First, we should link up with the linkage reform of medical care, medical insurance and medicine, implement the requirements of "two permits", implement the distribution policy oriented to increasing knowledge value, strengthen the public welfare attribute of public hospitals, reasonably determine the salary level of public hospitals, and improve the decision mechanism of salary level of public hospitals.

The second is to fully implement the autonomy of hospital internal distribution.

The third is to gradually establish a salary system with job responsibilities as the main embodiment, and implement responsibility-linked, salary-linked, responsibility-linked and cash assessment.

Fourth, reasonably determine the internal salary structure, pay attention to the stable income and effective incentives of medical staff, and further play the guarantee function of the salary system.

Fifth, establish and improve the salary incentive and restraint mechanism for the heads of public hospitals, and encourage the implementation of the annual salary system for the main heads.

Sixth, improve the public welfare-oriented assessment and evaluation mechanism, and the assessment results are linked to the total wages of public hospitals.

Seventh, it is proposed to broaden the funding channels for deepening the reform of salary system, deepen the linkage reform of "three doctors", and gradually increase the proportion of medical services such as diagnosis and treatment, Chinese medicine, nursing and surgery in medical income. On the premise of ensuring the balance of payments, reasonably determine the proportion of personnel expenditure in the business expenditure of public hospitals. Public hospitals can allocate medical insurance balance retention funds according to the assessment results, which are mainly used for performance appraisal of relevant personnel.

legal ground

The Guiding Opinions on Deepening the Reform of Salary System in Public Hospitals stipulates that since 20 17, the relevant state departments have started the pilot reform of salary system in public hospitals, and actively explored the aspects of optimizing salary structure, reasonably determining salary level, improving assessment mechanism and implementing independent distribution rights. "The relevant departments of the state have drafted the Guiding Opinions on Deepening the Reform of Salary System in Public Hospitals, which was deliberated and adopted at the the State Council executive meeting in June and will be officially issued soon.