Novel coronavirus pneumonia is the last year of the year of the war of poverty reduction, which has brought new challenges to the battle against poverty. In the process of building a well-off society in an all-round way, poverty due to illness and returning to poverty due to illness are "stumbling blocks" and "roadblocks" for some poor and low-income groups to get rid of poverty and become rich. General secretary Xi Jinping said in a speech shortly before the decisive battle to tackle the poverty alleviation forum, "take effective measures to minimize the impact of the epidemic" and "co-ordinate the prevention and control of the epidemic and tackle poverty". In view of the difficulties and challenges in the fight against poverty, we need to focus on the tasks of healthy poverty alleviation in the overall promotion of epidemic prevention and control and poverty alleviation, and explore the establishment of a long-term mechanism for healthy poverty alleviation. Specifically, we can focus on the key links in speeding up the implementation of the health poverty alleviation policy, making up the short board of medical services in poor areas, improving the level of medical security, establishing the monitoring and early warning system for poverty caused by illness, and giving full play to the advantages of traditional Chinese Medicine.

       We will speed up efforts to improve and implement the policy of poverty alleviation through health care. Since the 18th National Congress of the Communist Party of China, the CPC Central Committee has taken poverty alleviation through health as an important part of targeted poverty alleviation and put forward clear requirements. Relevant departments have successively issued the guiding opinions on the implementation of the health poverty alleviation project, the "three in one batch" action plan of the health poverty alleviation project, and the three-year action plan for health promotion in poverty-stricken areas. In poverty-stricken areas, we should focus on the poor population's "affordable, good, and few diseases", strengthen the implementation of responsibilities, improve the basic medical and health service capacity, do a good job in policy matching, and ensure the implementation of Health Poverty Alleviation Policies. At the same time, to ensure the stability of the poor people out of poverty, we should further improve the unified and standardized medical assistance system, make forward-looking policy arrangements, and appropriately expand the coverage of the health poverty alleviation policy. For example, we should include the relatively poor groups in the relief system. The relatively poor group is one of the low-income groups. When they suffer from major disease risk, they often fall into poverty because of the high medical expenses paid by themselves. Therefore, it is suggested that the recognition standard, treatment payment and withdrawal mechanism of the relatively poor families should be made clear as soon as possible, and the dynamic management should be carried out for them, so as not to waste resources while carrying out relief. In addition, the strategy of health poverty alleviation and Rural Revitalization can be organically linked, integrated with county-level comprehensive medical reform and health China action, continuous promotion of comprehensive prevention and control of infectious diseases and local diseases, improvement of basic public health services in rural areas, improvement of maternal and child health in poor areas, establishment of prevention and control mechanism of health risk factors, and prevention of poverty caused by diseases and return to poverty caused by diseases from the source.

       Make up for the shortage of medical services in poor areas. In order to make up for the shortcomings of medical services in poverty-stricken areas, it is necessary to establish a supporting system for health and poverty alleviation talents and strengthen the standardization construction of rural clinics. First, we need to strengthen personnel training. We will further improve the talent structure and increase the number of medical and health professionals in poor areas. We can give full play to the intellectual advantages of medical universities and scientific research institutes, take continuing education, advanced studies and other ways to change the low educational background, low professional title and low medical technology level of medical and health talents in poor areas, and improve their professional skills; entrust medical colleges and universities to train urgently needed medical and health technical talents in poor areas; innovate the way of employment, through“ In order to alleviate the shortage of talents in rural clinics in poverty-stricken areas, some measures such as "village engagement" were adopted. Second, we should strengthen the standardization construction of rural health rooms. It is found in the survey that some places have not yet built village clinics, which makes it inconvenient for the masses to seek medical treatment; some administrative villages that have already built clinics also have problems such as substandard area and lack of basic medical equipment, which can neither provide basic medical services for the poor nor carry out remote medical services. Therefore, the health poverty alleviation departments at all levels should increase investment, supplement the construction of village clinics and unify the standards of housing construction, diagnosis and treatment system, equipment allocation, personnel allocation, etc., so as to realize the standardization of basic medical services in poverty-stricken areas. Third, we need to open the medical insurance payment system in the village clinics in poor areas. Medical insurance payment is the key mechanism to ensure the masses to obtain high-quality medical services and improve the efficiency of fund use. It is necessary to implement more efficient medical insurance payment to facilitate the medical treatment of the rural poor and increase the accessibility of rural medical resources. At the same time, the relevant departments should explore the establishment of a health insurance supervision model suitable for the actual situation of rural clinics to ensure their healthy operation.

       Further improve the level of medical security. In order to achieve the goal of health poverty alleviation, we must improve the level of medical security, improve the ability of medical services, strengthen public health services and other measures to ensure that the poor people are well managed, ill, treated, reimbursed and rescued. The existing content and function of health poverty alleviation is relatively single, mainly providing medical expenses compensation for poor households, and eliminating the economic root of poverty caused by illness by minimizing the medical expenses of poor households. On this basis, we can also consider expanding the content of medical security services, better providing precise and refined services, and providing comprehensive security services including nursing services, rehabilitation training, etc. for poverty relief objects in poverty-stricken areas.

       Establish the monitoring and early warning system of poverty caused by illness. At present, health care big data has been widely used in clinical research and development, diagnosis and treatment, healthy life and many other aspects, and has become an important means to protect people's all-round, full cycle health. We should further tap the big data resources of health care, integrate the big data of diagnosis and treatment, insurance, rescue, poverty alleviation and income tax of relevant departments, set up corresponding warning lines, develop a disease-related poverty-stricken pre-warning system suitable for the situation of poverty-stricken areas, support the health protection umbrella for the poor, reduce the health vulnerability of residents, so as to eliminate them Eliminate the hidden danger of poverty caused by illness.

       Give full play to the characteristics and advantages of traditional Chinese medicine. In terms of reducing the medical burden of the poor, traditional Chinese medicine has obvious advantages such as simple diagnosis, convenient treatment and drug use, and low treatment cost, which can play a direct role in poverty alleviation. In addition, the poor areas should set up the concept of great health and great health, and change from taking treatment as the center to taking health as the center and strengthening health services. In the aspect of disease prevention, we can intervene the poor people's health by means of physique identification, paste prescription and so on, so as to reduce the occurrence of disease. Moreover, it can also protect the health of the poor people by popularizing the health care knowledge of traditional Chinese medicine, popularizing Taijiquan and other health care activities of traditional Chinese medicine in the countryside, and changing the way of life.

       In short, poverty due to illness and returning to poverty due to illness are one of the main causes of poverty of rural population. To explore and establish a long-term mechanism of healthy poverty alleviation in the overall promotion of epidemic prevention and control and poverty alleviation is an important guarantee for the realization of the sustainable poverty alleviation of the poor people in poor areas. It should be emphasized that, unlike other poverty alleviation mechanisms, health poverty alleviation is a long-term, complex and systematic project. A scientific and reasonable assessment and evaluation system should be established to ensure the final effect of health poverty alleviation.

       Source: Economic Daily