The doctor evaluation system how to restore

The 2016-05-20

Source: health

- our reporter Wang Xiao rain Yan 龑 Tan Jia Zhi-yong liu -

In the reform of the current health professional technical position appraisal system has become the trend of The Times, under the condition of national level file has clear requirements, a new evaluation system for talent review how to build? Although cancelled the call for paper review is very high, but completely cancel the paper quantitative indexes such as will bring new chaos?

S classification, "what?"

National health health development research center of the state family planning commission, according to a survey 61.9% of health professional and technical personnel agree with the essence of the title reform of the system to return to title, strengthen professional and technical level of evaluation function, weakening in the personnel management function of load, especially should not be linked to pay directly. 72.5% of health professional and technical personnel identity change the pattern of national "unification", giving local autonomy, and industry, in particular, to strengthen the industry organizations and units in the responsibilities and role of title management. 71% of health professional and technical personnel identity make full use of modern technology, innovation evaluation way, strengthen the role of peer review, focus on the technical level of peer recognition.

How to reshape scientific title appraisal standard? National health and family planning commission of human research director for health development research center, health Zhang Guangpeng Suggestions, should be in line with the principle of "doing hierarchical classification, what rating", straighten out the responsibility of the medical institutions at different levels, according to the evaluation factors, refining indicators, paper requirements. Teaching institutions, the national hospital to undertake high-end innovation function, the paper play an important role, keep paper requirements; Without scientific research function, at the grass-roots level should fade out paper requirement, can through the work summary form reflect its level.

Some Suggestions for officials and experts and scholars, different levels of hospitals, the teaching and the teaching hospital should set different review standards according to actual condition, high level evaluation should be given priority to with scientific research, medical institutions of grassroots medical institutions should be given priority to with clinical evaluation. Should be common disease, frequently-occurring disease diagnosis and treatment of patients, health education work, diagnosis and treatment the number into the evaluation system at the grass-roots level.

S delegation, give industry and institutional autonomy

For the current in the provinces unit to carry out the senior professional and technical titles evaluation method, shenzhen health and family planning commission director lee chong believes that evaluation experts to review the object can't understand, depend entirely on the reported filing materials or simply try to talk about a hero, in the end can only be "sometimes". Should reform in the province of senior professional and technical personnel evaluation system for the unit, the appraisal power to the local health care industry association, organized by industry association review.

Zhang Guangpeng think, talent evaluation to give industry more autonomy, improve the initiative of social organization and unit of choose and employ persons, especially to strengthen industry group in the title sequence, name, post level and the role of the jury organization etc, establish people club department, health department, trade organization, professional learning (association), according to medical and health institutions, cooperation and participation of the pluralistic management mechanism.

From the point of long-term development, Zhang Guangpeng think that title system reform should be based on the actual review requirements, geographical, hierarchy, professional set up corresponding evaluation committee of senior titles. For professional titles in more provinces (autonomous regions and municipalities), can be set up related condition, conform to the conditions of the cities, counties and institutions can be set up corresponding senior titles or high professional title evaluation committee. To report the number of more professional, can also according to the number of professional and professional set up, by industry associations and other social organizations to set up corresponding evaluation committee.

Lee chong advice, unit of choose and employ persons, autonomy should be mainly embodied in the medical talent evaluation system can be combined with medical staff performance appraisal, by hospitals, according to every medical personnel qualifications, achievements, medical ethics, influence and contribution to the comprehensive factors, regularly assess the actual professional value, as the post recruitment, retention, and performance salary allocation of basic elements, such not only can solve only the title, record of formal schooling, qualification evaluation of medical talent problem, can also play a better medical talent evaluation in motivating the staff continue to improve the important role of medical technology level.

S because of the need to be positioned, review and the demand is not out of line

For separate title appraisal problem in a large number of medical institutions, Beijing union medical college, dean of the school of public health yuanli liu suggested that can draw lessons from the practice of the United States. Hospital departments implement the responsibility system for full employment, according to the department of work and research direction to determine the number of post doctors, technicians and researchers and each post treatment, and hire director and deputy director, and other personnel by the director of the employment. Hospital will usually consider the candidate's qualifications, working experience, experience in teaching, the number of published articles and journal impact factor.

"The United States, although not professional evaluation, attaches great importance to work experience, unless there is a special achievements, above otherwise it is difficult to be employed." Yuanli liu thinks, to establish a new evaluation system of talent evaluation, should also break the bondage of the title "index", fully decentralization, because to be positioned.

"In the evaluation of senior professional and technical titles should be combined with the actual needs of unit of choose and employ persons." Li Chuangze Suggestions, you can refer to the Hong Kong university shenzhen hospital. According to his introduction, the institute of post management and break the traditional domestic institution personnel employment system, the post will be professional and technical personnel can be divided into consultant, assistant consultant and residents, the public hospital, equality, competition and merit to enroll.

Lee chong believes that medical institutions need to configure what kind of job, what kind of talent selection, the clearest and most care about. Hong Kong shenzhen hospital management mode, caries broke the separating of senior professional and technical personnel cluster waiting mount guard, make hospital can according to the work requirements of each position, hire talent match the position setting.

Zhang Guangpeng also suggested that the title appraisal system reform should be combined with a reform of post management, establishment management, formulate post Settings. Unit of choose and employ persons should have the right according to the actual work needs, dynamic adjustment of post setting percentage, in the personnel quantity and post setting in autonomous employment plan for personnel; Fire according to the relevant provisions of the relevant national laws and regulations and system, dismiss the unqualified staff, can build up to down, into the system of choose and employ persons. Qualified medical institutions to set up relevant professional high judge talent evaluation.