Will the abolition of career establishment have a big impact on doctors? Is it a good thing or a bad thing?
As we all know, the new round of reform of the classification of public institutions has been going on for several years, and it will finally come to an end this year. Judging from this round of reform, the reform of public institutions is still very strong. For example, in the reform of public hospitals at or above the county level, although the nature of public institutions has been retained, the career establishment of medical staff has been abolished. The hospital's management of medical staff has changed from the previous establishment management to contract management. So, will such a reform have a big impact on doctors? Is this a good thing or a bad thing? Let's look at it from several dimensions.
Salary: It may not decrease but increase.
Everyone knows that in the past, hospitals belonged to public institutions, and the salary system also implemented the salary system of public institutions, but because hospitals belonged to public institutions with differential funding, the setting of performance pay was larger, more free, and more insistent on distribution. Because some of his expenses need the hospital to be self-sufficient, the salary distribution gap between the hospital is relatively large. But in any case, because doctors still belong to the professional staff, the salary gap cannot be too large, and its fluctuation is within a certain limit. After the reform, doctors lost the establishment of public institutions and became contractual relationships with hospitals. In addition, the competition between hospitals increased after the reform. In order to compete for excellent medical talents, each hospital will definitely continue to improve the salaries of doctors. , continue to widen the gap, otherwise it may not be possible to retain excellent doctors. In this way, the salary of doctors after the reform is not only unlikely to fall, but may increase.
Occupational stability: the change should be small.
This should be a concern for many medical staff. After losing the establishment, the medical staff and the hospital became a contractual relationship. Since it is a contractual relationship, it is a two-way choice, you can choose me, and I can choose you. As a result, the relationship between medical staff and hospitals may not be as stable as before, and there may be fears of being fired at any time. Of course, this is actually no problem for doctors. Doctors are indispensable talents in medical institutions, or are in short supply. As long as you are serious and responsible for your work, have the ability and level, you don't have to worry about work, and the hospital can't easily get fired. In addition, the nature of the hospital has not changed. As a state unit, even if it is managed by a contract system, it is impossible to fire doctors easily.
In terms of development prospects: there is more room for growth.
From the perspective of development prospects, after the reform, although doctors lost their career establishment. But in a sense, they also get the freedom of personal choice. Everyone should know how difficult it was for a doctor to mobilize in the past. Even if you find a better hospital and a better place to go, if the original unit doesn't let it go, and doesn't let go of your organization and files, you won't be able to transfer at all. Now the two sides are implementing contract management and doing things according to the contract. After the establishment of doctors is broken, it will inevitably lead to digging behaviors by private hospitals and other hospitals. As the saying goes, only competition can lead to development. People go to high places. Doctors who break through the establishment can usher in a freer flow and achieve better development. Of course, the premise is that you have the ability and level, not the kind of quack doctor.
Therefore, from the perspective of the above three dimensions, the overall feeling is that the reform of public hospitals above the county level is more beneficial to doctors. What do you think? Welcome to leave a message for discussion.