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What kind of diagnosis and treatment activities can be carried out by rural doctors.
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Basic medical insurance diagnosis and treatment items refer to various medical and technical labor projects that meet the following conditions and diagnose and ** items using medical instruments, equipment and medical materials:
1. Diagnosis and treatment items that are necessary, safe and effective, and have appropriate costs for clinical diagnosis and treatment;
2. The price department has formulated the diagnosis and treatment items of the charging standard;
3. Diagnosis and treatment items within the scope of medical services provided by designated medical institutions for insured persons.
What are the basic medical services?
2. Do migrant workers participate in basic medical insurance?
The Ministry of Labor and Social Security's Notice on Implementing the Two Regulations to Expand the Coverage of Social Security and Strengthen the Collection of Social Security (No. 10, 1999) stipulates that farmers contract workers participate in the social insurance of the place where the unit is located, and the social insurance agency establishes a personal account for basic medical insurance for the employee. After the termination or dissolution of the labor contract of a farmer contract worker, the social insurance agency may issue a one-time deposit amount in the personal account of the basic medical insurance to him/herself.
3. How long is the duration of employee medical insurance?
According to the Regulations on the Medical Treatment Period for Sick or Non-work-related Injuries of Employees of Enterprises issued by the former Ministry of Labor in 1994, the medical treatment period refers to the time limit within which an employee of an employer stops working for treatment and rest due to illness or non-work-related injury, and the employer cannot terminate the labor contract.
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Medical service items include: 1. Diagnosis and treatment items that are necessary, safe and effective, and cost-appropriate for clinical diagnosis and treatment; 2. The price bureau has established the standard of diagnosis and treatment items; 3. Diagnosis and treatment items within the scope of medical services brought by designated hospitals for insured persons.
Medical services refer to the health promotion services provided by health technicians to care for life and diagnose and treat diseases in accordance with the professional technical specifications, as well as the services such as medicines, medical equipment, rescue transportation, and ward accommodation brought to the realization of such services. The key to caring for life refers to the care and protection of the natural process of life from conception to decay, such as pregnancy health care, childbirth support, hospice care, preventive health care, etc.; The key to diagnosing and treating diseases refers to the process of identifying the human body after suffering ** damage, and adjusting the functional disorders or injuries that occur, so as to improve the function and restore health.
Medical service is a concept that is widely used in ordinary life to policies and regulations, and China's development strategy. The clear concept of medical service is to standardize the service content of medical institutions, define the application scope of medical services and various life and health insurance, solve the doctor-patient relationship, and develop the needs of social health undertakings.
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Answer: "Medical service" refers to the treatment of patients, the treatment of diseases, the sale of medicines and other services. The history of Chinese medicine has been thousands of years, and this word has only appeared in recent decades, in fact, it is a new word in order to be in line with international standards, and it was mostly used before**. However, medical care also includes health care.
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The "three major catalogs" of basic medical insurance include the basic medical insurance drug catalog, the diagnosis and treatment project catalog, and the medical service facility standard. The three major catalogues are not immutable, but have been changed, adjusted, and improved along with the development of society and the increasing living standards of the people.
The "three major catalogs" of basic medical insurance include the basic medical insurance drug catalog, the diagnosis and treatment project catalog, and the medical service facility standard. The three major catalogues are not immutable, but have been changed, adjusted, and improved along with the development of society and the increasing living standards of the people.
List of drugs for basic medical insurance:
It refers to the policy basis and standards for basic medical insurance, work-related injury insurance and maternity insurance** to pay the drug costs of the insured persons and strengthen the management of medical insurance medical services.
List of diagnosis and treatment items:
When the designated medical institutions of medical insurance provide medical services for the insured, clinical diagnosis and treatment, inspection, and the diagnosis and treatment items of the charging standard are formulated by the ** department, so as to standardize the diagnosis and treatment items of social basic medical insurance. In practice, it is determined by formulating basic medical insurance diagnosis and treatment items.
Standards for medical service facilities:
In the process of providing medical services such as hospitalization, it is necessary to select the appropriate amount of medical service facilities and environment as the scope of medical insurance. In practice, it is determined by formulating standards for basic medical insurance service facilities. In order to standardize the scope of medical service facilities and payment standards, provinces and municipalities have also formulated corresponding measures to ensure the basic medical needs of insured persons.
In order to ensure the basic medical drug needs of insured employees, reasonably control medical expenses, standardize the management of basic medical insurance drugs, diagnosis and treatment, and ensure the healthy operation of the basic medical insurance system, the state and province have formulated the "Basic Medical Insurance Drug Catalog", "Urban Employee Basic Medical Insurance Diagnosis and Treatment Project Catalog", and "Urban Employee Basic Medical Insurance Medical Service Facility Project Scope", referred to as the "three catalogs".
According to the "three catalogs", the medical expenses incurred by the insured persons are divided into three categories: one is the expenses that are directly included in the scope of reimbursement; the other type is that the individual first bears a certain percentage of the expenses and then includes them in the scope of reimbursement; The third category is the expenses that are not reimbursed by medical insurance and are borne by the individual. Among them, the expenses incurred in the use of drugs are divided into two types: Class A and Class B according to the "Basic Medical Insurance Drug Catalog", and the drugs not in the catalog are self-financed drugs.
Class A drugs are directly included in the reimbursement scope and reimbursed proportionally; Individuals of Class B drugs first bear 10% of the cost, and human albumin and other 30% first, and then reimburse according to the prescribed proportion; Self-financed drugs are not reimbursed.
The expenses incurred in the use of diagnosis and treatment items and service facilities shall be divided into three categories: items that are directly included in the scope of reimbursement and reimbursed proportionally, items that are reimbursed proportionally after individuals first bear a certain proportion of their own expenses, and self-paid items. The items directly included in the scope of reimbursement will be reimbursed in accordance with the prescribed proportion; Individuals first bear a certain percentage of the project and then reimburse according to the proportion, the individual first bears the percentage, and then reimburses according to the prescribed proportion; Self-paid medical treatment or service facility items will not be reimbursed.
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Medical services refer to the health promotion services provided by health technicians in accordance with the professional specifications for the care of life, diagnosis and treatment of diseases, as well as the provision of medicines, medical devices, rescue transportation, ward accommodation and other services for the realization of these services.
Caring for life mainly refers to the care and protection of the natural process of life from conception to decay, such as pregnancy health care, childbirth support, hospice care, preventive health care, etc.; Diagnosis and treatment of diseases mainly refers to the process of identifying the human body after being damaged and adjusting the functional disorders or injuries that occur in order to improve function and restore health.
Medical care is a concept that is widely used in daily life to policies, regulations, and national development strategies. The clear concept of medical services is to standardize the service content of medical institutions, define the scope of application of medical services and various life and health insurance, deal with the doctor-patient relationship, and develop social health undertakings.
In different contexts, the scope of medical services is different, and medical services in the narrow sense mainly refer to the services provided by medical personnel to diagnose and treat diseases, which can also be called clinical medical services. Traditionally, medical services are mainly provided in the hospital for diagnosis and treatment, prevention, etc., which is the whole process from the patient's visit and the establishment of a service relationship with the hospital to the end of the hospital, recovery and discharge or death. While strengthening in-hospital medical services, modern medical services attach importance to extending social medical services outside the hospital, including post-discharge follow-up, family hospital beds, public health education, disease screening, social medical assistance and counterpart support, and medical treatment to the countryside.
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To put it simply, medical treatment is to go to the hospital to see a doctor, and the process becomes a medical service. It is to treat you, and you pay for others to provide you with treatment. This process is called the medical gown.
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Medical care belongs to the service industry, and medical service is that the hospital takes patients and a certain social group as the main service objects, and uses medical technology as the basic service means to provide the society with medical output and non-material services that can meet people's health care needs and bring practical benefits to people.
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Medical services refer to the services of medical institutions to examine, diagnose, and provide preventive health care, midwifery, family planning, etc., as well as the provision of medicines, medical materials and appliances, ambulances, ward accommodation and meals related to these services. Modern medical services have expanded from inside the hospital to outside the hospital, forming the concept of comprehensive medical care, and the medical content is becoming more and more extensive, including health promotion, disease and disaster prevention, health consultation, health examination, emergency treatment, disease elimination and control, clinical diagnosis and treatment, medical treatment, etc. Medical service refers to a type of health service provided by a hospital or medical technician to a group of people.
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Medical service is a kind of medical security provided for employees, ensuring that employees can receive assistance and medical treatment when they are sick.
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In layman's terms, when we are sick and have abnormalities in our health, we will seek help from the hospital, and everything they do for us is collectively called medical services! The systematic understanding of medical service is that the hospital takes patients and a certain social group as the main service objects, and uses medical technology as the basic service means to provide the society with medical output and non-material services that can meet people's health care needs and bring practical benefits to people, referred to as medical services!
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Medical services are to define the scope of basic medical insurance benefits, to ensure that employees can be provided to him under the conditions of illness, affordable, appropriate technical and medical services, to provide basic medical security for employees: in order to control the expenditure of basic medical insurance, so that the limited basic medical insurance can play the greatest effect; In order to strengthen the management of medical services. The scope and standards of basic medical services should include the basic medical insurance drug list, diagnosis and treatment items, medical service facility standards and their management methods.
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The definition of medical services refers to services including diagnosis, epidemic prevention, midwifery, and family planning for patients, as well as related services such as the provision of medicines, medical equipment, ward accommodation, and meals.
Medical services are defined as a service product with a variety of characteristics. It is of far-reaching significance to scientifically, comprehensively and accurately analyze the characteristics of medical service products, and on this basis, design, provide, control and evaluate medical services to improve the quality management level of medical services and provide consumers with high-quality medical services.
Medical services not only have the common characteristics of service products, but also have some characteristics that are compatible with their own nature, connotation, laws and regulations, and consumer requirements. The realization of these characteristics, the degree to which the needs of consumers are met, determines the feelings, perceptions and evaluations of consumers, determines the satisfaction with medical service consumers, and ultimately determines the quality of medical services.
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What are the basic medical resources?
The so-called basic medical resources are basic medical services, which are the most basic welfare care for workers or members of society in the medical insurance system. Its goal is to protect the basic rights of life and health of workers or members of society, so that workers or members of society can get basic benefits in the process of disease prevention and treatment in accordance with the requirements of prevention and treatment. In China, the main form of basic medical services for workers or members of society is basic medical insurance.
The content of basic medical services mainly includes various disease measures, recuperation and recuperation measures, diagnosis and treatment examination costs, and corresponding drug consumption.
What are special medical resources.
The so-called special medical resources are special medical services, that is, special medical services other than basic medical services. According to the current content of China's social medical insurance and related medical services, special medical services mainly include the following three aspects:
1) Service items, such as cosmetology, correction of deformities, medicinal diet**, etc.;
2) Service time, such as speeding up the diagnosis and treatment time, performing surgery in advance, etc. However, emergency patients who are admitted beyond 8 hours, or who undergo emergency surgery, are part of the protection of the patient's right to life and health, and are still part of the basic medical services;
3) Conditions of service, such as the space of the ward, electrical equipment, the appointment of a doctor with a high professional title to perform surgery, etc.
Basic medical care refers to the necessary diagnosis and treatment services that employees should receive when seeking medical treatment, including basic drugs, basic services, basic technologies and basic expenses. The part of the medical expenses of the insured persons that should be paid by the basic medical insurance** shall be directly settled by the social insurance agency and the medical institution and the drug business unit.
Legal basis
Social Insurance Law of the People's Republic of China
Article 26 The treatment standards of basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with the provisions of the State.
Article 27 Individuals who participate in the basic medical insurance for employees, when they reach the statutory retirement age, the cumulative contributions reach the number of years prescribed by the State, and they will no longer pay the basic medical insurance premiums after retirement, and enjoy the basic medical insurance benefits in accordance with the provisions of the State; If the number of years prescribed by the state has not been reached, the fee can be paid until the number of years prescribed by the state.
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