Saturday, April 28, 2012

Public hospitals of Jinan rise in price collectively

Public hospitals of Jinan rise in price collectively
Public hospitals of Jinan rise in price collectively
"For many years, the government has required the marketization of hospital on one hand, require him to bear public function on the other hand, only socialized medicine will cost one or two hundred million soon every year in our hospital, the fund is basically solved by ourselves, actually the building should be government's input too, in fact are all our self-raised fund. " Qianfo Mount the intersection of hospital and the intersection of enterprise planning and tsunami Li, person in charge of propaganda department, tell reporters. The basic principle of the new medical reform scheme is to lighten patient's burden, how to understand public hospitals of Shandong start this to rise in price collectively? " watch from a distance the eastern weekly magazine " reporter Chen Ran
The report of Jinan of Shandong is in Jinan of provincial capital, the test that peasant from pool of Shandong He Mr. and Mrs. Hou YuFeng is being risen in price by the hospital. On October 23, 2008, the departments of public health of Shandong Price Bureau, Shandong will jointly issue the notice, adjust more than 4000 medical service prices. Whom price raise have 31 among them, include, make a diagnosis fee, test fee, the intersection of operation and the intersection of fee,etc. and basic medical project mainly. "We are that provincial hospitals from August of 2008 do chemotherapy, while drawing blood and testing on November 15, the attending physician has typed and cancelled and chosen 40 yuan on the list, can reach paying dues the place and say again this expenses have already been changed to 100 yuan. " Hou YuFeng is very worried, his wallet is getting flatter day by day. The ones that make adjustment at the same time have Ultrasonography B to check the fee, the previous charging way is 30 yuan for each one, 5 project make, charge 150 all, check odd items in the 5 items now, charges 150 yuan without exception, there are pictures and texts that report the fee of 10 yuan is calculated alone. What Hou YuFeng's wife did are two inspections, can be finished at 60 yuan when only needing before this. "We cost more than 800 yuan coming to do a course of treatment in August, readjusts the price, costs more than 1100 yuan. " Hou YuFeng tells reporters, the annual income of his family is more than 10,000 yuan. After the Spring Festival, the public hospital at city level of Jinan is fermenting and rising in price too. "Municipal Price Bureau and Jinan Municipal Health Bureau of Jinan have already jointly issued the documents, the file consulted the method in the province to carry on the corresponding arrangement. With in a city after all, the medical apparatus used is similar to medical care looks offered, the provincial hospital has adjusted the hospital at city level to certainly need to adjust too. " Jinan Municipal Health Bureau plans Zhang PeiQu, division chief of Finance Department, and says in " looking at the eastern weekly magazine ". A lot of basic projects rose in price on double days, for example in the hospital of Shandong University Shandong, the fee has already been changed to making a diagnosis: 20 yuan for famous expert, 8 yuan for professor, 6 yuan for associate professor, ordinary number is 2 yuan, in addition collect one yuan registration fee; At city level second hospital, first class hospital and the intersection of health clinics in towns and townships and the intersection of public ward and the intersection of berth and price already by 20 yuan per day such as bed, 12 / bed go up for 30 yuan per day such as bed, 20 yuan per day such as bed day; The infusion bed, chair of the tertiary hospital, second hospital, first class hospital and health clinics in towns and townships are no longer free, charge according to 3 yuan / time, 2 yuan / time, 1 yuan / time separately. "In any case, this money can not be saved. " Zhou LiQiang accompanying the wife to make caesarean birth operation in the central hospital of the market of Jinan has already heard about rising in price. LiQiang Zhou ask about, caesarean birth cost 5000 expenses probably during being in hospital, according to the intersection of Jinan and file of city, caesarean birth the intersection of operation and fee rise to being 1000 yuan about from 700 more than, anaesthetize fee, attend to fee, the intersection of berth and row that fee is being raised, will always cost about 6000 yuan. Zhou LiQiang is the peasants coming from Tai'an of Shandong, have become a cook in Jinan already for 8 years, to gain 1000 more than each month, wife the the intersection of caesarean birth and operation use up income of half a year such as him. Outside rising in price, Mr. and Mrs. Hou YuFeng has found some happiness senses too, some doctors have later on avoided several registration fee. "Though the expenses of each course of treatment rise more than 1100 yuan, compared with patient of a same disease, we are still very content with one's lot, because the expenses of a course of treatment of hers want seven or eight thousand yuan, the attending physician joked too later, cured the disease and actually sustained economic losses for us. " "Whether the upper limit that the file that the government department releases is only the price, adjust or is decided by hospital, under the situation of the medical resources at county level with insufficient utilization ratio in the district, the possibility not adjusting the fine setting exists either. " Jinan Municipal Health Bureau plans Zhang PeiQu, division chief of Finance Department, to say to the reporter. The norm rises to the public hospital initiating the great disturbance this time in price and takes action in terms of price, Shandong Price Bureau interprets it as standardizing the market. "Our overall thinking is norms. The original medical service price was definite in 2000, increased a lot of projects newly these years, the country has issued the project norm too, but Shandong has never launched the relevant work, purpose this time according to national norm, original event to receiving at the project of the country, can connect, the price is not adjusted, the project connected is checked and ratified again. " Tian AiJu, division chief of Shandong Price Bureau cashier, tells " look at the eastern weekly magazine ". On the wall opposite to registering and charging the window in the central hospital of the market of Jinan, really putting up a notice jointly issued by province Price Bureau, the General Office of Finance, department of public health on September 1, 2000, stipulate the registration fee of 6 yuan of experts, registration fee of emergency call is 3 yuan, ordinary registration fee is 3 yuan. "After this norm, the hospital would not increase the extra expenses for the patient. One therapeutic fee can so as to all-embracing originally, add many expenses, having cancelled this item now, if the patient has doubt now, can report the arbitrary charge question of the hospital according to the new standard. " Some patients reflect the transfer operation fee of liver rise to about 15000 yuan at present from 3000 to 5000 yuan, the field loves chrysanthemums to explain: Not originally having liver that transplanted this project, should be reduced to add up prices wholly after the norm, , after the norm, whom should charge shouldn't charge speak very clearly all because of medical course this. The original operation fee may be relatively low, after adding various purposes expenses, the expenses of patient's actual delivery are not low. "So say the price is not fixed the lower well, he will try every possible means to look for back in operation. " " this time the department of public health stays and helps the province (the department) together with what province Price Bureau issues Belonged to the standard of service price of medical organization, specific unit arbitrary charge, excessively medical question reflected to the masses were made. " Chief of Shandong department of public health Bao WenHui says. Higher problem of the operation fee which patients generally reflect, Tian AiJu says, in that calculate the way, original 100 the intersection of operation and fee count yuan of skills, treat fee separately, namely lump-sum expense of consumptive material collect 25%, have collected 125 yuan directly after this adjustment. "Basic the intersection of medical treatment and this piece we make 31 price of project heighten, because make a diagnosis fee, attend to fee, inject fee increase newly at the 2000 The project of standing, so it is very low to price, have appropriate improvement this time. " Regulation of " management of medical service price of Shandong " implemented from August 1, 2008, concentrate on making or adjusting the non-profit-making medical service price, should the responsible institution of the price organize holding the hearing? Curtain the intersection of �� and anxious and fearful hertzs of the intersection of skull and the intersection of Zhao and black Gou tan, rectify refined the intersection of bag and the intersection of Tang and luxuriant Kun �, Shun of ��, wave �֤�'s curtain of Nuo's punishment of core? "The surface of this price adjustment is very small, do not belong to adjusting on a large scale, so does not need the hearing, the medical hearing catalogue stipulates very clear too, the whole project setting of the medical service price needs to carry on the hearing, this adjustment is not obviously this category. " Tian AiJu says. Foreshadow medical reform? Though Shandong Price Bureau and Jinan Municipal Health Bureau all flatly deny this price adjustment and relate to medical reform, but director of department of public health of Shandong office Zhang LiXiang thinks this kind of statement accords with the development of the situation. "There are the general orientation of the medical reforms now, centre on this direction, save and can do some exploration one by one, but there are no great movements now. " This kind of method seems to agree with the idea of the medical reform draft, article 11 of suggestion draft of the medical reform proposes, the basic medical service price is made according to the service cost deducting the finance and subsidizing, reflect medical service cost and technological labor service value, the service that medical organization and doctor of different ranks offer, price in grades. "In the future after reform scheme pursue, cancel the intersection of hospital and medicines, raise the price 15%, to technological value of labor service being certain to reflect to some extent. " Zhang LiXiang tells " look at the eastern weekly magazine ". "In the meeting of Ministry of Public Health, to the question such as being public beneficial increasing the input in government, strengthening the public hospital last week, the attitude of this reform is very clear. " The public hospital obviously likes hearing such statement even more. "For many years, the government has required the marketization of hospital on one hand, require him to bear public function on the other hand, only socialized medicine will cost one or two hundred million soon every year in our hospital, the fund is basically solved by ourselves, actually the building should be government's input too, in fact are all our self-raised fund. " Qianfo Mount the intersection of hospital and the intersection of enterprise planning and tsunami Li, person in charge of propaganda department, tell reporters. "In terms of proportion, the government puts into the income of the hospital smaller and smaller, though the direction of the aspect of policy is to increase the input in government, it is still a question but how to implement. " The central hospital of Jinan propagates place person in charge Gao Tian and says. Rise in price, cause pay more attention to price adjustment with the intersection of medical reform and difference that scheme imagine while being reverse. The basic principle of the new medical reform scheme is to insist the basic health care service level is in conformity with the people's endurance, make resident's personal basic health care expense burden obviously lighten, put forth effort to solve " the difficulty and high cost of getting medical treatment " . " management of medical service price of Shandong " implemented from August 1, 2008 is proposed too, make medical service price, should consider need and social endurance of national economic development synthetically, reduce the large-scale medical apparatus and check and treat the service price. As to this, the Shandong Vice Governor and king are stated frankly at the hygiene working conference of the whole province that is held on January 17 too to the lotus, though the government puts into increasing year by year, there are more historical debts, can't still meet the actual demands, management system and operating mechanism of the hospital are not complete at the same time, cause the public service properties of medical organization at all levels to weaken, trend towards the profit and is inclined to outstandingly. Chief of Shandong department of public health Bao WenHui shows, will continue advancing the medical care of Huimin in a more cost-effective manner in 2009, strengthen public hospital public service properties, make great efforts to control the medical expenses, relieve the masses and seek medical advice and bear. "" suggetion on deepening the system reform of the medical and health " and " five key reforms implementing scheme of system reform of medical and health " of the country will be issued formally in the near future, deepening the system reform of the medical and health will start formally this year. " Zhang LiXiang says, after the state policies are issued, the pilot project that Shandong will go ahead of the rest in the department, hospital under the province. For fermenting the public hospital at city level rising in price, it is a relatively remote thing to cancel 15% of the medicines and raise the price, during this period, patients have undoubtedly born larger economic pressure.


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