0percent of village medical subsidies in Yunnan

 0percent of village medical subsidies in Yunnan

The government released the allocation of rural doctors subsidies; some counties and urban areas did not receive subsidies, and the relevant departments said they were coordinating.

In a recent circular issued by the general office of the Yunnan provincial government, the allocation rate of rural doctors subsidy funds in many counties and cities is 0.00% or less than 50%. In this regard, some counties and urban areas said that there was a mistake in reporting statistics, and some counties and urban areas also said that they were in financial tension.

Beijing News: the general office of Yunnan Provincial Peoples government recently released the circular on the allocation of subsidies to rural doctors. According to the report, as of October 30, some prefectures and cities in Yunnan Province had not allocated the relevant subsidies to rural doctors in full and on time. Among them, the fund subsidy allocation rate of Luliang County, Shizong County and other parts of Qujing City is 0.00%.

In response, some county and district departments replied that there was a mistake in reporting statistics, and the local government had actually completed the allocation work. Some say they are coordinating with the financial sector because of local financial constraints.

0.00% in multiple regions

According to the report, 13 counties in Guandu District, Shilin County, Qujing Fuyuan County, Shizong County, Luoping County, Yuxi Yimen County, Baoshan Longyang District, Longling County, Honghe Yuanyang County, Dehong Mangshi City, Nujiang Lanping County, Diqing Weixi County, Linxiang District, Lincang City, allocated less than 50% of the basic public health service subsidies in the first half of 2019 The grant rate of Shizong County in Qujing City is 0.00%.

In the first half of 2019, the allocation of basic drug subsidy funds includes Fumin County, Shilin County, Weixin County, Zhaotong City, Malong District, Luliang County, Shizong County, Luoping County, Yimen County, Yimen County, Gejiu City, Honghe Prefecture, and Funing County, Wenshan Prefecture. The allocation rate of 10 counties and cities is less than 50%. The appropriation rate of Fumin County, Weixin County, Luliang County and Shizong County is 0.00%.

According to the report, in July 2019, according to the requirements of the national health and Health Commission and the provincial peoples government, the provincial health and Health Commission sent a letter to the peoples governments of each state and city to carry out self-examination and self correction on the implementation of the treatment of rural doctors. However, as of October 30, some states and cities still failed to allocate the relevant subsidies to rural doctors in full in time. In order to ensure the stability of the rural doctors, the relevant information shall be informed with the consent of the provincial peoples government.

According to the report, the peoples governments of the above-mentioned States and cities should attach great importance to the rectification and ensure the timely and full payment of rural doctors subsidies. The rectification shall be reported to the provincial peoples Government before December 10, 2019. In addition, the peoples governments of each state and city should further improve their awareness, implement their responsibilities, comprehensively sort out the problems in implementing the treatment of rural doctors, and ensure that all policies are implemented in place.

Funds not appropriated or data incorrect or in coordination

The staff of the basic health and Health Department of Kunming health and Health Committee said that after verification, there was a gap between the reported data and the actual situation. Because the provincial unit verified the data with the local department before the statistical release, the basic health and Health Department of Kunming health and Health Committee has recently submitted the explanation. Among them, in terms of basic public health service subsidies, the allocation rate of Guandu District in Kunming is 70%, and the funds of Shilin County have been fully allocated. As for the basic drug subsidy, as of August 30, the subsidy allocation rate of Fumin County was 67%. As of August 16, all the subsidies in Shilin County have been allocated to township hospitals, and the funding plan has been reported to the county financial department, which is expected to be distributed to rural doctors in the near future.

Weixin County Health Bureau replied to reporters that at present, the allocation rate of two funds in the county is 80%.

In addition, the office staff of Luliang County Health Bureau of Qujing City did not reply to relevant questions. The Information Office of Luliang county government said it was checking the situation of the circular and was not convenient to disclose information.

The head of the office of Shizong County Health Bureau of Qujing City said that due to financial constraints, the relevant subsidy funds have not yet been distributed. At the same time, it is mentioned that the fund is allocated by the county financial department to the Health Bureau, and then distributed to the rural doctors. At present, the subsidy has been recorded in the county financial department, and the health bureau is coordinating the fund allocation, but the specific time is uncertain. The person in charge said that the outstanding payments in 2018 and 2019 were being coordinated at the same time. As for the reason, the other side did not respond to the reporters inquiry.

Follow up

Subsidy is the main income of rural doctors

According to several first-line rural doctors, the main income of rural doctors includes basic monthly salary and subsidy funds. The subsidy includes the subsidy for basic public health services and the subsidy for basic drugs. The above two funds respectively correspond to the main work of rural doctors - public health services and medical care. Because some health centers in some areas do not have medical services, some rural doctors have only one subsidy for basic public health services.

Basic public health service refers to the quarterly inspection of patients with chronic diseases such as hypertension and diabetes, physical examination for the elderly and vaccination for children. The calculation of basic drug subsidy is based on the number of people served, the radius, the number of outpatients and the number of basic drugs.

According to doctors, wages are paid monthly and subsidies are paid quarterly. But last year, subsidies were not paid in two successive installments until the end of the year. This year, some subsidies are not in place.

In the report, the allocation rate of basic public health subsidies in Fuyuan County was 43.69%. A rural doctor working in Fuyuan County told reporters that up to now, only 600 yuan of salary has been received per month, while the basic public health service subsidy and drug subsidy in 2019 have not yet been received.

Talk about

Rural doctors: the lack of subsidies has an impact on life

Li Ping (pseudonym), a village doctor working in Qujing District, is mainly responsible for the basic health services in the community. There are three village doctors in the health center, who mainly check the villagers suffering from chronic diseases such as hypertension and diabetes once a quarter, as well as the physical examination for the elderly and vaccination for children every year. Subsidies shall be provided according to different standards for each work.

For example, the examination and management of hypertension patients is 20 yuan per person every time, once a quarter. If there are 10 people coming for examination in this quarter, the subsidy in this quarter is 200 yuan. If there is no relevant workload, the subsidy will not be available.

Because Li Pings community health center does not have medical services, there is no allocation of basic drug subsidies.

Li Ping told reporters that for rural doctors, the number of patients managed and served each quarter determines the annual income. Although the number of villagers in his area is more than 1000, about 100 people come for chronic disease examination every quarter.

For example, chronic diseases mainly focus on prevention, and the state also advocates basic health services in this area, but many villagers dont understand it. Some people think that they can test it by buying an electronic blood pressure meter, and its unnecessary to check it in the village health center. Because the villagers do not understand the basic health services, it increases the work pressure of rural doctors. Many times, the village doctors need to enter the house to check the chronic diseases for the villagers. The common situation is that no one can be found at home during the day, so the village doctors have to check at night and work overtime outside the duty time.

Li Ping, who previously worked in a local public hospital, decided two years ago to work as a village doctor in a nearby community, considering the need to take care of his children. But now, the lack of subsidies has put a lot of pressure on her life. In addition to the daily expenses, Li Ping also needs to pay for medical insurance, endowment insurance and other security expenses. The reporter interviewed a rural doctor in Fuyuan County, Qujing City, who also faced the same problem. He said that many village doctors, including himself, would work part-time in addition to their own jobs. As far as he is concerned, he will better protect his life by selling medicine and selling agricultural products.

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