One person is ill, the whole family is poor, the minor illness drags, the serious illness suffers once was many rural poor families true portrayal; spend less, run less, cure the disease, not afraid of the disease said the grass-roots masses medical treatment expectation; protect the bottom line, make up the shortcomings, strengthen the grass-roots, and plan for the long term is writing a heavy livelihood answer sheet.
Without the health of the whole people, there will be no well-off society in all respects. General secretary Xi Jinping emphasized that we should promote the shift of the focus of health care work, the subsidence of medical and health resources, and promote the equalization of basic public services in urban and rural areas, so as to provide safe, effective and convenient public health and basic medical services for the masses.
Xinhua News Agency reporters recently learned from interviews in some places that a series of sinking measures of medical resources are playing an effective role, and the Great Wall of health of poverty alleviation is building blocks and extending step by step.
The last kilometer to get through the difficulty of medical treatment
The cold wind is bleak, the vegetation is withered and yellow, and the plateau has ushered in an early snow in late autumn. In the early morning, 52 year old Cai Taiji sat on the felt at the door with his sick legs, waiting for his family doctor Ma Musha to come to visit him. Suffering from arthritis all year round, she was wet last night. She didnt sleep well all night.
Cai Taiji lives in group 2, Yuanzhe village, Daotanghe Town, Gonghe County, Hainan Tibetan Autonomous Prefecture, Qinghai Province. He is a poor family with registered cards. Our grassland is 50 kilometers away from the central health center of Daotanghe town. Its served by doctors at home. It was only 10 years ago that I was too lucky to think about it. Now, everyone has a health record. Dr. Ma is on call, bringing instruments, Tibetan medicine, etc. to the door. He also talks about health knowledge. The whole village likes him.
In December 2014, general secretary Xi Jinping came to the Jiangsu World Health Center, Dantu District, Zhenjiang, to understand the development of rural medical and health services and the medical treatment of villagers.
It was cold at that time. I only held out one hand when I shook hands, and the other hand was in my pocket. But he held me in both hands, and I quickly put out the other hand.
At that time, the old man Wei Dingyu felt not only the temperature of Xi Jinpings general secretarys palm: on that day, the general secretary, besides asking about the physical condition, was concerned about the convenience and inconvenience of seeing the doctor, the expensive medical expenses, and the dissatisfaction with the medical and health work in the countryside.
Many years later, Wei Dingyu, 75, often comes to the health center to take blood pressure measurements on self-service equipment, keeping the general secretarys advice firmly in mind.
It is the basic need of the common people and the deep concern of the general secretary to get medical treatment.
Wei Dingyu told reporters that in five administrative villages in shiye Town, medical staff of the health center regularly went to the village to measure blood pressure and blood sugar for patients with chronic diseases, so as to popularize health knowledge. In Dongba village, where Wei Dingyu is located, every 6 day of every month, there will be doctors in the house for examination.
A small step at the grassroots level, a big step for the country. In recent years, all county-level hospitals in 832 poverty-stricken counties in China have one or more teams from three-level hospitals to help county-level hospitals in poverty-stricken areas carry out the construction of key specialties, strengthen the construction of clinical professionals and hospital management talents, and comprehensively improve the medical and health service capacity of county-level hospitals in poverty-stricken areas.
In addition, through the overall planning of medical and health resources in the county, strengthening training, inspection and dispatching, constantly enrich the rural two-level health personnel team. Up to now, more than 95% of township hospitals in poverty-stricken areas have at least one licensed doctor or assistant licensed doctor, and common and chronic diseases of the rural poor can be treated in time nearby.
Internet + medical promotion precision poverty alleviation villager doorstep optimistic disease
Resources sink through the end, and the grass-roots level is stronger; information online improves efficiency, so that the poor people can also find experts in the city to see a doctor at the door.
Its convenient to see a doctor now! Mei Ruzhen, 74, who lives in Anle village, Maolan Town, Yunxian County, Yunnan Province, is very happy about the cholecystectomy in August this year. The village doctors find the experts of the county peoples Hospital for remote consultation through video link, confirm the condition, and transfer to the Town Central Hospital for operation... With the help of information technology, all processes were completed efficiently, and she went through the discharge procedures 7 days later.
In recent years, the state has comprehensively deepened medical reform, further transformed the system of government run medical service, and the peoples Government of Yunxian County has taken the initiative to decentralize power, launched the construction of close medical community, focused on providing support for talents, technology, equipment, training, and so on, breaking the respective array and stimulating the vitality of grass-roots medical institutions.
Internet + medical brings real warmth to the people.
I used to be afraid of illness and traffic. Wei Dingyu, 75, still remembers that after villagers had their appendix perforated, they couldnt go to the county hospital in time because of the inconvenient transportation. Before the ship arrived, people died.
Shiye Town, Zhenjiang, Jiangsu, where Wei Dingyu was located, used to be a small island in the river in the vast Yangtze River. Before the Runyang Bridge between shiye town and the outside world was opened, villagers could only wait for three ferries a day. With the opening of Runyang Bridge, the hierarchical diagnosis and treatment system of the first diagnosis at the grassroots level, two-way referral, quick and slow treatment, and linkage between the upper and lower has been implemented, and the situation has gradually changed.
The outpatient service rate of health centers increased from 63% before 2015 to 81.6% in 2018. Hu Xiaozhong, President of shiye town health center, said that urban-rural linkage, information sharing and other policy combinations complement each other, so villagers can see if they are ill without delay. They usually measure their blood sugar and blood pressure at any time, and transmit the data to family doctors in real time, so their health awareness is growing.
From waiting for medical treatment to one minute results, the telemedicine network accurately helps poor people see diseases well. It is reported that China has gradually realized the interconnection between the health poverty alleviation information system and the filing information system, established the access and exit mechanism for key objects of health poverty alleviation, and further improved the effectiveness of health poverty alleviation.
Weaving a solid net to help the poor
Fortunately, hengsipuo enjoys the policy of diagnosis and treatment before payment. Baoshan peoples hospital sent experts to the county for on-site guidance to successfully implement radical gastrectomy for him. According to the one-stop immediate report after discharge, the medical expenses of hengsi broken 21787.94 yuan were only 2178.79 yuan paid by individuals, and the actual reimbursement rate reached 90%.
Diagnosis and treatment first, payment later and one-stop real-time settlement... China has included all the poverty-stricken people with registered cards into the scope of basic medical insurance, serious illness insurance and medical assistance system for urban and rural residents, and implemented preferential care. By building a multi-level medical security system, the burden of medical expenses of the poor people is further reduced. 6.7 million poor families returned to the poor due to illness achieved poverty alleviation. In 2018, the average personal out of pocket proportion of medical expenses for poor patients fell to about 10%.
Poverty alleviation and health care in China. Over the years, all localities have made a comprehensive survey of the poor people with serious, chronic and serious diseases and treated them in different groups. The number of special diseases for the poor people in rural areas has increased to 25. The multi-level medical security system has released a lot of dividends to promote the steady progress of poverty alleviation.
It is the core of healthy poverty alleviation to find out the foundation of the poor caused by illness and cut off the root of each family returning to poverty due to illness. The head of the national health and Health Commission said that we should focus on solving the outstanding problems of basic medical care for the rural poor, establish a long-term mechanism of healthy poverty alleviation, and let more rural poor people get out of the poverty and disease, and go to a well-off society in a healthy way.