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style="">民盟赵为济：将0～6岁儿童抢救性康复项目全部纳入医保</span> </h1> <script>/*jQuery('#hh').width(jQuery('#a').width());*/</script> <div id="i2i2jyu4k" class="Remark"> <span>2017年04月24日 13:05 | 来源：<a target="_blank">人民政协网</a></span> <span id="i2i2jyu4k" class="fr"> <div id="i2i2jyu4k" class="bdsharebuttonbox"><a href="#" class="bds_more" data-cmd="more"></a><a href="#" class="bds_qzone" data-cmd="qzone" title="分享到QQ空间"></a><a href="#" class="bds_tsina" data-cmd="tsina" title="分享到新浪微博"></a><a 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="http://www.rmzxb.com.cn/images/fx.jpg" /> </span> </div> <div id="i2i2jyu4k" class="text_box"> <p align="center"> <div class="i2i2jyu4k" id="content" style="text-indent: 2em; text-align: left;"><p style="text-align: left; text-indent: 2em;">由于新生儿出生缺陷率居高不下，致使大量残疾儿童亟待康复救助。据调查，我国有0～6岁残疾儿童167.8万，仅湖南省现有0～6岁各类残疾儿童23.7万人，其中听力残疾儿童3.1万人、脑瘫儿童4.5万人、智力残疾儿童7.3万人、孤独症儿童2.3万人，且每年新增各类残疾儿童19.9万人。</p><p style="text-align: left; text-indent: 2em;">残疾儿童是一个特殊困难群体。自湖南省政府实施“0～6岁贫困残疾儿童抢救性康复项目”以来，全省每年约有1万名符合条件的0～6岁残疾儿童得到了康复救助，约占应康复救助残疾儿童的4.22%。这意味着还有大量可以通过康复救助更好融入社会、最终自食其力的残疾儿童，将因残疾而伴随终生，给家庭和社会带来沉重负担。</p><p style="text-align: left; text-indent: 2em;">究其原因：一是各级政府对残疾儿童康复救助项目的经费投入有限。湖南省政府每年安排的0~6岁残疾儿童抢救性专项救助经费仅为5000万元左右，导致纳入救助的比例偏低。二是已纳入医保报销的项目太少。据《湖南省残疾人基本康复服务目录（2016年版）》，目前仅有听障儿童实施人工耳蜗手术每例报账6.75万元，且不包括术后康复费用；部分市对脑瘫儿童康复每例每次报销7000元，而智力残疾儿童、肢体残疾儿童、视力残疾儿童、孤独症儿童康复项目均未纳入医保报账目录。三是残疾儿童康复时间长，经费投入大，大多数家庭贫困。目前，每个项目康复每期为10个月，每例所需直接康复费用达2.5万元，且不包括家长陪训食宿、交通等费用。为了康复，广大残疾儿童家庭承受了巨大的经济和精神压力。湖南省隆回县李女士患有孤独症的儿子，虽经康复各方面进步很大，曾经走失还因为能记住妈妈的电话而被110民警送回了家，但是“每个月3000元的开支，再也负担不起了，明年打算把他放家里，随他自生自灭?！毕窭钆空庋蚣彝テ独Ф牌蹈吹幕褂泻芏?。</p><p style="text-align: left; text-indent: 2em;">康复一个儿童，幸福一个家庭。特别是0～6岁正值残疾儿童康复效果最佳的黄金年龄，是抢时间、早康复的最佳时期，错过了这一年龄段，也许就错过了一辈子。《国务院关于加快推进残疾人小康进程的意见》（国发﹝2015﹞7号），明确规定：“对于困难的重病、重残儿童，城乡居民基本医疗保险和大病保险给予适当倾斜，医疗救助对符合条件的适当提高报销比例和封顶线。落实小儿行为听力测试、儿童听力障碍语言训练等医疗康复项目纳入基本医疗保障范围政策?！?/p><p style="text-align: left; text-indent: 2em;">为落实国务院文件精神，帮助更多残疾儿童接受康复救助，确保到2020年底为有需求的残疾儿童接受康复服务的比例达80%以上，建议：</p><p style="text-align: left; text-indent: 2em;">一是各地应尽快将符合条件的0～6岁残疾儿童康复项目及辅助器具适配、支持性服务全部纳入基本医保目录，按照“一整合、六统一”的实施方案，逐年提高残疾儿童康复项目及辅助器具适配、支持性服务报销额度。</p><p style="text-align: left; text-indent: 2em;">二是提高0～6岁残疾儿童康复报销比例。如将0～6岁听障儿童人工耳蜗手术费报销额度由6.75万元提高到8万元，术后康复项目每例每期（10个月）报销额度明确不低于1.5万元；助听器适配项目及服务报销额度明确不低于1万元/例。0～6岁肢体残疾矫治手术项目报销额度明确不低于2万元/例；辅助器具适配及服务每期（10个月）不低于1500元/例，等等。同时，相关部门要取消实施几年下调额度的做法，将报销额度稳定在合理范围。</p><p style="text-align: left; text-indent: 2em;">三是相关部门要优化残疾儿童康复项目报账机制，改进残疾儿童康复报账方式，降低报账门槛；简化报账手续，明确“谁康复谁报账”原则，即统一由康复机构负责统一报账，避免残疾儿童家长多头往返报账。</p><p style="text-align: left; text-indent: 2em;">（作者为湖南省民盟副主委、湖南省政协委员）</p></div> </div> <p class="Editor">编辑：李晨阳 </p> <div id="i2i2jyu4k" class="Paging"> </div> <p class="Keyword">关键词：儿童康复残疾项目民盟 </p> <h1 class="pv_title_2 mt_15"><a target="_blank" class="more mtb_14">更多</a><span id="i2i2jyu4k" class="t" id="a3"><a ><img src="http://www.rmzxb.com.cn/images/xg_t1.jpg" 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