There are still many problems that need to be solved urgently in the public health work of our city. The main ones are: 1. The rising medical expenses have increased the burden on farmers.
The coverage of medical insurance has been raised and expanded, from employee medical insurance to medical insurance for self-employed and flexible employment personnel, to the new urban rural cooperative medical system, which can be said to cover the entire city's population.
Medical insurance mainly benefits from post-hospitalization expenses and reimbursement of drug expenses within the medical insurance catalog. The high outpatient drug expenses and the cost of new drugs and special drugs outside the medical insurance catalog during hospitalization are relatively high, and it is still difficult for patients to afford them.
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2. Health institutions focus on treatment but not prevention, and the prevention and health care network is not strong.
In recent years, all levels have invested in health services, and a number of rural health clinics have been built or renovated. Rural health clinics have improved their medical environment, improved patient performance, and provided economic benefits to survive and develop in the fiercely competitive medical market.
Energy and high-quality resources are devoted to medical work, but they are unable or have no time to take into account preventive health functions such as disease prevention and control, planned immunization, and maternal and child health care.
3. The long-term management mechanism is not perfect, and the health care work is sudden.
Every April, the "Patriotic Health Month" kicks off the patriotic health work, with a series of patriotic health campaigns based on various themes.
A patriotic health campaign, rectification once, inquiry after inspection, long-term management mechanism, dead spots every year, governance every year, so that the patriotic health campaign created a mentality of coping and war weariness.
Regarding the above issues, we suggest: 1. Medical treatment should start from solving the problem of “expensive medical treatment” and benefit the people.
First, we must standardize drug purchase channels and reduce costs.
Macro-control of commonly used drugs may involve eliminating intermediate sales links, re-building the drug circulation system, and conducting supervision and inspections with consumers, thereby curbing the inflated pricing of drugs and allowing people to truly benefit.
, drug management should check the approval of new drugs; medical insurance should increase the supervision and investigation of large prescriptions and non-medical catalog drugs; health should investigate the administrative, economic and legal responsibilities of manufacturers, distributors and medical personnel who receive kickbacks in accordance with laws and regulations.
Second, we must encourage traditional Chinese medicine treatment expenses.
Traditional Chinese medicine diagnosis and treatment technology is simple, traditional Chinese medicine resources are low-cost, and traditional Chinese medicine (ethnic medicine) diagnosis and treatment technology should be promoted to serve patients.
To promote traditional Chinese medicine, the rural Chinese medicine market should be opened up, and traditional Chinese medicine departments should be set up in rural areas, farmers' health records, inspections and door-to-door services should be established to reduce the burden on patients as much as possible.
Third, we need a serious illness relief fund.
The critical illness assistance fund is conducive to the social medical assistance system, is conducive to providing assistance to families who have become poor or returned to poverty due to illness, is conducive to ensuring the medical needs of seriously ill patients, and is conducive to social stability and society.
Counties and districts that have the conditions can develop their own serious illness relief systems, formulate relief policies and relief scopes that are in line with regional conditions, and build on the ability of citizens to withstand the risk of serious illness on the basis of medical insurance.
2. Disease prevention and control should focus on the system and introduce new ones.
First, we need an emergency response system for public health emergencies.
The early symptoms of many infectious diseases, which are newly prevalent infectious diseases, are often detected at the grassroots level.
In response to the management of primary medical care, the "Emergency Plan for Public Health Events in Daqing City".
Following the four-level network of city, district, town (street), and village (community) during the prevention and control of SARS, the hardware facilities of the grassroots health institutions in the village (community) were invested, and the four-level professional work such as planned immunization, infectious disease prevention and control, and chronic disease prevention and control were truly implemented.
Network and Internet direct reporting provide information to prevent infectious emergencies and publicize health emergency capabilities.
Second, we need an epidemic compensation system.
This year's bird flu culling of poultry is mainly done by households, and many farmers use this as the basis for their livelihood.
Responding to the call, reluctantly cutting off poultry and culling poultry, but having to pay compensation, the farmers "have no harvest" and even lose their entire fortune.
What farmers ate and sold secretly became the cause of the epidemic.
The current compensation system is still just a public policy, scattered in laws and regulations, and has not yet been elevated to an authoritative legal system.
It is suggested that our city’s compensation system would allow the parties involved to hide the transfer for fear of suffering financial losses, thus bringing about more dire consequences (more exciting articles from “Secretaries Don’t Ask for Help”).
Third, we must improve the primary preventive health care system.
Based on the principle of prevention first and prevention first, a thorough investigation of the status of preventive health care work at the grassroots level in our city will be carried out for classification.
It is recommended that the construction of prevention and health care departments (groups and offices) in rural health centers should be invested in grassroots preventive and health care work, and efforts should be made to solve the imbalance of urban and rural distribution of health human resources, inaccurate personnel positioning, unclear responsibilities, weak functions, disconnection and synergy in prevention and treatment,
funds, busy generating revenue, etc., our city’s disease prevention and control system.
3. The long-term mechanism must focus on patriotic health.
First, we must change from consciousness to consciousness.
The patriotic health movement is a movement that developed during a specific historical period in our country.
"Care for sanitation" is not only about cleanliness and sanitation, it is a general sanitation concept related to the entire society. It must be mobilized, and the talents of environmental protection, urban management, etc. must also be mobilized to rectify difficult and hot issues in urban and rural sanitation from different angles.
The traditional model of seasonal patriotic health movement chooses an activity carrier that is closely related to work and life, so as to make people aware of the surrounding survival and living environment.
Second, we must change our working methods from governance to management.
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