家庭医生服务农村慢病患者 年底签约有望覆盖20余省份

2017-10-21 王宾 新华社

补齐全民健康、全面小康的“短板”,农村贫困百姓“一个都不能落下”。

补齐全民健康、全面小康的“短板”,农村贫困百姓“一个都不能落下”。

日前,国家卫生计生委、国务院扶贫办向河北、山西等20余省份发出通知,要求在摸清底数、精准定位的基础上,将农村贫困人口中的慢病患者纳入家庭医生签约服务管理,力争2017年底实现建档立卡农村贫困人口签约服务全覆盖。

数据显示,截至2015年底,因病致贫、因病返贫的贫困人口占整个贫困人口的比例超四成,其中患有大病和慢病的达734万人。作为精准脱贫“靶向治疗”的关键,家庭医生为贫困人口提供公共卫生、慢病管理、健康咨询和中医干预等综合服务,通过关口前移、重心下沉防止“病根”变“穷根”。

“做好慢病管理有助于帮助这部分患者恢复生产生活能力,帮助家庭甩掉疾病的沉重负担,摆脱因病致贫、因贫病重的恶性循环困境,使家庭重新燃起生活的希望。”国家卫计委副主任王培安说。

通知要求,各地要遴选符合条件的乡村医生和乡镇卫生院医师等组建签约团队。贫困人口慢病患者自愿选择1个家庭医生团队签订服务协议。签约医生和团队要在县级医院指导下,制订个性化签约管理方案,实施普通慢病患者和高危人群分类管理。

山西省忻州市岢岚县赵家洼村村民刘福有表示,近年来推行的农村贫困人口家庭医生签约服务让家人“对自己病情掌握了解得更踏实了。家里人看病或者拿药也不用跑远路了”。

为减少贫困人口医药费用负担重的“后顾之忧”,通知要求通过政策叠加提高受益水平。各地扶贫办统筹协调有关部门,设立贫困人口慢病签约专项经费,用于补助签约费中个人支付部分、签约管理费用、上级专家咨询和指导费用等,发挥民政救助、财政补助、医保基金等资金的最大保障效益。

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    2017-10-21 183****7028

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