The Internet passed on Tuesday (December 26), Sichuan Sichuan (December 26), "Medical staff sitting on the window sill and asking for salary and rights to protect rights and protection in a jumper" attracted attention.
The Suining City Health and Health Commission reported the situation on the same day to confirm that the place of incident was the local Zhenjiang Temple community health service center, but the saying that "salary asked" and other claims were not true.objection".
But netizens did not buy the Health Commission's statement.The video showed that a number of medical staff climbed to the window of the hospital building that day. The police evacuated the crowd downstairs and set up a warning line. The firefighters also arranged a life -saving air cushion.Some netizens teased this, not sitting by the window for salary, is it rubbing the glass?Or behavior art?
China Public Hospital opened the tide of salary at the end of the year
Before a suspected medical staff incident occurred in Suining, there have been many hospitals in China that have recently occurred in hospitals and set off public opinions on the Internet.
On November 1st this year, Hunan Yiyang Kangya Hospital, China Third -level Comprehensive Hospital was arrears and applied to more than 700 employees.Many medical staff issued a document at the time: "Unilaterally lifted the contract by the hospital, and was forced to unemployment overnight."
Hunan Kangya Hospital revealed the news of arrears, two days later, the employees of the Ruzhou Maternal and Child Health Hospital of Henan Province raised a banner at the door of the hospital on November 3, and held the videos of the horn and shouted "Life cannot be maintained" on the Internet.
Relevant staff of Ruzhou Maternal and Child Health Hospital said that the hospital has owed wages for more than a year, and medical insurance and provident funds have not been paid.
Relevant staff of the local Health and Health Commission answered the media's question of "the cause of wage arrears" and said, "No money." When asked, "How to solve the doctor's demand?" The other party replied: "I don't know."/P>
After two weeks after the incident of salary and rights protection of Ruzhou Maternal and Child Health Hospital, Shandong Yantai Lung Department Hospital was arrears of employees for six months on the 23rd of the same month, and the spiritual civilization award and assessment award of the past few years were not paid, resultingEmployees "have no guarantee for basic life."
The Health and Health Bureau of Zhizheng District, Yantai City confirmed the news, and said that the hospital currently coordinated funds and strive to pay early payments.
The Hospital of Jingchuan County, Pingliang City, Gansu Province, also revealed the wages of arrears of employees on the 15th of this month. The performance has not been paid for 15 months and is still continuing.The salary of Xinyuan), the basic life cannot be guaranteed.
The Office of Xichuan County Party Committee subsequently responded to the explanation that due to the insufficient financial subsidy, it is helpless, and it is now gradually replenishing the arrears of performance.
The survival status of China's second -level public hospital
Chinese public hospitals are usually divided into primary, second, and third levels according to hospital functions, facilities, and technical power. Among them, the third -level hospital -level level is the highest, secondary secondary;The hospital level is the highest.
The aforementioned hospitals that have arrears in arrears, except for Hunan Yiyang Kangya Hospital, the remaining three belong to the secondary hospital.
Data show that the losses of secondary hospitals in China have deteriorated significantly after the outbreak of the epidemic.
The Notification of the National Monitoring and Analysis of the National Monitoring and Analysis of the National Secondary Public Hospital announced by the General Office of the National Health and Health Commission in April this year shows that 43.87%of the second -level public hospitals have suffered losses.A year is basically equivalent.The losses in 2019 before the epidemic were only 24.59%.
The hospital's income was sharply reduced due to the impact of the epidemic. It was worse that local finances had also had difficulties during this period, resulting in fiscal support for secondary hospitals that rely on differential appropriations, and the situation was more difficult.The above -mentioned three second -level hospitals involved in arrears are typical examples.
According to the final account report of Yantai Lung Department in 2020, the hospital was affected by the crown disease epidemic, and the hospitalization and treatment were completely stopped.List of income decline ".
Yantai Lung Department Hospital's business income in 2020 was 19.72 million yuan, a decrease of 6.18 million yuan from the previous year.In the following two years, the income of the hospital's business was 18.47 million yuan and 21.1 million yuan, all lower than the income level before the epidemic.
At the same time, the fiscal appropriation income of Yantai Lung Department has also been cut off nearly half, from 14.03 million in 2020 to 7.4793 million yuan in 2022, and fiscal appropriation revenue has dropped from 41.57%to 25.23%.
Liu Guochao, Deputy Secretary of the Ruzhou Municipal Party Committee of Henan and Zheng Huayong, deputy mayor Zheng Huayong, responded to the wages of the local maternal and child health hospital in a program last month.The influence, the hospital's business dropped sharply, and the income decreased sharply, resulting in an ease.
Ruzhou Maternal and Child Health Hospital pointed out in the overall situation of fiscal appropriation income expenditure last year that the main reason for the decline in income is "compressed budget revenue year by year in accordance with financial planning."
The Office of the Xichuan County Party Committee of Gansu also said that in recent years, it has been affected by factors such as the epidemic.
The monitoring notification issued by the National Health and Health Commission of China also shows that some second -level public hospitals have insufficient internal management capabilities.In terms of energy consumption expenditure, the energy consumption expenditure of 10,000 yuan in income from the second -level public hospital was 126.89 yuan in 2021, which was nearly 30%higher than the energy consumption expenditure of 10,000 yuan in income from the third -level public hospital.
Some people in the industry believe that similar to many institutions, many secondary hospitals also have problems with unreasonable human resources composition, too much redundant staff, which leads to low management efficiency and affect revenue and expenditure.
In addition, there are also public opinion that the reform plan issued by the China National Medical Insurance Bureau in 2021 also indirectly affects the income of hospitals and doctors.
Analysis pointed out that the new payment method determines the medical insurance payment standard for each disease, which means that the increase in the income of hospitals will face "ceiling" and it is difficult to exceed the limit.At the same time, when the treatment cost of a certain case is higher than that of medical insurance standards, the higher part shall be borne by the hospital.In some actual operations, the hospital will share the excess of the excess of the standard to blameRen Ren, causing the performance wages and bonuses of relevant personnel to be deducted.
The spread of the fate and crisis of the second -level public hospital
According to the First Financial Report, Xu Yucai, the former deputy director of the Shanyang County Health Bureau of Shaanxi, said in April this year that the loss of 2021 in the second -level public hospital was expected by the industry, but even before the crown disease epidemicThe survival pressure of second -level public hospitals has become increasingly significant.
Under this pressure, many secondary hospitals are exploring and transformation, such as transformation into specialized hospitals or rehabilitation institutions, elderly care hospitals, etc.
But some analysts have pointed out that this successful cases are currently concentrated in densely populated cities such as Shanghai and Beijing. For a large number of second -level hospitals in the county, it is not a solution that can be used for reference.More secondary hospitals may finally escape the fate of disappearing.
In addition to setbacks on the road of transformation, the wage crisis of secondary hospitals has also spread to tertiary hospitals.
China Head Ophthalmology and Trina Hospital Beijing Tongren Hospital announced at the end of August this year that the performance bonus and night shift fees of employees in the hospital were greatly reduced by 50%, causing doctors dissatisfaction.
Although the hospital replenished the night shift fee afterwards and promised to make up the amount that will be deducted in January next year, it still makes the medical care community feel a chill.
Some doctors in other three hospitals in other provinces in China are worried, "Large hospitals like Emperor Capital (Beijing) have high wages and reduced their salary, but our three -tier prefecture -level cities are not high."The room to drop?"
China is slowly recovering from the three -year epidemic, and medical staff who have made huge sacrifices and dedication to the anti -epidemic situation are suspected to sit by the window sill due to salary.This "behavior art" reflects the bitterness and difficulties of Chinese medical workers.Just as a netizen left a message with emotion: Who can think of "the first shot of salary at the end of the year" is the hospital?
