The service is enclosed to make the community for 15 minutes in Hainan The community can see the doctor the medical insurance submits an expense account

The service is enclosed to make the community for 15 minutes in Hainan The community can see the doctor the medical insurance submits an expense account
The service is enclosed to make the community for 15 minutes in Hainan The community can see the doctor the medical insurance submits an expense account
Author: Chen Xin The provincial government issues and " further advances the reform of urban community's hygiene service system and sends several opinions ": Make the community on request " Serve and enclose in 15 minutes " Each street goes through hygiene of a community and stands There are many large hospital people, it is a bit more convenient to see small disease in the community " small disease is in the community, serious disease reaches the hospital, recover back to the community " . Department of public health learns from the province on the 16th the reporter, in order to strengthen the intension construction of service organization of community's hygiene, " several opinions that further advance the reform of urban community's hygiene service system and develop " (abbreviated as " opinion ") which the provincial government issues recently . " opinion " points out, " serve and enclose in 15 minutes " according to making the community Requirement,it is 1 of community health Centers standardizeds not to make sure the subdistrict office range had jurisdiction overs for 1 piece. -Staff reporter Chen Xin Make the community " Serve and enclose in 15 minutes " " opinion " points out, should adjust and plan the overall arrangement, improve the service network. According to making the community " Serve and enclose in 15 minutes " Requirement,taking government as the leading factor, it pass " it is criticize to consolidate by one " , " one batch of adjustment " , " newly build first batch " , " eliminate first batch from " Way adjust and plan overall arrangement is every without being made sure 30,000-100,000 inhabitants or 1 of subdistrict office range had jurisdiction overses 1 of community health Centers standardizeds, and can set up several community health stations according to the needs of planning and improve the service network. The principle of service centre of the hygiene " It is surnamed common " " opinion " is clear, the community health Center is dominates and holds by the government in principle, the business house of the community health Center takes governmental investment of city, county as the core, encourage social forces to participate in at the same time, raise funds to solve through many channels. Newly build, reconstruct the residential block, the community hygiene service facility should be synchronized with resident's house planning, synchronized construction, come into operation synchronously. Reform the personnel system, the post is divided into executive position, professional technique post and worker hardworking skill post. Can have the director, the Deputy Director (hold concurrently) in the executive position One respectively; The post of professional technique can have complete doctor, Chinese medicine doctor, public health doctor, cure skill personnel (apothecary, inspector) , several nursing staff; The worker sets up hardworking skill post appropriately according to the needs of work. The community health station can have several such as the complete doctor or Chinese medicine doctoring, public health doctoring, curing skill personnel, nursing staff. Sell " opinion " to point out in a difference rate of basic medicine of community, community health Center and service station carry out the country, definite basic medicine of province and supplement the relevant regulations of medicines. Basic medicine and supplementing medicines to cancel the addition of medicines, implement the basic medicine and supplement a difference rate of medicines to sell, the government is responsible for implementing the financial compensation that is sold of a difference rate according to relevant regulations. The community sees the doctor and includes in the medical insurance to submit an expense account in the range " opinion " to require, through evaluating the qualified urban community hygiene service organization, department must determine the social insurance as the fixed organization of the medical insurance of urban worker and resident, the hygiene service organization of the community offers service of according with fixed medical treatment and includes in the medical insurance to pay the range. Guide measure that personnel utilize medical care of community that the basic medical insurance of further improving urban worker, resident effects an insurance, reduce the basic medical insurance of urban worker, resident and get up in a pair of lines and individuals in the fixed community health Center in hospital and pay the proportion progressively, personnel seek medical advice in the hygiene service organization of the community to effect an insurance, proportion which individual bears, one pair of standards arisesing,etc., should be lower than the grade hospital. Use the basic medical insurance clinic of urban residents for reference and conduct the experience, explore that sets up the system of overall planning of urban worker's basic medical insurance clinic, advance the community to examine and make for the first time actively and reliably at the same time, guide and effect an insurance urban worker and resident go to the hygiene service organization of the community to seek medical advice. Improve basic medical treatment and ensure the expense means of payment, adopt total value to prepay, calculate etc. and calculate the method according to paying, giving workpoints on the basis of work quotas, single number of the number of people in line with the local conditions, explore the combined settlement mode. The old man carries on the health control to 65 " suggestion " is defined the hygiene service organization of the community offers service of implementing urbanite's health file administration and service, standardizing the immunization campaign, carry out the national immunity to plan (not make the requirement to the community health station) , launch neonate visit look at and 0-6 health care system management, children of year old, carry on physical examination and development monitoring and appraise, launch the health and guide, launch health care system management and postpartum of pregnant and parturient women and visit looking at, carry on general physical examination and guidance of health (not do the requirement to the community health station) such as the nutrition, psychology in pregnancy period , year old and old person the above carry on the health control to 65 area under one's jurisdiction, carry on the health dangerous factor investigating and general physical examination, 12 items of public health service of guiding the health etc..


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