Medical network - 24 July fourth big supervision under the state council recently sent inspection, fanned out 18 provinces such as jiangsu, guangdong, shanxi to carry out the field inspection, including medical pension reform is one big key. The inspectors found that the construction of various forms of medical medias had been carried out in cities and counties, and the people had fewer running errands. At the end of the day, when the patient is out of the hospital, he can reimburse the doctor in real time, as well as the local people. More and more old people have signed up for the family doctor.
There are experts on the doorstep
On the morning of July 20, liu shuiqing, a resident of sihongqiao community of yuhua tai, nanjing city, felt the heart sick and wanted to have a check. She went to the community health service to find a family doctor, mei kai. Mei kai made a preliminary diagnosis and submitted to zhang dingguo, deputy director of cardiovascular medicine of jiangsu provincial people's hospital. Soon, zhang dingguo saw the disease through the remote diagnosis and treatment system.
"You can enjoy expert services without running a big hospital, and you're saving 20 percent a year." Liu said she has paid 600 yuan for a family doctor's contract at the community health service center, which offers free medical tests and a preferential treatment service for third-place hospitals. The health service center has signed cooperation agreements with provincial people's hospitals and provincial oncology hospitals. The community health service center in the medical community is connected to wuzhen Internet hospital, and residents can enjoy the diagnosis and treatment of 280,000 doctors in the country.
In guangzhou, the thirteenth inspection team saw a community health service center that was busy with large hospitals. There are more than 60 health care workers in the community health service center of huilin street in liwan district, which is full of work. Some doctors make more than 100 visits a day, which is close to the level of experts in major hospitals. The center has joined the medical consortium led by guangzhou first people's hospital, which sends six deputy directors to the community weekly. "Within three days, we can make an appointment to make an appointment, and the number of outpatient visits to the community hospital has increased by two percent." Gu xiang, director of the lai wan district health bureau said.
After the first people's hospital of Shanxi Province and the establishment of medical association of guo jibao health hospital, hao shoucheng, the chief physician of the first people's hospital of jinzhong city, visited the city of guo's hospital every week. Because of the administrative, personnel, capital, business, performance, YaoXie implementing "six" management, integrate county image, inspection, four centers such as pathological disinfection supply, institutes of technology strength. The patient in the corridor said to the third inspector, "it's just as convenient as the city."
Relative to large hospital, the lack of high level doctors at the grass-roots level, the couplet of medical experts, technology and equipment to the grassroots, both sides bundled into responsibility, benefit, service and management of community, the added attraction of grassroots medical institutions, to form a reasonable order of the classification of diagnosis and treatment, the better for residents to provide continuous and perfect a series of health services management, reduce medical care cost.
The seventh inspection team found in jiangsu province that the construction of medical couplet in jiangsu had earlier, and had established 305 medical couplet of various patterns and nature. The construction of the medical joint has made the medical treatment obvious to the grassroots. May 1 - this year, the province's urban and rural grassroots health institutions visits accounted for nearly 60% of residents in two weeks sick preferred clinic accounted for over 50% at the grassroots level by the secondary and tertiary hospitals to grassroots medical institutions, medical institutions in sex referral increase than the same period last year more than twenty thousand the number of passengers.
Third members of the inspection, the state council counselor horsepower said: "to promote the medical couplet body construction especially county rural service integration, in order to improve service ability of grass-roots in towns and townships, dredge basic medical services," the last kilometer "obstruction, will greatly improve people's well-being."
Reimbursement, remote real-time settlement
Since the 1990s, China has started to establish a basic healthcare system. At present, there are more than 1.3 billion basic medical insurance coverage in China. However, in recent years, China's floating population has become more and more, and more and more people are working, going to school, life, pension and medical care. Health insurance can be "roaming" to other places in real time reimbursement, without the need for two places to travel or fund, become the common hope. The inspector found that such expectations became a reality this year.
At the age of 60, he worked in haikou, and retired to visit guiyang every summer. He was diagnosed with cancer and treated at the people's hospital of guizhou province. He told the section 15 inspector to pay the funds in the past, return the statement of settlement to the insurance bureau, and the reimbursement will take two and a half months. In April this year, guizhou and hainan unicom's long-distance medical treatment and settlement system, after being admitted to the social security card, the payment was completed in a few minutes.
Is not only in guizhou, the sixth inspection found in heilongjiang, the province 16 municipal health insurance as a whole the area has been with the national different ground settlement system networking, through the national long distance medical a total of 33 fee settlement and the settlement system; 7 inspection in jiangsu, 13 districts the provincial and municipal long-distance medical billing platform dock with the national system and normal operation, the first settlement is directly across the province long-distance medical object by relocated retiree synchronization to different long-term living people, long in different staff, different referral people, in the year to July 15, provincial ginseng protect personnel in jiangsu province for medical treatment directly clearing fees of 1.8285 million yuan, ginseng protect people in provincial medical direct settlement costs 251100 yuan. The fourteenth inspection team found in shapingba district, chongqing, that in the first half of the year, the network of medical insurance for medical care in the region had been reimbursed for 17.546 million yuan.
The inspector found that the long distance settlement of the obstruction was getting through, and many families were stranded.
Old age, family doctor to match
The father lost, the mother in her 80s, unable to take care of the same, the nanjing city young lady sent her parents to the happy time old apartment, it has been nearly four years. The elderly apartment is home to more than 300 elderly people, with apartments and community hospitals, and three full-time doctors. The community hospital provides the family doctor's contract service for the elderly, the elderly who need to visit the community hospital, the doctor can visit the clinic, the medical expenses are settled in real time through social security card.
In nanjing, many old people have their own family doctors, and the local family doctor's "power" is not small. In addition to the daily diagnosis and treatment services, it also has 30 percent of the experts in the second and tertiary hospitals, which have been opened to the family doctors of primary medical institutions throughout the city by one week in advance. The elderly need only to sign up with a family doctor in the community to make an appointment with the expert number a week in advance.
Inspector found that 90% of jiangsu province in towns and townships and urban community health service centers in signing the family doctor service, including the elderly, the focus of the crowd family doctor signing rate was 44.8%; In chongqing shapingba district and the aged 65 and older in the district, the contract system of family doctors was established, and the health management rate reached 74.61%. In 21 cities in guangdong province, family doctors, including elderly people, have signed up to sign up.
According to the arrangement of Chinese family doctor's contract service system, the elderly are mainly covered by the people. Elderly people generally suffer from multiple diseases involving various families and are in urgent need of medical services, especially daily and continuous family doctor services. Therefore, whether the elderly are home or in the pension institution, there are family doctors to manage the care, to improve the quality of life.
The inspector also found that some medical medias have problems such as imperfect distribution of internal interests, low level of information technology, low level health talents and shortage of professional nursing talents. The cross-provincial settlement system has just begun to build, and the stability is still not high, and in some places the rate is low; Family doctors are slow to sign up for service and so on. This still requires further implementation of the central spirit, so that the masses can better share the results. |
