人民健康网:我国贫困人口医疗费用实际报销比例已提高到80%以上

2019-02-28 崔元苑 人民网-人民健康网

记者从中国人大网获悉,26日,第十三届全国人民代表大会常务委员会第九次会议上,全国人民代表大会常务委员会专题调研组提交了关于脱贫攻坚工作情况的调研报告。

记者从中国人大网获悉,26日,第十三届全国人民代表大会常务委员会第九次会议上,全国人民代表大会常务委员会专题调研组提交了关于脱贫攻坚工作情况的调研报告。

在落实健康扶贫政策,防止因病致贫返贫工作方面,报告显示,目前,我国已全面建成了从三级医院到县医院互联互通的远程医疗网络,基本医疗保险、大病保险、医疗救助等制度不断完善,贫困人口医疗费用实际报销比例已提高到80%以上,所有贫困县已基本实现县域内先诊疗后付费和“一站式”结算制度,专项救治病种扩大到21个。社会救助兜底保障不断加强,2018年已将未脱贫建档立卡贫困户中靠家庭供养无法单独立户的重度残疾人、重病患者等贫困人口按程序纳入低保范围,全国所有县(市、区)农村低保标准已达到或超过国家扶贫标准。

报告指出,“三保障”仍存在薄弱环节。在基本医疗方面,四川、青海等省的民族地区地方病、高原病多发。健康扶贫政策仍需完善,各地普遍反映慢性病家庭医生签约服务政策落实不到位、管理不规范,签约医生以村医为主,多流于形式,不少地方反映医疗托底政策在实践中出现了不同程度的过度医疗现象。

报告强调,接下来,要深入实施健康扶贫,着力做好地方病的预防和救治工作,着力提升医疗保障水平。

具体而言,要严格落实健康扶贫各项政策措施,进一步健全新农合、大病保险、民政救助、商业补充保险等制度衔接机制,切实落实好县域内先诊疗后付费和“一站式”结算制度。要保障乡镇、村卫生室常用药品供给,加强药品监管,采用有效措施遏制农村医药费用不合理增长,切实减轻农民医药费用负担。要加强对建档立卡贫困人口医疗救助托底保障政策实施效果的评估,有效发挥保障功能,尽量减少负面效应。同时,要着力建立长效的因病返贫预防机制,解决好2020年后看病费用、技术、人才等一系列要素的补充问题。

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