIJIAOYU,TIGAOZHENGTIXUELICENGCI。DUIYUANGUIDINGCANJIAXUELIJIAOYUBINGQUDEXIANGYINGXUELIDEXIANGCUNYISHENG,ZHENGFUDUIQIXUEFEIKEYUYISHIDANGBUZHU。
六、《实施意见》要求保障乡村医生的合理收入,具体有哪些举措?
XIANGCUNYISHENGDESHOURUSHUIPINGYAOZONGHEKAOLVXIANGCUNYISHENGDEGONGZUOQINGKUANG、FUWUNENGLIHEFUWUCHENGBEN,CAIQUGOUMAIFUWUDEFANGSHIYUYIBAOZHANG。SUIZHEJINGJISHEHUIDEFAZHAN,DONGTAIDIAOZHENGXIANGCUNYISHENGGEQUDAOBUZHUBIAOZHUN,ZHUBUTIGAOXIANGCUNYISHENGDEDAIYUSHUIPING。
《SHISHIYIJIAN》YAOQIUGEDIQIESHILUOSHIXIANGCUNYISHENGDUOQUDAOBUCHANGZHENGCE:
YISHIDUIYUXIANGCUNYISHENGTIGONGDEJIBENGONGGONGWEISHENGFUWU,TONGGUOZHENGFUGOUMAIFUWUDEFANGSHI,GENJUHEDINGDERENWULIANGHEKAOHEJIEGUO,JIANGXIANGYINGDEJIBENGONGGONGWEISHENGFUWUJINGFEIBOFUJIXIANGCUNYISHENG。ERSHIDUIYUXIANGCUNYISHENGTIGONGDEJIBENYILIAOFUWU,YAOTONGGUOSHELIYIBANZHENLIAOFEIDENGCUOSHI,YOUYIBAOJIJINHEGERENFENDAN。SANSHIDUIYUZAISHISHIJIBENYAOWUZHIDUDECUNWEISHENGSHIZHIYEDEXIANGCUNYISHENG,ZONGHEKAOLVJIBENYILIAOHEJIBENGONGGONGWEISHENGFUWUBUCHANGQINGKUANG,JIYUDINGEBUZHU。TONGGUOSHANGSHUQUDAO,XIANGCUNYISHENGJIANGTONGGUOYOUZHIFUWUHUODEGENGDUODEBUZHU,QIHELIDAIYUHUIJINYIBUDEDAOBAOZHANG。
七、《实施意见》对乡村医生的养老待遇有哪些要求?
SHANGSHIJILIU、QISHINIANDAIZAICUNWEISHENGSHICONGYEDEXIANGCUNYISHENGYIJINGBURULAONIAN,XIWANGNENGGOUTUOSHANJIEJUEHOUGUZHIYOU。GUOJIASHIFENGUANZHULAONIANXIANGCUNYISHENGDEYANGLAOHESHENGHUOBAOZHANGWENTI,《SHISHIYIJIAN》DUIXIANGCUNYISHENGDEYANGLAOZHENGCEJINXINGLEMINGQUEYAOQIU:
GEDIYAOZHICHIHEYINDAOFUHETIAOJIANDEXIANGCUNYISHENGANGUIDINGCANJIAZHIGONGJIBENYANGLAOBAOXIAN。BUSHUYUZHIGONGJIBENYANGLAOBAOXIANFUGAIFANWEIDEXIANGCUNYISHENG,KEZAIHUJIDICANJIACHENGXIANGJUMINJIBENYANGLAOBAOXIAN。《SHISHIYIJIAN》MINGQUE,DUIYUNIANMAN60ZHOUSUIDEXIANGCUNYISHENG,GEDIYAOJIEHESHIJI,CAIQUBUZHUDENGDUOZHONGXINGSHI,JINYIBUTIGAOXIANGCUNYISHENGYANGLAODAIYU。TONGSHI,JIANLIXIANGCUNYISHENGTUICHUJIZHI。
八、《实施意见》提出的各项政策措施如何才能得到有效落实?
电竞平台注册WEIQUEBAOGEXIANGZHENGCECUOSHILUOSHIDAOWEI,《SHISHIYIJIAN》DUIGEDIGEBUMENGUANCHELUOSHITICHULEMINGQUEDEGONGZUOYAOQIU:
YIYAOZHIDINGSHISHIFANGAN。GEDI、GEYOUGUANBUMENYAOJIANGJIAQIANGXIANGCUNYISHENGDUIWUJIANSHENARUSHENHUAYIYAOWEISHENGTIZHIGAIGEZHONGTONGCHOUKAOLV。GESHENG(QU、SHI)YAOZAI2015NIAN3YUEDIQIANZHIDINGCHUTAIJUTISHISHIFANGAN。ERSHILUOSHIZIJINTOURU。XIANJIRENMINZHENGFUYAOJIANGXIANGCUNYISHENGDUIWUJIANSHEXIANGGUANJINGFEINARUCAIZHENGYUSUAN。ZHONGYANGCAIZHENGHESHENGJIRENMINZHENGFUDUIXIANGCUNYISHENGDUIWUJIANSHEYUYIZHICHI,JINYIBUJIADADUIKUNNANDIQUDEBUZHULIDU。GEJICAIZHENGYAOJISHIZUEXIABOXIANGCUNYISHENGDUIWUJIANSHEXIANGGUANJINGFEI,QUEBAOZHUANKUANZHUANYONG,BUDEJIELIU、NUOYONG、JIZHAN。SANSHIKAIZHANDUDAOJIANCHA。GEDIYAOQIESHIWEIHUXIANGCUNYISHENGDEHEFAQUANYI,YANJINYIRENHEMINGYIXIANGXIANGCUNYISHENGSHOUQU、TANPAIGUOJIAGUIDINGZHIWAIDEFEIYONG。DUIZAINONGCUNYUFANGBAOJIAN、YILIAOFUWUHETUFASHIJIANYINGJICHULIGONGZUOZHONGZUOCHUTUCHUCHENGJIDEXIANGCUNYISHENG,KEANZHAOGUOJIAYOUGUANGUIDINGJIYUBIAOZHANG。《SHISHIYIJIAN》MINGQUEYAOQIU,GEDIHEGEYOUGUANBUMENYAOJIANLIDUCHAHETONGBAOJIZHI,QUEBAOXIANGCUNYISHENGXIANGGUANZHENGCEDEDAOLUOSHI。