14 urban pilot projects of Hunan The community takes and needs only 100 yuan in the threshold in hospital

14 urban pilot projects of Hunan The community takes and needs only 100 yuan in the threshold in hospital
14 urban pilot projects of Hunan The community takes and needs only 100 yuan in the threshold in hospital
Red network Yueyang report April 11 "After apoplexy, because there is no money to manage me and plan to wait for death at home, has but not expected, so long as can be in hospital when costing 100 yuan now, can submit an expense account 80% about. " On April 11, in the consulting room of internal medicine department of community health Center of mountain range of east cogongrass of Yueyang, the one side of something is almost paralysed after Wang Xin of the east cogongrass mountain range community of Yueyang block builds apoplexy. As the intersection of the whole province and 14 pilot district one of, Yueyang the intersection of block and pilot project " promote medical insurance effect an insurance personnel utilize the intersection of community and hygiene fully " ,He participating in urbanite's medical insurance, don't worry in order to treat the fee again. On April 11, the urban community's hygiene service field experience exchanging meeting of Hunan Province is held in Yueyang. Chief of province department of public health Zhang Jian says, through the pilot project, urban worker and urbanite basic medical insurance rely on community's hygiene service system, setting up emergency call leaves view expenses submitting an expense account, clinic slow special disease and community management system of the hospital bed set up at a patient's home, form one to examine in the community, management system of seeking medical advice of medical insurance shunted rationally, changed the place of examination bidirectionally progressively. Organize launching the pilot performance evaluation in the first half of this year, will summarize the experience, popularize to the whole province. Chronic disease at home for treatment wipe out too last year,Changsha city Ningxiang county, Yueyang city Yueyang block, Zhangjiajie city imperial tomb source district, city lake region 4 counties north of Chen states military ( Take the lead in implementing the comprehensive coordinated reform pilot project of medical organization at the basic level. Yueyang the intersection of city and the intersection of Yueyang and the intersection of block and the intersection of hygiene and Deputy Bureau Director let, cut down introduction, district this implement the intersection of medical reform and project have 6 items at present: Two lines of revenue and expenditure is managed; Implement the salary revision of the performance; The government buys the public service, 14 items of basic public health serve, serve with 6 items of great public health; Implement information construction and management; Implement the basic medicine system; Pilot project basic the medical insurance ' Medical insurance of urbanite and worker) Enter the community. "The basic medical insurance enters the community and helps the urbanite see the doctor greatly. In hospital the intersection of threshold and fee so long as 100, basic the intersection of medicine and medicine in the catalogue that use in hospital 100% wipe out. " No matter cut down and say. Participate in urban worker and the intersection of urban residents and basic medical insurance effect an insurance person, the emergency call of service organization of the hygiene of getting to the community was changed over to hospital treatment after leaving the view treatment, 72 hours left the view expenses to include in the medical insurance fund and pay the range according to the first class hospital standard before changing the place of examination. Deputy Bureau Director of province medical insurance office Sun ZhaoQuan says, the basic medical insurance enters the community, has helped residents see the doctor. As setting up the hospital bed set up at a patient's home, disease that some chronic disease heart brain blood vessel, diabetes,etc. needing treating for a long time need to use medicine all one's life, set up the hospital bed set up at a patient's home of the community, encourage treating and recovering, can enjoy the medical insurance and submit an expense account in the family; Patients that community hygiene change the place of examination bidirectionally at service organization,at be turned into large by hospital treatment, and rehabilitation can be finished in the community, the proportion of submitting an expense account is a lot larger than in the large hospital. To set up doctor's system of family's responsibility progressively to " stresses ' service characteristics taking family as unit ', according to " one and a medicine " The principle chosen with the masses voluntarily, pursue family's contractual service and group's doctor to serve, set up doctor's system of responsibility of family which accords with the national conditions, province feeling progressively, offer the general common disease to resident, frequently-occurring disease and diagnosing the family of the clear chronic disease makes a diagnosis and attends to, the changing the place of examination of serious disease of difficulty, clinical tertiary prevention, health education and consulting and whole health control of key personnel, make community residents obtain the safe, convenient, economic, continuous hygiene service nearby. " Zhang Jian says. The relevant expert of department of public health of the province introduces, this system requires the responsibility doctor to define population, amount, residents committee served by oneself count, set up " community's doctor contacts family's communication network " ,Release serving to contact the card to residents, disclose contact details; It is right and chase the door to chase the family " The area of responsibility " Residents' health status carries on the investigation and knows the real situation, set up basic family health file, classificate resident's common disease situation, launch the health control of key crowds such as the elderly, pregnant and parturient women, children, disabled person of the community,etc. actively, strengthen the discovery of chronic disease such as hypertension, diabetes, coronary heart disease, malignant tumour, follows up a case by regular visits to and the management of changing the place of examination. Cancelling the relatively risky medical project all parts progressively should strictly observe community's hygiene service organization structuring principle, a subdistrict office only sets up a community health Center in principle, above area under one's jurisdiction population 100,000, can set up 2 community health Centers, the place that can not be covered in community health Center, can set up the community health station, does not make repeated construction, does not make " image " Project. The department of public health of the province will serve as the focal point with 9 items of basic public health this year, the state of each city fosters 1-2 community health Centers and becomes the local complete doctor's training base at least. Authorize the hygiene service organization of the community to make a diagnosis conscientiously subject is set up according to the country and relevant regulation of province strictly, it is forbidden out-of-range to manage, cancel give birth in hospital, surgery relatively risky medical event progressively.


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