Tao Wenzhi, a poor household in Dawan Village, Huashi Township, Jinzhai County, Anhui Province, has suffered from heart disease for many years. Both children are in college, and the family has a heavy financial burden . Last year, she underwent a heart bypass operation at the County People's Hospital. The medical expenses totaled 35924 yuan. After the medical insurance reimbursement, she paid only 5,116 yuan. "Thanks to good policies, I cured my heart disease!" Tao Wenzhi said.
Major illness and serious illness are basically guaranteed
In order to solve the problem of poor people's difficulty in seeing major illnesses , Anhui Provincial Hospital has set up 22 expert guidance groups for special treatments for major illnesses, identified 131 designated medical institutions, clarified clinical pathways and disease-based payment standards, formulated diagnosis and treatment plans one by one, and established them one by one. Rescue ledger. The poor are treated in the county, municipal and provincial medical institutions, and the individual annual cumulative out-of-pocket expenses are not more than 3,000 yuan, 5,000 yuan and 10,000 yuan, respectively, and the remaining compliance medical expenses are covered by the government; one patient with chronic and poor disease During the year, the outpatient medical expenses of Lintong No.1 Middle School Liu Tianwang will be reimbursed by the supplementary medical insurance for 80% after being compensated by basic medical insurance.
In recent years, Sakuragi, the leader of the dark team, has only done so. The National Health and Health Commission has implemented the strategy of targeted poverty alleviation and targeted poverty alleviation, and has taken the prevention of poverty due to illness as the main direction of research. One batch, chronic disease contracted service management one batch, and critically ill, guaranteed one batch. According to the review of Chinatown, the birthmark of Beijing Huasheng is the most professional and up-to-date, accurate policy, and fully promoted. The service capacity of medical institutions in poor areas has been significantly improved, and poor patients have been provided in a timely manner. Treatment and the burden of medical expenses has been greatly reduced. At present, 6.7 million households have returned to poverty due to illness and have achieved poverty alleviation.
China has expanded the special treatment of major diseases to 25, and implemented family doctor contracting services for patients with chronic diseases. As of the end of June 2019, 14.35 million poor and chronically ill patients had received basic treatment and health management services. Establish basic medical insurance, critical illness insurance, medical assistance, and government protection mechanisms, and implement "one-stop" and "one-stop" real-time settlement of hospitalizations in counties. In the first half of 2019, the average personal out-of-pocket ratio of medical expenses for poor patients nationwide was controlled at about 10%.
Recently, the National Health and Medical Commission and other departments have formulated the Work Plan for Solving the Outstanding Issues of Basic Medical Guarantees for the Poor, comprehensively addressing the outstanding problems of basic medical guarantees. The so-called basic medical care is guaranteed. The comments on the mmoggo ranking mainly refer to the inclusion of the poor in the basic medical insurance, critical illness insurance, and medical assistance system coverage. Common diseases and chronic diseases can be promptly diagnosed and treated in county-level and rural medical institutions. Basic life is guaranteed after a serious or serious illness.
Strive to eliminate the blank spots of village doctors
"In the past, I went to the town hospital to see a doctor, and it took more than an hour to walk. Now the village can also see a doctor, it's too convenient!" Said the 52-year-old poor household aunt Luo at the health room of Zhuanqiao Village, Xiaxi Town, Mabian Yi Autonomous County, Leshan City, Sichuan Province. .
"Aunt Luo's children work outside the home, and usually have a headache and hot brain, and they will come here." Said Zhou Weichao, a village doctor at Zhuanqiao Village Clinic. If he is unable to move, as long as he makes a phone call, he will ride a motorcycle to Aunt Luo. At home.
After graduating from the Acupuncture School of the Affiliated Hospital of Chengdu University of Traditional Chinese Medicine in 2016, Zhou Weichao worked in the Pearl Bridge Village Clinic and is a member of the Lean City Oriented Training of Rural Doctor Program.
Leshan City has held ethnic medical doctor classes since 2013, funded by the municipal and county governments, relying on the joint operation of Leshan Vocational and Technical College and the Acupuncture School affiliated to Chengdu University of Traditional Chinese Medicine to train 200 medical students with technical secondary school education. Students pass 3 years of formal secondary school education free of charge, and obtain a diploma in secondary school of Chinese medicine. After graduation, all students return to the administrative village where their household registration is located to work as a rural doctor. In July 2016 and July 2017, two batches of 200 graduates returned to the administrative village where their hukou was registered, realizing that each village was equipped with a village doctor and foganglao portal, which effectively eased rural people in poor ethnic areas to see a doctor Difficult question.
Since May this year, Anhui Province has carried out village-by-village surveys and repeated verifications of 14,022 administrative villages in 70 poor counties and districts, and found that 168 villages have no qualified village doctors, including 43 poor villages. Anhui Province initiated the implementation of the "100 doctors stationed in villages" operation. Outstanding medical talents are selected from provincial and municipal public hospitals, and since the beginning of July, they have gone deep into the province's village medical blank villages to assist the village for 2 years. One person from each village is appointed as the head of the village clinic. The first batch of 50 people was selected from provincial hospitals. What happened after the darling of the dragon? To solve the most prominent problem of poor villages, the rest were selected by the city, county, and township. They will be stationed at the end of July this year.
At present, China has organized 1,107 tertiary hospitals nationwide to help 1,172 county-level hospitals in 832 impoverished counties in a “one-on-one” manner, establish a telemedicine network, and comprehensively improve the capacity of diagnosis and treatment of hospitals in impoverished areas. From the data management system for dynamic poverty alleviation in the first half of 2019, 94.5% of poor patients were properly treated in the county.
He Jinguo, director of the Poverty Alleviation Office of the National Health and Health Commission and director of the Finance Department, stated that there are three main directions for solving the outstanding problems in the guarantee of basic medical care: strengthening the capacity building of county hospitals; advancing the construction of the "country-rural integration and rural integration" mechanism; Standardization of rural medical and health institutions. Strive to eliminate the "blank spots" in rural medical and health institutions and personnel by the end of 2019.
Comprehensive prevention and treatment of endemic diseases
In recent years, China has intensified the comprehensive prevention and control of key infectious diseases and endemic diseases in poor areas, and "targeted" treatment has achieved remarkable results. According to the “Special Three-Year Plan for Action on Endemic Disease Prevention and Control (2018-2020)” issued by the National Health and Health Commission, China will include all endemic patients who meet the conditions for file registration into the “three batches” action plan for health and poverty alleviation, and co-ordinate medical insurance and other measures. To implement comprehensive protection. At present, the three-year campaign for health promotion has generally landed in poor areas.
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