Our country defines community's hospital registers and examines and checks that injects the fee to amalgamate

Our country defines community's hospital registers and examines and checks that injects the fee to amalgamate
Our country defines community's hospital registers and examines and checks that injects the fee to amalgamate
On December 14, General Office of the State Council prints and distributes " suggetion on setting up and amplifying the medical compensation mechanism of health organ in the basic unit " (hereafter referred to as " opinion " )Clear, the registration fee, examining and checking the fee, injecting the fee (including the fee of intravenous infusion of the medical health organ in the basic unit, do not include the fee of medicines) And the medicine thing service cost will merge the fee into generally making a diagnosis, will implement " Single Fee System " . The opinion stipulates community's hospital does not have the opinion of the medicine thing service charge to point out, will adjust medical charging item, expenses standard and medical insurance of health organ in the basic unit to pay the policy, and pay one of the channels for this as medical health organ in the basic unit. Person in charge of office of leading group expresses the medical reform of the State Council while giving an interview, it is mainly for producing the compensation to the medical health organ in the basic unit of the medical insurance to design like this, increase the income of medical organization and don't aggravate masses' burden. Will also lead the medical health organ in the basic unit to be compensated more through improving quantity of service and quality, and change the current situations of the drug abuse, out-of-range medical treatment at the basic level progressively. In the intersection of basic unit and medical the intersection of health organ and charging item, existing registration fee, examine, check fee, inject fee (including intravenous the intersection of infusion and fee, do not include the fee of medicines) And medicine the intersection of thing and service cost merge into, make a diagnosis fee generally, no longer have the medicine thing service charge only. Simplifying and amalgamating the charging item not only helps the patient seek medical advice, also easy to supervise. To make a diagnosis the intersection of fee and of unified design expenses standard generally, enable medical most common procedure of making a diagnosis of health organ of the basic unit too, register, go to a doctor, take medicines, has an injection and carries out the same expenses standard, offer suitable medicines, suitable service and suitable technology to patient. Charge, adjust, increase patient, bear suggestion, propose, make a diagnosis the intersection of fee and expenses standard generally and medical insurance pay the policy change synchronously, the expenses standard of the fee is adjusted in dividing a foundation that added originally appropriately to generally make a diagnosis, and on the premise of the masses have now individual who bears not to increase ing, confirm rationally the medical insurance is paid the proportion. Concrete expenses standard and medical insurance are paid the policy to consider synthetically various factors in this area are made. The opinion is clear, national averages of the concrete expenses standard are about 10 yuans, the expenses standards and medical insurance of all parts are paid the policy from every province (district, city) The related departments consider synthetically the medical health organ of basic unit of this area implements the basic medicine system, factors such as labor service cost of the utilization ratio of service ability, medical worker, medical insurance endurance,etc. are made. At the same time, can have already implemented the basic medicine system and already to pay the policy carried out in advance the medical health organ of basic unit of the clinic pool of the basic medical insurance while adjusting medical service charge and medical insurance. After compensating and implementing, the medical health organ in the basic unit is while coming back public beneficially, must avoid " Mess " . The opinion is clear, medical worker's wage level links up with average wage level of local public institution, meanwhile, the performance wage system of implementing the medical health organ of basic unit of the basic medicine system is implemented completely synchronously. The commune hospital of overload can transfer to " Public " As requested, every province (district, city) Make the medical health organ of basic unit of this area and compensate the concrete method in 30 workdays after the original idea is seen and printed and distributed, and submit to the State Council and deepen office of leading group of system reform of the medical and health,etc. and is put on record. Ministry of Public Health requires function and service range of the medical health organ of clear basic unit. Have already gone beyond the medical health organs of basic unit of basic medical care and public health service to service ability, especially some service population more reaching second the intersection of hospital and health clinics in towns and townships of standard already by service ability, can transfer public hospital to it, to the hospital at county level integration of the resources to go beyond functional demand it; Can serve, take way served to buy compensate to basic medical care and public health that he bear. Encourage the medical health organ in the basic unit to offer suitable technology such as traditional Chinese medicine and service. New policies understand Single Fee System make, see the doctor swift the intersection of residential district and Wang ZhenTao, secretary of community health Center, district of Fengtai, say, implement Single Fee System amalgamate multiple charge, enable, see the doctor swift, can raise the efficiency of making a diagnosis of the medical organization at the same time. Wang ZhenTao says, take expenses such as the fee of intravenous infusion,etc. in order to make a diagnosis in unison, one of the reasons is for guiding the current situation that the medical health organ in the basic unit changes the infusion rate of clinic at the basic level on the high side progressively, the antibiotic hormone abuses. In addition, the administrator who has the hygiene service organization of communities " no longer has the medicine thing service charge only " to the measure One shows, community's hospital has not charged the medicine thing service charge at all times, the medicine thing service charge of the large-scale general hospital is under study for action too, have not implemented formally. The placement of Beijing will strengthen and compensate community's hospital to the problem of abusing etc. of turning on big prescription, antibiotic which the doctor of hospital of community might exist next year, the hygiene Xu JunFeng, division chief of place at the basic level of Municipal Health Bureau in Beijing says, " Single Fee System " Also standardize the doctor's behavior of making a diagnosis to a certain extent, will remove and trend towards the favourable psychology. Next year, public funds, personnel in the health organ of the community will be rehired,etc. to devote more efforts to compensating on the project in the government. As to generally making a diagnosis the national average of the fee is standards about 10 yuans, Xu JunFeng says, because resident's clinic when community's hospital sought medical advice submitted an expense account the proportion has already been up to 90% at present, so proportion this raise space to be already limited, this city will regard increasing common people the starting point and seeking medical advice and bearing as, combine medical insurance policy,etc., confirm the fee standard of generally making a diagnosis of this city finally. Edition this interview and write staff reporter Li sprout the universe Sun, continent of leaf, autumn


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