Health newspaper: Paid and should not be ignored and equilibrated each side's interests according to number

Health newspaper: Paid and should not be ignored and equilibrated each side's interests according to number
Zhang HaiTong ( Doctor) According to the reports of newspaper, from August 1, Beijing will start the medical insurance to pay the system to reform, begin to pay according to number. In paying the launch meeting according to number in Beijing, 6 hospital ( Third in Peking University hospital, the People's Hospital of Peking University, Friendship Hospital, Chaoyang hospital, Xuanwu Hospital, God Temple Hospital) Become the first batch of pilot hospitals, 108 common disease groups list in and pay the project according to number. Beijing becomes first at home to start the city where the medical insurance pays the reform too. Why implement the medical insurance to pay according to number? Main reason because this kind bale, bind medical way of paying of type, can control medical fee increase effectively undoubtedly, lighten the burden of the medical insurance fund. Before this, the medical insurance that all parts generally implement will really stimulate the growth of the hospitalization cost to pay the system according to the project to a certain extent, the doctor, through writing a prescription more, checking more, agitate patients to accept more medical projects can increase hospital and personal income. In second more than public hospital basically by create income, keep social linguistic context that run, even excessively medical treatment " Swindle medical treatment " Messy when the medical treatment making the public despise as if emerge in an endless stream, the medical insurance fund can't bear the heavy load especially. The reform that medical treatment pays the system may well be imperative. The question that people care about most is, pay and can crown policymaker's wishes according to number, lighten the patient's medical burden effectively, let the patient, medical organization and medical insurance three sides benefit from it? I thought, charged and wanted to get pursuing and making the anticipated effect smoothly according to number, an essential prerequisite can't be neglected, namely it can't regard sacrificing medical quality as the cost. If while paid according to number, the income of medical organization, medical worker is obviously reduced, working enthusiasm is dampened seriously, give a great discount too in service quality Then, the interests of patients will be damaged too. Thus, this medical treatment pays the implementation of the system and loses water-melons after probably choosing sesames - -Lose more than gain! Then, how could let, pay, implement and achieve the anticipated goal smoothly according to number? I thought, several following questions must be clarified in time. First of all, pay and let the public medical organization really surnamed " common " first according to number . As everyone knows, our country public medical organization public beneficial to owe, reflect for a long time. At present, run in the funds in second more than public hospital, government input only accounts for about 10%, it may even be lower. So long as this kind of state can not get the fundamental change, the impulse that the public medical organization chases the profit would not be reduced. It is controlled that rigid in the face of paying such a medical price according to number, hospital and doctor administration will probably make an issue of cutting down the medical cost. Then doctor administration ask, give consideration to curative effect cheap only, medical consumptive material adulterate, reduce, cut out staff member cost unable to avoid in order to reduce manpower. So, only the governments at all levels strengthen the input to the public medical organization, and set up a set of science, effective management system, the public hospital really surnamed " Common" ,Could create the essential condition for pursuing and paying according to number. Secondly, pay the working enthusiasm that can't dampen medical organization and medical worker according to number. The related departments should let the medical worker believe, charging according to number does not want to let income dropping by a wide margin, medical worker's income of the hospital be obviously reduced, but should effect a radical cure " Excessive medical treatment " , " it is medical to swindle " Wait for medical treatment to be messy and alike. So, it is very essential to set up one set in time to effective compensation mechanism of paying the pilot hospital. In addition, if medical treatment can expand, submit an expense account competence to improve to ensure covering constantly gradually, this kind of comparatively normal, reasonable expenses standard can be put down timid and high to the hospitalization cost by more patients to charge according to number, don't reach the psychological burden that the hospital seek medical advice easily, come into the hospital and seek medical advice more. The person who the patient sought medical advice will inevitablely increase more medical service incomes to increase for the hospital. This pair of hospitals and patients is actually a win-win result. Moreover, pay and shouldn't choose those large-scale public hospitals first according to number. The domestic large-scale public hospital is usually as crowded as a market, sit and enjoy the generous medical income. So, they lack enthusiasm to any reform measure including way of paying of the medical insurance. But those there are very few callers, wish eagerly to obtain the new development opportunity from the medical reform the intersection of patient and medium and small hospital of cold reception. For example pay this kind of normal, scientific medical way of paying and can establish good social reputation for the hospital according to number, thus gain the patient's trust and try to come over the patient from the large hospital. So, if related departments pay in the medium and small-scale public pilot medical insurance of medical organization according to number first, not only resistance will be much smaller, but also will form one kind and force the pressure to the large-scale public hospital. If implementing, popularizing new policies of any medical reform, will unavoidably always meet various difficulties and resistance, it is excessively sensitive that this kind of resistance and obstacle mainly come from each side in charge to one's own interests. So, should let for example implement and achieve tangible results smoothly according to the medical reform new policies that number pay etc., the policymaker should fully consider the interests of the patient, medical worker, medical insurance three sides, should accomplish fairly and justly in handling matters, different each side to interests is even handed, and also create the condition to dissolve various contradictions, could ensure the smooth implementation of every medical reform new policies so, thus let the patient, medical worker, medical insurance three sides can benefit from it.

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