Supervise and improve the guarantee system for serious diseases
Strictly prevent poverty and return to poverty due to illness
Newspaper (Reporter Chen Hao) This year is the year of decisive battle to overcome poverty. The work of carrying out serious illnesses for the poor people in various places is an important measure to ensure that the poor people get rid of poverty and remove their hats as scheduled, and prevent poverty from returning to poverty due to illness. In order to ensure the implementation of the serious illness policy, the discipline inspection and supervision organs carried out supervision and inspection based on their functions and responsibilities to ensure the accurate implementation of various health poverty alleviation policies.
Recently, the Xinjiang Uygur Autonomous Region Commission for Discipline Inspection has issued a work plan that takes the problems and weak links in basic medical care as the key content of the supervision and inspection of discipline inspection and supervision agencies at all levels. The Discipline Inspection and Supervision Group of the Autonomous Region Discipline Inspection Commission and the District Health and Health Commission urged the Autonomous Region Health and Health Commission and the Medical Insurance Bureau to carry out special rectification of health poverty alleviation issues, establish a long-term mechanism to solve the problem of poverty caused by disease, and return to poverty due to disease, and help poor people refer to the regulations If medical treatment still has a heavy burden on individuals and families, further increase medical assistance. At the same time, it urges the Autonomous Region Medical Insurance Bureau to work with the Autonomous Region Poverty Alleviation Office to improve the procedures for medical assistance for low-income and disease-causing people, and to guide localities in organizing the application of medical assistance for low-income, disease-causing people and marginal prone households to prevent disease. Cause poverty and return to poverty.
The medical insurance system plays an important role in ensuring the medical treatment of the people in difficulty, but it is limited by the scope of reimbursement. After some diseases are reimbursed, the people themselves still have to bear considerable self-paying pressure. In order to solve the outstanding problem that the current medical security is not paying enough attention to the accidents such as falls and bruises that occur frequently in daily life and labor of the poor people in remote mountain areas, and the protection share is small. Under supervision, the Municipal Poverty Alleviation Office commissioned the People's Insurance Company of China to tailor a special accident insurance for poverty alleviation for low-income farmers. Not only breaks through the age and the restrictions on special high-risk participants, but also increases the amount of compensation coverage by more than 5 times on the basis of the same premium, the coverage also extends from accident insurance to hospitalization, accidental outpatient (emergency) consultation, special diseases and other medical treatments cost.
In response to the problems of special treatment for serious diseases in rural poor people and fraud and fraud in the implementation of urban and rural medical assistance policies, the Commission for Discipline Inspection of the Southeastern Miao and Dong Autonomous Prefecture of Guizhou Province has implemented guarantees for major diseases of the poor people in health and civil affairs. The whole process of the work is supervised. While visiting the special treatment targets for serious diseases of the rural poor population on the spot, the Guizhou Provincial People’s Livelihood Fund Supervision System is used to supervise and compare the medical security departments for “repetitive disbursement, analysis of abnormal medical conditions, mutual exclusion of funds”, etc. In order to ensure the implementation of the serious illness policy, the special forces for early warning information found should be investigated and verified one by one.
Regarding the outstanding problems found in supervision and inspection, the discipline inspection and supervision organs adhere to the problem-oriented, and promote the functional departments to carry out rectification in a timely manner. In order to solve the problems of the strong family doctors in the region who reflect strong family doctors’ contract coverage and inadequate implementation services, the supervision committee of the Xinyu City Discipline Inspection Commission of Jiangxi Province urged the city health and health committee to establish a family doctor contract service network and provide medical services at the municipal, county, and township levels. The organization sets up a poverty alleviation service window, and implements a "one-stop" synchronous settlement for all rural poor people's major illness insurance and major disease commercial supplementary insurance. At the same time, the Discipline Inspection and Supervision Group of the Municipal Health and Health Commission combined with the responsibilities of the resident departments to formulate a 29-item supervision list in 7 categories and 37 supervision work rules, keeping a close eye on the needs of the people who are in difficulty to see the doctor, further refine the supervision content, and highlight supervision Focus on the direction of supervision.
The rural two-level medical facilities and the construction of health technology personnel are inadequate, and there are still shortcomings in infrastructure construction...Earlier this year, the discipline inspection and supervision team of the Baiyin Municipal Commission for Discipline Inspection in Gansu Province found that the city’s health poverty alleviation work was not implemented. When they are in place, the medical facilities related to the medical treatment effect of the people in difficulties at the grassroots level are insufficiently equipped, and there is a risk of returning to poverty due to illness. With the suggestion of the Discipline Inspection and Supervision Team of the Municipal Health and Health Commission, the Municipal Health and Health Commission established a special team led by members of the team to go to the county and township hospitals and village clinics to find problems, understand difficulties, and supervise on the spot. The quality and quantity of various tasks have been implemented. Up to now, the city has more than 62 township health centers with color Doppler ultrasound, electrocardiogram, and fully automatic biochemical equipment, and 702 village clinics have all reached the standard of classification construction. The city's family doctor signing rate and implementation rate of assistance measures have reached more than 98% .