中新网2月20日电 据国家发展和改革委员会网站今日消息，国家发展和改革委员会副主任、国务院医改领导小组办公室主任孙志刚强调，回归和维护医疗卫生机构公益性是医改的基本方向，应当讲，基层医疗卫生机构回归公益性与吃“大锅饭”之间没有必然因果关系。

February and, according to the national development and reform commission website news today,The national development and reform commission deputy director/Cure of the state council leading group office director SunZhiGang stressed,Regression and maintenance of medical and health institution reform, public welfare is the basic direction,Shall speak,Basic medical and health institutions and public welfare and return to eat"mess"Don't necessarily causal relationship.

　　国务院办公厅日前印发了《关于巩固完善基本药物制度和基层运行新机制的意见》。孙志刚就此答记者问时指出，三年多来基层医改的实践证明，只要综合改革落实到位，公益性与积极性、公平和效率并不冲突，可以相辅相成。

Issued by the general office of the state council before the[About consolidating perfect system for basic drugs and the opinions of the basic operation mechanism].This SunZhiGang reporters pointed out,More than three years at the grass-roots level to the practice of medical proof,As long as the comprehensive reform put in place,Public welfare and enthusiasm/Fairness and efficiency are not in conflict,Can supplement each other.

　　但孙志刚也指出，在新旧机制转换期间，如果只是简单地给予补助，而人事分配、考核监督机制等改革不到位，就有可能出现大锅饭，挫伤医务人员积极性。

But SunZhiGang also pointed out,In the old and new mechanism during the transformation,If simply give subsidies,And personnel distribution/Assessment supervision mechanism reform does not reach the designated position,Appear likely mess,Contusion medical staff enthusiasm.

　　孙志刚提到，为进一步调动基层医疗卫生机构医务人员积极性，将重点采取以下措施：

SunZhiGang mentioned,In order to further mobilize grassroots medical and health institutions and medical staff enthusiasm,The focus will be on to take the following measures:

　　一是深化编制和人事改革。核心是做好两方面的改革，一方面要明确基层医疗卫生机构法人主体地位，落实用人自主权。再就是要全面推行聘用制度和岗位管理制度，实行定编定岗不固定人员，变固定用人为合同用人，变身份管理为岗位管理。需要强调的是，文件专门提出实行“定编定岗不固定人员”，鼓励各地建立起能上能下、能进能出的竞争性用人机制。

One is to deepen the reform of the compilation and personnel.The core is to do a good job in two aspects of reform,On the one hand to clear basic medical and health institution legal person subject status,The implementation of autonomy.And to the full implementation of the employment system and post management system,The personnel allocation determine posts not permanent staff,Change the fixed for the contract,Variable identity management for post management.Need to be emphasized,In the file is put forward"Personnel allocation determine posts not permanent staff",Encourage all can build on/Can enter to the competitive employment mechanism.

　　二是加强对基层医疗卫生机构及其负责人的考核。创新考核制度，在保证基层机构坚持公益性方向的同时，又能高效运转。依托信息化手段，强化对基层机构的量化和效果考核，将考核结果向社会公开。同时，基层机构负责人一律采取公开选拔、择优聘任，实行任期目标责任制。主管部门对负责人进行考核，考核结果与其收入和任免挂钩。严禁将负责人的收入与基层机构的经济收入挂钩。

The second is to strengthen the basic medical and health institutions and their evaluation.Innovation appraisal system,In the guarantee basic institutions adhere to the direction of public welfare at the same time,And efficient operation.Relying on the information means,To strengthen the basic mechanism of quantitative evaluation and effect,The assessment results to the public.At the same time,The basic institutions shall take public selection/Preferred employment,The term target responsibility system.The competent department for examination,The assessment results and its income and the appointment and removal of the hook.It is strictly prohibited to will of the person in charge of the income and grassroots agencies economic income hook.

　　三是提高基层医疗卫生机构人员待遇。明确提出了基层机构在核定的收支结余中可按照规定提取职工福利基金、奖励基金。各地要从实际出发，在平稳实施绩效工资的基础上，结合医务人员工作特点，适当提高奖励性绩效工资比例，合理拉开收入差距，体现多劳多得、优绩优酬。这里明确“结合医务人员工作特点”，就是鼓励各地采取更为灵活的分配方式，调动医务人员特别是骨干人员积极性。

Three is to improve the basic medical and health institutions staff treatment.Put forward the basic mechanism within the approved your balance in accordance with the relevant provisions in the extraction worker welfare funds/Award fund.The various localities should proceed from reality,In the smooth implementation of the performance salary basis,Combined with the medical staff working characteristics,An appropriate increase in JiangLiXing performance wage scale,Reasonable open the income gap,Reflect more pay for more work/Optimal performance for optimal.This clear"Combined with the medical staff working characteristics",Is to encourage all take more agile distribution mode,Mobilize medical staff especially backbone personnel enthusiasm.

　　同时也提出，严禁将医务人员收入与药品和医学检查收入挂钩。文件还提出，对在基层机构工作的对口支援医务人员，地方政府给予周转房等生活保障，在职称晋升、社会荣誉等方面予以倾斜；对到艰苦边远地区基层机构服务的医务人员，按规定落实津补贴政策。对在农村地区长期从医、贡献突出的医务人员按国家规定给予奖励。

At the same time also put forward,It is strictly prohibited to the medical staff income and drugs and medical examination income hook.File also puts forward,In the basic mechanism of the work of medical personnel support,The local government to give life to ensure ZhouZhuanFang, etc,In the title promotion/Social honor, etc to tilt;To hard to remote areas grassroots service of medical staff,According to the provisions of tianjin subsidies policy implementation.In the rural areas working for a long time/Contribution outstanding medical personnel according to the provisions of the state to give reward.

　　总之，深化人事分配制度改革，是巩固完善基层医改的重点，也是难点。希望各地按照中央提出的方向和原则，充分发挥基层首创精神，创造积累有益经验。

In a word,Deepening the reform of personnel distribution system,Is the focus of the reform, consolidate the perfect base,Is also difficult.Hope all the central proposed in accordance with the direction and principles,Give full play to the initiative at the grass-roots level,Create useful experience accumulation.