Health newspaper: " leave hospital first and then in hospital " The ones that witness and accuse of fee are difficult

Health newspaper: " leave hospital first and then in hospital " The ones that witness and accuse of fee are difficult
Zhong Xi ( Doctor) Recently, one in Jilin is called " the new century " Hospital require patient" It is in hospital again to do and leave hospital first" ,And the school also collects the medical insurance again " Get up and pay " . The school says they the reason why do like this, because this is a regulation of the medical insurance centre, local other hospitals are all like this too. (" Chinese radio network " of January 3) First of all, are " leave hospital first and then in hospital " Suspected to escape from the fee and eat the medical insurance. Through this kind of method, the hospital can divide and settle the hospitalization cost with medical insurance organization twice, decompose and is in hospital the number of times, thus draw the low all-inclusive cost. Though, this is a kind of typical unlawful practice, the hospital plays the ball to the medical insurance here, how should the question be seen? Come, judge I think medical insurance department to may encourage and recommend hospital be so very much according to general knowledge, waste the fund of medical insurance groundlessly. But why this hospital will produce such wrong impression. The main reason may lie in, though this kind of behavior is suspected of being involved in violation, will never receive effective supervision and punishment. The result that leads to the fact finally is naturally, everybody does like this. It is long, here a certain " the law does not punish everybody " Psychological for effect under,there is be hospital will accustomed to it, even can think by mistake, this it is the intersection of medical insurance and centre that consent tacitly to they be so in regulation. The fund of medical insurance is one of the main sources of the hospital income, there is excited natural chasing the profit in the hospital, try every possible means, through to join sponsor, offer more medical treatment service, come on, obtain economic income. Several years ago, some medical organizations had even utilized the loophole of the medical insurance policy, jointly joined sponsors, defraud of the fund of medical insurance by making false in hospital false case history. Fortunately, with gradual completion and enhancement of supervision of the medical insurance policy, these properties are very serious to deceive assuaring the behavior has already got the effective containment. Now, that is replaced is that this kind is " leave hospital first and then in hospital " Probe. It seems that this kind of behavior is concealed, has supervised and brought higher difficulty and requirement. A patient, is it the condition need to leave hospital and is in hospital again? Playing and seeing that employs and dismantles the acrobatics employed? Power of interpretation and initiative often on hospital, so long as unite patients, succeed in persuading patients, the hospital can often justify oneself. Stand a lot having " The vigorous consumption demand " The patient's position, their actually not repugnant hospital does in this way. Because the expenses control very much to rigorously enforce, they will worry, the hospital is unwilling to offer better and more medical treatment service for it. Conversely, if the space that the expenses can submit an expense account is very large, not only the hospital is satisfied, the patient will like to do it in this way too. In the past, because the coverage rate of the medical insurance was not wide, must spend one's own money while seeing the doctor. So, doctors will try every possible means to take the place of the patient seeking medical advice at one's own expense and carry on medical treatment and accuse of the fee. But there is difference today, broadness and depth covered with the medical insurance are extending constantly, the mode of seeing the doctor has changed greatly. Frequently, only pays some expenses of very small proportion by oneself in hospital, the majority had medical insurance that submits an expense account. Unless will think a lot of doctor and patient, there are funds public on medical insurance,can using up amount multi-purpose more, use in vain, this is that medical treatment accuses of an increasingly difficult an origin of fee too. Want to halt the fast growth of the hospitalization cost essentially, carry on accurate accusing of the fee to the medical organization, must depend on the involvement of more third party's organizations, pass organizations such as the insurance company,etc., lead and restrict it actively. Secondly, must through pursue clinical management of route, realize, use medicine reasonable consumption rationally, emphasize that offers medical treatment service according to making a diagnosis regularly strictly. Finally, should emphasize the supervisory function of the government department too, apply the behavior of the fund of medical insurance mechanically to those maliciously, the law-executor should sell in time, prevent this kind of behavior, prevent the fund of medical insurance from being engulfed and taken up.

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