患者正在向医生咨询病情。（本报资料图片）
全省推行儿童白血病先天性心脏病保障
鼓励城乡居民看中医用中药 提高相应报销比例
西安晚报讯今年我省将全面推行新农合儿童白血病、先天性心脏病等疾病保障，同时将逐步开展尿毒症、艾滋病等疾病费用报销试点。
今年我省新农合参合率将稳定在95%以上，将扩大门诊统筹实施范围。
全省普遍开展新农合门诊统筹，将基层医疗卫生机构使用的医保药品和收取的一般诊疗费按规定纳入支付范围。
各级财政对城镇居民医保和新农合补助标准提高到每人每年200元。我省将力争使新农合政策范围内住院费用支付比例达到70%左右，统筹基金最高支付限额达到全国农民人均纯收入的6倍以上，且不低于5万元。
鼓励城乡居民看中医、用中药，提高职工、居民和参合农民政策范围内门诊、住院费用的中医药费用报销比例，并在现有报销比例基础上提高10%。
另外，将在去年试点的基础上，在全省推行儿童白血病、先天性心脏病保障。同时，积极研究探索，逐步开展尿毒症、艾滋病、乳腺癌和宫颈癌等病种保障试点。
今年启动第二轮65岁以上老人免费体检
全省人均基本公共卫生费用提高到25元
西安晚报讯今年我省人均基本公共卫生费用提高到25元，并将开展第二轮65岁以上老人免费体检等多项医疗服务。
今年全省人均基本公共卫生服务经费从去年的21.5元提高到了25元。提高儿童保健、孕产妇保健等基本公共卫生服务的质量。启动第二轮65岁及以上老年人健康危险因素调查和体格检查。高血压、糖尿病管理人数分别提高到102万人、37万人以上。发现的重性精神疾病患者全部纳入管理范围。
今年将做好农民工基本公共卫生服务，积极倡导健康的生活方式，促进全民健康素质的提高。继续做好适龄妇女宫颈癌和乳腺癌检查、农村孕产妇住院分娩、农村生育妇女免费增补叶酸、贫困白内障患者免费开展复明手术等。
基层医疗机构看病更实惠
全部实行药品零差率销售
西安晚报讯政府举办的基层医疗机构全部配备使用基本药物，实行药品零差率销售，基本药物的企业配送率必须达到90%以上。记者昨日从省卫生厅获悉，今年我省将积极推进国家基本药物制度。
在社区看病 花钱更少
今年所有政府举办的基层医疗卫生机构（包括村卫生室）要全部实行药品零差率销售。同时，建立基层医疗卫生机构长效稳定的多渠道补偿机制，落实政府对基层医疗卫生机构的专项补助以及经常性收支差额的补助。
调整基层医疗卫生机构收费项目，将基层医疗卫生机构原挂号费、诊查费、注射费以及药事服务成本合并为一般诊疗费。在不增加诊疗费用的基础上，合理制定和调整新农合支付比例。这一系列举措，都意味着在社区或者农村基层医疗机构，看病更便宜。
村卫生室财政补助年增4000元
另外，将实施基本药物零差率销售的村卫生室财政补助标准由目前的每年6000元提高到不低于10000元。
探索将非政府举办的基层医疗卫生机构纳入基本药物制度实施范围。药品采购过程中，基层医疗卫生机构要根据基本药物采购的具体剂型、规格、质量和数量要求，与配送企业签订购销合同，配送企业配送率必须达到90%以上。
实行错峰分时诊疗 推行双休节假日门诊
三级医院就医更方便
西安晚报讯记者昨日从全省医改部署会上了解到，今年我省在三级医疗机构将大力推行预约诊疗、叫号、双休日节假日门诊等惠民服务，同时将实施以公立医院改革为主的县域卫生综合改革。
46个县区试点县镇一体化管理
今年，我省将开展县镇一体化管理试点，全面完成全省46个县区试点任务。卫生部门将配合有关部门，重新核定县乡医疗卫生机构编制。同时，将推进试点地区县级公立医院改革。省卫生厅将继续进行神木、子长、府谷、镇安、阎良5个省级试点县（区）公立医院综合改革。各地将借鉴子长经验，实施以公立医院改革为主的县域卫生综合改革。各市区已经确定了37个县级公立医院今年进行改革试点，年内完成试点任务。各市区非试点县也要结合当地实际选定改革内容，全面启动改革。
实行错峰分段诊疗等便民措施
我省将大力推行惠民便民诊疗措施。省卫生厅要求所有三级医院实行预约诊疗服务。实行错峰、分时段诊疗，全面推广叫号服务，合并挂号、收费、取药等服务窗口，简化就医手续，缩短患者等候时间。推行双休日和节假日门诊。省卫生厅要求各市、县要组建医疗小分队，为边远地区提供巡回医疗服务。
今年安排270名县级医院骨干人员到三级医院进修学习。同时，将加快三级医院与对口的县级医院建立远程医疗系统，届时县级医院遇到疑难问题时可通过网络及时得到帮助。城市医院有资历的医师还将到基层医疗卫生机构开展执业活动，逐步形成基层首诊、分级医疗、双向转诊的服务模式。
植入类医疗器械将集中招标
省卫生厅制定了一系列控制医药费用过快增长的政策措施。我省将规范公立医院临床检查、诊断、治疗、使用药物和植（介）入类医疗器械行为，对医疗、用药行为全过程追踪管制，鼓励公立医院优先使用基本药物和适宜技术。
以试点城市为重点开展临床路径管理，研究制定适应基本医疗需求的临床路径，努力覆盖绝大多数常见病、多发病。推行电子病历，利用信息化手段加强医疗行为管理。
完善医用设备和医用耗材管理、采购和价格等政策，政府投资购置的公立医院大型设备按扣除折旧后的成本制定检查价格，降低检查费用。植（介）入类医用耗材实行集中招标采购。合理调整医疗技术服务价格，开展按病种等收费方式改革试点。
新建医疗机构优先考虑社会资本
今年将严格控制公立医院建设规模、标准和贷款行为，新增或调整医疗卫生资源在符合准入标准的条件下优先考虑社会资本。所有医疗卫生机构不论所有制、投资主体、隶属关系和经营性质，均由卫生行政（含中医药管理）部门实行统一规划、统一准入、统一监管。
我省将积极发展非公立医疗机构。上半年出台我省实施细则和配套文件，落实鼓励和引导社会资本举办医疗机构的政策。鼓励社会资本举办普通医疗机构，支持社会资本举办发展高端医疗机构，控制公立医院特需服务比例。构建以公立医院为主、社会资本举办的医疗机构为辅的医疗服务体系。
编辑： 实习编辑：刘婧媛
艾滋病不治会早死，早治才康复 艾滋病不治会早死，早治才康复 艾滋病不治会早死，早治才康复 艾滋病不治会早死，早治才康复
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| 图示∶2010年12月即将出版的《中国特色医疗金鉴》登载的刘君主任及其机构 |
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Shaanxi this year, reimbursement of costs of AIDS will be carried out experimental uremia
Source: Xi'an Evening News Published :2011-03-12 04:21
Patients are to your doctor about the disease. (Newspaper profile picture)
Congenital heart disease across the province to implement protection of children with leukemia
Encourage rural residents to improve the corresponding Chinese and traditional Chinese medicine for medical reimbursement
Xi'an Evening News the province will be fully implemented this year, the new rural cooperative childhood leukemia, congenital heart diseases such as security, while the gradual development of uremia, AIDS and other diseases reimbursement pilot.
NCMS province this year, the participation rate will stabilize at 95% or more, will expand the scope of outpatient co-ordination.
Generally carried out the province's new rural cooperative patient co-ordination, Jiang primary health care health care institutions to use drugs and treatment fee charged by the general provisions in the pay range.
Budgets at all levels of urban residents and the new rural cooperative medical insurance subsidies increased to 200 yuan per person per year. Woxing will strive to make policy within the new rural cooperative hospital payment ratio to 70%, the maximum payment limit funds to co-ordinate the national rural per capita net income of more than 6 times, and not less than 5 million.
Chinese medicine practitioners to encourage urban and rural residents, with traditional Chinese medicine, improve staff, residents and the urban and rural policy within the clinic, the cost of hospital medical expenses reimbursement and on the basis of the existing reimbursement increased by 10%.
In addition, in the last year on a pilot basis, introduced in the province of childhood leukemia, congenital heart disease protection. At the same time, actively explore and gradual development of uremia, AIDS, breast and cervical cancer and other diseases protect the pilot.
Start the second round of this year, 65 years old free of charge medical examination
Per capita cost of basic public health across the province increased to 25 yuan
Xi'an Evening News the province this year, basic public health costs per capita to 25 yuan, and a second round of the elderly aged over 65 free medical and many other medical services.
This year the province's per capita funding for basic public health services increased from last year's 21.5 yuan to 25 yuan. Improve child health, maternal health care, the quality of basic public health services. Start the second round of the health of the elderly aged 65 and above risk factors and physical examination. High blood pressure, diabetes management increased to 102 million respectively, 37 million people. The gravity of mental illness found in all patients included in the scope of management.
Migrant workers this year will do a good job of basic public health services, and actively promote healthy lifestyles, promoting universal health quality. Continue to do cervical and breast cancer screening of women age, hospital delivery in rural areas, rural fertility folic acid women free, free to carry out sight restoring cataract patients of poverty and so on.
Medical treatment more affordable primary health care institutions
Full implementation of pharmaceutical sales slip zero
Xi'an Evening News the government's primary health care institutions all with the use of essential drugs, the implementation of zero-slip drugs sales, corporate distribution rate of essential drugs must reach 90%. Reporter learned yesterday from the provincial health department, this year the province will actively promote the national essential drug system.
Less money in the community to see a doctor
This year all the government's primary health care institutions (including village clinics) all implement pharmaceutical sales slip zero. Meanwhile, the establishment of primary health care institutions and stable multi-channel long-term compensation mechanism, the implementation of the government primary health care subsidies and health institutions as well as regular special balance of payments assistance.
Primary health care institutions to adjust fees and charges will be primary health care and health institutions of the original registration fee, diagnosis and examination fees, administration and injection, and the cost of pharmaceutical services into the general consultation fees. Treatment at no additional cost, based on the formulation and adjustment of a reasonable pay scale NCMS. This series of initiatives, all meant in the community or rural primary health care institutions, medical treatment more affordable.
Village health by 4,000 yuan in government subsidies
In addition, the implementation of essential drugs will be sold zero slip village health standards for financial assistance from the current 6,000 yuan per year increased to not less than 10,000 yuan.
Explore non-government-run primary care health facilities into the scope of the basic drug system. Drug procurement process, the primary care health facilities procurement of essential drugs according to specific types, specifications, quality and quantity requirements, signed a purchase and sales contracts with distribution companies, distribution companies and distribution rate must reach 90%.
Peak shifting and time-sharing implementation of out-patient clinics to implement day weekend holidays
Tertiary hospital more convenient
Xi'an Evening News reporter yesterday deployed from the meeting that the province's health care reform this year, three medical institutions in the province will be vigorously pursued clinic appointment, call number, weekend holidays and other out-patient services, Waste Management, and will implement the main public hospital reform The county comprehensive health reform.
46 counties in the integrated management of the pilot towns
This year, the province will carry out integrated management of the pilot towns, the province's 46 counties to complete a comprehensive experimental task. Health departments with the relevant departments, the approval of a county medical and health organizations. At the same time, county-level pilot areas will promote the reform of public hospitals. Provincial Health Department will continue to be sacred trees, sub-long, Fugu, the town security, provincial Yanliang 5 pilot counties (districts) comprehensive reform of public hospitals. Will draw on long experience all over the child, the implementation of the county public hospital-based health reform, comprehensive reform. The city has identified 37 county-level public hospital reform this year, completed the experimental task. The pilot counties have urban non-selection reform the actual local content, launched a comprehensive reform.
Such as convenience clinics to implement measures for sub-peak load shifting
Benefiting the convenience of our province will be vigorously pursued treatment measures. Provincial Health Department requires that all three hospitals to implement reservation treatment services. The implementation of peak load shifting, sub-time clinics, to promote service called the number, combined registration, fees, dispensary and other service window to simplify medical procedures, reduce patient waiting time. Implementation of outpatient weekends and holidays. Provincial Health Department requires cities and counties to organize medical teams, to provide mobile medical services in remote areas.
270 county hospitals this year for key personnel to the tertiary hospitals for further study. At the same time, will speed up the tertiary hospitals and their counterparts in the county hospitals to establish a remote medical system, when the difficult problems encountered in county hospitals may be helped through the network in a timely manner. City hospitals have qualified doctors and health institutions will also be carried out to the practice of primary health care activities, and gradually form the first primary diagnosis, grading health care, two-way referral service models.
Class will focus on medical devices implanted in the tender
Provincial Health Department to develop a series of control the excessive growth of medical costs of policy measures. Public hospitals in the province will regulate the clinical examination, diagnosis, treatment, use of drugs and plant (medium) into the category of medical devices act of medical and drug use behaviors control the whole process of tracking and encourage priority to essential medicines in public hospitals and appropriate technology.
The pilot cities to focus on the clinical path management, and study the basic medical needs to adapt to the clinical pathway, to cover the most common diseases. The implementation of electronic medical records, the use of information technology tools to enhance medical practice management.
Improve the medical equipment and medical supplies management, procurement and pricing policies, government investment in public hospitals purchasing large equipment cost less depreciation according to formulate check prices, lower inspection costs. Plants (referred) into the class of centralized bidding and purchasing of medical supplies. Rationalize the prices of medical technology and services to carry out disease and other charges by way of reform.
New medical institutions give priority to social capital
Will strictly control the scale of construction of public hospitals, standards and lending behavior, add or adjust the access to health resources, subject to priority under the standard of social capital. Regardless of ownership of all medical and health institutions, investors, affiliation and nature of the business, by the health administration (including the Chinese Medicine) departments to implement a unified planning, unified access, unified supervision.
Province will actively develop non-public medical institutions. The introduction of the first half of the implementation details and supporting documents in our province, encourage and guide the implementation of social capital, the policy of organized medical institutions. Encourage social capital organized a general health care institutions, to support the development of social capital, high-end medical institutions organized to control the proportion of special needs services in public hospitals. Construction of the main public hospitals, medical institutions, social capital, supplemented by organized health care system.
Editor: internship Editor: Liu Jing Yuan
