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乳癌等病有望纳入新农合试点报销医药费七成以上
2011年06月28日 19:41:16 来源： 新华网 编辑：陈晓宇
新华网南京６月２８日专电（记者吕诺）卫生部部长陈竺２８日在推进农村居民重大疾病医疗保障试点工作会议上说，今年要重点考虑将乳腺癌、宫颈癌、重性精神病、终末期肾病、耐多药肺结核以及艾滋病机会感染等疾病纳入新农合大病救治试点。这意味着，上述大病的医药费用有望报销七成以上。
新农合制度初步解决了农村居民的基本医疗保障问题，但是，对一些重大疾病，参合农民的医药费用负担仍然很重。卫生部先从严重危害群众健康、严重影响农村居民生产生活、给家庭带来沉重负担、社会广泛关注的重大疾病入手，推行大病保障试点。去年开展的儿童先心病白血病保障试点，已经取得较好效果。
陈竺２８日强调，要加快推进新增病种医疗保障试点工作。今年，各地要参照儿童两病试点的做法，将妇女两癌等上述疾病纳入重大疾病保障试点，按病种限价，新农合补偿７０％，再积极争取民政医疗救助的支持，协同提高保障水平，减轻农民医药费用负担。
目前，全国已经有１１个省份试点增加重大疾病保障病种。江阴市对精神病人和白血病患者除进行新农合正常报销外，还对其剩余自理费用给予１００％救助。对患有精神病、红斑狼疮、恶性肿瘤、再生障碍性贫血、血友病和进行器官移植等特殊人群，在年底给予１０００至５０００元的门诊费用补助。对终末期肾病病人每３个月的门诊透析费按１次住院标准纳入住院报销；常熟市对患终末期肾病、重性精神病、再生障碍性贫血的贫困人群进行正常补偿和救助后，还对其自付部分费用再按９０％至１００％比例给予救助。恶性肿瘤住院政策补偿比提高到了７５％。
陈竺要求，在今年９月底前，所有省份都要结合实际制定试点工作实施方案，并在１０月底前进入政策实施阶段。
陈竺强调，要合理确定新增重大疾病的定点救治机构；要做好费用控制工作；要提高经办服务能力。同时，要继续做好新农合与医疗救助制度的衔接，对符合医疗救助条件的患者，争取与新农合实行“一站式”结报。
艾滋病不治会早死，早治才康复 艾滋病不治会早死，早治才康复 艾滋病不治会早死，早治才康复 艾滋病不治会早死，早治才康复
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| 图示∶2011年5月正式出版的《中国特色医疗金鉴》登载的刘君主任及其机构事迹 |
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Breast cancer and other diseases is likely to include the new rural cooperative medical expenses reimbursed 70% of pilot
June 28, 2011 19:41:16 Source: Xinhua Editor: Xiao-Yu Chen
Nanjing, June 28 Xinhua news (reporter Lvnuo) Health Minister Chen Zhu on the 28th major diseases in rural residents in meeting health care pilot, said this year will be important to consider breast cancer, cervical cancer, major mental illness, end-stage kidney disease, multidrug-resistant tuberculosis and opportunistic infections of AIDS and other diseases included in the new rural cooperative medical treatment experimental illness. This means that the serious illness of more than 70% reimbursement of medical expenses is expected.
NCMS has initially solved the basic rural medical problems, but, for some major diseases, participation of farmers is still a heavy burden of medical costs. Ministry of Health to start serious harm to people's health has seriously affected production and living of rural residents, a heavy burden on families, community-wide concern of the start of major diseases, the implementation of serious illness to protect the pilot. Launched last year to protect children with congenital heart disease leukemia pilot, has achieved better results.
Chen Zhu on the 28th stressed the need to accelerate the new pilot medical care of diseases. This year, two sick children around the pilot should refer to the practice of women into the two major diseases, cancer and other diseases to protect the pilot, according to the disease limit, 70% of the new rural cooperative medical compensation, medical aid and then actively seek the support of the Home, co-improved protection levels and reduce their burden of medical costs.
At present, 11 provinces have been the pilot to increase protection of diseases of major diseases. Jiangyin City of mental patients and leukemia patients in addition to the normal reimbursement for the new rural cooperative, but also their self-care cost remaining to give 100% relief. Of mental illness, lupus, cancer, aplastic anemia, hemophilia, and for organ transplantation and other special populations, given at the end of 1000-5000 yuan subsidy for out-patient costs. Patients with end-stage renal disease patient every three months by a second dialysis costs included inpatient hospital reimbursement standards; Changshu suffering from end-stage renal disease, severe psychosis, aplastic anemia, poor compensation and assistance after normal, also part of the costs of its pocket and then 90-100% proportion for the rescue. Cancer hospital policy to compensate for more than 75%.
Chen Zhu asked, before the end of September this year, all provinces should be developed with the actual implementation of the pilot program, and the end of October into the policy implementation phase.
Chen Zhu stressed the need to reasonably determine the point where the new institutions of major diseases; to do cost control; services to improve the handling capabilities. Meanwhile, we must continue to do the new rural cooperative medical care system and the convergence of the patients meet the conditions of medical assistance, and the new rural cooperative for the implementation of "one-stop" end report.
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