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中国新农合十年实现全覆盖 参合率达到95%以上--亲稳网络舆情监控室
2012-09-17

  中新网9月17日电 国务院新闻办公室今日举行新闻发布会,卫生部部长陈竺、副部长刘谦介绍卫生事业改革发展进展情况,并答记者提问。

Beijing, sept. 17 - the state council information office held a press conference today,The ministry of health minister Outlines/Vice minister liu qian introduced reform and development of health programs progress,And answer questions.

  刘谦指出,2012年是新农制度实施十周年。十年来,在各级党委、政府的高度重视和正确领导下,有关部门通力合作,农民群众积极参与,新农制度建设扎实推进,取得了显著成效。

Liu qian pointed out that,2012 is a new agriculture close system implementing 10th anniversary.Ten years,In the party committees at all levels/Government attach great importance and under the leadership of the right,The relevant departments cooperate,Peasants actively participate in,New farmers joint system construction in a down-to-earth manner,Has achieved a remarkable success.

  一是实现全面覆盖,参合率稳定在较高水平。新农合制度自2003年开始试点,到2008年实现了全面覆盖,参合人口数从试点初期的0.8亿,逐年稳步增长,截至2012年6月底,参合人口达到8.12亿人,参合率达到95%以上。

One is to achieve universal coverage,Ginseng adds up to rate steady at a higher level.New farmers joint system since 2003 pilot,To 2008 years to achieve a comprehensive coverage,The population of the early from pilot ginseng to add up to 080 million,Grew steadily year by year,Up to the end of June 2012,Ginseng adds up to a population of 812 million people,Ginseng adds up to rate above 95%.

  二是筹资水平不断提高,保障能力逐步增强。新农合人均筹资水平由2003年的30元提高到2012年的300元左右。2012年,新农合政策范围内住院费用报销比例进一步提高到75%左右,最高支付限额提高到全国农民人均纯收入的8倍以上,且不低于6万。

The second is financing level enhances unceasingly,Support capacity escalate.New farmers $per capita funding level from 2003 years of 30 yuan increase in 2012 to 300 yuan.In 2012,,New farmers joint policy range in hospital expense proportion further raised by 75%,Highest pay limitation to improve the national per capita net income of farmers more than 8 times,And not less than 60000.

  三是确立了较为完善的符合中国国情的制度框架和运行机制。新农合建立了由政府领导,卫生部门主管,相关部门配合,经办机构运作,医疗机构服务,农民群众参与、费用补偿公开的管理运行机制;明确了以家庭为单位自愿参加,个人缴费、集体扶持和政府资助相结合的筹资机制;形成了以住院大额费用补偿为主,并逐步向门诊统筹和重大疾病扩展的统筹补偿模式,2011年在90%以上的地区开展了门诊统筹,参合农民受益范围更加广泛;建立了参合农民在统筹区域内自主就医、即时结报的补偿办法,2011年,已有超过2/3的省(区、市)实现新农合省市级定点医疗机构即时结报;建立了基金封闭运行机制和多方参与的监管机制;深入推进支付方式改革,2011年已有超过80%的地区开展了不同形式的支付方式改革,新农合制度合理有效控制医药费用的作用开始显现;积极推进商业保险机构参与经办新农合服务工作,探索“管办分开、政事分开”的新农合管理运行机制。

The third is to establish a relatively perfect accords with the situation of China in the institutional framework and operation mechanism.New farmers is established close by government leaders,Health departments,Related departments with,Agency orgnaization operation,Medical service,Peasants to participate in/Compensation public management operation mechanism;Has been clear about the family as the unit voluntarily participate in the,Individual capture to expend/Collective support and government funding combination of financing mechanism;Formed a large amount of hospital cost compensation is given priority to,And gradually to the outpatient service as a whole and major disease extended as a whole compensation mode,In 2011, more than 90% of the areas to develop the outpatient service as a whole,Ginseng adds up to farmer benefit from a broader range;Established the ginseng adds up to farmer in plan as a whole to regional autonomy in medical treatment/Instant "offer compensation measures,In 2011,,More than two-thirds of the province(area/city)To realize the new agriculture became laureates close to nod medical establishment for instant ";Established fund closed operation mechanism and participating supervision mechanism;Further payment reform,In 2011, more than 80% of the areas to develop the different forms of payment reform,New farmers joint system reasonable and effective control of the role of medical expenses began to appear;Actively promote commercial insurance agency orgnaization of new farming in close service work,exploration"Pipe run separate/Government affairs separate"New farmers joint management operation mechanism.

  刘谦还指出,今后一个阶段,结合中央深化医改的总体部署,卫生部将重点推进以下几方面的工作:

Liu qian also pointed out that,In the next stage,Combined with the deepening reform of the overall deployment,The health ministry will focus on promoting the work of the following aspects:

  一是稳步提高新农合筹资标准,到2015年,新农合政府补助标准将提高到每人每年360元以上,个人缴费标准适当提高,并逐步探索建立与经济发展水平相适应的筹资机制。

One is improved steadily new farming joint financing standard,By 2015,New farmers close the government subsidies standards will increase to 360 yuan per person per year,Individual capture to expend appropriately raise the standard,And gradually explore the establishment and the level of economic development to adapt the fund-raising mechanism.

  二是加强新农合精细化管理,严格基金使用管理,加强对定点医疗机构的监管;全面推行新农合省市级定点医疗机构和村卫生室的即时结报工作,逐步推行省外异地结报;加快新农合信息化建设。

The second is to strengthen the new agriculture together fine management,Strict fund use management,To strengthen the supervision of the medical establishment that decide a dot;The full implementation of the new farming became laureates close to nod medical institutions and village clinic instant "newspaper work,Gradually carried out outside the province to different ";To speed up the new agriculture information construction together.

  三是推进提高重大疾病医疗保障水平试点工作,将儿童白血病、肺癌等20种疾病纳入保障范围。贯彻落实六部委《关于开展城乡居民大病保险工作的指导意见》,做好大病保险与新农合大病保障工作的衔接,优先将这20种重大疾病纳入大病保险范围。

Three is to improve the major disease medical security level of trial work,Will childhood leukemia/Lung cancer and 20 kind of disease included in the scope of protection.Implementation of the six ministries and commissions[About urban and rural residents to carry out a serious illness insurance work guiding opinions],Do a serious illness insurance and the new agriculture close a serious illness security work of cohesion,Priority will be the 20 kinds of major disease into a serious illness insurance coverage.

  四是加快推进新农合支付方式改革,用总额预付、按病种、按单元、按人头等支付方式替代按项目付费,控制费用,规范医疗服务行为,提高基金绩效。

The fourth is to accelerate the new agriculture close payment reform,The total advance with/Press disease to/According to the unit/According to the people the first payment alternative item pay,Control cost,Standard the medical service behavior,Improve fund performance.

  五是加快推进委托有资质的商业保险机构参与新农合经办服务工作,扩大商业保险机构经办新农合的规模,建立新农合管理、经办、监管相对分离的管理运行机制。

Five is to accelerate the entrust to have the qualifications of commercial insurance institutions to participate in the new agriculture close handling service work,Expanding commercial insurance agency orgnaization of the size of the new agriculture together,New farmers joint management/handling/Supervision relative separation management operation mechanism.

  六是认真总结新农合制度实施10年来的经验,推动《新农合管理条例》及早出台,尽快将新农合纳入法制化管理轨道。

The sixth is seriously summarizing the new agriculture close system implementing 10 years of experience,promote[New farmers joint management regulations]Early on,As soon as possible new farming together into legal system management orbit.

  刘谦最后强调,实践证明,新农合制度符合农村实际,是现阶段农村居民基本医疗保障制度的重要实现形式。十年来,新农合制度从无到有,由小到大,对保障农民健康发挥了重要作用。作为新农合制度的主管部门,卫生部门将会同有关部门继续扎实推动新农合制度发展,促进农村居民健康水平稳步提高。(据中国网文字直播整理)

Liu qian finally emphasizes,Practice has proved,New farmers joint system conforming to the actual,Is the rural residents in the basic medical security system important realization form.Ten years,New farmers joint system from scratch,From small to large,To safeguard farmers' health played an important role.As the new agriculture system combined the competent departments,The ministry of health goalkeeper jointly with the relevant departments, continue to promote the solid new farming system development together,Promote rural residents health level improved steadily.(According to China text live finishing)


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