" examine the fee high the low medicine price " Can the patient of one rise and one drop get material benefit?

" examine the fee high, the low medicine price " Can the patient of one rise and one drop get material benefit?
"Raise the technological service price of medical treatment appropriately, reduce medicines, medical consumptive material and heavy-duty equipment and check the therapeutic price. " A few days ago, what reaffirmed the country confirmed " examined the fee high in the package policy of new medical reform which Jinan issued, the low medicine price " Medical reform direction. Then, " to examine the fee high, the low medicine price " The implementation of the policy could really let the patient receive material benefit, could the value that the doctor makes a diagnosis and serves be really reflected?
The patient queries:
According to what to examine the fee to rise?
"It is very expensive to see the doctor, why raise and examine the fee? " Hear " high to examine the fee, low medicine price " Medical reform at the time of direction,register window the first one patients whose surname is Huangs to escape one's lips one institute.
"The primary impression of ordinary people often stays in the improvement which examines the fee. " A municipal a Liu XiaoYun, physician of institute, in Jinan says to reporters. "Ordinary people saw the doctor to form a habit, just preferred to spend more money on the expenses for medicine, also unwilling to raise, register, make a diagnosis fee, because medicine is one's own, make a diagnosis the fee can not touch. " Liu XiaoYun has deep feeling.
"Foreign the intersection of doctor and income come from, make a diagnosis fee mainly, for example fee according to whom organ charge in make a diagnosis by France, having handed in the money which checks the left lung, the doctor checks the left lung for you, if you want to check the heart or hear incidentally the heart should charge the money extra. " Jinan municipal one Liu XiaoYun doctor of institute say, " have, exaggerate the composition while being sure, but this reflects the value that the doctor makes a diagnosis is not paid attention to while going abroad. "
The current situation of charging:
Low to examine fee to be difficult to reflect doctor's value
The reporter has investigated many hospitals of Jinan, finds the doctor's registered letter and makes a diagnosis fee and operation fee are really very low.
Jinan at city level registered letter of hospital make a diagnosis fee ordinary the intersection of clinic and 3 generally, Specialist Clinic is 6 yuan, emergency call costs 6 yuan. And larger the intersection of the first, second and third and registered letter of hospital make a diagnosis the fee is generally chief professor's symbol of 9 yuan, associate professor's number costs 7 yuan, ordinary number is 3 yuan.
Compare with a large number of cost training the doctor to pay, such expenses can not obviously reflect the doctor's technological value. In the clinic of cardiovascular dept.(internal medicine) of hospital of Shandong, a doctor says, " 10 yuan of simple haircut is not enough now, some also want dozens of yuan, is the doctor's technological value not as good as a hairdresser? "
Likewise, the surgeon's operation expenses are important respects which reflects their labour value too.
A lot of patients are anxious, each reform original intention is very good, the more important thing is how to implement. Don't examine the fee to carry, the medicine price can not be lowered, the expensive problem of ugly disease of seeing the doctor can not be solved.
A doctor and reporter of heart surgical department of the institute have calculated an account: "The patient makes a coronary artery radiography operation to need to cost about 6000 yuan, and belong to only more than 50 yuan for each person of the doctor's service expenses among them; Make, plant skill into by one the intersection of coronary artery and support, patient need, pay 50000, and operation only more than 100 yuan in each expenses in operation of doctor. "
Reform the purpose:
Not justed think by the doctor " Write a prescription tool "
A few days ago, 60% that the media produced doctor's income came from and checked fee and expenses for medicine to deduct a percentage. Why doctor fond of let patient make, check then, turn on your medicine?
"A lot of doctors and medical representatives of the hospital are in very close relations, can all represent there to get and deduct a percentage from medicine, this is particularly obvious in the oncology department. " The doctor of hospital of a large-scale the first, second and third of Jinan says to reporters. "A lot of old doctors can not bear this, find medicine by using of some doctors when making the rounds of the wards, and this medicine is very expensive, changed, but found and used the next day. "
The doctor's bonus income and patient's cost hook in the hospital are not the secret. "If your patient spends more in the hospital, this will reflect on the doctor's bonus accordingly. "
" examine the fee high, the low medicine price " Regarded as the reform of reverse thinking, reflecting the value that the doctor serve, the trend of expensive medicine of prescribing the doctor is turned back.
It takes more than ten years at least, spend so great time and energy training the doctor to train a qualified doctor, can only become and write a prescription tools finally, it is very difficult for the doctor to find one's own dignity. " An old doctor of Qianfo Mount hospital of province says bitterly.
And the patient has proposed one's own worry. "Each reform original intention is very good, the more important thing is how to implement. Don't examine the fee to carry, the medicine price can not be lowered, the expensive problem of ugly disease of seeing the doctor can not be solved. " Mr. Huang says.
The news chains gt; gt; Examining the fee should raise the medicine price to reduce
Jinan will advance medicine to separate, will raise the technological service price of medical treatment appropriately, reduce medicines, medical consumptive material and heavy-duty equipment and check the therapeutic price. 10% that the public hospital offered service of specially needs the proportion of the service and does not exceed all medical treatmenting. Encourage exploring that set up the mechanism participated in consulting by the relevant side of the interests in pricing of medical care.
Cancel the medicines addition of the public hospital progressively, can't accept the medicines discount, therefore the reduced income or loss formed is solved through the route of setting up the medicine thing service charge, adjusting some technological expenses standards of services, increasing the government to put one's back into etc.. The medicine thing service charge includes in the range of ensuring submitting an expense account of basic medical treatment.
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