部門動態
河南原陽堅持“三策”精準扶貧
來源: 學習強國 發布時間: 2020-05-20

   對于河南省新鄉市原陽縣路寨鄉河底鋪村的貧困戶郭振海來說,喜憂參半。前不久,他住院花費共計16.19萬元,在政府的幫助下,基本醫療保險報銷9萬余元、大病醫療保險報銷3萬元、大病補充醫療保險報銷6000余元,加上商業保險報銷,郭振海自付費用僅占5%。

  在健康扶貧工作中,原陽縣堅持治、防、提“三策”總體思路,突出重點、精準發力,連續3年均超額完成了健康扶貧民生工程任務指標。

 
  抓住“治”這一關鍵
 

  大病集中救治一批。該縣出臺了《農村貧困人口大病專項救治實施方案》,對全縣罹患食管癌、胃癌等25種大病的患者,明確時間節點、分期分批、精心組織實施專項救治行動;對縣級定點醫院有救治能力的病種患病人員,安排在縣人民醫院、縣中醫院、縣中心醫院等3家定點醫院進行治療;對縣級醫院沒有救治能力的大病患者,上轉至市級定點醫院進行救治。目前,全縣罹患25種大病的貧困患者共320人,其中,未脫貧75人、脫貧不脫政策241人、穩定脫貧4人,大病集中救治320人,救治率為100%。

 

  慢性病集中簽約服務一批。在開展家庭醫生簽約服務方面,由鄉鎮衛生院全科醫生、執業(助理)醫師、公共衛生醫生、護士和鄉村醫生等人員組成家庭醫生服務團隊,為貧困人口提供一戶一個家庭醫生簽約服務團隊,一戶培養一個明白人,一戶一張健康扶貧政策明白卡,一戶一本健康教育手冊,一戶一個健康扶貧愛心小藥箱,一戶一個家庭醫生聯系牌,一人一張貧困人口就診卡,一人一張居民基本醫???,一年一次健康體檢,一病一個健康處方的“十個一”簽約服務,確保農村建檔立卡貧困人口應簽盡簽。目前,該縣共組建458個家庭醫生簽約服務團隊、1520名醫務人員。全縣貧困人口簽約服務率已達100%。

 
  重病兜底保障一批。2017年~2019年,原陽縣政府連續3年全額出資為貧困人口購買商業保險,確保貧困人口都能看得起病。
 
  緊盯“防”這一根本
 
  實施人口素質提升。原陽縣加強免疫規劃工作管理,以鄉鎮為單位“五苗”接種率達到95%以上,建簿、建證率達100%,建卡率達98%以上,其他擴大免疫規劃疫苗接種率在90%以上;每月開展查漏補種工作,疫苗運輸嚴格按照管理規范冷鏈運轉,每月一次。乙肝疫苗首針接種率達92.7%以上。加強結核病防治??h、鄉(鎮)、村三級防治網絡健全,實行縣督導鄉、鄉督導村、村醫直接管理病人的管理模式,防治工作實現了歸口管理。去年,該縣各醫院轉診的肺結核病人總體到位率達95%以上,篩查率100%,肺結核病人的治愈率達90%以上。加強地方病防治。該縣主要地方病有碘缺乏病、水源性高碘危害、布魯氏菌病。加強手足口病及腸道傳染病管理。目前,該縣手足口病處于高度散發,其他腸道傳染病已進入高發季節。由于宣傳到位、控制措施得當,該縣無重大腸道傳染病暴發流行。提高兒童預防接種率。兒童預防接種率始終保持在90%以上。大力開展“送醫下鄉”活動。該縣3家志愿者服務隊利用“321工程服務指導”“全民應急演練”等,下鄉開展義診活動。

  強化“提”這一支撐

 

  加強基層能力建設。原陽縣高質量推進縣級醫院能力建設:投資6億元的縣人民醫院新址建設已基本完工;投資6200萬元的中醫院精神及老年人病房樓主體已經封頂;投資9900萬元的中心醫院綜合門診樓正在建設中;投資1100萬元的婦幼保健院綜合門診樓已投入使用。全縣成立了分別以縣醫院、中醫院、中心醫院為龍頭的三大健康醫療服務集團;為每個鄉鎮衛生院配備了DR、彩超和健康體檢車,提升鄉鎮衛生院的服務能力;實現標準化村衛生室全覆蓋,全縣458個行政村、405個村建成了標準化衛生室,每個衛生室均配備了至少1名合格村醫,并為全縣553個村醫配備了健康一體機、家庭醫生隨診包,努力做到“小病不出村、常見病不出鄉、大病不出縣”。

 
  提升基層服務質量。貧困人口在縣域內28家縣鄉定點醫院住院均實行“先診療、后付費”、免交住院押金、“一站式”即時結算制度;為貧困人口就醫開設綠色通道、設立愛心病房,確保貧困群眾縣域內就診的便利與政策優惠。

 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
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