Hunan: Form the basic medical insurance system of covering all residents in urban and rural areas tentatively

Hunan: Form the basic medical insurance system of covering all residents in urban and rural areas tentatively
Hunan: Form the basic medical insurance system of covering all residents in urban and rural areas tentatively
By today, announced two solid years formally in " suggetion on deepening the system reform of the medical and health of the State Council of Central Committee of the Communist Party of China ". Department of public health learns from the province today the reporter, our province rounds " protects the basic, strong basic unit, builds the mechanism " This central task, stress the measure of Huimin, stress that reforms the actual effect, further improves the policies and measures, five key reforms move forward in order steadily, medicine is made into the result and appeared continuously. Basic medical treatment ensures the system to improve up to the end of 2010 constantly, the urban basic medical insurance of the whole province effects an insurance the number of people is up to 18,908,000, the rate of joining insurance is steady and above 95%; Join and shut people and reach 49,117,000 people newly and agriculturally jointly, it reaches 95.27% to join the shutting rate. At all levels finance to the intersection of urban residents and medical insurance, subsidize standard, raise to 120 for 2010 from 80 of 2009 jointly while being agricultural while being new. 2010 the whole province worker medical insurance, urban residents medical insurances urban, shut newly agriculturally by policy expenses be lasted 82.8%, 60%, 65.13% separately to be lasted proportioned in hospital in the ranges. Shut the pool area newly and agriculturally and all implement the pool of clinic. Our province still launches medical treatment of great disease such as rural children's congenital heart disease, leukemia and ensures the pilot project actively, treat and cure 1509 infants of rural congenital heart disease free in the whole year, treat and cure the most the whole country of the number of people. Implement the basic hospitalization cost in the county, township medical organization in hospital and is exempt from expenses to the rural five guarantees target in the whole province 520,000. Meanwhile, started the instant settlement pilot project of seeking medical advice of strange land of the whole province, launched inside and outside the province the medical insurance relation shifts and continues the worked, take the lead in realizing the switching without hitch of the medical insurance relation inside the province in the whole country. Urban worker's medical insurance, medical insurance of urban residents, shutting realizing newly and agriculturally the expenses form the newspaper immediately in hospital in the area of pool in an all-round way, shut the fixed medical organization at city level newly and agriculturally and form newspaper rate and up to 81% immediately. 36 medical organizations at the basic level which governments of counties,cities and districtses hold of first batch will implement the basic medicine system in an all-round way from the price of national basic medicine drops by January 31, 2010 by a wide margin, increase 38 counties,cities and districts newly and implement the basic medicine system again at the end of December of 2010, the coverage rate will be expanded to the counties,cities and districts of 60%. At present, our province has already concentrated on bidding and purchasing online medicines taking province as unit in an all-round way. The biding price of basic medicine drops by 47.1% on average than the original retail price of medical organization at the basic level of our province, instruct the price to drop by 53.2% more than the country. The basic medicines are all provided and delivered in unison, the providing and delivering rate is up to 98.1% on average. Meanwhile, the demand situation of using medicine to being at the basic level, augment 90 kinds of medicines rationally and all sell a difference rate. The catalogue of adjusting the medical insurance and submitting an expense account, the basic medicine (medicines including augmenting) Include basic medical treatment in, ensure medicines wipe out catalogue all, wipe out proportion, obviously higher than the non- basic medicine. Popularize basic medicine clinical practice guide and prescription collection, the county to implement the basic medicine system is (municipal or district) Launch relevantly and train, guide the medical health organ in the basic unit and use the basic medicine rationally. In addition, our province launches the medical comprehensive reform pilot project of health organ of the basic unit actively, " mode of Ningxiang " among them Get the abundant affirmation of national relevant ministries and commissions. Some pilot counties establish the medical financial administration or accountant of health organ of the basic unit to concentrate on checking and calculating the centre, implement " revenue and expenditure separating, concentrate on checking and calculating, the performance is examined, financial supervision " New financial management mode. The unit service ability of health care at the basic level is strengthened on the basis of 2009, our province will start 1100 construction projects again in 2010 ' 43 hospitals at county level, 64 community health Centers, 65 commune hospitals of centre of villages and towns, 920 village clinics, 8 mental hygiene service organizations) among them . The provincial finance still invests 30 million yuan to build revolving round the sun 1500 sets of rooms in 150 health clinics in towns and townships. Meanwhile, advance the construction of service talent of health care at the basic level with all strength. Recruit 400 directional free medical science to give birth to for the health clinics in towns and townships, recruit 70 medical practitioners; Arrange 287 key personnel of hospital at county level to go to the tertiary hospital to receive a training and study; Finish 31,400 persons, 52,500 persons, 5545 persons of community's hygiene service staff training of clinic hygiene staff training of village of staff training of health clinics in towns and townships. And it is in urban and rural areas to accelerate setting up and cooperate in the mechanism, the tertiary hospital and 103 hospitals at county level of 34 cities establish the fitting coordination relation for a long time, 823 health clinics in towns and townships and 12157 villages clinic launch the rural hygiene and serve and manage the pilot project integratively. Take shape tentatively " Compound bring little courtyard, the intersection of county and institute lead villages and towns, villages and towns to bring the village a room " Develop pattern newly. In addition, our province implements the subsidy policy that rural doctor bears the task of serving by public health etc., the annual people, rural doctor of the whole province, subsidize 3289 yuan. Public health and public institution of health care at the basic level implement the wage system of the performance formally. The residents of the whole province enjoy 9 kinds of basic public health services The basic public health of per person of our province serves the funds to improve on the 2009 foundation of 15 yuan to 17.5 yuan of 2010. All parts of the whole province have generally implemented 9 kinds of basic public health service item and 6 great public health service items such as resident's health file, the basic public health serves 100% of implementing rate, the great public health is served and already specially finished or overfulfilled. Up to the end of 2010, the intersection of health and file, urban residents of the whole province, file rate up to 43.8% already, rural resident file rate reach 27.4%, finish hepatitis B vaccine of crowd under the age of 15 and reseed the task ahead of time, finish or overfulfil rural woman's breast cancer and cervical cancer inspection of the right age, poor cataract patient's free operation of regaining one's sight, Fluorine is poisoned in the area and changed the cooking stove, builds to the rural innoxious toilet, rural women of child-bearing age and mends and obeys service item tasks of great public health such as folic acid,etc. free. According to the reality of our province, implemented AIDS, tuberculosis measuring free, such projects as free drug therapy and snail fever patient of later period treat and cure free at the same time, have expanded the service content of the basic public health, has promoted and served the level. The public hospital reform lets the masses receive benefits obviously at first, our province stresses the work of the public hospital of Zhuzhou to reform and try first in advance. Zhuzhou contacts the pilot city as the public hospital reform country, adjusts and supports especially through resources, make " a medical centre at city level, medical centre of four areas, four section hospitals " Structural for overall arrangement,last 20 piece by street the constructions standardizeds of community health Center, set up " tertiary general hospital strip second section hospital and the community health Center " Associations longitudinal,last community for the first time, examine, not make a diagnosis in grades and set up division of labor and coordination of work system. Explore that establishes the clinical inspection center at city level and sterilizes the supply center, combine high, precise, sharp test to check and sterilize and support In conformity with resources, reduce and put into and waste, implement the logistic socialized service progressively repeatedly. In the hospitals of 19 enterprises of this city, besides cancelling in two hospitals, other 17 hospitals finish various reforms and reform system in succession. At present, the public hospital is " in charge of doing separating, government affairs separating, medicine to separate, profit-generating and non-profit-making and separate " System mechanism tentatively take shape. Meanwhile, the pool of our province advances the reform of public hospital of the whole province, according to the public beneficial requirement, have pursued a series of reform and control measures in cooperating, helping the patient go to a doctor, lighten patient's expense burden geared to the needs of the job etc., the masses receive benefits obviously. Environment and procedure that most public hospitals put forth effort to seek medical advice optimally, simplify the procedure of seeking medical advice, shorten masses waiting time, within register, pay dues, fetch the waiting time of medicine and generally shorten to 20 minutes. Some hospitals launch the high-quality care, attend to quality to obviously improve, the patient family members or engaging and partial to the problem that the worker bears life and attends to to solve progressively by oneself. The proportion of expenses for medicine of number of launching management of clinical route drops to 32.6% on average, the all-inclusive cost has dropped by 7.2% on average.


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