Jiangsu: See the small disease to go to community's hospital first Wipe out 50 at least

Jiangsu: See the small disease to go to community's hospital first Wipe out 50 at least
Jiangsu: See the small disease to go to community's hospital first Wipe out 50 at least
The medical insurance clinic pool of residents, go directly the medical insurance of large hospital may not be offered On upper Friday, the intersection of people and society department held and advanced the medical insurance clinic pool of residents and way of paying to reform the video conference. The reporter learnt from the drawing room of province people's society yesterday, Jiangsu would generally launch the medical insurance clinic pool of residents in the whole province this year, annual resident select one examine at the basic level medical organization for the first time, watch the intersection of clinic and little disease, wipe out proportion, lower than 50% in principle, will also combine the system reform of the medical insurance and explore corresponding paying the method at the same time. The statistics show, up to will it be will it be the end May this year, the whole province urban the intersection of worker and basic medical insurance effect an insurance 18,990,000 people, resident's medical insurance is 10,300,000 people. The reform of way of paying is expected to relieve " It is expensive to see the doctor " The department of people's society issued " suggetion on further advancing the reform of way of paying of the medical insurance " a few days ago, to characteristic of different ways of paying, strengthen the quality control of medical care on the basis that the expenses control. The conditional area can explore the method paid according to the grouping of number progressively. The reporter knew yesterday, Huaian became Jiangsu an only home national medical insurance paid the typical city of the reform inside the province. This city elects containing the 4400th multi-type common disease in this city case more than several 90%, then according to different Shi Zhi's requirement and historical average level of the expenses, confirm the score of each number. Serious disease and serious illness " The score " High, the small disease, light disease " score " Low, the hospital of different grades, the score is multiplied by different coefficients, the hospital adds up to the total score and medical insurance centre to check out per month. "For example appendicitis, appendicitis at various degrees has different scores, then the doctor will be chosen a best healing solution more favorable to the patient while treating, using medicine, but not construct and manage blindly. Say, the new method has become too in fact that solves an effective way of the masses ' see the doctor expensively ''s from certain meaning. " The intersection of society and the intersection of Room and relevant person, people of province, say with the intersection of clinic and implementation, at the basic level promotion of medical treatment of pool, Jiangsu will pursue settling managing, exploring in advance total value prepays the system of the medical insurance fund in an all-round way, try to pay according to number in an all-round way, for example, pay and can start from single number according to number, the intersection of prior choice and clinical the intersection of route and clear, complication and amalgamate disease to be little making a diagnosis the intersection of technology and ripe, the intersection of quality and controlled and the intersection of expenses and steady common disease, frequently-occurring disease. Meanwhile, giving consideration to children's leukemia, congenital heart disease has disease of great social influence to wait at present. Residents see the little disease of clinic offers 50% of the present resident medical insurance and still takes comprehensive arrangement for serious disease as the core at least, solve and in hospital especially and clinic serious disease hospitalization cost expenditure. Party concerned count, 90% effect an insurance personnel go hospital diagnose the illness, watch clinic mainly. The department of society of forefathers of Japan issues " opinion on generally launching the relevant questions of clinic pool of the basic medical insurance of urban residents ", demand to generally launch the medical insurance clinic pool of residents. It is reported the intersection of resident and medical insurance clinic pool of Jiangsu Province work in market pilot projects such as Taizhou,etc. last year. Huaian took the lead in cancelling the personal account of the clinic and setting up the pool of clinic in the whole province again a few days ago, the pool necessary fund of resident's ordinary clinic is propped up from the medical insurance pool fund rank center of urban residents, this means 710,000 urban residents medical insurance of this city effects an insurance personnel to community's hospital to see the doctor, can wipe out at least 40% of the clinic fee, the compensation ceiling is 300 yuan in year. The reporter knows, on the basis of accumulating the above-mentioned urban experience, Jiangsu will pursue the medical insurance clinic pool of urban residents in the whole province in an all-round way before the end of this year, personnel obtain more material benefit to let all effect an insurance. The relevant person introduces, the pool necessary fund of resident's medical insurance clinic is solved from the medical insurance fund of residents, individuals of personnel do not pay the fees to effect an insurance. Clinic pool solve, effect an insurance personnel until the intersection of basic unit and whom medical health organ take place accord with the intersection of medical insurance and regulation, make a diagnosis expense mainly, it can't be lower than 50% to pay the proportion in principle. In addition, the subsidy standard to resident's medical insurance of the finance at all levels of Jiangsu Province will be brought from 134 yuan for each person every year up to more than 200 yuan this year, medicine in the fixed range its keep the intersection of institute and expenses, wipe out proportion, strive to improve from present 60% to 70%. Realize the hospitalization costs of resident's clinic common disease, frequently-occurring disease, chronic disease to effecting an insurance submit an expense account through the pool of clinic at the same time, burden that residents see the little disease of lightening and effecting an insurance conscientiously. Wind the intersection of community and hospital, might submit an expense account " in the future, effect an insurance resident it suffers from to be can in the intersection of community and common disease, chronic disease that hospital solve, if does not go to community's hospital to examine for the first time first, but get around and go to the large hospital to make a diagnosis and give treatment directly, then his expense medical insurance of seeing the doctor may not submit an expense account. " The relevant person reveals, " opinion " stipulates clearly, the clinic hospitalization cost taking place as to the medical organization non- at the basic level, do not pay on the principle not changing the place of examination by the medical organization at the basic level. Jiangsu will utilize pool of clinic to seek medical advice and manage and pay the reform of the mechanism too, guide and effect an insurance by way of sloping in policy personnel to the community to see the doctor as much as possible. Such as raising the proportion that community's hospital sees the doctor to submit an expense account, effect an insurance residents to the medical organization at the basic level to go to a doctor, the proportion that individual pays for itself will be lower by 15% than that of second hospital, lower by 20% than that of the tertiary hospital, and a price differential of medicines,etc.. Promote patient shunt through the intersection of medical insurance and means at the same time, for example medical insurance fund implement according to " go to a doctor number of people " to hospital Pay, let the fund of medical insurance follow patient, if the result of seeing the doctor is not good, give off a number of people, the hospital take few a person's money. The relevant person explains, all parts of the whole province will bring eligible medical health organ of basic unit within the basic medical insurance by fixed position, personnel choose for effecting an insurance, generally one year must, personnel can only choose one as and examine the medical organization at the basic level for the first time to effect an insurance. "Certainly, the medical health organ of basic unit of this family was not limited to near home, effect an insurance in personnel's hospital at the basic level with cheap price, can select serving within the range of the whole city well ing. In addition, the emergency call does not receive this restriction, because the condition needs changing the place of examination, can examine the hospital for the first time and go through formalities of changing the place of examination first. "Jiangsu transfers the medical organization at the basic level of the norm to the patient, the patient rotate under the hospital to promote, promote and form and divide the work the rational pattern of seeking medical advice. " [Author: Xiang FengHua ]


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