Nearly tens of millions of poverty-stricken households who were impoverished due to illness and returned to poverty successfully escaped
To help the poor with health, prescribe the right "prescription" and run towards a well-off society (for the past five years)
At the press conference of the State Council Information Office held a few days ago, Li Bin, deputy director of the National Health Commission, said that health poverty alleviation is a key measure to win the battle against poverty.
The National Health Commission focused on the goal of ensuring basic medical care, and worked with the National Medical Insurance Bureau, the State Council’s Poverty Alleviation Office and other relevant departments to implement precise policies and work together to tackle tough problems, and made decisive achievements in promoting health and poverty alleviation.
Accumulatively treated more than 19 million impoverished patients
Li Bin said that through hard work, the task of health poverty alleviation is almost complete, basic medical care for the poor is fully realized, and the problem of poverty caused by illness and return to poverty has been effectively solved, and a total of nearly 10 million poverty-stricken and return to poverty households have been successfully eliminated. Poverty has made an important contribution to the comprehensive victory of the fight against poverty.
First, comprehensively improve the facilities of medical and health institutions in impoverished areas, and enhance the capacity of county medical and health services.
Carry out counterpart assistance to tertiary hospitals, promote high-quality resources to tilt and sink in poverty-stricken areas, and realize that each township and administrative village has a health center and clinic, equipped with qualified doctors, and county hospitals in poor areas receive The median number of treatments has reached 90% of the overall level of county-level hospitals nationwide.
Secondly, precise measures are implemented for households and people due to diseases, and the measures are implemented to people and precise to diseases.
Organized the mobilization of more than 800,000 grassroots medical staff to find out the condition of the poor population, implemented the "three batches" action plan for centralized treatment of serious diseases, contracted service management for chronic diseases, and protection of serious illnesses, implemented classified treatment for poor patients, and realized poverty reduction The population should be treated, signed, and guaranteed, effectively reducing the burden of medical expenses for the poor, and treating more than 19 million poor patients in total.
Third, strengthen the control of health risk factors and promote the advancement of health poverty alleviation barriers.
Focusing on key areas, key populations, and key diseases, one policy for one place, one disease for one party, the implementation of endemic diseases, major infectious diseases, and pneumoconiosis prevention and control actions, the high incidence of AIDS in poor areas has been fully curbed, tuberculosis and echinococcosis have been fully controlled and Gradually eliminated, the elimination rate of Keshan disease, coal-burning arsenic poisoning, and schistosomiasis disease reached 100%, and the elimination rate of iodine deficiency disease, Kashin-Beck disease, and coal-burning fluorosis disease reached more than 96%. Pneumoconiosis The sick were effectively treated.
Fourth, make overall plans to promote the prevention and control of the new crown pneumonia epidemic and healthy poverty alleviation.
Timely guide the vast number of grassroots medical staff in poverty-stricken areas to turn to the battlefield of epidemic prevention and control, and make full use of the methods and experience accumulated in the process of healthy poverty alleviation. In a relatively short period of time, the spread of the epidemic was fully controlled, and the impact of the new crown pneumonia epidemic in poor areas was reduced to lowest.
Medical insurance for poverty alleviation benefited 480 million poor people
According to Chen Jinfu, deputy director of the National Medical Insurance Administration, the medical insurance department, together with the Health Commission, the Office of Poverty Alleviation and other departments, focused on the mission goal of "basic medical care" for the poor, striving to win the overall victory in poverty alleviation, and build the world's largest basic medical insurance. The Internet has played the largest role in preventing poverty and reducing poverty.
Since 2018, the medical insurance poverty alleviation policy has benefited 480 million people from poverty, helped reduce the medical burden by nearly 330 billion yuan, and helped nearly 10 million people who have been impoverished due to illness to get out of poverty.
The first is to ensure that the poor should be fully protected.
They are included in the medical security system through fixed subsidy and full subsidy.
At the same time, they will participate in insurance dynamically, share information with relevant departments, and include as much as possible "one-off" into the system guarantee to minimize their disease burden.
The participation rate of the poor population has stabilized at over 99.9%.
The second is to adopt a triple guarantee system to comprehensively release the effect of cascading burden reduction.
Through a unified resident basic medical insurance system to solve the basic security problem, the actual reimbursement ratio can basically reach 60%.
On this basis, promote the outpatient medication guarantee mechanism for residents' hypertension and diabetes, and at the same time implement critical illness insurance tilt, reduce the deductible line for the poor, increase the reimbursement ratio, and gradually cancel the ceiling line.
In addition, the medical assistance protection of the underpinning should be consolidated.
The reimbursement rate for the poor through the triple guarantee is about 10% higher than that of the general population, and the overall hospitalization reimbursement level can reach 80%.
The third is to increase the tilted investment of funds in deeply impoverished areas.
In 2020, the per capita financial subsidy standard for resident medical insurance will reach more than 550 yuan, an increase of 310 yuan from 2012.
The central government allocated 27.5 billion yuan in medical assistance subsidies, 90% of which went to the central and western regions.
For three consecutive years starting in 2018, the central government has invested a total of 12 billion yuan to effectively solve the problem of medical security for the poor in deeply impoverished areas.
The fourth is to adopt a number of reform measures to reduce the cost of medical services.
Including the implementation of drug purchases in quantities and the implementation of drug catalog entry negotiations, effectively reducing the burden of drug use by the people.
The three batches of drug purchases involved 112 varieties, an average decrease of 54%, and the country's overall savings (reduction) of costs were 53.9 billion yuan.
The fifth is to promote and improve the accessibility of medical services in poor areas.
Optimize the filing procedures for medical treatment in different places, and realize that at least one county hospital in each impoverished area is included in the national remote settlement platform.
Improve the "Internet +" medical service price and payment policy, and introduce Internet medical services to areas with insufficient medical resources as much as possible to increase the accessibility of health services.
At the same time, for poor people in poverty-stricken areas who have insufficient local medical resources and seek medical treatment within the province, they will be given medical insurance policy reimbursement preferential treatment, which is regarded as local medical treatment.
Sixth, the "two guarantees" measures were introduced to effectively help win the battle against the new crown pneumonia epidemic-to ensure that patients will not be affected by the cost of the new crown pneumonia epidemic, and to ensure that the treatment hospital does not affect the admission due to the cost, eliminating concerns.
So far, 19.4 billion yuan has been allocated for special treatment.
Innovate mechanism and implement "group-style" aid to Tibet and Xinjiang
Deeply impoverished areas such as the "Three Districts and Three States" are among the difficulties in the fight against poverty.
The Health Poverty Alleviation Action has taken targeted measures to overcome deep poverty fortresses and achieved remarkable results.
According to He Jinguo, Director of the Poverty Alleviation Office of the National Health Commission and Director of the Department of Finance, the committee adheres to one location, one policy, and guides the “three regions and three states” to formulate special health and poverty alleviation work plans, and coordinate the central and counterpart support. In terms of strength, we insist on giving priority to policy supply, priority arrangement of projects, priority funding support, priority provision of resources, priority connection of social forces, and joint efforts to tackle tough problems.
The first is to increase the tilt support for project funds, arrange for central transfer payments and health project funds to use the "three districts and three states" as a special allocation factor to measure and calculate, and specifically set up medical services and security capabilities in deeply impoverished areas The upgrade project has allocated 2.58 billion yuan of funds to support the improvement of the medical service capacity of 368 deeply impoverished counties including the "three districts and three states".
Since 2018, a total of 24.06 billion yuan has been invested in the central budget of the provinces where the "three districts and three states" are located to support the construction of 1,126 medical and health institutions above the county level.
The second is to further promote counterpart support.
Innovated mechanisms, implemented the "group-style" aid to Tibet and aided Xinjiang, and innovated the assistance models of "introduction to hospitals and disciplines" and "teachers and apprentices", greatly improved medical service capabilities, and achieved nearly 400 types of serious illnesses in Tibet. , More than 2,200 kinds of diseases can be treated without leaving the city, and most minor diseases can be solved in county hospitals and township health centers.
In Xinjiang, all prefecture-level hospitals in the autonomous region have passed the third-level A-level review.
207 county-level hospitals passed the second-A review, and coordinated efforts to increase counterpart assistance to youth. 20 prefectural and county hospitals in Qinghai Province passed the third-level second-level and second-level first-level hospital review, and 832 impoverished counties, Each county must have a higher-level hospital providing counterpart support.
The third is to implement the "three regions and three states" prevention and control of infectious diseases and endemic diseases.
The state favors support from the aspects of human, financial, material, policy and technology.
For example, the establishment of a joint prevention and control mechanism for echinococcosis comprehensively covering Tibet and Tibetan-related prefectures and counties in the four provinces has formed a comprehensive prevention and control system of "party committee leadership, government responsibility, departmental collaboration, upper and lower linkage, regional joint defense, expert guidance, and social participation" The work pattern, the epidemic of hydatid disease in Tibet has been basically controlled.
Xiong Jian
Xiong Jian