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索 引 号: 000345-02-2011-105937

发布日期: 2011-11-16

发布机构: 深圳市医疗保障局

文 号: 深劳社规〔2008〕25号

名 称: 深圳市社会医疗保险大型医疗设备检查和治疗项目管理办法

深圳市社会医疗保险大型医疗设备检查和治疗项目管理办法

发布日期: 2011-11-16 12:35 来源:秒速时时彩官网_秒速时时彩注册_【官网推荐】

深圳市社会医疗保险大型医疗设备检查和治疗项目管理办法

  (2008nian8yue13ri  shenlaoshegui〔2008〕25hao)

  diyitiao weiguifanmiaosushishicaiguanwangshishehuiyiliaobaoxiandaxingyiliaoshebeijianchahezhiliaoxiangmudeguanli,weihucanbaorenquanyi,genju《shenzhenshishehuiyiliaobaoxianbanfa》dexiangguanguiding,zhidingbenbanfa。

  diertiao benbanfasuochengdaxingyiliaoshebeijianchahezhiliaoxiangmubaokuo:

  (yi)xinzangcaichao(ucg);

  (er)huodongpingbanxindiantu(ecg-ett);

  (san)dongtaixindiantu(holter);

  (si)x-shexianjisuanjiduancengchengxiang(ct);

  (wu)danguangzifashejisuanjiduancengxianxiang(spect);

  (liu)hecigongzhenchengxiang(mri);

  (qi)luneiduopulexueliutu(tcd);

  (ba)tiwaizhenbosuishizhiliaoshen、danjieshi(eswl);

  (jiu)gaoyayangcangzhiliao(hbo);

  (shi)shuzijianyingxueguanzaoying(dsa)jierujianchazhiliao(jinshiyongyuxin、naoxueguanjibingdejianchazhiliaoheexingzhongliudejieruzhiliaoyijijixingneizangdachuxuedejizhenqiangjiu);

  (shiyi)jiamashexian(γshexian)litidingxiangzhiliao(gamma knife);

  (shier)fuheguojiaguidingdeqitadaxingyiliaoshebeijianchahezhiliaoxiangmu。

  disantiao shishehuibaoxianjigougenjudingdianyiliaojigoudejibie、gongzuoliang、miaosushishicaiguanwangzhiliang、xinyuchengdudeng,jiangdaxingyiliaoshebeijianchahezhiliaoxiangmuderichangshenheyewuquanbuhuobufenshouquandingdianyiliaojigou,bingyudingdianyiliaojigouqianding《shenzhenshishehuibaoxianjijinguanlijuweituodingdianyiliaojigoushenhemenzhendaxingyiliaoshebeijianchahezhiliaoxiangmuxieyishu》,mingqueshuangfangdequanliheyiwu,yijifeiyongdejiesuanfangshihechangfubiaozhun。

  dingdianyiliaojigoujubeidaxingyiliaoshebeihezhiliaoxiangmudanweihuodeshishehuibaoxianjigoushouquande,canbaorenxuzuodaxingyiliaoshebeijianchahezhiliaode,kexiangshishehuibaoxianjigoushenqing,jingshishehuibaoxianjigoushenhetongyihou,jirushishehuibaoxianjigouchangfufanwei。

  disitiao menzhenzhenliaoyingzunxunxianzuoyibanjianchazhiliao,houzuodaxingyiliaoshebeijianchazhiliaodeyuanze,baozhengdaxingyiliaoshebeijianchajieguodadaoguojiaguidingdeyangxinglvbiaozhun。

  duiquexuzuodaxingyiliaoshebeijianchahezhiliaodehuanzhe,xuyoudingdianyiliaojigouzhuankeyishenghuojizhenkeyishengshenqingbingtianxie《shenzhenshishehuiyiliaobaoxianmenzhendaxingyiliaoshebeijianchahezhiliaoxiangmushenhe、baogaoshenqingdan》(yixiajianchengshenqingdan)。youfeizhuankeyishenghuofeijizhenkeyisheng(ruyijikeshihejianyimenzhenyishengdeng)tianxiedeshenqingdan,qifeiyongshishehuibaoxianjigoubuyuchangfu。

  diwutiao menzhenzuodaxingyiliaoshebeijianchahezhiliaode,xianyouzhuankeyishenghuojizhenkeyishengtianxieshenqingdan,jingkezhurenqianzi,dingdianyiliaojigouyibaoban(yiwuke)shenhehoufangkejinxingjianchahezhiliao。jizhenqiangjiubingrenkexianzuojiancha,danxuzai5gegongzuorineibubanshenheshouxu。shenqingdanyingan《shenzhenshishehuiyiliaobaoxianfeiyongjiesuanbanfa》dechengxumeiyueshangxunbaoshishehuibaoxianjigou。

  diliutiao zongheyiliaobaoxiancanbaorenjingdingdianyiliaojigouhezhunzaimenzhenzuodaxingyiliaoshebeijianchahezhiliaodefeiyong,youdingdianyiliaojigouan80%lieruyiliaobaoxianjizhangfanwei(zuocthehecigongzhenpingsao+zengqiangsaomiaoshi,zhinengyicixingshouqujianchafei、zaoyingjiyaopinfeiyonghehezhundecailiaofeiyong)。

  weianbenbanfadiwutiaoguidinghezhundedaxingyiliaoshebeijianchahezhiliaoxiangmudefeiyongyiliaobaoxianjijinbuyuchangfu。

  diqitiao meiyoudaxingyiliaoshebeijianchahezhiliaoxiangmudedingdianyiliaojigou,qizhuyuanbingrenquexuzuodaxingyiliaoshebeijianchahezhiliaoxiangmude,keyouzhuankeyishengkaijudaxingyiliaoshebeijianchahezhiliaoxiangmushenqingdan,jingshishehuibaoxianjigouhezhunhou,zaidaopeiyoudaxingyiliaoshebeijianchahezhiliaoxiangmudedingdianyiliaojigouzhenzhi。

  gerenxianjinzhifudefeiyong,pingdaxingyiliaoshebeijianchahezhiliaoxiangmushenheshenqingdan、yuanshishoufeishouju、benrenshehuibaozhangka,daoshishehuibaoxianjigouhezhunbaoxiao,feiyongtanrushenqingyiliaojigoudezhuyuanpingjunfeiyong。

  dibatiao canbaorenzaizhuyuanqijianxuzuodaxingyiliaoshebeijianchahezhiliaode,youdingdianyiliaojigougenjubingqingquedingshiyong,qifeiyongyoudingdianyiliaojigouantuixiurenyuan95%、qitarenyuan90%lieruyiliaobaoxianjizhangfanwei。

  dijiutiao canbaorenzuodaxingyiliaoshebeijianchahezhiliaoxiangmushi,yinjizhen、diannaoguzhanghuoshehuibaozhangkashicidengyuanyin,bunengjizhangde,youhuanzhexianxingzifuxianjin,ranhoupingxiangguanziliaodaoshehuibaoxianjigoushenqingbaoxiao。

  dishitiao dingdianyiliaojigouyouxialieqingxingzhiyide,shishehuibaoxianjigouchulejufuxiangguanfeiyongwai,shiqingjieqingzhong,jiyutongbaopiping、zantinghuoquxiaoqishehuiyiliaobaoxiandaxingyiliaoshebeijianchahezhiliaoxiangmudeshenhe、jizhangzige:

  (yi)buanzhaoshoufeibiaozhunshoufeihuozhongfushoufeide;

  (er)buyangebaguanzaochengmaomingdingtizuodaxingyiliaoshebeijianchahezhiliaode;

  (san)yi“chaoxieyiguidingdechangfubiaozhun”weiyoujujuejiyinggaizuodaxingyiliaoshebeijianchahezhiliaodecanbaorenkaishenqingdande;

  (si)lanzuojiancha,yangxinglvdabudaoguidingbiaozhunde;

  (wu)rangzhuyuanbingrendaomenzhenzuodaxingyiliaoshebeijianchahezhiliaode;

  (liu)qitaweifanyouguanguidingdexingwei。

  dishiyitiao daxingyiliaoshebeijianchahezhiliaoxiangmudejiesuanan《shenzhenshishehuiyiliaobaoxianfeiyongjiesuanbanfa》zhixing。

  dishiertiao benbanfazi2008nian8yue15riqishixing。《shenzhenshichengzhenzhigongjibenyiliaobaoxiandaxingyiliaoshebeijianchazhiliaoxiangmuguanlibanfa》(shenshebaofa〔2003〕78hao)zibenbanfashishizhiriqifeizhi。  

 



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