Monday, October 1, 2012

Health newspaper: " the physical examination has no plan to enter the medical insurance " Or because cognition is stored and offsetted

Health newspaper: " the physical examination has no plan to enter the medical insurance " Or because cognition is stored and offsetted
Hall lucky big Der ' Staff member) News claims on the 23rd, the health physical examination of the residents in Beijing will be submitted an expense account by the medical insurance. Human resources and social security office of Beijing are clarified on the 23rd, the physical examination expenses can not be submitted an expense account by the medical insurance, there is not a relevant plan at present in the social insurance office of the manpower of Beijing, and think the physical examination expenses should be undertaken by the public health. (" The Beijing News " of August 24) In term of professional lines and economy of medical science, the physical examination of the health is absolutely that one does not " spend money more, utility is very great " Thing,one that is through physical examination prevent trouble before it happens, it is ignore not to can prevent by some disease from, in order to treat early, already can reduce condition, aggravate, influence risk of health, also can save medical resources effectively. There are materials that reveal: 1/5 of the persons who account for without doing of hospitalization cost whom the person who becomes physical examination of health cost in all one's life every year. It accords with the modern health idea to put prevention first, it is a guideline of the health care too. Look from foreign countries, the whole people's free physical examination, not merely a kind of fundamental right that the citizen should enjoy, the more key one is its important component as medical system, and ensure a sound important sign of system as medical treatment. Meanwhile, with the deepening of the system reform of the medical and health, the realization of free physical examination is just difficult to avoid. By the look of this, the human resources and clarification of the social security office of Beijing, besides suspected of pushing the responsibilitying, it has deviations that more one probably based on knowing something about physical examination and medical treatment, and totally cut it and split open. Influenced by traditional habit, a lot of people including functional department, the relation with disease treatment as to the physical examination of the health, not forming integrated understanding, the idea laying stress on curing instead of make light of being defended is deep-rooted. If a lot of people do not present serious illness, seldom come into the hospital in the face of the doctor. The problem is once appear like this and uncomfortable, the condition has actually already been hidden for a long time, get may already quite getting late find. Pathological change like liver, because its strong substitutability, spot check the blood to discover the problems such as not carrying on the physical examination of the health, it is uncomfortable that it is early and very difficult to appear, may have reached the intensity of liver cirrhosis or hepatocarcinoma as soon as once symptom appears. If in the intersection of precedent and competent physical examination it, pathological change of liver might find as soon as possible. To functional department, do not get rid of such thinking. The main function of the medical insurance office is the administrative power of fulfilling medical insurance expenses, in the view of relevant department, the medical insurance expenses are just to treating links, and to the physical examination preventing links, it is " out-of-range " to belong to Use is the offside of the public health function. So just have " The physical examination expenses can not be submitted an expense account by the medical insurance " Definition. In fact, this kind of statement, has exposed two kinds of problems of perception, will prevent and treat and totally separate on one hand, emphasize the simplicity which treats the function, but it is actually that a is treated to ignore the physical examination in advance too, it is the ath more effective than to treat health that ensures route and way. Physical examination and it treats the two to be identical at purpose, should have essence to be different at property then. On the other hand, emphasize the special attribute of the funds has no question, but can't thereby produce exclusiveness. In fact, no matter public health funds, or medical treatment ensures the funds, are in fact all public financial burdens, a different one is only that administrative departments are different. As to realistic aspect, including the whole people's free physical examination in the medical insurance expenses and submitting an expense account has realistic operability even more. On one hand, the personal part on the medical insurance card, a lot are bought other articles, have formed the wasteful use of resources in fact. And this part, can in fact realize the function is reduced through the physical examination route. On the other hand, with the aid of curing platform and trust resource advantage with complete health care, tie physical examination to medical insurance, let the rights of people ensured more easily. By the look of situation drawn lessons from, the place " the whole people's free health physical examination " far,etc. is held in Chengdu and Yunnan Try on water is with revealing all the details. Technological aspect and system are in design, " the whole people's free physical examination " And easy to realize. Only, this needs to change the way of medical care as the prerequisite, the physical examination enters the medical insurance and has not planned to exist and offset in exposed cognition, it is a key problem to be most solved at present to act as. Establish " deposit money " Health, let public disease cure and extend the idea defended to some extent to the disease to some extent, the functional department should accomplish something.

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