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山東省醫療保障標準體系的首批標準，將于10月30日起實施。5項標準中，前2項是整個醫療保障工作的基礎標準，后3項是針對醫保經辦服務制定的專門標準。

　　省(sheng)(sheng)醫(yi)(yi)(yi)保(bao)(bao)(bao)(bao)局(ju)黨組(zu)書記、局(ju)長張寧波介紹，《醫(yi)(yi)(yi)療(liao)(liao)保(bao)(bao)(bao)(bao)障(zhang)(zhang)(zhang)(zhang)(zhang)第1部分(fen)(fen)：標(biao)(biao)(biao)(biao)準(zhun)(zhun)(zhun)體(ti)(ti)(ti)系(xi)》規定(ding)(ding)了(le)(le)(le)醫(yi)(yi)(yi)療(liao)(liao)保(bao)(bao)(bao)(bao)障(zhang)(zhang)(zhang)(zhang)(zhang)標(biao)(biao)(biao)(biao)準(zhun)(zhun)(zhun)體(ti)(ti)(ti)系(xi)的構建原則、標(biao)(biao)(biao)(biao)準(zhun)(zhun)(zhun)體(ti)(ti)(ti)系(xi)的組(zu)成及標(biao)(biao)(biao)(biao)準(zhun)(zhun)(zhun)體(ti)(ti)(ti)系(xi)的內(nei)容，是(shi)全省(sheng)(sheng)醫(yi)(yi)(yi)療(liao)(liao)保(bao)(bao)(bao)(bao)障(zhang)(zhang)(zhang)(zhang)(zhang)標(biao)(biao)(biao)(biao)準(zhun)(zhun)(zhun)化(hua)建設的規劃性(xing)(xing)、指導(dao)性(xing)(xing)文件，不僅能為山(shan)(shan)東省(sheng)(sheng)推進醫(yi)(yi)(yi)療(liao)(liao)保(bao)(bao)(bao)(bao)障(zhang)(zhang)(zhang)(zhang)(zhang)標(biao)(biao)(biao)(biao)準(zhun)(zhun)(zhun)化(hua)建設提(ti)供(gong)規劃依(yi)據，也將(jiang)為建立全國統(tong)(tong)一(yi)的醫(yi)(yi)(yi)療(liao)(liao)保(bao)(bao)(bao)(bao)障(zhang)(zhang)(zhang)(zhang)(zhang)標(biao)(biao)(biao)(biao)準(zhun)(zhun)(zhun)體(ti)(ti)(ti)系(xi)提(ti)供(gong)有(you)益探索。主要內(nei)容包括(kuo)：系(xi)統(tong)(tong)設計(ji)了(le)(le)(le)山(shan)(shan)東省(sheng)(sheng)醫(yi)(yi)(yi)療(liao)(liao)保(bao)(bao)(bao)(bao)障(zhang)(zhang)(zhang)(zhang)(zhang)標(biao)(biao)(biao)(biao)準(zhun)(zhun)(zhun)體(ti)(ti)(ti)系(xi)框(kuang)架(jia)，將(jiang)醫(yi)(yi)(yi)療(liao)(liao)保(bao)(bao)(bao)(bao)障(zhang)(zhang)(zhang)(zhang)(zhang)標(biao)(biao)(biao)(biao)準(zhun)(zhun)(zhun)體(ti)(ti)(ti)系(xi)劃分(fen)(fen)為基(ji)礎(chu)共性(xing)(xing)標(biao)(biao)(biao)(biao)準(zhun)(zhun)(zhun)子體(ti)(ti)(ti)系(xi)、公共服務標(biao)(biao)(biao)(biao)準(zhun)(zhun)(zhun)子體(ti)(ti)(ti)系(xi)、管理與(yu)保(bao)(bao)(bao)(bao)障(zhang)(zhang)(zhang)(zhang)(zhang)標(biao)(biao)(biao)(biao)準(zhun)(zhun)(zhun)子體(ti)(ti)(ti)系(xi)、監督與(yu)評價標(biao)(biao)(biao)(biao)準(zhun)(zhun)(zhun)子體(ti)(ti)(ti)系(xi)4個部分(fen)(fen)，確保(bao)(bao)(bao)(bao)了(le)(le)(le)醫(yi)(yi)(yi)療(liao)(liao)保(bao)(bao)(bao)(bao)障(zhang)(zhang)(zhang)(zhang)(zhang)標(biao)(biao)(biao)(biao)準(zhun)(zhun)(zhun)的系(xi)統(tong)(tong)性(xing)(xing)和協(xie)調性(xing)(xing)。對(dui)今后一(yi)個時(shi)期將(jiang)要制(zhi)(zhi)定(ding)(ding)的標(biao)(biao)(biao)(biao)準(zhun)(zhun)(zhun)進行了(le)(le)(le)統(tong)(tong)籌規劃，提(ti)出了(le)(le)(le)88項地方(fang)標(biao)(biao)(biao)(biao)準(zhun)(zhun)(zhun)制(zhi)(zhi)定(ding)(ding)任務，提(ti)升了(le)(le)(le)醫(yi)(yi)(yi)療(liao)(liao)保(bao)(bao)(bao)(bao)障(zhang)(zhang)(zhang)(zhang)(zhang)標(biao)(biao)(biao)(biao)準(zhun)(zhun)(zhun)化(hua)工作(zuo)的計(ji)劃性(xing)(xing)和針對(dui)性(xing)(xing)。初步(bu)確定(ding)(ding)了(le)(le)(le)醫(yi)(yi)(yi)療(liao)(liao)保(bao)(bao)(bao)(bao)障(zhang)(zhang)(zhang)(zhang)(zhang)具體(ti)(ti)(ti)工作(zuo)領域和事項標(biao)(biao)(biao)(biao)準(zhun)(zhun)(zhun)的主體(ti)(ti)(ti)內(nei)容，保(bao)(bao)(bao)(bao)證了(le)(le)(le)醫(yi)(yi)(yi)療(liao)(liao)保(bao)(bao)(bao)(bao)障(zhang)(zhang)(zhang)(zhang)(zhang)地方(fang)標(biao)(biao)(biao)(biao)準(zhun)(zhun)(zhun)制(zhi)(zhi)修訂的方(fang)向(xiang)性(xing)(xing)和目的性(xing)(xing)。

　　《醫(yi)(yi)(yi)療(liao)保(bao)(bao)障(zhang)第2部分：術(shu)(shu)語》規(gui)定(ding)(ding)了(le)(le)(le)(le)醫(yi)(yi)(yi)療(liao)保(bao)(bao)障(zhang)領域的(de)(de)(de)基(ji)本術(shu)(shu)語及(ji)定(ding)(ding)義，將為全(quan)省(sheng)醫(yi)(yi)(yi)保(bao)(bao)信息(xi)系(xi)統的(de)(de)(de)互聯(lian)、省(sheng)和(he)各市(shi)之間數據的(de)(de)(de)交換(huan)、重(zhong)(zhong)點領域改革(ge)的(de)(de)(de)互動提(ti)供有(you)力支撐。主要內容(rong)包括對(dui)(dui)全(quan)國醫(yi)(yi)(yi)療(liao)保(bao)(bao)障(zhang)術(shu)(shu)語進(jin)(jin)行(xing)(xing)了(le)(le)(le)(le)全(quan)面梳理。結合現有(you)醫(yi)(yi)(yi)療(liao)保(bao)(bao)障(zhang)制度和(he)醫(yi)(yi)(yi)療(liao)保(bao)(bao)障(zhang)改革(ge)有(you)關情(qing)況，對(dui)(dui)全(quan)國醫(yi)(yi)(yi)療(liao)保(bao)(bao)障(zhang)領域涉及(ji)到的(de)(de)(de)專業術(shu)(shu)語進(jin)(jin)行(xing)(xing)了(le)(le)(le)(le)全(quan)面梳理，確保(bao)(bao)術(shu)(shu)語界定(ding)(ding)不缺項、不失范(fan)(fan)(fan)。對(dui)(dui)全(quan)省(sheng)醫(yi)(yi)(yi)療(liao)保(bao)(bao)障(zhang)術(shu)(shu)語進(jin)(jin)行(xing)(xing)了(le)(le)(le)(le)規(gui)范(fan)(fan)(fan)統一(yi)(yi)。長期以來(lai)，山東省(sheng)16市(shi)醫(yi)(yi)(yi)療(liao)保(bao)(bao)障(zhang)術(shu)(shu)語表述不一(yi)(yi)，特(te)別是醫(yi)(yi)(yi)保(bao)(bao)經辦(ban)服務事項的(de)(de)(de)名(ming)稱(cheng)缺乏統一(yi)(yi)規(gui)范(fan)(fan)(fan)，群眾常(chang)常(chang)被(bei)各種(zhong)事項名(ming)稱(cheng)所困擾。該(gai)標準在(zai)全(quan)省(sheng)范(fan)(fan)(fan)圍內對(dui)(dui)醫(yi)(yi)(yi)療(liao)保(bao)(bao)障(zhang)服務組織、參保(bao)(bao)管理、保(bao)(bao)險待遇(yu)、基(ji)金管理等13類(lei)術(shu)(shu)語進(jin)(jin)行(xing)(xing)了(le)(le)(le)(le)統一(yi)(yi)，為重(zhong)(zhong)點領域改革(ge)的(de)(de)(de)整體推進(jin)(jin)奠定(ding)(ding)了(le)(le)(le)(le)基(ji)礎，也徹底解決了(le)(le)(le)(le)備(bei)受(shou)詬病(bing)的(de)(de)(de)“名(ming)稱(cheng)之困”。對(dui)(dui)醫(yi)(yi)(yi)療(liao)保(bao)(bao)障(zhang)特(te)定(ding)(ding)概念進(jin)(jin)行(xing)(xing)了(le)(le)(le)(le)規(gui)范(fan)(fan)(fan)解釋(shi)。特(te)別是對(dui)(dui)醫(yi)(yi)(yi)療(liao)保(bao)(bao)障(zhang)領域的(de)(de)(de)特(te)定(ding)(ding)概念進(jin)(jin)行(xing)(xing)了(le)(le)(le)(le)釋(shi)義，既有(you)利于(yu)全(quan)省(sheng)醫(yi)(yi)(yi)保(bao)(bao)系(xi)統學習把握(wo)，也有(you)利于(yu)提(ti)升社會(hui)各界對(dui)(dui)醫(yi)(yi)(yi)療(liao)保(bao)(bao)障(zhang)領域政策制度的(de)(de)(de)理解。

　　《醫(yi)療保(bao)障經(jing)(jing)辦(ban)(ban)(ban)服(fu)(fu)(fu)(fu)(fu)務(wu)(wu)(wu)(wu)通(tong)則》提(ti)(ti)出了(le)醫(yi)保(bao)經(jing)(jing)辦(ban)(ban)(ban)服(fu)(fu)(fu)(fu)(fu)務(wu)(wu)(wu)(wu)的(de)基(ji)礎性、通(tong)用性、整體性要(yao)(yao)求(qiu)(qiu)，是全省(sheng)醫(yi)保(bao)經(jing)(jing)辦(ban)(ban)(ban)服(fu)(fu)(fu)(fu)(fu)務(wu)(wu)(wu)(wu)的(de)總(zong)體指(zhi)南。主要(yao)(yao)內容(rong)(rong)包括確立了(le)證明材(cai)料最(zui)少(shao)、辦(ban)(ban)(ban)事(shi)流程最(zui)簡、辦(ban)(ban)(ban)理(li)時(shi)限(xian)最(zui)短、服(fu)(fu)(fu)(fu)(fu)務(wu)(wu)(wu)(wu)質量最(zui)優的(de)“四(si)個最(zui)”和統(tong)一(yi)事(shi)項名稱(cheng)、統(tong)一(yi)申辦(ban)(ban)(ban)材(cai)料、統(tong)一(yi)經(jing)(jing)辦(ban)(ban)(ban)方(fang)式、統(tong)一(yi)經(jing)(jing)辦(ban)(ban)(ban)流程、統(tong)一(yi)辦(ban)(ban)(ban)理(li)時(shi)限(xian)、統(tong)一(yi)服(fu)(fu)(fu)(fu)(fu)務(wu)(wu)(wu)(wu)標準(zhun)的(de)“六統(tong)一(yi)”總(zong)體要(yao)(yao)求(qiu)(qiu)，著(zhu)力(li)打造醫(yi)保(bao)經(jing)(jing)辦(ban)(ban)(ban)服(fu)(fu)(fu)(fu)(fu)務(wu)(wu)(wu)(wu)品牌。明確了(le)服(fu)(fu)(fu)(fu)(fu)務(wu)(wu)(wu)(wu)機(ji)構和服(fu)(fu)(fu)(fu)(fu)務(wu)(wu)(wu)(wu)人員、服(fu)(fu)(fu)(fu)(fu)務(wu)(wu)(wu)(wu)對(dui)象與方(fang)式、服(fu)(fu)(fu)(fu)(fu)務(wu)(wu)(wu)(wu)內容(rong)(rong)與要(yao)(yao)求(qiu)(qiu)、服(fu)(fu)(fu)(fu)(fu)務(wu)(wu)(wu)(wu)監督評(ping)價與改進等7方(fang)面的(de)通(tong)用要(yao)(yao)求(qiu)(qiu)，對(dui)醫(yi)保(bao)經(jing)(jing)辦(ban)(ban)(ban)大廳服(fu)(fu)(fu)(fu)(fu)務(wu)(wu)(wu)(wu)設施的(de)配備，服(fu)(fu)(fu)(fu)(fu)務(wu)(wu)(wu)(wu)人員的(de)儀(yi)容(rong)(rong)儀(yi)態、行(xing)為舉止(zhi)、服(fu)(fu)(fu)(fu)(fu)務(wu)(wu)(wu)(wu)用語、工作(zuo)紀律(lv)等進行(xing)了(le)規(gui)范(fan)，為各(ge)級醫(yi)保(bao)部門優化經(jing)(jing)辦(ban)(ban)(ban)服(fu)(fu)(fu)(fu)(fu)務(wu)(wu)(wu)(wu)提(ti)(ti)供了(le)基(ji)準(zhun)。規(gui)定了(le)首問(wen)負責制(zhi)(zhi)(zhi)、容(rong)(rong)缺受理(li)制(zhi)(zhi)(zhi)、限(xian)時(shi)辦(ban)(ban)(ban)結制(zhi)(zhi)(zhi)、導辦(ban)(ban)(ban)代辦(ban)(ban)(ban)制(zhi)(zhi)(zhi)、否(fou)定報(bao)備制(zhi)(zhi)(zhi)、AB角工作(zuo)制(zhi)(zhi)(zhi)、延時(shi)服(fu)(fu)(fu)(fu)(fu)務(wu)(wu)(wu)(wu)制(zhi)(zhi)(zhi)等服(fu)(fu)(fu)(fu)(fu)務(wu)(wu)(wu)(wu)制(zhi)(zhi)(zhi)度，為醫(yi)保(bao)經(jing)(jing)辦(ban)(ban)(ban)服(fu)(fu)(fu)(fu)(fu)務(wu)(wu)(wu)(wu)要(yao)(yao)求(qiu)(qiu)的(de)落實(shi)提(ti)(ti)供了(le)保(bao)障。

　　《職(zhi)工醫(yi)(yi)(yi)(yi)(yi)(yi)療(liao)(liao)(liao)保(bao)(bao)(bao)(bao)障(zhang)經(jing)(jing)(jing)辦(ban)(ban)(ban)(ban)(ban)(ban)服(fu)(fu)(fu)(fu)務(wu)(wu)(wu)(wu)(wu)(wu)(wu)規范(fan)》《城鄉(xiang)居(ju)民(min)醫(yi)(yi)(yi)(yi)(yi)(yi)療(liao)(liao)(liao)保(bao)(bao)(bao)(bao)障(zhang)經(jing)(jing)(jing)辦(ban)(ban)(ban)(ban)(ban)(ban)服(fu)(fu)(fu)(fu)務(wu)(wu)(wu)(wu)(wu)(wu)(wu)規范(fan)》是(shi)針對不(bu)(bu)同(tong)的醫(yi)(yi)(yi)(yi)(yi)(yi)療(liao)(liao)(liao)保(bao)(bao)(bao)(bao)障(zhang)制度和(he)醫(yi)(yi)(yi)(yi)(yi)(yi)療(liao)(liao)(liao)保(bao)(bao)(bao)(bao)障(zhang)服(fu)(fu)(fu)(fu)務(wu)(wu)(wu)(wu)(wu)(wu)(wu)對象制定的兩項(xiang)具(ju)體(ti)(ti)醫(yi)(yi)(yi)(yi)(yi)(yi)保(bao)(bao)(bao)(bao)經(jing)(jing)(jing)辦(ban)(ban)(ban)(ban)(ban)(ban)服(fu)(fu)(fu)(fu)務(wu)(wu)(wu)(wu)(wu)(wu)(wu)標準，是(shi)對醫(yi)(yi)(yi)(yi)(yi)(yi)療(liao)(liao)(liao)保(bao)(bao)(bao)(bao)障(zhang)經(jing)(jing)(jing)辦(ban)(ban)(ban)(ban)(ban)(ban)服(fu)(fu)(fu)(fu)務(wu)(wu)(wu)(wu)(wu)(wu)(wu)通(tong)則的具(ju)體(ti)(ti)細化(hua)。主要內容包(bao)括對職(zhi)工和(he)居(ju)民(min)醫(yi)(yi)(yi)(yi)(yi)(yi)保(bao)(bao)(bao)(bao)領域(yu)的服(fu)(fu)(fu)(fu)務(wu)(wu)(wu)(wu)(wu)(wu)(wu)事(shi)項(xiang)名稱(cheng)、經(jing)(jing)(jing)辦(ban)(ban)(ban)(ban)(ban)(ban)方式、經(jing)(jing)(jing)辦(ban)(ban)(ban)(ban)(ban)(ban)流程、申辦(ban)(ban)(ban)(ban)(ban)(ban)材料(liao)、辦(ban)(ban)(ban)(ban)(ban)(ban)理(li)(li)(li)時限(xian)和(he)辦(ban)(ban)(ban)(ban)(ban)(ban)理(li)(li)(li)結果等(deng)提出明確要求，實現了全(quan)省(sheng)(sheng)醫(yi)(yi)(yi)(yi)(yi)(yi)療(liao)(liao)(liao)保(bao)(bao)(bao)(bao)障(zhang)經(jing)(jing)(jing)辦(ban)(ban)(ban)(ban)(ban)(ban)服(fu)(fu)(fu)(fu)務(wu)(wu)(wu)(wu)(wu)(wu)(wu)的“六統一”，全(quan)省(sheng)(sheng)參(can)保(bao)(bao)(bao)(bao)群(qun)眾在全(quan)省(sheng)(sheng)任何(he)地方辦(ban)(ban)(ban)(ban)(ban)(ban)理(li)(li)(li)醫(yi)(yi)(yi)(yi)(yi)(yi)保(bao)(bao)(bao)(bao)業(ye)務(wu)(wu)(wu)(wu)(wu)(wu)(wu)將享受到同(tong)質化(hua)的服(fu)(fu)(fu)(fu)務(wu)(wu)(wu)(wu)(wu)(wu)(wu)。對經(jing)(jing)(jing)辦(ban)(ban)(ban)(ban)(ban)(ban)服(fu)(fu)(fu)(fu)務(wu)(wu)(wu)(wu)(wu)(wu)(wu)流程進行(xing)了再造(zao)，就(jiu)職(zhi)工和(he)居(ju)民(min)醫(yi)(yi)(yi)(yi)(yi)(yi)保(bao)(bao)(bao)(bao)相關(guan)的參(can)保(bao)(bao)(bao)(bao)登(deng)記、醫(yi)(yi)(yi)(yi)(yi)(yi)療(liao)(liao)(liao)保(bao)(bao)(bao)(bao)險關(guan)系轉移接續、參(can)保(bao)(bao)(bao)(bao)繳(jiao)費信息查詢、參(can)保(bao)(bao)(bao)(bao)地就(jiu)醫(yi)(yi)(yi)(yi)(yi)(yi)、異地就(jiu)醫(yi)(yi)(yi)(yi)(yi)(yi)、生育(yu)保(bao)(bao)(bao)(bao)險等(deng)服(fu)(fu)(fu)(fu)務(wu)(wu)(wu)(wu)(wu)(wu)(wu)要求進行(xing)了細化(hua)，推動了經(jing)(jing)(jing)辦(ban)(ban)(ban)(ban)(ban)(ban)服(fu)(fu)(fu)(fu)務(wu)(wu)(wu)(wu)(wu)(wu)(wu)的優化(hua)和(he)升級，全(quan)省(sheng)(sheng)醫(yi)(yi)(yi)(yi)(yi)(yi)保(bao)(bao)(bao)(bao)經(jing)(jing)(jing)辦(ban)(ban)(ban)(ban)(ban)(ban)事(shi)項(xiang)的辦(ban)(ban)(ban)(ban)(ban)(ban)事(shi)時限(xian)整體(ti)(ti)壓縮45.5%，辦(ban)(ban)(ban)(ban)(ban)(ban)事(shi)環節(jie)整體(ti)(ti)精(jing)簡16.4%，申辦(ban)(ban)(ban)(ban)(ban)(ban)材料(liao)整體(ti)(ti)縮減32.3%。對參(can)保(bao)(bao)(bao)(bao)人(ren)員(yuan)(yuan)、參(can)保(bao)(bao)(bao)(bao)單位、醫(yi)(yi)(yi)(yi)(yi)(yi)保(bao)(bao)(bao)(bao)經(jing)(jing)(jing)辦(ban)(ban)(ban)(ban)(ban)(ban)機構(gou)(gou)、醫(yi)(yi)(yi)(yi)(yi)(yi)療(liao)(liao)(liao)機構(gou)(gou)等(deng)不(bu)(bu)同(tong)主體(ti)(ti)在服(fu)(fu)(fu)(fu)務(wu)(wu)(wu)(wu)(wu)(wu)(wu)事(shi)項(xiang)辦(ban)(ban)(ban)(ban)(ban)(ban)理(li)(li)(li)過程中所(suo)擔(dan)任的角(jiao)色(se)進行(xing)了明確，有利于不(bu)(bu)同(tong)的參(can)與主體(ti)(ti)全(quan)面(mian)理(li)(li)(li)解醫(yi)(yi)(yi)(yi)(yi)(yi)療(liao)(liao)(liao)保(bao)(bao)(bao)(bao)障(zhang)服(fu)(fu)(fu)(fu)務(wu)(wu)(wu)(wu)(wu)(wu)(wu)，方便參(can)保(bao)(bao)(bao)(bao)人(ren)員(yuan)(yuan)更好的享受醫(yi)(yi)(yi)(yi)(yi)(yi)療(liao)(liao)(liao)保(bao)(bao)(bao)(bao)障(zhang)待遇。