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)(yi)(yi)保(bao)(bao)(bao)局(ju)黨組(zu)書記、局(ju)長張寧波(bo)介紹(shao)，《醫(yi)(yi)(yi)(yi)療保(bao)(bao)(bao)障(zhang)第1部(bu)分：標(biao)(biao)(biao)(biao)(biao)(biao)(biao)準(zhun)(zhun)(zhun)體(ti)(ti)(ti)(ti)(ti)(ti)系(xi)(xi)(xi)(xi)》規(gui)(gui)定(ding)了(le)(le)醫(yi)(yi)(yi)(yi)療保(bao)(bao)(bao)障(zhang)標(biao)(biao)(biao)(biao)(biao)(biao)(biao)準(zhun)(zhun)(zhun)體(ti)(ti)(ti)(ti)(ti)(ti)系(xi)(xi)(xi)(xi)的(de)(de)(de)構(gou)建原則、標(biao)(biao)(biao)(biao)(biao)(biao)(biao)準(zhun)(zhun)(zhun)體(ti)(ti)(ti)(ti)(ti)(ti)系(xi)(xi)(xi)(xi)的(de)(de)(de)組(zu)成及標(biao)(biao)(biao)(biao)(biao)(biao)(biao)準(zhun)(zhun)(zhun)體(ti)(ti)(ti)(ti)(ti)(ti)系(xi)(xi)(xi)(xi)的(de)(de)(de)內容，是全省(sheng)醫(yi)(yi)(yi)(yi)療保(bao)(bao)(bao)障(zhang)標(biao)(biao)(biao)(biao)(biao)(biao)(biao)準(zhun)(zhun)(zhun)化建設(she)的(de)(de)(de)規(gui)(gui)劃(hua)(hua)性、指導性文件，不僅能為(wei)(wei)山東省(sheng)推進(jin)醫(yi)(yi)(yi)(yi)療保(bao)(bao)(bao)障(zhang)標(biao)(biao)(biao)(biao)(biao)(biao)(biao)準(zhun)(zhun)(zhun)化建設(she)提(ti)供規(gui)(gui)劃(hua)(hua)依據，也(ye)將(jiang)為(wei)(wei)建立全國統一(yi)的(de)(de)(de)醫(yi)(yi)(yi)(yi)療保(bao)(bao)(bao)障(zhang)標(biao)(biao)(biao)(biao)(biao)(biao)(biao)準(zhun)(zhun)(zhun)體(ti)(ti)(ti)(ti)(ti)(ti)系(xi)(xi)(xi)(xi)提(ti)供有益(yi)探索。主要內容包括：系(xi)(xi)(xi)(xi)統設(she)計了(le)(le)山東省(sheng)醫(yi)(yi)(yi)(yi)療保(bao)(bao)(bao)障(zhang)標(biao)(biao)(biao)(biao)(biao)(biao)(biao)準(zhun)(zhun)(zhun)體(ti)(ti)(ti)(ti)(ti)(ti)系(xi)(xi)(xi)(xi)框(kuang)架(jia)，將(jiang)醫(yi)(yi)(yi)(yi)療保(bao)(bao)(bao)障(zhang)標(biao)(biao)(biao)(biao)(biao)(biao)(biao)準(zhun)(zhun)(zhun)體(ti)(ti)(ti)(ti)(ti)(ti)系(xi)(xi)(xi)(xi)劃(hua)(hua)分為(wei)(wei)基礎共性標(biao)(biao)(biao)(biao)(biao)(biao)(biao)準(zhun)(zhun)(zhun)子(zi)體(ti)(ti)(ti)(ti)(ti)(ti)系(xi)(xi)(xi)(xi)、公(gong)共服務標(biao)(biao)(biao)(biao)(biao)(biao)(biao)準(zhun)(zhun)(zhun)子(zi)體(ti)(ti)(ti)(ti)(ti)(ti)系(xi)(xi)(xi)(xi)、管理與(yu)保(bao)(bao)(bao)障(zhang)標(biao)(biao)(biao)(biao)(biao)(biao)(biao)準(zhun)(zhun)(zhun)子(zi)體(ti)(ti)(ti)(ti)(ti)(ti)系(xi)(xi)(xi)(xi)、監督(du)與(yu)評價標(biao)(biao)(biao)(biao)(biao)(biao)(biao)準(zhun)(zhun)(zhun)子(zi)體(ti)(ti)(ti)(ti)(ti)(ti)系(xi)(xi)(xi)(xi)4個部(bu)分，確(que)保(bao)(bao)(bao)了(le)(le)醫(yi)(yi)(yi)(yi)療保(bao)(bao)(bao)障(zhang)標(biao)(biao)(biao)(biao)(biao)(biao)(biao)準(zhun)(zhun)(zhun)的(de)(de)(de)系(xi)(xi)(xi)(xi)統性和(he)協(xie)調(diao)性。對今后一(yi)個時期(qi)將(jiang)要制定(ding)的(de)(de)(de)標(biao)(biao)(biao)(biao)(biao)(biao)(biao)準(zhun)(zhun)(zhun)進(jin)行(xing)了(le)(le)統籌規(gui)(gui)劃(hua)(hua)，提(ti)出了(le)(le)88項(xiang)地(di)方(fang)標(biao)(biao)(biao)(biao)(biao)(biao)(biao)準(zhun)(zhun)(zhun)制定(ding)任(ren)務，提(ti)升了(le)(le)醫(yi)(yi)(yi)(yi)療保(bao)(bao)(bao)障(zhang)標(biao)(biao)(biao)(biao)(biao)(biao)(biao)準(zhun)(zhun)(zhun)化工作(zuo)的(de)(de)(de)計劃(hua)(hua)性和(he)針(zhen)對性。初步確(que)定(ding)了(le)(le)醫(yi)(yi)(yi)(yi)療保(bao)(bao)(bao)障(zhang)具體(ti)(ti)(ti)(ti)(ti)(ti)工作(zuo)領域(yu)和(he)事項(xiang)標(biao)(biao)(biao)(biao)(biao)(biao)(biao)準(zhun)(zhun)(zhun)的(de)(de)(de)主體(ti)(ti)(ti)(ti)(ti)(ti)內容，保(bao)(bao)(bao)證(zheng)了(le)(le)醫(yi)(yi)(yi)(yi)療保(bao)(bao)(bao)障(zhang)地(di)方(fang)標(biao)(biao)(biao)(biao)(biao)(biao)(biao)準(zhun)(zhun)(zhun)制修訂的(de)(de)(de)方(fang)向性和(he)目的(de)(de)(de)性。

　　《醫(yi)(yi)(yi)療(liao)(liao)保(bao)(bao)障(zhang)(zhang)(zhang)(zhang)(zhang)第(di)2部(bu)分：術(shu)(shu)(shu)(shu)(shu)語(yu)》規定(ding)了醫(yi)(yi)(yi)療(liao)(liao)保(bao)(bao)障(zhang)(zhang)(zhang)(zhang)(zhang)領(ling)域的(de)基(ji)本術(shu)(shu)(shu)(shu)(shu)語(yu)及定(ding)義(yi)，將為(wei)全省(sheng)醫(yi)(yi)(yi)保(bao)(bao)信息系統的(de)互聯、省(sheng)和各市之間數據(ju)的(de)交換、重點領(ling)域改(gai)革(ge)的(de)互動提(ti)供有(you)(you)(you)力支撐。主(zhu)要內(nei)容包括對(dui)全國(guo)醫(yi)(yi)(yi)療(liao)(liao)保(bao)(bao)障(zhang)(zhang)(zhang)(zhang)(zhang)術(shu)(shu)(shu)(shu)(shu)語(yu)進(jin)行了全面梳理。結合現有(you)(you)(you)醫(yi)(yi)(yi)療(liao)(liao)保(bao)(bao)障(zhang)(zhang)(zhang)(zhang)(zhang)制度和醫(yi)(yi)(yi)療(liao)(liao)保(bao)(bao)障(zhang)(zhang)(zhang)(zhang)(zhang)改(gai)革(ge)有(you)(you)(you)關情況，對(dui)全國(guo)醫(yi)(yi)(yi)療(liao)(liao)保(bao)(bao)障(zhang)(zhang)(zhang)(zhang)(zhang)領(ling)域涉及到(dao)的(de)專業術(shu)(shu)(shu)(shu)(shu)語(yu)進(jin)行了全面梳理，確保(bao)(bao)術(shu)(shu)(shu)(shu)(shu)語(yu)界定(ding)不(bu)缺項、不(bu)失(shi)范。對(dui)全省(sheng)醫(yi)(yi)(yi)療(liao)(liao)保(bao)(bao)障(zhang)(zhang)(zhang)(zhang)(zhang)術(shu)(shu)(shu)(shu)(shu)語(yu)進(jin)行了規范統一。長期以來，山東(dong)省(sheng)16市醫(yi)(yi)(yi)療(liao)(liao)保(bao)(bao)障(zhang)(zhang)(zhang)(zhang)(zhang)術(shu)(shu)(shu)(shu)(shu)語(yu)表述(shu)不(bu)一，特別是醫(yi)(yi)(yi)保(bao)(bao)經辦服務事項的(de)名(ming)(ming)稱缺乏(fa)統一規范，群眾常常被(bei)各種事項名(ming)(ming)稱所(suo)困擾。該(gai)標準在(zai)全省(sheng)范圍內(nei)對(dui)醫(yi)(yi)(yi)療(liao)(liao)保(bao)(bao)障(zhang)(zhang)(zhang)(zhang)(zhang)服務組(zu)織、參保(bao)(bao)管理、保(bao)(bao)險待遇、基(ji)金(jin)管理等13類術(shu)(shu)(shu)(shu)(shu)語(yu)進(jin)行了統一，為(wei)重點領(ling)域改(gai)革(ge)的(de)整(zheng)體推進(jin)奠(dian)定(ding)了基(ji)礎，也(ye)徹底解決了備受詬病的(de)“名(ming)(ming)稱之困”。對(dui)醫(yi)(yi)(yi)療(liao)(liao)保(bao)(bao)障(zhang)(zhang)(zhang)(zhang)(zhang)特定(ding)概念(nian)進(jin)行了規范解釋(shi)。特別是對(dui)醫(yi)(yi)(yi)療(liao)(liao)保(bao)(bao)障(zhang)(zhang)(zhang)(zhang)(zhang)領(ling)域的(de)特定(ding)概念(nian)進(jin)行了釋(shi)義(yi)，既(ji)有(you)(you)(you)利于(yu)全省(sheng)醫(yi)(yi)(yi)保(bao)(bao)系統學習把握，也(ye)有(you)(you)(you)利于(yu)提(ti)升社會各界對(dui)醫(yi)(yi)(yi)療(liao)(liao)保(bao)(bao)障(zhang)(zhang)(zhang)(zhang)(zhang)領(ling)域政策制度的(de)理解。

　　《醫(yi)(yi)(yi)療(liao)保障(zhang)經(jing)辦(ban)(ban)(ban)服(fu)(fu)(fu)(fu)務(wu)(wu)(wu)(wu)(wu)通則》提(ti)出了(le)(le)醫(yi)(yi)(yi)保經(jing)辦(ban)(ban)(ban)服(fu)(fu)(fu)(fu)務(wu)(wu)(wu)(wu)(wu)的(de)(de)基(ji)礎性、通用(yong)性、整(zheng)體性要(yao)求(qiu)(qiu)，是全省(sheng)醫(yi)(yi)(yi)保經(jing)辦(ban)(ban)(ban)服(fu)(fu)(fu)(fu)務(wu)(wu)(wu)(wu)(wu)的(de)(de)總(zong)體指南。主(zhu)要(yao)內容(rong)(rong)包括(kuo)確(que)立了(le)(le)證(zheng)明材料最少(shao)、辦(ban)(ban)(ban)事(shi)流程(cheng)最簡、辦(ban)(ban)(ban)理(li)時限(xian)最短、服(fu)(fu)(fu)(fu)務(wu)(wu)(wu)(wu)(wu)質量(liang)最優(you)的(de)(de)“四個(ge)最”和(he)統(tong)一(yi)(yi)(yi)事(shi)項名稱(cheng)、統(tong)一(yi)(yi)(yi)申辦(ban)(ban)(ban)材料、統(tong)一(yi)(yi)(yi)經(jing)辦(ban)(ban)(ban)方式(shi)、統(tong)一(yi)(yi)(yi)經(jing)辦(ban)(ban)(ban)流程(cheng)、統(tong)一(yi)(yi)(yi)辦(ban)(ban)(ban)理(li)時限(xian)、統(tong)一(yi)(yi)(yi)服(fu)(fu)(fu)(fu)務(wu)(wu)(wu)(wu)(wu)標準的(de)(de)“六統(tong)一(yi)(yi)(yi)”總(zong)體要(yao)求(qiu)(qiu)，著(zhu)力打(da)造醫(yi)(yi)(yi)保經(jing)辦(ban)(ban)(ban)服(fu)(fu)(fu)(fu)務(wu)(wu)(wu)(wu)(wu)品(pin)牌(pai)。明確(que)了(le)(le)服(fu)(fu)(fu)(fu)務(wu)(wu)(wu)(wu)(wu)機構和(he)服(fu)(fu)(fu)(fu)務(wu)(wu)(wu)(wu)(wu)人員、服(fu)(fu)(fu)(fu)務(wu)(wu)(wu)(wu)(wu)對象與(yu)方式(shi)、服(fu)(fu)(fu)(fu)務(wu)(wu)(wu)(wu)(wu)內容(rong)(rong)與(yu)要(yao)求(qiu)(qiu)、服(fu)(fu)(fu)(fu)務(wu)(wu)(wu)(wu)(wu)監(jian)督評價(jia)與(yu)改進等7方面的(de)(de)通用(yong)要(yao)求(qiu)(qiu)，對醫(yi)(yi)(yi)保經(jing)辦(ban)(ban)(ban)大(da)廳服(fu)(fu)(fu)(fu)務(wu)(wu)(wu)(wu)(wu)設施(shi)的(de)(de)配備(bei)，服(fu)(fu)(fu)(fu)務(wu)(wu)(wu)(wu)(wu)人員的(de)(de)儀容(rong)(rong)儀態、行為舉止、服(fu)(fu)(fu)(fu)務(wu)(wu)(wu)(wu)(wu)用(yong)語、工作紀律等進行了(le)(le)規(gui)范，為各級醫(yi)(yi)(yi)保部門優(you)化經(jing)辦(ban)(ban)(ban)服(fu)(fu)(fu)(fu)務(wu)(wu)(wu)(wu)(wu)提(ti)供了(le)(le)基(ji)準。規(gui)定了(le)(le)首問負責制(zhi)(zhi)、容(rong)(rong)缺受理(li)制(zhi)(zhi)、限(xian)時辦(ban)(ban)(ban)結制(zhi)(zhi)、導辦(ban)(ban)(ban)代辦(ban)(ban)(ban)制(zhi)(zhi)、否定報(bao)備(bei)制(zhi)(zhi)、AB角工作制(zhi)(zhi)、延時服(fu)(fu)(fu)(fu)務(wu)(wu)(wu)(wu)(wu)制(zhi)(zhi)等服(fu)(fu)(fu)(fu)務(wu)(wu)(wu)(wu)(wu)制(zhi)(zhi)度，為醫(yi)(yi)(yi)保經(jing)辦(ban)(ban)(ban)服(fu)(fu)(fu)(fu)務(wu)(wu)(wu)(wu)(wu)要(yao)求(qiu)(qiu)的(de)(de)落實提(ti)供了(le)(le)保障(zhang)。

　　《職(zhi)工(gong)醫(yi)(yi)(yi)療(liao)(liao)保(bao)(bao)(bao)障(zhang)(zhang)(zhang)(zhang)經辦(ban)(ban)(ban)(ban)服(fu)(fu)務(wu)規范》《城(cheng)鄉(xiang)居民(min)(min)醫(yi)(yi)(yi)療(liao)(liao)保(bao)(bao)(bao)障(zhang)(zhang)(zhang)(zhang)經辦(ban)(ban)(ban)(ban)服(fu)(fu)務(wu)規范》是針(zhen)對不同(tong)(tong)(tong)的(de)(de)醫(yi)(yi)(yi)療(liao)(liao)保(bao)(bao)(bao)障(zhang)(zhang)(zhang)(zhang)制(zhi)度和(he)(he)醫(yi)(yi)(yi)療(liao)(liao)保(bao)(bao)(bao)障(zhang)(zhang)(zhang)(zhang)服(fu)(fu)務(wu)對象制(zhi)定的(de)(de)兩項具體(ti)(ti)醫(yi)(yi)(yi)保(bao)(bao)(bao)經辦(ban)(ban)(ban)(ban)服(fu)(fu)務(wu)標準，是對醫(yi)(yi)(yi)療(liao)(liao)保(bao)(bao)(bao)障(zhang)(zhang)(zhang)(zhang)經辦(ban)(ban)(ban)(ban)服(fu)(fu)務(wu)通則的(de)(de)具體(ti)(ti)細化(hua)(hua)。主要內容包(bao)括對職(zhi)工(gong)和(he)(he)居民(min)(min)醫(yi)(yi)(yi)保(bao)(bao)(bao)領域的(de)(de)服(fu)(fu)務(wu)事(shi)項名(ming)稱、經辦(ban)(ban)(ban)(ban)方(fang)(fang)(fang)式、經辦(ban)(ban)(ban)(ban)流(liu)程(cheng)、申辦(ban)(ban)(ban)(ban)材料(liao)、辦(ban)(ban)(ban)(ban)理時限(xian)(xian)和(he)(he)辦(ban)(ban)(ban)(ban)理結果等(deng)提(ti)出(chu)明確要求，實現了(le)全省(sheng)醫(yi)(yi)(yi)療(liao)(liao)保(bao)(bao)(bao)障(zhang)(zhang)(zhang)(zhang)經辦(ban)(ban)(ban)(ban)服(fu)(fu)務(wu)的(de)(de)“六(liu)統一”，全省(sheng)參(can)(can)保(bao)(bao)(bao)群眾(zhong)在全省(sheng)任何(he)地(di)方(fang)(fang)(fang)辦(ban)(ban)(ban)(ban)理醫(yi)(yi)(yi)保(bao)(bao)(bao)業務(wu)將(jiang)享受到同(tong)(tong)(tong)質化(hua)(hua)的(de)(de)服(fu)(fu)務(wu)。對經辦(ban)(ban)(ban)(ban)服(fu)(fu)務(wu)流(liu)程(cheng)進(jin)(jin)行了(le)再造，就(jiu)(jiu)職(zhi)工(gong)和(he)(he)居民(min)(min)醫(yi)(yi)(yi)保(bao)(bao)(bao)相(xiang)關的(de)(de)參(can)(can)保(bao)(bao)(bao)登記、醫(yi)(yi)(yi)療(liao)(liao)保(bao)(bao)(bao)險關系(xi)轉(zhuan)移接續、參(can)(can)保(bao)(bao)(bao)繳費信息查詢、參(can)(can)保(bao)(bao)(bao)地(di)就(jiu)(jiu)醫(yi)(yi)(yi)、異地(di)就(jiu)(jiu)醫(yi)(yi)(yi)、生育保(bao)(bao)(bao)險等(deng)服(fu)(fu)務(wu)要求進(jin)(jin)行了(le)細化(hua)(hua)，推(tui)動了(le)經辦(ban)(ban)(ban)(ban)服(fu)(fu)務(wu)的(de)(de)優(you)化(hua)(hua)和(he)(he)升級(ji)，全省(sheng)醫(yi)(yi)(yi)保(bao)(bao)(bao)經辦(ban)(ban)(ban)(ban)事(shi)項的(de)(de)辦(ban)(ban)(ban)(ban)事(shi)時限(xian)(xian)整體(ti)(ti)壓縮45.5%，辦(ban)(ban)(ban)(ban)事(shi)環節(jie)整體(ti)(ti)精簡16.4%，申辦(ban)(ban)(ban)(ban)材料(liao)整體(ti)(ti)縮減32.3%。對參(can)(can)保(bao)(bao)(bao)人(ren)員、參(can)(can)保(bao)(bao)(bao)單位、醫(yi)(yi)(yi)保(bao)(bao)(bao)經辦(ban)(ban)(ban)(ban)機構、醫(yi)(yi)(yi)療(liao)(liao)機構等(deng)不同(tong)(tong)(tong)主體(ti)(ti)在服(fu)(fu)務(wu)事(shi)項辦(ban)(ban)(ban)(ban)理過程(cheng)中所擔任的(de)(de)角色進(jin)(jin)行了(le)明確，有利于(yu)不同(tong)(tong)(tong)的(de)(de)參(can)(can)與主體(ti)(ti)全面理解(jie)醫(yi)(yi)(yi)療(liao)(liao)保(bao)(bao)(bao)障(zhang)(zhang)(zhang)(zhang)服(fu)(fu)務(wu)，方(fang)(fang)(fang)便參(can)(can)保(bao)(bao)(bao)人(ren)員更好(hao)的(de)(de)享受醫(yi)(yi)(yi)療(liao)(liao)保(bao)(bao)(bao)障(zhang)(zhang)(zhang)(zhang)待遇。