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关于推进紧密型县域医疗卫生共同体医疗保障管理改革的意见政策解读

来源: 医药服务管理处 时间: 2020-06-19
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为发挥医保在资源配置中的杠杆作用,落实分级诊疗,减轻群众医疗负担,省医疗保障局、财政厅、省卫生健康委、人力资源和社会保障厅联合制定了《四川省医疗保障局等四部门关于推进紧密型县域医疗卫生共同体医疗保障管理改革的意见(试行)》(以下简称《意见》),现就《意见》解读如下。

YI、ZHENGCEBEIJING

《GUOWUYUANSHENHUAYIYAOWEISHENGTIZHIGAIGELINGDAOXIAOZUGUANYUJINYIBUTUIGUANGFUJIANSHENGHESANMINGSHISHENHUAYIYAOWEISHENGTIZHIGAIGEJINGYANDETONGZHI》(GUOYIGAIFA〔2019〕2HAO)、《ZHONGGONGZHONGYANGGUOWUYUANGUANYUSHENHUAYILIAOBAOZHANGZHIDUGAIGEDEYIJIAN》(ZHONGFA〔2020〕5HAO)JUNTICHUCHIXUTUIJINYIBAOZHIFUFANGSHIGAIGE,TANSUODUIJINMIXINGYILIAOLIANHETISHIXINGZONGEFUFEI。WEIGUANCHELUOSHISHANGSHULIANGGEWENJIANJINGSHEN,ZHUBUJIANLIGUANYONGGAOXIAODEYIBAOZHILIXINJIZHI,FAHUIYIBAODEGANGGANZUOYONG,TUIDONGYIGONGTIJIANKANGLIANGXINGFAZHAN,SHENGYIBAOJUHUITONGCAIZHENGTING、SHENGWEIJIANWEI、RENSHETINGDENGZHIDINGLE《YIJIAN》。

ER、《YIJIAN》ZHUYAONEIRONG

电子游艺《YIJIAN》GONGWUGEBUFEN,JUTIMINGQUELEWOSHENGTUIJINJINMIXINGXIANYUYILIAOWEISHENGGONGTONGTIYILIAOBAOZHANGGAIGEDEZONGTIYAOQIU、GAIGERENWU、BAOZHANGCUOSHI、ZUZHISHISHIHEKAOHEBANFA。ZHUYAOBAOKUOYIXIANEIRONG:

(YI)ZONGTIYAOQIU。

电子游艺YIXIJINPINGXINSHIDAIZHONGGUOTESESHEHUIZHUYISIXIANGWEIZHIDAO,SHENRUXUEXIGUANCHEDANGDESHIJIUDAHEXIJINPINGZONGSHUJIDUISICHUANGONGZUOXILIEZHONGYAOZHISHIJINGSHEN,LUOSHISHENGWEI、SHENGZHENGFU“JIANKANGSICHUAN”YIXILIEZHANLVEBUSHU,BUDUANTUIJINYIGONGTIYIBAOGUANLIGAIGE。QUEDINGLEBAOZHANGJIBEN、JIANQUANJIZHI、YINDIZHIYI、MINGQUEZERENDEJIBENYUANZE,TICHULETISHENGJICENGYILIAOJIGOUFUWUNENGLI、KONGZHIYILIAOFEIYONG、TIGAOYIBAOJIJINJIXIAOJIANGDIGERENFUDANDEZHUYAOMUBIAO。

(ER)GAIGERENWU。

《YIJIAN》ZHENDUIYIGONGTIYIBAOGUANLIMUBIAO,TICHULEWUXIANGGAIGERENWU。YISHISHISHIYIBAO“YIGEZONGE”GUANLI,ZAIJINMIXINGXIANYUYIGONGTISHIXINGYIBAOJIJIN“YIGEZONGE”YUSUANGUANLI,DUISHIXIANRENYUANGUANLI、CAIWUGUANLI、XINXIXITONG、YIBAOJIESUAN、KAOHEJIANGUAN“WUTONGYI”DEYIGONGTIKESHIXING“YIGEZONGEFUFEI”;ERSHITUIJINJIATINGYISHENGQIANYUEFUWU,YIYIGONGTIWEIZAITIZUODAZUOQIANGZUOSHIJIATINGYISHENGFUWU,JIANLIJIATINGYISHENGYIBAOQIANYUEFUWUBAO;SANSHIZHICHIGONGXIANGYILIAOFUWU,BAYIGONGTINEIGONGXIANGFUWUNARUYIBAOZHIFUFANWEI;SISHISHIXINGYAOPINHAOCAITONGYICAIGOU;WUSHITANSUOSHOUFUFEIGAIGE,JIEHEANJIBINGZHENDUANXIANGGUANFENZU(DRG)FUFEI、BINGZHONGFUFEI、CHUANGRIFUFEIDENG,LVXIANZAIYIGONGTINEIKAIZHANSHOUFUFEIGAIGE。

(SAN)BAOZHANGCUOSHI

WEILEQUEBAOGAIGERENWULUODAOSHICHU,《YIJIAN》TICHULESIXIANGBAOZHANGCUOSHI。YISHIQIANDINGYIGEFUWUXIEYI,GAIGEDINGDIANFUWUXIEYIDEQIANDINGFANGSHI,YIGONGTIQIANTOUDANWEIDAIBIAOSUOYOUYIGONGTICHENGYUANDANWEIYUYIBAOJINGBANJIGOUQIANDINGYIGEYIBAODINGDIANFUWUXIEYI;ERSHITUIXINGYITAOJIANGUANTIXI,MINGQUEGEJIYIBAOBUMENYUYIGONGTIQIANTOUYILIAOJIGOUXIETONGCHENGDANYIBAOJIJINDEJIANGUANZEREN;SANSHIDAJIANYITIHUAXINXIPINGTAI,TUIJINJINMIXINGXIANYUYIGONGTIYITIHUAXINXIPINGTAIJIANSHE;SISHIYANGESHISHIKAOHEZHIDU,DUIYIGONGTIYIBAOGUANLIGAIGECHENGXIAOSHIXINGYIJIEGUOWEIDAOXIANGDEKAOHEJIZHI。

(SI)ZUZHISHISHI

YOUYUGAIGESHIXIANGDUO、FANWEIGUANG,SHEJIDUOFANGLIYIDEDIAOZHENG,《YIJIAN》MINGQUELEZUZHISHISHIDEYIXIEYAOQIU。ZAISHISHIGUOCHENGZHONGGEDIYAOJIAQIANGZUZHILINGDAO,BUMENXIETONGPEIHE、ZUOHAOZHENGCEXIANJIE、FAHUIZHENGCEHELI;YAOJIEHESHIJIZHIDINGYIGONGTIYIBAOGUANLIGAIGEDESHISHIFANGAN,GEXIANGGAIGEYAOYOUSHIJIANBIAO、LUXIANTU,YAOWENBUYOUXUTUIJIN;YAOJISHIKAIZHANGAIGEXIAOGUOPINGGU,JIAQIANGDUCHADIAOYAN、GONGZUOZHIDAOHEJINGYANTUIGUANG,ZUOHAOPINGGUZONGJIE;YAOQIANGHUAXUANCHUANPEIXUN,CHONGFENFAHUIGONGGONGMEITIDEXUANCHUANZUOYONG,JIAQIANGDUIYIBAOYISHIHEXIANGGUANRENYUANDEZHENGCEPEIXUN。

(WU)KAOHEZANXINGBANFA

YIGAIGEJIEGUOWEIDAOXIANG,《YIJIAN》TICHULEYIGONGTIYIBAOGUANLIGAIGEKAOHEXIANGGUANYAOQIU。ZAIKAOHEFANWEIFANGMIAN,FENBIEYIGEYIGONGTIZHENGTI、JIAYITUANDUIZHENGTIWEIDANWEIDUI“YIGEZONGEFUFEI”、JIATINGYISHENGYIBAOFUWUJINXINGNIANDUKAOHE;ZAIKAOHEZHIBIAOFANGMIAN,FENBIEZHIDINGLE“YIGEZONGEFUFEI”DEKAOHEZHIBIAO(BAOKUOYILIAOFEIYONG、YIBAOZHICHU、FENJIZHENLIAO、YILIAOZHILIANG、GERENFUDANHEMANYIDUZHIBIAO),YIJIJIATINGYISHENGQIANYUEFUWUKAOHEZHIBIAO(BAOKUOQIANYUEXIANGGUAN、JIATINGFUWU、JIUZHENHEZHUYUAN、YILIAOFEIYONGHEJIANKANGCUJIN、JUMINMANYIDUZHIBIAO)。ZAIKAOHEFANGSHISHANG,QUEDINGLELIYONG“HULIANWANG、DASHUJUJINXINGKAOHEFANGSHI,TIGAOKAOHEXIAOLV。ZAIKAOHEJIEGUOJIQIYINGYONGSHANG,MINGQUELEYOUXIU、LIANGHAO、HEGE、BUHEGEDEKAOHEDENGCIDEFENFANWEIYIJIBUTONGDENGCIDEJIEGUOYUNYONG。

                      2020NIAN6YUE19RI                

政策原文:http://yingsheng020.com/scsybj/c100061/2020/6/19/5ec15897799d4a08a90d234e0d5c43e0.shtml

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