Health care how roaming the blueprint into reality?

I want to review

06:56:33 July 7, 2016 source: Beijing evening news

One old, one of the most headache thing is to see the doctor. Although most older people have health insurance, but the block in front of the health care system of long distance medical problem, still make a lot of the old man when you are sad. State development planning commission's data shows, at present, there are about 170 million or so of the floating population in our country, often face the problem of "across the province for medical treatment". Due to the cause of the children, a lot of the old man will be living in the ginseng of extraterrestrial after retirement, the complicated reimbursement process. When different ground settlement to achieve health care? This is a difficult problem of current health care system.

The status quo of 1

Relocated to cover chapter six

Zhang a couple just had a baby, for the sake of taking care of children, children's maternal grandmother specially came to Beijing to help from their hometown in zhejiang province. Before kindergarten, grandma will be resident in Beijing for three years. Elderly patients with gallstones, often need to go to a hospital diagnosis and treatment. In her hometown in zhejiang province county went to the local health care workers, arrived in Beijing now, want to reimbursement of medical expenses, have to go through the formalities of a local health care relocated. Zhang these days for it to run, how many phone call, can't remember it all myself. First of all, they have to go to the county health department, also good this item don't have to run errands, personally that phone, the other way to send the application form by Courier. Application form for a look - at least to cover chapter 6, it is much trouble!

In accordance with local policy, they can choose three designated hospitals in Beijing, each hospital has to affix one's seal, then to Beijing chapter to build a health department, prove the three hospitals is indeed a designated hospitals in Beijing, and the grade is also meet the requirements. Then we will return to the local form to cover the opinions of the ginseng protect unit chapter, prove that different ground to the case, the final pass local health institutions audit, cover a chapter audit opinion, is to finish the process.

"Now that the policy is required, so step by step." So thought, zhang started chapter "run". A run that problem again, that little part in their local, only one area, so choosing medical insurance fixed-point also does not involve any inter-district problem, but in Beijing are different, the municipal and district level difference is very much, local chapter is to recognize the district health care center or recognize the municipal health care center? If the selected three hospitals inter-district, you can't let A hospital's district health centers that B the situation of the hospital, so might have to go to run the municipal health care center... Policy is too complex, zhang consulting around, finally understand a little bit. Then there is a a to run errands, in the process of running chapter zhang asked every detail is so clear, lest chapter which one is wrong, and to come.

The status quo of 2

Manually submit an expense account to wait for more than half a year

Yu's father, who is suffering from uremia, hometown of xuzhou do dialysis in the county seat, he followed his son live in Beijing, and here to see the doctor. In accordance with the provisions of their local urban residents health care to leave town to see a doctor is a long-distance medical, arrived in Beijing, but also "across the province", can only reimburse in hospital. The old man of medical treatment cost as high as QiBaQian yuan each month, saved up enough for two or three ten thousand yuan when they send home to submit an expense account. But this process is very long, often have to wait for about half a year to get about 20% of the expenses cost.

In the recent 12333 hotline ZiXunRi activity, reporter discovery, encircling the staff asked a lot of people, at most is one of the several problems of long distance medical care to ask a question. Most of them are foreign insurance relationship, living in Beijing for a long time, health care became them to see a big barrier. "I know that I am in hebei province to pay money for health care, I don't require the somebody else Beijing health care reimbursement for me, I just want to ask, can like Beijing health care, let us health of hebei province in Beijing also real-time settlement, only pay pay money to go?"

Apart from outsiders stay in Beijing, there are quite a few from Beijing to the field of long, also need to solve the problem of long distance medical care. According to the city's medical insurance policy, the old man participated in the medical insurance in Beijing, if to other city life, can to census register seat of the districts and counties have a relocated formalities of social security, choose two designated hospitals at and above the county level in the field, select a fixed-point hospital in Beijing. Designated hospital medical expenses incurred in the field can be reimbursement documents by post, family generation way back to Beijing to submit an expense account, scope of expenses and expenses standard completely according to the medical insurance treatment in Beijing, reimbursements can be gotten by family generation or set up a special book. Although medical insurance to submit an expense account, can the advancements, mailing documents, manual review, waiting for the payment process is cumbersome and lengthy.

wish

Inter-provincial long-distance medical treatment directly

In many parts of the ginseng protect personnel has been used in the ginseng to see the doctor when brush direct settlement, social security card yourself just pay part of the handle, the remaining payment, then need not tube, then own go and hospital medical insurance fund settlement. For a serious illness, need not paying big money, also saved saved list, list, and other expenses that a series of process, a lot of ginseng protect personnel to have such a hope.

This year on March 16, at the 12th National People's Congress four conference after the press conference, prime minister li keqiang said when answered reporters' questions, for two years of time, save costs of different ground be in hospital can directly across the clearing. Then, on April 26, the deepening medical and health system reform in 2016 key task, the printing, the paper proposed that in 2016 China will accelerate the basic medical insurance network and long-distance medical settlement work throughout the country, set up perfect national different ground settlement platform, gradually with the provinces, the long-distance medical billing system to realize a butt joint basic implementation across the province relocated retiree hospitalization expense settlement directly. By 2017, the basic implementation meet the requirements of referral long-distance medical hospitalization expense settlement directly. Officials have given to solve the long-distance schedule of health care, people are looking forward to the work to "hurry up, hurry up, hurry up" again. A long-distance medical treatment can settle into the "quick" lane?

imagine

Provincial docking solve mat endowment and running errands

People club department Huang Huabo introduction, deputy director of the social insurance management center, in fact, different settlement of medical work have long done. For long-distance medical treatment, people club department a baseline survey found a "631", which is 60% of the people within the prefecture level across the county, and 30% is in the province of intercity for medical treatment, the two together accounted for 90%, only about 10% of the province. "So we had made the work plan of" three steps ". That is the first step, promote and perfect municipal plan as a whole, to achieve the same city; the second step is the construction of the settlement system began to push in the province of networking, realize networking to settle in the province; 3 it is to build a national network settlement system. At present, the first step and the second step is basically done."

"We work to carry out the long-distance medical billing is to solve the problem of ordinary mat endowment and running errands." Huang Huabo says, the current assumption is that such a process - health care network into a provincial level two docking, ginseng protect personnel in ginseng to simple for the record, the record after the key is to establish a database of the medical information through the provincial platform, the platform back to the doctor again, such ginseng protect personnel to be able to take your social security card to go to a doctor to the hospital.

Now, relevant departments have done a lot of work, but because of some parts of the social security card out of the province is not to be recognized, such as hebei card to Beijing don't know, so now you need to do a lot of background reconstruction.

What is health beyond the ultimate state of the settlement? If as you wish them to be - "is ginseng protect people after the ginseng to put on record in the medical treatment charge settlement, owe themselves paid is done, and all the work is full of back-end operations, including the provincial platform, platform of ministry after settlement and ginseng and supervision, do all of these are background." Huang Huabo said. He introduces, according to the idea, where to go to a doctor, the start line, the top line are used to the ginseng, but want to go to a doctor to directory, or go to a doctor to do not know the directory of the ginseng is very difficult.

Press the memory

A long-distance medical treatment experience of abroad

Low Canadian: Canada free universal health care system, government directly hold health insurance business, their citizens with taxes, government funding for public hospitals after tax, hospitals directly to the citizens to provide free services. Citizenship and immigration Canada can go to any one in any hospital. If in Canada, can be in different ground to see the doctor, people need from one province to move to another, to apply for local health insurance card.

Low Germany: Germany is the world's first compulsory social medical insurance system, the fund of medical treatment insurance society to plan as a whole, help each other in all aid, mainly by employers and employees pay, discretionary government subsidies. For eligible employees to participate in legal medical insurance, the family members (including their minor child (children), can enjoy the treatment of all kinds of health insurance together. Ginseng protect people in both the rural and the city, all can came to the hospital and enjoy basic homogeneity of medical services.

United States: the U.S. is not only in all developed countries universal health care. Like the American economic system, medical system in the United States is in a highly market into the main characteristics. America, the participants go to a doctor to go to the insurance company designated by the family doctor (gp), if the family doctor cannot treat, will transfer the patient to the hospital is associated with the insurance company.

(reporter li li)