多地试点 逐步推开 More pilot gradually push away

　　健康卡让看病更方便(政策聚焦·关注居民健康卡(上)) Health card let the doctor more convenient(Policy focus · attention residents health card(on))

　　本报记者 贺勇 刘泰山 任胜利 郭舒然 Our reporter HeYong LiuTaiShan RenShengLi GuoShu however

　　到一家医院就要办一本病历、一张就诊卡，这种情况正在发生改变。在卫生部的积极推动下，一种集就诊卡、结算卡、健康档案、电子病历等多项功能于一身的居民健康卡，今年3月起在河南省、内蒙古自治区鄂尔多斯市、广东省佛山市、辽宁省锦州市等地试点发行。

To a hospital to do a medical records/A medical card,This kind of situation is changing.Actively propelled by the ministry of health in,A set medical card/Debit card/Health file/Electronic medical records and so on many functions in one of the residents health card,Since march this year in henan province/Ordos city of Inner Mongolia autonomous region/, foshan city, guangdong province,/Liaoning jinzhou, pilot issue.

　　即时结报，不再来回奔波 Instant "newspaper,No longer rides

　　“现在看病报销确实方便多了，不用自己拿着单据来回奔波。”8月30日，在鄂尔多斯市中心医院办理出院手续的达拉特旗碾房渠村村民杨丽说。杨丽的公公徐文艺老人因为冠心病住进了这家医院，治疗费用花了52584.72元，其中可补费用为28685.23元，按照新农合的政策报销了15226.88元。

"Now the doctor to submit an expense account really much more convenient to use,Don't carry their own the documents rides."On August 30,,In the ordos the town center hospital go through the discharge formalities DaLaTeQi roll room canal village villagers YangLi said.YangLi father-in-law XuWenYi old man for coronary heart disease (CHD) live in the hospital,Treatment costs spent 52584.72 yuan,Which may fill cost is 28685.23 yuan,According to the new agriculture joint policy to submit an expense account for 15226.88 yuan.

　　同以往不同的是，杨丽在办理出院手续时就拿到报销部分的费用，不需要先垫付出院后再拿着各种单据回到当地医保部门报销。“以前农牧民报销一般都需要一个星期左右，如果要复核的话甚至一个月也拿不到钱。”鄂尔多斯市卫生局应急办主任马灵源说。

With what differ before be,YangLi in go through the discharge formalities and get to submit an expense account when the share of the cost,Don't need payment first again after discharge with all kinds of documents back to the local health departments to submit an expense account."Farmers before submit an expense account usually need a week or so,If you want to check words and even a month also can't get the money."Ordos city health bureau emergency do MaLingYuan director said.

　　根据计划，鄂尔多斯市将在今年年底为全市92万农牧民全部发放居民健康卡。鄂尔多斯市卫生局副局长王琳琦介绍，目前鄂尔多斯市发放的居民健康卡其身份信息来源于公安部门，包括居民姓名、年龄、住址等；个人基本健康信息目前主要来源是居民体检报告，从2008年开始，鄂尔多斯市逐步对35岁以上居民进行免费体检；跨区域跨机构就医数据交换功能目前还在推进之中；费用结算目前已经实现鄂尔多斯市内的即时结报。

According to the plan,Ordos city will be in the end of this year for the whole city 920000 farmers issue all residents health card.Ordos city health bureau deputy director WangLinQi is introduced,Ordos city at present by the residents health khaki identity information from public security department,Include the name of the residents/age/Address, etc;Personal basic health information at present the main source is residents medical report,Begin from 2008,Ordos city gradually to 35 years old residents free physical examination;Cross area to inter agency medical data exchange function is still in the propulsion of;Cost settlement has been realized real-time and ordos city newspaper.

　　佛山居民健康卡具有身份识别、自助挂号、诊疗、体检、计费、取药等功能，可以满足健康信息存储，实现跨地区和跨机构就医、数据交换和费用结算。市民可通过114、12580电话预约，医院现场预约，网上预约，智能手机终端预约等多种方式预约挂号。该市在医院门诊、住院部部署自助服务设备，实现自助挂号、自助缴费、自助查询就诊信息、自助打印检查检验结果，市民不需要去窗口排队，节约了时间。

Foshan residents health card with identity/Self-help registration/Diagnosis and treatment/medical/charging/Functions such as medicine,Can meet the health information storage,Achieve cross-regional and span establishment go to a doctor/Data exchange and expense settlement.Public can through 114/12580 phone booking,Hospital site appointment,Online booking,Intelligent mobile terminal booking and so on many kinds of ways make an appointment.The city in the hospital outpatient service/In-patient department deployed self-service equipment,Realize self-help registration/Self-help pay cost/Self-help inquires the medical information/Self-help print inspection results,People don't need to go to window queue,Save time.

　　南京大学公共卫生管理与医疗保障政策研究中心主任顾海教授认为，一卡通形式的居民健康卡，不仅降低了制作成本、管理成本，最重要的是节省了患者的时间成本。

Nanjing university public health management and health care policy research center director professor GuHai think,Card form of residents health card,Not only reduced the production cost/Management cost,The most important is to save the patient's time cost.

　　卡上应用功能越来越多 Card application function more and more

　　根据卫生部印发的《居民健康卡管理办法(试行)》，居民健康卡应具备四大功能，是居民身份识别、个人基本健康信息存储、实现跨区域跨机构就医数据交换和费用结算的信息载体。

According to the ministry of health issued by[Residents health card management measures(trial)],Residents health card should have four big functions,Is resident status identification/Personal basic health information storage/Realize cross area to inter agency medical data exchange and expense settlement information carrier.

　　过去很多患者都拥有数张不同医院就诊卡，这些卡不能通用，往卡里存钱、取钱都要到相关医院窗口排队办理，麻烦不说，还造成了资金的“沉淀”。据悉，河南省居民健康卡开始加载金融功能。11月底前，郑州、濮阳、焦作三地将发放首批22万张集银行卡、就诊卡、新农合卡功能于一身的居民健康卡。年底前将发放500万张，覆盖全省18个市和10个省直管县，终端设备覆盖至村卫生室。河南省卫生厅相关负责人表示：“如今有了加载金融功能的健康卡，患者就医可以像刷银行卡一样方便，而且能在全国安装有终端设备的医院通用，平时还可以当银行卡使用。”

In the past many patients have a number of different hospital card,The card is not universal,Card to save money/Take money to related to hospital window queue to deal with,Never trouble,Also caused the capital"precipitation".It is reported,Henan residents health card start loading financial function.Before the end of November,zhengzhou/puyang/Jiaozuo three places will issue the first group of 220000 ZhangJi bank card/Medical card/New farmers joint card functions in one of the residents health card.By the end of the year will issue 5 million copies,Covering the whole province 18 city and 10 ShengZhi tube county,Terminal equipment cover to the village clinic.Henan province health department officials say:"There is the loading financial function of the health card,Patients can go to a doctor like brush card as convenient,But also in the national install a terminal equipment general hospital,At ordinary times can also when the bank to use."

　　佛山市联合9家信息技术公司共同攻关，重点突破“卡上六应用”，即卡受理、卡挂号、卡就诊、卡查询、卡结算、卡读写。在市第一人民医院、禅城区向阳社区卫生服务中心等5家单位实现首批发放与应用，各试点单位系统运行情况良好，可顺利完成上述应用功能。佛山市卫生局新闻发言人田园介绍，健康卡依托佛山市已建成的市民数字服务健康系统实现对居民的区域预约挂号、电子健康档案共享、“三好一满意”就诊服务评价等。截至8月底，区域卫生信息平台数据中心存有超过4亿条数据，建立以居民身份证为索引的电子健康档案397万份，发行全市统一的佛山健康卡145万张，持卡看病超过500万人次。

Foshan joint nine information technology company common research,The key breakthrough"Card six application",Namely card acceptance/Card registered/A card/Card inquires/Card settlement/Card, speaking, reading and writing.The first people's hospital in the city/Zen xiangyang city community health service center, five unit to realize the first issue and application,The pilot unit system running in good condition,Can complete the above application function.Foshan city health bureau spokesman rural is introduced,Health card has been built, foshan city, relying on the public health system to realize digital services for the residents of the area make an appointment/Electronic health file sharing/"Merit YiManYi"Medical service evaluation, etc.By the end of August,Regional health information platform data center being article more than 400 million data,Establish a resident id card for index of electronic health records of 3.97 million,Issue the unity of foshan health card 1.45 million copies,The doctor's more than 5 million people.

　　顾海认为，居民健康卡可以实现个人信息与健康档案的资源共享与动态更新。医生可查阅经患者授权的健康档案信息，全面掌握患者的健康状况乃至收入水平，更有针对性地、更合理地提供诊疗方案，从而推进医院信息系统的建设、改造和整合，全面提升区域卫生信息化建设水平。

GuHai think,Residents health card can realize personal information and health archives resources sharing and dynamic update.The doctor can consult with the authorized health file information,A comprehensive grasp of the patients health and income level,More pertinently/To provide more reasonable diagnosis and treatment plan,To promote the construction of hospital information system/Transformation and integration,To raise the overall level of regional health information construction.

　　全国“一卡通”还需时日 The national"card"Still need more time

　　今年5月28日，卫生部又批复10省(市)选择部分地区作为第二批居民健康卡建设试点。随着第二批试点工作的铺开，居民健康卡即将驶入“快车道”。王琳琦认为，健康卡全面推广仍然面临一些制约因素。

This year, on May 28,,The ministry of health and reply 10 provinces(city)Choose part as a second group of residents health card construction pilot.As the second batch of pilot work roll out,Residents health card is to put in"Fast lane".WangLinQi think,Health card comprehensive promotion still face some restricting factors.

　　首先，对居民发放的健康卡最初只具备身份识别等基本功能，诸如健康档案、电子病历等需要不断完善，在信息得到充分完善之前，各医院和病人自身都不会特别重视健康卡的使用，而这反过来又会制约健康卡进一步推广使用。

First of all,Residents of the issue of health card first only have the basic function such as identity recognition,Such as health file/Electronic medical records need to be perfect,In the information fully before perfect,The hospital and patient's own won't pay special attention to the use of health card,And this in turn will restrict health card to further promote the use.

　　其次，按照原来的设想，健康卡应当具有金融功能，但卡的金融功能需要人民银行批准，而鄂尔多斯市居民健康卡的金融功能到目前为止仍未获批准。为此，当地将健康卡与原有的市民卡功能整合，最多可对健康卡充值1000元。“金融功能不足在很大程度上限制了健康卡的使用。”王琳琦说。

secondly,According to the original idea,Health card shall have the financial function,But card financial function need approval of the people's bank,And ordos city residents health card financial function so far is still not approved.therefore,Local health card and the original citizen card functional integration,Up to health card cost 1000 yuan."Lack of financial function in a great degree, restricted the use of health card."WangLinQi said.

　　对于已在健康卡上加载金融功能的河南省来说，金融机构的部分政策规定对居民健康卡的实际操作也形成一定程度的制约。河南省卫生厅相关负责人介绍，根据目前金融方面的法律法规，为16岁以下未成年人办理银行卡，需要监护人同意并提供相关手续到银行柜台办理，但依照居民健康卡的理念，婴儿一出生就得办理健康卡，这就给现实操作带来了不便。

For already in health card loading financial function for henan province,Financial institutions part of the policy on the residents' health card actual operation also formed a certain degree of restriction.Henan province health department related person in charge introduced,According to the current financial laws and regulations,For minors under 16 years for bank card,Need to guardian agree and provide relevant formalities to bank counter,But residents in accordance with the concept of health card,A baby born may handle healthy card,This will give practical operation brought inconvenience.

　　此外，我国的东部和西部，城市和乡村间的现实情况相差较大，地域的差异造成各地医保标准高低差距悬殊，使得各地步调难以一致，医保结算迟迟无法全国统一。健康卡如果要实现全国“一卡通”，所面临的问题将与医保卡类似。

In addition,The east of China and the west,Urban and rural reality between the large difference,The regional differences in medical insurance standard high and low around the wide gap,Make the pace is difficult to agree,Medical insurance settlement slowly was unable to national unity.Health card if you want to realize the national"card",The problem will be faced with similar medical insurance card.