4399免费视频

山東省醫療保障標準體系的首批標準，將于10月30日起實施。5項標準中，前2項是整個醫療保障工作的基礎標準，后3項是針對醫保經辦服務制定的專門標準。

　　省(sheng)醫(yi)(yi)保(bao)局黨組(zu)書記、局長張(zhang)寧波介(jie)紹(shao)，《醫(yi)(yi)療(liao)保(bao)障(zhang)(zhang)(zhang)(zhang)第1部分：標(biao)(biao)準(zhun)(zhun)(zhun)體系(xi)(xi)(xi)(xi)》規(gui)(gui)定了(le)(le)(le)醫(yi)(yi)療(liao)保(bao)障(zhang)(zhang)(zhang)(zhang)標(biao)(biao)準(zhun)(zhun)(zhun)體系(xi)(xi)(xi)(xi)的(de)(de)構建原則、標(biao)(biao)準(zhun)(zhun)(zhun)體系(xi)(xi)(xi)(xi)的(de)(de)組(zu)成(cheng)及標(biao)(biao)準(zhun)(zhun)(zhun)體系(xi)(xi)(xi)(xi)的(de)(de)內(nei)(nei)容，是全省(sheng)醫(yi)(yi)療(liao)保(bao)障(zhang)(zhang)(zhang)(zhang)標(biao)(biao)準(zhun)(zhun)(zhun)化(hua)(hua)建設的(de)(de)規(gui)(gui)劃性(xing)(xing)、指導性(xing)(xing)文件，不僅能為山東省(sheng)推(tui)進(jin)醫(yi)(yi)療(liao)保(bao)障(zhang)(zhang)(zhang)(zhang)標(biao)(biao)準(zhun)(zhun)(zhun)化(hua)(hua)建設提(ti)供(gong)規(gui)(gui)劃依(yi)據，也將(jiang)為建立全國統一的(de)(de)醫(yi)(yi)療(liao)保(bao)障(zhang)(zhang)(zhang)(zhang)標(biao)(biao)準(zhun)(zhun)(zhun)體系(xi)(xi)(xi)(xi)提(ti)供(gong)有益探索。主要(yao)(yao)內(nei)(nei)容包括：系(xi)(xi)(xi)(xi)統設計了(le)(le)(le)山東省(sheng)醫(yi)(yi)療(liao)保(bao)障(zhang)(zhang)(zhang)(zhang)標(biao)(biao)準(zhun)(zhun)(zhun)體系(xi)(xi)(xi)(xi)框架，將(jiang)醫(yi)(yi)療(liao)保(bao)障(zhang)(zhang)(zhang)(zhang)標(biao)(biao)準(zhun)(zhun)(zhun)體系(xi)(xi)(xi)(xi)劃分為基礎共性(xing)(xing)標(biao)(biao)準(zhun)(zhun)(zhun)子體系(xi)(xi)(xi)(xi)、公共服務標(biao)(biao)準(zhun)(zhun)(zhun)子體系(xi)(xi)(xi)(xi)、管理(li)與保(bao)障(zhang)(zhang)(zhang)(zhang)標(biao)(biao)準(zhun)(zhun)(zhun)子體系(xi)(xi)(xi)(xi)、監督與評價標(biao)(biao)準(zhun)(zhun)(zhun)子體系(xi)(xi)(xi)(xi)4個(ge)(ge)部分，確(que)保(bao)了(le)(le)(le)醫(yi)(yi)療(liao)保(bao)障(zhang)(zhang)(zhang)(zhang)標(biao)(biao)準(zhun)(zhun)(zhun)的(de)(de)系(xi)(xi)(xi)(xi)統性(xing)(xing)和(he)協調性(xing)(xing)。對今(jin)后一個(ge)(ge)時期將(jiang)要(yao)(yao)制定的(de)(de)標(biao)(biao)準(zhun)(zhun)(zhun)進(jin)行了(le)(le)(le)統籌規(gui)(gui)劃，提(ti)出了(le)(le)(le)88項(xiang)地(di)方標(biao)(biao)準(zhun)(zhun)(zhun)制定任務，提(ti)升了(le)(le)(le)醫(yi)(yi)療(liao)保(bao)障(zhang)(zhang)(zhang)(zhang)標(biao)(biao)準(zhun)(zhun)(zhun)化(hua)(hua)工作(zuo)的(de)(de)計劃性(xing)(xing)和(he)針對性(xing)(xing)。初步確(que)定了(le)(le)(le)醫(yi)(yi)療(liao)保(bao)障(zhang)(zhang)(zhang)(zhang)具體工作(zuo)領(ling)域和(he)事項(xiang)標(biao)(biao)準(zhun)(zhun)(zhun)的(de)(de)主體內(nei)(nei)容，保(bao)證了(le)(le)(le)醫(yi)(yi)療(liao)保(bao)障(zhang)(zhang)(zhang)(zhang)地(di)方標(biao)(biao)準(zhun)(zhun)(zhun)制修訂(ding)的(de)(de)方向性(xing)(xing)和(he)目的(de)(de)性(xing)(xing)。

　　《醫(yi)(yi)(yi)療(liao)(liao)(liao)保(bao)(bao)(bao)(bao)(bao)(bao)障(zhang)(zhang)(zhang)第2部分：術(shu)語(yu)》規(gui)定(ding)了醫(yi)(yi)(yi)療(liao)(liao)(liao)保(bao)(bao)(bao)(bao)(bao)(bao)障(zhang)(zhang)(zhang)領(ling)(ling)域的(de)基本術(shu)語(yu)及定(ding)義，將(jiang)為全(quan)(quan)省(sheng)醫(yi)(yi)(yi)保(bao)(bao)(bao)(bao)(bao)(bao)信(xin)息(xi)系統(tong)的(de)互聯、省(sheng)和各(ge)市之(zhi)間數據的(de)交換、重(zhong)點(dian)領(ling)(ling)域改革的(de)互動(dong)提供有(you)(you)力支撐。主要內容(rong)包括對(dui)全(quan)(quan)國(guo)醫(yi)(yi)(yi)療(liao)(liao)(liao)保(bao)(bao)(bao)(bao)(bao)(bao)障(zhang)(zhang)(zhang)術(shu)語(yu)進(jin)行(xing)了全(quan)(quan)面梳理(li)。結合現有(you)(you)醫(yi)(yi)(yi)療(liao)(liao)(liao)保(bao)(bao)(bao)(bao)(bao)(bao)障(zhang)(zhang)(zhang)制(zhi)度(du)和醫(yi)(yi)(yi)療(liao)(liao)(liao)保(bao)(bao)(bao)(bao)(bao)(bao)障(zhang)(zhang)(zhang)改革有(you)(you)關情況，對(dui)全(quan)(quan)國(guo)醫(yi)(yi)(yi)療(liao)(liao)(liao)保(bao)(bao)(bao)(bao)(bao)(bao)障(zhang)(zhang)(zhang)領(ling)(ling)域涉(she)及到(dao)的(de)專(zhuan)業術(shu)語(yu)進(jin)行(xing)了全(quan)(quan)面梳理(li)，確保(bao)(bao)(bao)(bao)(bao)(bao)術(shu)語(yu)界定(ding)不(bu)缺項(xiang)、不(bu)失范。對(dui)全(quan)(quan)省(sheng)醫(yi)(yi)(yi)療(liao)(liao)(liao)保(bao)(bao)(bao)(bao)(bao)(bao)障(zhang)(zhang)(zhang)術(shu)語(yu)進(jin)行(xing)了規(gui)范統(tong)一。長期以來，山東(dong)省(sheng)16市醫(yi)(yi)(yi)療(liao)(liao)(liao)保(bao)(bao)(bao)(bao)(bao)(bao)障(zhang)(zhang)(zhang)術(shu)語(yu)表(biao)述(shu)不(bu)一，特(te)別是(shi)醫(yi)(yi)(yi)保(bao)(bao)(bao)(bao)(bao)(bao)經辦服務(wu)事(shi)項(xiang)的(de)名(ming)(ming)稱缺乏統(tong)一規(gui)范，群眾常(chang)常(chang)被各(ge)種事(shi)項(xiang)名(ming)(ming)稱所困擾。該標準在(zai)全(quan)(quan)省(sheng)范圍內對(dui)醫(yi)(yi)(yi)療(liao)(liao)(liao)保(bao)(bao)(bao)(bao)(bao)(bao)障(zhang)(zhang)(zhang)服務(wu)組織、參保(bao)(bao)(bao)(bao)(bao)(bao)管(guan)理(li)、保(bao)(bao)(bao)(bao)(bao)(bao)險待遇、基金(jin)管(guan)理(li)等13類術(shu)語(yu)進(jin)行(xing)了統(tong)一，為重(zhong)點(dian)領(ling)(ling)域改革的(de)整體推進(jin)奠(dian)定(ding)了基礎，也(ye)徹底解決了備受詬病(bing)的(de)“名(ming)(ming)稱之(zhi)困”。對(dui)醫(yi)(yi)(yi)療(liao)(liao)(liao)保(bao)(bao)(bao)(bao)(bao)(bao)障(zhang)(zhang)(zhang)特(te)定(ding)概念進(jin)行(xing)了規(gui)范解釋。特(te)別是(shi)對(dui)醫(yi)(yi)(yi)療(liao)(liao)(liao)保(bao)(bao)(bao)(bao)(bao)(bao)障(zhang)(zhang)(zhang)領(ling)(ling)域的(de)特(te)定(ding)概念進(jin)行(xing)了釋義，既有(you)(you)利(li)于(yu)全(quan)(quan)省(sheng)醫(yi)(yi)(yi)保(bao)(bao)(bao)(bao)(bao)(bao)系統(tong)學習把(ba)握(wo)，也(ye)有(you)(you)利(li)于(yu)提升社會各(ge)界對(dui)醫(yi)(yi)(yi)療(liao)(liao)(liao)保(bao)(bao)(bao)(bao)(bao)(bao)障(zhang)(zhang)(zhang)領(ling)(ling)域政策制(zhi)度(du)的(de)理(li)解。

　　《醫(yi)療保(bao)(bao)(bao)障經(jing)辦(ban)(ban)(ban)服(fu)(fu)(fu)(fu)務(wu)(wu)通則》提出了(le)(le)醫(yi)保(bao)(bao)(bao)經(jing)辦(ban)(ban)(ban)服(fu)(fu)(fu)(fu)務(wu)(wu)的(de)(de)基礎性、通用(yong)(yong)性、整體(ti)性要(yao)求(qiu)，是全(quan)省醫(yi)保(bao)(bao)(bao)經(jing)辦(ban)(ban)(ban)服(fu)(fu)(fu)(fu)務(wu)(wu)的(de)(de)總體(ti)指南。主(zhu)要(yao)內容(rong)包括確立了(le)(le)證明材(cai)料(liao)最(zui)少、辦(ban)(ban)(ban)事(shi)流程最(zui)簡(jian)、辦(ban)(ban)(ban)理時限(xian)最(zui)短、服(fu)(fu)(fu)(fu)務(wu)(wu)質(zhi)量最(zui)優(you)的(de)(de)“四(si)個最(zui)”和(he)統一(yi)事(shi)項名稱、統一(yi)申辦(ban)(ban)(ban)材(cai)料(liao)、統一(yi)經(jing)辦(ban)(ban)(ban)方式、統一(yi)經(jing)辦(ban)(ban)(ban)流程、統一(yi)辦(ban)(ban)(ban)理時限(xian)、統一(yi)服(fu)(fu)(fu)(fu)務(wu)(wu)標準的(de)(de)“六統一(yi)”總體(ti)要(yao)求(qiu)，著(zhu)力打(da)造醫(yi)保(bao)(bao)(bao)經(jing)辦(ban)(ban)(ban)服(fu)(fu)(fu)(fu)務(wu)(wu)品牌。明確了(le)(le)服(fu)(fu)(fu)(fu)務(wu)(wu)機構和(he)服(fu)(fu)(fu)(fu)務(wu)(wu)人員、服(fu)(fu)(fu)(fu)務(wu)(wu)對象與方式、服(fu)(fu)(fu)(fu)務(wu)(wu)內容(rong)與要(yao)求(qiu)、服(fu)(fu)(fu)(fu)務(wu)(wu)監(jian)督(du)評(ping)價與改進(jin)等7方面的(de)(de)通用(yong)(yong)要(yao)求(qiu)，對醫(yi)保(bao)(bao)(bao)經(jing)辦(ban)(ban)(ban)大廳服(fu)(fu)(fu)(fu)務(wu)(wu)設施(shi)的(de)(de)配備，服(fu)(fu)(fu)(fu)務(wu)(wu)人員的(de)(de)儀容(rong)儀態(tai)、行為(wei)舉(ju)止、服(fu)(fu)(fu)(fu)務(wu)(wu)用(yong)(yong)語、工(gong)作(zuo)紀律等進(jin)行了(le)(le)規范，為(wei)各級醫(yi)保(bao)(bao)(bao)部(bu)門優(you)化經(jing)辦(ban)(ban)(ban)服(fu)(fu)(fu)(fu)務(wu)(wu)提供了(le)(le)基準。規定了(le)(le)首(shou)問(wen)負責制(zhi)、容(rong)缺受理制(zhi)、限(xian)時辦(ban)(ban)(ban)結制(zhi)、導辦(ban)(ban)(ban)代(dai)辦(ban)(ban)(ban)制(zhi)、否定報備制(zhi)、AB角工(gong)作(zuo)制(zhi)、延時服(fu)(fu)(fu)(fu)務(wu)(wu)制(zhi)等服(fu)(fu)(fu)(fu)務(wu)(wu)制(zhi)度，為(wei)醫(yi)保(bao)(bao)(bao)經(jing)辦(ban)(ban)(ban)服(fu)(fu)(fu)(fu)務(wu)(wu)要(yao)求(qiu)的(de)(de)落(luo)實提供了(le)(le)保(bao)(bao)(bao)障。

　　《職工醫(yi)(yi)(yi)(yi)療(liao)(liao)(liao)(liao)(liao)保(bao)(bao)(bao)(bao)(bao)障(zhang)經(jing)(jing)(jing)辦(ban)(ban)服(fu)(fu)(fu)(fu)務(wu)(wu)規范》《城鄉居民醫(yi)(yi)(yi)(yi)療(liao)(liao)(liao)(liao)(liao)保(bao)(bao)(bao)(bao)(bao)障(zhang)經(jing)(jing)(jing)辦(ban)(ban)服(fu)(fu)(fu)(fu)務(wu)(wu)規范》是針對(dui)不同的(de)(de)醫(yi)(yi)(yi)(yi)療(liao)(liao)(liao)(liao)(liao)保(bao)(bao)(bao)(bao)(bao)障(zhang)制度和(he)醫(yi)(yi)(yi)(yi)療(liao)(liao)(liao)(liao)(liao)保(bao)(bao)(bao)(bao)(bao)障(zhang)服(fu)(fu)(fu)(fu)務(wu)(wu)對(dui)象制定的(de)(de)兩項(xiang)(xiang)具體(ti)醫(yi)(yi)(yi)(yi)保(bao)(bao)(bao)(bao)(bao)經(jing)(jing)(jing)辦(ban)(ban)服(fu)(fu)(fu)(fu)務(wu)(wu)標準，是對(dui)醫(yi)(yi)(yi)(yi)療(liao)(liao)(liao)(liao)(liao)保(bao)(bao)(bao)(bao)(bao)障(zhang)經(jing)(jing)(jing)辦(ban)(ban)服(fu)(fu)(fu)(fu)務(wu)(wu)通則的(de)(de)具體(ti)細(xi)化。主(zhu)要內容包括對(dui)職工和(he)居民醫(yi)(yi)(yi)(yi)保(bao)(bao)(bao)(bao)(bao)領(ling)域的(de)(de)服(fu)(fu)(fu)(fu)務(wu)(wu)事(shi)項(xiang)(xiang)名稱、經(jing)(jing)(jing)辦(ban)(ban)方式、經(jing)(jing)(jing)辦(ban)(ban)流(liu)程、申辦(ban)(ban)材(cai)料、辦(ban)(ban)理(li)時限(xian)和(he)辦(ban)(ban)理(li)結果等(deng)提出明確要求，實現了(le)全(quan)省醫(yi)(yi)(yi)(yi)療(liao)(liao)(liao)(liao)(liao)保(bao)(bao)(bao)(bao)(bao)障(zhang)經(jing)(jing)(jing)辦(ban)(ban)服(fu)(fu)(fu)(fu)務(wu)(wu)的(de)(de)“六統一”，全(quan)省參(can)(can)保(bao)(bao)(bao)(bao)(bao)群眾在全(quan)省任(ren)何地方辦(ban)(ban)理(li)醫(yi)(yi)(yi)(yi)保(bao)(bao)(bao)(bao)(bao)業(ye)務(wu)(wu)將(jiang)享受到同質化的(de)(de)服(fu)(fu)(fu)(fu)務(wu)(wu)。對(dui)經(jing)(jing)(jing)辦(ban)(ban)服(fu)(fu)(fu)(fu)務(wu)(wu)流(liu)程進行(xing)(xing)了(le)再造，就(jiu)職工和(he)居民醫(yi)(yi)(yi)(yi)保(bao)(bao)(bao)(bao)(bao)相關的(de)(de)參(can)(can)保(bao)(bao)(bao)(bao)(bao)登記、醫(yi)(yi)(yi)(yi)療(liao)(liao)(liao)(liao)(liao)保(bao)(bao)(bao)(bao)(bao)險(xian)關系(xi)轉(zhuan)移接續、參(can)(can)保(bao)(bao)(bao)(bao)(bao)繳費信息查(cha)詢、參(can)(can)保(bao)(bao)(bao)(bao)(bao)地就(jiu)醫(yi)(yi)(yi)(yi)、異地就(jiu)醫(yi)(yi)(yi)(yi)、生育(yu)保(bao)(bao)(bao)(bao)(bao)險(xian)等(deng)服(fu)(fu)(fu)(fu)務(wu)(wu)要求進行(xing)(xing)了(le)細(xi)化，推(tui)動(dong)了(le)經(jing)(jing)(jing)辦(ban)(ban)服(fu)(fu)(fu)(fu)務(wu)(wu)的(de)(de)優(you)化和(he)升級，全(quan)省醫(yi)(yi)(yi)(yi)保(bao)(bao)(bao)(bao)(bao)經(jing)(jing)(jing)辦(ban)(ban)事(shi)項(xiang)(xiang)的(de)(de)辦(ban)(ban)事(shi)時限(xian)整(zheng)體(ti)壓縮45.5%，辦(ban)(ban)事(shi)環節整(zheng)體(ti)精(jing)簡16.4%，申辦(ban)(ban)材(cai)料整(zheng)體(ti)縮減32.3%。對(dui)參(can)(can)保(bao)(bao)(bao)(bao)(bao)人(ren)員、參(can)(can)保(bao)(bao)(bao)(bao)(bao)單位、醫(yi)(yi)(yi)(yi)保(bao)(bao)(bao)(bao)(bao)經(jing)(jing)(jing)辦(ban)(ban)機構、醫(yi)(yi)(yi)(yi)療(liao)(liao)(liao)(liao)(liao)機構等(deng)不同主(zhu)體(ti)在服(fu)(fu)(fu)(fu)務(wu)(wu)事(shi)項(xiang)(xiang)辦(ban)(ban)理(li)過程中所(suo)擔任(ren)的(de)(de)角色(se)進行(xing)(xing)了(le)明確，有利于不同的(de)(de)參(can)(can)與主(zhu)體(ti)全(quan)面理(li)解醫(yi)(yi)(yi)(yi)療(liao)(liao)(liao)(liao)(liao)保(bao)(bao)(bao)(bao)(bao)障(zhang)服(fu)(fu)(fu)(fu)務(wu)(wu)，方便參(can)(can)保(bao)(bao)(bao)(bao)(bao)人(ren)員更好的(de)(de)享受醫(yi)(yi)(yi)(yi)療(liao)(liao)(liao)(liao)(liao)保(bao)(bao)(bao)(bao)(bao)障(zhang)待遇。