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多地卫生部门拖欠村医补贴 考核机制被质疑不公--亲稳网络舆情监测室
2013-01-17

  据中国之声《新闻晚高峰》报道,近日,中国之声连续报道了黑龙江省桦川县村医连续三年拿不到补贴款。节目播出后,引起黑龙江省卫生厅的高度重视。昨天,有桦川县的部分村医反映,已经拿到了1万多元的补贴款。

According to the sound of China[News late peak]reports,recently,The sound of China continuous reported heilongjiang birch river county village doctor get BuTieKuan for three years.After the broadcast,Cause the attention of the health department of heilongjiang province.yesterday,A constituent part of sichuan county reflects the village doctor,Have got 10000 multivariate BuTieKuan.

  然而,报道播出后,中国之声也不断接到多地村医的电话,反映他们多年来从未拿到过任何补贴款。经记者初步调查了解,黑龙江、吉林、河南、陕西等多个省份都有这样的现象。到底有多少村医,至今还拿不到应得的补贴款?

however,After the broadcast reports,The sound of China also constantly received more village doctor telephone,They reflect the years have never get any BuTieKuan.The reporter a preliminary investigation to understand,heilongjiang/jilin/henan/Shaanxi and other provinces have such phenomenon.How many village doctor,Still can't get BuTieKuan deserve?

  见到哈尔滨的村医吴柯(化名)时,她刚刚从镇卫生院回来领了一笔补贴款回来,在租用的卫生室里,吴柯拿起计算器,和同为村医的丈夫,盘算她2012年以来所领到的补贴款。

See Harbin WuKe village doctor(alias)when,She has just come back from the township health centers bring a pen BuTieKuan back,In the rented in the clinic,WuKe took the calculator,And for the village doctor with her husband,She done since 2012 to have the BuTieKuan.

  30396元,这就是吴柯和丈夫两个人,在2012年的全部收入。吴柯说,据她所了解,她的情况已经算相当不错了。虽然老跟镇卫生院干仗,但好歹还拿到一些补贴款。与吴柯执业的村子,相隔170公里之外,同属黑龙江省的绥化市村医,就不像吴柯那么幸运了。他说,这三四年以来,从来没领到过一分钱。

30396 yuan,This is WuKe and her husband two people,All the income in 2012.WuKe said,According to her know,Her condition has been fairly good.Although the old and involved in township health centers,But somehow also get some BuTieKuan.And WuKe practice village,170 kilometers apart,Belong to the heilongjiang province suihua village doctor,You don't look like WuKe so lucky.He said,This three or four years,Never receive a penny.

  绥化村医:9类11大项咱都做了,从历史到现在,没拿过乡村医生补助。

SuiHua village doctor:9 class 11 categories I do,From history to now,Didn't take a rural doctor subsidies.

  而陕西的一名村医问记者,公共卫生服务,这不是份内的事儿嘛,还有钱拿吗?

Shaanxi province and a village doctor asked the reporters,The public health service,This is not part of the business well,And money??

  陕西村医:我们现在主要拿的就是国家现在消除药品零差价的钱,其他像公共卫生服务,还有慢性病,随访什么,包括注射预防的钱,我们都不知道。

Shaanxi village doctor:Now we mainly take is country now eliminate drugs zero spread of money,Like other public health service,And chronic disease,What follow-up,Including injection prevention of money,We all don't know.

  根据《国务院办公厅关于进一步加强乡村医生队伍建设的指导意见》,对乡村医生提供的基本公共卫生服务,县级卫生行政部门根据村医的实际工作量,将相应比例的国家基本公共卫生服务经费拨付给乡村医生;对乡村医生提供的基本医疗服务,主要由个人和新农合基金进行支付;根据乡村医生提供服务的数量和质量,对乡村医生进行多渠道补偿,补助水平与对当地村干部的补助水平相衔接。村医们不知道自己该拿多少钱,只是直观感觉,自己付出的劳动与得到的报酬,不成正比:

According to the[The general office of the state council on further strengthening the construction of the contingent of rural doctors guidance],Rural doctors to provide basic public health services,The health administrative department at or above the county level according to the actual workload village doctor,Will the corresponding percentage of national basic public health services for rural doctors allocated funds;Rural doctors to provide basic medical services,Mainly by individuals and new farming pay close fund;According to the rural doctors the quantity and quality of service,For rural doctors in multi-channel compensation,Subsidies on the local level and the level of village cadres subsidies connected.The village doctor don't know if I should get much money,Just intuitive feel,Pay out your labor and get reward,Not in proportion:

  绥化村医:公共卫生像建档案咱都建了,妇幼保健,像公共卫生这块都干了嘛,档案全是今年才给,原来不是说按人头给5块吗?结果整完了,一个人就是给了2000块钱,也不是按人头给的。

SuiHua village doctor:Public health as built files I have built,Maternity and child care,Like public health this dry well,Files are all this year just to,The original is not to say that on a per head for five bucks?Results the whole finished,A person is to 2000 dollars,Not according to the head to.

  那么,村医们完成了相关的公共卫生服务,为何拿不到补贴款?根据《卫生部办公厅关于推进乡村卫生服务一体化管理的意见》,乡镇卫生院在县级卫生行政部门的统一组织下,做好对村卫生室的考核工作。对乡镇卫生院和村卫生室的考核结果作为补助经费的发放依据。而一些村医认为,这样的机制,是有问题的:

so,The village doctor completed the relevant public health service,Why can't get BuTieKuan?According to the[General office of the ministry of health on promoting the rural health service integration management opinion],Township health center at or above the county level in the administrative department of public health under the unified organization,Do the assessment work of the village clinic.In township health center and the village clinic evaluation results as subsidies based on the issue.Some village doctor think,Such a mechanism,Is a problem:

  村医:他们既是裁判员还是运动员,这些公共卫生的工作,他们布置给我们,村医负担了大部分的公共卫生工作,25块钱一个人的公共卫生经费,卫生院占60%,村医占40%,然后补助款还必须经过他们手发给我们,钱在他们手里过,再没人监管,那他要不截流点那他能得劲吗?

Village doctor:They are both referees or athletes,The public health work,They decorate give us,Village doctor burden most of the public health work,$25 a person's public health funds,Health center accounted for 60%,Village doctor accounted for 40%,Then grant must also send us through their hands,The money in their hands over,And no one supervision,He don't intercept point that he can feel well?

  也有村医表示,由乡镇卫生院考核村医的工作,这没问题:

Also have village doctor said,The township health center assessment work of the village doctor,That's not a problem:

  村医:比如说村里是做这个健康档案吧,要做生化功能的检查,要做心电图这方面的检查,在村卫生室是没有办法完成的,只有到上面去。我们做的这一块应该是没有金钱上的关系的,至于说公共卫生钱的比例是不是合乎国家规定的,那我就不清楚了。

Village doctor:Such as the village is to do the health file it,To do the biochemical function of the inspection,To do ecg this check,In the village clinic there is no way to finish,Only to the top.We do this one should be no financial relationship,As for public health is the proportion of money according to the provisions of the state,That I was not clear about.

  但部分村医说,这样考核能否做到公平公正,不知道。因为,公平不公平,县里也不给村医发补贴款:

But some of the village doctor said,This assessment of whether you can do it a fair and just,Don't know.because,Fair unfair,County not to send BuTieKuan village doctor:

  村医:我们这块拨付的公共卫生经费从来没有下到卫生所,所以说考核也不存在着公不公平的问题,因为公不公平也不给你钱。(记者 肖源)

Village doctor:We the appropriate public health funds never down to the health center,So assessment also does not have the male unfair problem,Because the male unfair also not give you the money.(Reporter XiaoYuan)


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