Specially need medical scale dispute: Guard 10 upper limit rigidly?

Specially need medical scale dispute: Guard 10 upper limit rigidly?
Specially need medical scale dispute: Guard 10 upper limit rigidly?
The public hospital reform is accelerated, specially need medical care issue to float above the surface of water. April, the pilot instruction of the public hospital reform of Jiangsu Province makes, among them, the upper limit of proportion " 10% " of offering service of specially needing in the public hospital put forward in the ministries and commissions scheme of country five ,The regulation is " The proportion of the service income " . Shanghai proposes developing advanced medical care including specially needing medical treatment, " mend commonly with the trader " . The expert of Fudan University who participates in conceptual design of the medical reform of Shanghai claims, specially needs to serve the proportion, presume specifically after the suggestion is approved by policy-making level to await this. The whole country " two Conferences " During this time, there are the officers of Ministry of Public Health that say, said " 10% " in national public hospital reform scheme ,Mean berth take than. Like this, have already relaxed the restriction ingeniously in scheme of Jiangsu Province. " if lack the subsidy of advanced medical treatment, the day of the public hospital is difficult to more pass " ,Aforesaid Shanghai medical reform expert points, specially needs medical treatment to develop battle of scale, the back reflects the important problem that compensation mechanism has not solved the problem yet. Specially need to know how many old brand Yan Chai Hospital of the first, second and third of Shanghaies west institute lies in the area of city center where every inch of land is precious, having even used the clinic building for 76 shabbily, but it specially needs the ward to be fitted up at his top floor's rheumatism to set up. Even in bright noon not taking such as sunshine, turn on long to slip away light soft warm tones light too on the corridor. At the end of March, the nurse on duty tells reporters, the ward expenses standard here is 1800 yuan of separate room per day, the suite costs 2200 yuan per day, the space has 13 sick beds only limitedly. Help the east institute in more spacious benevolence, better if the ones that have specially need central condition only. Yan Chai Hospital specially needs there are more than 100 berths now in the medical centre, compare 1300 the whole institutes and check and ratify the berth, the proportion that roughly accords with the national regulation is limited. However, except specially needing the centre, the ward of every department offers the single or double one to specially need the ward, called " the floor is specially needed " ,The price is 450 yuan per day, the berth quantity varies with department. Help east the intersection of institute and the intersection of internal medicine department and the intersection of building and layer of gynecological wards in benevolence, in all 38 check and ratify berth, add by 10 beds, specially need 6 berths at the end of the corridor, accounts for 12.5% of the total number of this floor of berths. Since 2008, explaining the centre of development of health hospital begins the pilot project in 23 city owned hospitals in Shanghai and popularizes the whole cost accounting, each hospital is split into several and check and calculate the unit, the minimum one is the department. This encourages the department and puts out to specially need the ward to create income excitedly. " specially need the centre " " the floor is specially needed " for sum (or " The department specially takes " )Coexist, it is a general phenomenon in hospital of many of the first, second and third of Shanghai. For example Rui Jin hospital checks and ratifies 1600 berths, specially takes 104 of total number of berths of the centre, have not exceeded 10% of the national regulation either. But there is the majority in hospital departments of the demand specially need the berth. But this quantity is difficult by statistics. In addition, the wards of cadre of every large hospital and foreign guest's wards are generally opening to the outside world, specially need the ward as another kind. Combine with the VIP clinic in short supply, the insider estimates, specially needing the proportion of medical care to exceed 10% of Shanghai. According to another report, Jiangsu some hospital need medical care already reach specially 20% - 30% . The contribution specially needed, to the price which the public hospital specially needs to serve, all parts are adopted and put on record making more, confirm, put to the price department on record by every hospital. Compared with ordinary medical care, specially need service price surprisingly. Take Yan Chai Hospital as examples, public ward between the three one people, average daily berth only 60- 70 yuan in fee, the cheapest floor specially needs to charge and reach 7 times of its too. Benevolence help east the intersection of institute and 3 Building layer of obstetrical departments need ward specially, the intersection of berth and fee divide 1000 and the intersection of 1500 and two into, the operation collected and made a diagnosis the fee and attended to the fee at the price of triple on the same day, accepted with the double price the next day. The hospital specially needs the centre in Rui Jin, it is 1500 yuan per day that the double room charters prices, expenses such as checking, treatment, surgery,etc. are collected according to 2 times of ordinary medical care, the foreign guest rises to 3 times in the ward. Not moving in these kinds of wards in the medical insurance is paid the range, hospitalization costs involved by it are all direct or shift " gold and silver " paid the hospital . Personage in the know of hygiene system reveals, the finance of Shanghai will take out 1 billion yuan and is used for replenishing veteran cadre's medical treatment in 2008, hospital of Rui Jin is on taking 260 million yuan alone among them alone, this figure is almost twice of annual hygiene industry fund input to this institute of government. 8 ministries and commissions such as national development and reform committee,etc. cut the addition rate of medicines to 15% from 2007, on condition that compensate uncompletely in the government, it takes medical care to be self-evident in function to public support of hospital specially. Also just because of this, Jiangsu Province is in its implementation instruction of the reform pilot project of public hospital, until than " Berth than " But "include than " --10% that the service income proportion of offering service of specially needing and making does not exceed all medical service incomes. In all incomes of the hospital of public the first, second and third at present, the medical service income accounts for half, according to the regulation of Jiangsu Province, specially need to serve and account for about 5% of its gross income, it is roughly about equal to put the finance into. It if you can't mean 10%, take berth than,need by contribution rate served specially getting getting higher more so. The one that can bear the evidence is, the hospital of Fudan University manages in the 2008 of research institute one will survey and study revealing: It is 4.27% on average that the medical organization of the whole city of Shanghai specially needs the proportion that service income accounts for the business income. Consider Shanghai two places Su medical development level about equal, according to the new regulation of Jiangsu Province, mean existing to take medical care can expand, hold first time specially. The pilot instruction of the public hospital reform is clear behind battle that specially needs, " it specially needs to serve the scale to control the public hospital " ,Mean guaranteeing the basic medical demand at first. The regulation of Shanghai, joined the necessary assurance of the doctor offering service of specially needing and finished medical treatment, scientific research, teaching,etc. work load that health authorities stipulate. But one the intersection of the first, second and third and performance of hospital, district of Yangpu, run to a director to tell reporters, as to this there is not a thinning index. Specially needing to serve to be in short supply of every hospital now is difficult to supervise. Another one to specially needing to serve is afraid the influence is public beneficial. In case of government's undercompensation, " mend commonly with the trader " It is the open secret in the industry: The west institute of Yan Chai Hospital is introducing social capital and foreign strategy cooperator, plan to charge at the price of triple in the future; Shanghai Huashan Hospital plans to unite with the nongovernmental fund, the newly-built branch takes the advanced route in the suburb; The hospital of Nanjing drum-tower is stepping up building its international hospital too, according to planning, more than half part of berth will be all used in advanced medical treatment and marketization to train after building up. Ministry of Public Health objects to this kind clearly " Pool capital public and private " Method. According to the international experience, Advanced medical treatment should be transferred to the market to run. But 95% medical resource in China is precipitated in the public hospital system, the private hospital has little scope for one's talents for the moment.


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