The State Council fourth large inspection recently dispatched inspection teams were dispatched to Jiangsu, Guangdong, Shanxi and other 18 provinces to carry out on-site inspection, including medical pension reform is a key. Supervision found that all provinces and cities have carried out a variety of forms of medical conjoined construction, the masses see a doctor, errands less. When a doctor is checking out, he is not in the insured place to see a doctor, but he can also make timely reimbursement in different places and local people. More and more old people have contracted family doctors.

Seeing a doctor is expert at the door

On the morning of July 20th, Liu Shuangqing, a resident of the Yuhuatai community of Nanjing, Hongqiao, felt sick and wanted to have an examination. She came to the community health service center to find a family doctor, Mei kai. Mei Kai made a preliminary visit, submitted to Jiangsu Province People's Hospital, deputy director of cardiovascular medicine physician Zhang Dingguo. Soon, Zhang Liang through the remote diagnosis and treatment system to Liu Shuangqing saw the disease.

"Without having to go to a big hospital, you can get expert services," he said. "A year's treatment saves 20%."." Liu Shuangqing said, she spent 600 yuan in the community health service center to buy a family doctor signing services, in addition to free physical examination, but also enjoy the top three hospital priority treatment services. The health service center signed a joint medical cooperation agreement with the provincial people's Hospital and the provincial cancer hospital. The community health service center in the medical community is connected to Wuzhen Internet hospital, where residents can enjoy the medical service of 280 thousand doctors at home.

In Guangzhou, the thirteenth inspection teams met with the general busy community health service center. Liwan District Hualin Street Community Health Service Center has more than 60 medical and health personnel, full load work, some doctors daily visits over 100 people, close to the expert level of large hospitals. The center joined the first people's Hospital of Guangzhou led the establishment of the conjoined Hospital Weekly sent more than 6 deputy chief physician to community zuozhen. "General appointments can be made in 3 days, and the volume of outpatient work in community hospitals has increased by 20%."." Liwan District health bureau director Gu Xiang said.

The first people's Hospital of Shanxi city of Jinzhong province and Guo Jia Bao Health Institute Medical Association, chief physician Hao Shoucheng first people's Hospital of Jinzhong city every Wednesday to Guo Jia Bao hospital visits. Due to the administrative, personnel, funds, and business performance, Yaoxie implementation of the "six unified" management, integration of four counties, image inspection, pathological disinfection supply center of hospital technical strength. There are patients in the corridor and third inspection team members said: "here in the city and the doctor, too convenient."."

To a big hospital, the lack of high level of grassroots doctors conjoined to experts, technology and equipment to the grassroots level, the two sides are bound into responsibility, interests, service and management of the community, add the basic medical and health institutions appeal, form reasonable grading treatment order, provide a series of health services to improve the management of continuous for residents, alleviate the difficult and expensive.

Seventh inspection teams found in Jiangsu, Jiangsu medical conjoined construction earlier, has established a variety of patterns and nature of the medical conjoined 305. Medical conjoined construction, so that medical treatment significantly returned to the grassroots. This year 1 to May, the province's urban and rural medical basic medical and health institutions accounted for nearly 60% people, two week prevalence among residents preferred grass treatment accounted for over 50% of the two or three hospitals to basic medical and health institutions, the number of medical institutions after referral than the same period last year increased more than 20000 people.

The third inspection team members, the State Department counselor horsepower said: "to promote the construction of the medical conjoined especially county rural service integration, in order to improve the level of township hospital service capacity, to clear the obstruction of basic medical services' last mile ', will greatly enhance the people's happiness index."

Reimbursement, off-site real-time settlement

Since the 90s of last century, China began to establish a basic medical insurance system. At present, the national basic medical insurance coverage of more than 1 billion 300 million people. However, in recent years, more and more floating population in China, more and more people work, go to school, live, provide for the aged and go to the doctor outside the insured area. Medical insurance can "travel" to real-time reimbursement, no two places or loaning, become common expectation. Supervision found that such expectations become reality this year.

The 60 year old worked in Haikou and retired to Guiyang every summer to visit his family after his retirement. He was found to have cancer and was treated at the Guizhou People's Hospital. He told the fifteenth inspection team, in the past need to pay the funds, the settlement list returned to the insured Social Security Bureau, reimbursement for the need to get two and a half months. April this year, Guizhou and Hainan Unicom offsite medical settlement system, after admission brush social security card, a few minutes on settlement, payment is completed.

Not only is Guizhou, the sixth inspection team found in Heilongjiang, the province's 16 Municipal Medical Insurance Co ordinating with the national remote medical billing system, through the national remote medical billing system a total of 33 settlement fee; the seventh inspection team learned in Jiangsu, the provincial and 13 municipal level remote medical billing platform with the country the docking system and normal operation, will be the first inter provincial remote medical direct settlement object by relocation of retirees offsite expand to synchronize long-term living in different places of work personnel, personnel, off-site referral personnel, to July 15th this year, the provincial insurance medical treatment direct settlement costs 1 million 828 thousand and 500 yuan in Jiangsu Province, the insured medical expenses 251 thousand and 100 direct settlement in the provinces yuan; fourteenth inspection teams in Chongqing District of Shapingba, the first half of the national remote medical insurance network has overall reimbursement 1 million 754 thousand and 600 yuan......

The supervision found that remote settlement of this year, the obstruction is open, very