The State Council's fourth major inspection recently sent an inspection team to Jiangsu, Guangdong, Shanxi and other 18 provinces to carry out field inspections, in which medical pension reform is a major focus. Supervision found that all over the city and county areas have carried out a variety of forms of medical association construction, the masses to see the doctor to run errands less. When you visit the doctor to settle the bill, not in the place of participation in the doctor, but also in a different place and the local people like real-time reimbursement, more and more elderly people have a contracted family doctor.
See a doctor, there are experts at home
July 20 morning, Nanjing Yuhuatai Sai Hongqiao community residents Liu Shuangqing feel uncomfortable with the heart, want to do a check. She came to the community health center to find the contracted family doctor Mei Kai. Mei Kai made a preliminary diagnosis and submitted it to Zhang Dingguo, deputy chief physician of the Department of Cardiovascular Medicine at Jiangsu Provincial People's Hospital. Soon after, Zhang Dingguo gave Liu Shuangqing a visit through the remote diagnosis and treatment system.
"I don't have to run to a big hospital to enjoy expert services, and I've saved 20% of my medical expenses in one year." Liu Shuangqing said she spent 600 yuan at the community health service center to buy a family doctor contracting service, and in addition to free medical checkups, she also enjoys priority consultation services at a tertiary hospital. The health service center signed a medical association cooperation agreement with the Provincial People's Hospital and the Provincial Cancer Hospital. The community health centers within the medical association are all connected to the Wuzhen Internet Hospital, and residents can enjoy the diagnosis and treatment services of 280,000 doctors nationwide at their doorsteps.
In Guangzhou, the thirteenth inspection team met with large hospitals generally busy community health service centers. Liwan District, Hua Lin Street Community Health Service Center has more than 60 health care workers, working at full capacity, and some doctors have more than 100 outpatient visits a day, close to the level of specialists in large hospitals. The center has joined a medical consortium led by Guangzhou First People's Hospital, which sends six physicians above the level of deputy director to the community every week. "Appointments can usually be arranged for hospitalization within three days, and the number of community hospital outpatient visits has increased by 20%." Liwan District Health Bureau Director Gu Xiang said.
After a medical consortium was set up between the First People's Hospital of Jinzhong City, Shanxi Province, and Guojiabao Health Center, Hao Shoucheng, chief physician of the First People's Hospital of Jinzhong City, visited Guojiabao Health Center every Wednesday. Because of the administration, personnel, funds, business, performance, the implementation of the "six unified" management, integration of the county imaging, testing, pathology sterilization supply four centers, health hospitals to enhance the technical force. Corridor a patient with the third inspection team members said: "see a doctor here and the city, too convenient."
Relative to large hospitals, the grassroots lack of high-level doctors, the medical consortium to the experts, technology, equipment to the grassroots, the two sides bundled into the responsibility, interests, services, management of the **** the same body, adding to the attractiveness of the primary health care institutions, the formation of a reasonable hierarchical order of diagnosis and treatment, to better provide the residents with a series of continuous, well-managed health services to alleviate the difficulty of access to the doctor to see a doctor expensive.
The seventh inspection team in Jiangsu found that the construction of medical consortia in Jiangsu is relatively early, and 305 medical consortia of various modes and natures have been established. The construction of the medical association has made it obvious that medical treatment is flowing back to the grassroots. From January to May this year, the province's urban and rural primary health care institutions accounted for nearly 60% of the number of consultations, residents two weeks sick preferred grass-roots level of treatment accounted for more than 50%, the number of referrals from second- and third-tier hospitals to primary medical and health care institutions, and successive health care institutions increased by more than 20,000 compared with the same period last year.
The third inspection team member, the State Council Counselor Ma Li believes that: "Promote the construction of medical association, especially the integration of county and village services, as a way to improve the service capacity of grass-roots township health centers, dredge the obstruction of the basic medical services 'last kilometer', will greatly enhance the people's happiness index."
Reimbursement, real-time settlement in different places
Since the 1990s, China has begun to establish a basic medical insurance system. At present, the national basic medical insurance coverage of more than 1.3 billion people. However, in recent years, China's mobile population is growing, and more and more people are working, going to school, living, retiring, and seeking medical treatment outside of their place of insurance. Medical insurance can "roam" to the real-time reimbursement of foreign places, without having to run around or advance funds, become *** the same expectations. Inspection found that such expectations this year to become a reality.
The 60-year-old old had worked in Haikou, retired to Guiyang every summer to visit relatives. He was found to be suffering from tumor disease and was treated in Guizhou Provincial People's Hospital. He told the 15th inspection team that in the past, he needed to advance funds and return the settlement list to the social security bureau of the insured place, and it took two and a half months to get the reimbursement in hand. In April of this year, Guizhou and Hainan linked to the settlement system for medical treatment in other places, and after entering the hospital and brushing the social security card, the settlement and payment will be completed in a few minutes.
Not only Guizhou, the sixth inspection team in Heilongjiang found that the province's 16 health insurance municipal co-ordination areas have been connected to the national settlement system for medical treatment in different places, through the national settlement system for medical treatment in different places *** settlement of 33 expenses; the seventh inspection team in Jiangsu learned that the provincial and 13 municipal settlement platform for medical treatment in different places are docking and normal operation of the national system, taking the lead in the interprovincial The direct settlement object of medical treatment in other places is expanded from retirees resettled in other places to long-term residents in other places, long-staying staff in other places and referrals in other places simultaneously; until July 15 this year, the direct settlement cost of 1,828,500 yuan of insured persons from other provinces for medical treatment in Jiangsu Province, and 2,511,000 yuan of insured persons for medical treatment in other provinces were directly settled; the 14th inspection team found in Shapingba District of Chongqing that in the first half of the year the district's national The medical insurance network has coordinated the reimbursement of 1,754,600 yuan ......
This inspection found that the settlement of foreign settlements, a multi-year obstacle is being opened, and many families are thus relieved of their difficulties.
Elderly, family doctors become standard
Father is disabled, mother is in her 80s, can not be taken care of at the same time, Ms. Yang, Nanjing City, sent her parents to the Happy Time Senior Citizen Residence, so far nearly four years. This senior citizen apartment houses more than 300 elderly people, the apartment and the community hospital run together, three full-time doctors. The community hospital provides family doctor contracting services for the elderly, and when they need to go to the community hospital, the doctor can come to their homes and treat them, and the medical expenses are settled in real time through the social security card.
In Nanjing, many elderly people have their own family doctor, the local family doctor's "power" is not small. In addition to being responsible for the daily diagnosis and treatment services, but also has the second and third tier hospitals 30% of the expert number of sources, these sources in advance of 1 week to the city's primary health care institutions, family doctors open. The elderly only need to sign a contract with the community family doctor, you can prioritize the booking of specialist numbers a week in advance.
The inspection found that 90 percent of township health centers and urban community health centers in Jiangsu province have carried out family doctor contracting services, and the contracting rate of family doctors for key populations, including the elderly, has reached 44.8 percent; Shapingba District, Chongqing, has comprehensively set up a contracting system for family doctors with elderly people over 65 years of age residing in the district, and the rate of health management has reached 74.61 percent; and all 21 municipalities in Guangdong have have carried out family doctor contracting services that include the elderly.
According to the arrangement of China's family doctor contracting service system, the elderly are the key population to be covered. Elderly people generally suffer from a wide range of diseases involving various disciplines and are in urgent need of medical services, especially daily and continuous family doctor services. Therefore, having a family doctor to manage the care of the elderly, regardless of whether they are at home or in an institution, is conducive to improving their quality of life.
The inspection also found that some medical associations have problems such as imperfect internal benefit distribution mechanism, low level of informatization, and shortage of grass-roots health talents and professional nursing talents; cross-provincial settlement system has just started to be built, and its stability is still low, with low rate of knowledge in some places; and the progress of contracted services of family doctors is slow, etc. This still needs to further implement the spirit of the central government, so that the public can better share the fruits of health care reform.
The results of the health care reform are still quite remarkable, and it is much easier for the people to see a doctor.