“十二五”末持有率将达到80% "1025"Hold the rate will reach 80%

　　推广健康卡要过几道坎(政策聚焦·关注居民健康卡(下)) The promotion of healthy card to several hurdles(Policy focus · attention residents health card(under))

　　本报记者 刘泰山 贺 勇 任胜利 郭舒然 Our reporter LiuTaiShan he yong RenShengLi GuoShu however

　　按照卫生部的目标，到“十二五”末期，居民健康卡持有率与居民电子健康档案建档率同步达到80%。实现这个目标有困难吗？除了让看病更方便，健康卡还将有哪些功能？记者就此进行了调查。

According to the goal of the ministry of health,to"1025"The end,Residents health card hold rate and residents electronic health records filing rate synchronous reached 80%.To realize this goal is difficult?In addition to let the doctor more convenient,Health card will also have what function?The reporter to carry on the investigation.

　　卡上功能如何完善 Card function how to perfect

　　“居民健康卡，看似一张很简单的卡片，但支撑健康卡运行的后台环境十分复杂。”内蒙古鄂尔多斯市卫生局副局长王琳琦介绍。“按照设想，居民健康卡除了个人基本身份信息、健康信息直接存储在卡片本身的芯片外，其他海量信息实际上都是在后台运行。”

"Residents health card,Seems a very simple card,But support health card operation of the background environment is very complex."Inner Mongolia erdos city health bureau deputy director WangLinQi is introduced."According to the idea,Residents health card in addition to personal basic identity information/Health information stored in the card itself directly outside the chip,Other huge amounts of information in fact is run in the background."

　　鄂尔多斯市投资3000万元完成了软件建设，包括为乡村统一建设和安装了“基层卫生院管理系统”和“新农合报销系统”，以及为旗区及市级医院安装了“亿元管理系统”、影像传输系统、检验管理系统、基本药物管理系统、电子病历系统、新农合报销系统等应用软件；投资1600余万元完成了区域卫生信息平台的建设，实现了本市各医疗机构数据信息的互联互通。

Ordos city investment of 30 million yuan RMB completed the software construction,Including for the country unified construction and installed"Grassroots health center management system"and"New farmers close to submit an expense account system",As well as the flag area and municipal hospital installed"One hundred million yuan management system"/Image transmission system/Inspection management system/Essential drugs management system/Electronic medical record system/New farmers close to submit an expense account system application software;Investment of 1600 yuan completed the construction of regional health information platform,Realize the this city all medical institutions data information of interconnection and interflow.

　　广东省佛山市依托区域卫生信息平台，实现居民健康档案信息的共享。通过发放居民健康卡实现实名就诊，确保居民健康信息的真实性。

Relying on, foshan city, guangdong province, regional health information platform,Realize residents health file information sharing.Through the issuing residents health card to realize a rule,To ensure the authenticity of the residents health information.

　　河南省济源市组成了16个信息采集小组，将持续3个月，采集约50万人的相关健康信息。对外出打工人员，在返乡后集中到辖区医院进行采集，对老弱病残等行动不便人员，还将组织专门人员上门进行采集，确保采集信息的真实有效。

Henan jiyuan formed 16 information acquisition team,Will last 3 months,About 500000 people in the acquisition of information related to health.Go out to work personnel,On the focus to the jurisdiction after hospital for collection,To old, weak, sick and disabled and action inconvenience personnel,Also will organize professional staff the door for collection,Ensure acquisition information true and effective.

　　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认为，随着试点的拓展，健康卡持有率与居民电子健康档案建档率的提升，未来政府有关部门对于公共卫生信息与居民健康状况的掌握将更为迅速与全面，例如流行病的暴发区域与变化等。这将为政府制定健康政策、应对突发公共卫生事件等方面带来积极而有效的帮助。

Nanjing university public health management and health care policy research center director GuHai think,With the expansion of pilot,Health card hold rate and residents electronic health records filing rate of ascension,The future government departments for public health information and residents health master will be more quick and comprehensive,Such as epidemic outbreak area and change, etc.This will help the governments make health policy/To deal with public health emergencies, etc positive and effective help.

　　浙江省社科院调研中心主任杨建华表示，据世界卫生组织报告，疾病尤其是慢性非传染性疾病大多是由不健康的生活方式引起的。如果加强预防与早期诊断，国家用于疾病的医疗费用将大大减少。未来健康卡的推广使用不妨出台配套措施建立覆盖居民全生命周期的电子健康档案，强化居民的个人健康管理，将有利于医疗机构为居民的疾病预防与保健提供建议。

Zhejiang academy of YangJianHua research center director said,According to the world health organization report,Disease especially chronic non-communicable diseases it is mostly by the unhealthy lifestyles cause.If strengthen prevention and early diagnosis,The state for disease medical costs will be greatly reduced.The future health card application might as well come supporting measures establishment covers all residents in the life cycle of electronic health records,Strengthen the residents' personal health management,Will benefit medical institutions for disease prevention and health care of residents provide advice.

　　推广范围如何扩大 How to expand the scope of promotion

　　河南居民健康卡的办理将先从全省7800万农民开始，然后逐步覆盖城市居民，预计2015年年底在全省全面铺开。河南将充分利用居民健康卡识别、获取和查询的功能，加快发卡进度，尽快替换现有的就诊卡、新农合卡。

Henan residents health card for the whole province 78 million farmers from the first began,Then gradually covering urban residents,Is expected by the end of 2015 in the province spread to open completely.Henan will make full use of residents health card recognition/The function of acquisition and inquires,To speed up the progress of the hairpin,As soon as possible to replace the existing medical card/New farmers joint card.

　　佛山将以居民健康卡试点工作为突破口，完成以共享电子健康档案和电子病历为基础的居民健康卡示范建设。加快推进试点医院的信息系统改造和实施，拟在20家医院、社区卫生服务中心(站)扩大居民健康卡的受理范围。

Foshan will be residents health card pilot work as a breakthrough,Complete with sharing electronic health records and electronic medical records as the foundation of the residents health card demonstration construction.Accelerate the pilot hospital information system reform and implementation,It is 20 hospitals/Community health service center(station)Expand the residents health card acceptance scope.

　　顾海指出，在目前的政策框架下， “新农合”归卫生部门管理，城镇职工医疗和城镇居民医疗由社保部门管理，因此健康卡的试点未能包含全部的社会成员，例如目前鄂尔多斯市主要针对92万农牧民发放健康卡，今后如果扩大覆盖人员需要在政策层面作更多的协调与衔接。可以尝试推进医疗费用的异地结算、医保关系的异地转移，甚至实现“新农合”、城镇职工医保和城镇居民医保一卡通式的跨险种转换。如果能在健康卡这一信息平台上实现这种转换，将拓展现有居民身份识别、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政策目标，将是一项极具前瞻性的工程。

GuHai pointed out that,In the present policy framework, "New farmers joint"To department of health management,Town worker medical treatment to urban residents and the social security department of medical management,So health card of pilot failed to include all members of society,For example at present ordos city is aimed at 920000 farmers issue health card,If in the future to expand coverage in the policy level staff need to do more to coordinate and cohesion.Can try to promote the medical cost of different ground settlement/The relationship between medical insurance different transfer,Even realize"New farmers joint"/Town worker medical insurance and medical insurance for urban residents across a cartoonish planted conversion.If you can in the health card this information platform to realize the conversion,Will expand existing residents identity recognition/Personal basic health information storage/Realize cross area to inter agency medical data exchange and expense settlement policy goals,Will is a very forward-looking engineering.

　　钱从哪里来 Where the money came from

　　《居民健康卡管理办法(试行)》规定，居民健康卡首次制卡经费按照地方政府主导、多方筹资的原则解决。补办居民健康卡的成本经费由居民个人承担。

[Residents health card management measures(trial)]provisions,Residents health card first fabrication funds according to the local government leading/Various financing principle to solve.Fill do residents health card cost funded by the residents individual to assume.

　　在河南，居民健康卡发卡费用主要由三部分组成：一部分是制卡费用，全省7800多万参合人员人手一张，约合7.8亿元；其次是信息采集费用，主要包括持卡人信息录入、系统改造、后期维护等成本，约合1.56亿元；此外是读卡终端费用，按照每个县3家公立医院(县人民医院、中医院、妇幼保健院)，15个乡镇卫生院和社区卫生服务中心，各部署2台计算，约合1800万元。全省居民健康卡工程共计需要投入资金约9.54亿元。根据发卡计划，目前已具备发卡条件的有10个县(市、区)，参合人员约600万人。

In henan,Residents health card hairpin cost mainly consists of three parts:Part is the fabrication cost,The ginseng adds up to more than 7800 people a hand,About 780 million yuan;The second is information acquisition costs,Mainly includes the cardholder information recorded/System reform/Later maintenance cost,About 156 million yuan;In addition is card read terminal cost,According to each county three public hospital(County people's hospital/Hospital of traditional Chinese medicine/Maternity and child care centers),15 rural hospitals and community health service center,The deployment of two (2) calculation,About 18 million yuan.The residents health card engineering total need invested about 954 million yuan.According to the hairpin plan,At present already with hairpin conditions there are ten county(city/area),Ginseng adds up to staff of about 6 million people.

　　河南省卫生厅相关负责人坦言，由于采取“银行出资”的形式，各个市或县(区)要与承担项目建设费用的银行进行谈判确定，谈判的进度快慢会在一定程度影响健康卡的发放与实施。

Henan provincial health office, the relevant person in charge said,By adopting"Bank capital contribution"form,Each city or county(area)To bear the cost of the project construction bank to determine negotiations,The pace of negotiations will speed in a certain degree of influence health card distribution and implementation.

　　佛山市卫生局通过与中国银行佛山分行的协商，明确了双方在金融接入形式、设备准备、医院(银行)端的改造等问题责任与分工，共同为佛山全市居民免费发放基于国家卫生部标准且加载金融功能的居民健康卡。佛山市卫生局新闻发言人田园介绍，市级财政连续三年投入5000万元开展被称为“佛山健康E园工程”的智能卫生建设。

Foshan city health bureau and through the bank of China foshan branch negotiation,Clear the both sides in the financial access form/Equipment for/hospital(The bank)Reconstruction of the problems such as the responsibility and the division of labor,Common for foshan the city free issue based on the national health standard and loading financial function of the residents health card.Foshan city health bureau spokesman rural is introduced,The municipal financial continuous three years spent 50 million yuan to carry out is called"Foshan health E garden engineering"Intelligent health construction.