Price and medical cost are hung upside down -Attend to newly - difficult problem of charging is treated and solved

Price and medical cost are hung upside down -Attend to newly - difficult problem of charging is treated and solved
In the ward, nurses are washing the foot for the patient. Staff reporter Zhou Min takes the photograph Though the hospital attends to the reform " Seem very beautiful " ,Relevant pilot hospital and medical personnel in and with all effort too, an irrefutable fact is, serving improves, but attend to the low standard that charged and still continued to use 10 years ago. So, charge the difficult problem if can't be solved, this aims at reform hospital's attending to the new attempt of the mode, the prospect probably feels embarrassed to mention the optimism. Attend to and charge and only account for ten percent of the Municipal Health Bureau of cost and cure the policy Chen Jing, vice section chief of and introduce, it was 1999 that the current grade in this city attended to the expenses standard and continued to use " Beijing unified the medical expenses standard of services ". This expenses standard stipulates, it is 9 yuan, 6 yuan and 3 yuan respectively that first grade, second, third grade attend to the daily expenses standard. Chen Jing says, the medical project cost accounting of 8 city owned hospitals revealed last year, the average unit cost that the grade attends to should be 90 yuan every day for every bed. So is easy to calculate, finish the work load that first grade attends to, expenses which the hospital collects and the patient engage and partial to the remuneration that workers pays to differ by the amount of time 10 by oneself at present. " it means the proportion of attending to and charging and attending to the cost is twisted seriously " ,Chen Jing says frankly, the cost accounting results of much hospitals in this city reveal, four big classes totally lose money in the project, the attending to type stands in the breach, its income of individual event is fewer than 0.5% of all incomes of hospital, " the care that the function can be ignored that but this creates income, it is a key whether the patient could enjoy good service and recover smoothly exactly " . Price and cost are hung upside down in the new medical reform scheme in this city seriously, propose three directions of the public hospital reform for the first time - -Public beneficial, accurate and public beneficial and managing. Among them, the public hospital is public beneficial to embody in and bear the basic health care service. And as high-quality this city attends to the popularization of services, attending to the fee has used low and become a hospital administrator and attended to the focus that the circle discusses again. "Attend to and charge low, this is an irrefutable fact, but should solve the problem, the Ministry of Health has said and does not include, need many departments to coordinate, the difficulty is not small. " Chen Jing says frankly, fee cost and price are hung upside down seriously to attend to the fee, treat fee, clinic to make a diagnosis at present, but the medicines price is empty and high, this is a problem to be solved urgently in the new round of medical reform of this city. It is reported, in order to make the nurse's work values reflect, Jiangsu and other places has already tried to attend to the expenses to raise on the remuneration, this grade of saving 3 pilot wards attends to and charges every bed 10 yuan, 6 yuan, 3 yuan every day before this, improve to 90 yuan, 60 yuan and 30 yuan separately. As to this, Chen Jing says, the Ministry of Health of this city has been appealing for improving and attending to the price level too for many years, hope to make the value attended to fully reflected by way of increasing the financial subsidy, but because involve many departments such as Labour Insurance Bureau, Bureau of Finance, need to consult. Wang Shan, director of people, say, work and it of the nurse's can charge and have difference greatly partly, so hope during the new round of medical reform, the government contemplates the compensation mechanism of the public hospital, so as to ensure the public hospital can do attending to the service that can be expanded in this way well. Direction ask solve, start performance, examine reporter, know in the interview by some hospital, on condition that attends to expenses not rising, strength at present and does not increase, " high-quality care " Because has increased the nurse's work load suddenly, really certain resistance exists in the popularization of project of this reform. Moreover, some nurses really have certain resentment. "Until work load examine, quantize situation of index, have willing to get the intersection of clinic and the busy more work nurses, pressure big, but income low post go " ,Xu GuoYing, head of the nursing department of the People's Hospital, says, the hospital is counting and checking and calculating the work load of the nurse of every department at present, prepare for paying knowing the real situation in system to assess of performance that will be launched soon. The intersection of performance and the nurse's bonus instead of the disease number contracting system to assess, complexity of every day's work load, nursing, patient's satisfaction are appraised,etc. the factors in many aspects are linked directly. Besides the material reward, the hospital also ferments and changes the existing system of arranging an ordering according to class and grade, base on the premise that total working time does not change, take centralized working time and method at break, reduce the time that a nurse travels to and fro between accommodation and hospital every day. (reporter Li QiuMeng)

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