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医务人员工资由财政全部拨款?这个政协委员的建议太给力了!

2018-03-14 淅水 三甲传真

“两会”召开前,在媒体组织的一次“建言医改”活动中,北京政协委员、北京中医药大学第三附属医院院长王成祥建议:把独立非盈利的卫生行业单位从差额拨款事业单位变成全额拨款的事业单位。

“两会”召开前,在媒体组织的一次“建言医改”活动中,北京政协委员、北京中医药大学第三附属医院院长王成祥建议:把独立非盈利的卫生行业单位从差额拨款事业单位变成全额拨款的事业单位。

王成祥委员的建议让人眼前一亮。理由有三:

第一:这是实实在在给医护人员涨薪,是一项几乎惠及所有医务人员的建议。众所周知,公立医院目前是差额事业单位,医务人员的收入大都由工资和绩效奖金组成。由于是差额事业单位,对医务人员的工资,财政只拨款一部分。而一旦变为全额事业单位,就意味着医务人员的工资是财政全额拨款的,这样的建议对医务人员来说毫无疑问是一项普惠政策。

第二:从当前公立医院薪酬改革的路径看,医务人员的涨薪途径主要针对绩效奖金的收入进行改革。就是努力把药品、耗材虚高的价格降下来,把畸低的医疗技术价格调上去,通过这样的一降一升来进行薪酬改革。客观说,这样的做法出自福建三明。但放眼全国,各地探索试点了好几年,至今进展缓慢。倒不是说这样的办法不行,而是医改是一套组合拳,许多措施是需要同步的,如今其他各项改革举措都已经全面推开甚至有的已经到了巩固成果阶段,唯独医务人员的薪酬改革还在试点摸索。一场医务人员没有获得感、不能充分调动起医务人员积极性的改革,还能走多远?所以,从这个方面讲,把公立医院由差额拨款事业单位变为全额拨款事业单位,为医务人员薪酬改革再增添一条路径,不仅是政府办医应尽的责任,也是保障医改持续走向深入的重要推动力。

第三:随着医改的推进,互联网医疗、医生集团、高端民营医疗......体制外的医疗市场得到很大发展,也吸引越来越多公立医院的骨干医生走出体制。在这种情况下,公立医院靠什么留住医生?既然是改革,就当打破各种利益羁绊,需要什么政策就出台什么政策,什么政策需要修订就修订什么政策。毕竟,在我们这样一个具有鲜明特色的人口大国,国民的健康保障,根本还是要靠公立医院。

这样的建议对医务人员来说是一件好事,但实行起来仍有许多问题亟待解决,不论最终建议是否被采纳,我们都希望医务人员的利益可以得到切实的保障与提高。

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    2018-03-16 nxd6666

    鼎力支持

    0

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    2018-03-16 txqjm

    谢谢了.学习

    0

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style='color:#2F92EE;'>#医务人员#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=33949, encryptionId=b7853394932, topicName=医务人员)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3bfe313, createdName=charleshjw, createdTime=Thu Mar 15 16:08:00 CST 2018, time=2018-03-15, status=1, ipAttribution=)]
    2018-03-15 ann y

    这个政协委员的建议太给力了

    0

  4. 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status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=296576, encodeId=b52e2965e6ac, content=这个政协委员的建议太给力了, beContent=null, objectType=article, channel=null, level=null, likeNumber=84, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRrYOibkVibW9vAkCfb2F55aHjqMoqUVaF9fuXIMCxexawSOsicpbF7Ria7o54zPK65PodlkwhPrNhLhS/0, createdBy=12f71314239, createdName=ann y, createdTime=Thu Mar 15 23:14:20 CST 2018, time=2018-03-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=296575, encodeId=df3b2965e540, content=这个政协委员的建议太给力了, beContent=null, objectType=article, channel=null, level=null, likeNumber=48, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRrYOibkVibW9vAkCfb2F55aHjqMoqUVaF9fuXIMCxexawSOsicpbF7Ria7o54zPK65PodlkwhPrNhLhS/0, createdBy=12f71314239, createdName=ann y, createdTime=Thu Mar 15 23:13:52 CST 2018, time=2018-03-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=296574, encodeId=3e412965e40a, content=这个政协委员的建议太给力了 , beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRrYOibkVibW9vAkCfb2F55aHjqMoqUVaF9fuXIMCxexawSOsicpbF7Ria7o54zPK65PodlkwhPrNhLhS/0, createdBy=12f71314239, createdName=ann y, createdTime=Thu Mar 15 23:13:44 CST 2018, time=2018-03-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=296573, encodeId=9dd82965e34a, content=这个政协委员的建议太给力了, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRrYOibkVibW9vAkCfb2F55aHjqMoqUVaF9fuXIMCxexawSOsicpbF7Ria7o54zPK65PodlkwhPrNhLhS/0, createdBy=12f71314239, createdName=ann y, createdTime=Thu Mar 15 23:12:40 CST 2018, time=2018-03-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1627073, encodeId=5370162e073b6, content=<a href='/topic/show?id=c9f65e45389' target=_blank style='color:#2F92EE;'>#政协委员#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=57453, encryptionId=c9f65e45389, topicName=政协委员)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=bdbf21082352, createdName=dingxiaobo, createdTime=Thu Mar 15 16:08:00 CST 2018, time=2018-03-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1303287, encodeId=9d88130328edd, content=<a href='/topic/show?id=b7853394932' target=_blank style='color:#2F92EE;'>#医务人员#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=33949, encryptionId=b7853394932, topicName=医务人员)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3bfe313, createdName=charleshjw, createdTime=Thu Mar 15 16:08:00 CST 2018, time=2018-03-15, status=1, ipAttribution=)]
    2018-03-15 ann y

    这个政协委员的建议太给力了

    0

  5. 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status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=296576, encodeId=b52e2965e6ac, content=这个政协委员的建议太给力了, beContent=null, objectType=article, channel=null, level=null, likeNumber=84, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRrYOibkVibW9vAkCfb2F55aHjqMoqUVaF9fuXIMCxexawSOsicpbF7Ria7o54zPK65PodlkwhPrNhLhS/0, createdBy=12f71314239, createdName=ann y, createdTime=Thu Mar 15 23:14:20 CST 2018, time=2018-03-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=296575, encodeId=df3b2965e540, content=这个政协委员的建议太给力了, beContent=null, objectType=article, channel=null, level=null, likeNumber=48, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRrYOibkVibW9vAkCfb2F55aHjqMoqUVaF9fuXIMCxexawSOsicpbF7Ria7o54zPK65PodlkwhPrNhLhS/0, 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createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRrYOibkVibW9vAkCfb2F55aHjqMoqUVaF9fuXIMCxexawSOsicpbF7Ria7o54zPK65PodlkwhPrNhLhS/0, createdBy=12f71314239, createdName=ann y, createdTime=Thu Mar 15 23:12:40 CST 2018, time=2018-03-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1627073, encodeId=5370162e073b6, content=<a href='/topic/show?id=c9f65e45389' target=_blank style='color:#2F92EE;'>#政协委员#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=57453, encryptionId=c9f65e45389, topicName=政协委员)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=bdbf21082352, createdName=dingxiaobo, createdTime=Thu Mar 15 16:08:00 CST 2018, time=2018-03-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1303287, encodeId=9d88130328edd, content=<a href='/topic/show?id=b7853394932' target=_blank style='color:#2F92EE;'>#医务人员#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=33949, encryptionId=b7853394932, topicName=医务人员)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3bfe313, createdName=charleshjw, createdTime=Thu Mar 15 16:08:00 CST 2018, time=2018-03-15, status=1, ipAttribution=)]
    2018-03-15 ann y

    这个政协委员的建议太给力了

    0

  6. 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status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=296576, encodeId=b52e2965e6ac, content=这个政协委员的建议太给力了, beContent=null, objectType=article, channel=null, level=null, likeNumber=84, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRrYOibkVibW9vAkCfb2F55aHjqMoqUVaF9fuXIMCxexawSOsicpbF7Ria7o54zPK65PodlkwhPrNhLhS/0, createdBy=12f71314239, createdName=ann y, createdTime=Thu Mar 15 23:14:20 CST 2018, time=2018-03-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=296575, encodeId=df3b2965e540, content=这个政协委员的建议太给力了, beContent=null, objectType=article, channel=null, level=null, likeNumber=48, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRrYOibkVibW9vAkCfb2F55aHjqMoqUVaF9fuXIMCxexawSOsicpbF7Ria7o54zPK65PodlkwhPrNhLhS/0, 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createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRrYOibkVibW9vAkCfb2F55aHjqMoqUVaF9fuXIMCxexawSOsicpbF7Ria7o54zPK65PodlkwhPrNhLhS/0, createdBy=12f71314239, createdName=ann y, createdTime=Thu Mar 15 23:12:40 CST 2018, time=2018-03-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1627073, encodeId=5370162e073b6, content=<a href='/topic/show?id=c9f65e45389' target=_blank style='color:#2F92EE;'>#政协委员#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=57453, encryptionId=c9f65e45389, topicName=政协委员)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=bdbf21082352, createdName=dingxiaobo, createdTime=Thu Mar 15 16:08:00 CST 2018, time=2018-03-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1303287, encodeId=9d88130328edd, content=<a href='/topic/show?id=b7853394932' target=_blank style='color:#2F92EE;'>#医务人员#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=33949, encryptionId=b7853394932, topicName=医务人员)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3bfe313, createdName=charleshjw, createdTime=Thu Mar 15 16:08:00 CST 2018, time=2018-03-15, status=1, ipAttribution=)]
    2018-03-15 ann y

    这个政协委员的建议太给力了

    0

  7. 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content=这个政协委员的建议太给力了, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRrYOibkVibW9vAkCfb2F55aHjqMoqUVaF9fuXIMCxexawSOsicpbF7Ria7o54zPK65PodlkwhPrNhLhS/0, createdBy=12f71314239, createdName=ann y, createdTime=Thu Mar 15 23:14:39 CST 2018, time=2018-03-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=296577, encodeId=a8342965e79a, content=这个政协委员的建议太给力了, beContent=null, objectType=article, channel=null, level=null, likeNumber=96, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRrYOibkVibW9vAkCfb2F55aHjqMoqUVaF9fuXIMCxexawSOsicpbF7Ria7o54zPK65PodlkwhPrNhLhS/0, createdBy=12f71314239, createdName=ann y, createdTime=Thu Mar 15 23:14:28 CST 2018, time=2018-03-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=296576, encodeId=b52e2965e6ac, content=这个政协委员的建议太给力了, beContent=null, objectType=article, channel=null, level=null, likeNumber=84, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRrYOibkVibW9vAkCfb2F55aHjqMoqUVaF9fuXIMCxexawSOsicpbF7Ria7o54zPK65PodlkwhPrNhLhS/0, createdBy=12f71314239, createdName=ann y, createdTime=Thu Mar 15 23:14:20 CST 2018, time=2018-03-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=296575, encodeId=df3b2965e540, content=这个政协委员的建议太给力了, beContent=null, objectType=article, channel=null, level=null, likeNumber=48, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRrYOibkVibW9vAkCfb2F55aHjqMoqUVaF9fuXIMCxexawSOsicpbF7Ria7o54zPK65PodlkwhPrNhLhS/0, createdBy=12f71314239, createdName=ann y, createdTime=Thu Mar 15 23:13:52 CST 2018, time=2018-03-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=296574, encodeId=3e412965e40a, content=这个政协委员的建议太给力了 , beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRrYOibkVibW9vAkCfb2F55aHjqMoqUVaF9fuXIMCxexawSOsicpbF7Ria7o54zPK65PodlkwhPrNhLhS/0, createdBy=12f71314239, createdName=ann y, createdTime=Thu Mar 15 23:13:44 CST 2018, time=2018-03-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=296573, encodeId=9dd82965e34a, content=这个政协委员的建议太给力了, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRrYOibkVibW9vAkCfb2F55aHjqMoqUVaF9fuXIMCxexawSOsicpbF7Ria7o54zPK65PodlkwhPrNhLhS/0, createdBy=12f71314239, createdName=ann y, createdTime=Thu Mar 15 23:12:40 CST 2018, time=2018-03-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1627073, encodeId=5370162e073b6, content=<a href='/topic/show?id=c9f65e45389' target=_blank style='color:#2F92EE;'>#政协委员#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=57453, encryptionId=c9f65e45389, topicName=政协委员)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=bdbf21082352, createdName=dingxiaobo, createdTime=Thu Mar 15 16:08:00 CST 2018, time=2018-03-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1303287, encodeId=9d88130328edd, content=<a href='/topic/show?id=b7853394932' target=_blank style='color:#2F92EE;'>#医务人员#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=33949, encryptionId=b7853394932, topicName=医务人员)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3bfe313, createdName=charleshjw, createdTime=Thu Mar 15 16:08:00 CST 2018, time=2018-03-15, status=1, ipAttribution=)]
    2018-03-15 ann y

    这个政协委员的建议太给力了

    0

  8. 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status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=296576, encodeId=b52e2965e6ac, content=这个政协委员的建议太给力了, beContent=null, objectType=article, channel=null, level=null, likeNumber=84, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRrYOibkVibW9vAkCfb2F55aHjqMoqUVaF9fuXIMCxexawSOsicpbF7Ria7o54zPK65PodlkwhPrNhLhS/0, createdBy=12f71314239, createdName=ann y, createdTime=Thu Mar 15 23:14:20 CST 2018, time=2018-03-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=296575, encodeId=df3b2965e540, content=这个政协委员的建议太给力了, beContent=null, objectType=article, channel=null, level=null, likeNumber=48, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRrYOibkVibW9vAkCfb2F55aHjqMoqUVaF9fuXIMCxexawSOsicpbF7Ria7o54zPK65PodlkwhPrNhLhS/0, 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createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRrYOibkVibW9vAkCfb2F55aHjqMoqUVaF9fuXIMCxexawSOsicpbF7Ria7o54zPK65PodlkwhPrNhLhS/0, createdBy=12f71314239, createdName=ann y, createdTime=Thu Mar 15 23:12:40 CST 2018, time=2018-03-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1627073, encodeId=5370162e073b6, content=<a href='/topic/show?id=c9f65e45389' target=_blank style='color:#2F92EE;'>#政协委员#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=57453, encryptionId=c9f65e45389, topicName=政协委员)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=bdbf21082352, createdName=dingxiaobo, createdTime=Thu Mar 15 16:08:00 CST 2018, time=2018-03-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1303287, encodeId=9d88130328edd, content=<a href='/topic/show?id=b7853394932' target=_blank style='color:#2F92EE;'>#医务人员#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=33949, encryptionId=b7853394932, topicName=医务人员)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3bfe313, createdName=charleshjw, createdTime=Thu Mar 15 16:08:00 CST 2018, time=2018-03-15, status=1, ipAttribution=)]
    2018-03-15 ann y

    这个政协委员的建议太给力了

    0

  9. 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  10. 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