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白血病艾滋病等纳入烟台医保 报销比例调整
水母网 2011-04-08 06:48:02 水母网
水母网4月8日讯(YMG记者于明君) 记者从日前召开的全市卫生工作会议上获悉，今年，烟台将以健康档案、电子病历和远程医疗系统建设为切入点，统筹推进公共卫生、医疗服务、新农合、基本药物制度和综
合管理等信息化系统建设。同时，全力推进基本公共卫生服务均等化，最大限度地控制和减少疾病传播流行隐患。
稳步实施基本药物制度。今年1月1日起，烟台政府办基层医疗卫生机构已经全部实施基本药物制度，并实行零差率销售。县及县以上医疗机构全部配备并优先使用基本药物，指导医生主动首选基本药物、引导患者自觉接受基本药物，逐步提高基本药物配备使用品种比例和销售额所占比例，促进临床合理用药。
加快远程医疗会诊平台建设，逐步实现市、县、乡三级医疗机构远程会诊。加强出院病人随访和门诊病人预约诊疗服务，不断提高诊疗质量和服务水平。与此同时，积极推行居民健康一卡通，使群众看病就医更加便捷。
提高新农合精细化管理水平。今年新农合政府补助标准由原来的每人每年120元提高到每人每年200元，个人缴费不低于50元。各县市区要积极协调落实政府补助资金，加强宣传发动，全力搞好参合农民的二次筹资，确保参合率稳定在99%以上。
调整优化补偿方案。实施基本药物制度的乡级新农合定点医疗机构住院费用中基本药物报销比例不低于85%；适当提高中医药报销比例，对采用针灸治疗的住院病人报销90%；新农合住院报销封顶线提高到10万元，确保统筹区域政策范围内住院费用支付比例达到70%。简化报销审核程序，年内实现省内定点医疗机构即时结报，有条件的县市区与市级定点医疗机构将实现联网。
为提高大病保障能力，烟台还将儿童白血病、儿童先天性心脏病、重性精神疾病、乳腺癌、宫颈癌、终末期肾病、血友病、艾滋病机会感染等纳入重大疾病医疗保障范围，新农合补偿比例达到70%以上。
全力推进基本公共卫生服务均等化。今年人均基本公共卫生服务经费标准提高到25元，年内城乡居民规范化电子档案建档率达到50%以上。全面完成15岁以下人群乙肝疫苗补种、农村育龄妇女补服叶酸、农村孕产妇住院分娩补助、贫困白内障患者复明手术和农村饮用水水质监测、改厕等重大公共卫生项目。加大农村改厕推进力度，新建、改建无害化卫生厕所9万座。
强化食品安全风险监测，提高食品安全风险预警能力，及时发现和消除食品安全隐患。开展以“地沟油”、问题乳粉、问题火锅底料以及违法添加非食用物质和滥用食品添加剂等专项整治，严厉打击制售、经营假冒伪劣食品的违法行为。强化学校卫生监督，保障学生健康安全。
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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Leukemia and AIDS into the Medicare reimbursement adjustment Yantai
Jellyfish jellyfish net net 2011-04-08 06:48:02
Jellyfish News Network April 8 (YMG reporter in Wise King) from the recently held a press conference on the city's health was informed that this year, Yantai will be health records, electronic medical records and telemedicine systems as the starting point, will coordinate development of public health, medical services, new rural cooperative system and comprehensive essential drugs
Co-management information system construction. Meanwhile, efforts to promote the equalization of basic public health services, to maximize control and reduce the spread of the disease epidemic risk.
Steady implementation of essential drugs. January 1 this year, the Yantai government-run primary care health facilities have all the basic drug system, and zero sales slip. Medical institutions above the county level and priority to use all the equipment and essential drugs, basic drugs of choice initiative to guide doctors to guide patients and consciously accept the essential drugs, basic drugs and gradually increase the proportion of sales with the use of the proportion of species, and promote rational drug use.
Speed up the construction of remote medical consultation platform, the progressive realization of city, county and township levels remote medical consultation. Discharged patients were followed up to enhance treatment services and outpatient appointment, and continuously improve the treatment quality and service levels. At the same time, actively promote the health of residents card, so that people see a doctor for medical treatment more convenient.
Improve the precision of the new rural cooperative management. NCMS government grants this year from the original standard of 120 yuan per person per year increased to 200 yuan per person per year, individual contributions of not less than 50. Urban counties to actively coordinate the implementation of government grant funds to strengthen propaganda, to improve the urban and rural secondary financing, to ensure the participation rate stable at 99%.
Adjust and optimize the compensation package. Basic drug system in the township of new rural cooperative medical institution designated in the hospitalization costs of essential medicines reimbursement of not less than 85%; an appropriate increase in the proportion of medical reimbursement for acupuncture patients with 90% reimbursement; the new rural cooperative hospital reimbursement cap lines to 10 million, to ensure that regional policy co-ordination within the hospital payment ratio to 70%. Simplify the claims review process, the province designated medical institutions for years to achieve real-time summary report, the counties and municipal conditions designated medical institutions will be connected.
Support capacity to improve illness, childhood leukemia will Yantai, children with congenital heart disease, major mental illness, breast cancer, cervical cancer, end stage renal disease, hemophilia, AIDS and opportunistic infections and other major diseases included in the scope of medical care, new agricultural combined ratio of over 70% of compensation.
Efforts to promote the equalization of basic public health services. This year the per capita funds for basic public health services to 25 million, during the standardization of electronic records archiving urban and rural residents reached 50%. Fully complete the hepatitis B vaccine 15 years of age replant, rural women of childbearing age missed dose folic acid supplement hospital delivery in rural areas, poor sight restoring cataract patients and rural drinking water quality monitoring, lavatories and other major public health projects. Increase efforts to promote rural lavatories, new construction, renovation harmless 90,000 sanitary latrines.
Strengthen the food safety risk monitoring, early warning capacities to improve food safety risk, to detect and eliminate food safety hazards. Launched the "waste oil" problem milk powder, the problem pot at the end to add non-food materials and illegal substances and abuse of food additives and other special regulation to crack down on manufacturing and selling, illegal business of fake and shoddy food. Strengthen school health surveillance, protection of health and safety of students.
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