Summary of hospital new rural cooperative medical work
First, the basic situation
Xx Township is located in the northeast of xx County, bordering xx and xx counties and cities, 28 kilometers away from the county seat. The cultivated land area of the township is 46,134 mu, and it administers 8 administrative villages.
8 village committees in XX: xx village, xx village, xx village, xx village, xx village, xx village, xx village, xx village.
The total population of the township is 39,812, which is a typical agricultural township. As of December 31, XX, raised more than 350,000 yuan.
In XX, 11400 person-times were visited by farmers in outpatient clinics, and the amount of compensation for family accounts was 32,3013.9 yuan, and the per capita subsidy was 28.34 yuan.
In XX, the participating farmers were hospitalized in the xx hospital for 1,580 person-times, the total hospitalization cost was 932,644.02 yuan; the reasonable cost was 912,822.58 yuan; the total compensation was 585,696.51 yuan; the per capita cost was 590.28 yuan, the per capita compensation was 370.69 yuan, the compensation rate was 62.8%; the self-fee cost was 9821.44, the self-pay rate 2.13%; the total cost of medicines is 211,184.20 yuan, the cost of medicines is 752.66 yuan, the rate of medicines is 0.00%; the cost of diagnosis and treatment is 107,076.08 yuan, the cost of medical treatment is 2,710.68 yuan, and the rate of medical treatment is 3.00%.
Second, the specific practice of launching a new type of rural cooperative medical care was launched steadily, scientifically measured, and actively promoted. In October XX, the new rural cooperative medical care work began in our township. The township government dispatched a special person to investigate the situation of farmers in eight villages in our village in the past three years. Through the study and reference of the experience of new rural cooperative medical care in other counties and districts, combined with the actual situation of the township, the township party committee and government have fully discussed and researched and developed a new rural cooperative medical care system suitable for the township. A mobilization meeting was held with the heads of the three major heads of each village, medical units, and units in the township. At the meeting, the importance of the new rural cooperative medical work was emphasized. After the meeting, 8 villages in the township took active actions. According to the deployment of the township government, the work of propaganda, registration, capital collection, and certificate filling was carried out in stages, ensuring that the new rural cooperative medical system was officially officially established on January 1, XX. start up.
Improve organizational structure, strengthen leadership, and clarify responsibilities. The township government has established a new type of rural cooperative medical management committee, supervision committee, and coordination steering group. The deputy secretary of the party committee serves as the deputy secretary, the party committee member and the discipline inspection committee member are deputy directors. The members are composed of the township government office, the financial office, the civil affairs office, and the health center. Formulate, revise and improve the various systems of the Agricultural Medical Institute; be responsible for participating in the organization, propaganda and mobilization of the villages to increase the participation rate; the financial department is responsible for the supervision and management of the new rural cooperative medical funds.
Wide publicity, deep mobilization, and increase farmers' awareness
1. Give full play to the advantages of wide coverage of TV media, use two months to broadcast news on cooperative medical policies, progress, and farmers' awareness, and use subtitles to create new rural cooperative medical propaganda slogans; answer farmers' doubts at the reimbursement site. Played a very good publicity and launch effect.
2. The villages use the radio, slogans, and self-made leaflets to publicize and mobilize in each village. Each village held a branch meeting, a party member meeting, and a village representative assembly to carry out propaganda and launch. During the period of publicity and mobilization, the Agricultural Medical Institute reported the progress of the new rural cooperative medical care to the management committee in a timely manner, reflecting the dynamics of the new rural cooperative medical care. The township government has held several villager briefings to understand the situation of participation in various villages. Resolving, answering and coordinating the existing problems in a timely manner has improved the overall participation rate of our township. The new rural cooperative medical care work was launched rapidly in the whole town.
Start-up funds are in place
1. The county and township two-level joint management staff are enthusiastic and thoughtful to answer questions from farmers. They are conscientious and responsible for reimbursing the participating farmers to ensure the safety of capital operation, truly satisfying the people, benefiting the people and solving the practical problems of the farmers.
2. The Cooperative Medical Management Office will establish a special account with financial assistance to ensure that it is earmarked for special purposes.
Regular business training to ensure smooth reimbursement. From XX to XX, our township co-management office conducted several business trainings and on-site instructions to the heads of the eight designated clinics. Improve various policies and promote work.
Control medical expenses and standardize service behavior. In order to better cooperate with the smooth implementation of the new rural cooperative medical work, the township joint management office has formulated the management requirements for the designated medical institutions in the township. Conduct business exchanges with doctors, give pointers to the position, distribute the reimbursed drug list and medical treatment catalogue to doctors, lead medical workers to learn the new rural cooperative medical records, and act according to national policies, so that participating farmers can get the compensation they deserve.
3. In the specific implementation process, the following problems still exist:
1. The scope of reimbursement for new rural cooperative medical care in the township is based on the relevant provisions of basic medical insurance. Farmers are not prepared for the lack of reimbursement, which causes some people to understand.
2. In order to ensure the rational and effective use of the new rural cooperative medical care funds, the residents of this township are hospitalized to implement a step-by-step referral system for designated medical institutions. Farmers believe that they have restricted the right to freely choose hospitals.
3. The principle of new rural cooperative medical care is to solve the problem of “poorness due to illness and returning to poverty due to illness”, while ensuring “big illness” and taking into account “small diseases”. Some farmers complained that the outpatient clinic was not reimbursed and did not realize the superiority of reimbursement. I am dissatisfied with the pricing of the XX year 50 yuan undulating line.
Primary health care resources need to be further activated
1. Due to the relatively poor medical environment of the township health centers, the technical level is subject to certain restrictions, and the living standards of the farmers are constantly improving, which cannot meet the medical needs of patients.
2, the hospital's network sometimes can't go up one day, the township hospital co-management staff is too small, meeting, the report is not in the hospital, finishing materials, when entering the information, the staff is not enough, the computer is not enough, can not give the hospital patients timely compensation, resulting in Some patients do not understand and produce dissatisfaction.
Fourth, specific measures and work arrangements in the future
1. Continue to increase the intensity and depth of new rural cooperative medical care through reimbursement cases. Let the farmers know that the new rural cooperative medical care system is designed for major illnesses. The fundamental principle is to prevent farmers from becoming poor due to illness and returning to poverty due to illness.
2. Improve the "Regulations on Service Management of Fixed-point Medical Institutions". Strengthen the management of medical institutions, improve the medical care environment of township-level medical institutions, timely and effectively deal with common diseases and frequently-occurring diseases of local farmers, benefit farmers with high-quality and low-cost medical services, and continuously improve farmers' satisfaction.
3. Summarize experience and analyze data to lay the foundation for further improvement of work next year. The new rural cooperative medical care system is the responsibility of the government for the benefit of the people. The party and the government have never given up on the health of farmers. We will continue to improve the new rural cooperative medical care system so that it can truly become a thoughtful project of the party, the government and the peasants.
Xx Township is located in the northeast of xx County, bordering xx and xx counties and cities, 28 kilometers away from the county seat. The cultivated land area of the township is 46,134 mu, and it administers 8 administrative villages.
8 village committees in XX: xx village, xx village, xx village, xx village, xx village, xx village, xx village, xx village.
The total population of the township is 39,812, which is a typical agricultural township. As of December 31, XX, raised more than 350,000 yuan.
In XX, 11400 person-times were visited by farmers in outpatient clinics, and the amount of compensation for family accounts was 32,3013.9 yuan, and the per capita subsidy was 28.34 yuan.
In XX, the participating farmers were hospitalized in the xx hospital for 1,580 person-times, the total hospitalization cost was 932,644.02 yuan; the reasonable cost was 912,822.58 yuan; the total compensation was 585,696.51 yuan; the per capita cost was 590.28 yuan, the per capita compensation was 370.69 yuan, the compensation rate was 62.8%; the self-fee cost was 9821.44, the self-pay rate 2.13%; the total cost of medicines is 211,184.20 yuan, the cost of medicines is 752.66 yuan, the rate of medicines is 0.00%; the cost of diagnosis and treatment is 107,076.08 yuan, the cost of medical treatment is 2,710.68 yuan, and the rate of medical treatment is 3.00%.
Second, the specific practice of launching a new type of rural cooperative medical care was launched steadily, scientifically measured, and actively promoted. In October XX, the new rural cooperative medical care work began in our township. The township government dispatched a special person to investigate the situation of farmers in eight villages in our village in the past three years. Through the study and reference of the experience of new rural cooperative medical care in other counties and districts, combined with the actual situation of the township, the township party committee and government have fully discussed and researched and developed a new rural cooperative medical care system suitable for the township. A mobilization meeting was held with the heads of the three major heads of each village, medical units, and units in the township. At the meeting, the importance of the new rural cooperative medical work was emphasized. After the meeting, 8 villages in the township took active actions. According to the deployment of the township government, the work of propaganda, registration, capital collection, and certificate filling was carried out in stages, ensuring that the new rural cooperative medical system was officially officially established on January 1, XX. start up.
Improve organizational structure, strengthen leadership, and clarify responsibilities. The township government has established a new type of rural cooperative medical management committee, supervision committee, and coordination steering group. The deputy secretary of the party committee serves as the deputy secretary, the party committee member and the discipline inspection committee member are deputy directors. The members are composed of the township government office, the financial office, the civil affairs office, and the health center. Formulate, revise and improve the various systems of the Agricultural Medical Institute; be responsible for participating in the organization, propaganda and mobilization of the villages to increase the participation rate; the financial department is responsible for the supervision and management of the new rural cooperative medical funds.
Wide publicity, deep mobilization, and increase farmers' awareness
1. Give full play to the advantages of wide coverage of TV media, use two months to broadcast news on cooperative medical policies, progress, and farmers' awareness, and use subtitles to create new rural cooperative medical propaganda slogans; answer farmers' doubts at the reimbursement site. Played a very good publicity and launch effect.
2. The villages use the radio, slogans, and self-made leaflets to publicize and mobilize in each village. Each village held a branch meeting, a party member meeting, and a village representative assembly to carry out propaganda and launch. During the period of publicity and mobilization, the Agricultural Medical Institute reported the progress of the new rural cooperative medical care to the management committee in a timely manner, reflecting the dynamics of the new rural cooperative medical care. The township government has held several villager briefings to understand the situation of participation in various villages. Resolving, answering and coordinating the existing problems in a timely manner has improved the overall participation rate of our township. The new rural cooperative medical care work was launched rapidly in the whole town.
Start-up funds are in place
1. The county and township two-level joint management staff are enthusiastic and thoughtful to answer questions from farmers. They are conscientious and responsible for reimbursing the participating farmers to ensure the safety of capital operation, truly satisfying the people, benefiting the people and solving the practical problems of the farmers.
2. The Cooperative Medical Management Office will establish a special account with financial assistance to ensure that it is earmarked for special purposes.
Regular business training to ensure smooth reimbursement. From XX to XX, our township co-management office conducted several business trainings and on-site instructions to the heads of the eight designated clinics. Improve various policies and promote work.
Control medical expenses and standardize service behavior. In order to better cooperate with the smooth implementation of the new rural cooperative medical work, the township joint management office has formulated the management requirements for the designated medical institutions in the township. Conduct business exchanges with doctors, give pointers to the position, distribute the reimbursed drug list and medical treatment catalogue to doctors, lead medical workers to learn the new rural cooperative medical records, and act according to national policies, so that participating farmers can get the compensation they deserve.
3. In the specific implementation process, the following problems still exist:
1. The scope of reimbursement for new rural cooperative medical care in the township is based on the relevant provisions of basic medical insurance. Farmers are not prepared for the lack of reimbursement, which causes some people to understand.
2. In order to ensure the rational and effective use of the new rural cooperative medical care funds, the residents of this township are hospitalized to implement a step-by-step referral system for designated medical institutions. Farmers believe that they have restricted the right to freely choose hospitals.
3. The principle of new rural cooperative medical care is to solve the problem of “poorness due to illness and returning to poverty due to illness”, while ensuring “big illness” and taking into account “small diseases”. Some farmers complained that the outpatient clinic was not reimbursed and did not realize the superiority of reimbursement. I am dissatisfied with the pricing of the XX year 50 yuan undulating line.
Primary health care resources need to be further activated
1. Due to the relatively poor medical environment of the township health centers, the technical level is subject to certain restrictions, and the living standards of the farmers are constantly improving, which cannot meet the medical needs of patients.
2, the hospital's network sometimes can't go up one day, the township hospital co-management staff is too small, meeting, the report is not in the hospital, finishing materials, when entering the information, the staff is not enough, the computer is not enough, can not give the hospital patients timely compensation, resulting in Some patients do not understand and produce dissatisfaction.
Fourth, specific measures and work arrangements in the future
1. Continue to increase the intensity and depth of new rural cooperative medical care through reimbursement cases. Let the farmers know that the new rural cooperative medical care system is designed for major illnesses. The fundamental principle is to prevent farmers from becoming poor due to illness and returning to poverty due to illness.
2. Improve the "Regulations on Service Management of Fixed-point Medical Institutions". Strengthen the management of medical institutions, improve the medical care environment of township-level medical institutions, timely and effectively deal with common diseases and frequently-occurring diseases of local farmers, benefit farmers with high-quality and low-cost medical services, and continuously improve farmers' satisfaction.
3. Summarize experience and analyze data to lay the foundation for further improvement of work next year. The new rural cooperative medical care system is the responsibility of the government for the benefit of the people. The party and the government have never given up on the health of farmers. We will continue to improve the new rural cooperative medical care system so that it can truly become a thoughtful project of the party, the government and the peasants.
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