The member of the CPPCC National Committee in Zhejiang proposes improving without accompanies and attends to the expenses standard and is paid by the medical insurancing

The member of the CPPCC National Committee in Zhejiang proposes improving without accompanies and attends to the expenses standard and is paid by the medical insurancing
The member of the CPPCC National Committee in Zhejiang proposes improving without accompanies and attends to the expenses standard and is paid by the medical insurancing
In order to solve properly " Pour the Pyramid " Since the family please partial to workers and accompany and attend to family and in hospital the member of the CPPCC National Committee of question province propose improving without accompany and attend to the expenses standard and is paid reporter by the medical insurance the yellow vast monarch of staff reporter Song LiSheng is ageddedding Melt in the society and come, the old man of the family falls ill, perplex " 4 plus 2 plus 1 " The question of the structural family, last mid-March, our province put out in order to offer service of accompanying and attending to the pilot ward the high-quality nursing of the main content, make this perplex " Pour the Pyramid " The question of the structural family, is solved partly. But with gradual popularization of the pilot ward and the deepening day by day of the service, the hand is nervous, such questions as the funds lack, begin to become a worry of a lot of pilot hospitals. At province two Conferences held, member of the CPPCC National Committee of the province, electricity physiological head of the department Li Li of nerve of province the People's Hospital, submit a motion that " propose improving and has not accompanied and attended to the pilot ward expenses standard ", propose charging in grades, and is paid by the medical insurance, on the basis of not increasing ordinary people's medical treatment and bearing, guarantee enthusiasm of hospital, let common people enjoy, attend to while being good too. Current situation: The patient is satisfied to lead and is up to more than 99% to take the lead in province the People's Hospital of March 18 last year after the whole province introduce this service, by last November, in more than hospitals in 2 the whole province first, 90 hospitals in all launched " demonstration project of the high-quality care " ,47 tertiary hospitals among them, second hospital and 43, the total number of pilot wards is up to more than 160. In having no ward which accompanies and attends to the pilot project to introduce, the satisfaction to the nursery work of patient and relative is obviously improvement, satisfaction rises from 92% original to about 99% from side to side, some wards are up to 100%. Uncle Zhang in hospital in the enteric department of hepatobiliary anus of province the People's Hospital, is the first patient who enjoys this kind of good service inside the province. Uncle Zhang's daughter's appraisal on here is: "The nurse has looked after father is more carefully than to partial to workers, we can settle down to go to work, also please partial to the worker's money sparingly. " It is attended to that the nurse participates in the patient's life, can find the change of patient's condition in time, like medical circle a word speak exactly, recovery of patient " whether three treat, attend to by seven " ,Have saved medical resources. Predicament: It is obvious that the bed protects the advantage to be improved of matching to the patient urgently, but Li Li finds in routine duties this measure of Huimin has encountered personnel and financial difficult problem. It makes a nurse undertake more nursery work not to accompany and attend to, for example such jobs as the patient goes to toilet, washes hair, rubs one's body with a towel all want the nurse to finish, this makes each nursing staff cost 7~9 hours to attend to at work on average, make originally on hand's nervous nursing team, seem more and more tense. "Except hand being nervous, the finance is a big problem too. " Li Li specially calculates the investigation to some pilot wards, takes the inpatient areas of 60 berths as examples, dispose the intersection of nurse and 15 people only generally originally, try it after not having, accompanying and attending to the pilot project, serving, need to increase 15 more nurses on the original foundation, and the one that allocated through specially training separately was partial to 5 workers. Every increase of the hospital is a nurse, it is about 80,000 yuans that the annual expenditure increases, increase 15 people, the annual expenditure increases by 1,200,000 yuan. Partial to the monthly salary of 2500 yuan of workers, increase 5 people, annual expenditure is 125,000 yuan. The intersection of staff training and expenses and acquire some the intersection of basic nursing and tool, wash hair car, wash hair liquid, friction towel, steam car,etc., an inpatient area of 60 berths increases and invests about 1,500,000 yuan altogether every year. At present, our province attends to and takes the expenses standard as 8 yuan every day for every bed, move in and count at full capacity with 60 berths, the annual income of the hospital attends to the fee about 170,000 yuans, the income differs by more than 1,300,000 yuan with expenditure. Li Li thinks, it is insufficient to charge, influence the hospital to launch the enthusiasm of this job, also influence the implementation of nursing staff's treatment. Propose: Charge and is paid to this proposition fully by the medical insurance and taken the lead in introducing province the People's Hospital of the high-quality care in the whole province in grades, also have fully the same feeling. Vice President of the People's Hospital of province, ophthalmology centre director Hong ChaoYang say: "It is the third year when the new medical reform is pursued this year, the high-quality care is that the ordinary people experience the medical reform measure of material benefit directly, if because some reasons were not pursued, for common people, it is an extraordinary regret. " President Hong introduces, sick bed and the nurse's proportion of the hospital are 1 to 0.5 at present, but if offer the complete good service, nurse number must increase, hospital recruit 120 nurse specially this year, come, improve bed, protect than. It is strength question that meet at first, secondly it is treatment questions of personnel. "Attend to expenses to be very low now, ordinary people have a haircut 20 yuan at least too now, but our every bed of nursing expenses only charges 8 yuan every day, exclude the loss of some medical equipment, the disparity in the middle of this if be all undertaken by the hospital, would go down for a long time, will inevitablely influence service quality. " President Hong says, according to the request of Ministry of Public Health, should popularize the high-quality care in 80% of the wards this year, if this problem is not solved, certainly will influence the popularization in all parts of the whole province of the high-quality care. "Improve expenses standard, domestic some province already implement for a long time. " Li Li say 9 yuan adjust to 90 yuan from every every day such as bed launch a pilot project the intersection of nursing and fee of ward already such as Jiangsu Province. Beijing will launch a pilot project the first grade of the ward will be attended to and brought from 7 yuan up to 90 yuan, second will be attended to from improvement of 5 yuan to 70 yuan, tertiary to attend to it from improvement of 3 yuan to 50 yuan, and is all undertaken by medical insurance. "High-quality care, to the intersection of ordinary people and favorable measure, right away should pursue, go down while being fine, I hope the government finance can increase input. " It can made as soon as possible that Li Li proposes our province there is not nursing expenses standard which accompanies and attends to the ward, propose first grade attend to 70 of fee, second attend to 50 of fee, tertiary to attend to the fee of 40 yuan. Attending to the fee is paid fully by the medical insurance.


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