Help medicine and enclose the institute and pursue the forced quotation of single number and analyse and explain common people " It is expensive to see the doctor " Difficult problem

Help medicine and enclose the institute and pursue the forced quotation of single number and analyse and explain common people " It is expensive to see the doctor " Difficult problem
Jinan 1 of www.xinhuanet.com Cable of the 25th of moon (reporter Wang HaiYing) Shandong Jining medical college affiliated hospital ( Hereafter referred to as and help medicine and enclose the institute) Implement the ceiling price to the therapeutic expenses of some common diseases, frequently-occurring diseases, set off by the norm the measure of treating the route, checking and ratifying the basic medicine catalogue etc. at the same time. In the past 6 years, save the expenses of 3100 more than ten thousand yuan directly for the patient, meanwhile, the business income of the hospital increases by 7 0 every year. 8 % .
Help medicine and enclose the institute and is located in southwest of Shandong, it is a general hospital under the province. Existence for a time of unreasonable phenomenon such as checking, great prescription, excessively treating arbitrarily, cause medical waste of resource, make, treat expense to be timid and high too.
Two appendicitis patients' experience, the change of helping to help medicine to enclose institute's management mode directly. 2003, two patient these make the same kinds of operation, live in same ward, number that in hospital the same, but it is with a wide gap to spend: More than one yuan, another one is more than 5000 yuan. The patient complains to the president, the hospital accesses a contrast of case history, discover and distinguish mainly on the medicine. Spend the relative that the patient that lacks is a doctor of this hospital, medicine should be usedded for one that use, right amount of medicines, another patient's experience is " The great prescription " . What the hospital carries on subsequently is checked to find, similar problems generally exist.
In order to solve" Ask for great treatment only minor illness, serious disease cure arbitrarily" The question, from February of 2004, help medicine and enclose the institute and begin to charge the forced quotation of single number, from making a definite diagnosis of and is admitted to hospital and checked and treat to cure and leave hospital, limit the supreme expenses standard to single number.
Help medicine and enclose the institute and organize personnel to analyze to the case accepted in 3 years for medical treatment, gather the data, calculate the corresponding expenses, confirm the amount of money of forced quotation of this number according to treating the cost in price standard of combining the current policies and regulations, and announce to the society. The number implementing forced quotation is mainly common disease, frequently-occurring disease, can control curative effect and course of disease according to the engineering level, the standards of condition and prognosis are easy to judge. The patient pays in advance according to this standard, the excess part is by doctor or school's commitments.
The hospital still organizes most authoritative expert and related departments to combine the original scheme of making a diagnosis, from guaranteeing medical quality and medical resource of rational utilization set out, make the most basic clinical route of this number, including days, the medicines, checking the project, operation anaesthesia way used,etc. in hospital, it is random to reduce, will treat the behavior to include in the standardized orbit. According to the situation of using medicine for many years, helping medicine and enclosing the institute checks and ratifies 1134 kinds of daily medicines, clear up timid and high medicines with old commission of price of those medicines out.
Implement the forced quotation of single number, and then the ones that will charge according to the project will be paid and made and changed into the prepaid fee system charging according to number, make the hospitalization cost reduce by a relatively large margin. According to the data which the hospital offer, the average decreasing amplitude of hospitalization cost of 128 pieces of number implementing forced quotation reaches 33, the decreasing amplitude of special number reaches 40. Take ambition surgery and four kinds of congenital heart diseases as examples, originally, heart atrial septal defect, ventricular septal defect, lung artery narrow closing four the intersection of disease and each average hospitalization cost in 1 by the intersection of artery and conduit. 8 is about ten thousand yuans, forced quotation is 1 ten thousand yuan now.
The hospitalization cost is bound, force every department and doctor of the hospital to make great efforts to reduce the medical cost, while choosing the medicine, material, checking the project " Only select right selecting the expensive one " . The patient of atrial septal defect of two hearts uses the antibiotic situation as the example before and after forced quotation, the patient before forced quotation, postoperative using the pioneer for 9 days is plain, count 1368 yuan; The patient after forced quotation, postoperative using the pioneer for 6 days is mould and plain, count 192 yuan. The same number of treatment, the expenses that only use antibiotic are reduced by 1176 yuan. In 128 pieces of forced quotation number, the medicines income only takes 10 of the all-inclusive cost.
According to data that the intersection of Shandong and department of public health notify, help medicine, enclose institute, begin, implement forced quotation that year, acute pancreatitis, waist intervertebral disc conspicuous ' Operation) The intersection of prostate and hyperplasia, cut open palace, produce to in hospital expenses 4 disease, in hospital expense to be lower than the intersection of the whole province and 16 medical organization by 6 2 5 on average separately. 7 yuan, 9 4 0 . 5 yuan, 887 yuan, 5 8 4. 4 yuan.
Help medicine and enclose the forced quotation measure that the institute takes, has established the new development way of the hospital, no longer transfer to attract patients to go to a doctor to increase the hospital income by reducing the medical threshold by the hospitalization cost increasing the patient, thus has driven the fast development of the hospital. From 2003 to 2008, help medicine and enclose the clinic quantity of the institute to increase by 3 0 every year. 2, leave hospital the patient increases by 3 9 every year. 8, the ward operation amount increases by 5 6 every year. 2, the business income of the hospital increases by 7 0 every year. 8 % .
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