Tianjin: Four kinds of persons will enjoy medical rescue from next year Defend causing due to illness poorly

Tianjin: Four kinds of persons will enjoy medical rescue from next year Defend causing due to illness poorly
A few days ago, Tianjin issued " Opinions on Implementing further improving system of medical rescue in urban and rural areas ". " opinion " points out, from January 1, 2010, the various forms of succouring through the government, helping in the medical organization reducing or remitting, society in Tianjin etc. are succoured to succouring the target. Meanwhile, establish, coordinate by the intersection of Tianjin and Municipal Bureau of Civil Affairs, municipal the intersection of manpower and the intersection of social insurance and office, municipal Bureau of Finance, the intersection of city and in urban and rural areas the intersection of medical rescue and work that Municipal Health Bureau take the lead in and promote the group, responsible for guiding and coordinating the work of medical rescue in urban and rural areas, research and solve and cause the medical case of returning to the poor one extremely poorly and due to illness and succour various problems that the system runs and presents in the course due to illness together.
Four kinds of personnel can enjoy medical rescue
Clear in " opinion ", the medical rescue target is four kinds of personnel: The lowest life support personnel in urban and rural areas in Tianjin; The rural five guarantees of Tianjin support personnel; Succour personnel in Tianjin in urban and rural areas and specially tired; The city and work of medical rescue in urban and rural areas of county coordinate the special difficult personnel of others promoting the group to assert together. Among them, enjoy the treatment of lowest living guarantee in urban and rural areas of Tianjin, the rural five guarantees support the treatment and in urban and rural areas and specially tired and succour target of all kinds of medical rescue of the treatment and is asserted by civil affairs department of the county; Other special difficult personnel are coordinated to promote the group to accept and combine first trial by the work of medical rescue in urban and rural areas of the county.
The community goes to a doctor and exempts from the registration fee to examine and check the fee
The medical rescue target participates in urban worker's medical insurance, basic medical insurance of urban and rural residents, it pay the fees individual part according to municipal government "approve and disseminate work and social security Tianjin worker medical insurance notice that be stipulateds basics urban where office drafts municipal "and> carries out, the necessary fund is solved according to the original channel, guarantee the medical rescue target effects an insurance.
The medical rescue target is in the hygiene service organization of the community (including the health clinics in towns and townships, same below) While going to a doctor, exempt from the registration fee, examines and checks the fee, test the fee, radiate the fee, check 10% of fee in reduction of income. All medical rescue targets sought medical advice in the clinic of service organization of community's hygiene, after the basic medical insurance submits an expense account, the medical rescue of the clinic that offer. The succour ceiling is: The intersection of city and " 3 have " Personnel, countryside disperse and support 200 yuan for each person every year of marriage partner of five guarantees, other succour are 60 yuan for each person every year of marriage partner.
Succour and submit an expense account every year and bind 100,000 yuan in hospital
In the future, whom the intersection of medical rescue and target take place during the medical treatment in hospital accord with basic the intersection of medical insurance and the intersection of medicines and catalogue, make a diagnosis the intersection of project and catalogue and medical the intersection of service facility and hospitalization cost of catalogue, after being succoured and submits an expense account by basic medical insurance and medical fee of large volume first, its individual bears some and succours by stage according to the standard, it is 100,000 yuan to submit an expense account every year and bind the line. The concrete standard is: Under 3000 yuan part is succoured
20%; Succour 30% from 3001 yuan to 6000 yuan part; Subsidize 40% from 6001 yuan to 10000 yuan part; Succour 45% from 10001 yuan to 20000 yuan part; The part of more than 20000 yuan is succoured 50%. To severe the intersection of succour and standard of disabled person under the intersection of medical rescue and target, in succour at the standard foundation increasing by 5 percentage points while being above-mentioned.
The fixed hospital goes to a doctor and reduces or remits and is in hospital deposits
" opinion " points out, can choose respectively to belong to second hospital (including the Traditional Chinese hospital) in 2 to 4 first class hospitals and districts in the urban area in the future As the fixed hospital of medical rescue, the county which has agriculture can choose 2 to 4 central commune hospital and second hospital (including the Traditional Chinese hospital) under the county respectively As the fixed hospital of medical rescue, undertake the work of medical rescue in hospital.
It is in hospital that the first class hospital does not pay the deposit to succour the target by fixed position; Second hospital pays deposits of 500 yuan in hospital by fixed position; Pay deposits of 1000 yuan in the tertiary hospital in hospital. The annual social insurance handles the organization and sets aside the revolving fund of certain number of first class hospital by fixed position in advance according to target's number of medical rescue of every county, it is in hospital that used for paying for medical rescue target first the deposit.
Succouring the target can pay by credit card and seek medical advice to settle account
It is reported, the medical rescue in urban and rural areas annotates and manages the informationization, the medical rescue target, according to the medical insurance card (or social security card) Wait for the relevant identification material to get to network the hygiene service organization of the community and the service organization of medical rescue pay by credit card and seek medical advice in hospital by fixed position. Medical rescue the intersection of community and the intersection of hygiene and the intersection of service organization and clinic that target network seek medical advice expense not taken place, gather and makes county's social insurance to handle the organization and settle account by county Department of Civil Affairs quarter while being every.
The private hospital " With the wind " Lower the medicine price by oneself
A few days ago, 9 departments such as Ministry of Public Health jointly released " about the implementation suggestion which set up the national basic medicine system ", start the system building-up work of national basic medicine formally. This one aims at the new action of the expensive problem of solving civilians and seeing the doctor fundamentally, also drawn common concern of private hospital operator. Many operators of private hospital express, once this policy begins to implement, they can only follow up automatically.
It is the burden of seeing the doctor in order to lighten residents of Tianjin that a price differential of community's hospital medicines is sold, the action of Huimin beginning to be implemented from January of 09, the impact to private hospital of its implementation is very great. Because a lot of citizens went to the private hospital to see the doctor in the past, the registration fee which pursued here was cheap, medicine is much cheaper than in the large hospital too. But after community's hospital cancelled the price markup of 15% of medicines in 09, some private hospitals can only choose to be forced to follow up. A president of private hospital guards estimating, only this one, the fall of medicines income of this hospital of first half of 09 is just about 6%.
And with the issue of " opinion ", our country starts the system building-up work of national basic medicine formally. Basic medicine contain internal and external department, gynaecology, ophthalmology department, dept. of orthopedics common the intersection of disease treatment and necessary medicines under life. The expert reveals, after this system is implemented, the public buys the basic medicine in the medical health organ of the basic unit, perhaps price but also 25% cheap at least, make patient seek medical advice burden. As to this, some private operator of hospital think basic medicine
Disease treated has taken the overwhelming majority in the clinic, so, whether the responsible institution of the hygiene has included the private hospital in the idea implemented in the basic medicine system medical organization, private hospital too can follow up automatically, otherwise only can let more the intersection of patient and loss.
But the operator who there is the private hospital thinks, the medicines in the basic medicine catalogue are all traditional Volkswagen medicines, new medicine, special medicine have basically, such a medicine at most can only account for 30% proportion in the intersection of hospital and dispensary. Giving an example with antiinflammatory agent, the present patient has already been used to mixing and using medicine, such a medicine is more expensive, used cheap antiinflammatory agent suddenly, to patient " affective " All questions. So, some operators of private hospital express, basic medicine
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