Health newspaper: It is the better whether the medical fee of the public hospital is the lower

Health newspaper: It is the better whether the medical fee of the public hospital is the lower
Zhang HaiTong ( Doctor) In hospital in the public hospital, each patient's average medical expenses are 7101.8 yuan, the expenses drop to some extent in hospital, but the clinic expenses slightly rise, go up by 0.3% compared with the same period of last year. The 12th, the situation that Ministry of Public Health announces our country second for the first half of this year and the above public hospital expenses control, result reveal public the intersection of hospital and clinic and in last will it be every year 4 year rise 5%, expenses in hospital, first decline over the past 5 years. But because is influenced by factors such as price, technological service price of medical treatment,etc., the medical fee may still rise in the second half of this year. (" Beijing Morning " of October 13) Second and medical fee in hospital of the above public hospital are after going up by 4 years continuously, the first decline over the past 5 years, this deeply sees the doctor and perplexes to those expensively, even suffer from serious illness, persistent ailment does not as for patient examining it dare to get to the hospital either, it is undoubtedly an inspiring good news. However, someone will query certainly this comes from official statistics and public feeling and does not accord with, it is not low enough to think the charge of the public hospital, then put out some oneself or person knowing it to refute the conclusion that the medical expenses of public hospital drop to the experience that the public hospital seeks medical advice. Different because of the regional hospital expenses standard, so, it is actually unrealistic that the ones that should judge overall medical fee of public hospital with the seeking medical advice and going through of some specific patient lower the situation again. However, medical service item expenses standard and medicines price of the public hospital are actually totally open, also it is very convenient to consult. The public can find, though the medical project expenses standard of public hospitals of all parts differs, but a lot of medical service item price has not even been adjusted for several decades for several years, or it is really very much the same to adjust very little situation. Perhaps this is under the instantly severe inflation situation, cause second and the main reason the medical fee of the above public hospital drops for the first time. Then, is it feasible to control second and medical fee growth of the above public hospital through the administrative forced quotation means? You know, in second more than public operation cost of hospital, government input only accounts for about 10%, it is even lower. If can't get the financial subsidy in time, the medical fee certainly will influence the public hospital to survive and develop while dropping. A few days ago, medias reported indispensable medicines of a kind of heart disease operation one after another - -Situation of the fish with seriously in short supply precise protein. It causes the serious consequence that this kind of medicines is in short supply, a lot of hospitals in all parts have postponed or suspended this kind of cardiac surgery one after another, those demand heart disease patient's life of the operation urgently and endure to the fullest extent and threaten healthily People can't help, want, ask why used in medicines that save someone's life be in short supply? Originally, because the price of this kind of medicines was not adjusted for several decades, it is not merely profitless to have the medicine enterprise which produced qualification to produce this kind of medicines, and will bring loss. Then for reduce and avoid, suffer the loss, medicine enterprise can only drop in production even stop production these kind of medicines. In fact, the situation that a certain medicines are stopped production, dropped in production by the medicine enterprise because of pricing low is not an example, but a kind of very common phenomenon. Only, because the fish, precise protein this kind of medicines, do not have other substituting medicines, it is indispensable medicine of heart disease operation, the running out of goods of it has threatened the patient's life security, so has just caused media and public high concern. In fact, the price of the medical service item is not adjusted for a long time, the medical worker labour value is underestimated, twisted seriously, negative impact on what the medical trade leads to the fact cross compared with a certain the intersection of medicines and price low Huang step aside more also. As everyone knows, the medical expenses standard of services is checked and ratified by the formulation of administrative department of the hygiene, price department, the public hospital has no right of fixed price to the expenses standard of medical care. However, the project expenses standard that a lot of are medical or are not adjusted for several decades, or underestimate the medical worker manpower cost seriously. For example domestic registration fee, operation of doctor fee on generally too low, one registration fee of chief physician only trivial several yuan too usually, a highly difficult its fee of operation of surgery is only trivial several hundred yuan too. No wonder the domestic doctor will often sigh over one's own technology, knowledge with feeling it is cheap. In this case, a lot of medical organizations have no ability to provide reasonable remuneration and other treatment for doctor naturally. Obviously, this kind of medical care and medicines pricing mechanism are stiff, the unreasonable situation of pricing can not really let the patient benefit. For example, medicines price at too low, will unavoidably present low price medicines and disappear. Unavoidably appears in the hospital and raises medicine with medicine if the medical expenses standard of services is too low, all sorts of abnormal phenomena of medical brain drain,etc. that medical worker's working enthusiasm is baffled, outstanding. If this kind of rigid, unreasonable medical care, medicines pricing mechanism can not get and correct in time, will cause patient's interests to get less than guarantee too finally. After all, though medical care and medicines have certain particularity, but they are a kind of goods after all, have predicable of goods, observe the law of value of the goods naturally. So price its make low in order to. It is obvious, it is impractical to only control the medical fee growth of public hospital by means such as administrative forced quotation,etc.. Increase and control the medical fee of the public hospital at the reasonable level effectively, set up a set of rational, effective medical care and medicines pricing mechanism that can reflect medical worker's labour value, it is the task of top priority. Certainly, the precondition of its implementation is that the government increases the input into second and the above public hospital conscientiously, improve the medical treatment that the public enjoyed and ensure the treatment, lighten patient's conceited proportion of medical fee effectively.

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