Wednesday, January 30, 2013

Health newspaper: Rise in price and not so good as propagating on a grand scale silently

Health newspaper: Rise in price and not so good as propagating on a grand scale silently
Wu Shuai ( Doctor) Recently, get the intersection of community and hospital diagnose the illness, needn't charge registration fee, doctor charge yuan of " make a diagnosis fee generally "s in unison go to a doctor, . This piece make a diagnosis fee including the intersection of clinic and registration fee, examine, check fee, inject fee (including intravenous the intersection of infusion and fee generally, do not include fee of medicines, consumptive material fee) And expenses such as the medicine thing service cost,etc., medical insurance individuals of persons who effect an insurance only need to pay 30% in 10 yuan - -3 yuan. In Guangdong, the new rule is carried out on the first day, there are many disputes. (" Information Times " of October 10) Why is 10 yuan? Why put out the new rule of the fee of such making a diagnosis? Some official quarters have provided such a explanation: The average level of the fee is 10 yuan that the ones that were consulted generally make a diagnosis in the whole country. The main purpose to implement is for reducing the phenomenon that the medical organization excessively treats, excessively uses medicine, help the intersection of norm and behavior of making a diagnosis, reduce the hospitalization cost. Here, the ones that see get the administrator hopes to make use of economic lever to contain great pain and good will of excessive medical treatment. Under new rule, if you whether one need to medical insurance personages infusion often, congratulations, perhaps you still can bully some; It is in you medical insurance personage one of one that infuses seldom,you perhaps will some feeling that be suffered a loss, because has not given to you " Save money " ; If you are that one is not a medical insurance personage, this may not be a good news, because mean frequently you must draw more money and seek medical advice and see the doctor. It was 4 yuan in the past, it is 10 yuan now. And a fact unfortunately is, a lot of persons are the floating population, but the medical insurance treatment can not still flow temporarily. I have served as a doctor in a community health Center of Guangdong, observe according to me, clinic seek medical advice in the crowd, can use the intersection of crowd and proportion that medical insurance wipe out, seldom will pass 40%. So, the conclusion that can be drawn is, make a diagnosis the fee is actually rise silently, in a very obscure way, are making the banner of containing excessive medical treatment. It is right to rise in unusually sensitive high price era in price in this, such " rise quietly " Perhaps can not have hidden from the masses, so just call the sound objecting to aching with the meat. What is the issue here? First of all, it is a kind of instinct of consumers' to object to rising in price, the patient always hopes to spend as little as possible money seeing the doctor, there are motive force and hope of the price of seeing the doctor of natural pull-down. But there is excited natural trending towards the profit in the medical organization, hope the medical service price is ordered the higher well. As the administrator who makes the policy, how to come to deal with and coordinate this kind of contradiction? What we saw is, administrators have seemed to serve as a kind of " uncontentious person " Role,seem,they everyone unwilling offend. In order to please ordinary people, the medical service price has been forced down artificially by the administrative hands for many years, far lower than cost prices, the medical organization must lose money to provide for the public, can't carry and rise in price aboveboard; It is a terrific crime medical organization, the administrative department " gives the green light to " to the excessive medical treatment of the medical organization ,Let hospital can through sell medicine many infusion to come commercial more, remedy, drop enough gap into because of the government. Now, can find out the intersection of administrator and attitude and transition of position, issue a series of to the intersection of medical organization and antibacterial the intersection of drug use and increasingly strict supervision regulation, the following new rule of fee of having this kind to make a diagnosis, are raising the medical service price silently. There is one main purpose, manage excessive medical treatment, lighten the heavy burden that the public seeks medical advice. Dense new rule as to good will, the public is not suitable for dampening the spirits suddenly now, need its result of the view to play the final conclusion again. But since may involve rising in price, relate to national economy and the people's livelihood, the relevant department must do a good job of explanation patiently. What is those true medical cost on earth? Is it necessary to rise in price? How to ensure a series of favourable place brought to be realized, does the risk produced by it get strong evading? If the public can not get these necessary answer information, but only see that the fee is rising silently to make a diagnosis, also see at all excessive medical treatment has got the strong containment, they are just unavoidable to produce " hostility " to such a new rule . As the administrative department, certainly should not be unmoved, too reticent to it.

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