Shut launching a pilot project newly and agriculturally in Anhui " Pay according to number "
Participating in the new agricultural rural patient that shuts will enjoy too in hospital " Pay according to number " ,It is expected to further reduce that the patient pays the proportion for itself. On November 17, the reporter learns from the department of public health of the province, our province will share the institute to pay the pilot project newly and agriculturally according to number from 2011 years, shut the fund newly and agriculturally to the implementation of pilot number " Bale and pay " ,Join and shut patients and bear the fixed conceited proportion according to the quota standard.
Our province share institute, pay from larger first and basic data can believe while being intact and social the intersection of sincerity and degrees of relatively high medical organization begin the pilot project according to number while being agricultural while being new. The provincial fixed medical organizations all list in the pilot range; Every city choose no less than 2 larger second more than fixed medical organization, every county chooses the county the institute of traditional Chinese medicine of hospital and county and other fixed medical organizations at county level relatively large in scale launch a pilot project. The number choice of the initial stage of pilot project, has already made the number of the clinical route in order to consult with Ministry of Public Health, the intersection of province and department of public health choose hospitalization cost to be relatively high in the case in hospital from different the intersection of rank and fixed medical organization, 50 pieces of number that there are more cases of leaving hospital, therapeutic method is relatively ripe, the precise, individual difference of curative effect is relatively small, choose no less than 10 pieces of number from it on the regional principle. According to the regulation, the standard quota of the expenses of disease is confirmed on the principle that not higher than the average expenses that this group of diseases make a diagnosis in the similar medical organization at the same level of the whole province in hospital in the same group, the fund is paid the quota and confirmed by the quota of the number expenses and compensation proportion presumed, among them, the pilot number patient is in 2 s, kind, one kind of medical organizations in hospital, the expenses are paid the proportion for and lower than 60%, 55%, 50% separately in hospital in time. Join and shut patients and pay the expenses for itself in fixed proportion, at the current level of raising funds, the pilot number patient is in 2 s, kind, one kind of medical organizations of the pilot project in hospital, the paying the proportion for itself of the expenses is not higher than 40%, 45%, 50% separately in time in hospital.
It is reported, next first quarter, the department of public health of the province, according to " hierarchical medical treatment " Principle last numbers pilot tentatively, be chosen by 10 number and lasted implementing schemes pilot from it all cities and counties district; In the second quarter, provincial medical organization and every city, every county are (municipal or district) The pilot medical organization starts to run formally; From the second half year, according to the pilot running situation, will expand the pilot medical organization range or number range appropriately. By 2013, will summarize the effective experience in an all-round way, will shut the fixed medical organization to adopt " serious disease will be paid to the whole province above county level and newly and agriculturally according to number " progressively " common disease is according to total value " for sum The fund combining together compensates the way. The department of public health of the province requires, the medical organization should promise the scheme accept a patient for medical treatment according to standardizing making a diagnosis strictly in writing, guarantee medical security and medical quality, forbid rejecting, serious disease patient of prevarication or increasing patient's expenses at one's own expense in a disguised form.
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