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年底公立医院取消编制,近千万医护人员会怎么样?

2020-08-11 公开课小编 好医生头条

2020年事业单位改革正在全速推进,此次事业单位改革,人们最为关心的莫过于“事业单位取消编制”的消息

2020年事业单位改革正在全速推进,此次事业单位改革,人们最为关心的莫过于“事业单位取消编制”的消息,毕竟“编制”对于职工来说真的是太过于重要了,没有编制的事业单位就相当于失去了“铁饭碗”。随着事业单位改革的深化,明年起近千万人或将被取消事业编制!

2020 年是事业单位改革的最后一年。

国家已明确:今后高校和公立医院将取消事业编制,但保留事业单位的性质,实行全员合同聘用制。

有数据表明,目前中国公立医院在编人员有800多万,高校在编教职工有233万余人,总计约1000万人。取消事业编制,也意味着逐步缩小编外人员与编内人员的待遇差别。

一、改革后三大变化

固定用人向合同用人转变

“十三五”期间,国家将完善聘用制度,加强聘用合同管理,建立符合不同行业、专业和岗位特点的公开招聘制度,实现固定用人向合同用人转变。

身份管理向岗位管理转变

健全岗位管理制度,研究制定不同类型事业单位岗位结构比例和最高等级的调整办法,开展事业单位专业技术岗位组织实施工作,完成事业单位管理岗位职员等级晋升制度推行工作,实现身份管理向岗位管理转变。

定期调整基本工资标准

“十三五”期间,国家将落实机关事业单位工作人员基本工资标准正常调整机制,定期调整基本工资标准,逐步提高基本工资占工资收入的比重。同时,国家将推进事业单位实施绩效工资。

二、取消编制,动了谁的“奶酪”?

事实上,取消事业单位人事编制制度是大势所趋。这种以“身份”区分待遇的制度,束缚人员流动、抑制竞争、制造不公,既不符合市场经济体制要求,也和社会主义核心价值观及现代化国家治理理念格格不入。但编制的保留还是取舍,对普通人的影响或是最大的。

等自己干不动时,没了编制,保障从哪里来?编制保留了,自己还有一个进入体系的机会,编制取消了,这个机会也就失去了。而如何建立了一套规范的养老金缴纳和发放制度,使养老金精算平衡和可持续成为可能,至关重要!

三、取消事业编制后的医疗卫生行业

事业单位改革势在必行,顺应时代改革潮流是我们生存的法则。真正的“铁饭碗”,不应该是别人给你饭吃,而是你自己能给自己饭吃。
有部分人认为,医疗和教育最不适合私有化,私有化效率高的前提是其市场属性,而市场属性的核心是价格与使用价值的均衡,医疗和教育,如何通过价格博弈?有事业编制,对医疗和教育从业人员还有些吸引力,轻易不肯离开原单位,但现在,这个编制没了,必然促进人员流动,而流动的趋势以经济为动力,然后按照经济标准提供服务。

也有人认为,取消编制走向全员合同制后,医生就能够自由流动起来,就会倒逼行政级别淡化,管办分开自然形成。从某种意义上来说,管办分开不是改革手段,而是自发形成的改革结果。取消编制或许才是改革手段。

尽管自由执业尚未实现,但只要医生可以流动起来,对分级诊疗也许会有良好的促进作用。分级诊疗的本质是形成分工协作的医疗服务体系,而非划分医疗机构的行政级别。也有部分医生担心取消编制后会影响医生的收入水平。事实是,公立医院医生整体上的收入存在的主要问题:一是收入分配不规范、不透明,二是医生内部收入分配结构不合理。需要通过优化内部分配结构,推动医生群体收入的规范化和透明化。

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    2020-08-12 1240394fm61暂无昵称

    已读

    0

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    2020-08-11 ms4000001210580956

    我们医院已经很久没有编制一说了

    0

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    2020-08-11 ms5000000568257380

    会实施吗?!

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=1660718, encodeId=57ce1660e1849, content=<a href='/topic/show?id=d312380152c' target=_blank style='color:#2F92EE;'>#取消编制#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=89, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=38015, encryptionId=d312380152c, topicName=取消编制)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=9b3825134807, createdName=lilili1112, createdTime=Fri Jul 16 21:19:33 CST 2021, time=2021-07-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1278613, encodeId=166b12e861392, content=<a href='/topic/show?id=d80c343e4fd' target=_blank style='color:#2F92EE;'>#医护人员#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=85, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=34374, encryptionId=d80c343e4fd, topicName=医护人员)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f34c147, createdName=ay2000fy, createdTime=Thu Aug 13 09:19:33 CST 2020, time=2020-08-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=807622, encodeId=e12c80e622d2, content=已读, beContent=null, objectType=article, channel=null, level=null, likeNumber=120, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4b972455532, createdName=1240394fm61暂无昵称, createdTime=Wed Aug 12 09:05:58 CST 2020, time=2020-08-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=807541, encodeId=e1a480e54109, content=我们医院已经很久没有编制一说了, beContent=null, objectType=article, channel=null, level=null, likeNumber=132, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200811/1c64cd7582e447248602e3abc97adaa0/69308d20621c4f2ea919cb71cfa9d419.jpg, createdBy=84d55409423, createdName=ms4000001210580956, createdTime=Tue Aug 11 20:53:47 CST 2020, time=2020-08-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=807529, encodeId=706d80e52939, content=会实施吗?!, beContent=null, objectType=article, channel=null, level=null, likeNumber=130, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e4aa1553611, createdName=ms5000000568257380, createdTime=Tue Aug 11 19:23:20 CST 2020, time=2020-08-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=807518, encodeId=aece80e5185d, content=谢谢, beContent=null, objectType=article, channel=null, level=null, likeNumber=128, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200807/386c9473e2f8416994ecd304498508c3/4e42c95ba2404ac4bad380a4d36007ed.jpg, createdBy=5f8c5409505, createdName=ms3000001774039970, createdTime=Tue Aug 11 18:33:00 CST 2020, time=2020-08-11, status=1, ipAttribution=)]
    2020-08-11 ms3000001774039970

    谢谢

    0

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