Ministry of Health: The proportion of farmers ' hospitalization reimbursement is up to 50% next year

The deputy Director of the Ministry of Health's Rural Health Administration received an interview with an Zhou Fuliang elderly man with a large artery blockage, who had to amputate his right foot because of illness. He and his wife have been hospitalized for nearly one months, even though he has paid a deposit of only 3000 yuan in the hospital.　　Now that the proportion of new farmers ' reimbursement has increased, he has spent at least three thousand or four thousand dollars less. The maximum amount of reimbursement per household shall not exceed 50,000 yuan each year.　　　And with uremia flying every day to eat more than 10 kinds of anti-rejection, antiviral, liver, stomach drugs, the average down one months to spend at 8,000 or 9,000 yuan. Editor: Ma Hongtao choreographer: Chengmanlin, hospitality, Zhou Yi Xiang Video: Baiyu, Chang, Shen Yu Ministry of Health officials said: next year, if the new agricultural and rural finance level reached 150 yuan, and strive to enable farmers to see a doctor, especially in the hospitalization part can report half. Farmers no longer worry about medical treatment, not only need to provide more protection, build better wards, but also to introduce better medical resources to narrow the gap between urban and rural medical.　　While speeding up the promotion of new farming, our public health system requires more surgery to allow the majority of the population to enjoy fair and reasonable medical care. Recently, there is a new word in the media called "New farming", the word, rural people more familiar than city dwellers, because "new farming and cooperation" is the new rural cooperative Medical service abbreviation. This year, the two councils announced the overall plan for the new health reform, 4 months later, as an important part of the new health reform, new agricultural development has also made new progress. The Ministry of Health said yesterday that the joint signing of the five ministries, "on the consolidation and development of new rural cooperative medical system" has been issued all over, this is a new medical reform an important supporting document. There are comments that the introduction of the document marks a new increase in the pace of agricultural and rural combination.　　First of all, reporter Chengmanlin in the Ministry of Health interview. Niechunre: The proportion of hospitalization reimbursement next year is 50% in early July, the five ministries jointly issued the document "on the consolidation and development of new rural cooperative medical system," the opinion of the most striking point is that 2009 years, the national new rural financing level to reach no one 100 yuan a year, starting from 2010,　　No one reached 150 yuan a year, from the initial 30 yuan to the present 150 yuan, this is a huge change, then this money can not be in place, how the funds are used, we also visited the Ministry of Health.　　Niechunre: "Fundraising levels, it's actually a big reason you're raising your reimbursement level and raising your pay level." Niechunre, deputy director of the Ministry of Health in Rural health management, has been responsible for this work in the Ministry of Health since the establishment of the new Rural Partnership in 2003. He told us that in 2009, $100 per person per year was financed mainly from three.　　The central subsidy is 40 yuan, the local financial subsidy is 40 yuan, the peasant individual pays 20 yuan. Reporter: "This money can be in place?" "Niechunre:" This is no problem, because the new farming system from the beginning to now, all levels of government are very attached importance, so the funds in placeis very good, because you this system, if there is no funds in place, farmers can not be reimbursed in time, your system will not continue to develop. Reporter: "The new rural integration in the initial establishment of the time, the most important one is to solve the problem of farmers to see a doctor, the Doctor is difficult, so now with this 100 yuan of co-ordination after this problem can be solved?" "Niechunre:" from the current point of view, the difficulty of the farmers to see a doctor has been a considerable degree of relief, the new farmers have been engaged in the future, now the demand for medical care has increased rapidly.　　And from our statistics of the hospitalization rate, in the past just started, the hospitalization rate is less than 2% points more than 3%, now has reached 5% points, nearly 6%.　　Reporter: "is the farmer now dares to see a doctor".　　Niechunre: Yes, dare to go to the doctor, so the hospitalization rate is increasing.　　Niechunre told us that the current rate of hospitalization reimbursement has reached 40%, the proportion will continue to increase in the future.　　Niechunre: "Next year, if we raise the level of funding 150 yuan, we will strive to enable farmers to see a doctor, especially in the hospital part can be reported half." At the expense of part of the substantial reduction, rural patients really benefited from the new farming system in 2003 to start the pilot, 2008 has been fully covered in rural areas, by the rural People's wide welcome, we have to join the system referred to as "participation." As of the first quarter of this year, a total of 830 million farmers in the country successfully "." Under this system, the central and local governments and individual farmers jointly raise funds, with the main disease overall co-ordination, mutual assistance and Freemasonry. This shows that the new "new" is the government subsidy, farmers participate in insurance, share the burden of the farmers to treat the disease, hospitalization costs, to avoid them because of disease and poverty, due to disease. So what does it mean to raise the level of funding for the new farming combined with 100 yuan per capita? How can the problem of the farmer's medical treatment and the high cost of the doctor be improved?　　Our correspondent has conducted a survey in Sanhe, Hebei province. This is the central Hospital of Three Rivers high-rise in Hebei province, starting this year, Three Rivers's new cooperative medical funding quota has been increased from 94 yuan last year to 100 yuan.　　So the increase to 100 dollars, will be to participate in the new cooperative medical treatment, what kind of changes, our investigation from the hospital began. In the hospital ward of the health center, the reporter saw the old Zhou Fuliang, who had a large artery blockage for a year. His right foot had to be amputated because of illness. He and his wife have been hospitalized for nearly one months, even though he has paid a deposit of only 3000 yuan in the hospital.　　Zhou Fuliang told reporters that, because the new farmers are now the proportion of reimbursement increased, the portion of their own expenses greatly reduced. Hebei province Three Rivers Gaolou villagers Zhou Fuliang: "Originally from a cost more than 5,000 yuan." (now reported) spend less.　　It costs less than three thousand or four thousand bucks to pay less for a sick one. The reporter saw in the ward next door the Zhang Jinghu old man who had been operated on because of gastric torsion. His nephew Wang Xiaobo has been helping to look after the old man. He told reporters that heThey only paid a deposit of 5000 yuan, but the operation did not spend much money on their own. Reporter: "like this 5000 dollars inside, how much do you cost yourselves?"　　"Hebei province Three Rivers Gaolou villager Wang Xiaobo:" Pay more than 1000 dollars, can report more than 3,000 yuan. So is it true that, as these inpatients say, the reimbursement ratio can reach more than 60%? The reporter came to the pharmacy, from the computer to pull out two people's medical bills. Zhang Jinghu The total hospitalization expenses of the elderly is 3266.32 yuan, the amount of compensation is 2245.89 yuan, the amount of money is only 1020.43 yuan, compensation ratio reached 68.7%. But the Zhou Fuliang old person's compensation quota is higher, the hospitalization expense is 10285.84 yuan, the compensation amount reached 7340 yuan.　　The amount of the expenses is only 2945.15 yuan. Reporter: "out-of-pocket proportion accounted for 30%?" "Staff:" Yes. "Three Rivers Gaolou Small and medium-sized hospital Dean Lin Fuan to reporters out of a pile of inpatient statement, above all clearly stated the amount of medical expenses, compensation amount and out-of-pocket amount." The reporter roughly calculate, whether is the surgery, or the medical disease such as hypertension, each patient's new farm-combined reimbursement proportion is above 50%.　　Lin told reporters that the proportion of reimbursement can be increased because the catalogue of drug reimbursement significantly increased, and the root cause is that the new agricultural and rural financing limit rose to 100 yuan per person. Lin Fuan: "Reimbursement ratio is high, originally (in the Catalogue of drugs) reimbursement ratio is 55%, this year reimbursement ratio is 75%."　　The rural investment fund increased, the proportion of reimbursement increased accordingly. Not only is the catalogue of drug reimbursement increased, the total amount of medical reimbursement from the original 3000 yuan rose to 30,000 yuan, and the lowest level of hospital fees, that is, the threshold fee from the original 400 yuan to 150 yuan.　　Three Rivers Health Bureau Party Group Deputy Secretary Wang Zhenya told reporters that the change in the proportion of new rural cooperative reimbursement is closely related to the increase in the amount of funding for new types of CMS in recent years. Wang Zhenya: "07 when we raise 50 dollars, the average compensation ratio of 20%-25%, 08 We raise 94 yuan, the proportion of compensation suddenly increased to 40%."　　In the first half of this year we measured the ratio by about 45%. Wang Zhenya reporter to calculate a sum, in this 100 yuan per person funding amount, the farmers pay 20 yuan per person, the state financial 40 yuan, provincial finance to pay 28 yuan, county finance to pay 12 yuan. As Three Rivers's finances are relatively well-off and the proportion of farmers participating in new farming is 96%, as a result of increased reimbursement, there is no difficulty in raising funds.　　For the next year to raise the amount of money to 150 yuan, Wang Zhenya feel that the proportion of all investors will expand accordingly. Wang Zhenya: "Individual now, 08 09 per capita 20,2010 year to rise to 30 per capita."　　The corresponding of the country also need to take more. Although farmers paid 10 yuan in their new farm-line quota, Wang Zhenya toldSue reporter, next year will implement outpatient co-ordination, so farmers raise money 30 yuan in outpatient expenses can also be reimbursed accordingly. Wang Zhenya: "Now we are implementing the family outpatient account form, and the combination of large-scale disease, the attraction of farmers is not large, outpatient expense reimbursement ratio is low." If Out-patient clinics are co-ordinated, the proportion of compensation increases, and the attractiveness of the people will be even greater.　　The outpatient service will be more expensive than the money he pays.　　Niechunre in response to the problem of new agriculture and rural issues one, the new agricultural and rural problems of the "reimbursement ceiling" picture of the girl called Guofei, in the summer of 2007, a disease changed her life, but also changed her family. Anhui villager Guo Junwu: "Experts say this child is uremia, I asked him, this uremia seriously not serious?" He said the Uremia had come to a late stage, and I was stunned.　　"The doctor told Guo Junwu, to save the daughter's life can only be found to match the kidney source, do kidney transplant surgery, fortunately, through paired check, Guo Junwu own kidney can be transplanted to the daughter, however, huge operation fee but let him make a worry." Guo Junwu: "I asked the doctor, how much money does this operation probably cost?" He said about more than 10 200,000. "Guofei:" He said, anyway, relatives borrow a little, rural cooperative medical report a little, can lighten a lot of burden, he said change. "In December 2007, the two of them had a kidney transplant operation in Hefei, with a large and small cost of 180,000 yuan."　　Let the Guo Junwu a little gratified is that in 2008, the county's new agricultural standards from the previous 50 yuan raised to 100 yuan, with the expansion of funding scale, compensation ratio from 2007 33.4% to 49.6%. Guofei: "Anyway, it's better to be in the mood because the burden is lighter." "The new agricultural combination to a certain extent to alleviate the economic pressure of flying, but on the other hand, the current new agricultural system also has a provision on the upper limit of reimbursement, that is, the highest annual amount of reimbursement per household, no more than 50,000 yuan."　　And such a big disease like flying fly, every day to eat more than 10 kinds of anti-rejection, antiviral, liver, stomach drugs, on average one months to spend 8,000 or 9,000 yuan. Reporter: "In the interview we also saw that there is a limit to reimbursement, as you have just mentioned is 6 times times the net income of farmers, then we see that in 2008, the rural per capita income is more than 4,000 yuan, so that the maximum ceiling on more than 20,000 dollars, then for many major diseases,　　This 20,000 yuan may not solve the fundamental problem. Niechunre: "The new farming system is a universal system, it is said that can solve the basic problems of farmers, because we put forward that is to low level, wide coverage, protect the basic, we are also exploring some special disease species there are some special ways to improve the compensation ratio, or to improve the top line, Some places are also exploring. But more importantly, it has to be solved through a medical-aid system, because the new farming and health care systemClose connection. " Second, the new rural integration of the problem of "outpatient co-ordination is not fully covered" because China is a large agricultural population in developing countries, subject to the level of funding constraints, the new cooperative medical system in the beginning of the design is based on the principle of major disease co-ordination to establish a peasant medical mutual aid system.　　Therefore, the focus is to keep the hospital, the basic main, for some long-term outpatient treatment of chronic diseases, relatively few involved.　　Reporter: "Just you also mentioned that hospitalization expenses can now be reimbursed to 40% or so, that actually more migrant workers need to be outpatient this part of the reimbursement." Niechunre: "According to our statistics at the beginning of the year, there are 30% of counties, cities and districts engaged in the outpatient co-ordination, out-patient co-ordination is indeed really just in the primary medical institutions, out of the county it is basically not reported, because small injury is basically able to solve the disease."　　Now some experts also entrust some experts, in the country for outpatient co-ordination of the place is also in the investigation through their research to summarize some good practices in the future we will have a guiding opinion.　　Third, the new agricultural and rural problems of "basic hospital conditions Limited" here is a county-level Anhui People's Hospital, less than 7 in the morning, the registration window has been lined up a long team.　　In the hospital, the reporter saw that the corridor on both sides also filled with temporary increase in the bed, the corridor in the middle of the passage, reluctantly to the care of the medical staff to pass, due to space tension, the patient's families can only rely on the bedside to take care of the patients, to the night there is no Reporter: "Do we have Township hospital?" "The patient's family:" The township has. "Reporter:" then why not look at it? "Patient's family:" Over there, did not find anything, just came to check. According to the county Health Bureau statistics show that 2006 hospitalization less than 20,000, 2007, the implementation of new rural cooperative medical care, The number of inpatients increased to 27,000, up to more than 40,000 people in 2008, and 1.4 million of the total population of the county, the agricultural population accounted for 1.2 million, can be said that the growth of the part is basically from farmers on the other hand, according to the new agricultural combined compensation standards in Anhui province: Township, county, county and above hospital hospitalization "start to pay　　Respectively, 100 yuan, 300 yuan, 500 yuan, compensation ratio of 70%, 65%, 55%, that is to say, the farmers in the grassroots hospital to get more benefits, then to the township hospital patients will be more?　　This small hospital is the only one of the township hospitals, is also 7 in the morning, compared with the county People's hospital, the patient is very few. Anhui Township Hospital Dean Chen Shenrong: "is the township hospital doctors basically in our place, say not good, called What?" is called the panacea, any disease can see, for example you come to an emergency, you can not say which department, you are a physician or a surgeon, you have to go up to him for treatment. "Chen Shenrong told reporters that in the Township Hospital medicine, have to do a general practitioner, but the hospital medicalTreatment equipment is far from satisfying the need for diagnosis, in addition to B-ultrasound, ECG, the hospital can only do some simple biochemical examination, so the villagers in the township mostly still like to go to the county of the technical conditions of the big hospital.　　Although most of the diagnoses here depend on doctors, the manpower of the hospital is already stretched. Chen Shenrong: "Can prescribe 4, altogether 4, one is a professional physician, three are professional assistants, education is not very high."　　"In recent years, the Health bureau has also been recruiting a number of college students, distributed to the grassroots township hospitals, but after coming, they are always unable to stay." Niechunre: "At the same time when the new agricultural and rural development, we will strengthen the construction of rural service institutions, as well as strengthen the training of rural medical and health personnel as a number of important content, but this equipment has been, the real quality of personnel is a bottleneck of a constraint so, In the context of strengthening the training of the current grass-roots medical staff, the Ministry of Health, the Ministry of Finance and related departments have also engaged in a number of urban and rural projects which, through these activities, have improved the level of medical technology in rural areas. "Four, the migrant workers in different places to pay out the rural labor force up to 200 million people, accounting for nearly one-fourth of the total rural population." Therefore, the establishment of basic medical security system to meet the needs of migrant workers has always been a concern of all parties. But at present, in most areas of China, the new agricultural and rural development is still taking the "origin of participation, reimbursement of origin" approach, that is to go out migrant workers to participate in the residence, enjoy compensation.　　Therefore, for many migrant workers, the reality of the situation is very embarrassing, not to participate in new farming, not to enjoy preferential policies, hospitalization can not be reimbursed is the loss of participation in the new agricultural combination, the cost of remission, not enough to return to the transfer, reimbursement of transportation and tardiness costs. Reporter: "In fact, in China, many farmers more often when they are migrant workers in the city or in a different place to work, then they relate to an off-site reimbursement of the problem we can not do off-site reimbursement it?" "Niechunre:" Off-site reimbursement is also gradually advancing, first of all, we are a county, it is the new rural cooperative can directly reimbursement, direct settlement. Now we also issued a guidance, that is, in the provinces and Cities Sentinel medical structure, but also to carry out a live statement, that is, where you see a doctor where reimbursement "half-hour observation: to speed up the reform of public health system, the rational distribution of medical resources in our country whether there is a doctor, in the end The issue has also been controversial during the two sessions this year. But if you ask the farmers, many of them will say that it is really difficult to see a doctor. Because of the large rural population base and relatively low income level, the new agricultural cooperative can only adhere to the principle of wide coverage, basic and sustainable, the protection of the disease from hospitalization to outpatient clinics gradually extended, the level of compensation gradually increased.　　And whether this process can be successfully completed, but also the government's financial and social resources to accumulate and input. From the pilot, to the full coverage, to further upgrade, through seven years of new farmersIt really alleviated the worries of farmers to see a doctor, but this system is mainly committed to solve the cost of the doctor, in fact, in addition to the costs, resulting in the difficulties of farmers, there is another reason, is the lack of rural medical resources.　　Our column has also conducted a survey of grassroots medical institutions, found that many township-level hospital facilities obsolete, unable to retain talent, farmers see a disease will have to run to the county, provincial capital, and even to run to Beijing's big hospital, so that there has been a "National People run Concord" phenomenon. It should be said that the contradictions in the lack of medical care in the rural areas is still not a fundamental relief, which means that only by the new rural cooperative system, and can not completely reverse the distribution of medical resources unreasonable pattern. Only when all the farmers can see the disease, but also can see good disease, we can give new farmers a full mark.　　In the face of this goal, we still need to pay a lot of efforts. Farmers no longer worry about medical treatment, not only need to provide more protection, build better wards, but also to introduce better medical resources to narrow the gap between urban and rural medical. While speeding up the promotion of new farming, our public health system requires more surgery to allow the majority of the population to enjoy fair and reasonable medical care.