Dong Lin, deputy to the National People’s Congress and director of the Shanxi Coking Coal Xishan Coal Power Duerping Coal Mine Skills Master Studio, has a “Summary of Investigations on the Medical Insurance for Minors with Serious Illness”, which contains more than 400 records, each of which is recorded It is the arduous process of seeking medical consultation for a family of a seriously ill child. Dong Lin said that in recent years, my country’s medical security system has been increasingly improved, which has reduced a lot of burden on families of children with serious illnesses.
Dong Lin introduced that the treatment of serious illness usually requires a long course of treatment, and medical insurance cannot cover the entire course of treatment. In addition, because excellent doctors are concentrated in first-tier cities, many children need to be referred elsewhere. The survey found that after receiving referrals from other places, the reimbursement rate of medical insurance is about 60% to 70%; for those who have not handled referrals, the reimbursement rate is less than 50%. In addition, some local hospitals have many restrictions and a long time in opening referral orders, which virtually increases the burden on the families of children with children.
In order to effectively reduce the economic burden on families of seriously ill children, Dong Lin suggested that, first, increase the construction and management of the national medical and public health service platform, realize the national networked “smart medical care” service, and implement the national unified online treatment. Recording and referral system for out-of-town medical treatment. The second is to optimize the procedures for medical referrals in other places to make referrals more convenient. The third is to increase the proportion of medical insurance reimbursement for children with serious illnesses, and to expand the scope of reimbursement for drugs and inspections. The fourth is to implement general outpatient planning, and include common outpatient diseases, especially diseases with high treatment costs, into the scope of reimbursement. The fifth is to learn from the experience of Hangzhou, Guangzhou and other cities, and include children with serious illnesses into the protection group of “Huiminbao”, and enjoy the same protection rights and interests as healthy people.
Our reporter Yang Wen
(Editors: Li Lin, Liu Yang)