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央广网西安9月9日消息(记者刘涛)陕西省长武县围绕让农村贫困人口“看得起病、看得上病、看得好病、少生病”的目标,突出重点,精准施策,大力提升医疗保障水平和医疗服务能力,全县农村贫困人口健康水平得到稳步提升。
在长武县巨家镇新加坡村,记者看到,宽敞明亮的村卫生室里诊断室、治疗室、公共卫生室、药房“四室分离”。村医巨鹏飞介绍说,按照县里要求,贫困患者完全能够享受“大病集中救治一批、慢病签约服务管理一批、重病兜底保障一批”的政策,医疗卫生部门组织对患有大病和长期慢性病的贫困人口实行分类分批救治,将健康扶贫落实到人、精准到病,公卫“3+2”责任医师团队对所有建档立卡贫困户开展“一对一”签约服务,签约率达到了100%。
针对石家河、杨家河、丁家村、赵家坡村、礼村、枣元村、寨子村、罗峪村、秦家庄村、回朝村卫和西坡边等11个村卫生室无村医的问题,长武县由各乡镇卫生院负责选派了11名具有助理医师以上职称人员到卫生室工作,确保每个村有一名合格的村医。同时,建立了乡村医生培养培训制度,采取临床进修、集中培训、城乡对口支援多种方式,选配乡村医生到县级医疗卫生机构培训,逐步形成后备村医培养的长效机制。
除了在硬件建设、人员配置上发力,长武县的健康扶贫政策也“跟得及时、落得到位”。该县制定了《关于进一步完善建档立卡农村贫困人口医疗保障制度的意见》,财政每年列资200万元,设立了大病兜底保障基金,建立了“四重保障”制度。卫计局联合民政局下发了《关于健康扶贫医疗兜底救助工作有关问题的通知》,启动了大病兜底保障工作,对经新农合、大病保险、民政救助报销之后,比例未达到90%的贫困人口,由民政局予以救助,使所有建档立卡贫困户政策内报销比例达到90%,兜底基金不足部分由财政按照报销金额给予全额保障。
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