About constructing the motion of medical service system of old age of Beijing

About constructing the motion of medical service system of old age of Beijing
About constructing the motion of medical service system of old age of Beijing
About constructing the motion of medical service system of old age of Beijing
The elderly about 2,300,000 over Beijing 60 at present, it is estimated by 2025, old population accounts for 30% of total population of household register, with stressing, the elderly's medical care issue has already been paid close attention to by the municipal Party committee and government of Beijing day by day of aging population phenomenon, will propose wanting in the government work report of Beijing in 2008 " Discuss and make the medical service system of old age " . For this reason, the municipal Party committee of Beijing of peasants' and workers' democratic party established and surveyed and studied the group, successively went to Municipal Health Bureau, municipal committeed for the study of problems of the aged, Beijing, district level senile disease hospital to investigate, and releases 1000 questionnaires to the old patient over 60 in Beijing urban area and 20 medical organizations of suburb, investigate old patient's demand for medical treatment. This subject aims at to on health status of the elderly in Beijing, medical resource, old medical care current situation and foundation of research of the old medical care demand of old age, put forward and construct the sustainable development of the suitable economics and society of Beijing, medical service system which meets the medical demands of the elderly in the capital, promote the development of old health undertaking of the capital.
First, old medical care current situation of Beijing
The municipal Party committee and government of Beijing pays close attention to old medical care, has done a large number of work in promoting the old health undertaking to develop, summarize as follows:
(1) Cover medical security systems of urban and rural residents and basically take shape.
By the end of 2007, the number of participants in medical insurance of urban residents is 7,726,800; 1,458,900 people participate in " one is always small " The medical insurance of serious disease, the elderly 168,500 among them, the old man pays 300 yuan every year, subsidize 1100 yuan in finance, wipe out proportion, reach 60%, wipe out 70,000 yuan at most one year. Up till now, 95% of the urban residents has already included in the medical security system. By the end of 2007, the new rural cooperation medical treatment system coverage rate of rural area of the whole city reaches 100%, peasants join 88.89% of shutting rate, submit an expense account in hospital the proportion reach 40%.
(2) Set up the medical rescue systems of the elderly in urban and rural areas
The personnel who enjoy low insurance suffer from the medical fee that take place while endangering serious illness in urban residents, can apply for medical rescue, by the end of 2007, urbanite's medical rescue adds up to 54642 of Damien, succour 76,550,000 yuan of gold in expenditure; To the rural low insurance target, have set up rural resident's medical rescue system: First, subsidize the rural low insurance target to participate in the cooperative medical service; Second, look after in succouring the standard; Third, individual bears the looking after from succouring temporarily of the difficulty, up to the end of 2007, the government subsidizes over 76,000 rural low insurance targets to join new rural cooperative medical service, succour the fund of 2,568,700 yuan in expenditure.
(3) The old medical care network takes shape tentatively
It was at city level that Beijing took the lead in being established the whole country in 2001 " The health care for the aged and Centre for Disease Control " . The end of 2004, new, has changed, extended 17 district level senile disease hospitals altogether in the whole city, build up and regard health care for the aged and the centre of prevention from suffering from the diseases of the city as the technical backstopping tentatively, regard the city and county senile disease hospital as the backbone, medical service system of old age based on hygiene service organization of the community. In addition, the complete medical first aid network in urban and rural areas offers strong support for old medical treatment. The radius of first aid of the eight districts of the city is 1.9 kilometers, the complex reaction time of first aid is 10 minutes; The radius of first aid of the outer suburbs is 11 kilometers, the complex reaction time of first aid is 25 minutes.
(4) Community's hygiene service function is further strengthened
The cities, counties invest 3 billion yuan, build 351 community health Centers and 2953 community health stations in standardization; The hygiene of community to 312 variety serves daily medicines and sells government's centralized purchasing, providing and delivering in unison, a price differential, make community's medicines average price drop by 30%; Community's hygiene serves and explores family doctor's service mode actively, the eight districts of the city have set up 878 with complete doctor, community's nurse, service group of the composition of personnel of prevention and health care, cover 1256 residents committees, more than 2 million resident's families, offer more than 5300 hospital beds set up at a patient's home; Community the intersection of hygiene and personnel training strengthen, city finance allocate 40 million yuan to be use for community's hygiene personnel training 2007, there are 5506 rural doctors in all in the whole city. 93 two, tertiary hospitals in the whole city and technology of community service centre support, coordinated cooperation, make community's hygiene service level improve constantly, the function of six in one is being further strengthened, furthermore help the elderly seek medical advice to see the doctor.
(5) Strengthen and work to the elderly's preferential treatment
In October of 2008, Beijing Municipal Government will issue " method on strengthening the work of the elderly's preferential treatment ", stipulate the large and medium-sized medical organization seeks medical advice and offers 65 years old and the elderly since January of 2009 " Six has priority " (register, go to a doctor, test, check, pay dues, get it filled) Serve; The hygiene service organization of the community implements the elderly " Three has priority " (go to a doctor, pay a home visit, set up the hospital bed set up at a patient's home) Serve. The elderly that ensure in order to there is no social pension every year offer a physical examination free. The lowest living guarantee treatment of urban and rural residents and the elderly of the subsistence allowance exempt from the hospital bed set up at a patient's home and check the fee of bed to enjoying.

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