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祛病根 拔穷根 奔小康
2017-08-11 10:15:57 中国青年网
刘锦
“小病拖大病,大病无兜底,慢病不常治……”在医疗卫生保障体系尚未完善之时,这种“进不起医院门、有病不敢看”的状况,确曾发生在我国一些贫困群众身上。因为穷,看不起病;因为病,使他们更穷。贫病交加,一旦遭遇如此境地,无有生命健康之福,遑论全面小康之幸。
如今,在健康扶贫的国家行动中,这种状况正迅速得到改善。我省镇巴县实施的“八百工程”“三三二”诊疗机制等一些探索和创新举措,组织医务人员上门为所有贫困群众体检的务实做法,就很好解决了老百姓看病难、看病贵的问题,给老百姓带来实惠,带来健康,实属难能可贵。
镇巴县地处巴山腹地、省境边陲,偏远闭塞,辖区内贫困人口多、贫困程度深,其中健康问题导致的贫困,成为脱贫攻坚的短板、全面小康的“病根”。但与其经济欠发展的现实相比,镇巴县的健康扶贫工作力度大、决心强、措施实,成绩显著。经过认真调研和探索实践,该县创新健康扶贫途径,构建起健康管理五大体系,形成了“三个精准到位、三条渠道筹资、三级诊疗联动、三加机制保障、三项一站结算”的工作机制,针对农村贫困人口看病,提升报销比例、提升封顶线、降低报销门槛、降低住院押金。“五大体系”“五个三”以及“两升两降”,所有这些举措,无疑在保障农村贫困人口看得起病、看得了病、看得好病方面,取得了积极成效,发挥了健康扶贫的精准作用。特别是经过十多年的发展,新农合已达到足够广泛的覆盖面,农村居民基本实现了病有所保。
但我们也要看到,通过精准识别,镇巴县的贫困人口仍然不少,其中因病致贫所占比例也不低。一些有患大病或慢性病人口的农村家庭,很难通过自身努力摆脱因病而贫的困境。这就需要我们深刻认识健康扶贫的艰巨性、长期性和复杂性,以更大的魄力、更高的定位、更实的措施,回归制度建设,建立长效机制,精准发力、综合施策,力争构建力度更大、范围更广的保障体系。唯有如此,才能杜绝“病倒一个塌下一家”的现象,才能彻底祛除因病致贫返贫这个“病根”,才能真正拔掉缠在贫困地区、贫困群众身上的“穷根”。
“政之所兴,在顺民心。”健康是广大人民群众的共同追求。广大人民群众身体健康,日子幸福,生活有质量,是我们的思想彼岸,更是一切行动的归属。希望镇巴县切实发挥好考核、评价、投入的指挥棒作用,加大投入,提高医疗技术水平和服务能力;也需要各部门联动协作,全社会共同参与,实现健康扶贫的持续有力。
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