Medical network on August 14 - recently, the provincial government issued by the general office of the guizhou province improve cross tent card rural poor chronic medical treatment level to promote accurate implementation plan for poverty alleviation "(hereinafter referred to as" the plan "). Scheme is put forward, since 2017, through the implementation of "four health care", rheumatism, rheumatoid arthritis, joint disease (such as hip, knee) 49 kinds of diseases, all signed into the medical treatment and service management. Among them, 36 diseases were included in the medical assistance range of the rural poor.
Scheme is put forward to improve the health and poverty alleviation and dynamic management system, inputting update chronic diseases in rural cross tent card poor personal information, in various chronic diseases signing GuanLiLv, proportion of medical expenses and so on the implementation of dynamic supervision and evaluation, and development of guizhou's poor health information management database.
The plan calls for the investigation of the disease of poor and poor people in poor and poor countries in accordance with the country's disease.
We will implement the policy on the protection of chronic diseases from basic medical insurance, major medical insurance, medical assistance and medical assistance. At the same time, the chronic poverty into signing a service management, organization in towns and townships doctor or village doctor and the risk of chronic diseases by inputting tent card signed rural poor families to carry out the family doctor service, encourage the county hospital and rural two levels of specialized subject doctor medical staff family doctor team composed of contract, for the chronic diseases by inputting tent card rural poor families with public health, chronic disease management, health counseling and intervention of traditional Chinese medicine and other integrated services. A team of doctors or doctors should develop personalized health management plans for patients with poor and chronic conditions in rural areas. We will implement basic public health service projects, take counties as the units, and carry out a health check-up every year for eligible rural poor.
At the same time, vigorously implement the basic medical and health service ability promotion plan three years in guizhou, accelerate the towns and townships (community health service centers) complete coverage of telemedicine, promote the medical and health institutions in the province counterpart support. To strengthen the construction of grassroots joint pavilion, chronic diseases of traditional Chinese medicine outpatient service, enhance the high blood pressure, diabetes, chronic obstructive pulmonary disease (copd), coronary heart disease (CHD), stroke recovery period, advanced cancer, definite diagnosis of chronic renal failure, such as the comprehensive management of patients with chronic diseases service ability. We will improve the quality management and control organization system of primary medical care system based on secondary medical institutions in the region.
Fourth, implement the policy on the protection of chronic diseases
First, the basic medical insurance, chronic disease outpatient compensation do not set up to pay line, top line ginseng to top line, be in hospital compensation ratio according to the corresponding level medical institutions in hospital compensation ratio.
Hospital (including the medical establishment that decide a dot in the county, township hospital and the referral, for the record to the medical establishment that decide a dot in the hospital (above city-level), reduce and gradually cancel the starting line, a top line according to the circuit to hospital top line; Provincial, city and county medical establishment that decide a dot in the hospital compensation ratio increased by more than 10%, based on existing towns and townships (community health service center) on the basis of existing increased by more than 5%.
Secondly, in terms of medical treatment of a serious illness insurance, chronic disease outpatient and hospitalization fees into a serious illness insurance compensation scope, along with all the starting line is not higher than 3000 yuan, encourage places with conditions to phase out starting line; The compensation ratio is increased by more than 10 percentage points on the existing basis.
Again, medical care, chronic disease outpatient and hospitalization expenses, the urban and rural residents basic medical insurance, serious illness insurance compensation after the compliance cost individual burden part conform to the rural family planning "two families" and lost family or for medical assistance policy alone, family planning interests health family planning department at the county level shall guide special funds shall be 100%. In the case of non-compliance with the policy of family planning medical assistance, the outpatient expenses shall be 100% saved by the county civil administration medical rescue fund within the maximum relief limit of the outpatient service; The hospitalization expenses shall be paid more than 50% of the total amount of the maximum assistance in the hospital.
Finally, medical assistance, in view of the basic medical insurance directory assistance including drug cost, treatment for chronic diseases in all levels of the public medical establishment that decide a dot, use beyond the catalog of guizhou province new rural cooperative medical basic drugs "in guizhou province is basic medical treatment insurance, inductrial injury insurance and maternity insurance drug catalogue of drug, used by ginseng protect DeXianJi government to have the state food and drug costs of drug approval number, the administrative department for special medical help. The support ratio is not less than 70% in township hospitals (community health service center), no less than 65% at county level public hospitals, no less than 55% of municipal public hospitals, and no less than 50% of provincial public hospitals. Imported drugs can be carried out by 20% of the above standards.
The drug should be submitted to the county-level new rural cooperative agency for examination and approval before the use of the medicine for chronic diseases. The dosage should be within 15 days or the minimum packing dose. The list of drug AIDS will not set up the pay line, and the top line will be no less than 20,000 yuan per person per year.
For out-of-pocket medical expenses for the included chronic treatment of medical costs through a new farming, serious illness insurance, medical treatment of insurance of primary medical treatment compensation, and the basic medical insurance directory assistance, drug cost out-of-pocket health care costs are still high, by ginseng protect county special medical support, to ensure that its annual out-of-pocket costs below the county level (including county-level) public medical institution does not exceed 1000 yuan, the municipal public hospital is not more than 3000 yuan, public hospitals at the provincial level shall not exceed 5000 yuan.
36 chronic diseases are included in the medical assistance category
According to the plan, it is reasonable to determine the safety of the disease in accordance with the results of the investigation of the disease of poor people in poor and poor countries.
These diseases include: rheumatism, rheumatoid arthritis and joint disease (hip, knee), mental disease, cerebrovascular disease, chronic obstructive pulmonary emphysema and lung, active tuberculosis, rheumatic heart disease, diabetes, dementia, cardiomyopathy, chronic bronchitis, asthma, nephrotic syndrome, chronic nephritis, ankylosing spondylitis, epilepsy, high blood pressure, liver cirrhosis, chronic active hepatitis, pneumoconiosis (Ⅱ, Ⅲ period), heart disease complicated with cardiac insufficiency, coronary heart disease, systemic lupus erythematosus (sle), breast cancer, cervical cancer, lymphoma, lung, nervous system, liver (new farming and treatment period as stipulated in the major disease diseases except), leukemia, chronic granulocyte leukemia standardize drug treatment except), aplastic anemia, chronic cytopenia, hypothyroidism, Parkinson's disease, myasthenia gravis, a total of 36 kinds of diseases included in the scope of the rural poor chronic medical treatment.
Special funds for the implementation of 13 major diseases
In addition, according to the notice of the national health and family planning commission on the special treatment programme for the epidemic of poverty in rural areas, the provisions of the China health administration medical letter [2017] 154] stipulate that:
Children congenital room, children's congenital deficiency room, children's congenital deficiency artery catheter is not closed, pulmonary stenosis, French quadruple disease as well as the combination of two or more complexity, heart disease, children with acute lymphoblastic leukemia, children with acute early young granulocyte leukemia, esophageal cancer, gastric cancer, colon cancer, rectal cancer, end-stage renal disease, a total of 13 kinds of major diseases, continue by urban and rural residents health care, medical treatment of a serious illness insurance, civil affairs, relief fund implementation of special treatment of a serious illness. The changes of regional disease spectrum can be adjusted to ensure the appropriate adjustment.
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