People's Daily see Jilin: reduce the burden of patients and improve the quality of life

Jilin Changchun implements a number of medical insurance policies to benefit the people's livelihood -reduce the burden of patients and improve the quality of life

Our reporter Liu Yiqing's "People's Daily" (No. 14, June 17, 2022)

Changchun City, Jilin Province, has been paying attention to groups such as patients with advanced cancer and disabled personnel for a long time. By reducing multiple measures such as reducing employees' hospitalization and expanding the scope of chronic disease guarantee in outpatient clinics, a total of nearly 100 million yuan for participating personnel was reduced. As of the end of 2021, the number of insureds in the city was 8.367 million, and the insured rate was stable at more than 95%.

At 7 in the morning, the reporter walked into the third floor of the affiliated hospital of Changchun University of Traditional Chinese Medicine. The number of diseased beds came into view. There was a blood transparent machine next to each bed. 39 -year -old Wang Xu was lying on the bed and was being poured. Irrigation is a kind of coordination of dialysis, and one of the effects is to reduce thyroid hoss. The main function of thyroid hormones is to regulate the metabolism of human calcium and phosphorus. It affects Wang Xu's life very much next to Gao Jia.

Many patients with uremia should be permeable at least once a month. However, because the reimbursement scope of the outpatient treatment is not in the scope of the reimbursement of the outpatient treatment, the perfusion cost of 1300 yuan each time has made Wang Xu look forward to it. "Ordinary hemodialysis can maintain life, and irrigation can improve our quality of life."

After full investigation, the Changchun Medical Insurance Bureau issued documents to incorporate irrigation and blood filtration into the outpatient special disease project. "It only costs more than 100 yuan to do it now!" Wang Xu said.

The burden of patients must be reduced, and medical insurance services must be added. Changchun promotes the treatment policy of low self -paid treatment for major diseases. In designated medical institutions, patients with insured patients pay the fixed fees once a year to achieve standardized treatment of 29 diseases such as cerebral palsy and autism; The cost of treatment for outpatient disease clinics is reimbursed at the proportion of hospitalization. A malignant tumor auxiliary medication only saves about 2,000 yuan for each patient each year; directly settle in the inter -provincial outpatient clinic with 27 provinces, so that the "migratory birds" can enjoy medical insurance treatment with peace of mind ...

On May 1, 2015, Changchun launched medical care insurance for disabled personnel, and severe disabled personnel checked in a fixed -point care institution. Under the premise of not more than 107 yuan a day, 90%of reimbursement treatment, moderate disabled personnel Enjoy 70%of the reimbursement ratio of severe disabled personnel. In 2017, on this basis, the Changchun Medical Insurance Bureau launched the "warm current plan" to encourage fixed -point care companies to bear social responsibility, and a total of three large -scale pension institutions participated. On the basis of government payment care insurance premiums, the patients' personal food and accommodation, institutional management costs are borne by enterprises on the basis of government payment care insurance premiums.

Changchun establishes a medical care insurance system for disabled personnel, promotes 7 policies including hierarchical reimbursement ratio, medical insurance network settlement, and care catalogs, while attracting social capital into the field of pension care. At present, the city's designated care institutions have increased from 15 to 105 in the early stages of launch, which can provide long -term professional care services for 34,000 people at the same time.

In 2014, Changchun City issued a system of soothing treatment for patients with advanced cancer. In 2016, Jilin Province Hepatobiliary Disease Hospital set up the city's first soothing treatment area. Changchun Medical Insurance Bureau packed the nursing, analgesic drugs, medical equipment and other projects to subsidize 6470 yuan for each patient. In 2020, in order to further optimize the policy, the Medical Insurance Bureau retrieved data such as the number of hospitalization days and daily expenses of all residents in Changchun City in Changchun City for nearly 3 years.

Subsequently, the Changchun Medical Insurance Bureau organized various medical institutions to negotiate. Explain that the improvement plan, research consumable price, communication and soothing policies ... For more than a month, the staff completed the negotiations and reached an agreement with the 16 fixed -point institutions. On January 1, 2021, Changchun City's soothing therapy announced a new way of combining fixed settlement settlement and daily paid by bed. As of the end of 2021, a total of 17 hospitals in Changchun have set up soothing treatment zones, with a total of 2613 patients benefited, and medical insurance funds spending 14.3435 million yuan. At the same time, Changchun City surveys and draws on the experience of other regions to formulate scoring tables for patients, intake, breathing, organs ... Multi -dimensional scores, and patients under 50 points are determined to meet the conditions for soothing treatment.

Original title: People's Daily to see Jilin: reduce the burden of patients and improve the quality of life

Edit: Xiao Zhi

Source: People's Daily Client Jilin Channel

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