Zhejiang second and the following medical organization will launch a pilot project and pay according to number

Zhejiang second and the following medical organization will launch a pilot project and pay according to number
Zhejiang second and the following medical organization will launch a pilot project and pay according to number
In order to control the unreasonable rise of the medical expenses, lighten patient's medical expense burden, province Price Bureau and province department of public health give notice recently, determines on the foundation of implementing management of clinical route, launch in our province second and the following medical organization according to the pilot work of reform of charge method of number. On April 8 this year, development and reform committee, Ministry of Public Health issue " notice on launching according to the relevant issues of pilot project of reform of charge method of number ", have started nationwidely and reformed according to the charge method of number. It is considered to be one of the too fast upward reasons of the hospitalization cost to pay the system according to the project. Pay, intend, control medical expenses to be unreasonable to increase according to number, in the world comparatively approved to pay mechanism, but still at the stage of exploring in our country. Medical care to put it briefly charges according to number, but the medical organization offers medical treatment service in the course, regard number as the valuation unit to the patient to collect the charges. Expenses such as the diagnosis happened that when the expenses standard of number includes the patient in hospital and treating,etc.. At present, charge and should mainly launch a pilot project at clinical route the norm, therapeutic effect clear common disease and frequently-occurring disease field according to number. The country announces there are 104 pieces of number in the clinical route, such as gall stone disease (mainly operate, excise the skill for the gallbladder) , acute getting simple appendicitis ' Appendectomy) When. Every city can combine local reality, choose several number to try to charge in these 104 pieces of number according to number. Charge and manage the government guided price according to number, every city definite single number expenses standard is carried out after being submitted to the province and verifies by the city, the pilot hospital can instruct the standard to float downward appropriately according to the fixed charge. But vagina give a birth, not planned to cut open the intersection of palace and produce, senile cataract three number, charge the intersection of reform and pilot number according to number for the whole province just before giving birth naturally. Vagina give birth to number charge, it instructs the standard to be just before giving birth naturally: 3000 yuan of two first hospitals / time, 2500 yuan of other second hospital / time, 2200 yuan of hygiene service organizations and commune hospitals of the community / time. Planned to cut open the palace and produce number and charge and guide the standard: 5500 yuan of two first hospitals / time, 4700 yuan of other second hospital / time, 4000 yuan of hygiene service organizations and commune hospitals of the community / time. The number of senile cataract charges and guides the standard as 4000 yuan / time. Had already included the artificial lens expenses of 800 yuan in the expenses standard, chose to exceed the artificial lens of the above-mentioned price voluntarily such as the patient, going beyond some expenses is paid separately by the patient. The charges of these three kinds of number instruct the standard to include the surgery taken place in patient's whole number treatment, make a diagnosis, anaesthetize, examine, check, several expenses such as berth, attending to and medicines, medical consumptive material,etc. in hospital. Patient make a definite diagnosis of admitted to hospital, sign, charge, make a diagnosis behind the agreement according to number, the medical organization instructs the expenses standard to collect the charges according to number, can't collect, make a diagnosis expense while being other to patient again. The patient presents situations such as the serious complication,etc. in the course of treating, after getting the permission of patient, can withdraw from and charge to manage according to number, make a diagnosis the expenses are calculated separately according to the regulation. The medical organization that has already managed the pilot project in the clinical route can take the lead in implementing the pilot project of the reform of charging according to number. Every city should implement one or two pilot hospitals of the reform as charging according to number of medical organization at least, and submit to the province price, Ministry of Health for record before the end of February of 2012. The pilot hospital can choose to implement the pilot project of the reform of charging in the pilot number that the province and city announce according to number. "Hangzhou had specific hospitalled that tried to charge according to number too in the past, but met some resistance in actual operation. Because patient's individual difference, such as general appendicitis spends a thousand pieces, but deal with does not cause other diseases in time, perhaps the expenses will be doubled soon. The same caesarean birth, if there is pregnant woman's allergic administration, will need some more expensive medicines, its expenses should increase too, its medical insurance submits an expense account the proportion will be reduced. " The Hangzhou staff members of a hospital say. Reporter Liu LiFang


|