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                    關于印發《廣東省基層衛生人才隊伍建設三年行動計劃(2018-2020年)》的通知


                    發布時間:2018-05-14 10:57 訪問:


                    粵衛〔2018〕69號

                    各地級以上市人民政府、各縣(市、區)人民政府:
                        為進一步提升基層醫療衛生服務能力,有效解決我省醫療衛生人才不平衡、不充分的問題,省衛生計生委、省教育廳、省人力資源社會保障廳、省編辦共同制定了《廣東省基層衛生人才隊伍建設三年行動計劃(2018—2020年)》,經省人民政府同意,現印發給你們,請認真貫徹實施。

                     
                           廣東省衛生計生委            廣東省教育廳     
                       廣東省人力資源社會保障廳  廣東省機構編制委員會辦公室
                                                  2018年5月14日   
                     

                    廣東省基層衛生人才隊伍建設三年行動計劃
                    (2018-2020年)
                     
                        為深入貫徹落實習近平新時代中國特色社會主義思想和黨的十九大精神,全面建立優質高效的醫療衛生服務體系,提升基層醫療衛生服務能力,有效解決我省醫療衛生人才不平衡、不充分的問題,經省人民政府同意,制定本行動計劃。
                        一、工作目標
                        著力解決基層醫療衛生機構人才數量不足、結構不合理、服務能力不強、縣域內住院率偏低等問題,全面加強基層衛生人才隊伍建設。到2020年,每千常住人口基層衛生人員數達到3.5以上,每萬居民擁有3名以上全科醫生,鄉鎮衛生院和社區衛生服務中心全科醫生數不低于其醫師總數20%,縣域內住院率達到90%左右,基層衛生人才規模、結構和能力與我省人民群眾健康服務需求相適應。
                        二、主要任務
                       (一)實施基層人才專項公開招聘計劃。2018年至2020年由省人力資源社會保障廳、省衛生計生委每年聯合組織開展專項公開招聘,為基層醫療衛生機構招聘1萬名醫、藥、護、技類專業技術人員。專項公開招聘按照貼近基層實際、貼近工作實踐的要求,合理設置招聘條件,優化招聘方式,創新管理模式,引導人才向基層流動,要確保47家升級建設中心衛生院開業時達到縣級醫院人員配置標準。
                       (二)加快全科醫生培養。2018年至2020年,在粵東西北全科醫生培訓15240名計劃基礎上,增加5000名面向二級以上醫院專科醫師(含退休)全科醫生轉崗(崗位)培訓計劃。擴大全省全科住院醫師規范化培訓招生,鼓勵各地面向基層醫療衛生機構組織開展全科醫生學歷提升教育。
                       (三)完善全科醫生特設崗位激勵機制。提升全科醫生特設崗位引領作用,從2018年起,對粵東西北地區已設置的2780個全科醫生特設崗位采取公開選聘和上級醫療機構下派相結合的方式聘用,省財政按照初級職稱6萬元/年/人、中級職稱10萬元/年/人、副高級職稱15萬元/年/人、正高級職稱20萬元/年/人標準安排補助資金,粵東西北各市可在省級全科醫生特設崗位基礎上,根據自身需求和實際增設基層醫療衛生機構全科醫生特設崗位,所需資金由當地財政安排。
                       (四)擴大訂單定向醫學生本地化招生培養數量。從2019年起,訂單定向醫學生招生規模由每年1000名擴大至每年1400名。訂單定向醫學生培養任務計劃主要招錄戶籍為粵東西北地區的本科、專科醫學生。從2019級起,對畢業后返回到粵東西北地區基層醫療衛生機構工作的訂單定向醫學生,在有空編時優先入編。訂單定向醫學生在校期間免交學雜費,并享受一定的生活補助費。
                       (五)實施千名高校畢業生下基層計劃。開展上崗退補大學學雜費工作,2018年至2020年招聘1000名醫療衛生專業本科學歷(學位)畢業生直接到粵東西北地區鄉鎮衛生院工作,每人每學年退費標準8000元,聘用后分4年逐年退補學雜費。所聘用人員可先上崗入編,再規范化培訓,并按照相關要求在基層醫療衛生機構服務不少于5年。
                       (六)實施百名首席專家下基層計劃。根據基層實際需要,2018年為47家升級建設的中心衛生院選聘100名二級以上醫院具有高級職稱且符合崗位條件的退休醫生,擔任首席專家在基層全職工作,作為基層醫療衛生機構專科團隊的領頭人,指導提升醫務人員在常見病、多發病的診療,預防保健、康復與慢性病管理、專科疾病危重情況應急處理等方面的能力水平。省財政給予20萬元/年/人的補助,每三年簽訂一次服務協議。
                       (七)實施衛生人才智力幫扶基層計劃。對基層醫療衛生機構實施智力幫扶,提升受援醫療衛生機構的服務能力和管理水平。根據基層醫療衛生機構需求,每年由各地級市在縣級以上醫療衛生機構中選派中級以上職稱衛生技術人員到轄區內鄉鎮衛生院(社區衛生服務中心)掛職副院長(副主任),選派一定比例的初級職稱衛生專業技術人員到鄉鎮衛生院(社區衛生服務中心)相應崗位工作1年。選派人員的工作時間計入晉升職稱要求的基層工作時間。鼓勵醫聯體內上級機構衛生技術人員到下級基層醫療衛生機構兼職,由兼職的衛生機構給予適當的工作補助。
                       (八)推進人才統招統管統用工作。各地要全面推進基層衛生人才統招統管統用工作,結合基層醫療衛生機構人才需求,統一由縣級醫療衛生機構引進本科及以上學歷的醫療衛生人才,所需編制、經費由縣級編制、財政部門按相關規定解決,人員入編后派往所在縣的鄉鎮衛生院(社區衛生服務中心)工作,服務滿5年后,根據本人意愿可選擇返回到其編制所在的縣級醫療衛生機構工作。
                       (九)穩步提升基層醫務人員薪酬水平。各地在按照國家統一規定實施崗位績效工資制度的前提下,對基層醫療衛生機構允許突破公益一類事業單位績效工資調控水平,按公益二類事業單位核定績效工資總量;允許根據所在縣(市、區)政府對其績效考核結果適當調整績效工資總量;允許按規定提取上年度收支結余部分用于發放獎勵性績效工資;允許結合實際需要,在獎勵性績效工資中設立加班補助、值班補助等子項目;允許在核定的總量內自主確定內部績效分配辦法,自主確定基礎性與獎勵性績效工資比例;允許對符合規定的高層次人才或單位急需緊缺人才單列申報績效工資,并積極探索實施年薪制、協議工資、項目工資等市場化薪酬分配方式。到2020年基層醫療衛生機構醫務人員薪酬水平力爭達到縣級綜合醫院同等條件醫務人員薪酬水平。
                       (十)拓展基層醫務人員職業發展前景。對于全科、兒科、婦產科、精神科、影像科等基層緊缺專業人才,完成相關專業住院醫師規范化培訓、取得中級職稱后在粵東西北地區基層連續工作滿10年的,年度考核及聘期考核均為合格及以上等次,可由省基層衛生高級專業技術資格評審委員會直接認定為基層副高級職稱。對在粵東西北地區工作成績突出的醫療衛生領域博士和博士后,可不受年限資歷限制,直接申報衛生正高級職稱。對長期扎根基層、作出突出貢獻的醫務人員,在各種表彰獎勵評選中給予傾斜,鼓勵各地按照有關規定開展基層醫務人員表彰獎勵工作,提升基層醫務人員職業榮譽感和社會地位。
                        三、組織保障
                       (一)切實加強組織領導。各地要把基層衛生人才隊伍建設工作納入本地區人才工作總體規劃統一部署實施,并作為人才工作考核的重要內容。各級相關部門要加強溝通、密切協作,精心組織,狠抓落實。
                       (二)加大投入保障力度。堅持人才投入優先保障,完善政府、用人單位共同參與的保障機制。將基層衛生人才隊伍建設經費納入各級政府財政預算。優化財政支出結構,提高資金使用效益。
                       (三)加強督導檢查評估。各地每年要對本地區基層醫療衛生機構落實人才隊伍建設情況進行評估,并報省衛生計生委備案。省衛生計生委不定期開展專項督導,對行動計劃實施進度慢、補助資金使用存在問題的地區和單位給予通報批評,并按規定追究有關人員責任。
                       (四)加強宣傳引導工作。加強政策解讀和宣傳引導工作,使基層單位和人才充分了解各項基層衛生人才政策措施。充分運用各類新聞媒體廣泛宣傳,激勵引導廣大基層專業技術人才立足崗位、扎根基層、務實奉獻。
                     



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