source: Ji'nan times author Li Yongming
launch the city unified "No.1 foreign" reservation registration platform, self registered payment machine or will be refunded Out.
in March 1st, the city health work conference confirmed that Ji'nan, Shandong, will continue to break the "medicine supplement medicine" mechanism this year. Following the cancellation of 15% drugs in Zhangqiu and Pingyin county public hospitals at the beginning of the year, the second pilot of Jiyang county and Shanghe county will be started. In order to alleviate the difficulty of public health care, Ji'nan will also timely launch the city's unified "first foreign" reservation registration platform, the citizens only need to remember a number, can realize the appointment to see a doctor.
reservation diagnosis and treatment will build a unified registration platform
the report of the new medical reform questionnaire survey at the end of last year, the public reflected the main reasons for the difficulty of seeing the disease, the front row is the waiting time (63.5%), see a disease to queue many times (57.4%).
as early as 2009, Ji'nan took the lead in the appointment of registered hospitals in 7 hospitals of the whole city, and then extended to hospitals above grade two in Ji'nan. However, a reporter survey found that due to the different procedures of the appointment and treatment platform in hospitals, patients need to adapt to each other, which also affects the development of appointment diagnosis and treatment. At present, the appointment registration includes telephone reservation, network reservation, window reservation and other methods, the elderly and other groups are not familiar with the network reservation, the most convenient way or through telephone reservation.
a pilot
country has been put forward in Jiyang and the country. In the period of "12th Five-Year" the drug was completely abolished, and Shandong was determined that no less than 50 new pilot counties have been added this year. Hospitals no longer rely on drugs for medical treatment. Hospitals rely on medical service charges and government subsidies to reduce medical expenses.
now, the reform pilot of 7 county public hospitals in Zhangqiu and Pingyin has been officially launched. All the pilot hospitals have canceled 15% of the drug addition. The drugs are sold according to the price. At the same time, 7 hospitals raise the prices of medical treatment, nursing, bed, operation and so on. Into the coverage of medical insurance and NCMS.
Jia Tanghong said that Ji'nan will promote the comprehensive reform of the county public hospitals in Zhangqiu and Pingyin counties, and the second batches of Jiyang and Shanghe counties will be launched in a timely manner. In the internal reform of the public hospitals, Ji'nan will take the hospital grade review as the grasp, consolidate the three nail review results, complete the three a review, start the evaluation of the new standard two level hospital, and start the pilot of the private hospital grade evaluation.
the completion rate of family physician key group 40%
Jia Tanghong said that Ji'nan will continue to expand the signing service of primary health care. By the end of 2013, family doctor services had covered 40% of the key groups, and rural doctors contracted services covering more than 50% of rural families.
the head of a community health service in Ji'nan said that Chinese family doctor service and the concept of foreign private doctors are different. Chinese family doctors are the main body of the general practitioner, the community as the scope, the health management of the community residents and their families, and the realization of the contractual relationship between the residents and the family doctors. To meet the diverse and personalized needs of community residents. The proportion of reimbursement for
NCMS nephropathy dialysis was 70%
this year, the financing level of Ji'nan NCMS increased from 300 yuan to 350 yuan. In the serious illness protection, Ji'nan also took part of the commercial health insurance from the medical insurance fund, and made two compensation for the seriously ill patients. "We will continue to raise the financing level of the new rural cooperative medical system and the reimbursement ratio of the designated medical institutions at all levels, and effectively integrate 20 kinds of serious diseases into the coverage of the new rural cooperative medical system. Jia Tanghong said.
in the reform of medical insurance payment, Ji'nan will also carry out total prepayment system, total prepayment and single disease payment reform to achieve the full coverage of designated medical institutions and diseases in the overall area.
the reporter learned that Ji'nan will ensure that the reimbursement rate of hospitalized medical expenses, end-stage kidney dialysis and hemophilia treatment outpatient medical expenses in the policy range is 70%, and it will be connected with commercial insurance and carry out compensation through major disease insurance.
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experts to see the disease people spend more than 30% money
at present, the whole society is advocating strict economy, and against waste. "The waste of medical resources is also shocking." Jia Tanghong, director of the Ji'nan Municipal Health Bureau, said that the disorder is the source of waste in the medical field, and the layout of medical institutions is unreasonable. One of the key points of this year's medical reform in Ji'nan is to optimize the allocation of medical resources.
Jia Tanghong said that the lancet, the famous international medical journal, praised China for the full coverage of medical insurance in a short period of time. However, it also pointed out that there were serious health problems such as waste of medical services, low service efficiency, low quality of service, scarcity of qualified medical personnel, and out of control distribution. Big experts look at minor ailments, wasting 30% of the total cost. In addition, high and new instruments are overexamined and duplicated.
to optimize the allocation of medical resources, Ji'nan will speed up the construction of the Central Hospital, Changqing District People's Hospital and five municipal hospitals this year. Combined with the social and economic development of the city, Ji'nan will set up 3 centers for improving the planning of medical institutions. The city center hospital is set as the medical research center; the city three hospital, the fourth hospital, the five hospital, the Jinan hospital, the Changqing people's Hospital and the Zhangqiu people's hospital are set as the regional medical center, and the city oral hospital, the second hospital, the children's Hospital, the maternal and child health care hospital and the infectious disease hospital are set as the specialist medical center.
Ji'nan will also implement the community health service capacity upgrading project. By the end of the year, 30% of the community health service staff will be trained through job knowledge and skills.