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让每个市民都享有基本公共卫生服务

2017-08-15 10:54:52   中国青年网

在陈坪卫生院,居民接受中医适宜技术服务。

新农合人均筹资标准提高到550元

记者在西固区陈坪街道卫生院见到的情形,是近几年全市卫生工作的一个缩影。

今年,按照国家和省上确定的方向路径,兰州市推进医联体建设试点、家庭医生签约服务、按病种付费支付方式改革、城乡居民医保制度整合、公立医院取消药品加成、公立医院薪酬制度改革试点、药品购销“两票制”、高值耗材集中采购试点、医疗机构绩效考核、医疗卫生信息化建设10项改革任务落地见效。

到去年底,兰州市卫生计生重点领域改革取得积极进展,分级诊疗和医师多点执业制度全面落实,实现了“医生、基金、患者”三下沉,住院县外就诊率下降到19%,县级住院次均费用为2720元,比全省平均数低350元。

目前,兰州市新农合人均筹资标准提高到550元,参合率达到98.05%,实际补偿比达到65%。全市建档立卡贫困人口新农合住院费用报销比提高了5%,大病保险起付线由5000元降低到3000元,报销比在原来基础上提高了3个百分点。全市267万人建立了健康档案基本公共卫生服务项目经费是各级财政提供保障,党和政府实施的惠民政策。自2009国家基本公共卫生服务项目实施以来,兰州市全面推行分级分层管理,城乡居民公共卫生服务差距逐年缩小,人民群众的健康水平有了明显提高。2017年,全市人均基本公共卫生补助资金达到50元,已为267万人建立了健康档案,老年人建档率达到了72%,高血压患者规范管理率71.69%,Ⅱ型糖尿病患者规范管理率67.78%,家庭医生签约率28%。

与此同时,我市大力促进基本公共卫生服务均等化,在全市推行“网格化管理、团队式服务”模式,全市社区建立区域网格823个,组建专业指导团队156个、基本服务团队662个,开展家庭医生签约服务42.9万人,全市电子健康档案建档率达到81%,老年人、高血压患者、糖尿病患者健康管理率分别达到68%、42%和33%,65岁以上老年人免费享受健康体检服务,中医适宜技术进家庭服务92万人次。

落实生育奖励扶助资金8000万元

5年来,我市计划生育基本国策全面落实,严格实行计划生育目标管理,持续提升计划生育家庭扶助水平,将两类计划生育特殊家庭特别扶助金标准分别提高到每月1000元、800元,扶助标准全省最高。为近10万人次计划生育家庭落实奖励和扶助资金8000多万元,建成760个“陇家福·幸福寓所”。

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