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阿拉善盟推进健康扶贫成效显著

作者:张彧 责任编辑:张雨婷 2018-04-15 10:29:22 来源: 阿拉善日报

去年全盟救治建档立卡贫困人口461例  

2017年,我盟健康扶贫工作紧紧围绕“让贫困人口看得起病、看得好病、看得上病、少生病”工作目标,采取有针对性的政策措施,扎实推进健康扶贫工作,为因病致贫、因病返贫人口脱贫提供健康保障。

去年,全盟救治建档立卡贫困人口461例,累计救治589人次,实际医疗费用851万元,已报销医疗费用781万元,报销比例达到91.76%。其中:基本医保补偿费用474万元,大病保险补偿费用65万元,商业补充保险补偿费用165万元,医疗救助补偿费用20万元,兜底保障补偿费用57万元。全盟集中救治大病181人,救治率100%;慢病签约服务1828人,签约率100%;重病兜底保障救治21人,救治率100%。

在健康扶贫过程中,盟卫生计生委、扶贫办、民政局和人社局联合开展全盟建档立卡贫困人口疾病患者摸底调查工作,就贫困人口基本情况、疾病确诊、治疗反馈、治疗费用、填报审核5大类53项以及45个重点病种内容进行核查。各旗(区)认真组织开展贫困人口免费健康体检工作,全盟共投入346.12万元,为5153人开展了免费健康体检,体检率达87.85%。全盟组建家庭医生团队112个,重点加强贫困人口健康管理,建立稳定的服务关系。各旗区均出台农牧区贫困人口大病专项救治工作实施方案,开通贫困人口大病患者就医绿色通道,并优化就医流程,对在旗域内定点医疗机构住院治疗贫困患者取消住院押金,实行先诊疗后付费和“一站式”结算服务,在医患信用协议基础上实施窗口即时结算且贫困患者只需缴纳住院期间全部医药费用的10%。同时,提高救助保障水平,各地基本形成了基本医保、大病保险、商业补充保险、医疗救助、兜底保障合力,切实减轻贫困人口的就医负担。

2018年,我盟还要进一步健全健康精准扶贫机制,做到“靶向治疗”,坚决打赢健康扶贫攻坚战。深入实施“三个一批”行动计划,将大病集中救治原有9种大病扩展到14种,增加肺癌、乳腺癌、宫颈癌、儿童肿瘤和尘肺病5个病种。持续提高农村牧区贫困人口医疗保障水平,进一步完善建档立卡贫困人口基本医药报销政策,提高民政、扶贫医疗救助水平,加大贫困人口参加基本医保和商业医疗保险资助力度,建立政府兜底保障资金长效机制,确保建档立卡贫困人口年度实际医疗费用个人自付比例不超过10%,个人年度支付总额不超过5000元。继续实施贫困人口免费体检,为全部贫困群众发放居民健康卡。进一步完善旗域内住院先诊疗后付费和“一站式”即时结算制度,方便贫困患者就医。落实三级医院对口帮扶旗级医院,二级医院对口帮扶苏木乡镇卫生院政策,充分发挥远程医疗服务网和互联网医疗项目的作用,提升贫困地区医疗卫生服务水平。

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