People's Daily: The government buries singly Can radically treat excessive medical treatment

People's Daily: The government buries singly Can radically treat excessive medical treatment
A few days ago, Beijing determined to expand the public hospital and lose the project and replenish the pilot project fully. Relieve the seeking medical advice and bearing of common people through replenishing loss, popularizing the clinical route, adjusting the medical service price etc. - -The medical reform scheme of Beijing means, the Ministry of Health will reduce the hospital to hold and check the excessively medical behavior such as being single more through replenishing etc.. For a long time, because charge the medical treatment of our country to still extend the government issused price, treat fee, wait for service price deposit, underestimate, lead to the fact hospital have policy-related losses. It shows that 8 general hospitals in Beijing check and calculate the result, in more than 2000 medical projects, the profit project accounts for 43%, it accounts for 57% to lose the project. In order to cover deficit, many hospitals have chosen to " raise medicine with medicine " ,Make the great prescription, check in order to realize and create income and increase income, become sneaking the rule of hospital and medical personnel repeatedly. And the thinking of medical reform of Beijing, it is to pass and strengthen the input power of the financial fund, come piece take away the firewood from under the cauldron, let hospital again for suffer the loss, worry, either go, ponder various " the excellent method " to mend deficit those naturally (used after a verb to indicate the completion of an action). No doubt, the original intention of the policy is good. " whether policy lose blood " ,Treated and cured by government's blood transfusion, suit the remedy to the case. Just, financial blood transfusion is not a free lunch, should see the actual effect in blood transfusion, should be efficient, I'm afraid that needs more thinningly and assisting. The health care serves and presents the market-based characteristic at present, medical worker's income and economic benefits are got in touch. If the market-based orientation does not change, the motive of chasing the profit has not changed, the hospital will probably " eat the finance, and then eat the patient " ,Enjoy financial subsidy, continue, turn on loud prescription, check repeatedly, continue taking the advantage from the pockets of ordinary people. In order to avoid the appearance of this kind of situation, the government must have the cost account ready before the subsidy, namely, clear bona fide cost and loss situation of understanding the hospital. This is a foundation of financial subsidy. At present, Beijing requires the medical project cost accounting job under the government leading factor that the pilot hospital carries on, it is exactly the work of doing accounts of such a foundation. Meanwhile, should carry on effective audit and supervision mechanism to the financial subsidy operating position of the hospital, let the behavior of the hospital shine under the sunshine, guarantee the financial subsidy " allocates a fund for its specified purpose " . While replenishing, should strengthen system design too, carry on effective supervision to the doctor's medical behavior, avoid the emergence of excessive medical treatment. Can carry on supervision to medical care through the involvement of specialized third party's strength, crowd and do the moisture of medical service price. But fundamentally, medical cost accounting is good, financial subsidy, must be based on a prerequisite: The medical organization must change the present market orientation, it of coming back is public beneficial. This is soul of deepening the medical reform, it is various medical reform measures that can produce the basic of utility conscientiously too.

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