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李克强:要下决心把大病医保纳入全民医保--亲稳网络舆情监控室
2012-07-20
中新网7月19日电 据中央电视台新闻联播报道,中共中央政治局常委、国务院副总理、国务院深化医改领导小组组长李克强19日在京主持召开医改领导小组第十一次全体会议。
Beijing on July 19, according to CCTV news broadcast reported,The standing committee of CCCPC political bureau、Vice premier of the state council、Cure of the state council leadership team leader to deepen li keqiang, 19, has held in Beijing medical leadership group 11 meeting。
李克强强调,要围绕深化医改重点工作和人民群众迫切需要,健全多层次医疗保障体系,提高重特大疾病保障水平,破除以药补医,形成公立医院运行新机制,把医改不断推向深入。
Li keqiang emphasize,To focus on deepening the key work and cure of the people's urgent needs,Perfect multi-level medical security system,Do not improve disease security level,Break up with medicine cures,Form the public hospital operation mechanism,The cure of the constantly to further。
会议听取了医改上半年进展和下半年安排的汇报,审议了开展城乡居民大病保险的意见。会议认为,今年以来,医改重点工作扎实推进,医改成果进一步巩固和深化。
Listen to the meeting in the first half and the second half of medical progress report of the arrangement,Review the urban and rural residents in a serious illness insurance opinion。The meeting that,Since this year,Cure of the key work of effectively promoting,Medical results further consolidate and deepen。
在听取有关部门意见后,李克强说,医改是关系全局、涉及群众切身利益的重大改革。深化医改,能够改善民生、带动消费和相关产业发展,有利于稳定经济增长、推动发展方式转变。目前医改已进入深水区和攻坚阶段,难点问题进一步显现。要坚持保基本、强基层、建机制,努力在健全全民医保体系、完善基本药物制度和推进公立医院改革等重点方面取得新的突破,并统筹推进配套改革。
In the relevant departments to listen to advice,Said li keqiang,Cure of the relationship is global、Involve the vital interests of the major reforms。Cure of the deepening,Can improve the livelihood of the people、Promoting consumption and the development of relative industries,To steady economic growth、Promote development mode change。At present the deep water and medical has entered the crucial stage,Difficult problem further revealed。To adhere to the basic、Strong grassroots、Built mechanism,Trying to sound universal coverage system、Improve the basic drugs and to promote the system reform of public hospitals have such key new breakthrough,And as a whole promotion coordinated reform。
李克强指出,大病保障是衡量医疗保障水平的重要标准。目前我国基本医保已覆盖城乡,但大病保障制度尚未建立,因病致贫、因病返贫的问题突出,往往一个人得大病,全家陷入困境。近几年,不少地方在大病保险方面积极探索,取得了一些经验。要下决心把大病医保纳入全民医保,拓展延伸基本医保功能,这有利于从制度上筑牢、织密社会安全网,解决大病患者特殊困难和后顾之忧,给他们带来希望、带来温暖。
Li keqiang points out that,A serious illness security measure is the level of the medical security standards。At present our country basic medical insurance already covering both urban and rural areas,But a serious illness security system has not been set up,Become financially-difficult or、The problem of poverty due to illness outstanding,Often a person have to a serious illness,Family is in trouble。In recent years,Many places in a serious illness insurance actively explore,Gained some experience。Should be determined to put a serious illness health care into the universal coverage,Expanding the basic medical insurance function extension,The benefit from the system built on the prison、Woven close social safety net,Patients with a special difficulties and solve the trouble back at home,Bring them hope、Bring warm。
李克强强调,建立大病保障制度,要创新机制,把基本医保与商业保险结合起来,相互衔接、功能互补。一方面,要加大政府投入,逐步提高基本医保最高支付限额,支持群众看大病;另一方面,要发挥市场机制作用,采取政府委托办理、购买服务等办法,支持商业保险机构承办大病保险,发挥其专业优势,提高运行效率,放大基本医保的效用,形成政府、个人和保险机构共担大病风险,医保水平与经济社会发展水平、居民消费水平及财政承受能力相适应的机制。同时,要搞好基本医保、大病保险、医疗救助、慈善救助以及商业补充保险的衔接。
Li keqiang emphasize,Establish a security system,To innovate the mechanism,The basic medical insurance and commercial insurance together,Link up with each other、Complementary functions。On the one hand,To increase government input,Gradually raise the basic medical insurance highest pay limitation,Supports the public see serious illness;On the other hand,To the market mechanism to play role,Take the government entrust to handle、The way such as buying services,To support business insurance institutions undertaking serious illness insurance,Exert their professional advantage,Increase efficiency,Enlarge the utility of the basic medical insurance,Form the government、Individual insurance institutions and share the risk of a serious illness,Medical insurance level and the development level of economy and society、Residents consumption level and financial affordability mechanism。At the same time,To improve basic health care、Serious illness insurance、Medical assistance、Charity relief and commercial supplementary insurance of coherence。
李克强指出,公立医院是我国医疗服务体系的主体,也是医改的重点和难点,必须抓住破除以药补医这个关键环节,进行利益格局调整,把医院工作重点切实转移到改善医疗诊治、提高服务质量上来。
Li keqiang points out that,Public hospital is the main body of Chinese medical service system,Cure is the key and difficult,Must hold up to break the key link medical medicine,To benefit pattern adjustment,The hospital to transfer to improve on medical treatment、Improving the service quality to come up。
李克强说,要在坚持公立医院公益性质的基础上,积极探索公立医院改革的有效路径。要总结推广一些地方的经验,取消药品加成,建立医事服务费并纳入医保支付范围,这样既可以减轻患者负担,又可以合理提高医务人员报酬、调动医生看病的积极性,鼓励他们优质服务、合理用药,通过避免开大处方,还可以降低医保支付压力,推动形成人民群众得实惠、医护人员添动力、医疗保障可持续、医院发展有后劲的良性循环。
Said li keqiang,To insist on public hospital in public welfare qualitative basis,Actively explore the effective approach to reform of public hospitals。To summarize the experience of promoting some place,Cancel the drug addition,Establish the medical service charge and into the medical insurance pay limits,This can reduce the burden of patients,And can improve the medical staff reasonable compensation、Arouse the enthusiasm of the doctor,Encourage them to high quality service、Rational drug use,To avoid a DaChuFang through,Still can reduce the medical insurance pay pressure,Promote formation enrich people、Medical personnel more power、Medical treatment to ensure sustainable、Hospital development potent virtuous circle。
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