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我区在医疗保障制度改革中已顺利完成了小远散单位人员门(急)诊社会化医疗保障,使边远地区官兵得到了就近就便的医疗服务,受到基层官兵的一致好评。为交流经验,现将我们的做法和体会报告如下。1 基本情况1.1 参试单位和人员情况 我区下辖的基层单位距体系医疗单位900 km以上的占1.9%,400 km以上的占24%,300～400 km的占20.9%,100～300 km的占53.2%。这些单位的干部占人员总数的20.7%,战士占74.2%,家属占5.1%。1.2 定点医疗机构情况结合部队所处地域,选定了市、县、乡镇不同等级的58所地方医院为定点医疗机构。其中市级医院1个,占1.8%;县(旗)级医院28个,占48.2%;乡级医院29个,占50%。80%以上的定点医疗机构基本能够满足官兵的医疗需要,10%的定点医疗机构只能完成门诊保障任务,个别定点医疗机构还达不到实施门(急)诊保障的基本条件。1.3 社会化保障模式试点保障模式分为3类:一是符合医改规定,医疗条件较好,能提供社会化医疗保障的单位,占82.5%;二是地方医疗机构保障条件有限,以部队自身保障与社会化保障相结合的单位,占9.5%;三是驻地无可依托的地方医疗机构,仍由本部队卫生室和军队体系医院保障的占8%。
In the reform of the medical insurance system, our district has successfully completed the socialized medical insurance for the door-to-door clinics in Xiaoyuan Sag units so that the officers and soldiers in the remote areas get medical services nearby and are well received by the grassroots officers and soldiers. In order to exchange experiences, we report below our practices and experiences. 1 Basic Information 1.1 Participants and Staffs The grass-roots units under the jurisdiction of our district account for 1.9% of the total number of medical units above 900 km, 24% of which are over 400 km, 20.9% and 300 to 400 km respectively, and 100 to 300 km Accounted for 53.2%. Cadres in these units accounted for 20.7% of the total number of personnel, soldiers accounted for 74.2%, families accounted for 5.1%. 1.2 The situation of designated medical institutions Combining with the areas where the troops are located, 58 local hospitals of different levels in cities, counties and townships were designated as designated medical institutions. One municipal hospital, accounting for 1.8%; county (flag) 28 hospitals, accounting for 48.2%; township hospitals 29, accounting for 50%. More than 80% of designated medical institutions can basically meet the medical needs of officers and men, 10% of designated medical institutions can only fulfill the task of outpatient protection, and some designated medical institutions also fail to implement the basic conditions for emergency door visits. 1.3 Social security model Pilot security model is divided into three categories: First, in line with the medical reform regulations, better medical conditions, to provide social medical insurance units, accounting for 82.5%; Second, local medical institutions to protect the conditions are limited to the troops themselves Which is 9.5% of the units that are integrated with social security; and thirdly, the local medical institutions that can not be supported by the station are still 8% guaranteed by the hospital health department and the military hospital.