Official Ladder [Grassroots Civil Servants]

Deputy Mayor Zhang Xuemei is in charge of culture, education and health, and she was present at the Standing Committee. It was not her turn to speak, but Wang Hongtao said, "Mayor Xuemei, this is your area of ​​responsibility. Let's talk about it."

"Okay, let me say a few words. I fully agree with the anti-corruption in the medical field. As the leader in charge, I want to review with the secretary. The usual supervision is too loose, too loose, and too soft. I will definitely strengthen it in the future." Correction. I am very sad that such a large area of ​​corruption has occurred, and I have thought about it seriously. I think it is necessary to consider improving the compensation mechanism and salary system of public hospitals, establish a protection mechanism that does not want to be corrupt, and improve the consciousness of resisting corruption and preventing change.

First of all, improve the compensation mechanism of public hospitals and restrain the motivation of hospitals to pursue profits.For a long time in the past, the income of public hospitals consisted of three parts: government financial subsidies, medical service income and drug addition income.After the secretary inspected the Ministry of Health in 2017, the country fully implemented the policy of zero markup on medicines and canceled the income from markups on medicines. The gap was resolved through financial subsidies, raising the price of medical services, and the hospital's own digestion. Since then, the hospital's compensation mechanism A fundamental change has taken place.Therefore, the profit motive of the hospital must be strong.It is necessary to establish a scientific, reasonable and sustainable compensation mechanism, especially to increase the level of financial subsidies, increase the proportion of financial subsidies in the total income of hospitals, and provide strong economic guarantees for public hospitals to suppress profit-seeking and return to public welfare.

Second, improve the salary system for medical staff and provide economic security that individuals do not want to be corrupt.The salary system has an important impact on the behavior of medical staff. At present, public hospitals implement a post performance salary system, which consists of four parts: post salary, salary scale salary, subsidy and performance salary.This kind of salary system avoids the "big pot meal" situation caused by only dividing salary standards according to ranks and cannot realize distribution according to work. The incentive effect is obvious. A small number of medical staff have various misconducts and even corruption.

The low level of remuneration is extremely inconsistent with the years of education, labor intensity, technical content and risk level of medical staff. The problem of pursuing gray income such as medicines, consumable rebates and red envelopes occurs from time to time.To reverse this situation, the current system must be reformed, and a salary system in line with the characteristics of the medical industry must be established.One is to improve the level of treatment, and reflect the gray income in the form of sunshine wages, so that the level of treatment can fully reflect the value of technical labor of medical personnel; second, it is necessary to realize equal pay for equal work for medical personnel inside and outside the establishment; third, on the basis of gradually increasing the level of treatment , Properly increase the proportion of fixed wages in salary, reduce the proportion of bonus income linked to personal business income, and restrain doctors' impulse to seek profits.Establish an economic security mechanism that does not want to be corrupt, so that medical staff are unwilling and do not need to seek gray income.

Finally, strengthen anti-corruption education and inspire self-discipline in anti-corruption.To improve moral restraint and stimulate inner anti-corruption self-discipline, on the one hand, it is necessary to strengthen medical ethics education, enhance the sense of mission and honor of medical staff, actively regulate their own behavior, and prevent and control the occurrence of corrupt behavior.On the other hand, it is necessary to strengthen anti-corruption education, integrate anti-corruption education into daily management, and run through the entire service process, so as to encourage medical staff to consciously abide by laws and regulations, and practice medicine honestly. "

Wang Hongtao said: "Mayor Xuemei's speech is very good. When it comes to the point, it's still the same sentence, high salary and honesty, especially in areas related to people's livelihood. Let's put it this way, the municipal government will take the lead, Mayor Xuemei will be responsible for it, and the Health and Health Commission will be responsible for it." Implement it, come up with a practical salary reform plan as soon as possible, and actually improve the treatment of employees in the medical industry. Don’t care about those rules and regulations, you must break the inherent thinking and communicate more with medical staff.”

Hu Hao said: "Okay, Secretary, after the meeting, the municipal government will start to implement it."

Chen Dong, secretary of the Commission for Discipline Inspection, said: "Let me say a few words. Regarding corruption in the medical field, I think it is particularly important to improve the supervision system for system implementation, improve system execution, and strengthen the deterrent force against corruption.

In anti-corruption in the medical field, only by emphasizing the rigidity of the implementation of the system and strictly implementing it in place without compromise can the role of the system be fully exerted and the anti-corruption effect achieved.However, the reality is often that, from the administrative management department to the affairs management agencies including medical insurance agencies and medical institutions, most of them pay more attention to system formulation than system implementation. The system is formulated, printed on paper, and pasted on paper. On the wall, it was even sent to the hands, but the implementation of the system was greatly reduced, resulting in the signs of corruption not being controlled in time, and eventually turned into real corruption.In this regard, it needs to be improved from the following three aspects.

First, to improve system execution, we must first have system awareness.All staff in the medical field must respect and fear the system, regard the system as a belief, and turn it into an inner consciousness.As the framers and executors of the system, leading cadres must firmly establish the ideology of 'everyone is equal before the system, and there are no exceptions to the system'. They must also implement system thinking in thinking and dealing with problems, take the lead in maintaining the authority of the system, and contribute to the efficiency of the system. Execution leads by example.

Second, strengthen institutional rigidity.Due to the imperfect system and mechanism, some long-standing phenomena in the medical field, such as accepting red envelopes, large prescriptions, excessive inspections, diagnosis and treatment without indications, benefit transfer under the guise of academic conferences, and asking for kickbacks, etc. The unspoken rules of the industry are not considered corrupt practices.But it is these "micro-corruption" behaviors that are considered to be unspoken rules, which have seriously damaged the image of the medical industry and eroded the sense of gain of the masses.Therefore, it is necessary to strengthen the rigidity of the system, insist on full coverage and zero tolerance, and fight these 'flies' and 'tigers' together.

Third, improve the supervision system for system implementation, combining daily supervision with special supervision, inspection supervision with self-supervision, and administrative supervision with social supervision.Anti-corruption is a war without gunpowder. It is a war that concerns the life and death of the party and the country. It requires the extensive participation of the whole society and is irreplaceable. Standardize the behavior of personnel, improve the corruption reporting system, expand the channels for reporting corruption clues, improve the timeliness of feedback on corruption reporting clues, and increase the enthusiasm of the masses to participate in corruption governance. "

Medical reform is a recent major event in Chang'an City. It can be said that the whole city is paying attention, eagerly waiting for September 9st. Of course, the Standing Committee members are also concerned about the special governance work in the medical field. They have thought deeply about this work. Many people's Statements are informative.

After listening to everyone's speeches, Wang Hongtao said: "I am very happy and satisfied with today's meeting, especially some of your opinions have inspired me deeply, and I hope you will continue to maintain this working attitude.

Next, I would like to talk about my opinions on how to deal with these people: Regarding the corruption cases of 64 hospital leaders, they should be investigated and dealt with with great fanfare, and the law should be enforced impartially.Promoting reforms with cases, focusing on the big and letting go of the small, keeping a close eye on the "key minority", striving to achieve the greatest deterrent effect, and effectively promoting the "killing viruses and bacteria" and "eliminating diseases and strengthening the body" of the medical system.In terms of effect, the leader will be dealt with faster!

Regarding the 1698 medical staff involved, I agree with everyone’s opinion that they will not be dismissed from public posts, but corresponding punishments must be given, otherwise they will be lucky and they will not be given enough warnings. Specifically, there are the Commission for Discipline Inspection and the health department. Take out the handling decision and publicize it within the industry as soon as possible.For these medical staff, it is necessary to establish a clean government file and follow up the management.If there is a recidivism, it will be dealt with at the top level, the punishment will be doubled, and it must be handed over to the judiciary.Adhere to the investigation of bribery and bribery at the same time, cut off the corruption chain of profit transmission, break the power-money transaction network, and maintain a clean and upright industry environment.

As for the 1.8 medical staff who voluntarily handed over their illegal income, the nature must be different, but this time the area is too large, so they will not be treated differently. They will conduct a unified warning talk and will not deal with it.The Commission for Discipline Inspection and the Bureau of Health and Health must educate them in batches, and they must be given enough attention. Not punishing them does not mean that they have not made mistakes, and they are also blacklisted. Talk about it!

There are many users of medical funds and medical insurance funds, the chain is long, and the diagnosis and treatment data are huge. The competent departments of the relevant industries manage each of them.

To cure chronic diseases requires the joint efforts of multiple parties. Health and health, market supervision, taxation, auditing, public security, finance and other departments must jointly enforce law enforcement inspections and extend them to the purchase and sale of medicines, the purchase and use of high-value consumables, equipment purchases, infrastructure construction, and industry associations. Focusing on six areas including new rural cooperative medical care and new rural cooperative medical care, we will carry out special campaigns against commercial bribery, strengthen the evaluation of medical ethics and medical ethics, and improve relevant rules and regulations.Establish mechanisms such as feedback and handover of problem clues, gather joint efforts, form a multi-department coordination and linkage pattern, and resolutely cut off the interest chain of "hunting" and willing to be "hunted". "

After Wang Hongtao finished his speech, the Standing Committee immediately unified its opinions, and the meeting unanimously passed the opinions on handling special medical treatment actions.

The secretary of the municipal party committee is the top leader. There is a joke: the top leader says one thing, the second one says two things, the third one makes irresponsible remarks, and the fourth one says yes. This shows the absolute authority given to the top leader by the system.Moreover, Wang Hongtao, who is also the deputy secretary of the provincial party committee, is a blow to the current Chang'an Standing Committee members, and it is destined that there will be no different voices.

Although there are some suspicions of bureaucracy and authoritarianism, this is what Wang Hongtao needs, because he has his own thinking on the development and positioning of Chang'an, and it is a correct thinking.The development of a place must allow everyone to be twisted into one rope, converge into one strength, combine into one force, and gather into one momentum. There is no time to engage in those messy intrigues, and now is a good time.