中新网3月1日电 据国家发改委网站消息，今日，国家发展改革委副主任、国务院医改办公室主任孙志刚志就建立疾病应急救助制度答记者问。孙志刚提出，要从制度层面形成对无负担能力患者急救医疗费用的保障机制，避免由于“等钱救命”等原因而导致灾难性后果的发生。

Beijing, March 1 (xinhua) according to the national development and reform commission's web site,today,Deputy director of the national development and reform commission/The healthcare reform office of the state council, sun zhigang, director of the ambition is to establish a reporter asked disease emergency assistance system.Sun zhigang is proposed,From the system level to form the emergency medical treatment in patients with no burden ability of safeguard mechanism,Avoid the"Such as money to help"Wait for a reason and lead to disastrous consequences.

　　孙志刚称，近年来，随着新医改的持续深入推进，全民医保体系初步建立，绝大部分人看病就医有了基本保障，大都能得到及时救治。然而，“无主病人”、“路倒病人”及少数确无支付能力的人群，仍然缺少制度保障。按现行规定，本着“治病救人”的原则，医疗机构不得推诿急救病人，并由医院先行垫付急救费用，但是，在实际操作中，一些医疗机构在履行救治责任时心存顾虑，陷入两难的境地，导致出现“等钱救命”的情况。少数需紧急救治的患者，由于不能得到及时有效治疗，酿成严重后果，造成不良社会影响。

Sun zhigang said,In recent years,As the new health care reform was deepened continuously,Universal health care system preliminary established,The vast majority of people to see is the basic guarantee,Most can get timely treatment.however,"Unowned patients"/"LuDao patients"And a few people lacks the ability to pay,Is still a lack of institutional guarantee.According to the current rules,In line with the"Treating patients"The principle of,Medical institutions must not shuffle emergency patients,Advance payment and the hospital first aid,but,In the actual operation,Some medical institutions concerned when perform treatment,The dilemma,Lead to a"Such as money to help"In the case.The minority of those who need emergency treatment,Unable to get timely and effective treatment,Have serious consequences,Cause bad social influence.

　　建立疾病应急救助制度，就是从制度层面形成对无负担能力患者急救医疗费用的保障机制。从而解决需紧急救治患者的医疗费用问题，解除医疗机构的后顾之忧，避免由于“等钱救命”等原因而导致灾难性后果的发生。这是健全多层次医疗保障体系的重要内容，是解决人民群众实际困难的客观要求，是坚持以人为本，构建和谐社会的具体体现。

Establish disease emergency rescue system,Is formed from the system level of emergency medical treatment in patients with no burden ability safeguard mechanism.To solve the problem of need emergency treatment in patients with medical expenses,Remove trouble back at home of medical institutions,Avoid the"Such as money to help"Wait for a reason and lead to disastrous consequences.This is an important content of the multi-level medical security system,Is the objective requirement of the practical difficulties to solve people,Adhere to the people-centered,The embodiment of the construction of a harmonious society.

　　孙志刚称，建立应急救助制度，目的就是要保障少数身份不明确或没有能力支付医疗费用的居民，在有需要时能够得到紧急救治。坚决杜绝由于没有钱，而得不到急救的情况发生。

Sun zhigang said,Establishing emergency rescue system,Purpose is to safeguard minority identity is not clear or no ability to pay for medical residents,When necessary to get emergency treatment.Resolutely put an end to because no money,And receive emergency happens.

　　应急救助的救助对象是在中国境内发生急重危伤病、需要急救、但身份不明确或无力支付相应费用的患者，并不局限于低保、五保等城乡医疗救助对象。医疗机构对救助对象紧急救治发生的费用，可向疾病应急救助基金申请补助。

Emergency relief aid object is in heavy risk injury within the territory of China/Need first aid/But identity is not clear or unable to pay the corresponding expenses of patients,Is not restricted to low/Supporting urban and rural medical assistance such as object.Medical institutions for assistance object emergency treatment costs,Can apply to disease emergency rescue funds for subsidies.

　　应急救助的救助范围是救助对象实际发生的急救医疗费用。对于急救医疗费用，此项制度承担兜底保障责任，也就是说患者发生的急救医疗费用，根据情况先由责任人，工伤保险和基本医疗保险等各类保险、公共卫生经费，以及医疗救助基金、道路交通事故社会救助基金等渠道支付。无上述渠道或上述渠道费用支付有缺口，由疾病应急救助基金给予补助。

Emergency relief aid relief is the scope of object actual emergency medical expenses.For emergency medical expenses,This system out security responsibility,That is to say in patients with emergency medical expenses,According to the first by the persons responsible,Inductrial injury insurance and basic medical insurance and other kinds of insurance/Public health funding,And medical relief funds/Pay channels such as road traffic accident social relief fund.Without the above channel or channels of the above charges are pay gap,By disease emergency bailout fund subsidies.

　　孙志刚指出，财政投入方面，中央和地方政府都要纳入预算安排。尤其是制度运行初期，财政要承担更多的责任。鼓励社会各界向各级疾病应急救助基金捐赠资金。

Sun zhigang pointed out,Financial commitment,The central and local government should be included in the budget.Especially early system running,Finance to take more responsibility.Disease emergency bailout funds to encourage the social from all walks of life to donate money.

　　疾病应急救助基金由当地卫生部门管理。基金管理要求遵循公开、透明、专业化、规范化的原则，具体办法由卫生部门商财政部门制定。为加强对基金管理使用的监管，成立由当地政府卫生、财政部门组织，有关部门代表、人大代表、政协委员、医学专家、捐赠人、媒体人士等参加的基金监督委员会，负责对重大事项进行审议，并监督基金日常运行。同时，基金要接受外部审计，并将审计报告、基金使用、救助的具体事例、费用及审计报告等向社会公示，接受社会监督。

Disease emergency bailout fund is managed by the local health department.Follow public fund management requirements/transparent/professional/The principle of standardization,Specific measures shall be formulated by the health department, finance department.In order to strengthen supervision over the use of fund management,Set up by the local government health/Financial sector organizations,Authorities on behalf of/People's congress/Chinese people's political consultative conference committee/Medical experts/donors/Media and other officials attended the fund oversight committee,Is responsible for the review on important matters,To supervise and fund day-to-day running.At the same time,Funds to accept external audit,And the audit report/Funds used/Specific examples/Fees and audit reports of the public to the society,Accept social supervision.

　　孙志刚还指出，疾病应急救助工作涉及多环节、多部门、多机构，需要各有关方面加强协作，相互联动，形成合力。

Sun zhigang said,Disease emergency rescue work involves many links/Many departments/Many institutions,Need to the relevant ways to strengthen cooperation,Mutual linkage,Form the resultant force.

　　卫生部门牵头组织专家制订救助对象需紧急救治的急重危伤病的标准和急救范围；严格监督医疗机构及其工作人员无条件对救助对象进行急救，对拒绝、推诿或拖延诊治的，要依法依规严肃处理；严厉查处虚报信息套取基金、过度医疗等违法违规行为。基本医疗保险管理部门要保障参保患者按规定享受基本医疗保险待遇。民政部门要协助基金管理机构共同做好对患者有无负担能力的鉴别工作，同时进一步完善现行医疗救助制度，关口前移，主动救助，做到应救尽救。公安机关要积极协助医疗机构和基金管理机构核查患者身份，依法确定责任人。

Health sector led experts to make aid recipients to emergency treatment of dangerous injury criteria and scope of first aid;Strict supervision of medical institutions and their staff to unconditionally for emergency rescue,To refuse to/Prevarication or delay of diagnosis and treatment,To seriously according to regulation in accordance with the law;Crack down false information arbitrage fund/Illegal activities such as excessive medical treatment.The basic medical insurance management department according to the rules to protect patients enjoy treatment of insurance of primary medical treatment.Civil affairs departments to assist in the fund management organ together to do a good job of identifying to the burden of patients with and without ability,To further improve the system of the current medical treatment at the same time,Mark for the forward,Active rescue,Do it should save the save.The public security organs should actively assist medical institution and the fund management organ for verification status,Determined in accordance with the responsible persons.

　　各级各类医疗机构及其工作人员，必须及时、有效对需要紧急救治的患者施救，坚决禁止拒绝、推诿或拖延诊治。对救助对象急救后发生的欠费，医疗机构应设法查明欠费患者身份，对已明确身份的患者，要尽责追讨欠费。对救助对象急救的后续治疗发生的救治费用，医疗机构应及时协助救助对象按程序向医疗救助机构等申请救助。

All kinds of medical institutions at various levels and their staff,Must be on time/Effective rescue for patients in need of urgent treatment,Refuse is prohibited/Prevarication or delay treatment.For emergency rescue object after overdue bills,Medical institutions should try to find out owe fee status,To have clear as to the identity of the patients,Be responsible for overdue bills.In emergency rescue object subsequent treatment of the cost of treatment,Medical institutions should be timely to help rescue object according to the procedures applied to medical institutions for assistance.

　　孙志刚最后指出，基金管理机构负责社会资金募集、救助资金核查与拨付以及其他基金管理日常工作等。要积极主动向社会募集资金，充分利用筹集资金，定期足额向医疗机构支付无负担能力患者的急救医疗费用。

Sun zhigang pointed out at last,The fund management organ responsible for the social fund-raising/Bailout funds verification and deduction and other fund management routine work, etc.To actively raise funds to the society,Make full use of to raise money,Full specified amount paid to medical institutions on a regular basis without ability of patients with emergency medical expenses.