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The author:(作者)qqpublished in(发表于) 2013/11/26 9:01:17 Health Planning Committee
Reporter (reporter Liu Yang) National Planning Commission recently released the diagnosis and treatment of acute and severe injuries that required emergency treatment standards and norms requiring prehospital emergency personnel need to receive timely, effective for patients with acute and severe injuries consistent with standard first aid may not be granted for patients due to unknown reasons and the inability to pay medical expenses denied or delayed treatment.
Pre-hospital medical emergency, the spec says, for a variety of timely treatment may exacerbate the disease without even a life-threatening illness, its symptoms, signs, diseases meeting the criteria of acute and severe injuries and acute and severe injuries, pre-hospital care personnel must be timely, effective on the first aid of patients with acute and severe injuries, shall not for any reason to refuse or delay treatment. Including shock, breathing difficulties, hematemesis, a number of accident and emergency departments as well as cardiac arrest, respiratory failure, severe diseases such as burns, electrical shock. Emergency procedures including to the dispatching Center orders dispatched within 2 minutes after the ambulance transport to hospital.
Emergency management, specification says that emergency treatment mainly for patients with acute critical illness, namely endangered and critically ill patients. Including no breathing and no pulse of patients, patients with acute consciousness disorders, or may lead to severe disability, should arrange reception as soon as possible, and give patients the appropriate disposal and treatment.
According to national planning Commission's official interpretation of norm of diagnosis and treatment for a variety of acute and severe injuries of the most basic and most necessary treatments, rather than first-aid technique, precision, nor does it consider further treatment after vital signs are stable. As a technical document, guiding various medical institutions at all levels in patients with acute and severe injuries of standardization diagnosis and treatment work.
Health Planning Committee presentations, in recent years, with the expansion of basic health-care coverage and benefit levels increase, public medical treatment is a basic protection, but there is still a very small number of patients requiring emergency treatment for unknown reasons and the inability to pay medical expenses, lack of access to timely and effective treatment, resulting in negative consequences. Therefore, establishing disease emergency relief system, troubleshoot that part of the patient's emergency and security issues, are important elements of perfecting the multi-level medical security system to address the practical difficulties the objective requirements of the public.
(Original title: patients unable to pay the emergency cannot be rejected)
本报讯（记者 刘洋）国家卫计委近日发布《需要紧急救治的急危重伤病标准及诊疗规范》，要求院前急救人员必须及时、有效地对符合标准的急危重伤病患者实施急救，不得因患者因身份不明、无能力支付医疗费用等理由拒绝或拖延救治。
在院前医疗急救中，规范中指出，针对各种若不及时救治病情可能加重甚至危及生命的疾病，其症状、体征、疾病符合急危重伤病标准的急危重伤病，院前急救人员必须及时、有效地对上述急危重伤病患者实施急救，不得以任何理由拒绝或拖延救治。其中包括休克、呼吸困难、呕血等多项急症以及心脏骤停、呼吸衰竭、烧烫伤、电击伤等危重症疾病。急救流程包括接到指挥调度中心指令后2分钟内派出救护车转运至相关医院等。
在急诊救治中，规范指出，急诊救治范围主要针对急症患者中的危重症，即濒危和危重病人。包括无呼吸无脉搏病人，急性意识障碍病人，或可能导致严重致残者，应尽快安排接诊，并给予病人相应处置及治疗。
据国家卫计委官方解读，诊疗规范只是针对各种急危重伤病的最基础和最必须的治疗手段，而不追求急救技术的高精尖，也不考虑生命体征平稳后的下一步治疗。作为技术性文件，指导各级各类医疗机构开展急危重伤病患者的规范化诊疗工作。
卫计委介绍，近年来，随着基本医保覆盖面的扩大和保障水平的提升，公众看病就医得到了基本保障，但仍有极少数需要急救的患者因身份不明、无能力支付医疗费用等原因，得不到及时有效的治疗，造成了不良后果。因此，建立疾病应急救助制度，解决这部分患者的急救保障问题，是健全多层次医疗保障体系的重要内容，也是解决公众实际困难的客观要求。
（原标题：患者无支付能力 急诊不能拒收）
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