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href="#" class="bds_tqq" data-cmd="tqq" title="分享到腾讯微博"></a><a href="#" class="bds_renren" data-cmd="renren" title="分享到人人网"></a><a href="#" class="bds_weixin" data-cmd="weixin" title="分享到微信"></a></div> <script>window._bd_share_config={"common":{"bdSnsKey":{},"bdText":"","bdMini":"2","bdMiniList":false,"bdPic":"","bdStyle":"0","bdSize":"16"},"share":{}};with(document)0[(getElementsByTagName('head')[0]||body).appendChild(createElement('script')).src='http://bdimg.share.baidu.com/static/api/js/share.js?v=89860593.js?cdnversion='+~(-new Date()/36e5)];</script> </span><span id="i2i2jyu4k" class="fr">分享到：<img src="/images/fx.jpg" /> </span> </div> <div id="i2i2jyu4k" class="text_box"> <p align="center"> <p style="text-indent: 2em; text-align: left;">67岁的徐老师曾是昆明一所中学的高级语文教师。退休后，徐老师随女儿在北京居住。由于患有严重的心脏病，为了看病，徐老师不得不在昆明和北京两地奔波，在北京看病每次都要自己先垫付医药费，隔一段时间回老家报销一次。</p><p style="text-indent: 2em; text-align: left;">医保关系在昆明，就医在北京，报销医药费成了徐老师最头疼的事。来回跑一趟至少要两星期，除医疗费外，来回的交通费更是一笔不小的开销……</p><p style="text-indent: 2em; text-align: left;">随着国家异地就医结算系统的建成，社保卡就医“一卡通”的使用，异地就医患者开始告别“费用垫支、报销跑腿”的烦恼，徐老师将成为这项新政的首批受益对象。</p><p style="text-indent: 2em; text-align: left;">全国政协委员、人力资源和社会保障部原副部长胡晓义在接受中国妇女报·中华女性网记者采访时表示，截至2016年年底，社保卡共发放了9.7亿张，今年计划要达到10.5亿张。</p><p style="text-indent: 2em; text-align: left;">据悉，2017年年底将基本实现跨业务、跨地域的一卡通用。持一张社?？?，就能满足挂号就医、金融支付等多种需求。</p><p style="text-indent: 2em; text-align: left;">随着流动人口不断增加，以及异地养老、大城市疏解等，人们择一城居一生的时代早就一去不复返。《中国流动人口发展报告2016》显示，2015年末，我国流动人口达2.47亿，占总为口的18%，其中大多数需要依赖于流入地的医疗保障。</p><p style="text-indent: 2em; text-align: left;">加快推进基本医保全国联网和异地就医结算就显得尤为重要?！澳壳罢庀罟ぷ鞯慕购芸烨页尚灾??！?胡晓义对记者说。</p><p style="text-indent: 2em; text-align: left;">根据人社部、财政部印发的《关于做好基本医疗跨省异地就医住院医疗费用直接结算工作的通知》，2017年开始逐步解决跨省异地安置退休人员住院医疗费用直接结算，年底扩大到符合转诊规定人员的异地就医住院医疗费用直接结算。</p><p style="text-indent: 2em; text-align: left;">胡晓义分析说，由于我国医疗资源的配置不平衡，出现了患者集中到大城市就医的现象。所以在医保方面，在不改变资源配置的情况下，目前只能是尽可能地发挥资源的使用效率。现阶段把目标首先确定为异地就医最有需求的人群，也就是异地安置的退休人员，然后再逐步扩展至需要转诊就医的人群。</p><p style="text-indent: 2em; text-align: left;">不久的将来，社保卡不再和户口或者工作地、居住地捆绑，而是在全国不同地方都能享受医疗保障，医保报销将告别手续复杂、需要开转诊证明，或是回到参保地报销的状况，同时也会带动报销标准偏低，尤其是新农合跨省异地报销标准比较低的状况会得到进一步改善，百姓的就医幸福感将会大幅提升。</p><p style="text-indent: 2em; text-align: left;">胡晓义同时也表示，异地就医医保结算是一项很复杂的工作，一方面在技术上要依赖于网络的连通，要有卡的发放的可及性，这是一个载体、一个技术基??；另一方面，要对有异地就医需求的人群进行界定，异地就医之后，要实行结算，个人不用掏钱了，但机构之间会有资金的交换，而资金交换的基础是原来各个地方不同的制度所规定的标准，如何才能把各个地区不同的标准统一起来，这是一大难点。</p><p style="text-indent: 2em; text-align: left;">另外，有转诊需求的异地就医人员的标准如何界定，由谁来定，不能依据个人而定，也不是医?；估炊?，而是由医生来定。医生根据患者的病情和患者所处本地资源的情况来决定，如果本地资源无力解决，就需要向更高的医疗机构转诊。而这中间也要有一套规则，这些制度之间的相互衔接和相互关联是下一步工作的重点和难点。</p><p style="text-indent: 2em; text-align: left;">如何解决所面临的这些难题？胡晓义认为，要实现这一目标，必须两方面并行推进。一方面，医保结算的组织工作和政策的协调工作及技术支持要保证到位；另一方面就是分级诊疗和规范转诊制度也要加快建设推进。要使医疗资源的配置更加均衡，通过分级诊疗转诊的制度实施和优质医疗资源更多地下沉，使得患者在基层或者在本地得到优质的医疗服务，引导大家合理就医，减少异地就医需求。这样才能有一个合理的结构，保障这一工作顺利展开。</p> </div> <p class="Editor">编辑：赵彦 </p> <div id="i2i2jyu4k" class="Paging"> </div> <p class="Keyword">关键词：异地就医报销社保一卡通</p> <h1 class="pv_title_2 mt_15"><a href="/index.shtml" 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