万博体育官方首页

《关于进一步深化公立医院薪酬制度改革的实施意见》政策解读

发布时间: 2018-04-04 10:53   来源:万博体育官方首页-信誉平台

  一、出台依据 

万博体育官方首页  ZI2012NIANYILAI,WOSHISHIZHONGJIANCHIWENTIDAOXIANG,SHI、XIAN、XIANG、CUNTONGCHOUTUIJINYIYAO、YIBAO、YILIAO“SANYILIANDONG”ZONGHEGAIGE,CHUBUJIANLIYIGONGYIXINGWEIDAOXIANGDEGONGLIYIYUANYUNXINGXINJIZHI,SHIXIANLEHUANZHE、YISHENG、YIYUAN、YIBAOJIJINDENGDUOFANGGONGYINGDECHENGXIAO。2018NIAN10YUE15—17RIZHONGGONGZHONGYANGZHENGZHIJUWEIYUAN、GUOWUYUANFUZONGLISUNCHUNLANLAIMINSHICHA,CHONGFENKENDINGLEWOSHIYIGAIDESHIFANZUOYONG,QIANGDIAOYAOSHENRUZONGJIETUIGUANGSANMINGYIGAIJINGYAN,BINGTICHUYAOLUOSHIXIJINPINGZONGSHUJI“LIANGGEYUNXU”DEYAOQIU,SHENHUAXINCHOUZHIDUGAIGE,TIXIANYOUJIYOUCHOU、TONGGONGTONGCHOU,JIANGUBUTONGXUEKEHEGANGWEI。GENJUGUOJIAYOUGUANBUWEI《GUANYUKAIZHANGONGLIYIYUANXINCHOUZHIDUGAIGESHIDIANGONGZUODEZHIDAOYIJIAN》HESHENGWEI、SHENGZHENGFUBANGONGTING《GUANYUSHENHUA“SANYILIANDONG”GAIGEDESHISHIYIJIAN》JISHIWEI、SHIZHENGFU《GUANYUJINYIBUSHENHUAYIYAOWEISHENGTIZHIGAIGEGONGZUODEYIJIAN》DENGWENJIANJINGSHEN,ZHIDINGCHUTAILEBENSHISHIYIJIAN。

  二、主要内容 

万博体育官方首页  BEN《SHISHIYIJIAN》BAOKUOYOUWUDABUFENDENEIRONG: YISHIZONGTIYAOQIU,ERSHISHISHIMUBIAO,SANSHIJIBENYUANZE,SISHIGONGZIZONGLIANGGOUCHENG、WUSHIZHUYAOCUOSHI。

  三、有关问题的说明 

  (YI)JUTIMUBIAO

万博体育官方首页  DAO2020NIAN,YIWURENYUANPINGJUNNIANXINDADAOSUOZAIDI(XIANJI)CHENGZHENZAIGANGZHIGONGPINGJUNGONGZIDE2.5BEIZUOYOU,QIZHONGYISHENG(JISHI、LINCHUANGYAOSHI)PINGJUNGONGZIDAGANGPINGGONGZIDE3BEIZUOYOU。

万博体育官方首页  (ER)GONGZIZONGLIANGHEGONGZIZONGEDEGUANXI

  1.YIYUANDANGNIANDUKEFAFANGDEGONGZIZONGLIANGGENJUNIANDUKAOHEJIEGUOMEINIANYUYIHEDING,GONGZIZONGLIANGYOUYIYUANDANGNIANDUGONGZIZONGE、C-DRGJIXIAOKAOHEJIANGLIZIJIN、MANXINGBINGYITIHUAGUANLIJIXIAOKAOHEJIANGLIJINHEJIATINGYISHENGQIANYUEFUWUSHOURUZHEISIBUFENGOUCHENG。JIGONGZIZONGLIANG=GONGZIZONGE+C-DRGJIXIAOKAOHEJIANGLIZIJIN+MANXINGBINGYITIHUAGUANLIJIXIAOKAOHEJIANGLIJIN+JIATINGYISHENGQIANYUEFUWUSHOURU。

万博体育官方首页  2.GONGZIZONGE,ZESHIYOUBAOLIUJISHUGONGZI、JISUANGONGZIZONGEYIWUXINGSHOURUHEYIBAOJIJINBAOGANJIEYUZIJINGOUCHENG。JIGONGZIZONGE=BAOLIUJISHUGONGZI+JISUANGONGZIZONGEYIWUXINGSHOURU×DIAOJIEXISHU×YUANZHANGKAOHEZUIZHONGDEFEN÷100+YIBAOJIJINBAOGANJIEYUZIJIN。QIZHONG:

  (1)JISUANGONGZIZONGEYIWUXINGSHOURU: ZHIZHENCHA、HULI、SHOUSHU、ZHILIAO、YAOSHIFUWUFEI、ZHONGYIBIANZHENGSHIZHIFEISHOURUZHIHE,JIYIYAOZONGSHOURUKOUCHUYAOPINHAOCAISHOURU、JIANCHAHUAYANSHOURU、CHUANGWEISHOURUHEBUJIFEIHAOCAIZHICHU。ANJIBINGZHENDUANXIANGGUANFENZU(C-DRG)SHOUFUFEIGAIGEXIANGMUJIEYUBUFENNARUYIYUANYILIAOFUWUXINGSHOURU。

万博体育官方首页  (2)DIAOJIEXISHU: SHIYUYIYUANYILIAOFUWUXINGSHOURUZHANBIXIANGGUAGOUDEYIGEXISHU,ZHIZAIYONGYUDIAOZHENG“JISUANGONGZIZONGEYIWUXINGSHOURU”。WANBOTIYUGUANFANGSHOUYESHEDINGYIYUANYILIAOFUWUXINGSHOURUZHANYIYAOZONGSHOURUDEMUBIAOZHIWEI50%,SHEDINGGAIXISHUMUDEZAIYUTUIDONGYIYUANSHOURUJIEGOUDEBUDUANYOUHUA。JUTIJISUANBANFAWEI: DIAOJIEXISHU=50%/[(YILIAOFUWUXINGSHOURU+JIATINGYISHENGQIANYUEFUWUSHOURU+YIBAOJIJINBAOGANJIEYUZIJIN+C-DRGJIXIAOJIANGLIJIN+MANXINGBINGYITIHUAGUANLIJIXIAOKAOHEJIANGLIJIN)/YIYAOZONGSHOURU×100%](YIWUXINGSHOURUDIAOJIEXISHU≥1,XIAOYU1SHIAN1JISUAN)。

  (SAN)GONGFENDEZUCHENGJIRUHEHUANSUANWEIXINCHOU

  1.GONGFENYOUJICHUGONGFEN、GONGZUOLIANGGONGFEN、JIANGCHENGGONGFENSANBUFENGOUCHENG。QIZHONG:

  (1)JICHUGONGFEN: JIEHEZHIWU、ZHICHENG、GONGLINGDENGYINSUSHEDING,BUCHAOGUOGONGFENZONGE30%。

  (2)GONGZUOLIANGGONGFEN: YIMEN(JI)ZHENRENCISHU、CHUYUANRENCISHU、JIBINGZHENDUANXIANGGUANFENZU(C-DRG)、ZHINENGBUMENHEGANGWEIZHIZEYAOQIU,JISUANGEKESHI、GEBUMENBUTONGDANYUANDEGONGFENSHULIANG;GEKESHI、GEBUMENFUZENEIBUGONGFENJISUAN,JIGENJUJUTIDEGONGZUOXIANGMUZAIXIHUAJISUANDAOBANZU、GEREN,WANCHENGKESHI、BUMENDEERCIFENPEI。

  (3)JIANGCHENGGONGFEN: BAOHANYILIAOZHILIANG、BANGFUJICENG、JIUYUANRENWU、HUANZHEMANYIDU、YILIAOSHIGU、YAOZHANBI、MEIMEN(JI)ZHENHEZHUYUANCIJUNFEIYONG、YILIAOJIUFENDENGXIANGMU。

  2.GONGFENZHI=HEDINGGONGZIZONGLIANG÷QUANYUANZONGGONGFENSHU(HUOGETUANDUIGONGFENZHI=GETUANDUIGONGZIZONGLIANGFENPEIE÷TUANDUIZONGGONGFENSHU)。

万博体育官方首页  3.GERENSHIJINIANXIN=GONGFENSHU×GONGFENZHI。

  (SI)DUIXIANGONGZIZONGLIANGSHIYAOZUNSHOUSHENMEYUANZE

  1.YANGEGUIFANGONGZIZONGLIANGFENPEIJIEGOU。YISHENG、HULIHEXINGZHENGHOUQINGUANLITUANDUIYUANZESHANGFENBIEZHANGONGZIZONGLIANGDE50%、40%、10%,BINGBAWOHAOYISHENG、HUSHIHEXINGZHENGHOUQINRENYUANDEZUIGAONIANXINBILI(HUSHIYINGZAIYISHENGDE70%YINEI,XINGZHENGHOUQINRENYUANYINGZAIYISHENGDE50%YINEI)。YUANZESHANGYIWURENYUANGERENZUIGAONIANXINBUDETUPOGUIDINGMUBIAONIANXINDE1BEI(BAOHANYUANZHANGJIANGLIJIJINBUFEN)。

万博体育官方首页  2.WANSHANXINCHOUFENPEIGONGKAIZHIDU。GEJIYIYUANZAIFAFANGSHANGYINIANDUNIANXINHOU,BIXUJIANGQUANYUANRENYUANDENIANXINFAFANGJIEGUOYIZHENGSHIWENJIANXIAFADAOGEKESHI、GEBUMEN,TONGSHIZAIYUANNEIJUYUWANG、YUANWUGONGKAILANDENGGONGKAI,BINGZAI10GEGONGZUORINEISHANGBAOSHIYIGAILINGDAOXIAOZU。

  3.YIYUANYINGJIAQIANGQUANMIANYUSUANGUANLIHEQUANCHENGBENHESUAN,JIANGDIYUNXINGCHENGBEN,TIGAOYUNXINGXIAOYI。HEDINGGONGZIZONGLIANGWEIYIYUANRENYUANZHICHU(FUHEGUIDINGDEDANXIANGJIANGLICHUWAI)DEZUIGAOSHANGXIAN,JIBUDETUPO,YEBUDEKUISUNDUIXIAN。

  4.YIYUANDANGNIANJIEYUZIJINAN90%、5%、5%BILIFENBIETIQUSHIYEFAZHANJIJIN、ZHIGONGFULIJIJIN、YUANZHANGJIANGLIJIJIN,JIJINSHIYONGANXIANGGUANGUIDINGZHIXING。

  YUANWENWANGZHI:

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