The expenses rise in the first half of 4 and present the decline for the first time in succession in hospital

The expenses rise in the first half of 4 and present the decline for the first time in succession in hospital
The medical expenses control the effect to be apparent at the beginning News from Beijing on December 13 (reporter Bai JianFeng) At the customary news briefing of Ministry of Public Health of today, work and set up reform pilot group's group leader, medicine of Ministry of Public Health of the hospital and is in charge of Zhou Jun, Vice chief of department, to point out in medical reform of Ministry of Public Health, the medical expenses of public hospital are calculated according to the constant price in the whole country second, clinic, and expenses, after continuing going up for every year 4 5%, clinic expense rise 0.3% the first half of this year in hospital, the expenses drop by 0.1%, accuse of the fee work and win initial success in hospital. It is introduced, Ministry of Public Health has mainly taken five following ways to control the medical expenses. First, presume that accuses of the fee goal, implement and accuse of fee responsibility. Way of adopting overall control, index to limit in health authorities, management by objectives, form structure etc. and monitor to the total amount of the public hospital expenses, expenses, and implement and accuse of fee responsibility in view of the above; Sign with hospital and accuse of the responsibility contract of working of the fee, implement and accuse of the fee task. Second, strengthen the management inside the hospital. All parts manage the clinical route, standardize the medical behavior, control the unnecessary activity of making a diagnosis; Improve the information announcement system of medical care, accept the social supervision voluntarily. Third, reduce the key element cost of medical care. Advance and improve and concentrate on bidding and purchasing the system, reduce purchase cost and price of medicines and medical equipment; Implement the result of inspection and examination of medical organization at the same level progressively to mutually admit, the reduction is checked repeatedly. Fourth, improve and encourage tied mechanism. Explore that pays, prepays etc. according to paying, total value of number of people, impel hospital and medical worker to control the cost consciously according to number; Explore the distribution system reform inside the hospital, emphasize and assign and reflect the more pay for more work and excellent and work excellently in inside, pay close attention to the comprehensive goal, quality and efficiency further. The fifth, change the mode of going to a doctor. The policy of adjusting the medical insurance and submitting an expense account, make the norm of changing the place of examination bidirectionally, promote the basic unit to examine, grade medical treatment for the first time, reduce the medical expenses. Zhou Jun points out, the reform of means of payment of the medical insurance is that the hospitalization cost accuses of the main means of the fee. The current methods of the hopeless most countries control the hospitalization cost by paying in the world, mainly including total value is prepaid, paid, paid etc. according to number according to the number of people, this kind of means of payment regards medicines, consumptive material, checking,etc. as the medical cost, hospital and medical worker will control and adjust, reduce the unnecessary expenditure consciously. In the future, it is an important task which the public hospital reforms to accuse of the fee.

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