Ensure having difficult problems to wait to solve

Ensure having difficult problems to wait to solve
Staff reporter Cao Zheng To dialyse interview of patient, let reporter experience that set up serious disease and ensure the urgency of the system more and more. In fact, all parts are strengthening basic medical treatment and ensuring efforts successively in recent years, in a lot of places, treatment means of dialysing etc. has already listed in and ensured the category, and there is the proportion of higher submitting an expense account. However, the experiences of all parts prove, the relevant guarantee stills have a lot of difficult problems that wait to solve. The uneven medical insurance is during 5 years, Wang ShuPing is just because of the change of the identity, of dialysing the expenses to submit an expense account the proportion rises much. In 2006, Wang ShuPing was found to suffer from serious nephropathy, needed to maintain the life through dialysing. What Wang ShuPing living in Changping district of Beijing participated in at that time is new rural cooperative medical service, can wipe out 40% of the dialysis expenses each month, several tens of thousands of yuan left needs oneself to bear. "The unable work of falling ill at that time, can only rely on parents' pension to support. " Wang ShuPing says. In 2008, Beijing city will expand, Wang ShuPing's home is taken over for use by the developer, the farmland turns into a building, her identity becomes an urban resident too, begins to enjoy the medical insurance of urban residents. She can wipe out 90% the intersection of dialysis and expenses now, pay for itself odd one hundred yuan in month in one of expenses. Three institutes dialyse the therapeutic room, telling that has caused the envy of other patients nearby of Wang ShuPing in Peking University. "My home, too in Changping, because rural registered permanent residence, can only wipe out less than 50% of the money. " Someone complains muttering to oneself. The king pure duckweed sprains the excessive comfort one: "Wait a moment again, build the floor speed fast now. " Sun Xin ( Assumed name) Keep silent aside. Compare the ward mate of Beijing that is discussing warmly, his burden is heavier. Because there is no hospital dialysed in the hometown, this guy in Hebei can only come to Beijing to treat. Because it is extremely strict to shut the management of seeking medical advice and submitting an expense account to the strange land what he participated in newly and agriculturally, he basically enjoys and can not ensure, can only totally depend on oneself. The medical treatment of different areas ensures competence, in fact has caused and dialysed the inequality that a patient accepts medical care. And according to statistics that Ministry of Public Health did in 2009, besides army's hospital, 3297 hospitals launch the blood completely in the whole country, 90 first class hospitals, the second hospital and 2058, 999 tertiary hospitals among them. These hospitals mostly concentrate on the city of economy comparatively with comparatively convenient development, traffic, this causes inequality of medical care, cause the quantity of patient carrying on dialysis treatment in China to be on the low side too. Estimate, there are nearly 1 million uremic patients in our country according to the expert of internal medicine department of kidney of Beijing Friendship Hospital Liu WenHu, except that about 1% of patients have accepted the kidney transfer operation, actually accept and dialyse and the therapeutic patient is less than 200,000. Have the intersection of nephropathy and expert think uremia of China ill rate should every a million the intersection of population and 300 people even more. This means, persons who receive treatment are a small part in the patient, there are a large number of kidney trouble patients, especially the patients of countryside, the western region, because the poor or medical condition lags behind, have no ability to accept that dialyses treatment or renal transplantation, die of uremia finally. Even Wang ShuPing who thinks lucky, some real problems still let her feel and perplex. Wang ShuPing carries on the belly at home completely. Each dialysis, she must use the disposable iodine to bend over caps and prevent from infecting, although it is only a small cover that the iodine bends over caps, the cheapest one costs 1.7 yuan for one, because has not listed in the medical insurance, only the iodine should bend over caps to spend more than 3000 yuan in one year. And the iodine could submit an expense account to bend over caps, there are different policies in different areas. In Nanjing and other places, it is listed in and submits an expense account the category too, but in Beijing, still need the patient to be at one's own expense. The hard up patient is in order to stint on expenses, bend over caps with a piece of iodine in one day, this increases and infects the risk. The reporter consults on the question of this keep and pay attention to the department to medicine, the reply received is, this question needs coordinating and communicating with the price department. The country will stretch out the assistance at national two Conferences of this year, Chen Zhu, minister of Ministry of Public Health, reveals, subsidize the improvement of the standard with raising the assets policy newly and agriculturally jointly, improving great disease ensures the pilot range of competence to also expand to some extent. Will be included uremia and serious coronary heart disease by serious disease including in the pilot project soon. This let to dialyse patients saw dawn. "The new agricultural fund-raising level shut is improving constantly now, it is very ripe to dialyse the treatment technology, if do not do things for these uremic patients a little more, I could not think on the morals, go over very much on the conscience. " Chen Zhu says. The deep and vast great wave professor of internal medicine department seems on the kidney of third hospital of Peking University, in China, dialysing has special social value to treat. Ill colony rely mainly on middle-aged and old different with foreign countries, patient of China rely mainly on between twenty and fifty more. Not merely can make these some colonies keep the normal living standard through dialysing, can even help them to get back to the routine, create the wealth for the society. Japan is to dialysing and treating and strengthening and ensuring making the good result: Have been popularized extensively since dialysing medical treatment in 1972 is included in the medical insurancing, dialyse the number of people and increase sharply. Thereupon patient's survival rate of dialysis is raised, there is 250,000 (1 out of 500 people) at present The kidney declines a patient and accepts the dialysis treatment of the continuation in latter stage of end. Improve and dialyse a patient and ensure competence, the thereupon increased medical insurance can't be ignored either to bear. Statistics reveal, the kidney of China is dialysed and transplanted to a patient and increased at the rate of 11% every year. "Recent data, it is an item of incomplete statistics from 2008, the expenses used for dialysing and treating have already exceeded 9,600 million yuan national every year. But these persons who is dialysing only account for 10% that need to dialyse the total number of patients, in addition 90% of the uremic patients choose not to dialyse because of can not pay this sum of expenses ing. " Hou FanFan, academician of Chinese Academy of Sciences, reminds and says, if national all uremic patients do and dialyse treating, half flowers of the national medical total expenditure are not enough yet on these patients. So, should pay attention to prevention and health education of the relevant disease further.

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