Explore the community examines and makes for the first time in Heilongjiang

Explore the community examines and makes for the first time in Heilongjiang
It is reported ' Reporter's clothing just knew the peak Wei Xin) In the future, residents should choose the hygiene service organization of the community to examine and seek medical advice in this administrative division for the first time voluntarily to effect an insurance. Not making a diagnosis and giving treatment in the fixed community hygiene service organization for the first time and treating, its expense medical insurance fund of treatment refuses to pay. A few days ago, Heilongjiang Province issue " basic medical insurance and health care, urban residents of Heilongjiang Province, serve, link comprehensive the intersection of demostration area construction and instruction together ", aim at setting up and amplifying community's hygiene and serving one and examining and making, changing the place of examination and making and grading the medical system bidirectionally, promote residents to construct and cure, seek medical advice rationally due to illness. It is reported, Jixi has already been classified as the first pilot demonstration area. " instruction " points out, every community health Center and above- second -class medical organization of demonstration area must carry out one and examine responsibility system and system of changing the place of examination bidirectionally strictly, the hygiene service organization of the community connects common disease examined, frequently-occurring disease and diagnoses clear chronic disease should carry out one and examine responsibility system strictly. To difficult disease that can't make a definite diagnosis of, endanger serious illness and worried chronic the intersection of infectious disease and patient,etc., transfer patient of terms to accord with, on the basis of requesting for agreement to patient, change the place of examination to the agreement hospital. The agreement hospital of higher level is stable to the condition and needing rehabilitation, and the patient that common disease examined, frequently-occurring disease patient,etc. are qualified to make and transfer to met, change the place of examination to the community. " instruction " requires clearly, will set up and submit an expense account and pay the standard with the clinic and pay the limit at most in hospital in grades according to the medical organization, to what has been gone to the hygiene service organization of the community to seek medical advice, should reduce the standard. Residents really need to change over to the fixed medical organization at a higher level, nonlocal medical organization and treat to effect an insurance, examining the hygiene service organization of the community, fixed medical organization of three class or above of market for the first time and providing and changes the place of examination proves, certifier's expenses are paid by oneself without changing the place of examination. The emergency call does not receive the above-mentioned restriction. It is reported, " the young disease get to the community " in order to fully guide urban residents to Jixi ,Have also introduced the hygiene service organization of the community " Avoid three minus one preferably " Policy and single the intersection of number and the intersection of ceiling price and policy, namely exempt from registration fee, reduce or remit 10% in hospital the intersection of bed and fee, 10% of the physics check fee, 10% of the laboratories and check the fee, the patient goes to a doctor preferably and arranges it in hospital, choose the ceiling price of hospitalization cost of some number implementation. Solicit the new scheme of the medical reform of the suggestion to propose in the editorial afterword is in the range of the whole society, want, take comprehensive measure, lead, make a diagnosis, sink, to basic unit, realize community examine, grade medical treatment and change the place of examination bidirectionally for the first time progressively generally. Combine the medical insurance of urban residents in Heilongjiang Province, the pilot community of the market examines making for the first time in Jixi, it is undoubtedly positive exploration. At present, even a lot of urban residents are " small diseases " Also unwilling" Enter the community " ,The main reason is trusting to the service ability of the hygiene service organization of the community degree is low. So, effect an insurance resident's community examines and makes pursuing smoothly for the first time, primary task of the hygiene service organization of the community should be to " perfect the exercises to benefit the internal organs " ,Improve engineering level and service ability, guarantee the small disease is seen well, on the serious disease and rotated in time. In addition, for guarantee community doctor make a diagnosis behavioural norm, effect an insurance " money of help " of every of residents' Flower at it is at idea,some diagnosis guide, norm of making a diagnosis, at transfer by patient standard and the related rewards and punishments measure to, also it is necessary to form a complete set and set up in time. Realize it is a main trend that the community examines and makes for the first time, it is one of the goals of the medical reform too. But should see, it still means the community should bear the enormous service pressure that the community examines and makes for the first time, need to set up multiple supplementary measures, create the condition for hygiene service organization and community medical worker of the community, offer strong support. It is reported Jixi city combine pilot work, arrange for large the intersection of hospital and medical worker get the intersection of community and training, tape teach community medical worker, by improving community's medical worker competence of making a diagnosis. The relevant person in charge of pilot work says, the above-mentioned problem is a question considered in pilot work too, hope to find the solution in the pilot course.

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