Beijing hospital may go up by to attend to the fee nine times The adjustment scheme has already been submitted

Beijing hospital may go up by to attend to the fee nine times The adjustment scheme has already been submitted
Beijing hospital may go up by first grade of tertiary hospital of nine times and attend to and plan to rise to attend to the fee from 9 yuan for every day to 90 yuan, the adjustment scheme has already been submitted (reporter Li XinYue) Beijing has already implemented the hospital in 10 has attended to the fee standard and may be promoted by 9 times, first grade attends to the daily standard from 9 yuan or rises to 90 yuan. Yesterday the reporter learnt, Beijing Municipal Health Bureau has already put forward the adjustment scheme to municipal government, the relevant department is in course of conferring at present. Attending to the fee accounts for the gross income and is fewer than March of 0.5% this years, Beijing launched " demonstration project of the high-quality care " ,Replaced and protects engineering by the nurse. Declare as the pilot hospital in 38 tertiary hospital, 27 second hospital altogether at present. Among them, 11 hospitals such as Peking Union Medical College Hospital, BJ Hospital, Xuanwu Hospital are confirmed as Ministry of Public Health " demonstration project " Contact the hospital especially. Ding XiangYang, Vice Mayor of Beijing shows in research not long ago, this job will be launched in the whole city next year. By the end of September this year, the quantity of pilot ward of pilot hospital of 38 houses of third grade rises to 276 from 98, the looking after a patient by staying with him in hospital rate in the pilot inpatient area has dropped by 30% to 50%, the patient engages and partial to workers to reduce by oneself. According to the introduction of relevant personage of Municipal Health Bureau in Beijing, according to relevant regulation, strength of hospital provide 1.6 people to 1.7 people for each bed, but most hospitals will work out to a ration doctor, but not can not " bring the interests " Nurse. At present, attending to and charging accounts for the gross income of the hospital and is fewer than 0.5%. First grade attends to the cost of 96 yuan by checking and calculating Implement " demonstration project of the high-quality care " And then, the hospital has invested the significant cost on manpower, financial resources, but the nursing fee expenses standard of Beijing is still continued to use " Beijing unified the medical expenses standard of services " made in 1999. This standard stipulates, it is 25 yuan, 7 yuan, 5 yuan, 3 yuan respectively that superfine, first grade, second, third grade attend to the daily standard, the tertiary hospital can add 2 yuan on this basis, second hospital can add 1 yuan. At present, attending to the service price has already become and restricted " demonstration project of the high-quality care " Bottleneck popularized. For this reason, Beijing Municipal Health Bureau has specially done cost accounting, according to service item, frequency, the cost that first grade attends to is 96 yuan. In view of the above, the health bureau has proposed " 90 (first grade) , 70 (Second Grade) , 50 (third grade) " Adjustment scheme. -Visit Xuanwu Hospital " Pay for itself " Do attend to the fee As in the first batch " The demonstration project of the high-quality care " The pilot hospital, Xuanwu Hospital started 3 demonstration wards of first batch in March of this year, dividing two batches again hereafter increases 17 wards. At present, the hospital increases 39 nurses and some hospital attendants for the demonstration ward. Wang XiangPing, secretary of Xuanwu Hospital, introduced, the past nursing way was " assembly line " Homework, nurses who treats the class are responsible for the infusion, it is responsible for sweeping work such as the bed attending to the class. Launch " demonstration project of high-quality nursing " And then, the nurse turns from running affairs into administrating personnel, all nursing questions of the patient's are taken charge of by responsibility nurse. Meanwhile, it was not the nursery work that reduced the nurse, such as get it filled, get the thing, maintenance, accompany examining etc., keep the nurse by the patient. At present, 12 demonstration wards have realized already " zero has been partial to workers " . In order to improve the nurse's enthusiasm, the hospital has the special fund and examines the performance; In order to lighten it is not the nursery work, employ and send outside company 24 hours to accompany and examine etc., these reforms lead to the fact the cost of hospital obviously increase, have already put into 10 million and supported this job at present. And only according to the hospital " Check " ,Can this job persevere for a long time? Xuanwu Hospital expresses too puzzledly. Although nurse's income is low fulfillment mother and baby and room of Xuanwu Hospital have 20 sick beds in all, in August of this year, are becoming " demonstration ward of the high-quality care " And then, having increased 4 nurses, nurse's number is up to 20. Hao LanXiang, 48 years old, it is the eldest nurse here. Before this, more than 1,000 yuan for every monthly salary of her, bonus is about 2,000. Offer " high-quality care " And then, the hospital attended to number of people, patient's weight intensity,etc. according to first grade to implement the performance reform, her monthly bonus has reached 3000 yuan at most. Hao LanXiang's work diary (October 19) 7: 50 gets to the hillock in 10 minutes ahead of time on request. As the responsibility nurse, I am responsible for 6 patients, among them have 3 people who are the caesarean birth, 3 people's natural labor. How is food to ask them in the morning in turn? What is there uncomfortable? 8: 00-8: 20 hands over to the next shift big. 8: 20-9: 00 makes the wound to wash separately for 6 patients. 9: 00 begins to make up a prescription, as patient's infusion of 3 caesarean births. 9: 30 goes to the ward to bath child in turn, it is cold today, turn on and get warm the light first, will transfer at room temperature to 28 ��, then will transfer the water temperature in the bath tub to about 40 ��, wash the hand handle teaches the new mother how to hold the small buttocks, how to prevent pouring water into child's mouth Give it to 6 children after having the bath, it has already been over 12 o'clock at noon. 13: 00 takes temperature, sweeps the bed, ventilates in turn for lying-in woman and child. 14: 00 makes and comforts touching for the child, the hand handle at the same time teaches mother. 15: 30-17: In 00 visiting hours, the child's father, grandfather, grandmother came, I want to answer all queries of theirs. Our ward is now " Zero is accompanied and attended to " ,Other time, I am lying-in woman's best accompanying and attending to and the greatest reliance. Someone says, my income is still less than an ordinary monthly elder brother's wife, but we have already received more than 30 letters of thanks over these two months, does the monthly sister-in-law have this kind of fulfillment? -Visit, attend to fee, rise, need patient undertake, attend to fee, rise, whether this cost should shift to the patient on one's body, further aggravate and see the doctor expensively, difficultly to see the doctor? The Beijing relevant person in charge of Municipal Health Bureau says, the present nursing fee includes row submitting an expense account in the medical insurance, if extend this policy, the patient's cost will not increase. As to this, the intersection of society and the intersection of office and the intersection of medical insurance and JiYuan Jiang, division chief of place, people of Beijing, say Municipal Health Bureau scheme on attending to expenditure adjustment has not not been criticized yet at present, because of price adjustment, during this time may undergo hearing procedure also, get, discuss medical insurance wipe out stage whether the policy will change yet at present. "It if readjust the price scheme through,it adjusts that medical insurance is relevant to last policy determining we again. " Staff reporter Fu rustle The tertiary hospital attends to the expenses standard change The first grade of expenses standard attends to second and attends to tertiary nursing Expenses standard (make in 1999) before this 5 yuan per day of 7 yuan per day of 9 yuan per day Plan to adjust the standard (make in 2010) 90 yuan per day for 70 Yuan / 50 yuan per day of day

|