Chapter 618 - Rural Cooperative Medical Insurance (2)
Tough attitude, decisive means, detailed instructions.
Liu Xing's habitual style of action made Zhao Jinzhu think again when Liu Xing stopped talking for a short time to think: so bold and resolute, so courageous. My Great Song Dynasty has this Xiangguo, which is really comparable to Hande Zhang Liang, Tang Zhifang Xuanling and my Zhao Pu at the beginning of the founding of the Great Song Dynasty!
With such a prime minister who dares to do things, has thoughts, and has many tricks in the new law, and all of them are laws that truly stabilize the foundation of the society. In the future, no matter who is the emperor of the father and brother, he can go to the harem all day long, and just let go to the prime minister.
If my father and brothers are satisfied in the future and really want to take back the power to make decisions in the world from Brother Liu, I will definitely be the first to disagree and resolutely support and protect Brother Liu......
When Zhao Jinzhu's heart to protect Liu Xing was more firm, Liu Xing looked up at Lu Mingtao again, and had no intention of thinking about how the little princess felt in her heart, and directly continued to improve her deployment of the NCMS medical insurance policy.
If you want to do something, you must first have a good foundation in order to get twice the result with half the effort.
If he wants to carry out this agricultural cooperative medical insurance, Liu Xing knows that the first thing to do is not how to raise funds, but to let the rural areas everywhere have a huge medical team as a foundation to support the launch and implementation of this new policy.
Therefore, when he spoke again, Liu Xing directly made it clear that a secondary medical school would be established in each county within three years to train junior doctors and nurses.
Within three years, each state must establish a medical professional college to train intermediate doctors and nurses.
In every province, a medical school must be established. The medical school has students from all state capitals. Specialized in the training of senior physicians and physicians, as well as senior nurses and nurses.
in terms of the number of students. Students recruited annually by the Secondary Specialized Academy. Must be more than one percent and less than one-fiftieth of the local population. That is to say, if a county has a population of 30,000, the number of students recruited by the medical secondary school in a year cannot be less than 300 or more than 600.
Such a benchmark quantity is Liu Xing's belief that the initial implementation stage can temporarily meet the demand for talents in the initial stage.
The enrollment of medical colleges and the number of students enrolled in the provincial medical college will be determined by the relevant ministries and departments of the Tai Hospital, the Ministry of Households, the Ministry of Officials, and other relevant ministries and departments according to the number of people in each place, and make a basic quota at the beginning of each year.
There can be no small number of students, nor can there be a large number of students recruited, so that a large number of talents are wasted and idle. At this scale, Liu Xing does not make detailed death regulations. Instead, power was delegated to the relevant ministries, ministries, departments, and governors.
In addition, Liu Xing also made further and clearer target provisions.
Strengthen the training of rural primary medical and nursing personnel, establish a lifelong education system, and improve the professional knowledge and skills of rural health personnel.
Medical schools should strengthen the training of health professionals oriented to the needs of rural areas, and expand the pilot program of targeted enrollment.
Research and formulate preferential policies for the promotion of rural medical personnel, and encourage rural health technical medical personnel to work with peace of mind.
Establish a long-term mechanism for urban health care to support rural areas, and urban hospitals should select medical personnel to regularly go to the county, township, and village clinics to help carry out medical services and technical training.
Before being promoted, urban doctors must have served in county or township clinics for two years, or at village clinics for more than one year.
Graduates of schools at all levels newly hired by urban medical and health institutions will serve in rural medical and health institutions in batches for one to two years after obtaining their professional qualification certificates. The length of service can be calculated as the time that urban doctors must serve in rural areas before they are promoted.
County-level hospitals should also establish a system of fixed-point assistance for township and village medical institutions. It is necessary to formulate policies to guide medical school graduates to engage in volunteer service at the grassroots level in rural areas.
With the foundation of these talents, Liu Xing then clearly stipulated that all localities should take the establishment of a new type of rural cooperative medical system as a basic administrative task to safeguard the health rights and interests of peasants and improve their overall quality.
Raise awareness. We should strengthen management and coordination, organize forces from all quarters, and actively support this work.
The secretaries of all relevant ministries and institutes should clarify their responsibilities, strengthen coordination, and cooperate closely.
Tai Hospital should give full play to the role of the competent department and strengthen management and policy guidance;
The Ministry of Household and other departments and departments should strengthen the review and supervision of the fundraising and use; The agricultural sector should cooperate with the publicity and extension work, assist in the management of fund-raising, and supervise the use of funds;
The Ministry of Households, Labor and other ministries, departments and departments should do a good job in rural medical assistance and support the establishment and improvement of cooperative medical care;
Tai Hospital and other ministries and departments should strengthen the supervision of rural drugs and cooperate with the healthy development of the pilot work of new rural cooperative medical care;
Tai Hospital should pay attention to giving full play to the advantages and role of traditional Chinese medicine in the new rural cooperative medical care. It is necessary to strengthen the propaganda and guidance of public opinion, strive for the understanding and support of the whole society, and arouse the enthusiasm of the vast number of peasants to participate in cooperative medical care.
Through unremitting efforts, we have gradually established a rural cooperative medical insurance system in the Northern Dynasties that conforms to the basic national conditions of the Northern Dynasties and meets the level of rural economic development and the medical needs of the peasants.
In addition, it is necessary to establish and improve the rural medical assistance system, and do a good job of linking up with the new rural cooperative medical system.
Increase the support of governments at all levels for medical assistance funds, give full play to the leading role of civil affairs departments, and mobilize major charity associations and other community organizations, charities, and all kinds of commercial banks, shops, and social forces to raise funds through multiple channels.
Further improve relevant policies and measures, clarify the scope of assistance, raise the level of assistance, and focus on solving the problems of the disabled in rural areas, the lonely elderly, and poor families.
While helping the recipients of assistance to participate in cooperative medical care, appropriate subsidies should be given to the part of the medical expenses that are too heavy for the individual to bear.
In view of the fact that many of the poor people in rural areas have low family incomes and great living difficulties, more preferential policies should be given to rural aid recipients in the pilot work of new rural cooperative medical care.
Through the coordination and complementarity of rural cooperative medical care and medical assistance, we will jointly solve the outstanding problem of poor farmers' difficulty in seeking medical treatment.
From the Tai Hospital downwards, medical departments and bureaus at all levels should strengthen the supervision of the service behavior and expenses of medical institutions, take effective measures to curb the unreasonable growth of rural medical expenses, and reduce the burden of medical expenses on farmers.
It is necessary to establish an entry and exit system for designated medical institutions for cooperative medical treatment and introduce a competition mechanism;
Formulate a catalogue of basic drugs and diagnosis and treatment for cooperative medical treatment, strictly stipulate the proportion of drugs and diagnosis and treatment expenses outside the catalogue to total medical expenses, and implement a system of patient review and signature;
Strictly control the increase in the average cost of designated medical institutions in the course of medical treatment, and control the proportion of local self-produced drug income of designated medical institutions.
It is necessary to strengthen the supervision and control of township and town clinics and safeguard the public welfare nature of government-run clinics. It is necessary to attach importance to and strengthen the application of exotic medicine in various localities, and include suitable local Chinese medicine and heterogeneous medicine projects in the catalogue of basic drugs and diagnosis and treatment of cooperative medical treatment, so as to meet the diversified needs of farmers for medicine.
The price department and other competent departments of the Ministry of Household Affairs should work together with the ministries and departments of the Tai Hospital to explore the establishment of rural medical service project specifications and medical price standards that are in line with reality. (To be continued.) )