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中国投巨资力治农民因大病致贫返贫顽症--亲稳网络舆情监控室
2013-01-19
“真没想到,这次住院自己只花这么点钱。”看着手里的票据,吉林省农安县63岁的农民李清山显得挺意外。
"I didn't know that,The hospital only spend so little money."Look at his notes,Jilin province NongAnXian 63 - year - old farmer LiQingShan appear quite accidental.
7天前,李清山因心脏病住进了农安县医院,几天时间就花了1万多元。本以为这次生病多数钱得自己掏,可医院却告诉李清山,心脏病已经被纳入新型农村合作医疗大病保障范围,他只需交3000多元,剩下的全部由国家报销。
7 days before,LiQingShan for heart disease NongAnXian lived in a hospital,A few days time is spent more than 10000 yuan.Thought this sick most of the money cut yourself,Can the hospital but tell LiQingShan,Heart disease have been incorporated in the new rural cooperative medical coverage of a serious illness,He need to pay 3000 yuan,The rest of the whole by the state to submit an expense account.
李清山得到的实惠与中国近年来实施的大病保障新政有直接关系,卫生部日前又进一步宣布,自2013开始,中国农村医疗保障重点继续向大病转移,肺癌、胃癌等20项大病患者的医疗费用,实际报销比例不低于70%,最高可达90%。
LiQingShan get benefits and China in recent years, the implementation of the New Deal a serious illness is directly related to security,Ministry of health has also announced further,Since the beginning of 2013,China's rural medical security key continue to transfer a serious illness,Lung cancer/A serious illness such as gastric cancer and patients' medical costs,The actual expense proportion is less than 70%,The highest can amount to 90%.
“要是在以前,生一场病,一年的地就白种了。”李清山说,“从2009年起,我每年都参加农村合作医疗,今年派上大用场了。”
"If in the past,Born a disease,A year of the earth is white."LiQingShan said,"Since 2009,Every year I took part in rural cooperative medical service,This year the sent in."
经过多年的医疗改革,中国已经建立了一个医疗保障网络,但是由于保障水平还比较低,对于一些大病的患者来说,负担依然很重,特别是在农村,因大病致贫、返贫的现象仍是最难解决的问题之一。
After years of medical reform,China has built a health care network,But because the security level is relatively low,For some serious illness for patients,The burden is heavy,Especially in the countryside,Because of a serious illness comes to/The phenomenon of poverty is still one of the most difficult problems.
3年前,中国启动新型农村合作医疗大病保障改革,逐步推进大病保障范围:2010年,先从农村儿童的先心病和急性白血病入手;2011年保障范围再增加6个,病种共包括8类;2012年,又试点增加了12类大病医保病种。
Three years ago,China start the new rural cooperative medical security reform of a serious illness,Gradually advance the scope of protection of a serious illness:In 2010,,From the first rural children with congenital heart disease and acute leukemia;In 2011, the scope of protection add 6,Diseases including eight categories;In 2012,,And pilot on 12 kind of serious illness medical diseases.
“农村医疗保障重点向大病转移,是新一轮医改的一个明显特征。”卫生部医政司副司长姚建红说,新型农村合作医疗在限定费用的基础上,将重大疾病的实际报销比例提高到70%。对于符合条件的贫困救助对象,民政部以医疗救助基金的形式,再给予20%补偿。
"The rural medical security key to transfer a serious illness,A new round of reform is a significant characteristic."The ministry of health YiZhengSi deputy director general YaoJianGong said,The new rural cooperative medical care in the limit on the basis of cost,The major disease of the actual reimbursement ratio increased from 70% to.To meet the conditions of the poverty relief object,The ministry of civil affairs to medical assistance in the form of fund,To give 20% compensation.
做好大病保障,首先是要有钱投入。据悉,今年,新型农村合作医疗全国人均筹资增加到340元,其中政府补助增加到人均280元,新型农村合作医疗总筹资额可达2700亿元。
Do serious security,The first is to be rich input.It is reported,This year,The new rural cooperative medical financing the per capita increased to 340 yuan,The government subsidies of increased to 280 yuan per capita,The new rural cooperative medical always raised can reach 270 billion yuan.
仅在农业大省吉林省,2013年就计划各市、县财政按照每人5元的标准,由省财政按照1:1的比例进行配套,建立大病救治基金。
Only in a big agricultural province of jilin province,2013 plan various cities/The county finance according to the standard of each 5 yuan,By the provincial finance according to 1:1 proportion supporting,To establish a serious illness treatment fund.
“这一项共计约2.74亿元。”吉林省卫生厅厅长隋殿军表示,这笔钱对于以生产玉米为主的吉林省来说不是个小数目,“这些钱将首先用于全省城乡低保人群和其他困难群众,同时作为大病救治风险资金。”
"A total of about 274 million yuan."Jilin provincial health bureau director SuiDianJun said,The money for the production of corn in jilin province mainly is not a small number,"The money will be the first to used in the urban and rural residents crowd and other difficult people,At the same time as a serious illness treatment risk capital."
事实上,随着大病病种的扩大,考验的不仅仅是资金,还有基层的医疗服务能力,以及监管力度。对此,卫生部医政司医疗管理处处长焦雅辉表示,针对20项大病的保障,卫生部门已做好了医疗服务、药品与耗材、财政资金和制度等保障准备。
In fact,With the enlargement of disease of a serious illness,The test is not only the capital,There are basic medical service capacity,Regulation and.this,The ministry of health YiZhengSi medical management everywhere telephoto, hui said,According to the security of a serious illness and items,The health department has done the medical service/Drugs and consumables/Financial capital and system security preparation.
他指出,目前卫生部和各省级卫生部门还组建了重大疾病临床诊疗专家组,负责提供技术支持与指导,协助开展医疗质量管理与控制,以及强化人员培训等工作。
He pointed out that,At present the ministry of health and the provincial health department also formed the major disease clinical diagnosis and treatment group,Responsible for providing technical support and guidance,Assist to carry out medical quality management and control,And strengthen personnel training, etc.
焦雅辉说:“我们同时制定各重大疾病的临床路径,细化有关病种的分路径,完善部分病种的诊疗规范和指南,未来将逐步建立健全重大疾病规范化诊疗体系。”(记者 马扬)
JiaoYaHui said:"We also make the major disease clinical path,Refining relevant diseases points path,Improve the diagnosis and treatment of disease to regulate and guide,The future will gradually establish and consummate the major disease diagnosis and treatment system standardization."(Reporter MaYang)
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