Since the beginning of this year, our city has focused on comprehensive prevention and control, comprehensively protecting the health of the people throughout the entire cycle, and carefully building the "One Two Three Four Five" health poverty alleviation project.
"One main line" has helped the city overcome poverty. The "inspection and rectification" was taken as the main line of promoting the health and poverty alleviation work, and the important starting points were to carry out investigations to the bottom, rectify and clear them, and consolidate and enhance actions.
The "double guarantee" builds a defense line against poverty caused by illness. Establishing a "account for the treatment of 25 kinds of patients with serious illness in the rural poor", including rural subsistence allowances and special hardships into the scope of treatment, and increasing the number of expert groups for the treatment of severe diseases to 25. From 2019 to 2020, the funds for the protection of health and poverty alleviation will be 180 yuan per person in the province, and the province, city, and district will be matched at a ratio of 6: 4, and the municipal finance will be 108 yuan per person. At present, all 49 designated medical institutions in the city have implemented the "first diagnosis and treatment after payment", and the "disease pocket policy" is implemented in one. Patients are discharged only 10% of the total medical expenses, and the difference in the bottom pocket of the serious illness is paid in advance by the medical institution The medical security system handling agency regularly makes settlements with medical institutions.
"Three batches" to build protective walls for disease. At present, in the "three batches" classification treatment, 113 people are required to treat major illnesses, 112 have been treated, the treatment rate is 99.1%; 3739 people need to be treated for chronic disease management, 3732 people have been treated, and the contracted treatment rate is 99.8%; The bottom of the serious illness guarantees that 4 people need to be treated, 4 people have been treated, and the treatment rate is 100%. The per capita out-of-pocket expenses of the poor population were 733.89 yuan, and the in-patient out-of-pocket rate was 9.76%; the outpatient out-patient fee was 330.62 yuan, and the out-patient out-of-pocket rate was 17.1%.
"Four in place" to implement a healthy poverty alleviation policy. First, policy promotion is in place. Promote the city's health-related poverty alleviation “see doctor 120, serve 111” related policies to improve the awareness rate of the policy. The second is to provide assistance with the corresponding package insurance. The city's third-level public hospitals are clarified to help county-level hospitals, establish a level-by-level guarantee responsibility, and implement a long-term mechanism for the division of labor. Each insured group goes to the insured area for investigation and guidance at least once a month. The third is to rectify key issues. Carrying out health poverty alleviation surveys and inspections and rectification supervision, conducting "one-to-one, point-to-point" entry into villages and households for investigation; establishing a list of issues around "basic medical protection", and "real knife" to investigate problems, find gaps, and highlight measures, Make sure all issues are "bottomed out." Fourth, family doctors sign up for services in place. Through traces of traces, strengthen the family doctor's contract and health management, and form a closed-loop management of chronic disease management and family doctor contracting services. As of now, the city ’s general population has signed 460,200 people, with a signing rate of 39.04%, key populations have signed 213,300 people, with a signing rate of 71.11%. The poor people who have set up a file and signed a special family plan have achieved full coverage.
The "five 100%" provides precise support for tackling poverty. There are 8523 people who have filed and filed in the city, and have achieved 100% of the file registration rate for poor people, 100% of the file registration rate, 100% of chronic disease signing rate, 100% of "one person, one policy" registration rate, The online reimbursement rate of the New Rural Cooperative Medical Service in the health room was 100%.