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Township health centers are grassroots public welfare medical and health institutions, which belong to a class of public welfare institutions. It is not like hospitals above the county level, which has a strong business nature, so even if the next step of reform requires hospitals to be separated from the system, the health of townships and towns should not be affected, and the identity of the system can be firmly guaranteed.
Public institutions are now signed every five years, but as long as you don't make any big mistakes, you will basically keep renewing the visa for life. Township health centers have advantages, generally speaking, it is relatively relaxed, there are more staff, some are temporary workers and some are regular workers, but the medical conditions may be relatively backward, and serious conditions need to be sent to higher-level hospitals, so there are usually some minor diseases.
Most of the township health centers are specialized positions, due to the difficult conditions, the facilities are not as good as the superior hospitals, so the promotion will be more relaxed, it is easier to improve the title, in addition to the service function there are other functions such as epidemic prevention, the public welfare function is very prominent, although the public institution will be reformed, but the township health center will not be affected, has been defined as a fully funded institution.
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I think we can insist that if the consumption in the township is low, the income is relatively low, and there is also an establishment and security. Can be persistent.
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In terms of preparation, the "Notice of the Ministry of Health and the Ministry of Finance on Printing and Distributing the Guiding Opinions on the Establishment Standards of Township Health Centers" clearly defines that township health centers are grassroots public welfare medical and health institutions and belong to a class of public welfare institutions.
In fact, the staffing of township health centers is approved according to the proportion of the population served1, which is subject to the actual situation of each province and city. In addition, the staffing of township health centers should be based on the principle of one specialty and multiple abilities.
According to the actual situation, a part of the total establishment shall be reserved for the allocation of medical and health professionals urgently needed in rural areas. The logistical service work of township health centers should be gradually socialized.
Unlike hospitals above the county level, township health centers have a strong business nature, so even if the next step of reform requires hospitals to be separated from the system, township health should not be affected, and the identity of the system can be firmly guaranteed.
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Within the establishment can be adhered to, close to home. Able to take care of parents without affecting work. And the township consumption is not so high, the environment is good, in fact, the happiness index is very high!
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The establishment of township health centers may have an annual income of about 7 to 80,000 yuan, and I think we can still stick to it.
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Almost all the doctors in the township health centers are village doctors, and for the village doctors, they are close to home, they are still compiling, and the income of 70,000 or 80,000 yuan is also quite considerable. It seems convenient for ordinary people to have a little illness, and they don't have to go to a county far away without having a minor illness.
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I will insist, first of all, the income is already very good for the township.
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If the workplace is close to home, it is worth considering. Because there is a compilation, it is still good. And it's also more convenient to commute to work. Everyone's career selection criteria are different.
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I think that in a township health center, the annual income of 70,000 or 80,000 yuan should be able to meet the needs of a person. But if you get married and have children, I don't think the money is much. If both husband and wife earn this much, it's okay.
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I think we can persevere, first of all, this income is much better than that of most workers, and secondly, it is stable, insured, and of course, if you have the strength and confidence, you can choose a better way of employment.
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The salary of a doctor in a township health center is about 2,000 to 3,000 yuan per month.
The income of doctors in China is mainly made up of salaries and bonuses. The salary is based on the establishment of the career, which is related to the length of service and educational background, including the post salary, salary scale salary and some subsidies. In the overall income of doctors, the salary part accounts for about 1 4.
The bonus is brought by the performance of the department and is related to the efficiency of the department itself. In addition, some senior doctors can sit outside the hospital and earn non-salary income.
There are problems in township health centers:
1. The infrastructure construction and equipment level of township health centers are not optimistic. Although the construction of township health center projects has been vigorously carried out, the infrastructure and appearance of some township health centers have undergone great changes.
However, due to the lack of long-term investment, most of the health centers have limited self-development capabilities, and they do not have the ability to carry out equipment renewal and housing renovation, and only rely on project funds to build houses and cannot afford to buy equipment, and some counties (Pinling City) district-level matching funds have not yet been in place. Township and township health centers still have dilapidated buildings, most of them still lack equipment, and the task of completely changing the appearance and backward equipment of township health centers is still very arduous.
2. Survive in the cracks: the technical equipment is not as good as the superior --- hospitals above the county level, and the flexibility is not as good as the village clinic, such as **, credit, familiarity, etc.
3. The mechanism is not alive and the management is not good. Some health centers are still bent and blindly follow the employment mechanism and distribution methods of the planned economy period, and the enthusiasm and subjective initiative of the staff are not fully utilized. Some county-level health administrative departments have neglected to guide the operation and management of township health centers, which has affected the construction and development of township health centers to a certain extent.
There is a surplus of personnel, and there is too much shortage of those who are really capable.
4. The management of the personnel, operations, and funds of the township health centers is not thorough, and the measures of financial subsidy policies and solving the expenses of retirees are not effective enough, and the enthusiasm is not high.
In some counties (cities) and districts, the rural medical and health budgets for township and town health centers have declined instead of increasing, and there is still a serious shortage of public health funds for disease control, health supervision, maternal and child health care, and health education, which are financially guaranteed. Financial investment, the standards are different from place to place, there is no penny of appropriation here, it is said that it is assigned to the county management, it is not as good as the original township management, get around, it can be said that the health center is a unit that no one manages.
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