Health newspaper: " see and pay the money after being ill first " Need system guarantee

Health newspaper: " see and pay the money after being ill first " Need system guarantee
Sun RuiZhuo ( Civil servant) The patient needn't pay deposits first in hospital, leave hospital and only pay and pay the part for itself - -Recently, " sees the doctor first, and then pay the money " of the institute of traditional Chinese medicine of city of Shandong Yan state The reform initiates the society to pay close attention to. (" The Beijing News " of August 22) What if running into a few patients and escaping from the fee maliciously? These are what a lot of hospitals worry about. Practice of the institute of traditional Chinese medicine of Yan state shows, this kind of worry is unnecessary. It is reported, so far, already there are 7000 institutes of traditional Chinese medicine of Yan states in hospital the patient enjoy " to see the doctor first, and then pay the money " The policy, accounts for nearly 90% of all impatients, has not taken place and escape from the fee case. Yan state is from institute of traditional Chinese medicine " See and pay the money after being ill first " Reform, the reason why can succeed, because of three points: First, the medical guarantee level in urban and rural areas that the government promoted has already been improved greatly, has got up and " held the bottom " Function. Take Yan state as examples, the whole city shut while being agricultural while being new and urban worker and resident coverage rate above 99% medical insurance have, suppose all patients escape from the fee, the expenses which the hospital settled through the medical insurance, can guarantee the medical cost too. Second, the public sincerity degree is promoted progressively, the cost of dishonesty increases. According to calculate, per person of institute of traditional Chinese medicine, state of Yan, in hospital expenses about 3600 yuan, remove medical insurance, wipe out part, patient individual bears more than 1000 yuan of expenses. The school does not think most masses will break one's promise for some money in this way. Third, doctors and patients both sides sign agreement, in addition, there is medical insurance, the hospital needn't be too anxious. Need to prove in institute of traditional Chinese medicine, state of Yan, it is all patients that can " think after being ill paying the money first " . If is injured because of traffic accident the yet clear one of responsibility, fightses the wounded, persons who have not participated in the medical insurance, still can't enjoy this policy. It means the intersection of city and " think after being ill paying the money first " of institute of traditional Chinese medicine, state of Yan, It is here that the reform only limits the target " The identity is clean " , on the the intersection of responsibility and clear with medical insurance patient, obviously the limited reform. This can understand, the hospital must consider the business risk as an operating unit. True, if the hospital sees someone in mortal danger without lifting a finger to save him, its medical ethics, curing the wind to act as and is condemned, but no security mechanism, who can expect the hospital to keep selfless spirit forever. In practice, the hospital treats and cures a large number of critical patients in advance in consideration of humanitarianism, but can not charge the relevant expenses, form the heavy burden finally. If will been paying first like this all the time, will not know the zeal of keeping healing the wounded, rescue the dying for a long time that how many hospitals there are. Really let " First see the doctor, and then make the money " The mode can be popularized and duplicated, from this word of erasing and seeing someone in mortal danger without lifting a finger to save him in the doctor's dictionary, the commitments of government's responsibility are keys. So we must in the intersection of city and " think after being ill paying the money first " of institute of traditional Chinese medicine, state of Yan, Pour into the factor of government's responsibility in the reform, set up the security mechanism of public financial support of a kind of government, paid the hospitalization cost that some patients can't pay by the country, can remove the worry of the hospital so, let " think after being ill paying the money first " Go further.

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