Friday, October 26, 2012

Fujian: " military lunatic " Treat by force The annual medical fee of each person is 5000 yuan

Fujian: " military lunatic " Treat by force The annual medical fee of each person is 5000 yuan
Fujian: " military lunatic " Treat by force The annual medical fee of each person is 5000 yuan
Hospital treatment expenses, 5000 yuan for each person every year, " medical insurance + succour " Settlement The mental patient returns to the community to manage, the guardian does not carry out the responsibility, investigate and affix legal liability Pay close attention to the reason: There are the annual all parts " The military lunatic " Incident of hurting one's feeling. The mental patient does not treat and cure it in time, it is not tight to guard, will bring the unpredictable danger to society, family. A few days ago, Fujian Government office transmits department " notices on the heavy mental patient treated the management opinion by force to strengthen and cause trouble and cause troubling " such as the department of public health of the province,etc. (hereafter referred to as " notice ") ,Check and give by force that examines, standardizes the community and manages, improves security mechanism of the funds,etc. respect and puts forward the action from arranging, the ones that made to heavy mental patient were treated by force, had had operability methods. What patients will send off by force examining? The notice is clear, the governments at all levels should organize departments such as public security men, hygiene, civil administration, Association for the Handicapped,etc., grasp three kinds of in weight mental patients of causing trouble, stirs up trouble and is prone to potential violence slightly etc.'s situation of causing trouble in the area under one's jurisdiction especially. All villages and towns, streets should organize public security men, civil administration and community (the village occupy) Supervise and implement guardians and send the local insane asylum to diagnose the patient that treat. The mental patient mainly means offending against the criminal law and should investigate criminal liability or should give the administrative punishment of detention to manage punishment law etc. to violate the public security to cause trouble and cause trouble, but is not confirm as and does not have responsibility ability or heavy mental patient of the restriction responsibility ability by the judicial expertise of psychosis; The mental patient mainly means that there are behaviors of upsetting orders, threatening to commit offenses etc. to stir up trouble slightly, not still enough for the heavy mental patient of the administrative punishment of detention; Causing trouble and behavior of stiring up trouble slightly that the mental patient prone to potential violence has mainly meant not causing trouble, heavy mental patient that but the potential violence exists and is inclined to. Fujian Province will regard villages and towns, street as the unit, will collect offering, consult the materials, enter the family to visit etc. through the hospital, do the work of arranging checking well. The regional public security department should chase people and register and compile a register in arranging the heavy mental patient that find, and input information systems of public security men in time. " notice " proposes, the incident of causing trouble and causing trouble to the current mental patient, the insane asylum that the patient sent to nearby by force will diagnose that the public security department should cause trouble and cause trouble in time; Civil administration, such departments as public security men and city management enforce the law find the mental patient roaming about to beg, threaten the security of others' life or influence order and social image seriously in carrying out the public affair, have responsibility to send the local affiliated insane asylum of civil affairs department to diagnose it that treat and succour by force by force, without insane asylum of civil affairs department, are diagnosed that treats by force by the local affiliated insane asylum of Ministry of Health. Each accepting the hospital for medical treatment will accept the patient treated by force in need that medical science confirms for medical treatment in time and is admitted to hospital, and treat, until according with the standard of leaving hospital. To having no hospital where reasonable ground rejected the patient, are checks and verifies and deals with by its responsible institution of higher level. How to solve medical fee, living cost? The reporter knows, at present, three kinds of hospitals accept the mental patient for medical treatment in Fujian Province. First, the insane asylum of the hygiene system, second, the psychosis sanatorium of the civil administration system, and Ankang Hospital of the public security department. Ministry of Health affiliated insane asylum charge, cure the disease people, treat the expenses during in hospital: Manage the single number expense limit, the standard is 5000 yuan for each person every year. Among them, have already participated in the basic medical insurance (including urban worker's basic medical insurance, basic medical insurance, new rural cooperative medical service of urban residents) Patient,last 5000 yuans first; The mental patient participating in basic medical insurance, the hospitalization cost is propped up from the medical relief fund rank center, settled with Ministry of Health regularly by the civil affairs department. The affiliated insane asylum of the civil affairs department, public security department affiliated Ankang Hospital accept for medical treatment, supply the channel to ensure according to current funds, the subsidy standard that all parts can consult the affiliated insane asylum of Ministry of Health is solved. Have already included in the mental patient of low insurance originally, is subsidized and paid to accept the hospital for medical treatment regularly from the low insurance in urban and rural areas which the high-ranking military officer of its guardian fetches, " there is not three " (mean, have source of income, have labour capacity, can't raise citizen of obligator definitely by whom civil affairs department adopt) The living expenses when being in hospital of the mental patient are responsible for appropriating according to the low insurance standard by the civil affairs department at the same level; The mental patient outside the low insurance range, is paid to accept the hospital for medical treatment regularly by the guardian, " roam about " The living expenses when being in hospital of the mental patient are solved by finance at the same level according to the local low insurance standard. Leave hospital who come on, receive patient? It accords with and leaves hospital the standard patient to finish treating by force, is responsible for sending and returning to patient's residence community accepting the hospital for medical treatment. For having clear guardian's, give to guardians; To that " three does not have " The patient is taken charge of by civil affairs department of patient's findspot and contacted and coordinated and met and sent off and returned to township and follow-up to succour the management. Community, village (occupy) The committee will strengthen daily monitoring and management of the heavy mental patient. Every basic unit medical health organ should follow up a case by regular visits to and manage the family. The guardian should fulfil and guard responsibility conscientiously, observe patient's condition change closely, finding abnormality should report to public security department, Ministry of Health in time, and send the local insane asylum to go to a doctor the patient voluntarily. Cause trouble in causing trouble because the guardian defaults responsibility, receives patients, not sends off and cures and goes to a doctor, should investigate the guardian's legal liability. Use medicine leave hospital, who come on, bear? Obeying the expenses for medicine to use after leaving hospital of mental patient participating in basic medical insurance, submitted an expense account by basic Medical Benefits Funds according to relevant regulations, the poor mental patient not effecting an insurance yet at present is implemented and insured by local civil affairs department after leaving hospital. " settle down the plan at one yuan " (one yuan medical fee is subsidized every day) Expand the whole province to, use for, solve getting serious the intersection of mental patient and obeying expenses for medicine, spending basically leave hospital, (according to every year 700 standard) of poverty Bearing the part personally after deducting the medical insurance and submitting an expense account, necessary funds are born by regional finance, the provincial finance gives and subsidizes the difficult county appropriately. [Each side observe ] 5000 of each person per year, is enough According to the stipulations of file, treat medical fee, 5000 yuan for each person every year by force. Is 5000 yuan enough? How is this standard examined and calculate? Fuzhou the intersection of nerve and psychosis prevent and cure the intersection of institute and relevant director, say, calculate with the expenses treating the mental patient at present come, generally a course of treatment needs 5000 yuan in 3 months. So 5000 yuan per year is generally only enough for the therapeutic expenses of a patient and a course of treatment. If the patient had illness coming on two or three times in one year, 5000 yuan awkwarded. Participate in discussing the spiritual medical and health experts of this " notice " think, the government buries and solves some medical fee of mental patient only in Fujian Province, them " The body is fitted to some extent " . And with Fujian Province medical insurance raise funds improvement of competence, therapeutic expenses of mental patient secure in the future. " there is not three " Does not the patient have places to delayed in medicine? Shake and support cigarettes? Prevent and cure the relevant persons in charge of the institute and say, " there is not three " in nerve psychosis in Fuzhou Mental patient, 80% of medical fee are buried by the government finance of the city singly, 20% are buried by the hospital singly, and the living cost is totally undertaken by the hospital. These patients are after treatment, there is not place that go, can only be held up in the hospital, bring to hospital and bear greatly. The old patient does not leave, the new patient has no berth to receive. How to avoid " Psychosis" The 28 -year-old girl in Xiapu is abnormal after failing in love, taken to the local insane asylum and check by family. The school " treat first and then diagnoses " ,Has not made a definite diagnosis of yet, compulsive means of hitting with the electricity etc. is treated, let her stand " life of abnormal people " of more than one month (see for February 3 this year of this newspaper " the injured daughter indicts the insane asylum of Xiapu ") . Treat the mental patient by force in Fujian Province, and guardian, civil administration, public security men, city have responsibility to send the hospital to treat the mental patient by force to manage. Will present the slight patient " psychosis " in the future ? Prevent and cure the relevant persons in charge of the institute and say, the file is implemented, need to issue the specification in nerve psychosis in Fuzhou. How to assess the patient's danger, what kind of patient needs to treat by force, what kind of patient may accept for medical treatment, how the public security department hands over the patient to the hospital, can leave hospital to some intensity in treatment, all these need further discussing, thinning.


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