Thursday, November 1, 2012

Jiangsu cancels progressively " The addition of medicines " See the doctor expense increase

Jiangsu cancels progressively " The addition of medicines " See the doctor expense increase
The public hospital looks for the equalization point between public service and benefit to reforms the most difficult place
Pan Cheng Qi QingYan Shi XiaoLei
On last Friday, our province clear Jiangsu advanced " time table " of the medical reform in an all-round way With " street map " . Because of the relevant supporting policy still in formulation, the insider giving an interview has proposed, as to the medical reform everybody has " Whether cancel the addition of medicines and make into the medicine thing service charge and know the superficial reform " , " whether why commercial service quality guarantees hospital " When anxious.Yesterday, departments such as the department of public health of the province,etc. held " deepened the system reform news briefing of the medical and health " To these " Anxious " Have responded clearly.
The newly-increased service charge will not exceed the addition of medicines
Cancelling the addition of medicines, everybody comes to an agreement; But should increase the charge of medical care newly at the same time, everybody will be anxious soon: If medicines addition cancel loss that cause to hospital, make a change to remedy by increasing the service charge in the hospital, equal to the superficial reform as to patients. As to this, at news conference of yesterday, chief of province department of public health Guo revitalize Huaming, say really, it will not be like this.
Guo XingHua introduces, basically domestic all large hospitals, the medical care respect suffers the loss, this must remedy by balance of the medicines income when suffering the loss, this is " mends medicine with medicine " of the country Mechanism. "Such as the hospital trend towards the favourable behavior after this mechanism has caused a lot of drawbacks. So the medical reform scheme proposes, the public hospital should cancel this income of ' the addition of medicines ' progressively, so as to turn back trending towards the favourable behavior of the hospital, it is public beneficial to reflect. "
Guo XingHua says, predictably, after cancelling the addition of medicines, the hospital will reduce incomes or take shape to suffer the loss, then, certainly will fill out through medical service charge and financial subsidy. "Our present medical care, for example draw together the registration fee, make a diagnosis and fee, berth fee, attend to the fee etc., lower than the cost to charge, will be remedied by medicines. If after cancelling the addition of medicines, this all rely on medical care to remedy, the masses certainly experience and can not reform the advantage brought. " Guo XingHua reveals, this government of public hospital is certain to increase input, "the proportion in the future will be strengthened progressively. Such one ' appear ' and one ' enter ', calculate, the increased medical service charge will be less than the original cancellation medicines addition, let ordinary people receive material benefit from it. "
Then, will take away all all medicines addition quickly? Guo XingHua introduced, successively in proper order here's one, the medical care at the basic level was realized at first: Health clinics in towns and townships and community service centre of 1/3 of the whole province of this year, should all cancel " addition of medicines " ,The losses caused are all remedied by the governmental input, let ordinary people experience at once, obviously the expenses seeking medical advice in community health Center and health clinics in towns and townships will be reducing. "This one as for the public hospital, it is impossible to all cancel quickly, our province will cancel progressively by pilot hospital, the input of the government strengthens some, the balance of the income of medicines is reduced a bit, to keep the balance between revenue and expenditure of the hospital. "
The reporter knows, in the following 3 years, invest 41,800 million yuan of being newly-increased in finance at all levels of the whole province, among them provincial finance is 12,800 million yuan, come to guarantee the fund that the medical reform need.
Guo XingHua still told reporters yesterday whether had " medicine thing service charges " in the newly-increased service charge ,He is not clear, " because the country has not confirmed either whether to call this name till now, and how to charge. My understanding is, this should be regarded as a part among them of the medical service charge, to reflect the medical worker technology and labor service value progressively. "

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