Jiangxi: Medical insurance fund pay medicine thing fee Lighten patient's burden

Jiangxi: Medical insurance fund pay medicine thing fee Lighten patient's burden
Jiangxi: Medical insurance fund pay medicine thing fee Lighten patient's burden
On March 22, the reporter learns, Jiangxi Province will be implementing 491 central commune hospitals of villages and towns of the basic medicine pilot project in 2010, Pingxiang, Xinyu, community hygiene service organization that all governments of hawk pool market held, adopt multi-channel compensation mechanism, the medicine thing service charges of these organizations are collected according to 15% which joins the total amount of sponsor's basic drug use, and is buried by the medical insurance fund singly. See the doctor expense can guarantee, lower: Medical insurance fund pay medicine thing to serve March 22 such as fee, the reporter is in this " temporary provisions on setting up medical multi-channel compensation mechanism of health organ in the basic unit of Jiangxi Province " (hereafter referred to as " regulation ") by name China sees, the medical reform will be set up by the medical medical service income of health organ of the basic unit, subsidize incomes in finance at all levels, the medical insurance at all levels submits an expense account in the income, medical health organ of basic unit and improves creating income of service quality actively, such capital sources of taking shape, among them, it is that the medical insurance put forward in compensating through many channels is compensated that the maximum one is a bit more on. " regulation " is pointed out, except devote more efforts to popularizing the basic medicine, 15% of the total amount of personnel's basic drug use according to effecting an insurance of service charge of medicine thing of medical insurance at the basic level, serve and change the mechanism through buying, is compensated by Medical Benefits Funds. The person in charge of policy office of medicine of department of public health of the province explains: "That is to say, if the patient diagnosed the illness used the basic medicine of 100 yuan, the hospital can collect the medicine thing service charge of 15 yuan, but this money is not drawn directly by the patient, but is paid by the National Social Security Fund (NSSF). " "We hope to encourage the medical health organ in the basic unit to use the basic medicine through this measure, the base figure of reducing medicines and submitting an expense account, not only let the people receive material benefit but also make Medical Benefits Funds lighten the burden. " Saving the human resources and relevant person of drawing room of social security says. The medical organization can rest assured: After the regular revenue and expenditure shortfall is ensured " to implement the basic medicine system, originally reach income half the medicine profits, the present income was zero. Without finance nature compensation, the average monthly income of the doctor will be reduced by five or six hundred yuan, it all will be a problem that water and electricity and house of the hospital are maintained. " On March 22, president of centre of the town commune hospital Zhao Feng says while interviewing by reporter that happy in the newly-built county to melt. On December 1 last year, Jiangxi Province took the lead in starting the national basic medicine pilot project in the whole country. Medical organization at the basic level implements bidding and purchasing the pilot project publicly, providing and delivering in unison provincially and on net and centralizedly, all allocate and use the basic medicine and realize a difference rate is sold, implement finance compensation at the same time. Financial the intersection of compensation and respect, " the regulation " claim cities and counties financial subsidy fund that finance check and ratify adopt and dial 70% in advance in the beginning of month, unify the settlement method at the end of the year. Difference of revenue and expenditure which the medical health organ in the basic unit checks and ratifies, according to the result of appraisal, appropriated by the local finance. The provincial finance subsidizes some and calculates assigning, once according to relevant regulations to assign. Zhao Feng thinks, " a addition of medicines " And then, it is unlikely that the finance is replenished the medical organization at the basic level for a long time, it is really a satisfactory to both parties scheme to let the medical insurance buried only, have not not only consider really increased the patient's direct burden that lighten the burden of medical organization but also. Make good use of the medical insurance fund: Wipe out " dilatation " Want, move forward steadily but this piece seem " multi-win " Action,some units too and it is personal have many complaints,it concentrate on issue: The medical insurance fund submits an expense account in the range and expands constantly, will the medicine thing service charge make the unbearable heavy load of the medical insurance fund? A long-term teacher paying close attention to medical reform in Nanchang university says, the medical insurance fund is a kind of compensation mechanism of seeing the doctor, it is not no the social insurance, do not " no nothing, please to submit an expense account and hold in this small basket " . I whether newly-built county cure the intersection of office and chief while being agricultural in river, this person and new agricultural professional personage that come into contacts jointly express same worry too for many years: "Really have surplus year to shut funds newly and agriculturally, but does not mean being to the stage of expanding limitlessly more. " It is introduced, since shut the policy newly and agriculturally in 2006, joined and shut to peasants quite enthusiastically, take newly-built county as examples, it already exceeds 95% to join and shut peasants, submit an expense account the quantity increase year by year too, shut funds newly and agriculturally and had some surpluses in 2006, 2007, revenue and expenditure will be in a basic balance in 2008. By 2009, because the newly-built county increased the submitting an expense account of diseases such as congenital heart disease,etc., " the brightness smiles " Take action and include in submitting an expense account in the range newly and agriculturally jointly too, though per person insures the base figure and rises to 100 yuan from 90 yuan in 2008, but shut the rate of utilization of funds newly and agriculturally and reached 108% that year, went beyond 2,560,000 yuan, had to " use " Fund a few years ago. It says, in the medical insurance fund, because of insuring the starting point high, with great base figure to save a staff member of department of public health, the fund state of urban residents and urban worker relatively wants " Well-to-do" Some, that made people afraid most is to afraid newly that shut funds and can not " carry agriculturally on the back " . Though use the medical insurance fund a little worriedly, experts giving an interview all say, compensate the general orientation that is really the reform through many channels this time, expand medical insurance and submit an expense account in the range, must consider affording the range of the medical insurance fund, move forward progressively, could let the medical reform of Jiangxi Province walk better in this way, safer. ( swan's the Li 's of a thread of reporter)


|