source: Shandong commercial newspaper
citizens are consulting the health insurance related policies, Xinhua
[b] our province will promote the national medical insurance [/b]
[b] public foundation Drug zero difference in medical institutions [/b]
Ji'nan news (reporter Yang Fang) yesterday afternoon, the provincial Conference on deepening the reform of the medical and health system was held in Ji'nan. The reporter learned that this year, our province will vigorously promote the national medical insurance. Before the end of June, the basic medical institutions will be all implemented by the government, and the reform of public hospitals at the county level is the focus of the reform of public hospitals this year.
Deputy Secretary of the provincial Party committee and governor Jiang Daming attended the meeting and delivered speeches. Jiang Daming fully affirmed the achievements of the medical reform work in the whole province. He asked the departments at all levels to firmly grasp the correct direction of medical reform. According to the principle of "ensuring basic, strong grass roots and building mechanism", he insisted on the work method of "overall arrangement, emphasis and step by step", and pushed the medical reform work to develop along the healthy track. .
this year is the year of tackling key tasks of the recent reform of medical reform, and we need to focus on three aspects. The first is to push forward the health care of the whole people. Focus on consolidating the foundation, improving the level and expanding the effectiveness, further improving the level of basic medical security, vigorously promoting the equalization of basic public health services, and improving the capacity of medical and health services at the grass-roots level. The basic drug system is implemented in an all-round way. Around the two main lines of "medicine" and "medical institution", we should seize the two key links of "purchase" and "compensation", realize the full coverage of the basic drug system as soon as possible, improve the standardization of the procurement mechanism, and vigorously promote the reform of the compensation mechanism, the personnel system and the income distribution system of the grass-roots medical and health institutions. We should do a good job in the reform of public hospitals. According to the principle of "the linkage of the upper and the lower, the vitality and the thrust", we must innovate the system and mechanism, expand the scope of the pilot, and increase the efforts to make a breakthrough in some key areas. We should deepen the reform of the public hospitals in two pilot cities in Weifang and Dongying, actively promote the comprehensive reform of the county hospitals, carry out the single reform of the people benefiting people in an all-round way, and speed up the construction of multiple medical pattern.
Jiang Daming stressed that medical reform is a project of the people's livelihood. It is also a government project. It involves a wide range of faces, strong policy and arduous tasks. It is necessary to further strengthen organizational leadership, increase investment, strengthen supervision and assessment, and constantly improve the safeguard measures to promote medical reform. It is necessary to give full play to the main force role of medical personnel in medical reform, to mobilize the enthusiasm and initiative of medical personnel, to safeguard the legitimate rights and interests of medical personnel, to strengthen the construction of medical ethics and to ensure that various tasks of medical reform have been put into practice.
[b] news interpretation [/b]
how does universal health insurance cover "the whole people"? How does the basic drug system expand? How will the reform of public hospitals at the county level be carried out? The reporter has carried out a comprehensive interpretation of the new climate revealed by our health reform. Reporter Yang Fang
[b] key words: basic medical insurance [/b]
the promotion of medical insurance for the whole people to solve the disease difficult
the difficult group and other medical care reimbursement half
the reporter learned from the provincial Conference on deepening the reform of the medical and health system of the Province yesterday, this year our province will vigorously promote the national medical insurance, and will The subsidy standard for urban residents and NCMS has increased to 200 yuan per person per year, up from 120 yuan last year.
by the end of last year, the number of insured persons in our province has reached nearly 93 million 190 thousand. Among them, the number of insured persons in urban areas was 27 million 700 thousand, accounting for 96%, and the number of new rural cooperative medical insurance reached 65 million 487 thousand, accounting for 99.6%. The level of protection has also been further improved, and the ceiling of reimbursement for hospitalization has reached 7 times of disposable income per capita.
this year, our province will vigorously promote universal health insurance. It is the key work of medical reform to make urban and rural residents have basic medical insurance, enjoy basic medical services and equate public health services. Our province will further improve the level of basic medical insurance, take effective measures to consolidate the existing results of insurance, and ensure that the insured rate is above 95%.
our province will raise funds through various channels to properly solve the problem of participating in insurance for retirees and difficult workers in closed and bankrupt enterprises. Gradually, the medical insurance of staff in the provincial management enterprises will be included in the scope of medical insurance for the local workers. All college students are included in the medical insurance of urban residents. Unemployed persons during the period of unemployment insurance are included in the medical insurance for workers. In addition, our province will also implement the policy of participating in the non-public sector of the economic organization, the flexible employment personnel, the migrant workers and other workers who have not established the labor relations.
this year, we will further improve the new rural cooperative medical scheme and the medical insurance subsidy standard for urban residents, so that each person reaches 200 yuan. To further improve the policy of reimbursement, the hospitalization reimbursement for urban residents and NCMS will be increased to 70%. The reimbursement rate for basic drugs in the hospitalization expenses of township hospitals will be over 85%, and the inpatient capping line will reach more than 50 thousand yuan.
in addition, our province will further expand the scope of financial support for the difficult groups. From this time, the low insured and five insured households will be extended to the difficult groups, such as the patients with low income and serious illness, the severe disabled, the elderly and so on. The principle of cost reimbursement is not less than 50%.
in order to facilitate the settlement of medical treatment for the masses, this year, we will continue to promote medical "one card" and other measures, basically realizing the participation of the insured (participating) personnel to balance the immediate settlement of medical expenses in the area, and will explore the local medical and local settlement for the focal point of the retirees in different places.
[b] key words: public hospital reform [/b]
15 county-level public hospitals pilot reform
it is difficult to see the disease and expensive to see the doctor. It is mainly concentrated in the large public hospitals. In the health care reform, if the large public hospitals are not properly changed, the masses will hardly feel the effectiveness of medical reform. Yesterday, the reporter learned that this year, our province will actively promote the reform of the county public hospitals, in addition to Weifang and Dongying, the other 15 cities, each city should choose a county public hospital for reform pilot.
reporter learned that as a pilot of the reform of state and provincial public hospitals, our province requires two cities in Weifang and Dongying to advance actively in the areas of separation, separation of political affairs, separation of medicine, separation of medicine, profit and non-profit, and strive for breakthrough progress.
this year, the reform of county public hospitals will be placed in a prominent position. In addition to Weifang and Dongying, our province requires the other 15 cities to carry out in-depth analysis on the status and financial input of county hospitals, personnel compilation, income distribution, medical insurance payment, hospital management and other aspects, and draw lessons from the beneficial experience of the reform of the grass-roots medical institutions, and carry out comprehensive reform on the county public hospitals. The 15 cities should choose a county public hospital for personnel management, performance assessment, quality care services, adjustment of medical service prices, clinical path and other comprehensive reform pilot.
our province also requires public hospitals to carry out a comprehensive reform of the convenience of the people. In the public hospitals of the province, a number of measures to benefit the people are carried out in an all-round way, and the service mode is improved and the quality of service is improved by carrying out the appointment diagnosis and treatment, optimizing the outpatient environment and the process and so on. By promoting the reform of medical insurance payment method, the basic medical insurance cost direct settlement, and giving priority to basic drugs, reduce the amount of pre payment of the insured patients and control the increase of medical expenses. Our province also encourages the community to run medicine to stimulate the power of public hospital reform.
in addition, the reporter learned that this year, our province will carry out a pilot multi point practice. Prior to this, Chinese medicine was allowed to serve the medical institutions at the grass-roots level. This year, the pilot area was expanded to all the conditions in cities, and the number of medical practitioners in the pilot areas was increased and the health professionals were encouraged to flow reasonably between public and non public medical institutions.
[b] key words: Basic Medicine [/b]
before the end of June, basic medical institutions
zero difference
basic drug system for more than one year, 115 counties (cities and districts) of the provincial government run grass-roots medical institutions in our province, the average price of medicine has dropped by about 40%, followed by the outpatient service. The number of visits increased significantly, and the increase was about 20%. Yesterday, the reporter learned that before the end of June this year, all the government agencies in our province to run basic medical and health institutions to implement the basic drug system, "zero difference" sales of basic drugs. The basic drug catalogue will also be adjusted. At the beginning of the implementation of the basic drug system last year, community health organizations found that there were very few drugs used in children's drugs and liver diseases in
last year. The reporter learned yesterday that this year, our province will adjust the catalogue of supplementary drugs in our province according to the adjustment of the national basic drug catalogue, and will take into account the needs of the drugs for adults and children to meet the basic demand for basic drugs at the grass-roots level.
in addition, our province will establish and perfect the dynamic adjustment mechanism of the basic drug guidance price, classify the retail guidance price of basic drugs, and explore the unified pricing for the exclusive varieties in the basic drugs and the varieties which have been basically stable and sufficient after many centralized purchasing prices.
[b] key words: medical service [/b]
every street should have community health service
for the township "custom" free medical student
this year our province will set up community health services in every street, and the village health room will cover every administrative village.
in accordance with the requirements of the medical reform, every county in our province has more than 300 thousand of the population, at least 1 county hospitals have basically reached grade two level, and each county has 1 to 3 central township hospitals, every street has community health service institutions, and village health rooms cover every administrative village.
in order to solve the problem of inadequate medical and health personnel from the system and mechanism, our province will study and formulate specific methods to recruit free medical students for the township. According to the tasks assigned by the state, 400 primary health care institutions were placed on the job to train general practitioners. At the same time, Shandong will also formulate and implement a general practitioner clinical training base construction plan, focusing on the construction of 3 clinical training bases for general practitioners. By 2012, every township health center and community health service institution will have qualified general practitioners.
our province also encourages conditional areas, the establishment of a general practitioner team, the promotion of family signed doctor services, and the provision of convenient and continuous health management services for the residents in the area.