中新网7月31日电 国家医保局联合国家卫生健康委近日印发了《关于加快推进村卫生室纳入医保定点管理的通知》，旨在确保在2024年底前将符合条件的村卫生室纳入医保定点管理，实现医保服务“村村通”。
通知要求各级医保、卫生健康部门要提高政治站位，统一思想认识，明确目标任务，确保在年底前将符合条件的村卫生室纳入医保定点管理。对于已经实现乡村卫生服务一体化管理的地区，医保部门将通过乡镇卫生院结算村卫生室的医保费用。对于正在推进一体化管理的地区，村卫生室将与对应的乡镇卫生院建立临时管理关系，通过乡镇卫生院代为结算。对于短期内不具备一体化管理条件的地区，卫生健康部门将统一组织村卫生室集中申请医保定点工作，医保部门将进一步简化申请条件和流程，提供必要的申请指南和咨询服务，帮助村卫生室顺利完成定点申请过程。
通知还强调，卫生健康部门要加强医疗服务行为的监管和指导，确保医疗服务质量，医保经办机构要强化协议管理，严格履行协议约定，优化结算流程，提升管理效能。同时，鼓励村卫生室优化使用集采中选药品，提供更加优质、便捷、经济的医疗服务。
此外，通知还提出优化村卫生室基本药物使用政策，扩大基本药物目录中的药品种类，达到与乡镇卫生院用药衔接一致。同时，鼓励和支持村卫生室医务人员队伍建设，定期组织培训，普及相关政策，提升服务能力。
这一举措旨在提升农村地区的医疗服务水平，保障农村居民的基本医疗需求，促进城乡医疗服务的均衡发展。
英语如下：
News Title: “New Healthcare Insurance Policy: Rural Health Clinics Fully Covered by 2024”
Keywords: Rural Health Clinic, Inclusion in Management, 2024 Target
News Content:
BEIJING, July 31 (Xinhua) — The National Health Insurance Administration (NHIA) and the National Health Commission (NHC) have jointly issued a notice to accelerate the inclusion of rural health clinics in the national health insurance network. The aim is to ensure that eligible rural health clinics are fully integrated into the health insurance network by the end of 2024, realizing “universal health insurance access at the village level.”
The notice calls on health insurance and health departments at all levels to raise their political awareness and unify their understanding, clearly define their objectives, and ensure that eligible rural health clinics are included in the health insurance network by the end of the year. For areas that have already implemented integrated rural health services, the health insurance department will settle the clinic’s insurance fees through the township hospitals. For regions that are in the process of implementing integrated management, the rural health clinics will establish temporary management relationships with the corresponding township hospitals to settle fees on their behalf. For areas that are not yet capable of integrated management within a short period, the health departments will organize a centralized application for health insurance network inclusion for rural health clinics. The health insurance department will further simplify application conditions and procedures, provide necessary application guidelines and consultation services, and assist rural health clinics in successfully completing the network inclusion application process.
The notice also emphasizes the need for the health department to strengthen the supervision and guidance of medical service behaviors to ensure service quality, and for the health insurance administration to strengthen agreement management, strictly fulfill agreement commitments, and optimize settlement processes to enhance management efficiency. Additionally, the notice encourages rural health clinics to optimize the use of selected pharmaceutical products from centralized procurement to provide higher-quality, more convenient, and cost-effective medical services.
Moreover, the notice proposes to optimize the use of basic drugs in rural health clinics, expanding the variety of drugs in the basic drug list to achieve consistency with the use of drugs at township hospitals. The notice also encourages and supports the development of medical staff in rural health clinics, organizing regular training and popularizing relevant policies to enhance service capabilities.
This move aims to enhance the level of medical services in rural areas, safeguard the basic healthcare needs of rural residents, and promote the balanced development of urban and rural medical services.
【来源】http://www.chinanews.com/life/2024/07-31/10260624.shtml
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