Oct.8 News: Seven years after the implementation of medical reform, standardized training of resident physicians, hierarchical medical treatment, public hospital reform, medical insurance for major diseases and other measures have been rolled out in succession nationwide. Zhejiang, Anhui, Fujian, Beijing, Shanghai and other provinces and cities have been at the forefront of reform exploration.
Hierarchical diagnosis and treatment: The disease can be cured near your home
The number of hypertensive patients in China is as high as 300 million, and most people need to take medicine such as shihuida and mono to stabilize blood pressure for a long time. However, the situation of drug shortage and shortage of doctors in primary medical institutions has been existed for a long time, resulting in patients having to go to large hospitals and difficult patients with miscellaneous diseases.
In view of the above situation, xiamen city of fujian province has introduced a series of measures in the process of exploring graded diagnosis and treatment. Mrs. Li, who has long suffered from hypertension, can buy normal antihypertensive drugs near her home. Xiamen city health and family planning commission director Yang Shuyu introduced: We put these patients in the unified management of the community, and allowed the grassroots and large hospitals to enjoy the same procurement rights, so as to solve the problem of prescribing drugs for patients and alleviate the medical burden of large hospitals.”
This is part of the purpose of graded diagnosis and treatment: by policy adjustments, patients with common and chronic diseases are encouraged to voluntarily go to primary medical institutions for treatment, while large hospitals that have been in a "wartime state" for a long time are allowed to return to the position of academic and difficult diagnosis and treatment.
In this respect, Shanghai is also in the forefront of the country. Many residents began to have family doctors and gradually developed a medical habit of making the first visit to the contracted family doctor. It is understood that Shanghai health and family planning commission through the signing of preferential policies and basic medical insurance system adjustment. Starting from some specific groups with large medical demands, municipal medical institutions are required to give priority to family doctors in terms of medical treatment and hospitalization resources, and gradually form the medical treatment order of "community first consultation and orderly referral".
In the process of exploration, the lack of good doctors at the grassroots level has become the bottleneck of the development of graded diagnosis and treatment. How to do? The standardized training of resident doctors has been fully pushed. The multi-site practice of physicians to guide the rational flow of quality medical resources is proceeding in an orderly manner. The policy of assistance to primary medical institutions by specialized hospitals has been implemented for many years.
It is hoped that the long-simmering guidelines on promoting the establishment of a hierarchical medical system were issued by the general office of the state council in September, specifying the timetable for advancing the hierarchical medical system. In some provinces and cities, the number of "nearby doctors" and "see a good disease" has increased significantly.
A serious illness insurance: Alleviate poverty caused by illness
The phenomenon of "poverty due to illness and returning to poverty due to illness" has long existed in China. With the gradual improvement of the medical insurance policy, the burden of patients is gradually reduced.
Jiang Yunying, a resident of Dayuan town, Fuyang district, Hangzhou city, Zhejiang province, suffered from subarachnoid hemorrhage and spent 820,000 yuan in medical expenses by August 2015. Medical expenses totalled 820,000 yuan by August 2015, an astronomical figure for jiang yunying, who has no source of income and depends on her son to support her.
To the elderly fortunately, the elderly have been handling urban and rural residents medical insurance. According to relevant policies, jiang yunying actually reimbursed 330,000 yuan according to the reimbursement ratio of this insurance, including 100,000 yuan for serious diseases. In addition, the elderly people also enjoy an additional medical assistance of 60,000 yuan.
Introduced by Ni Huping, deputy director of the health insurance department of the department of human resources and social security of zhejiang province, Zhejiang province launched the pilot of medical insurance for major diseases as early as the end of 2012. Within the policy scope of the pilot areas, the reimbursement rate of hospitalization expenses is generally increased by more than 10%, which is indeed a "timely help" for some poor families.
In our country, medical treatment insurance divides into worker medical insurance commonly, dweller medical insurance, new agriculture is united 3 kinds, and in zhejiang province, "3 protect" ginseng protect personnel to already unified bring into system limits of big disease insurance. "Taking the major diseases insurance system as the leverage and integrating various medical security policies, a multi-level medical security system has been formed with basic medical insurance as the main body, major diseases insurance as the extension, medical assistance as the bottom, and other forms of security as the supplement. Introduced by Ni Huping.
As same as Zhejiang, Henan has fully carried out the serious disease insurance work of urban and rural residents and simultaneously implemented the provincial pooling, new rural cooperative implementation of off-site immediate report. Sichuan, Beijing, Shanghai have also made different explorations in alleviating the financial burden of patients.
In the 2015 government work report, the medical and health work was the focus of people's livelihood. For the first time, the concept of "healthy China" will benefit more ordinary people.
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