Ji'nan health care reform will introduce new medical fees and include health insurance.
the implementation plan for deepening the reform of the medical and health system during the 12th Five-Year "Ji'nan health system". According to the plan, Ji'nan will actively explore the spot settlement and on-site settlement in the areas where migrant workers are concentrated. In 2015, the real time settlement of medical expenses in cities was basically achieved. During the "12th Five-Year" period, we will raise the standard of charge for diagnosis and treatment, operation fee and nursing fee, and incorporate it into medical insurance reimbursement.
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key words: the new NCMS government subsidy reached 360 yuan in 2015, the city can report
according to the implementation plan. By 2015, the new NCMS financing government subsidy reached more than 360 yuan per person per year, and the individual contribution level was more than 80 yuan. The proportion of hospitalization expenses within the scope of the NRCP policy is about 75%. We should adjust the new rural cooperative medical compensation scheme, medical treatment project and drug list, expand the scope of protection, and reduce the gap between the proportion of the actual hospitalization expenses and the proportion of the actual hospitalization expenses.
the maximum payment limit of NCMS reaches more than 150 thousand yuan, and the proportion of outlay in all co ordinating areas is increased to more than 50%. The eligible village health rooms were included in the new CCMS, and the proportion of the New Rural Cooperation Fund for the village health rooms was about 50%, and the proportion of the payment was appropriately raised.
actively explore the spot settlement and on-site settlement in the areas where migrant workers are concentrated. The establishment of a remote medical settlement mechanism will basically realize the immediate settlement of medical expenses in different places in 2015.
the control system of medical institutions' secondary average (disease) medical expenses growth is included in the evaluation system of the new rural cooperative medical system for the classification management of hospitals. We should encourage the use of Chinese medicine services to guide the participation of farmers in minor ailments to the grass-roots level. The medical expenses of farmers who have 20 major diseases, such as childhood leukemia, will be compensated again after the reimbursement of the new rural cooperative medical system.
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Keywords: basic drugs over two levels of hospitals are equipped with
on the basis of the overall implementation of the basic drug system in the village health room set up by the city's unified planning, the village health rooms that are in accordance with the city planning requirements are gradually incorporated into the implementation scope of the basic drug system. Step by step, implement various subsidy and support policies for rural doctors.
the basic medical and health institutions held by public hospitals, state owned enterprises and other public hospitals, which have the basic medical and public health service functions, are all included in the implementation scope of the basic drug system. Other non-governmental grass-roots medical and health institutions should be encouraged to take purchase services and other ways to incorporate them into the scope of implementation of the essential medicine system. We should continue to promote the medical institutions above two levels to give priority to the use of basic drugs and the introduction of the preferential policies for the use of basic drugs. The basic drug use of more than two levels of medical institutions should be included in the tasks of annual target assessment, hospital review, and large hospital inspection, and more than two levels of medical institutions are constantly improved. The basic drug use ratio.
in 2015, the compliance rate of primary health care institutions reached over 98%. In principle, each street office sets up a community health service center that implements the basic drug system and is responsible for public health services. By 2015, a coordinated mechanism between public hospitals and community health services is set up in an all-round way.
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key words: the general practitioner has 2
general practitioner per 10000 people. By 2015, Ji'nan has trained more than 1500 licensed general practitioners for medical and health institutions. Every 10000 city residents have more than 2 general practitioners, and each township hospital has 2-3 general practitioners. .
carry out the reform of general practitioner's practice mode and service mode. We should strengthen the service mode of signing doctors, gradually establish the relationship between the general practitioner and the resident contract, vigorously promote the family doctor service, and provide continuous health management services for the residents.
encourage and guide higher medical graduates to work in primary health care institutions through preferential policies such as priority of employment and promotion of titles in advance. We must strictly implement the policy that doctors in urban medical and health institutions are promoted to more than 1 years in rural areas or community services before they are promoted to deputy chief doctors or above. Doctors in large hospitals should be encouraged to practise in grass-roots and rural areas. To medical personnel in primary and secondary health care institutions in hard and remote areas, we should implement subsidy subsidy policy or grant necessary subsidies.
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key words: public hospital reform to abolish drug addition in 2015 to increase service charge and bring in reimbursement
Ji'nan will promote the separation of medicine, gradually abolish the drug addition policy. The standard of medical expenses, operation fees and nursing charges should be increased to reflect the reasonable cost of medical services and the value of medical workers' technical services. Medical technology service fees are included in the scope of medical insurance payment according to the regulations.
the public hospital large equipment purchased by the government is set up to check the price after deducting the depreciation cost. In principle, the large equipment purchased by the loan or fund collection is repurchased by the government, and the price is reduced by the repurchase of a difficult time limit.
establish the evaluation and evaluation system of medical fees and charges including sub average cost and total cost growth rate, hospital bed day and drug occupation ratio, strengthen the assessment of medical institutions and medical staff, and bring the results into the public hospital objective management responsibility system and make the important indicators for performance assessment and hospital evaluation. We should promptly investigate and deal with irrational drug use, timber utilization, inspection and repeated inspection for economic interests. We should strengthen the monitoring and control of the growth rate of the disease and control the public hospitals to provide basic medical services.
actively promote the construction of the regional unified appointment registration platform. Generally, the appointment appointment is made to improve the medical environment and shorten the waiting time. In 2012,
preferred the pilot reform of comprehensive reform of county public hospitals in Heping County, Zhangqiu. We should strive to increase the rate of visiting doctors in the county area to about 90%, and basically achieve serious illness. The goal of phased reform of county public hospitals was achieved in 2015.
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Keywords: basic public health services are added to health resources to give priority to social capital establishment of regional centralized inspection and inspection center,
basic public health service funds reached more than 40 yuan in 2015, and provide basic public health services for urban and rural residents free of charge.
establish a dynamic monitoring system for residents' health literacy in Ji'nan, and strengthen health education and publicity on tobacco control. By 2015, the electronic filing rate of urban and rural residents' health files had reached over 80%, and the standardized management rate of hypertension and diabetes reached over 50%.
actively promote the structural optimization and layout adjustment of medical resources in the whole city. New health resources will give priority to social capital, and no new public hospitals will be established in principle. We should actively integrate inspection and inspection resources within the jurisdiction, establish regional centralized inspection and inspection centers, and promote the co construction and sharing of large-scale equipment resources. The inspection service of medical institutions is open to the society. Inspection equipment and technical personnel should meet the statutory requirements or have legal qualifications, so as to realize mutual recognition of inspection results. Each county mainly manages 1 to 2 county-level hospitals (including Chinese medicine hospitals).
encourage qualified personnel (including Hong Kong, Macao and Taiwan) to set up private clinics in accordance with the law. In 2015, the number of beds and services in non-public medical institutions reached around 20% of the total. )