China will improve the horizontal pilot work of medical insurance of rural children's serious disease

China will improve the horizontal pilot work of medical insurance of rural children's serious disease
The electricity, according to the news of website of Ministry of Public Health of June 10 of www.chinanews.com, Ministry of Public Health, Ministry of Civil Affairs jointly released " opinion on improving rural children's great disease medical treatment and ensuring horizontal pilot work " a few days ago, require regional prior choice several it jeopardizes rural children to be costly in life and health, medical treatment and better great disease launch a pilot project after treating actively in advance, compensate competence and the intersection of medical rescue and level jointly while being agricultural while being new through improve, improve the intersection of children and great medical treatment of disease, ensure competence effectively. " opinion " requires every province-governed municipality to combine reality, and combine the reform pilot work of public hospital, choose 2-3 to have a large population to join jointly in this area under one's jurisdiction, information-based managerial ability is relatively better, launches the provincial fixed medical organization at city level and marries newspaper working and medical rescue immediately " A station type " County (market) of the service Launch the work of launching a pilot project. Pilot work can be from solving 0 to 14 years old (including 14 years old) first Acute leukemia and congenital heart disease and two kinds of great diseases that children suffer from are started with, children's acute lymphocyte leukemia of the prior choice, children are acute young grains of cell leukemia for a long time, children's inborn atrial septal defect, children inborn ventricular septal defect, children inborn artery conduit close and the intersection of children and inborn the intersection of lung and the intersection of artery and petals of 6 pieces of number such as being narrow launch a pilot project. All parts can also follow fund solvency, increase pilot number appropriately. " opinion " is pointed out, all parts should follow pilot disease, provincial health authorities choose to possess the condition of making a diagnosis and giving treatment, make a diagnosis in the province with competent technology in this area under one's jurisdiction, shut the fixed medical organization at city level and newly and agriculturally, as the selected number infant's hospital of treatment and cure, and signed the medical service agreement by fixed position with treating and curing the hospital. Shut the fixed medical organization at county level and newly and agriculturally and really possess condition and ability of making a diagnosis, can also elect to be the pilot number infant's hospital of treatment and cure. Provincial health authorities should confirm standardizing the scheme of making a diagnosis of pilot number according to the relevant regulation, and the scheme and medical service agreement by fixed position according to making a diagnosis, the norm treats and cures the medical service act of the hospital, strengthen supervision, control to make a diagnosis expense pilot number effectively. It is shut that new and agricultural and the medical relief fund is paid according to number on the basis of limiting the expenses, obviously raise and submit an expense account the proportion. In principle, shutting newly and agriculturally should reach this province (district, city) to the compensation proportion of pilot number Limit about 70% of the expenses, medical rescue and then compensates the eligible patient, it is not lower than 20% which limits the expenses to compensate the proportion. Join and shut a patient in this province (district, city) The inside corresponding fixed medical organization goes to a doctor, enjoy the compensation stipulated. " opinion " is clear, handle the principle that the organization should follow the favourable member of a nationality convenient for people at all levels and newly and agriculturally jointly, do the work of joining and shutting the changing the place of examination of peasants well in time, simplifying and procedure of submitting an expense account of settlement of standardizing pilot disease. Shut the fixed medical organization to form the newspaper newly and agriculturally immediately, and with the medical rescue " a station type " Serve, it is convenient to join shutting personnel are compensated in time. Simplify the relevant settlement procedures of the fixed medical organization, close paying for the fund first of the medical organization in time. In addition, the health authorities at all levels should pay attention to the development of pilot work conscientiously, do a good job of every organization conscientiously. Meanwhile, the organization of should strive for this area Red Cross actively or succour charitably ing etc. compensates the support of the work to pilot disease, raise funds through many channel, improve and ensure competence together. Before July 31, all parts should launch a pilot project in the county (market) List and pilot implementing scheme are submitted to Ministry of Public Health, Ministry of Civil Affairs for record.

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