The medical reform locks five focal points in three years in Jinan The rate of joining insurance is more than 90 at the end of 2011

The medical reform locks five focal points in three years in Jinan The rate of joining insurance is more than 90 at the end of 2011
The medical reform locks five focal points in three years in Jinan The rate of joining insurance is more than 90 at the end of 2011
This newspaper reports on December 15 (reporter Han JinSong) According to the implementation suggestion about deepening the system reform of the medical and health of the municipal Party committee and government, to 2011 from this year, our city will put forth effort to do a good job of basic medical treatment and ensure the system, national basic medicine system, service system of health care, basic public health at the basic level serve equal melting and 5 key reforms of public hospital reform pilot project. Among them, by the end of 2011, urban worker's medical insurance, rate of joining insurance of the medical insurance of urban residents are raised to more than 90%. In 2011, the finance at all levels will improve to the medical insurance of urban residents and new agricultural subsidy standard shut by 120 yuan for each person every year. Basic medical treatment ensures worker's medical insurance and rate of joining insurance of resident's medical insurance are more than 90% the end of 2011 of system page According to the opinion, our city will expand basic medical treatment and ensure the coverage rate progressively. By the end of 2011, urban worker's basic medical insurance, rate of joining insurance of basic medical insurance of urban residents are raised to more than 90%, join the shutting rate steady and above 98% in new rural cooperative medical service. This year, include all the retired personnel of state-owned enterprise of closure and bankruptcy abiding by laws in the urban worker's medical insurance of possession, realize retired personnel enjoy treatment and enterprise of basic medical insurance to pay the fees and break off relations, set up the long-efficiency mechanism of ensuring retired personnel to do something in the old age. Before the end of 2010, include retired personnel and difficult enterprise workers such as the collective-owned enterprise of the closure and bankruptcy,etc. in the urban worker's medical insurance, really have a difficulty in participating in the urban worker's medical insurance among them, after examining and approving and checking and approving, can participate in the medical insurance of urban residents. Advance urban non-public employee, flexible employee and rural worker of economic organization to participate in the urban worker's medical insurance actively. Participate in the flexible employee with the difficulty of the urban worker's medical insurance, can choose to participate in the medical insurance of urban residents voluntarily. Participate in the rural worker with the difficulty of the urban worker's medical insurance, can choose to participate in the medical insurance or the household register site of urban residents and shut newly and agriculturally voluntarily. The ones that participate in urban worker's medical insurance in according with the difficult personnel of employment whose employment promote the law to stipulate in the government effect an insurance the expenses are replenished. Meanwhile, our city accelerate the intersection of urban residents and medical insurance expand the intersection of surface and paces, start in university student, university of Jinan, effecting an insurance, working in an all-round way, include all the university students at school in the medical insurance of urban residents progressively. Ensure competence in order to improve basic medical treatment, our city will improve medical insurance and new agricultural standard of raising funds of urban residents jointly. In 2011, the finance at all levels will improve to the medical insurance of urban residents and new agricultural subsidy standard shut by 120 yuan for each person every year, and the standard of improving individuals appropriately and paying the fees. Meanwhile, expand and raise range and proportion of submitting an expense account of the clinic expenses progressively, raise the proportion that the expenses submit an expense account in hospital. What urban worker's medical insurance, medical insurance of urban residents are paid the limit and improved to annual mean salary of the local worker and disposable income of residents separately at most is about 6 times, shut and pay the limit to improve newly and agriculturally to more than 6 times of per capita net income of local peasant at most. The suggestion is proposed, the medical insurance of urban residents, shutting the balance rate of that year of pool funds to limit newly and agriculturally to 15% in principle in ensuring gold management, the balance does not exceed 25% of the pool fund of that year totally. Set up basic Medical Benefits Funds risk and adjust the gold system, the revenue and expenditure situation of the fund is announced to the society regularly. In 2011, basically realized urban worker's medical insurance, pool of the whole city of the medical insurance of urban residents and compensated the unity of the scheme newly and agriculturally jointly. In medical rescue system of urban and rural areas, opinion require in include the intersection of medical rescue and foundation of range in in urban and rural areas the intersection of low insurance and family and rural household enjoying the 5 guarantees, include other financial difficulties family personnel in the medical rescue range progressively, the intersection of subsidy and it participate in the intersection of urban residents and medical insurance or shut while being agricultural while being new, pay expense for itself, subsidize to different to afford basic medical treatment its. Meanwhile, reduce or cancel medical rescue and get up in one pair of lines progressively, set up and bind the line rationally, improve and succour competence constantly. Encourage and pursue the fixed medical organization and settle the medical salvage charges method immediately, facilitate difficult masses. According to the opinion, our city expand urban the intersection of worker and medical insurance with the intersection of urban residents and medical insurance until number of people pay and until number pay and total value prepay hospitalization cost close way reform range, push away in an all-round way by 2011. Meanwhile, popularize, effect an insurance personnel seek medical advice " all-purpose card " in a more cost-effective manner ,Realize the medical insurance handles the organization and settles account with the fixed medical organization directly. Our city will also set up the strange land to seek medical advice in the settlement mechanism, will make and found a room for the retired seeking medical advices of personnel in situ, settlement method in situ in the strange land, make, flow the intersection of employee and basic medical treatment ensure relation to be trans-regional trans-system to shift, continue method. The national basic medicine system page government holds the medical organization at the basic level to use the basic medicine according to the opinion completely, our city will set up national basic medicine to supply the security system. Develop logistics service of medicines actively and provide and deliver in unison, realizing the basic medicine is purchased in unison, provides and delivers in unison, unified price. Our city will also set up basic medicine prior choice and use the system rationally. All should allocate and sell the national basic medicine to retail pharmacy and medical organization according to the regulation, the medical health organ of different level should use the basic medicine according to the fixed rate strictly. From this year, the medical health organ of basic unit that the government holds advances basic medicine system. By 2011, the medical health organ of basic unit that all governments hold all allocate and use the basic medicine, other kinds medical organizations must use the basic medicine according to the regulation too, and sell a difference rate according to the purchasing price. Retailing the pharmacy must allocate the operation pharmacist or pharmacy technical staff and offer to patient and purchase consultation of medicine and guidance according to the regulation, allow the patient to get and retail the pharmacy and buy the basic medicine according to the prescription. Basic medicine include basic medical treatment in, ensure medicine wipe out catalogue all, wipe out proportion, obviously higher than the non- basic medicine. Meanwhile, our city will strengthen the supervision of quality safety of basic medicine, will strengthen the basic medicine bad reaction to monitor, improve recalling system and quality responsibility and can be traced back to the system of the basic medicine, guarantee the masses use the medicine security. Service system page of health care at the basic level Each county (market) in 3 years The hospital all up to standard is in organizational construction of health care at the basic level, our city proposes, enable each county (market) through the input of governments at all levels in 3 years The People's Hospital and Traditional Chinese hospital reach the standardized level. This year, finish 20 health clinics in towns and townships planned to support in central space and build the task in an all-round way, finish the community health Centers of 6 cities of city planning and construction transformation task of 38 cities community health station. By 2010, have all built village clinic supported in city planning. The person in charge of Municipal Health Bureau says, by the end of 2011, should finish setting up the construction of the hygiene service organizations of 50 communities in the newly-built urban areas and urban synthesises. According to the opinion, our city will reform the medical compensation mechanism of health organ in the basic unit, the medical organization at the basic level that the government holds runs Originally replenished by the government and the service charge is compensated. The capital construction that authorizes according to the national regulation, the apparatus is purchased, personnel's funds, and the basic public health service born? 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From this year, our city begins to implement " strong base project of the hygiene " . The opinion requires, the large hospital of each city should help the hospital, 2 the above community health Centers at county level about 3 houses geared to the needs of the job, the hospital at county level helps 3 the above health clinics in towns and townships in the area under one's jurisdiction geared to the needs of the job. Meanwhile, our city will have recruited 150 undergraduate course graduates of clinical medicine working for health clinics in towns and townships voluntarily every year for 3 years in succession, train the complete doctor's standardization in 3 years in unison. In 3 years, train 700, 1500 persons and 7800 persons health care personnel for health clinics in towns and townships, urban community hygiene service organization and village clinic respectively. City and every county (market) The medical organization in the district arranges to receive a training by clinical skill that certain amounts of medical personnel of health organ of basic unit are scheduled to last 3 to 6 months every year. The basic public health serves one equally and melts and implements 9 basic public health service items According to the opinion, our city will raise the basic public health service funds standard progressively, it is 15 yuan that per person's basic public health serves the funds standard this year, would reach 20 yuan in 2011. From this year, our city will also set up resident's health file in the whole city progressively, health education, immunization campaign, infectious disease is prevented and cured, child's health care, pregnant and parturient women's health care, the elderly's health care, chronic disease management, serious spiritual disease are managed,etc. 9 basic public health service items. This year, finish 60% of the group's work about file, children's immunization campaign coverage rate of 0 to 6 years old is more than 85%, the intersection of health care and person who manage, children of 0 to 3 years old, up to 80%, pregnant and parturient women and the intersection of the elderly and the intersection of health care and managing rate up to 80% and more than 50% respectively, the managing rate of hypertension, diabetic is more than 45%, the getting in weight spiritual disease patient managing rate is up to 60%. From this year, our city will also launch the service item of 6 items of great public health in right time. Including: Reseed vaccine of hepatitis B for 110,000 crowds under the age of 15; Go on for 580,000 rural women " Second cancer " Sift and check; Mend and obey folic acid with pregnant early rural women free before being pregnant for 90,000; It is 90,000 rural women giving birth in hospital that subsidize; Implement the operation of regaining one's sight free for 2130 poor cataract patients; Accomplish the task of transforming in 60,000 rural toilets. Public the intersection of hospital and the intersection of reform and pilot page cancel public the intersection of hospital and medicines addition according to the opinion progressively, our city will reform management system, operating mechanism and supervision mechanism of public hospital. Define the responsibility right of public hospital owner and administrator, improve the corporate governance structure of the hospital, improve a president and choose and appoint the method, set up and amplify financial audit of returns and president's financial responsibility audit system of public hospital. Meanwhile, pursue the information announcement system of the hospital in an all-round way, set up to medical dispute third party and regulate and handle the mechanism, promote doctors and patients and communicate. Information of medical care, price, expenses, costly medicines and checking etc. and must make the patient in the know and agree to specially, improve the impatient following up a case by regular visits to rate constantly. In reforming the compensation mechanism of public hospital, the suggestion is proposed, the compensation to the public hospital, subsidized 3 channels by medical service charge, medicines addition income and finance, change into progressively that subsidizes 2 channels in medical service charge and finance. Advance medicine to separate, cancel the medicines addition of the public hospital progressively and can't accept the medicines discount, therefore the reduced income or loss formed is solved through the route of setting up the medicine thing service charge, adjusting some technological expenses standards of services, increasing the government to put one's back into etc.. The medicine thing service charge includes in the range of ensuring submitting an expense account of basic medical treatment. Raise the technological service price of medical treatment appropriately, reduce medicines, medical consumptive material and heavy-duty equipment and check the therapeutic price. The opinion stipulates at the same time, 10% that the public hospital offered service of specially exceeding all medical treatment needing the proportion of the service, encourage exploring that set up the mechanism participated in consulting by the relevant side of the interests in pricing of medical care. Do and cure the pattern in order to accelerate forming pluralism, the opinion requires, should advance some transformation of public hospital actively and reliably, guarantee the state-run assets preserving value and worker's legitimate rights and interests. Back the private capital and hold the profit-generating or non-profit-making hospital. Private hospital in medical insurance by fixed position, scientific research set up, the intersection of professional technique and the intersection of post and evaluation of qualification, the intersection of person who continue educating and respect, enjoy the equal treatment with the public hospital, treat to it equally without discrimination in serving entry, supervising management etc.. Meanwhile, the pilot project that our city will also advance the reform of public hospital step by step. Have something to do with and dispose according to the country, province, discuss and make the pilot scheme of the public hospital reform, and expand the pilot range progressively, on the basis of summarizing the pilot experience, further improve the relevant policies and measures, push away in the whole city progressively.


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