Medical network February 10th hearing expensive doctor, has been the focus of media attention, but also the people complain about the pain points.
Since October 2016, the Hubei provincial health and Family Planning Commission control index started in its official website publicity of local 14 provincial hospital medical expenses. Indicators of a total of 10, covering the outpatient, inpatient medical expenses, the proportion of drugs, inspection and testing of income, health materials, such as the proportion of revenue accounted for the proportion of medical income.
Hubei provincial health and Family Planning Commission party secretary Zhang Jin said that the purpose of publicity is forced hospitals to reduce the cost of health care, and thus solve the problem of difficult to see a doctor, see a doctor, and effectively enhance people's sense of health care reform.
Cost control data online publicity, non-compliance will be reduced or cancelled subsidies
In the first half of 2016, the average cost of outpatient service in our hospital was 271.44 yuan, and the per capita cost was $20556.81. Compared with the same period in 2015, outpatient 7.44 yuan, while the cost of hospitalization increased by $513.94, but the growth rate decreased." Hubei Provincial People's Hospital, vice president Wang Gaohua told reporters.
Medical cost control, is a worldwide problem. From the price point of view, the cost is always rising trend. Rise is also caused by a variety of factors, such as the continuous improvement of medical technology, medical environment, such as continuous improvement." Wang Gaohua said, to control the unreasonable growth of medical expenses, the key is to promote rational treatment, reasonable charges.
Reporters learned that the Hubei provincial health and Family Planning Commission to determine the main monitoring indicators of medical expenses control has 24, of which the public indicators for the 10. The reason why the choice of these 10 indicators publicity, because these data can directly reflect the cost of patients, but also easy to understand." Hubei provincial health and Family Planning Commission of Medical Administration medical management office director Zhu Hongbo introduced. So far, the Hubei provincial health and Family Planning Commission has publicized the control cost index two province's 14 provincial medical institutions; all over the province, city and state also have their public area more than two public hospitals in the medical expense control index.
Zhang Jin said that the continuous disclosure of public control fee data, both people can see to understand the various hospitals in the end there is no real control of the cost, but also between the various hospitals on the track of healthy competition, and thus more power down fees. "Publicity system, forcing hospitals to adopt appropriate technology to control costs, only in this way, is the survival of the hospital." Yang Guoliang, vice president of Wuhan central hospital.
After controlling cost index publicity, the health department of the Ministry of provincial, municipal and state medical institutions to carry out a special inspection and control fee "look back".
"We will realize the goal of cost control and public hospital infrastructure investment, public hospital accreditation, access to new beds, equipment purchase, investment approval on the (special), construction investment, financial allocation budget linked." Zhu Hongbo said, the control cost target top priority shall be given to the hospital, did not reach the cost control target hospitals, health planning administrative departments at all levels in conjunction with the development and reform, finance and other departments according to the reduction or cancellation of subsidies.
Stomach patients do brain CT, excessive medical treatment
I once went to a county hospital for examination, found that the hospital actually gave a stomach critically ill patients do brain CT. This is obviously over medical." Zhang Jin said that a stomach disease patients no matter how serious the situation, it is impossible to have a relationship with the brain. "Through publicity, so that ordinary people and the media to supervise medical behavior in public hospitals, forced to reduce the hospital, minor illnesses Daiji prescription, inspection of excessive medical behavior."
In the online publicity at the same time, Hubei is also the province's medical institutions to carry out special rectification activities of excessive medical problems, excessive examination, correct medical services over medication, excessive treatment to harm the interests of the masses, standardize medical institutions and medical personnel, strictly control the unreasonable growth of medical expenses. Zhu Hongbo said that the scope of the special rectification of the province's two and more than two medical institutions, covering public hospitals, private hospitals, the implementation of the following medical institutions refer to the following two.
In our hospital, the doctor's performance is not linked with the drug, inspection items, but according to the outpatient clinic, hospital and surgical operations to determine the amount of business." Wang Gaohua introduction, from the beginning of 2015, the hospital to carry out the re examination of drug instructions. Each department selected 5 kinds of the most common usage of drugs, hospital drugs according to the instructions set the entry within 10 years, doctors have to take the examination. The move is designed to prevent doctors from prescribing drugs that are not related to the disease or associated with the disease, which is a "prescription."".
Wuhan central hospital performance management approach clearly stipulates that the drug revenue is not as part of the accounting income, the proportion of drugs should not exceed the overall index of the hospital. According to the characteristics of the hospital, historical factors, etc., to determine the proportion of the proportion of drugs decreased, and decomposition to the Department, requiring all departments must account for the proportion of drugs decreased over the previous year.
Yang Guoliang introduction, the hospital organization of clinical pharmacists on the use of drugs in the first quarter of the 10 drugs for review, the abnormal volatility of the special verification, to see whether the use of reasonable. On the use of the largest amount of drugs, the hospital requires the use of 60% in the previous quarter, the amount of control; the last 3 times on the list, will be adjusted to the procurement directory. "In the third quarter of 2016, we restricted the use of the 10 drugs."
At the technical level, the hospital established a rational use of electronic warning management platform for the whole process of drug supply and marketing monitoring. Yang Guoliang said: "the doctor's prescription, the system will display the three red yellow and green lights, once |
