"Without the new rural cooperative medical system, I can't live now." Du Haijiang, a farmer from Shirengou Village, Xiying Town, Jiutai City, Jilin Province, told reporters that he is the "biggest beneficiary of the new rural cooperative medical system" in the village. As one of the first four pilot provinces of the new rural cooperative medical system in China, Jilin Province officially launched the pilot work of the new rural cooperative medical system in six counties (cities, districts) including Jiutai City in September 2003. "There are more than 900 households and more than 3,500 people in our village. In that year, 865,438+0% people participated in it. At the end of the year, I suddenly got acute pancreatitis and spent more than 20 thousand on treatment. Unexpectedly, I was reimbursed 5,000 yuan. " Du Haijiang said that in the second year, he spent more than 30,000 yuan on medical treatment and reimbursed 7,000 yuan. In the third year, nearly 30,000 yuan was spent, and 1. 1 ,000 yuan was reimbursed. These three hospitalizations were reimbursed according to the standard of the critical illness capping line in that year.
"There are five people in my family, and the annual income from other places is several thousand yuan. Where can I respect a serious illness? As I said, the participation rate of the whole village exceeded 92% this year. " Du Haijiang, 45, said.
Li Guichen, a farmer from Hazelnut Straw Bubble Village, Xiying Town, Jiutai City, told reporters that he and his wife have been in contact for three years. This year, my wife spent more than 4,000 yuan on cataract surgery and reimbursed 600 to 700 yuan. "Although there is not much money, it is very touching!"
Ma Guoqing, a farmer from Daquanyan Village, Baishan Township, Lishu County, Siping City, suddenly turned his family from a "rich man" into a "loser" because his mother spent 65,438+10,000 yuan on heart bypass surgery. According to this year's Jilin New Rural Cooperative Medical System (NRCMS) reimbursement capping line standard, Ma Guoqing received 30,000 yuan compensation. He said excitedly: "General Secretary Hu said that he would cure diseases and save people. I think this is true."
Township hospitals: full of vitality
Pushing open the door of Xiying Town Health Center, "Payment List of New Rural Cooperative Medical System in Xiying Town, Jiutai City (2007)" looms large. It says-the total population of the town is 2 1.979, the number of participants is 1.9 1.32, the participation rate is 87%, and the total payment is 1.799970 yuan.
On the wall diagonally opposite to this form, "Announcement on reimbursement for participating farmers in 2007 (10)" is posted. The reporter's excerpt is as follows: "Wang Jimin of the Fifth Society of Yushugang Village had a brain tumor operation and lived in Changchun Second Hospital. He spent 12668.69 yuan and reported 3,882.20 yuan ... Li, president of the hospital, said that they publicized the reimbursement situation to the participating farmers in the town once a month for two purposes: First, to increase the transparency of the use of the new rural cooperative medical fund; The second is to let farmers really see the benefits of participation through case propaganda.
"The high enthusiasm of farmers has brought vitality to our hospital on the verge of bankruptcy. Li said that in September 2003, the hospital became the designated hospital of the new rural cooperative medical system. Prior to this, the hospital 12 department treated about 20 patients every day, with a total annual income of about 500,000 yuan and a per capita monthly salary of only about 400 yuan. This year, it is estimated that the total income will reach 6,543,800 yuan, and the per capita monthly salary will reach 900 yuan. " In addition, the government also provided us with X-ray machines, rescue beds, semi-automatic biochemical analyzers and other equipment free of charge, so that we can now do the diagnosis and treatment projects that we could not do in the past, which is convenient for the local people. "
According to Li Xianfeng, director of the Health Bureau of Jiutai City, the city has identified 27 township hospitals as designated hospitals for the new rural cooperative medical system. Before the implementation of the new rural cooperative medical system, most hospitals were paralyzed because of insufficient financial investment, lack of professional and technical personnel and poor health awareness of farmers. Today, the number of outpatients and the utilization rate of beds in these hospitals have increased by more than one third.
Jilin farmers spend hundreds of millions less a year on medical treatment.
Jilin Province has a population of 27 million, of which farmers account for140,000. In order to effectively curb the problem of farmers' poverty caused by illness and returning to poverty due to illness, Jilin Province will establish a new rural cooperative medical system as a major event in building a new socialist countryside and building a harmonious society. Up to now, the coverage rate of the new rural cooperative medical system in the province has reached 100%.
According to the latest figures from the Health Department of Jilin Province, from June to September this year, there were 1 1624600 farmers in the province, accounting for 82.04% of the total agricultural population. Among them, 2,208,600 farmers benefited, accounting for 19% of the total farmers. The province paid compensation funds of 324,895,654.38+million yuan, accounting for 55.79% of the total annual fund-raising. In other words, in the first nine months of this year, more than 2.2 million farmers in the province spent less than 320 million yuan on medical treatment.
Ye Chenghua, director of the New Rural Cooperative Medical Management Office of Jilin Province, said that in order to facilitate the farmers to seek medical treatment, Jilin Province has introduced preferential policies such as exempting registration fees and reducing inspection fees by 20%. In family account, an outpatient clinic has been set up, from which farmers can get medicines worth 8 yuan money for one year; Increase the proportion of compensation for hospitalization medical expenses, raise the ceiling line to 30 thousand yuan per person per year, and implement secondary subsidies for seriously ill patients when there is a balance at the end of the year; Take the lead in exploring new service models such as "one-stop office" and "instant settlement and reimbursement" in the country, and strive to achieve "where to stay in hospital and where to reimburse" and "discharge on the same day and reimburse on the same day".
At the same time, the regulations on the new rural cooperative medical system, such as the Administrative Measures for Designated Medical Institutions (Trial), the Catalogue of Drugs (Trial), the Catalogue of Diagnosis and Treatment Items (Trial) and the Measures for Handling Violations of Medical Institutions (Trial), have been formulated to strengthen the management of the new rural cooperative medical system and improve the benefit level of the majority of participating farmers.
New rural cooperative medical system: a long way to go.
"Let farmers afford to see the disease, that is, it requires convenience; When you see a doctor, you have to pay a low price; Optimistic about illness means seeking health and security. " Li Dianfu, director of the Health Department of Jilin Province, explained this.
Li Dianfu said that the report of the 17th National Congress of the Communist Party of China clearly stated that by 2020, everyone will enjoy basic medical and health services, and stressed that this system should cover all urban and rural residents. "As medical workers, we have the responsibility to protect the health of peasant brothers as our historical mission."
Health is the foundation of people's all-round development, which is related to the happiness of thousands of families. Li Dianfu believes that medical and health care is the key to solving the "three rural issues" and plays an irreplaceable role in building a harmonious society. China will be in the primary stage of socialism for a long time, and the implementation of the new rural cooperative medical system is the best choice to meet China's national conditions, people-oriented and solve the health problems of 900 million farmers.
"Of course, there is still a long way to go to implement and improve the new rural cooperative medical system." Li Dianfu pointed out that, first of all, we should adhere to the mechanism of combining government-led with market economy and improve the compensation standard of the new rural cooperative medical system, because compared with the rapidly growing medical expenses, the financing level of tens of yuan per farmer is really a drop in the bucket. Secondly, increase financial input, improve the medical conditions of rural primary medical institutions, speed up the training of talents, improve the diagnosis and treatment level of rural primary medical institutions, and let farmers truly realize "minor illness does not leave the village, serious illness does not leave the county."
In view of the low enthusiasm of farmers in some places, Wang Yanhui, director of Changchun New Rural Cooperative Medical Management Office, and others suggested that farmers should be urged to enhance their awareness of helping others through in-depth publicity; Simplify reimbursement procedures; Strengthen the management of designated medical institutions, and put an end to excessive diagnosis and treatment, false reimbursement and other violations.
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