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Interim Measures For The Agricultural And Pastoral Areas In Tibet Autonomous Region Medical Management

Original Language Title: 西藏自治区农牧区医疗管理暂行办法

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(Summit No. 75 of the People's Government of the Tibetan Autonomous Region of 22 November 2006 to consider the adoption of the Decree No. 75 of 30 November 2006 No. 75 of the Order of the People's Government of the Tibetan Autonomous Region, which came into force on 1 January 2007)

Chapter I General
Article 1 provides for the further implementation of free health policies, the establishment and improvement of a free-health-based medical system for agricultural pastoral areas, the promotion of the development of health in the agricultural pastoral region, the improvement of the health of pastoralists, and the development of this approach, in accordance with the decisions of the Central Department of State to further strengthen rural health and the decision of the Government of the Tibetan Autonomous Region of China.
Article 2 Medical systems in agricultural pasture areas are dominated by the Government, collective and individual multi-financing to integrate family accounts and major diseases into the basic health-care security system of pastoralists.
Article 3. Medical systems in agricultural pastoral areas uphold the principles of voluntary participation, multi-financing, access and affordability.
Article IV Medical systems for agricultural pastoral areas are health-care assistance for persons with high-cost medicines and persons affected by basic family life, with five-occupants and labour-capacity, non-habited sources, persons with disabilities and minors or dependants.
Article 5 Governments at all levels should incorporate the establishment and improvement of the medical system for agricultural pastoral areas into local national economic and social development planning as an important component of the establishment of a social security system in the pastoral region.
Chapter II Organizational management
Article 6 Medical systems for agricultural pastoral areas are integrated with units (communes, districts) and can be managed jointly by district (communes, districts) and communes (communes), in accordance with actual circumstances.
Article 7. Self-governance zones, land (markets) have been established by the Ministry of Health, Finance, Personnel, Civil Affairs, Agriculture, Audit, Monitoring, Development and Reform, Labour and Social Security, Poverty Reduction, Advocacy, Broadcast Television, Education, Women's Union, National Religion, Food Drugs Monitoring, Population and Family Planning, and is responsible for organizing, inspecting, guiding and coordinating the medical work of pastoralist areas.
In the self-government area, the territorial (community) health administration has established the Office of the Leading Group for Medical Coordination in the Shepherd Region, with dedicated staff to manage medical work in the pastoralist areas.
Article 8
The sanitary administrative authorities and the commune (communes) people's Government have established the Office for the Medical Management of the Faroi Region (hereinafter referred to as a medical clinic), which is addressed by the same-level government mediators. In the district (communes, districts) medical services must be equipped with dedicated staff, and communes (communes) are equipped with specialist (and part-time) personnel responsible for specific management. The funding and work requirements of medical practitioners are included in the same-level financial budget and cannot be extracted from the medical fund.
The responsibilities of the district (market, area) medical services:
(i) The development of work programmes and regulations in accordance with this approach, as well as the organization of implementation after the adoption of a medical conference in the district (markets, zones);
(ii) Organizing advocacy and advocacy;
(iii) Managing the medical fund for agricultural pastoral areas (markets, areas);
(iv) Nuclear medical documents;
(v) Coordination to address specific issues in implementation;
(vi) To collect, collate, analyse and submit relevant information;
(vii) Oversight, inspection and assessment of the work of the communes (communes) and their offices.
communes (communes)
(i) Organizing the implementation of the programmes of work and regulations established by the WCPU;
(ii) Organizing awareness-raising, mobilization of pastoralists in the town and responsible for registering and issuing work;
(iii) Mobilization of the costs of the transfer of pastoralists and timely referral to district (markets, zones);
(iv) Managing the Family Accounts Fund for the pastoral region;
(v) To collect, analyse, collate and submit relevant information.
Chapter III Rights and obligations of the medical target
Article 9. The system of medical treatment in the agricultural pastoral area applies to farmers who enjoy free medical policies.
Article 10. The rights of health-care providers in pastoralist areas:
(i) Access to free medical care;
(ii) Access to basic health care services;
(iii) Access to medical compensation as prescribed;
(iv) To make observations and recommendations to health-care institutions at all levels;
(v) Supervision of the management of the health fund for agricultural pastoral areas and prosecution of violations of the relevant provisions.
Article 11 Obligations for medical treatment of pastoral areas:
(i) Observance of the regulations and regulations governing medical management in the pastoralist areas;
(ii) Voluntary transfers of personal funding by a unit;
(iii) Synergies for health policies in agricultural pastoral areas;
(iv) To cooperate actively with health institutions in health care.
Chapter IV
Article 12 Funds for agricultural pastoral health have been implemented with a fund-raising mechanism that integrates government ownership, individual funding, collective support and social access.
Sources of the Medical Fund:
(i) The provision of free medical specialization funds for national arrangements and new types of rural cooperation medical benefits;
(ii) The provision of free medical care for the self-government zone, the land (market), the district (communes, districts) and the Government's financial arrangements;
(iii) Funding voluntarily by farmers' individuals on a voluntary basis every year (the criteria are not less than $10);
(iv) Civil administration authorities in the district (markets, districts) fund individuals who meet medical assistance;
(v) Contributions from business units, social groups and individuals;
(vi) Interests arising from the Medical Fund of the Faroi Region;
(vii) Other sources.
Article 13 participated in changes in the number of health-care providers in the pastoralist area, whose personal funding was not replicated during the year and continued to be used by their family members.
The new household or family members who participated in personal financing were in the community on 30 June, with the prior payment of full-time expenses, followed by a semi-payment.
Article 14. The Medical Fund for the Farming Zone is divided into four categories of family accounts, integrated disease, medical risks and medical assistance. The proportion and purpose are:
(i) Family Lobation Fund. It accounts for 50 per cent of the total fund. Reimbursement for medical and health medical examinations for agricultural pastoralists are mainly used.
Aboriginal families who voluntarily surrender their personal funding are transferred from the total of the NBFA medical fund (personal funding is calculated at $10 per capita) to their household accounts by 50 per cent to 60 per cent, with personal funding exceeding 10 dollars, in excess of part of their family accounts; and the pastoralians who do not receive personal funding, from 50 per cent of the funds for free medical care and cooperation medical assistance to their families accounts.
(ii) The Integrated Fund for Diseases. This represents 33 per cent of the total fund to 43 per cent. Reimbursement for hospitalization costs for agricultural pastoralists are mainly used.
(iii) Medical risk funds. The General Fund is 2 per cent. The main purpose of the Integrated Fund for the Epidemiology has been to increase the number of diseases during the year, leading to the untime overrun of emergency funds. The scale of the Risk Fund should be maintained at about 10 per cent of the total annual funding level, and no further retrospective of the scale provided.
The Medical Risk Fund was established by districts (markets, districts). Risk funds are used for written requests from the district (communes, district) medical clinic to be approved by the Leading Group for Health Management in the Faroeal Zone.
(iv) Medical assistance funds. 5 per cent of the total fund. Civil administration authorities are governed and used in accordance with the relevant provisions.
The proportion of the Family Accounts Fund and the Epidemiological Integrated Fund is determined by the Lands (Central) within the scope of the self-government area, according to local practice, by the Office of the Leading Group for Medical Coordination in the Autonomous Region.
Article 15. Medical systems for agricultural pastoral areas are administered in a uniform manner by district (communes, districts) and their family accounts funds, the Integrated Fund for Diseases and the Medical Risk Fund are administered by district (markets, zones). The Integrated Disease Fund and the Medical Risk Fund are administered jointly by district (communes, districts), communes (communes), communes and communes (communes, districts) and the Family Accounts Fund is administered by the communes (communes, districts) medical services. The Medical Relief Fund is administered by the provincial (market, district) medical facility to the territorial administration authorities.
Article 16 funds for various types of health care in the agricultural pastoral area shall be classified according to which savings continue to be used over the next year. The communes (communes, areas), communes (communes) should regulate financial accounting in accordance with accounting laws and financial systems, establishing sound financial accounting archives and regulations and regulating financial accounting management. Specific approaches to the accounting and financial management of the Fund are developed by the Financial Administration of the Autonomous Region.
The Medical Fund for the Farming Zone is included in all levels of financial advance and accounts. Funds must be made available to national commercial banks, with exclusive storage, dedicated management, earmarking, and no unit or individual may borrow, interlock, misappropriation and crowd.
Chapter V
Article 17 Medical expenses compensation refers to the non-receipation, write-off or reimbursement of medical expenses by farmers at all levels of medical institutions.
Article 18 Medical cost compensation should uphold the principles of openness, equity, impartiality, timeliness and accessibility.
Article 19 provides for the payment of the proportion of medical reimbursements and the specific settlement approach at all levels of medical institutions, as follows:
(i) In the commune (communes) medical institutions and in the village health room (village doctors), write off 70 per cent to 85 per cent of the hospitalization costs incurred in medical care, in accordance with the Family Medical Accounts Fund; communes (communes) medical institutions and village health rooms (village doctors) are regularly settled with communes (communes) and district (communes, districts) medical services.
(ii) In the district (communes, districts) medical institutions are reimbursed in the Family Accounts Fund for the medical expenses incurred in connection with medical treatment, which are reimbursed by the Family Medical Accounts Bill; inpatient costs are reimbursed by 70 per cent to 80 per cent of the Epidemiology Fund.
(iii) Medical fees incurred by medical agencies above (markets) for medical treatment, which are reimbursed by the Family Medical Accounts Bill in the Family Accounts Fund; inpatient costs are reimbursed by the Family Medical Accounts Ben, the district (market, district) medical referral facility, and the medical agency's medical services are validated and paid by 60 per cent to 70 per cent of the Integrated Fund.
Article 20 implements the proportion of medical reimbursements and the specific settlement approach to farmers who have not been paid for personal funding, as set out below:
(i) In the commune (communes) medical institutions and in the village health room (village doctors) write off 50 per cent to 65 per cent of the hospitalization costs incurred by medical institutions in connection with medical treatment. The communes (communes) medical institutions and the village health room (village doctors) receive valid ballots for write-off and distributive medical expenses, which are regularly settled with communes (communes) and district (markets, districts).
(ii) Medical expenses incurred in medical care in the district (market, district) medical institutions, which are reimbursed by the Family Medical Accounts Bill in the Family Accounts Fund; inpatient costs are reimbursed by 50 per cent of the Integrated Fund.
(iii) Medical expenses incurred by medical institutions above (market) in connection with medical treatment, which are reimbursed by the Family Medical Accounts Bill in the Family Accounts Fund; inpatient costs are reimbursed by the Family Medical Accounts Ben, the district (communes, district) medical institutions for referral certificates and effective medical expenses.
Article 21 reimburses the amount of the compensation paid to the pastoral medical compensation for the payment of personal funding, which is in effect not more than 8,000 per person per person per year; medical compensation for the uncollected nomadic farmers for the financing of their pastorals, amounting to 6,000 yen per person per year.
Reimbursement rates and specific thresholds are provided by local (markets) within the scope of the self-government area, and according to local actual determination, the Office of the Leading Group for Medical Coordination in the Autonomous Region.
In line with the provision of medical assistance, medical assistance is provided by the administrative authorities of the district (communes, districts).
In accordance with article 22, the medical expenses incurred by aboriginal mothers in hospitalization at all medical institutions are reimbursed on the basis of the Family Medical Accounts Bill, the referral of medical institutions in the district (market, district) and medical expenses. The limits are developed by the health administration authorities in the self-government area.
An incentive for the delivery of mother-to-children was introduced. Mothers of all pastoralists are hospitalized at all medical institutions, with a one-time incentive to pay $30 and to encourage the sender to $20. The provision for incentives is made by the Pharmaceutical Service (communes, districts) in the Integrated Disease Fund.
Agricultural mothers receive poisoning from their families, free of the medical expenses incurred, and are vested in medical institutions in the effective collection of medical fees, the registration of births and the signature of the parties, and are regularly settled with the district (markets, district) medical service.
Article 23 provides for agricultural pastoralists in schools and pupils with 50 per cent of their household accounts per person per year from their own fund, to be administered by the Medical Service, and the medical costs are paid from the funds administered by the school. Inpatient costs are certified by schools, the Family Medical Accounts Bill and the effective tickets for medical expenses, and are reimbursed by a prescribed proportion of the medical services in their households (markets, districts).
Article 24 is inconsistent with the present place of monastery, which is governed by the principle of territorial management, may participate in the medical system of agricultural pastures in the temple sites, which is made available by the medical services of the temple sites (markets, districts) and the Family Medical Accounts Bill, which provides for free medical care to be transferred and administered by the medical facility at the level of the temple (communes, districts) in accordance with the principle of territorial administration, and the medical expenses incurred, reimbursement of the medical accounts of the families and the temples to the communication area.
Article 25
Article 26 Funds for the accounts of pastoralists continued to be used over the next year. The NBF has been used to meet the medical expenses incurred at all levels by medical agencies, which are self-satisfied by individuals, and inpatient costs are reimbursed according to the prescribed proportion.
Article 27 states (communes, districts), communes (communes), communes (communes) should strictly implement the reimbursement provisions, rigorously review the various documents and vouchers, and eliminate the use of personal information and misappropriation. Reimbursement should be facilitated by farmers, simplified procedures and procedures, timely processing of reimbursements, without undue delay and refusal.
Article 28 Scope of non-payment of compensation for medical expenses:
(i) Medical costs such as alcohol abuse, suicide, maiming, fighting, drug abuse, transport and medical accidents;
(ii) The cost of correctional, escology, dental, distribution, installation of amputations and other health-care supplies;
(iii) The cost of purchasing medicines, nutrition health care;
(iv) Recruitment, admission and medical examination fees, transportation costs (other than delivery of maternity inpatient delivery and rescue);
(v) Medical fees for medical treatment not authorized by the referral facility at the place (market);
(vi) There is no relevant evidence of the medical costs incurred (except acute, risk-taking);
(vii) Paedia fees, referrals.
Chapter VI
Article 29 states (communes, districts), communes (communes) medical institutions and village health rooms (village doctors) are the subject of the provision of health-care services for agricultural pastoralists, a day-to-day care system, providing farmers with close, timely, user-friendly and affordable health care services.
The communes (communes, communes), communes (communes) medical institutions should establish a commune health care service system to facilitate access to health care. The sanitary administrative authorities in the district (markets, districts) should organize medical institutions to conduct regular medical examinations for agricultural pastoralists and to establish family health files in the commune (communes).
The referral system should be carefully implemented by the communes (communes, districts) and above. The referral facility shall have the following conditions:
(i) Sustained or suspected cases, diagnoses, treatment is null and void and require further examination and treatment by the medical institutions at the highest level;
(ii) Approval of consent by district (market, district) medical services.
In cases where special cases require urgent referrals for treatment, they are not able to obtain the consent of the review in a timely manner, and in the case of district (markets, districts) medical services can be reviewed after.
Article 32 Medical institutions and medical personnel should be governed by the law, strictly by professional ethics norms, the implementation of medical technology operation protocols, regulations and medical fees for agricultural pastoral areas, and the provision of medical fees for medical treatment, reasonable inspection, reasonable use of medicines, and reasonable treatment, as well as the registration of the disease, the use of pharmacies, and the receipt of the fees.
Medical institutions and medical personnel should guarantee the quality of services, improve the efficiency of services, control unreasonable medical costs and reduce the burden of pastoralists.
Article 33 Medical agencies and medical institutions at all levels of agricultural pasture shall be able to manage medical costs.
Article 344 of the administrative authorities responsible for the development of a directory and drug distribution management approach for the basic use of medicines in district (markets, zones), communes (communes) medical institutions.
Medical institutions in the agricultural pastoral area use medicines and implement a system of pooling solicitation, specific procurement by district (markets, zones) and centralization of delivery by the marker. Enhanced surveillance management of pharmaceutical solicitation, procurement, delivery of various components in agricultural pasture areas to ensure the safety and effective safety of pastoral civilian medicines.
Chapter VII Medical documentation management
Art. The farmer is registered by the villagers' Council on a case-by-case basis, with the approval of the commune (communes) medical clinic and the issuance of the Family Medical Account after the medical clearances of the Upper District (communes, areas).
The Civil Administration authorities in the counties (markets, districts) have been transferred to the district (communes, districts) after they are transferred to the district (communes, districts) medical services.
Article XVI Family Medical Accounts Bill is compiled by the administrative authorities of the self-government region. The Family Medical Accounts present shall not be altered, forged or transferred.
Chapter VIII Medical management oversight
The Government of the People's Republic (markets, districts) should establish a Agricultural Care Monitoring Committee consisting of inspection, audit, finance, health, pastoral, civil affairs and representatives of pastoralists, and establish an office in the monitoring sector to oversee medical management in the agricultural pastoral area.
The self-governing area and the relevant sectors of the land (market) should conduct a special oversight review of the medical work of the farming pastoral area every year.
Article 338 Medical management oversight includes day-to-day management oversight, dedicated management monitoring and the receipt of complaints by the public.
The main elements of the medical management oversight include the implementation of free medical specialization funds, the mobilization, management and expenditure of the Medical Fund, medical services, drug management, etc.
The audit department should conduct regular audits of the special funds for free medical care and the payments and management of the medical funds.
Article 40
In the districts (markets, districts), communes (communes), communes (communes), communes (communes) and the Oversight Committee should report regularly on the payments and use of the medical fund to the districts (communes, districts), communes (communes), communes), communes (communes), communes (communes), communes (communes), communes (communes) and the supervision of the medical facility; and establish a system of reimbursement for specific payments of the medical funds, management and the benefit of pastorists, etc.
The question identified in the course of medical supervision in the pastoral area should be addressed or addressed in a timely manner.
Chapter IX
Article 42 is implemented by urban residents who receive free medical care.
Article 43
Article 44 of this approach is interpreted by the sanitary and financial administrative authorities of the autonomous region.
Article 42 The provisional approach to health management in the Tibetan Autonomous Region, issued by the People's Government of the Tibetan Autonomous Region on 15 July 2003, was also repealed.