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阳曲在全市率先试水分级诊疗

2017-08-30 05:01:27   中国青年网

本报8月29日讯(记者 王斌)记者今日从太原市人社局获悉,阳曲县在全市率先开展全面分级诊疗改革试点。凡参保患者出县就诊,需经阳曲县人民医院转诊,未办理转诊者,县域外就诊报销比例降低20个百分点。

推行全面分级诊疗改革,旨在深化医疗卫生机构一体化综合改革,进一步调动医疗卫生系统改革工作的积极性,控制医疗费用不合理增长,降低群众医疗费用支出。

此次阳曲县开展全面分级诊疗改革试点工作,将实现县域内就诊率90%的改革目标。为此,阳曲县规定,县域内城镇职工和城乡居民参保患者除急危重症外全部应在县域内医疗机构首诊,鼓励优先选择村卫生所、乡镇卫生院首诊。参保患者出县域就诊,需经阳曲县人民医院转诊,未办理转诊者,县域外就诊报销比例在就诊医院报销比例的基础上降低20个百分点。办理转诊手续的外出就诊患者报销比例按现行医保政策执行。

在此基础上,对阳曲县医疗集团实行“结余留用、超支合理分担”的医保总额打包付费制度,实现医保付费由“保疾病”向“保健康”的转变,努力探索建立以“重预防、少生病、少住院、少负担、看好病”,为政府、医院、医生和患者共同利益追求的医疗卫生服务新模式。

阳曲县医改办、人社局、卫计局将制定具体实施方案,加大医改工作力度,及时总结试点工作经验,力争在全市形成可复制、可借鉴的医改经验。

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