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                      • 小兒推拿網(小兒按摩網)
                      • 育兒教育與服務,小兒推拿第一品牌
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                      國家中醫藥管理局對2015年人大代表關于小兒推拿建議案的答復


                      國家中醫藥管理局     2015年11月2日

                       

                      小兒推拿網LOGO

                      育兒教育與服務   小兒推拿領導品牌

                      文章出處:http://www.satcm.gov.cn/e/action/ShowInfo.php?classid=261&id=21847)

                      國家中醫藥管理局對2015年人大代表《關于將小兒推拿醫術列入技能培訓,保障嬰幼兒健康,促進創業就業》建議案的答復

                      《對十二屆全國人大三次會議第5704號建議的答復》

                      您提出的關于將小兒推拿醫術列入技能培訓,保障嬰幼兒健康,促進創業就業的建議收悉,現答復如下:

                      小兒推拿具有安全、方便、依從性好等優勢,對兒科常見病、多發病具有確切療效。發展小兒推拿,對于減少抗生素濫用、保障嬰幼兒健康、提高人口質量具有重要意義。此提案是對中醫療效的肯定和進一步發揮中醫優勢的呼吁,我們完全贊同。

                      一、我局已開展的主要工作

                      我局一直以來高度重視小兒推拿工作,通過重點專科、技術整理、基本公共衛生服務均等化等工作,努力提高小兒推拿水平,擴大小兒推拿應用范圍。

                      一)在國家中醫重點專科建設中,我局確定了38個兒科中醫重點專科建設項目。在我局組織制定的兒科中醫臨床診療方案中,20個兒科診療方案均有小兒推拿技術的應用。

                      二)在我局組織制定并印發的《中醫醫療技術手冊(2013普及版)》中對小兒推拿技術進行了專門的整理,推進了小兒推拿技術的推廣和應用。

                      三)在基本公共衛生服務均等化工作中,經積極協調,我局將0—3歲小兒推拿調養納入了基本公共衛生服務,目前覆蓋率已達30%

                      四)近年來,在我局開展的基層中醫藥適宜技術服務能力建設、人才隊伍建設、農村醫療機構中醫特色優勢重點專科建設、中醫藥預防保健及康復與臨床服務能力建設等項目建設中,都包含了小兒推拿的內容。

                      二、其它部委對有關建議的意見

                      一)關于將小兒推拿醫術列入就業技能計劃

                      財政部表示,為促進就業困難的勞動者實現就業,政府實施積極的就業政策,通過職業培訓補貼、職業技能鑒定補貼等政策,鼓勵勞動者參加技能培訓,提升勞動技能實現就業。如果符合就業困難條件的勞動者參加包括小兒推拿醫術在內的職業培訓,可按規定享受政府給予的職業培訓補貼。

                      人力資源和社會保障部表示,黨中央、國務院高度重視職業培訓工作。2010年國務院印發《關于加強職業培訓促進就業的意見》明確規定,各地根據當地產業發展規劃、就業狀況以及企業用人需要,合理確定并向社會公布政府補貼培訓的職業(工種)。幾年來,各地人社部門根據培訓需求和就業狀況動態調整本地職業培訓目錄范圍,服務區域經濟和社會發展。下一步,人力資源和社會保障部將指導各地人力資源社會保障部門結合地方實際,根據社會發展需要適當擴大政府補貼職業培訓目錄范圍,促進小兒推拿醫術納入政府補貼職業培訓范圍。

                      二)關于財政專項支持實施小兒推拿計劃

                      財政部表示,按照現行政策,臨床診療必需、安全有效、費用適宜的診療項目可納入基本醫療保險報銷范圍。現行診療項目目錄采取排除法,小兒推拿并未排除在外,各統籌地區可根據本地實際將小兒推拿納入報銷范圍。因此,在小兒推拿費用可通過現行醫保制度解決的情況下,不宜再由財政設立專項進行支持。

                      三)關于將小兒推拿醫術列入醫改工作

                      國家衛生計生委表示,深化醫改以來,在健全全民醫保體系、實施基本藥物制度、完善基層醫療衛生服務體系、實行基本公共衛生服務均等化、推進公立醫院改革等重點工作任務中,注重充分發揮中醫藥的特色優勢,制訂了相應的支持政策措施。如在《關于在縣級公立醫院綜合改革試點工作中充分發揮中醫藥特色優勢的通知》中,提出支持開展縣級醫院中醫重點(特色)專科建設,提高中醫醫療技術水平,推廣應用推拿、針灸、正骨等中醫醫療技術。2015年國務院辦公廳印發的《關于全面推開縣級公立醫院綜合改革的實施意見》提出,省級衛生計生行政部門和中醫藥管理部門要篩選包括中醫中藥技術在內的一批適宜醫療技術在縣級公立醫院推廣應用。

                      下一步,國家衛生計生委將根據醫改工作安排,以人民群眾的實際需求為立足點和出發點,積極配合相關部門做好有關工作,繼續發揮包括小兒推拿醫術在內的中醫藥特色技術在深化醫改中的重要作用,努力為群眾提供安全、有效、方便、價廉的醫療衛生服務。

                      四)關于設立小兒推拿專業進行大中專學歷教育

                      因臨床醫學類專業屬于國家控制布點專業,開設此類專業須經教育部批準。目前在教育部公布的高職專業目錄中,暫未列入小兒推拿專業。因此,對設立小兒推拿專業,進行大中專學歷教育,還需進一步組織專家研究論證。

                      三、我局下一步工作計劃

                      一)2015年,我局將在全國鄉鎮衛生院和社區衛生服務中心開展基層醫療衛生機構中醫診療區(中醫館)服務能力建設,中央財政按每個項目單位20萬元標準給予補助,通過提高中醫藥適宜技術水平、配備設備等提高基層中醫館服務能力。其中,小兒推拿技術也在引進、提高的技術范圍內。

                      二)在基本公共衛生服務中繼續推動0—3歲小兒推拿調養納入工作,逐步提高覆蓋率。

                      三)目前中醫藥繼續教育項目中已有中醫小兒推拿教育培訓內容,下一步將根據需要,開展與小兒推拿有關的繼續教育項目。

                      四)我局將積極利用深化醫改領導小組等平臺,積極協調有關部門,促進小兒推拿推廣,扶持小兒推拿事業發展,保障嬰幼兒健康。

                      國家中醫藥管理局

                      201587

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